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0 | Symptomatic pulmonary embolism following hip fracture: A nationwide study | Hip Fx in the Elderly 2019 | INTRODUCTION: This study evaluated the incidence of symptomatic pulmonary embolism (PE), subsequent mortality, risk factors, and the effects of pharmacological thromboprophylactic intervention following hip fracture surgery in Taiwan.
MATERIALS AND METHODS: A nationwide study was conducted from February 2004 to Septemb... |
0 | Stiffness of meniscus tissue depends on tibio-femoral load and structural integrity of the meniscus root | AMP (Acute Meniscal Pathology) | Development of meniscus replacements requires in-depth knowledge of the material properties and biomechanical behavior of the native meniscus. The compressive properties are of particular interest in this context, which are often assessed with indentation tests. However, those tests are usually done on isolated tissue ... |
1 | Intraoperative Diagnosis of Periprosthetic Joint Infection Using a Novel Alpha-Defensin Lateral Flow Assay | PJI DX Updated Search | BACKGROUND: The present study investigates the novel Synovasure periprosthetic joint infection (PJI) lateral flow test device for detection of alpha-defensin and attempts to determine its diagnostic accuracy for the intraoperative diagnosis of PJI and compares it to frozen section. METHODS: Forty consecutive patients, ... |
0 | Recent advances on 3D printing of patient-specific implants for fibrocartilage tissue regeneration | AMP (Acute Meniscal Pathology) | Fibrocartilage is a very peculiar type of tissue found in intervertebral disc and meniscus. It is characterized by its avascular nature and for the shear and compressive forces that it can be subjected to. The number of individuals affected by the degeneration of fibrocartilaginous tissues has been growing and the poor... |
0 | Combination chemotherapy of dental plaque infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Chemotherapy against dental plague micro-organisms has proved effective in combatting both caries and periodontal disease. Chlorhexidine is the drug of choice when a broad-spectrum antiplaque agent is called for. However, because its mechanism of action is unspecific and the high concentrations needed for maximum effec... |
1 | Zoledronic acid in the management of metastatic bone disease | MSTS 2018 - Femur Mets and MM | Many patients with advanced cancer experience decreased bone strength due to metastatic foci, underlying osteoporosis and/or cancer treatment induced bone loss. The clinical consequences of metastatic disease involving the skeleton are widespread. This review focuses on the efficacy, pharmacology, and safety when using... |
0 | Total knee arthroplasty for neuropathic (Charcot) joints | Dental Implant Infection | The clinical and radiographic results of 40 modern design condylar total knee arthroplasties (TKAs) in 29 patients with a confirmed diagnosis of Charcot joint were reviewed. The followup averaged 7.9 years (range, 2-15 years) for clinical and 6.4 years (range, 2-15) for radiographic surveillance. There was a significan... |
0 | The influence of experimental anterior knee pain during running on electromyography and articular cartilage metabolism | OAK 3 - Non-arthroplasty tx of OAK | Objective: To determine whether anterior knee pain (AKP), during running, acutely affects lower-extremity electromyography (EMG) and articular cartilage metabolism. Methods: A within-subjects design was used. Each of 12 able-bodied subjects ran on a treadmill for 30 min for three different sessions: control (no infusio... |
0 | Effect of surgically removing subcutaneous fat by abdominoplasty on leptin concentrations and insulin sensitivity | Panniculectomy & Abdominoplasty CPG | The aim of this study was to identify the effect of surgically removing subcutaneous fat by abdominoplasty on leptin concentrations and insulin sensitivity. An open clinical trial with a noninterventional parallel group was carried out in 12 obese women. After randomization, 6 volunteers were selected for abdominoplast... |
0 | Assessing the prosthetic needs of farmers and ranchers with amputations | DoD LSA (Limb Salvage vs Amputation) | PURPOSE: Farmers and ranchers experience disabling injuries each year of which amputations account for 11%. Anecdotal evidence suggests that current prostheses may not be meeting the needs of farmers and ranchers with amputations. To better understand those prosthetic needs, a descriptive qualitative study was used to ... |
0 | The use of iliac stem prosthesis for acetabular defects following resections for periacetabular tumors | PJI DX Updated Search | INTRODUCTION: The management of pelvic tumors is a challenge for orthopaedic oncologists due to the complex anatomy of the pelvis and the need to have extensive exposure. Various reconstructive techniques have been proposed with poor functional results and a high percentage of complications. Our purpose is to determine... |
1 | Mental health of Canadian Forces members while on deployment to Afghanistan | DoD PRF (Psychosocial RF) | OBJECTIVE: The deployed environment poses special challenges to the delivery of effective in-theatre mental health care. Our study sought to identify the prevalence and impact of symptoms of mental health problems in Canadian Forces (CF) personnel serving in Task Force Afghanistan; and, to determine the use of, and per... |
0 | Surgical outcome of daytime and out-of-hours surgery for elderly patients with hip fracture | Hip Fx Time to Surgery | INTRODUCTION: Surgery for hip fracture may be performed out-of-hours to avoid surgical delay. There is, however, a perception that this may constitute less-than-ideal conditions and result in a poorer outcome. The aim of this study was to evaluate the surgical outcome of elderly patients with hip fracture who underwent... |
1 | Computed tomographic measurements predict component separation in ventral hernia repair | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Preoperative imaging with computed tomography (CT) scans can be useful in preoperative planning. We hypothesized that CT measurements of ventral hernia defect size and abdominal wall thickness (AWT) would correlate with postoperative complications and need for complex abdominal wall reconstruction (AWR). MA... |
0 | Eye problems on expeditions | DOD - Acute Comp Syndrome CPG | Background Visual loss in the wilderness setting is at best disabling and at worst potentially fatal. However many physicians have a poor knowledge of ophthalmology and the basic skills that could be applied in situations away from definitive care. Method This paper is intended for physicians, interested non-medical pe... |
0 | Odontoid fractures in metastatic breast carcinoma | MSTS 2018 - Femur Mets and MM | Six cases of odontoid fracture were recognized in patients with metastatic carcinoma of the breast. The clinical findings, radiographic diagnosis, and possible neurological sequelae are discussed. While pathologic long bone fractures are often aggressively treated, pathologic odontoid fractures are frequently not recog... |
0 | Hemodynamic response to low-dose epinephrine infusion during hypotensive epidural anesthesia for total hip replacement | AAHKS (8) Anesthetic Infiltration | The hemodynamic response to reduction in blood pressure after epidural anesthesia in elderly patients is poorly defined. Therefore, hemodynamic measurements using radial artery and thermodilution pulmonary artery catheters were performed in 85 patients undergoing total hip replacement in whom blood pressure was allowed... |
0 | Probing the relation between vitamin D deficiency and progression of medial femoro-tibial osteoarthitis of the knee | OAK 3 - Non-arthroplasty tx of OAK | Objective: To compare serum 25 OH vitamin D (25 (OH) D) levels between medial femoro-tibial knee osteoarthritis (OA) patients and controls, and to detect structural progression in patients with mild to moderate knee osteoarthritis in relation to baseline 25(OH) D levels in a oneyear longitudinal prospective cohort stud... |
0 | Treatment of Proximal Femoral Fragility Fractures in Patients with COVID-19 During the SARS-CoV-2 Outbreak in Northern Italy | Hip Fx in the Elderly 2019 | BACKGROUND: From February 20 to April 2020, the coronavirus SARS (severe acute respiratory syndrome)-CoV-2 spread in northern Italy, drastically challenging the care capacities of the national health care system. Unprepared for this emergency, hospitals have quickly reformulated paths of assistance in an effort to guar... |
0 | Distal Femoral Fresh Osteochondral Allografts: Follow-up at a Mean of Twenty-two Years | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Osteochondral defects of the knee in young, active patients represent a challenge to the orthopaedic surgeon. Our study examined long-term outcomes of the use of fresh allograft for posttraumatic osteochondral and osteochondritis dissecans defects in the distal aspect of the femur.METHODS: We reviewed the c... |
0 | Charnley low-friction arthroplasty. A fifteen- to seventeen-year follow-up study | Management of Hip Fractures in the Elderly | One hundred Charnley low-friction arthroplasties have been reviewed at 15 to 17 years. Thirty-five of the patients have died. A revision rate of 16 per cent has been recorded. Only two cases demonstrated cavitation and cortical destruction of the femur, and these cases were revised successfully. One of the major causes... |
1 | Gait symmetry and walking speed analysis following lower-extremity trauma | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND AND PURPOSE: Gait has been shown to be a major determining factor of function following limb-salvage surgery. However, little is known regarding the measures associated with gait recovery for this patient population. The purpose of this study was to identify clinical measures associated with impaired walking... |
0 | A population-based study: The appropriateness of drug use in the elderly according to beers criteria | OAK 3 - Non-arthroplasty tx of OAK | Introduction: The elderly population has the highest rates of drug use and is more sensitive to drug effects. Inappropriate drug use can cause unwanted effects in such a population. We aimed to evaluate inappropriate drug use in the elderly population according to Beers criteria. Materials and Method: This cross-sectio... |
0 | Patellar instability: assessment on MR images by measuring the lateral trochlear inclination-initial experience | AMP (Acute Meniscal Pathology) | Lateral trochlear inclination (LTI) of the knee was compared on magnetic resonance (MR) images obtained in 30 patients with patellar instability (PI) and 30 patients with nonspecific internal knee derangement. Differences in LTI values between the two populations were significant (P <.001). Reproducibility of the measu... |
0 | Risk factors for postoperative deep infection in bone tumors | DoD SSI (Surgical Site Infections) | BACKGROUND: Postoperative deep infection after bone tumor surgery remains a serious complication. Although there are numerous reports about risk factors for postoperative deep infection in general surgery, there is only a small number of reports about those for bone tumor surgery. This retrospective study aimed to iden... |
0 | Parkinson's disease and osteoporosis | Management of Hip Fractures in the Elderly | Parkinson's disease is associated with an increased risk of falls. The risk is greatest in patients with advanced disease. Because Parkinson's disease usually occurs late in life, the risk factors related to the neurological impairments add to those associated with aging. The incidence of fractures is high in patients ... |
0 | Timing of peak plantar pressure during the stance phase of walking. A study of patients with diabetes mellitus and transmetatarsal amputation | DoD LSA (Limb Salvage vs Amputation) | High plantar pressures contribute to skin breakdown in patients with diabetes mellitus and peripheral neuropathy. The primary purpose of this study was to determine the point during the stance phase of walking that corresponds with forefoot peak plantar pressures. Results indicate that peak plantar pressures occurred a... |
0 | Development of a Core Set for Knee Dysfunction Based on the International Classification of Functioning, Disability and Health: A Cross-sectional Study | AMP (Acute Meniscal Pathology) | Objective: To develop an International Classification of Functioning, Disability and Health core set for patients with knee dysfunction. Design: Cross-sectional study. Setting: The study was conducted at all levels of care (general community, primary care units, rehabilitation clinics/centers, hospital). Participants: ... |
0 | Clinical Effects of Translatoric Grades of Movement in Hip Osteoarthritis Patients | OAK 3 - Non-arthroplasty tx of OAK | In orthopaedic manual therapy translatoric grades of movement are used to determine the intensity of force applied during the mobilization. Different clinical effects are described for each translatoric grade of movement but there are not published studies evaluating these clinical effects. The objective of this trial ... |
0 | Blepharoplasty complications: prevention and management | Upper Eyelid and Brow Surgery | This article presents common and rare complications following blepharoplasty, with discussion of avoidance of these complications through presurgical planning and review. Management of the complications is provided, with surgical details supported by images and advice for the best approaches. The complications discusse... |
0 | Optimal cytoreductive surgery in patients with advanced uterine carcinosarcoma: A multi-institutional retrospective study from the Japanese gynecologic oncology group | MSTS 2022 - Metastatic Disease of the Humerus | Background The benefits of cytoreductive surgery for uterine carcinosarcoma (UCS) are unknown. The objective of this study was to determine the impact of optimal surgery on advanced UCS patient survival. Methods We performed a multi-institutional, retrospective study of women diagnosed with stage III–IV UCS between 200... |
0 | Juvenile Breast Hypertrophy: A Successful Breast Reduction of 14.9% Body Weight without Recurrence in a 5-Year Follow-Up | Reduction Mammoplasty for Female Breast Hypertrophy | Juvenile hypertrophy of the breast (JHB) is a rare and relentless disease affecting women in the peripubertal period. We present a 13-year-old girl with massive bilateral JHB, successfully treated with a breast reduction and free nipple graft technique. A total of 7300 grams of breast tissue had been removed, accountin... |
0 | Patellar button wear patterns in well-functioning total knee arthroplasty retrievals | PJI DX Updated Search | One of the common reasons for early revision or poor outcome in total knee arthroplasty is due to patellar maltracking, loosening, or pain. The analysis of how the patellofemoral mechanism operates and wears in vivo has not been a focus of many retrieval studies. This paper describes the wear pattern observed on patell... |
0 | Median nerve latency measurement agreement between portable and conventional methods | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A portable nerve conduction testing device was compared with a conventional method of measuring median nerve distal latencies. In a population-based study, a health questionnaire was mailed to a random sample of 3000 participants (aged 25 to 74 years). Two hundred and sixty-two responders with numbness and/or tingling ... |
0 | International Practice in Care Provision for Post-stroke Visual Impairment | Upper Eyelid and Brow Surgery | PURPOSE: This study sought to explore the practice of orthoptists internationally in care provision for poststroke visual impairment. METHODS: Survey questions were developed and piloted with clinicians, academics, and users. Questions addressed types of visual problems, how these were identified, treated, and followed... |
0 | Microbiology of polymicrobial prosthetic joint infection | Hip Fx in the Elderly 2019 | Prosthetic joint infection (PJI) is a rare but challenging complication of arthroplasty. Herein, we describe the epidemiology and microbiology of PJI, with a focus on analyzing differences between the microbiology of polymicrobial versus monomicrobial infection of hip, knee, and shoulder prostheses. In addition, we rep... |
0 | Congress restores the Americans With Disabilities Act to its original intent | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The Americans With Disabilities Act (ADA) was created to prohibit discrimination based on disability. Although many individuals filed claims alleging discrimination in the workplace based on disability, the federal courts, led by the U.S. Supreme Court, adopted an increasingly constricted interpretation of key provisio... |
0 | Infection after knee replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | Vigorous treatment is not always necessary to eradicate late postoperative infection after total knee implantation. Aspiration of the pus and intravenous antibiotic administration was enough to eradicate the infection in the case reported |
0 | Injections for Knee Osteoarthritis: Corticosteroids, Viscosupplementation, Platelet-Rich Plasma, and Autologous Stem Cells | PRP (Platelet-Rich Plasma) | This article reviews the benefits of corticosteroid, viscosupplementation, platelet-rich plasma, and autologous mesenchymal stem cell injections for the treatment of patients with knee osteoarthritis. Integrating injections into both clinical and surgical practices is complicated given existing health insurance reimbur... |
0 | Developmental Dislocation of the Hip Successfully Treated by Preoperative Traction and Medial Open Reduction: A 22-year Mean Followup | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: During the last 35Â years, the medial approach has been reported more frequently than the anterior approach for open reduction of developmental dislocation of the hip (DDH), however, few studies have followed children treated by medial open reduction to adulthood. QUESTIONS/PURPOSES: The purposes of our stu... |
0 | The effect of proprioceptive facilitation patterning upon reaction, response, and movement times | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The purpose of this study was to determine the effect of proprioceptive facilitation upon reaction time, movement time, and response time. Reaction time, response time-one (flexion at shoulder, extension at elbow); response time-two (flexion, adduction, external rotation at shoulder, elbow flexion), and movement time (... |
0 | Addition of aerobic training to conventional rehabilitation after hip fracture: a randomized, controlled, pilot feasibility study | Hip Fx in the Elderly 2019 | OBJECTIVES: To determine the feasibility and safety of aerobic training with an arm crank ergometer and its effectiveness in improving functional capacity and gait in patients with recent hip fracture.
DESIGN: Randomized, controlled, assessor-blinded pilot study, with intention-to-treat analysis.
SETTING: Inpatients, r... |
0 | Adamantinoma of tibia: a study of 12 cases | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Adamantinoma is a rare tumor of long bones that can be mistaken for a carcinoma, and numerous other lesions such as myoepithelial tumor, malignant mixed tumor of bone, fibrous dysplasia/osteofibrous dysplasia, and vascular tumors.
METHODS: The histology and clinical features of 12 cases accrued from the sur... |
0 | Tc-99m MIBI localization in bone marrow: a marker of bone marrow malignancy | MSTS 2018 - Femur Mets and MM | To determine the potential of Tc-99m MIBI for detecting bone marrow malignancy, MIBI imaging of the femur was evaluated. There was no detectable MIBI activity in 125 of 141 (89%) control patients. Clearly demonstrated focal or tubular MIBI activity indicating intramedullary accumulation was demonstrated in 44 of 45 (98... |
0 | Pain and disability reported in the year following a distal radius fracture: a cohort study | Distal Radius Fractures | BACKGROUND: Distal radius fractures are a common injury that cause pain and disability. The purpose of this study was to describe the pain and disabilities experienced by patients with a distal radius fracture in the first year following fracture.
METHODS: A prospective cohort study of 129 patients with a fracture of t... |
0 | Neuroarthropathy secondary to transthyretin amyloidosis (ATTR V30M) | PJI DX Updated Search | In this article we report the case of a 46-years-old Portuguese woman admitted in our orthopaedic ward with right knee pain. Radiological findings were consistent with neuroarthropathy. After exclusion of the most common causes of polyneuropathy, Familial amyloid polyneuropathy (FAP) was diagnosed by the discovery of a... |
0 | Osteochondral Allograft Transplant for Focal Cartilage Defects of the Femoral Condyles: Clinically Significant Outcomes, Failures, and Survival at a Minimum 5-Year Follow-up | AMP (Acute Meniscal Pathology) | BACKGROUND: Osteochondral allograft (OCA) transplant for symptomatic focal cartilage defects in the knee has demonstrated favorable short- to midterm outcomes. However, the reoperation rate is high, and literature on mid- to long-term outcomes is limited.
PURPOSE: To analyze clinically significant outcomes (CSOs), fail... |
1 | The health effects of peace-keeping in the UK Armed Forces: Bosnia 1992-1996. Predictors of psychological symptoms | DoD PRF (Psychosocial RF) | BACKGROUND: Peace-keeping duties are associated with unique stresses for military personnel. There have been few reports on the effects of peace-keeping on psychological health.
METHOD: We used data from a cross-sectional study originally established to examine health effects of service in the Gulf War, which included ... |
1 | Breast reduction surgery - An easy formula to estimate the resection weight to be removed | Reduction Mammoplasty for Female Breast Hypertrophy | Background: The preoperative prediction of therapeutic breast reduction weights which achieve both relief of symptoms and excellent shape and size breasts remains a challenge and, in addition, in the selection of patients with symptomatic macromatia for being treated by reduction mammaplasty the estimation of the amoun... |
1 | Descending necrotizing mediastinitis: a retrospective surgical experience | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: Descending necrotizing mediastinitis (DNM) is a primary complication of cervical or odontogenical infections that can spread to the mediastinum through the anatomic cervical spaces. We reviewed the last 10 years of our surgical experience in DNM and commented on early diagnosis and aggressive surgical treatm... |
1 | Not All Garden-I and II Femoral Neck Fractures in the Elderly Should Be Fixed: Effect of Posterior Tilt on Rates of Subsequent Arthroplasty | Hip Fx in the Elderly 2019 | BACKGROUND: Internal fixation is currently the standard of care for Garden-I and II femoral neck fractures in elderly patients. However, there may be a degree of posterior tilt (measured on preoperative lateral radiograph) above which failure is likely, and primary arthroplasty would be preferred. The purpose of this a... |
0 | The Medial Rotation total knee replacement: a clinical and radiological review at a mean follow-up of six years | Surgical Management of Osteoarthritis of the Knee CPG | We describe the survivorship of the Medial Rotation total knee replacement (TKR) at ten years in 228 cemented primary replacements implanted between October 1994 and October 2006, with their clinical and radiological outcome. This implant has a highly congruent medial compartment, with the femoral component represented... |
0 | Genetic determination of Colles' fracture and differential bone mass in women with and without Colles' fracture | Distal Radius Fractures | Osteoporotic fractures (OFs) are a major public health problem. Direct evidence of the importance and, particularly, the magnitude of genetic determination of OF per se is essentially nonexistent. Colles' fractures (CFs) are a common type of OF. In a metropolitan white female population in the midwestern United States,... |
0 | Automated Breast Volume Scanner, a new automated ultrasonic device, is useful to examine joint injuries in patients with rheumatoid arthritis | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: To explore the clinical application of automated scanning of wrist and finger joints by an Automated Breast Volume Scanner (ABVS) in patients with rheumatoid arthritis (RA). METHODS: A total of 140 metacarpophalangeal (MCP) joints and 28 wrist joints from the 14 active RA patients were examined by both an AB... |
1 | Outcome of acute prosthetic joint infections due to gram-negative bacilli treated with open debridement and retention of the prosthesis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of our study was to evaluate the outcome of acute prosthetic joint infections (PJIs) due to gram-negative bacilli (GNB) treated without implant removal. Patients with an acute PJI due to GNB diagnosed from 2000 to 2007 were prospectively registered. Demographics, comorbidity, type of implant, microbiology data,... |
1 | Short term results comparison of intraarticular platelet-rich plasma (prp) and hyaluronic acid (ha) applications in early stage of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The aim of this study is to compare the short-term results of intra-articular platelet-rich plasma (PRP) and hyaluronic acid (HA) administrations in early knee osteoarthritis.
MATERIALS AND METHODS: One hundred and eighteen patients (mean age: 59.3+/-8.55) who were clinically and radiologically documented wi... |
0 | Wear patterns in anteromedial osteoarthritis of the knee evaluated with CT-arthrography | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To analyze the value of CT-arthrography imaging in the diagnosis of knee osteoarthritis and to facilitate the selection of partial versus total knee replacement. METHODS: A retrospective study of 100 patients that had either medial unicompartmental knee replacement (UKR) (N=50) or total knee replacement (TKR... |
0 | Ocular emergencies of the anterior segment | Upper Eyelid and Brow Surgery | All injuries to the eye must be considered an emergency. The clinician must use a systematic approach by evaluating any traumatized eye in a front-to-back fashion. This paper presents such an approach, covering history, ocular examination, corneal abrasions, foreign bodies, blunt trauma including hyphema and orbital bl... |
1 | Randomised trial comparing the transversus abdominis plane block posterior approach or quadratus lumborum block type I with femoral block for postoperative analgesia in femoral neck fracture, both ultrasound-guided | Hip Fx in the Elderly 2019 | INTRODUCTION: A double-blind randomised controlled trial was conducted to compare the analgesic effect of the transversus abdominis plane block posterior approach or the quadratus lumborum block I versus femoral block, both ultrasound-guided.
MATERIAL AND METHODS: Prospective study with parallel groups with 104 patient... |
0 | A randomized, multicentre, double-blind, parallel-group study to assess the adverse event-related discontinuation rate with celecoxib and diclofenac in elderly patients with osteoarthritis | Management of Hip Fractures in the Elderly | OBJECTIVE: To compare the adverse event (AE)-related discontinuation rate with celecoxib vs. diclofenac when given to reduce joint pain associated with knee or hip osteoarthritis (OA) in elderly patients.METHODS: This was a double-blind, randomized, multicentre, parallel-group, 1-year comparison of celecoxib 200 mg onc... |
0 | Erratum: 3D-bioprinting ready-to-implant anisotropic menisci recapitulate healthy meniscus phenotype and prevent secondary joint degeneration: Erratum | AMP (Acute Meniscal Pathology) | [This corrects the article DOI: 10.7150/thno.54864.]. |
1 | Randomized clinical trial of continuous femoral nerve block combined with sciatic nerve block versus epidural analgesia for unilateral total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Pain control following total knee arthroplasty (TKA) is crucial to hasten rehabilitation and decrease morbidity. We evaluated whether there is a difference between epidural infusion and continuous femoral nerve block with respect to postoperative pain control and rehabilitation course. Fifty patients completed the stud... |
1 | MR imaging of tears of discoid lateral menisci | AMP (Acute Meniscal Pathology) | OBJECTIVE: The purpose of this study was to determine the positive predictive value (PPV) for diagnosis of discoid lateral meniscal tear using MR imaging and to describe various patterns of such tears in the knee.
SUBJECTS AND METHODS: MR reports of 77 patients (10-67 years old) who underwent prospective MR imaging tha... |
0 | The case for utilizing prolotherapy as a promising stand-alone or adjunctive treatment for over-manipulation syndrome | PRP (Platelet-Rich Plasma) | Objective The medical term 'manipulation' may refer to any passive movement. Primarily the term refers to a sudden thrust of small amplitude, performed at a rapid speed accompanied by an audible crack. This manual procedure, also known as 'Grade V Mobilization,' 'adjustment,' and 'spinal manipulation therapy (SMT)' is ... |
0 | Antegrade femoral nailing in acetabular fractures requiring a Kocher-Langenbeck approach | DoD SSI (Surgical Site Infections) | Ipsilateral displaced acetabular and femoral shaft fractures represent a dilemma for orthopedic surgeons because antegrade femoral nailing may complicate a Kocher-Langenbeck acetabular exposure. The goals of this study were to review the results of ipsilateral femoral and acetabular fractures treated with antegrade fem... |
0 | Is ultrasound of bone relevant for corticosteroid-treated patients? A comparative study with bone densitometry measured by DEXA | Management of Hip Fractures in the Elderly | Corticosteroid treatment diminishes bone mass and alters bone quality. The objective was to evaluate bone in corticosteroid-treated patients and controls and in fractured and non-fractured patients treated with corticosteroids using both X-ray densitometry (DEXA) and ultrasound. We evaluated 34 women aged 58 +/- 14 yea... |
0 | Remodelling the upper eyelid in the management of orbitopalpebral neurofibromatosis | Upper Eyelid and Brow Surgery | Neurofibromatosis of the orbitopalpebral complex is a debilitating disease. The development of safe craniofacial surgical technique has greatly improved outcome in the surgical palliation of this progressive condition, and various centres have reported their experience. Extensive upper eyelid neurofibroma creates a fun... |
0 | Cancrum oris | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Cancrum oris (noma) is an orofacial gangrene, which causes progressive and mutilating destruction of the infected tissues. The disease mainly occurs in children having malnutrition, poor oral hygiene and debilitating illness. It is well-documented in literature. In the international statistical classification of WHO, i... |
0 | Osteonecrosis and fractures following renal transplantation | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Skeletal radiological surveys in 161 renal transplant recipients identified 36 patients with 115 lesions of osteonecrosis. A further two patients with osteonecrosis found at autopsy had had no radiographic abnormality. The total incidence of osteonecrosis was, therefore, 38 (24%) out of 161. The lesions were frequently... |
0 | Male-pattern hair loss: a supraorbital nerve entrapment syndrome? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The cause of male-pattern hair loss remains obscure. It is noted to occur in the geographic distribution of the supraorbital and sometimes the great occipital nerves. It is suggested that these nerves are susceptible to entrapment and subsequent neuropathy since signs of the latter precede and accompany hair loss. Male... |
0 | Palpebral ptosis: clinical classification, differential diagnosis, and surgical guidelines: an overview | Upper Eyelid and Brow Surgery | Palpebral ptosis indicates the abnormal drooping of the upper lid, caused by partial or total reduction in levator muscle function. It may be caused by various pathologies, both congenital and acquired. Based on a review of the available literature and on our own clinical experience, a classification is proposed as wel... |
0 | Ten-year results of ALIZE acetabular cup with hydroxyapatite coating and AURA hydroxyapatite-coated stem in total hip arthroplasty | Management of Hip Fractures in the Elderly | One hundred seven total hip arthroplasties were done between 1991 and 1992 with ALIZE acetabular cup with hydroxyapatite coating (Biomet France, Valence, France) and AURA hydroxyapatite-coated stem (Biomet France) in 107 patients. The articulation was ceramic on polyethylene for 102 patients and metal on polyethylene f... |
1 | Incomplete intertrochanteric fractures: imaging features and clinical management | Management of Hip Fractures in the Elderly | PURPOSE: To present the imaging findings and treatment options for incomplete intertrochanteric fractures. MATERIALS AND METHODS: Among 31 patients with the magnetic resonance (MR) imaging diagnosis of incomplete intertrochanteric fracture, 30 also underwent radiography. MR and radiographic findings were compared. Note... |
0 | The epidemiology of peripheral fractures | Management of Hip Fractures in the Elderly | Although much is known about hip fracture epidemiology, there are relatively little data regarding fractures at other peripheral sites. Epidemiological differences between fractures are important, since they imply that an understanding of the consequences and clinical expression of osteoporosis requires the study of ma... |
1 | Subscapularis management in stemless total shoulder arthroplasty: tenotomy versus peel versus lesser tuberosity osteotomy | Glenohumeral Joint OA | Background: It is unknown whether subscapularis management technique has an influence on the outcomes and complications of stemless total shoulder arthroplasty. The purpose of this study, therefore, was to compare outcomes and complications between subscapularis tenotomy, peel, and lesser tuberosity osteotomy used duri... |
0 | The selective estrogen receptor modulator 4-hydroxy tamoxifen induces G1 arrest and apoptosis of multiple myeloma cell lines | MSTS 2018 - Femur Mets and MM | Multiple myeloma (MM) is an incurable hematological malignancy for which new therapeutic strategies should be envisaged. The selective estrogen receptor modulator (SERM), 4-hydroxy tamoxifen (4-OHTam), in the range of 1 to 10 micro M, was able to impair the cell proliferation of MM cell lines. This was achieved by bloc... |
0 | Autologous Matrix-Induced Chondrogenesis (AMIC) and AMIC enhanced by autologous concentrated Bone Marrow Aspirate (BMAC) Allow for stable clinical and functional improvements at up to 9 years follow-up: Results from a Randomized controlled study | OAK 3 - Non-arthroplasty tx of OAK | The aims of the study were to evaluate long-termoutcomes after autologous matrix-induced chondrogenesis (AMIC) in the treatment of focal chondral lesions and to assess the possible improvements given by the combination of this technique with bone marrow aspirate concentrate (BMAC). Twenty-four patients (age range 18â??... |
1 | Effectiveness of bioabsorbable arrows compared with inside-out suturing for vertical, reparable meniscal lesions: a randomized clinical trial | AMP (Acute Meniscal Pathology) | BACKGROUND: Techniques for repairing the meniscus include both open and arthroscopic techniques using sutures and bioabsorbable implants. The purpose of this study was to compare the effectiveness of inside-out suturing and bioabsorbable arrows for repair of vertical meniscal lesions.
STUDY DESIGN: Randomized controlle... |
0 | The treatment of intra-articular calcaneus fractures with severe soft tissue damage with a hinged external fixator or internal stabilization: long-term results | DoD LSA (Limb Salvage vs Amputation) | We developed a hinged external fixator for the treatment of dislocated intra-articular calcaneus fractures with severe soft tissue damage. The external fixation was performed with a known external fixator system. The screw insertion points were biomechanically tested by defining a virtual rotation axis through the cent... |
0 | Direct two-incision total hip replacement without fluoroscopy | DoD SSI (Surgical Site Infections) | A new direct anatomic two-incision approach for total hip replacement without the use of fluoroscopy is described. The anterior incision is the distal one third of a Smith-Peterson approach and the posterior incision is the proximal one third of the Moore approach. It has been used on 142 unselected consecutive. |
0 | Effects of a low-fat yogurt supplemented with a rooster comb extract (Mobilee(registered trademark)) on joint function in adults with mild knee pain: A randomized trial | OAK Recommendation 9 Articles | Knee osteoarthritis (OA) is one of major public health problem and a cause of chronic disability in senior population. One of the recognized risk factors for OA is the weakness of the knee flexor and extensor muscles. Purpose: The aim of this study was to assess the effects of a low-fat dairy product supplemented with ... |
0 | Bone bruises: Their patterns and significance | Diagnosis and Treatment of Osteochondritis Dissecans AUC | MR imaging is sensitive in the detection of occult stress and posttraumatic fractures in and around the knee joint. In some patients, the pain from these bony injuries can mimic that of meniscal tears. The abnormality of the bone may explain completely the patient's symptoms and obviate the need for any further work-up... |
0 | Moral distress among Ugandan nurses providing HIV care: a critical ethnography | DoD PRF (Psychosocial RF) | BACKGROUND: The phenomenon of moral distress among nurses has been described in a variety of high-income countries and practice settings. Defined as the biopsychosocial, cognitive, and behavioural effects experienced by clinicians when their values are compromised by internal or external constraints, it results from th... |
0 | Targeting the pain, inflammation and immune (PII) axis: Plausible rationale for LLLT | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Low-level laser therapy (LLLT) has been used in many clinical contexts. Although its precise mechanism is unclear, its current use is based predominantly on its non-invasive nature and popular patient acceptance. This review attempts to provide a framework for the clinical disease-disorder states focusing on the etiopa... |
0 | Why are total knee arthroplasties being revised? | Surgical Management of Osteoarthritis of the Knee CPG | Despite technical improvements, revision rates for total knee arthroplasties (TKAs) remain high. Our goal was to report the reason(s) for revision TKA in a large, current, multicenter series and compare those reasons with previously published reasons. We retrospectively identified 820 consecutive revision TKAs (693 pat... |
0 | Meniscal transplantation | Surgical Management of Osteoarthritis of the Knee CPG | The aims of a meniscal replacement are: 1) to reduce the pain experienced by some patients following meniscus resection; 2) to prevent the degenerative changes of cartilage and the changes in subchondral bone following meniscus resection; 3) to avoid or reduce the risk of osteoarthritis following meniscus resection; 4)... |
0 | The Bidirectional, Absorbable, No-Drain Abdominoplasty | Panniculectomy & Abdominoplasty CPG | This article outlines the author's technique, and the concepts of Bidirectional, Absorbable, No-Drain Abdominoplasty (BAND-Abdominoplasty). The attendant advantages and disadvantages are reviewed in the context of a retrospective, 5-year, single surgeon series. Level of Evidence IV This journal requires that authors as... |
1 | MR imaging of the menisci and cruciate ligaments: a systematic review | AMP (Acute Meniscal Pathology) | PURPOSE: To systematically review and synthesize published data on the diagnostic performance of magnetic resonance (MR) imaging of the menisci and cruciate ligaments and to assess the effect of study design characteristics and magnetic field strength on diagnostic performance.
MATERIALS AND METHODS: Articles published... |
0 | Failure patterns after linked semiconstrained total elbow arthroplasty for posttraumatic arthritis | DoD SSI (Surgical Site Infections) | Background: Total elbow arthroplasty for the treatment of posttraumatic arthritis is associated with a relatively high failure rate. An understanding of these failures can lead to improved implant design and surgical technique. Methods: Eighty-four consecutive patients underwent eighty-five semiconstrained total elbow ... |
0 | Repair of tears of the subscapularis | Glenohumeral Joint OA | BACKGROUND: Rotator cuff tears involving the subscapularis are less common than those involving the superior aspect of the rotator cuff. The purpose of the present study was to report the results of repair of isolated tears of the subscapularis.
METHODS: The records on eighty-four shoulders that had undergone open repa... |
0 | Risk factors for early infection following hemiarthroplasty in elderly patients with a femoral neck fracture | DoD SSI (Surgical Site Infections) | PURPOSE: Periprosthetic joint infections (PJI) after hemiarthroplasty for geriatric femoral neck fractures are a devastating complication that results in serious morbidity and increased mortality. Identifying risk factors associated with early infection after HA for hip fractures may offer an opportunity to address and... |
0 | Can intra-articular injection of freeze-dried platelet-derived factor concentrate regenerate articular cartilage in the knee joint? | PRP (Platelet-Rich Plasma) | Freeze-drying methods not only enable the delivery of growth factors using platelets, but also extend the shelf-life of platelet concentrates. The present study shows the clinical results of treating knee osteoarthritis with freeze-dried platelet-derived factor concentrate (PFC). While it improved pain, activities of d... |
0 | Pain assessment in spinal cord injury | DoD PRF (Psychosocial RF) | Pain management is a serious problem for individuals with spinal cord injury (SCI). Recent developments in pain assessment indicate that multiaxial approaches, assessing medical, psychosocial, and behavioral/functional dimensions, are necessary to measure adequately the impact of chronic pain. The application of this m... |
1 | [Breast implant-associated anaplastic large cell lymphoma. Case report of an undiagnosed form, management and reconstruction (ALCL)] | Example Literature Review | Breast implant-associated anaplastic large cell lymphoma (ALCL) is an extremely rare disease. Is a new nosologic entity with a multifactorial origin and a wide occurrence delay after breast implantation. This article reports the case of a 60 years old patient with a progressive swelling of the right breast after aesthe... |
0 | Short vs prolonged dual antiplatelet treatment upon endovascular stenting of peripheral arteries | DOD - Acute Comp Syndrome CPG | Introduction: Peripheral artery disease (PAD) is a highly prevalent disorder with a substantial economical burden. Dual antiplatelet treatment (DAPT) upon endovascular stenting to prevent acute thrombotic reocclusions is an universally accepted practice for postinterventional management of PAD patients. However, the op... |
0 | Ocular surface area changes after double eyelidplasty | Upper Eyelid and Brow Surgery | INTRODUCTION: Double eyelidplasty is one of the most common cosmetic surgeries in Asia. Subjective enlargement of the ocular surface area (OSA) after double eyelidplasty was appreciated by patients. Objective measurement of the OSA provides a more scientific result. We introduce a relatively precise method, using iris ... |
1 | Diagnostic value of peripheral hematologic markers for coronavirus disease 2019 (COVID-19): A multicenter, cross-sectional study | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: To determine the diagnostic value of hematologic markers for coronavirus disease 2019 (COVID-19) and explore their relationship with disease severity. METHODS: Subjects included 190 COVID-19 patients, 190 healthy subjects, and 105 influenza pneumonia (IP) patients. COVID-19 patients were divided into the AR... |
0 | Imaging of hip injuries in dancers | PJI DX Updated Search | Dancers are quite prone to injuries in the hip region. Imaging plays a key role in evaluation of the pain resulting from such injuries, as proximity of structures and cross-innervation can result in a clinical dilemma regarding the specific injury, and thus origin of the pain generator. Advanced imaging techniques, inc... |
0 | Peripheral brain-derived neurotrophic factor contributes to chronic osteoarthritis joint pain | AMP (Acute Meniscal Pathology) | Brain-derived neurotrophic factor (BDNF) and the high-affinity receptor tropomyosin receptor kinase B (TrkB) have important roles in neuronal survival and in spinal sensitization mechanisms associated with chronic pain. Recent clinical evidence also supports a peripheral role of BDNF in osteoarthritis (OA), with synovi... |
0 | Responsiveness of the Michigan Hand Outcomes Questionnaire and the Disabilities of the Arm, Shoulder and Hand questionnaire in carpal tunnel surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: Symptom resolution and functional improvement are the 2 primary reasons for patients to seek treatment for carpal tunnel syndrome (CTS). This study aimed to measure the responsiveness of the Michigan Hand Outcomes Questionnaire (MHQ) and Disabilities of the Arm, Shoulder and Hand (DASH) when evaluating outcome... |
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