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0 | Exploring What's Missing: What Do Target Absent Trials Reveal About Autism Search Superiority? | Upper Eyelid and Brow Surgery | We used eye-tracking to investigate the roles of enhanced discrimination and peripheral selection in superior visual search in autism spectrum disorder (ASD). Children with ASD were faster at visual search than their typically developing peers. However, group differences in performance and eye-movements did not vary wi... |
0 | The perfused, pulseless supracondylar humeral fracture: Intermediate-term follow-up of vascular status and function | Distal Radius Fractures | Background: This study provides intermediate-term follow-up data on the vascular status of a cohort of children with a perfused, pulseless supracondylar humeral fracture who were managed with closed reduction, percutaneous pinning, and observation. Methods: Pediatric patients who sustained a perfused, pulseless supraco... |
1 | Pre-emptive analgesia with continuous fascia iliaca compartment block reduces postoperative delirium in elderly patients with hip fracture. A randomized controlled trial | Hip Fx in the Elderly 2019 | OBJECTIVES: To evaluate whether pre-emptive analgesia is an effective technique to reduce postoperative delirium (PD) in geriatric patients with hip fracture.
METHODS: This is a double-blind randomized clinical trial. Ninety elderly patients scheduled for hipfracture surgery at HongHui Hospital, Xi'an Jiaotong Universi... |
0 | Vibrotactile function of the hand in compression and vibration-induced neuropathy. Sensibility index--a new measure | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The perception thresholds for vibration stimuli of the hand at seven frequencies (8-500 Hz) were evaluated in 300 patients referred to the Department of Hand Surgery in Malmo during the years 1985-1990 for various types of neuropathy (carpal tunnel syndrome, vibration-induced neuropathy, cervical rhizopathy, brachialgi... |
0 | High rate of fracture in long-bone metastasis: Proposal for an improved Mirels predictive score | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: Pathologic fracture is the most feared complication in long-bone metastasis. Various radiographic tools are available for identifying at-risk patients and guide preventive treatment. The Mirels score is the most frequently studied and widely used, but has been criticized, many patients not being operated ... |
0 | Intraobserver and Interobserver Reliability of Radiographic Analysis of Proximal Humerus Fractures in Adolescents | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: Multiple studies have shown low intrarater and interrater agreement of radiographic classification systems for proximal humerus fractures (PHFs) in adults. There is no standardized method of measuring angulation of pediatric PHFs, nor is there consensus as to the amount of angulation and displacement that r... |
0 | Individual Patient-reported Activity Levels before and after Joint Arthroplasty Are Neither Accurate nor Reproducible | AAHKS (4) Acetaminophen | BackgroundPatients often are asked to report walking distances before joint arthroplasty and when discussing their results after surgery, but little evidence demonstrates whether patient responses accurately represent their activity.Questions/purposesAre patients accurate in reporting distance walked, when compared wit... |
1 | Expert Consensus for a Principle-based Classification for Treatment of Diaphyseal Pediatric Femur Fractures | Pediatric Diaphyseal Femur Fractures 2020 Review | INTRODUCTION: Recent studies demonstrate considerable deviation from the American Academy of Orthopaedic Surgeons (AAOS) evidence-based guidelines for the treatment of pediatric diaphyseal femur fractures (PDFFs). This study aimed to determine if expert-consensus can be reached on a principle-based classification to be... |
0 | Easy and secure closure of petersen's defect after laparoscopic distal gastrectomy with Roux-en-Y reconstruction | Upper Eyelid and Brow Surgery | BACKGROUND: Previously it has reported that the incidence of internal hernia can be decreased by closing Petersen's defect, but the perfect closure method, in fact, has not been discovered yet. In this study we have developed an easy and reliable method for closing Petersen's defect in the Roux-en-Y reconstruction afte... |
1 | Cemented glenohumeral fixation: Standard of care-affirms | Glenohumeral Joint OA | Cemented humeral stem fixation in shoulder joint arthroplasty has been, and continues to be the "gold standard" to ensure satisfactory implant orientation and stability. The most commonly performed type of shoulder arthroplasty is hemi-arthroplasty in the face of comminuted fracture. Appropriate stem height and version... |
0 | Extremely high prevalence of multi-resistance among uropathogens from hospitalised children in Beira, Mozambique | Patrick’s pharmacoepidemiology project | Objectives. A prospective surveillance study was conducted to investigate the epidemiology and patterns of antibiotic resistance among uropathogens from hospitalised children in Beira, Mozambique. Additionally, information regarding determinants of a urinary tract infection (UTI) was obtained. Methods. Bacterial specie... |
0 | The "anconeus slide": rotation flap for management of posterior wound complications about the elbow | DoD SSI (Surgical Site Infections) | BACKGROUND: Wound dehiscence at the tip of the olecranon is not an uncommon complication associated with surgical approaches to the elbow that involve a posterior skin incision. Various flaps have been described in the treatment of such soft tissue defects, but have associated morbidity. The "anconeus slide" rotation f... |
0 | Tumescent technique for abdominal liposuction: Safety and cost effectiveness | Panniculectomy & Abdominoplasty CPG | Objective: In this study, we try to evaluate tumescent technique for abdominal liposuction as regard safety and cost effectiveness. Methods: Thirty females (20-40 years), with 65-90 kg body weight who had liposuction of at least 1000 ml of supernatant abdominal fat were included. Anaesthesia was obtained by direct infi... |
0 | Current Reconstruction Options for Traumatic Thumb Loss | DoD LSA (Limb Salvage vs Amputation) | Traumatic loss of a thumb results in notable functional impairment. Multiple reconstructive procedures have been described to address these deficits. Compared with no reconstruction, any procedure is of benefit. However, each of the described methods offers subtle benefits and downsides and may be more applicable in ce... |
1 | Early Outcomes Of Immediate Breast Reconstructions Using Acellular Dermal Matrix After Mastectomy For Breast Cancer | Acellular Dermal Matrix | About one-third of patients undergoing mastectomy in the United Kingdom have immediate breast reconstruction (IBR). The last decade has seen a paradigm shift from autologous reconstructive options to implant-based reconstructions using acellular dermal matrix (ADM). IBR is performed with either a subpectoral or a prepe... |
0 | Analysis of Symmetry Stability Following Implant-Based Breast Reconstruction and Contralateral Management in 582 Patients with Long-Term Outcomes | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: This study aimed to analyse the long-term outcomes following breast reconstruction and contralateral management to evaluate the stability of breast symmetry and patient satisfaction.
MATERIALS AND METHODS: The study population consisted of women who had undergone implant-based monolateral breast reconstru... |
0 | Anorectal melanoma. An update | Reconstruction After Skin Cancer | Anorectal melanoma is an uncommon and aggressive disease. Because the patients often present with non specific complaints, a high clinical suspicion is important to avoid a delayed diagnosis. Patients undergoing radical surgery have no significant survival difference compared to those undergoing wide local excision. Ab... |
0 | Improved arthroscopic visualization of peripheral compartment | Osteochondritis Dissecans 2020 Review | Femoroacetabular impingement is a recognized cause of hip pain and motion restrictions. Advancements in hip arthroscopy have allowed surgeons the ability to treat this condition more effectively. However, the learning curve is steep for osteochondroplasty of the femoral head-neck junction in the peripheral compartment.... |
0 | Incidence and associations of painful neuroma in a contemporary cohort of lower-limb amputees | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The painful post amputation neuroma significantly impairs the prosthesis-wearing lower-limb amputee. It remains poorly understood, with literature limited to cohorts of traumatic amputees. This paper reports the incidence and associations of painful neuroma in a modern tertiary centre with a case load of am... |
0 | Effect of multimodality therapy on circulating vascular endothelial growth factor levels in patients with oesophageal cancer | Reconstruction After Skin Cancer | METHODSForty-four patients with oesophageal cancer who were selected for treatment with neoadjuvant chemoradiotherapy had blood samples taken before treatment, during chemoradiotherapy, before operation, on days 1, 3 and 5 after surgery, and 3 months after resection. Serum levels of VEGF were measured. Values were corr... |
0 | The impact of a better-seeing eye and a worse-seeing eye on vision-related quality of life | Upper Eyelid and Brow Surgery | PURPOSE: Patients with eye diseases often have a better-seeing eye (BSE) and a worse-seeing eye (WSE). This review will carve out the current knowledge in which the relationship to BSEs and WSEs contributes to overall visual functioning and vision-related quality of life (VRQoL). METHODS: Searches were from database in... |
1 | Infection following fractures of the proximal tibia - a systematic review of incidence and outcome | DoD SSI (Surgical Site Infections) | BACKGROUND: To systematically review all available studies of operatively treated proximal tibia fractures and to report the incidence of superficial or deep infection and subsequent outcomes.
METHODS: A systematic review of the literature in Medline, Cochrane, Embase and GoogleScholar was conducted to identify studies... |
0 | Tissue Engineering of Large Full-Size Meniscus Defects by a Polyurethane Scaffold: Accelerated Regeneration by Mesenchymal Stromal Cells | OAK 3 - Non-arthroplasty tx of OAK | The endogenous healing potential of avascular meniscal lesions is poor. Up to now, partial meniscectomy is still the treatment of choice for meniscal lesions within the avascular area. However, the large loss of meniscus substance predisposes the knee for osteoarthritic changes. Tissue engineering techniques for the re... |
0 | Treatment options for patients with osteoarthritis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | Knee osteoarthritis (OA) affects many older people and may result in pain and loss of function in the knee. The article explores the wide spectrum of treatments available, including education, exercise, pharmacological agents and surgery. The evidence for these treatments is examined so that nurses have a knowledge bas... |
1 | Uncemented total hip replacements and thigh pain | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We reviewed 51 uncemented total hip replacements (THRs) in 44 patients (mean age 62 years) and average postoperative follow-up period of 4 years. The evaluation system used was based on that of D'Aubigne-Postel-Charnley, and the excellent and very good results totalled over 90%. There were no revisions or aseptic loose... |
0 | Treatment of long bone non-unions with polytherapy: indications and clinical results | DoD SSI (Surgical Site Infections) | The incidence of long bone non-unions has been estimated to range between 5 and 10%. Autologous bone graft usually harvested from the iliac crest continues to be the gold standard for biological enhancement of atrophic non-unions. However, its use has been hampered by minor and major donor site complications. Moreover ... |
0 | Is the St. Georg Sled better than total knee replacement? | Surgical Management of Osteoarthritis of the Knee CPG | In Bristol the St Georg Sled prosthesis has been in continuous use for 25 years and we remain committed to it. During this time many trials demonstrating its effectiveness have been carried out |
0 | Ultrasonic and photoacoustic imaging of knee joints in normal and osteoarthritis rats | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is a common joint disorder and estimated to cause symptoms in 20-40% of the elderly population. 532 nm laser is much absorbed in developed vascular network in the spongy bone which is one of the main characteristics of OA. In this study, a photoacoustic (PA) imaging system with 532 nm laser and 50 M... |
0 | Clinicoâ??microbiological study and antibiotic resistance profile of meca and ESBL gene prevalence in patients with diabetic foot infections | DoD LSA (Limb Salvage vs Amputation) | Diabetic foot infections (DFIs) constitute a major complication of diabetes mellitus. DFIs contribute to the development of gangrene and nonâ??traumatic lower extremity amputations with a lifetime risk of up to 25%. The aim of the present study was to identify the presence of neuropathy and determine the ulcer grade, m... |
0 | Assessing growth and response to therapy in murine tumor models | MSTS 2018 - Femur Mets and MM | Rodent models provide an important means of assessing antitumor activity vs toxicity for new cancer therapies. Tumors are often grown subcutaneously on the flank or back of animals, allowing accurate serial determination of tumor volume with calipers by measuring the tumors in three dimensions. The advantages of assess... |
0 | Evaluation of patellofemoral joint in ADVANCE Medial-pivot total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: ADVANCE(R) Medial Pivot (MP) (Wright Medical) total knee arthroplasty (TKA) was established to replicate normal tibio-femoral knee joint kinematics, however, its influence on the patello-femoral (PF) joint is unclear. The purpose in this study was to assess the PF joint conditions in Advance MP TKA, via radiog... |
0 | Partial subfascial abdominoplasty | Panniculectomy & Abdominoplasty CPG | An efficient liposuction is one performed behind and above the abdominal superficial fascia. It is followed first by a dissection at the deep side of this fascia, and then after a change of plane, at the supra-umbilical level to reach the pre-muscular fascia plane. Dissection is then adjusted according to the amount of... |
0 | MR imaging of pediatric trauma | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Although plain radiography remains the most important and cost-effective imaging for screening and characterizing osseous injuries, it has been well recognized that pediatric fractures can occur without radiographic abnormalities. The superb capability of MR imaging in demonstrating marrow edema, cartilage defects, and... |
0 | A technical report reviewing the use of the 11-mm Gamma nail: interoperative femur fracture incidence | Management of Hip Fractures in the Elderly | Two years after the first large series on the Gamma nail, the authors analyze 119 surgical procedures for proximal femur fractures performed using the 11 mm Gamma nail. The study was performed by 24 surgeons (from six orthopedics departments) at different levels of learning, as in the previous study. The small-sized na... |
0 | Volkmann's ischemic contracture due to soft tissue injury alone | DOD - Acute Comp Syndrome CPG | Fifteen upper extremities, in 14 patients in whom incipient or actual Volkmann's ischemic contracture was present, were seen in a 5 year period. Nine patients were stuporous due to drug overdose and had laid on the extremity; two had received a recent injury of main arterial trunks; two had sudden severe compression; o... |
0 | A model for the pathogenesis of bisphosphonate-associated osteonecrosis of the jaw and teriparatide's potential role in its resolution | MSTS 2018 - Femur Mets and MM | OBJECTIVE: The objective of this study was to present a comprehensive model for the pathogenesis of bisphosphonate-associated osteonecrosis of the jaw (BON).
STUDY DESIGN: Review of PubMed literature relevant to BON, bisphosphonates (BPs), and bone remodeling.
RESULTS: Six case reports of spontaneous resolution of BON ... |
0 | Mastocytosis of the female breast | Reduction Mammoplasty for Female Breast Hypertrophy | A subset of patients with systemic mastocytosis may manifest with extracutaneous involvement. To the best of our knowledge, mastocytosis of the human breast has not been described. This study reports a case with mastocytosis involving the breasts of a 33-year-old woman associated with mammary hypertrophy (breast mastoc... |
0 | Fracture risk assessment and osteoporosis treatment disparities in 3,970 Japanese patients with rheumatoid arthritis | Management of Hip Fractures in the Elderly | The aims of this study are to determine the proportion of patients at high risk for major osteoporotic and hip fractures in a Japanese cohort with rheumatoid arthritis (RA) and to determine if a care gap exists for high-risk patients. The Fracture Risk Assessment Tool (FRAX(R)) was administered to 3,970 Japanese patien... |
1 | A Novel Fast Mobile-Window Small Incision Technique for Hip Arthroplasty in the Elderly and Comparison with Conventional Incision | Hip Fx in the Elderly 2019 | BACKGROUND We deeloped a novel technique - fast mobile-window small incision (FMWSI) - a modification of minimally invasive surgery for total hip arthroplasty, which we believe is particularly suited to elderly patients with hip fractures. The present article aimed to introduce this technique and compare the clinical e... |
0 | Porous metal acetabular components have a low rate of mechanical failure in THA after operatively treated acetabular fracture | Hip Fx in the Elderly 2019 | BACKGROUND: Total hip arthroplasty (THA) for the treatment of posttraumatic osteoarthritis (OA) after acetabular fracture has been associated with a high likelihood of aseptic loosening, instability, and infection. Porous metal components may help to address the issue of loosening, but there are few data on the use of ... |
0 | Spinal narcotics for postoperative analgesia in total joint arthroplasty. A prospective study | AAHKS (8) Anesthetic Infiltration | Sixty patients who were scheduled to have an elective total hip or knee arthroplasty were randomly assigned to one of three groups of twenty patients each before operation with spinal anesthesia. A double-blind technique was used throughout the study. The patients in Group I (control group) received hyperbaric 1 per ce... |
0 | The effect of six months treatment with a 100 mg daily dose of dehydroepiandrosterone (DHEA) on circulating sex steroids, body composition and muscle strength in age-advanced men and women | AAHKS (2) Corticosteroids | OBJECTIVE: The biological role of the adrenal sex steroid precursors--DHEA and DHEA sulphate (DS) and their decline with ageing remains undefined. We observed previously that administration of a 50 daily dose of DHEA for 3 months to age-advanced men and women resulted in an elevation (10%) of serum levels of insulin-li... |
0 | Incidence of total knee and hip replacement for osteoarthritis in relation to circulating sex steroid hormone concentrations in women | OAK 3 - Non-arthroplasty tx of OAK | Objective The increased prevalence of osteoarthritis (OA) in postmenopausal women suggests that changes in either circulating sex steroid concentrations or the tissue response to sex steroids may have a role in the pathogenesis of OA. The aim of this study was to examine whether circulating sex steroid concentrations a... |
0 | Less Invasive Total Hip Arthroplasty. Description of a New Technique | Management of Hip Fractures in the Elderly | We describe a new technique and aim to justify its use in total hip arthroplasty. The incision is short and there is minimal soft tissue dissection: piriformis and most of quadratus femoris remain intact. A meticulous capsular repair is performed. Patients are mobilized without restrictions. One hundred total hip arthr... |
0 | Fractured neck of femur and contralateral intracerebral lesions | Management of Hip Fractures in the Elderly | Ten cases of fractured neck of femur studied at necropsy were found to have established contralateral intracerebral lesions. These were mainly infarcts, and it suggested that the presence of hemiparesis predisposes to a fall on to the affected side and that the body weight acts through the hip joint in such a way as to... |
0 | Declining trend in osteoporosis management and screening following vertebral compression fractures - a national analysis of commercial insurance and medicare advantage beneficiaries | Distal Radius Fractures | BACKGROUND CONTEXT: Despite the increasing national incidence, osteoporosis and its associated comanagement, often remain an overlooked issue in the orthopedic world. Screening and associated management of osteoporosis is often only considered by providers when patients present with multiple fragility fractures. Curren... |
0 | Prophylactic antibiotics | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The prescribing of antibiotics in the absence of infection has always been controversial and when the lawyers get involved as well, it becomes almost unmanageable. With this is mind, it might be useful to look at some of the problems we have with antibiotics in California |
0 | The role of imaging modalities in the diagnosis, differential diagnosis and clinical assessment of peripheral joint osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Peripheral joint osteoarthritis (OA) is predominantly a clinical diagnosis, though imaging may provide confirmation and aid with differential diagnosis where there is clinical doubt. Whilst radiographs (X-rays (XR)) are usually the first-line imaging modality selected, magnetic resonance imaging (MRI), ultrasound and c... |
0 | PINP as an aid for monitoring patients treated with teriparatide | Management of Hip Fractures in the Elderly | Biochemical markers of bone turnover may be useful aids for managing patients with osteoporosis. A 12-month, phase 3, multicenter trial of Japanese patients at high risk of fracture was conducted to assess the effects of teriparatide 20 (mu)g/day on BMD, serum markers of bone turnover, and safety. Two-hundred and seven... |
0 | Differences in expectations of outcome mediate African American/white patient differences in "willingness" to consider joint replacement | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Joint replacement therapy is an effective treatment option for end-stage osteoarthritis (OA) of the knee and/or hip. There are marked racial/ethnic disparities in the utilization of this procedure. The reasons for these disparities are not known. We sought to determine whether African American patients diffe... |
0 | Bone mineral density, body composition and trauma mechanism in young and middleaged patients with femoral neck fracture. A prospective multicentre study on 185 patients | Management of Hip Fractures in the Elderly | Rationale: The majority of elderly patients with hip fracture have Osteoporosis and sarcopenia. However, it is not known how frequent are these conditions in the young and middle-aged patients with femoral neck fracture. Methods: In a multi-centre study 27 young (20-49 years, 70% males) and 159 middle-aged (50 69 years... |
1 | Interventions to improve the appropriate use of polypharmacy for older people | SR for PM on OA of All Extremities | Background: Inappropriate polypharmacy is a particular concern in older people and is associated with negative health outcomes. Choosing the best interventions to improve appropriate polypharmacy is a priority, hence interest in appropriate polypharmacy, where many medicines may be used to achieve better clinical outco... |
0 | Wagner resurfacing hip arthroplasty. The results of one hundred consecutive arthroplasties after eight to ten years | Management of Hip Fractures in the Elderly | In a prospective study of 100 consecutive Wagner resurfacing hip arthroplasties in ninety-three patients, the outcomes for all hips were determined for an eight to ten-year follow-up period. By survivorship analysis, the rate of survival of the arthroplasty was calculated to be 70 per cent at five years, but only 40 pe... |
0 | Incidence of atypical femoral fractures in the treatment of bone metastasis: An alert report | MSTS 2022 - Metastatic Disease of the Humerus | Background: As the life expectancy of cancer-bearing patients has increased, more patients with bone metastasis are receiving long-term treatment with bone-modifying agents (BMAs; e.g., zoledronate and denosumab), which are a risk factor for developing atypical femoral fracture (AFF). In this study, we surveyed the ris... |
0 | Implementation of locking compression plate together with intramedullary fibular graft in atrophic type humeral nonunions | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: This study aims to report the results of locking compression plate along with intramedullary fibular graft that was implemented in patients with the diagnosis of nonunion of humerus diaphysis. MATERIALS AND METHODS: Five patients, operated between 2000 and 2009 for atrophic type nonunion of humeral diaphysis... |
1 | The Feasibility of the Ultrasound-Guided Femoral Nerve Block Procedure with Low-Dose Local Anesthetic in Intracapsular and Extracapsular Hip Fractures | Hip Fx in the Elderly 2019 | BACKGROUND: The local anesthetic dosages used in the current literature in regional applications of local anesthetics are frequently high for surgical purposes, and there are no sufficient dosage studies for emergency department (ED) management.
OBJECTIVES: The aim of this study was to determine the success of lower lo... |
1 | Developmental dysplasia of the hip in infants with congenital muscular torticollis | Developmental Dysplasia of the Hip CPG | Infants with congenital muscular torticollis (CMT) are at increased risk for developmental dysplasia of the hip (DDH), which has led to increased use of diagnostic procedures. Our goal in this study was to establish indications for imaging the hips of infants presenting with CMT. We reviewed the cases of 292 patients w... |
0 | Increased life span of human osteoarthritic chondrocytes by exogenous expression of telomerase | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To extend the life span of human osteoarthritic (OA) articular chondrocytes by introduction of the catalytic component of human telomerase while preserving the chondrocyte-specific phenotype. METHODS: Human articular chondrocytes were isolated from the femoral head and tibial plateau of patients undergoing k... |
0 | Dual mobility constructs in revision total hip arthroplasty: survivorship analysis in recurrent dislocation versus other indications at three to twelve-year follow-up | Hip Fx in the Elderly 2019 | Background: The aim of this retrospective study was to evaluate the clinical, radiologic, and survival results of dual mobility (DM) sockets in revision total hip arthroplasty (THA) performed for instability versus revision THAs performed for other reasons. Methods: From a computerized database, we identified 84 revisi... |
0 | Mechanism of reducing knee adduction moment by shortening of the knee lever arm via medio-lateral manipulation of foot center of pressure: A pilot study | OAK 3 - Non-arthroplasty tx of OAK | Prominent conservative treatment options for medial-compartment knee osteoarthritis include footwear that reduces knee adduction moment (KAM) correlated with detrimental loads in the medial compartment of the knee, thus providing clinical benefit. The proposed mechanism by which they reduce KAM is a lateral shift in fo... |
0 | The combination of surgical embolectomy and endovascular techniques may improve outcomes of patients with acute lower limb ischemia | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: Surgical arterial thromboembolectomy (TE) is an efficient treatment for acute arterial thromboemboli of lower limbs, especially if a single large artery is involved. Unfortunately, residual thrombus, propagation of thrombi, chronic atherosclerotic disease, and vessel injuries secondary to balloon catheter pa... |
0 | Optimal conduit choice in the absence of single-segment great saphenous vein for below-knee popliteal bypass | PJI DX Updated Search | BACKGROUND: Single-segment great saphenous vein (SSGSV) remains the conduit of choice for femoral to below-knee popliteal (F-BK) surgical revascularization. The purpose of this study was to determine the optimal conduit in patients with inadequate SSGSV. METHODS: This was a retrospective review of a prospectively maint... |
0 | Etiology of carpal tunnel syndrome in children and adolescents in British Columbia | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: CTS is the most common peripheral neuropathy in adults and its incidence is 50-150/100,000 individuals. However, there are no incidence or prevalence studies in children. The patients in this age group have no classical sign and symptoms and the diagnosis is mostly based on the abnormal nerve conduction stu... |
1 | Cumulative trauma disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The relationship between work activities and the diagnostic entities discussed in this article is poorly understood, but their development is probably multifactorial. The enormous cost to industry and society is driving many investigators to study the causes and pathologic manifestations of CTDs, and this research shou... |
0 | Does Adding an Additional Numbing Medication Injection in the Thigh Help With Pain Control After Knee Replacement Surgery? | AAHKS (9/10) Regional Nerve Blocks | There is currently no consensus on the optimal strategy that provides the most effective postoperative analgesia while preserving ambulation and limiting side effects such as nausea and vomiting. The clinical team's hypothesis is that the obturator nerve block in addition to adductor canal block can target both the ant... |
0 | Juvenile osteochondritis dissecans of the knee: predictors of lesion stability | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Recent data suggest magnetic resonance imaging (MRI) is the best method to analyze the status of the cartilage and subchondral bone in patients with juvenile osteochondritis dissecans (JOCD). METHODS: MRI analysis of 122 knees and 132 JOCD lesions in 109 patients who underwent arthroscopic treatment for ost... |
1 | Local NSAID gel (eltenac) in the treatment of osteoarthritis of the knee. A double blind study comparing eltenac with oral diclofenac and placebo gel | OAK 3 - Non-arthroplasty tx of OAK | In a randomized, double blind, multicentre study with 4 weeks followâ?up of 290 patients with osteoarthritis of the knee joint, a topical NSAID (eltenac) was compared with oral diclofenac and placebo. The main outcome, Lequesne's Index and pain by VAS showed no statistically significant differences between neither of ... |
0 | (Un)importance of physical therapy in treatment of displaced supracondylar humerus fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | Elbow joint stiffness is a common complication following supracondylar humerus fractures. In prospective study, dynamics of establishing a full range of motion in the elbow joint following the treatment of supracondylar humerus fractures were assessed, together with the effects of physical therapy on improvement in the... |
0 | Idiopathic osteoporosis in premenopausal women | Management of Hip Fractures in the Elderly | Although osteoporosis predominantly affects older postmenopausal women, low bone mineral density also occurs in men and younger women. In men, it is often unexplained by recognized secondary causes. These men with idiopathic osteoporosis have reductions in serum IGF-I as well as indices of reduced bone formation. Young... |
0 | Accurate Reporting of Concomitant Procedures Is Highly Variable in Studies Investigating Knee Cartilage Restoration | AMP (Acute Meniscal Pathology) | Objective: Successful clinical outcomes following cartilage restoration procedures are highly dependent on addressing concomitant pathology. The purpose of this study was to document methods for evaluating concomitant procedures of the knee when performed with articular cartilage restoration techniques, and to review t... |
0 | Genetic and environmental determinants of volumetric and areal BMD in multi-generational families of African ancestry: the Tobago Family Health Study | Management of Hip Fractures in the Elderly | BMD is higher and fracture risk is lower among individuals of African versus European descent, but little is known about the genetic architecture of BMD in the former group. Heritabilities of areal and volumetric BMD were moderate in our large families of African descent but differed for trabecular and cortical BMD. IN... |
0 | Lower body positive-pressure exercise after knee surgery | AMP (Acute Meniscal Pathology) | Lower body positive pressure allows unloading of the lower extremities during exercise in a pressurized treadmill chamber. This study assessed the preliminary feasibility of lower body positive pressure exercise as a rehabilitation technique by examining its effects on gait mechanics and pain, postoperatively. Fifteen ... |
0 | Dislocation of preformed antibiotic-loaded cement spacers (Spacer-G): etiological factors and clinical prognosis | Dental Implant Infection | This study assesses the factors associated with the dislocation of the Spacer-G and its clinical prognosis. Seventy-four spacers were reviewed. Acetabular bone defects, proximal femoral cementation of the spacer and its relationship to the size of the head spacer were not associated with dislocation. The only variable ... |
1 | Is clinical expressiveness of Paget's disease of bone decreasing? | MSTS 2018 - Femur Mets and MM | Recent data have suggested secular changes implying a current trend toward decreased clinical severity of Paget's disease of bone (PD). To test this hypothesis, we conducted a study comparing the characteristics of two groups of PD patients, as disclosed from a sample assessed systematically. The investigation was a ho... |
1 | Platelet-rich plasma application in the management of chronic tendinopathies | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Platelet-rich plasma (PRP) may represent a new therapeutic option for chronic tendinopathies. Platelets release various cytokines and growth factors which promote angiogenesis, tissue remodeling, and wound healing. We made an extended literature review of the use of PRP in chronic tendinopathies: epicondylitis, rotator... |
0 | Closed ruptures of the flexor digitorum tendons: MRI evaluation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To assess the MRI findings in cases of closed rupture of the flexor digitorum tendons (FDT). PATIENTS AND DESIGN: Ten patients with a clinical suspicion of rupture of FDT underwent MRI before surgery. None of the patients presented a skin injury. Fingers were imaged using axial T1-weighted SE sequences, thre... |
0 | Bench to bedside: Elucidation of the OPG-RANK-RANKL pathway and the development of denosumab | MSTS 2018 - Femur Mets and MM | Bone is a complex tissue that provides mechanical support for muscles and joints, protection for vital organs, a mineral reservoir that is essential for calcium homeostasis, and the environment and niches required for haematopoiesis. The regulation of bone mass in mammals is governed by a complex interplay between bone... |
0 | Clinical outcome and failure analysis of medial meniscus bucket-handle tear repair: a series of 96 patients with a minimum 2 year follow-up | AMP (Acute Meniscal Pathology) | INTRODUCTION: The failure rate of meniscal repair remains significant, especially for bucket-handle tears. This study aimed to evaluate the clinical outcomes, failure rate and risk factors for failure of bucket-handle medial meniscal tear repairs performed during ACL reconstruction.
MATERIALS AND METHODS: A retrospecti... |
0 | Safety and Treatment Effectiveness of a Single Autologous Protein Solution Injection in Patients with Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is a common degenerative condition characterized by pain and loss of function. A pathological biochemical environment with excess inflammatory and catabolic proteins is a major contributor to OA. nSTRIDE® Autologous Protein Solution (APS) is a new therapy under development for the treatment of OA. ... |
1 | Persistent pain after joint replacement: prevalence, sensory qualities, and postoperative determinants | Surgical Management of Osteoarthritis of the Knee CPG | Persistent postsurgical pain is a prevalent but underacknowledged condition. The aim of this study was to assess the prevalence, sensory qualities, and postoperative determinants of persistent pain at 3 to 4years after total knee replacement (TKR) and total hip replacement (THR). Patients completed a questionnaire with... |
0 | Intra-articular injection of hyaluronic acid following arthroscopic partial meniscectomy of the knee | AMP (Acute Meniscal Pathology) | The short-term recovery period post-arthroscopic meniscectomy is characterized by pain and impaired function most likely related to the irrigation of synovial fluid from the knee intraoperatively. Consequently, along with removal of harmful debris, the irrigation fluid dilutes the hyaluronic acid layer covering the joi... |
0 | Retrospective analysis of orbital floor fractures--complications, outcome, and review of literature | Upper Eyelid and Brow Surgery | This retrospective study aimed at investigating indications, surgical approaches, and the materials used for orbital floor reconstructions, as well as the clinical follow-up, particularly with regard to postoperative complications. This study comprised 189 patients who underwent surgery for fractures of the orbital flo... |
0 | Effect of limb malrotation on malalignment and osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | This article's goal is to review the causes of limb rotation and arthritis and establish the correlation between the two entities. Evidence cited in this article demonstrates that malrotation is coupled with axial malalignment and both are associated with arthrosis of the hip, knee, and ankle. The clinical significance... |
0 | Establishing a Geriatric Hip Fracture Program at a Level 1 Community Trauma Center | Hip Fx in the Elderly 2019 | BACKGROUND: Traditional care of patients with geriatric hip fracture has been fragmented with patients admitted under various specialty services and to different units within a hospital. This produces inconsistent care and leads to varying outcomes that can be associated with increased length of stay, delays in time fr... |
0 | Osteoarthritis, Osteophytes, and Enthesophytes Affect Biomechanical Function in Adults With X-linked Hypophosphatemia | OAK 3 - Non-arthroplasty tx of OAK | CONTEXT: X-Linked hypophosphatemia (XLH) is a lifelong metabolic disease with musculoskeletal comorbidities that dominate the adult clinical presentation. OBJECTIVE: The adult XLH disorder has yet to be quantified on the basis of the physical and functional limitations that can affect activities of daily living. Our go... |
0 | Acute compartment syndrome of forearm and hand | DOD - Acute Comp Syndrome CPG | The diagnosis and treatment of the acute compartment syndrome is of paramount importance. Unless the viscious cycle is intervened at an appropriately early time it will result in irreversible damage leading to disability. In this review article we are discussing the basic pathophysiological process through which the va... |
0 | Low Molecular Weight Fraction of Commercial Human Serum Albumin Induces Morphologic and Transcriptional Changes of Bone Marrow-Derived Mesenchymal Stem Cells | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is the most common chronic disease of the joint; however, the therapeutic options for severe OA are limited. The low molecular weight fraction of commercial 5% human serum albumin (LMWF5A) has been shown to have anti-inflammatory properties that are mediated, in part, by a diketopiperazine that is p... |
0 | Iliopsoas abscess - A review and update on the literature | PJI DX Updated Search | Iliopsoas abscess is a rare condition with a varied symptomology and aetiology. Patients with this condition often present in different ways to different specialities leading to delays in diagnosis and management. Recent advances in the radiological diagnosis of this traditionally rare abscess have highlighted that the... |
0 | Development of a clinic for the assessment of risk of falls in elderly patients | HipFx Supplemental Cost Analysis | Unintentional injury, which almost always results from a fall, ranks as the sixth leading cause of death in the elderly population. Besides mortality, there is significant morbidity associated with falls. In the United States, 20% of older people who sustain a hip fracture from a fall will die within a year. Another 20... |
0 | The triceps reflecting approach (Bryan-Morrey) for distal humerus fracture osteosynthesis | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: "Chevron"-Olecranon osteotomies are commonly used for the approach to intraarticular distal humerus fractures but are often associated with procedure related complications. We studied the triceps reflecting approach (TRA) with preservation of the extensor apparatus as a safe alternative giving a sufficient ... |
1 | Trauma-exposed firefighters: relationships among posttraumatic growth, posttraumatic stress, resource availability, coping and critical incident stress debriefing experience | DoD PRF (Psychosocial RF) | This project examines protective factors associated with resilience/posttraumatic growth and risk factors associated with posttraumatic stress among firefighters exposed to critical incidents. The participants were 286 (257 men and 29 women) volunteer and paid firefighters in Whatcom County, Washington. Participants co... |
1 | Effect of Abdominal Lipectomy on Lipid Profile, Glucose Handling and Blood Pressure in Patients with Truncal Obesity | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Previous studies have found that people with apple (android)-shaped body fat distribution are at risk of developing cardiovascular disease, impaired glucose tolerance and hypertension. METHODS: To investigate the effects of lipectomy, we measured lipid and lipoprotein levels, indices associated with glucose... |
1 | Experiences with the use of an argon beam coagulator in reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | Argon beam coagulation is a method that is steadily gaining popularity in plastic surgery procedures. In an attempt to judge its true value, a prospective, randomized trial was performed in reduction mammaplasty. Fifty-six patients were studied; in 28 the Valleylab Force GSU® System was used and in 28 conventional ele... |
1 | Exploring determinants predicting response to intra-articular hyaluronic acid treatment in symptomatic knee osteoarthritis: 9-year follow-up data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The weight of recommendation for intra-articular therapies such as hyaluronic acid injections varies from one set of guidelines to another, and they have not yet reached unanimity with respect to the usefulness of intra-articular hyaluronic acid (IAHA) injections for the symptomatic treatment of knee osteoa... |
0 | Potential therapeutic applications of growth hormone in adults | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Potential therapeutic applications of recombinant human growth hormone (GH) in adults are under investigation in various clinical situations. Patients with GH deficiency represent the more natural indication of replacement therapy with GH; clinical trials have demonstrated a potent metabolic effect with changes in body... |
0 | Delayed surgical intervention in central cord syndrome with cervical stenosis | SR for PM on OA of All Extremities | Study Design-Review of the literature. Objective-It is generally accepted that surgical treatment is necessary for central cord syndrome (CCS) with an underlying cervical stenosis. However, the surgical timing for decompression is controversial in spondylotic cervical CCS. The purpose of this study is to review the res... |
0 | Construct validity of the DynaPort KneeTest: a comparison with observations of physical therapists | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To assess the construct validity of the DynaPort KneeTest (KneeTest), which is a performance-based test to assess functioning of patients with knee osteoarthritis (OA). Scores on the KneeTest (KneeScore) were compared with observations of physical therapists of the patients' functional disability. The reliab... |
0 | Intramedullary nailing with supplemental plate and screw fixation of long bones of patients with osteogenesis imperfecta: Operative technique and preliminary results | DoD SSI (Surgical Site Infections) | Although intramedullary fixation is the standard form of surgical fixation of the long bones of children with osteogenesis imperfecta (OI), it remains fraught with complications. Implant breakage, implant cut out, long bone fracture, nonunion, and rod bending have all been described as complications of intramedullary l... |
0 | Entrapment and compartment syndromes of the upper limb in haemophilia | DOD - Acute Comp Syndrome CPG | 17 patients with haemophilia have been treated for a neurological deficit of the upper limb. Four of the five entrapment neuropathies have been operated upon, and only two patients recovered completely. Only two of the 12 patients with a compartment syndrome have been operated upon, and only two had sequelae. Clotting ... |
0 | Antibiotics for meconium-stained amniotic fluid in labour for preventing maternal and neonatal infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Chorioamnionitis is more likely to occur when meconium-stained amniotic fluid (MSAF) is present. Meconium may enhance the growth of bacteria in amniotic fluid by serving as a growth factor, inhibiting bacteriostatic properties of amniotic fluid. Many adverse neonatal outcomes related to MSAF result from mec... |
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