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0 | Relatively Loose Flexion Gap Improves Patient-Reported Clinical Scores in Cruciate-Retaining Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Although appropriate soft tissue balancing is well recognized as essential procedure in total knee arthroplasty (TKA), poor relationship between intraoperative soft tissue balance and physician-reported clinical outcomes was reported. Since physician-derived scores are reported to be poorly related to patient-reported ... |
1 | Analysis of reporting return to work in studies comparing open with endoscopic carpal tunnel release: A review of randomized controlled trials | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: In studies comparing open with endoscopic carpal tunnel release, return to work (RTW) is often cited as a primary outcome. OBJECTIVE: The present study assessed the reporting of RTW and evaluated its usefulness in studies comparing these two methods of carpal tunnel release. METHODS: A computerized search w... |
0 | Unicompartmental knee arthroplasty. Report on 32 medial compartment replacements | Surgical Management of Osteoarthritis of the Knee CPG | Background: Osteoarthritis of the knee is a common problem for middle-aged and elderly population. Surgical treatment with total knee replacement arthroplasty developed and evolved over the last thirty years. Replacement of one compartment of the knee was developed at the same time but did not gain the same acceptance ... |
0 | Relation between fractures and mortality: results from the Canadian Multicentre Osteoporosis Study | HipFx Supplemental Cost Analysis | BACKGROUND: Fractures have largely been assessed by their impact on quality of life or health care costs. We conducted this study to evaluate the relation between fractures and mortality. METHODS: A total of 7753 randomly selected people (2187 men and 5566 women) aged 50 years and older from across Canada participated ... |
1 | The Rotator Cuff Organ: Integrating Developmental Biology, Tissue Engineering, and Surgical Considerations to Treat Chronic Massive Rotator Cuff Tears | Trial Systematic Review Project | The torn rotator cuff remains a persistent orthopedic challenge, with poor outcomes disproportionately associated with chronic, massive tears. Degenerative changes in the tissues that comprise the rotator cuff organ, including muscle, tendon, and bone, contribute to the poor healing capacity of chronic tears, resulting... |
0 | Intermediate-term results of meniscal repair in anterior cruciate ligament-reconstructed knees | AMP (Acute Meniscal Pathology) | We investigated the incidence of and risk factors for recurrent tears of repaired menisci in anterior cruciate ligament-reconstructed knees. We observed 63 patients whose menisci had been evaluated at second-look arthroscopy as healed (N = 50) or incompletely healed (N = 13) for an average of 4 years (range, 2 to 9.5).... |
0 | Bone mineral density among patients undergoing continuous ambulatory peritoneal dialysis (CAPD) | Management of Hip Fractures in the Elderly | Apart from the conventional risks, low bone mineral density (BMD) is one of the risk factors for bone fracture. Interestingly, the incidence of bone fracture is highest among patients with chronic renal failure, but there is little data comparing the BMD of patients undergoing continuous ambulatory peritoneal dialysis ... |
0 | Loss of bone density and lean body mass after hip fracture | Management of Hip Fractures in the Elderly | Few studies of bone loss have assessed the amount of loss directly after a hip fracture. The present prospective study was conducted to determine changes in bone mineral density (BMD) and muscle mass shortly after fracture and through 1 year to assess short-term loss and related factors. The setting was two acute care ... |
0 | The diagnosis method: A help to communicate checkup results | DoD PRF (Psychosocial RF) | It is possible to identify and define problems pertaining to the working environment and health using the method described. Through the supply of reference material and the gathering of data communicated back to the company and its employees, it is possible to produce a relatively clear picture of the group studied in ... |
1 | Metal-backed and all-polyethylene tibial components in total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | One hundred seventy-five patients with 243 consecutive primary Press Fit Condylar cruciate-substituting total knee replacements were evaluated at a mean of 5.5 years. One hundred thirteen knees had modular metal-backed tibial components and 130 had all-polyethylene tibial components. The mean knee score and functional ... |
0 | Intraoperative complications in total hip arthroplasty using a new cementless femoral implant (SP-CL R) | Dental Implant Infection | BACKGROUND: Considering the excellent results already achieved in total hip arthroplasty (THA), new implants must be at least as safe as currently used implants and lead to longer survival. A new cementless femoral stem, SP-CL R, has been introduced. The aim of this study is to evaluate intraoperative complications and... |
0 | Synovial sarcoma of primary bone origin: A rare case in a rare site with atypical features | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Synovial sarcoma of bone origin is extremely rare and difficult to diagnose. We present a case in which the lesion arose in the cortex of the distal tibia. It showed heterogeneous intermediate signal intensity on T1-weighted images and heterogeneous intermediate to low signal intensity on T2-weighted images with hetero... |
0 | One-stage treatment of chronic osteomyelitis of the proximal tibia using a pedicled vascularised double-barrel fibular flap together with a muscle flap | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Although segmental bone loss together with a soft-tissue defect after debridement of a chronic osteomyelitic lesion of the tibia represents a challenging problem for the reconstructive surgeon, bone management has not usually been carried out at the time of soft-tissue coverage. In a one-stage procedure, we treated a p... |
0 | Chondroblastoma of bone in a pediatric population | MSTS 2018 - Femur Mets and MM | Background: Chondroblastoma is a rare benign bone lesion that occurs in young patients and has a high rate of recurrence. The purpose of the present study was to report on eighty-seven cases of chondroblastoma in children and to identify the possible factors that increase the risk of recurrence. Methods: We retrospecti... |
0 | A Modified Test for Patellar Instability: The Biomechanical Basis | DoD LSA (Limb Salvage vs Amputation) | Objective: (1) Determine if displacement of the patella in a distal lateral direction results in a more sensitive method to show deficiency of the medial patellofemoral ligament (MPFL), the primary restraint to lateral patellar dislocation, than the traditional patellar apprehension test in a direct lateral direction. ... |
0 | Risk factors for nonunion after intramedullary nailing of subtrochanteric femoral fractures | Hip Fx in the Elderly 2019 | Introduction: Nonunion is a common complication after intramedullary nailing of subtrochanteric femoral fractures. A more detailed knowledge, particularly of avoidable risk factors for subtrochanteric fracture nonunion, is thus desired to develop strategies for reducing nonunion rates. The aim of the present study ther... |
0 | Management of Relapsed and Relapsed Refractory Myeloma | MSTS 2018 - Femur Mets and MM | Studies of bortezomib, thalidomide, and lenalidomide have shown promising clinical activity in relapsed/refractory multiple myeloma (MM). Bortezomib alone and in combination with other agents is associated with high response rates, consistently high rates of complete response, and a predictable and manageable profile o... |
0 | Analytical study of fixation failure in adult limb fracture: Prospective study in single center institution | MSTS 2022 - Metastatic Disease of the Humerus | Fixation failure is a common issue in orthopedic practice that negatively impacts patients and the burden on both doctor and health system. Hence, it was essential to determine the most common failure pattern and the associated risk factors for that problem. An observational cross-sectional study was conducted at the o... |
0 | Bilateral Neuropathic Osteoarthropathy of the Shoulder Due to Syringomyelia | Glenohumeral Joint OA | Neuropathic osteoarthropathy, which is known as Charcot osteoarthropathy, is a degenerative arthritis that develops as a result of proprioceptive and sensory innervation loss. A 47-year-old man was admitted to the emergency department of the hospital with left shoulder pain, which was ongoing and exacerbating for 5 day... |
0 | Relationship between surgical procedure and outcome for patients with grade I chondrosarcomas | MSTS 2018 - Femur Mets and MM | PURPOSE: To evaluate the oncological outcome of patients with grade I chondrosarcomas according to the type of surgical treatment performed, since there is still controversy regarding the need for aggressive resections to reach a successful outcome. MATERIALS AND METHODS: The records of 23 patients with grade I chondro... |
1 | Nonsteroidal anti-inflammatory drugs and their risk: a story still in development | OAK 3 - Non-arthroplasty tx of OAK | NSAIDs are anti-inflammatory, analgesic, and antipyretic agents, and they are typically used chronically to reduce pain, decrease stiffness, and improve function in patients with osteoarthritis, rheumatoid arthritis, and other forms of arthritis. Additionally, NSAIDs are also used for the more acute treatment of pain i... |
0 | Management of complex extremity injuries: tourniquets, compartment syndrome detection, fasciotomy, and amputation care | DOD - Acute Comp Syndrome CPG | Historically, complex extremity injuries, otherwise known as mangled extremities, have been difficult management problems. This is especially true in multiply-injured patients where many priorities exist and where amputation is considered a failure of limb salvage. Over the past decade, advances in the total management... |
0 | Delay of adjuvant radiotherapy due to postoperative complications after oncoplastic breast conserving surgery | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: In the past a mastectomy was the first approach of treating breast cancer. Oncoplastic techniques combined with breast conserving surgery (BCS) and radiotherapy has become an alternative to mastectomy in patients with non-metastasized breast cancer. The aim of this study was to analyse the amount and types ... |
0 | Operating Room Supply Costs in Orthopaedic Trauma: Cost Containment Opportunities | DoD SSI (Surgical Site Infections) | In the current health care environment, cost containment is more important than ever. Most physicians currently are unaware of the cost of operating room supplies. A large amount of waste occurs secondary to lack of knowledge and absence of physician incentives for cost saving. Many of the decisions for supply use can ... |
0 | Reproducibility of sub-acromial impingement tests, including a new clinical manoeuver | Glenohumeral Joint OA | BACKGROUND: The Neer, Hawkins, and Yocum clinical tests detect sub-acromial impingement as a pathogenic process of degenerative rotator cuff disease. Their reproducibility has been little investigated.
OBJECTIVES: We tested the reproducibility of the Neer, Hawkins, and Yocum clinical tests for detecting this sub-acromi... |
0 | Protein supplements increase serum insulin-like growth factor-I levels and attenuate proximal femur bone loss in patients with recent hip fracture. A randomized, double-blind, placebo-controlled trial | Management of Hip Fractures in the Elderly | BACKGROUND: Elderly persons who have osteoporotic hip fracture are often undernourished, particularly with respect to protein. Protein malnutrition may contribute to the occurrence and outcome of hip fracture.OBJECTIVE: To investigate whether oral protein supplements benefit bone metabolism in patients with recent hip ... |
0 | Two-stage revision of infected hip arthroplasty using an antibiotic-loaded spacer: retrospective comparison between short-term and prolonged antibiotic therapy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: The optimal duration of systemic antibiotic therapy in patients with prosthetic hip infection (PHI) undergoing staged exchange arthroplasty (SEA) has not been determined. We hypothesized that with an antibiotic-loaded cement spacer (ALCS), in the interim, short-term antibiotic therapy is as effective as a c... |
0 | Direct submentoplasty for neck rejuvenation | Panniculectomy & Abdominoplasty CPG | Facial plastic surgeons commonly see patients with submental laxity and an excess of skin and fat in the upper neck. This has colloquially been called the "turkey gobbler" deformity. In some cases, this deformity is the patient's only aesthetic concern, and full face-lift surgery is not desired. In this study, we revie... |
0 | Patients Less Likely to Lose Weight Following a Knee Replacement: Results From the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee replacement typically results in reduced pain and improved function, but it is unclear if these improvements lead to weight loss.
OBJECTIVE: The purpose of this study was to examine weight change patterns preoperatively and postoperatively among overweight/obese knee replacement patients.
METHODS: The ... |
0 | Expression of antioxidant molecules after peripheral nerve injury and regeneration | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Oxidative stress is considered to be one of the main causes of neural damage after injury. However, little is known about the changes in mRNA expression of antioxidant molecules that occur after injury and regeneration of the peripheral nerve. In the present study, the rat median nerve was transected, and transcription... |
0 | ASRA: Economical aspects of continuous regional anaesthesia for ambulatory surgery | Surgical Management of Osteoarthritis of the Knee CPG | Continuous peripheral nerve or plexus blocks, if successful, offer significant benefits for postoperative analgesia. Continuous peripheral nerve blocks (CPNB) are usually achieved by the percutaneous insertion of a flexible catheter, ideally with the catheter tip positioned in direct apposition to the targeted nerve or... |
1 | Limb salvage surgery in spinal cord injury patients | DoD LSA (Limb Salvage vs Amputation) | Advances in the care and rehabilitation of patients with spinal cord injuries (SCI) have resulted in extended survival following injury. Increasingly, we are faced with difficult chronic lower extremity ischemic complications in SCI patients. Recognizing limitations associated with amputation in these nonambulatory pat... |
0 | Evaluation of Accessory Lacrimal Gland in Muller's Muscle Conjunctival Resection Specimens for Precursor Cell Markers and Biological Markers of Dry Eye Disease | Upper Eyelid and Brow Surgery | PURPOSE: The accessory lacrimal glands (ALGs) are an understudied component of the tear functional unit, even though they are important in the development of dry eye syndrome (DES). To advance our understanding of aging changes, regenerative potential, and histologic correlates to human characteristics, we investigated... |
0 | Lisfranc and Chopart amputations | DoD LSA (Limb Salvage vs Amputation) | The issue of choosing an amputation level can be difficult for physicians. Every attempt should be made to maintain as much pedal length as possible to increase biomechanical function and ambulatory power. When there is excessive soft tissue loss because of trauma, infection, or vascular compromise, a Lisfranc amputati... |
1 | Anterior cruciate ligament reconstruction combined with valgus tibial osteotomy (combined procedure) | Anterior Cruciate Ligament Injuries CPG | We assessed the patients who were operated on in a combined procedure from 1980 to 1992 with anterior cruciate ligament (ACL) insufficiency, cartilaginous lesions of the medial compartment, lesion of medial meniscus and varus malalignment. The combined operative procedure was autologous intra-articular ACL reconstructi... |
0 | Hand dominance effect on median and ulnar sensory evoked amplitude and latency in asymptomatic workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To examine the relative effect of hand dominance on the median and ulnar sensory evoked responses and grip strength in active workers. Design: A cross-sectional or survey design. Setting: Workers from 4 different sites underwent on-site testing of the median and ulnar sensory nerves in both hands (antidromic... |
0 | Problems concerning diagnosis and treatment of compartment syndromes after lower limb trauma | DOD - Acute Comp Syndrome CPG | Compartment Syndrome (CS) is characterised by an imbalance produced by increased pressure in an inextensible space (called "the Compartment"). Without being specific for orthopaedics, CS has increasing frequency in modern traumatology. Microcirculation disturbances generate the syndrome's self-augmenting physiopatholog... |
1 | Development of a clinical prediction rule to identify patients with knee pain and clinical evidence of knee osteoarthritis who demonstrate a favorable short-term response to hip mobilization | Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC | BACKGROUND AND PURPOSE: The primary purpose of this study was to develop a clinical prediction rule (CPR) for identifying patients with knee pain and clinical evidence of knee osteoarthritis (OA) with favorable short-term response to hip mobilizations. The secondary purpose was to determine the predictive validity of i... |
0 | Persistent non-gastrointestinal metabolic acidosis in pediatric HIV-1 infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: To determine the incidence and to identify the clinical parameters associated with non-gastrointestinal renal tubular and high anion gap acidosis in a cohort of HIV-1-infected children. METHODS: Records of 202 HIV-1-infected children were reviewed to identify patients with metabolic acidosis. Serum and urin... |
0 | Supine approach to the sciatic nerve in the popliteal fossa | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Sciatic nerve block in the popliteal fossa (popliteal nerve block, PNB) is an anaesthetic technique well-suited for operations below the knee. However, difficulty with positioning the patient in the prone position often precludes the classical, posterior approach to the block. In this report, an alternative ap... |
0 | Study of aspirated adipose tissue | Panniculectomy & Abdominoplasty CPG | The author studied the components of aspirated adipose tissue. The several phases of this material were dissociated through decantation and centrifugation. The components were studied "in vitro" by fresh observation with loupes and microscopes. Histologic preparations were also used in this study. The results disclosed... |
0 | Rituximab therapy for flare-up of rheumatoid arthritis after total knee replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | A variety of drug types are used alone or in combination to manage Rheumatoid Arthritis along with physiotherapy. We report herein the case of a 51 year old female patient with a history of Rheumatoid Arthritis whose disease remained active despite being on routinely used multiple disease modifying antirheumatic drugs.... |
0 | Subject-specific evaluation of patellofemoral joint biomechanics during functional activity | OAK 3 - Non-arthroplasty tx of OAK | Patellofemoral joint pain is a common problem experienced by active adults. However, relatively little is known about patellofemoral joint load and its distribution across the medial and lateral facets of the patella. In this study, biomechanical experiments and computational modeling were used to study patellofemoral ... |
0 | Patellofemoral arthroplasty: a systematic review of the literature | Surgical Management of Osteoarthritis of the Knee CPG | Identification and management of patients with isolated patellofemoral osteoarthritis are challenging. Many of these patients present at a young age and it is important to distinguish degenerative change in the patellofemoral articulation from the other various causes of anterior knee pain. Once the diagnosis of isolat... |
0 | Is there added risk in resurfacing a femoral head with cysts? | Management of Hip Fractures in the Elderly | BACKGROUND: Femoral head cysts have been identified as a risk factor for early femoral failures after metal-on-metal hip resurfacing arthroplasty (HRA) based on limited scientific data. However, we routinely performed HRA if less than 1/3 of the femoral head appeared destroyed by cysts on the preoperative radiograph. T... |
0 | Electrophysiologic evaluation of peripheral nerve injuries in children following the Marmara earthquake | DOD - Acute Comp Syndrome CPG | The aim of this study was to investigate the clinical, demographic, and electromyographic (EMG) characteristics of 12 earthquake victims in the pediatric age group and to compare the findings with those of the adult group. Following the 1999 Marmara earthquake, 75 subjects with suspected peripheral nerve injury were re... |
1 | Practice parameter for electrodiagnostic studies in carpal tunnel syndrome: summary statement. American Association of Electrodiagnostic Medicine, American Academy of Neurology, American Academy of Physical Medicine and Rehabilitation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is the most common peripheral mononeuropathy and often requires one or more therapies including surgery. The results of electrodiagnostic (EDX) studies have been found to be highly sensitive and specific for the diagnosis of CTS. This document defines the standards, guidelines, and options ... |
0 | On the interaction of selective attention and lexical knowledge: a connectionist account of neglect dyslexia | Upper Eyelid and Brow Surgery | Neglect dyslexia, a reading impairment acquired as a consequence of brain injury, is traditionally interpreted as a disturbance of selective attention. Patients with neglect dyslexia may ignore the left side of an open book, the beginning words of a line of text, or the beginning letters of a single word. These patient... |
0 | Risk factors for acute kidney injury after hip fracture surgery in the elderly individuals | HipFx Supplemental Cost Analysis | OBJECTIVE: We aimed to evaluate possible risk factors associated with acute kidney injury (AKI) after hip fracture surgery in the elderly individuals. DESIGN: Level II diagnostic study, evidence obtained from prospective cohort study from 1 center with level 2, and 3 patients. PATIENTS: A total of 165 patients (>65 yea... |
0 | Total ankle arthroplasty: What are the risks?: A guide to surgical consent and a review of the literature | DoD SSI (Surgical Site Infections) | Aims Total ankle arthroplasty (TAA) surgery is complex and attracts a wide variety of complications. The literature lacks consistency in reporting adverse events and complications. The aim of this article is to provide a comprehensive analysis of each of these complications from a literature review, and to compare them... |
1 | Risk factors for 30-day postoperative complications and mortality following open reduction internal fixation of distal radius fractures | DoD SSI (Surgical Site Infections) | Purpose: To identify the incidence and risk factors for 30-day postoperative morbidity and mortality following operative treatment of distal radius fractures in a multicenter cohort. Methods: We retrospectively queried the American College of Surgeons National Surgical Quality Improvement Program database for the years... |
0 | Noninvasive Body Contouring: A Male Perspective | Panniculectomy & Abdominoplasty CPG | Noninvasive body contouring is an attractive therapeutic modality to enhance the ideal male physique. Men place higher value on enhancing a well-defined, strong, masculine jawline and developing a V-shaped taper through the upper body. An understanding of the body contour men strive for allows the treating physician to... |
0 | The difference between weight-bearing and non-weight-bearing alignment in patient-specific instrumentation planning | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Retrospective study to analyse the difference between weight-bearing and non-weight-bearing alignment in osteoarthritic knees planned for patient-specific instrumented (PSI) total knee arthroplasty (TKA). The aim of the study is to observe whether a difference in alignment can be linked to arthritis staging or... |
1 | Long-term results for the McKeever patellar resurfacing prosthesis used as a salvage procedure for severe chondromalacia patellae | Surgical Management of Osteoarthritis of the Knee CPG | From July 1972 until September 1985, 28 patients with a mean age of 36 years who had advanced arthritis of the patella were treated with a resurfacing arthroplasty using the McKeever prosthesis. The opposing articular surface of the femur appeared normal in 19 patients. The 28 patients had had a total of 50 previous op... |
1 | Regional toxicity after isolated limb perfusion with melphalan and tumour necrosis factor-α versus toxicity after melphalan alone | DOD - Acute Comp Syndrome CPG | Aims: To determine whether the addition of high-dose tumour necrosis factor-α (TNFα) to isolated limb perfusion (ILP) with melphalan increases acute regional tissue toxicity compared to ILP with melphalan alone. Methods: A retrospective, multivariate analysis of toxicity after normothermic (37-38°C) and 'mild' hyper... |
0 | Single-centre study of hip fractures in Prague, Czech Republic, 1997-2007 | Management of Hip Fractures in the Elderly | This study examines the epidemiological data of patients with hip fractures from 1997-2007. Adult patients treated for hip fracture between the years 1997-2007 were included in the study. Retrospective statistical assessment of continually gathered data focussed on epidemiology and demographics. The study involved 3,68... |
0 | Can three-dimensional patient-specific cutting guides be used to achieve optimal correction for high tibial osteotomy? Pilot study | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Treatment of medial tibiofemoral osteoarthritis with a high-tibial osteotomy (HTO) is most effective when the optimal angular correction is achieved. However, conventional instrumentation is limited when multiplanar correction is needed.
HYPOTHESIS: Use of patient-specific cutting guides (PSCGs) for HTO p... |
0 | The use of trochanteric slide osteotomy in the treatment of displaced acetabular fractures | Management of Hip Fractures in the Elderly | From January 2003 and February 2006, 31 displaced acetabular fractures were treated by open reduction and internal fixation. The fractures were managed using a single approach, involving a straight lateral incision centered over the greater trochanter, trochanteric osteotomy and dislocation of the femoral head. The mea... |
0 | Point-of-care ultrasound compared with conventional radiographic evaluation in children with suspected distal forearm fractures in the Netherlands: A diagnostic accuracy study | Distal Radius Fractures | Background Distal forearm fractures are common in children. The reference standard to diagnose these fractures is by conventional radiography, which exposes these patients to harmful radiation. Ultrasound (US) seems to be a good alternative. However, emergency physicians (EPs) in the Netherlands have limited experience... |
0 | Single-stage treatment of pyogenic spinal infection with titanium mesh cages | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | STUDY DESIGN: Single institution retrospective review. OBJECTIVES: To report a series of pyogenic spinal infections treated with single-stage debridement and reconstruction with titanium mesh cages. SUMMARY OF BACKGROUND DATA: Various studies have reported surgical results of pyogenic spinal osteomyelitis with anterior... |
0 | Anterior-medial collateral ligament portal : easy access to the torn posteromedial horn of the medial meniscus | AMP (Acute Meniscal Pathology) | The posteromedial horn of the medial meniscus is prone to injury, and repair of a tear in this portion of the medial meniscus is especially challenging for the arthroscopist. We present a novel technique that allows good management of the posterior horn of the medial meniscus, even in patients with tight medial compart... |
0 | Comparing South Korea and Italy's healthcare systems and initiatives to combat COVID-19 | Coronavirus Disease 2019 (COVID-19) | Italy and South Korea have two distinctly different healthcare systems, causing them to respond to public health crises such as the COVID-19 pandemic in markedly different ways. Differences exist in medical education for both countries, allowing South Korean medical graduates to have a more holistic education in compar... |
0 | A controlled trial of steroids in cyclosporine-treated renal transplant recipients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In a randomized controlled clinical trial, 117 recipients of a kidney transplant were treated with cyclosporine (15-17 mg/kg/day) either alone or with prednisolone 0.3 mg/kg/day in addition. There were no exclusions and all patients have been followed-up from 14 to 39 months. No differences in the survival of the patie... |
0 | The Long-Term Outcome After Early and Late Anterior Cruciate Ligament Reconstruction | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To compare long-term clinical and radiographic outcomes in patients undergoing either early (group A) or late (group B) surgery after anterior cruciate ligament (ACL) injury.
METHODS: ACL reconstruction using hamstring tendon autografts was performed in 30 patients in group A (median age, 23 years; range, 17-4... |
1 | Methicillin-resistant Infection After Hip and Knee Replacement: Reason to Change Practice? | PJI DX Updated Search | Infection after a primary total-joint replacement can be devastating. If the infecting organism is methicillin resistant, the chance of successful eradication of the infection is considerably decreased. What is more concerning is that these organisms are becoming increasingly common in periprosthetic joint infection. W... |
1 | Survival and functional outcome of high tibial osteotomy for medial knee osteoarthritis: a 10-20-year cohort study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The primary aim of this study was to identify independent predictors of long-term survivorship after high tibial osteotomy (HTO). The secondary aims were to describe the functional outcome of surviving HTO 10-20 years after surgery.
METHODS: A retrospective cohort of 223 HTO that were performed for the trea... |
0 | Bone impaction grafting for corticosteroid-associated osteonecrosis of the knee | AAHKS (2) Corticosteroids | BACKGROUND: Osteonecrosis of the distal portion of the femur produces a segment of dead bone in the weight-bearing portion of the femoral condyle, frequently associated with subchondral fracture and collapse and eventually resulting in secondary osteoarthritis. Treatment of these late stages of osteonecrosis in the kne... |
0 | Treatment of injury of the triangular fibrocartilage complex (TFCC) | Distal Radius Fractures | Background. The triangular fibrocartilage complex (TFCC) supplies stability and cushioning for proper wrist function. TFCC lesions, a common cause of ulnar-sided wrist pain, can be traumatic (Palmer I) or degenerative (Palmer II) in nature. Clinical assessment is basic for making the diagnosis, but imaging may be helpf... |
0 | Efficacy of injury prevention related coach education within netball and soccer | DoD PRF (Psychosocial RF) | In 2004, Netball New Zealand and New Zealand Football adapted a generic 10-point action plan for sports injury prevention, SportSmart, to create NetballSmart and SoccerSmart, as part of their coach education programmes. A small-size descriptive study was conducted in both sports, to assess the efficacy of integrating s... |
0 | Tissue Liquefaction Liposuction for Body Contouring and Autologous Fat Transfer: A Retrospective Review Over 3 Years | Panniculectomy & Abdominoplasty CPG | Objective: Tissue liquefaction lipoplasty is a novel, low-energy method cleared for use in aesthetic body contouring and autologous fat transfer. This is a retrospective review of the clinical effectiveness and safety of a liquefaction lipoplasty system for liposuction and autologous fat transfer. Methods: A retrospect... |
0 | Factors Affecting One-year Mortality of Elderly Patients After Surgery for Hip Fracture | Hip Fx in the Elderly 2019 | Background Hip fractures in the elderly are significant with mortality. Most of the deaths occur during the early period after the operation. Hence, defining the risk factors may assist in preventive measures. The aim of this study is to determine the risk factors for mortality in elders with fracture hip in one year a... |
0 | Volar plate fixation of distal radius fractures | Distal Radius Fractures | Background We aimed to evaluate the results of volar locking and unlocking plate fixation of adult distal radius fractures. Methods Thirty-four patients (14 female, 20 male, mean age: 48.5±17.9 years) who were treated for distal radius fractures were investigated retrospectively. The fractures were distributed as foll... |
0 | Osteomyelitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The complexities of osteomyelitis make its diagnosis and treatment challenging. Current trends emphasize early diagnosis and aggressive treatment. Imaging has improved, with nuclear scans and magnetic resonance imaging, and technique modifications have enhanced the specificity of these tests. Treatment depends on thoro... |
1 | Emotional responses to unintentional and intentional traumatic injuries among urban black men: A qualitative study | DoD PRF (Psychosocial RF) | PURPOSE: The burden of injuries is disproportionately concentrated among Black men in the United States. Previous studies suggest that the mental health effects of trauma may vary by the intentionality of the injury (intentional vs. unintentional), yet little is known about this experience among Black men. We explored ... |
0 | Second-look arthroscopic assessment of cartilage regeneration after medial opening-wedge high tibial osteotomy | OAK 3 - Non-arthroplasty tx of OAK | Purpose The purposes of this study were to evaluate regeneration of the articular cartilage after medial opening-wedge high tibial osteotomy for knees with medial-compartment osteoarthritis and to assess the clinical outcome and cartilage regeneration according to the postoperative limb alignment at 2 years postoperati... |
0 | Irritable bowel syndrome and dyspepsia among women veterans: prevalence and association with psychological distress | DoD PRF (Psychosocial RF) | BACKGROUND: The burden of functional GI disorders and their associations with psychological distress in women veterans is unclear.
AIM: To examine 1-year prevalence of irritable bowel syndrome (IBS) and dyspepsia symptoms and their associations with anxiety, depression and post-traumatic stress disorder (PTSD) among wo... |
0 | Locked plating of 3- and 4-part proximal humerus fractures in older patients: the effect of initial fracture pattern on outcome | Management of Hip Fractures in the Elderly | OBJECTIVES: The use of locked plates in repairing osteopenic 3- and 4-part proximal humerus fractures remains controversial. The purpose of this article was to report the outcomes of open reduction and internal fixation in low-energy proximal humerus fractures treated with locked plating in patients older than 55 years... |
1 | The reliability of one vs. three grip trials in symptomatic and asymptomatic subjects | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Grip strength is used in the assessment of hand and upper limb function. Current recommendations state that taking the mean of three repeated grip trials provides more reliable results than only one trial. A repeated measures, crossover design was used. Sixty-six subjects were recruited (22 asymptomatic subjects, 22 fo... |
0 | Treatment and prevention of ophthalmia neonatorum | Patrick’s pharmacoepidemiology project | Question In my office I occasionally see neonates with conjunctivitis. What are the current recommendations for ocular prophylaxis at birth? Do topical antibiotics alone provide adequate treatment of neonatal conjunctivitis? When is systemic therapy indicated? Answer All infants should receive ocular prophylaxis at bir... |
1 | Functional results of displaced proximal humerus fractures in children treated by elastic stable intramedullary nail | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | PURPOSE: Displaced proximal humerus fractures within the pediatric population can be treated by elastic stable intramedullary nailing (ESIN). The main objective of our study is to evaluate functional outcome of the displaced proximal humeral fractures treated by ESIN within the pediatric group using a standardized eval... |
0 | Efficacy of multimodal perioperative analgesia protocol with periarticular medication injection in total knee arthroplasty: a randomized, double-blinded study | OAK 3 - Non-arthroplasty tx of OAK | Pain control is necessary for successful rehabilitation and outcome after total knee arthroplasty. Our goal was to compare the clinical efficacy of periarticular injections consisting of a long-acting local anesthetic (ropivacaine) and epinephrine with and without combinations of an alpha2-adrenergic agonist (clonidine... |
0 | Analgesia following total knee arthroplasty | AAHKS (4) Acetaminophen | PURPOSE OF REVIEW: Conventional methods of postoperative pain control for total knee arthroplasty include continuous epidural infusions of local anesthetic and patient-controlled intravenous narcotics. Dose-dependent side effects are common with these modalities and may result in limited effectiveness and decreased pat... |
0 | Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong | Coronavirus Disease 2019 (COVID-19) | PURPOSE: Coronavirus disease (COVID-19) has rapidly emerged as a global health threat. The purpose of this article is to share our local experience of stepping up infection control measures in ophthalmology to minimise COVID-19 infection of both healthcare workers and patients. METHODS: Infection control measures imple... |
0 | Is primary total elbow arthroplasty safe for the treatment of open intra-articular distal humerus fractures? | Pediatric Supracondylar Humerus Fracture 2020 Review | Objectives: Total elbow arthroplasty (TEA) is a viable treatment for elderly patients with distal humerus fracture who frequently present with low-grade open fractures. This purpose of this study was to evaluate the results of a protocol of serial irrigations and debridements (I&Ds) followed by primary TEA for the trea... |
0 | Radiosynoviorthesis for treating recurrent joint effusions after endoprosthetic knee replacement | AAHKS (2) Corticosteroids | PURPOSE: Radiosynoviorthesis (RSO) has been established as a treatment modality for rheumatoid arthritis. Other forms of joint diseases like recurrent joint effusions after knee arthroplasties are under investigation. The aim of this study was to examine whether RSO therapy is effective in the application of an endopro... |
0 | Problems of the glenohumeral joint in overhead sports - literature review. Part II - pathology and pathophysiology | Glenohumeral Joint OA | In throwing sports shoulder is exposed to enormous and often repetitive overloads. Some sports (contact sports) are also connected with direct trauma. We are thus dealing with traumatic injuries, overload and degenerative damage. The article discusses the most frequent injuries of the shoulder characteristic for throwi... |
0 | Evidence of genetic variations associated with rotator cuff disease | Glenohumeral Joint OA | Background: Rotator cuff disease (RCD) is a complex process influenced by a multitude of factors, and a number of gene pathways are altered in rotator cuff tears. Polymorphisms in these genes can lead to an extended tendon degeneration process, which explains why subsets of patients are more susceptible to RCD. Materia... |
0 | Anterior titanium plate plus screw of square area combined with posterior column screw for the treatment of fracture of acetabulum involving square area | Hip Fx in the Elderly 2019 | Objective: To evaluate the effect of anterior special shaping titanium plate with Square District screws combined with posterior column lag screw internal fixation in the treatment of involving the quadrilateral area of acetabular fracture biomechanical stability and clinical effect. Method: The finite element modeling... |
0 | VITamin D and OmegA-3 TriaL: effects on Bone Structure and Architecture | Distal Radius Fractures | The VITAL: Effects on Bone Structure and Architecture is an ancillary study of the parent VITAL. This study has enrolled a subâ?cohort of 771 VITAL participants at the NIHâ?sponsored Harvard Catalyst Clinical and Translational Science Center (CTSC). The following measurements will be performed at baseline and 2 years... |
0 | Platelet-rich plasma injection for tennis elbow: did it ever work? | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Platelet-rich plasma (PRP) is a commonly used treatment for tendinopathies such as tennis elbow despite the questionable evidence of its efficacy. A recent Cochrane review suggests that it likely does not provide clinically meaningful benefits in people with tennis elbow. In this viewpoint, we discuss how lack of regul... |
0 | Treatment outcome in patients with differentiated thyroid carcinoma and distant metastases | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: To determine the treatment outcome in patients with distant metastases of differentiated papillary and follicular thyroid carcinoma, and to investigate possible factors influencing treatment outcome. Patients and methods: Among 321 patients treated with radioiodine (131I), distant metastases were found in 54 (... |
0 | Basic science of ligament healing: C. Anterior cruciate ligament graft biomechanics and knee kinematics | Surgical Management of Osteoarthritis of the Knee CPG | Injury of the anterior cruciate ligament (ACL) can lead to knee instability associated with damage to other knee structures and the increased risk of osteoarthritis. Thus, surgeons have turned to the use of autografts as ACL replacements to restore knee function and expedite the patient's return to sports, as well as a... |
0 | Arthroscopic abrasion arthroplasty historical and pathologic perspective: present status | Surgical Management of Osteoarthritis of the Knee CPG | Arthroscopic abrasion arthroplasty is a modification of open Magnusson "housecleaning" arthroplasty. The arthroscopic approach decreases incision size enhancing postoperative rehabilitation. Arthroscopic techniques enhance the accuracy of diagnosis and provide accuracy of limiting debridement only to diseased tissue in... |
1 | Sonography in congenital deficiency of the femur | Developmental Dysplasia of the Hip CPG | Dynamic hip sonography was performed in 15 infants (19 hips) with congenital abnormalities of the hip. Radiographs of all 15 patients revealed congenital deficiency of the femur (CDF), type I-V, using the classification described by Kalamchi et al. Sonography was accurate in delineating hip position and morphology in a... |
0 | Daptomycin: Evaluation of a high-dose treatment strategy | Dental Implant Infection | With a decreasing pipeline of novel antibiotics and increasing antibacterial resistance, the need to optimise the current antibiotics in our armamentarium has become vitally important. Daptomycin is a novel lipopeptide antibiotic that exhibits concentration-dependent activity. Currently, the daptomycin dosage is 4 mg/k... |
0 | Ulnar nerve injury in the throwing athlete | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Forces generated during the overhead throwing motion make the medial side of the elbow susceptible to tensile injury. Medial elbow pain and neurologic symptoms may represent isolated injury to the ulnar nerve, but more often represent a secondary condition caused by an underlying abnormality, especially valgus instabil... |
0 | The effect of total knee replacement on the knee varus angle and moment during walking and stair ascent | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: This study examined the effect of total knee replacement surgery on the frontal plane knee varus angle and moment. Secondarily, the relationships between knee varus angle and moment to a clinical outcome measure were assessed. METHODS: Twenty-one patients with total knee replacement and 21 controls performe... |
0 | Cement fixation in primary total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Cemented total knee arthroplasty (TKA) has been the preferred method of fixation for the last several decades. Many clinical studies have shown that a well-designed and properly positioned cemented TKA has a >90% chance of surviving almost 2 decades. To achieve this magnitude of success, there are a number of important... |
0 | Less invasive polyaxial locking plate fixation in periprosthetic and peri-implant fractures of the femur--a prospective study of 41 patients | PJI DX Updated Search | BACKGROUND: A great variety of methods for the stabilisation of periprosthetic fractures around total hip (THA) or total knee arthroplasty (TKA) have been described. We present the data of our experience in combining a polyaxial, anatomical locking plate with a standardised less invasive technique in the treatment of p... |
0 | Surgical reconstruction of chronic anteromedial rotatory instability of knee. A review with computer analysis of 149 cases | AMP (Acute Meniscal Pathology) | The clinical records were reviewed of 142 men and 7 women (average age 26.8 years; range, 15 to 58 years) who had surgical reconstruction for anteromedial rotatory instability of the knee. All were treated consecutively at the same clinic during a 15-year period (1960 to 1975). Preoperative and postoperative symptoms w... |
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