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0 | Ultrasound Color histogram assessment allows better view of echotexture damage | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: The colored ultrasound images can better highlight the joint echotexture damage.
OBJECTIVE: To detect echotexture changes in joints of patients with rheumatic diseases, through a color histogram, and to correlate the area measurements with the gray scale (GS).
METHODS: Four patients with chondrocalcinosis... |
0 | Zonal differences in meniscus MR relaxation times in response to in vivo static loading in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | This study assessed the effects of static loading on MRI relaxation times of menisci in individuals with and without radiographic knee OA. High-resolution fast spin-echo (FSE) and T(1rho)/T(2) relaxation time MR sequences were obtained with and without loading at 50% body weight in 124 subjects. T(1rho)/T(2) relaxation... |
0 | The minimally invasive approach for distal radius fractures and malunions | Distal Radius Fractures | This article reviews the author's currently used minimal invasive approach for volar plating of distal radius fractures. A single longitudinal incision of 1.5 cm is drawn on the lateral aspect of the flexor carpi radialis tendon in order to insert a plate under the pronator quadratus. With the wrist flexed, the plate i... |
0 | Ultrasound-guided lumbar plexus block through the acoustic window of the lumbar ultrasound trident | Surgical Management of Osteoarthritis of the Knee CPG | Lumbar plexus block (LPB) is frequently used in combination with an ipsilateral sacral plexus or sciatic nerve block for lower limb surgery. This is traditionally performed using surface anatomical landmarks, and the site for local anaesthetic injection is confirmed by observing quadriceps muscle contraction to periphe... |
0 | Smoking and joint replacement: resource consumption and short-term outcome | Surgical Management of Osteoarthritis of the Knee CPG | Smoking has been shown to increase morbidity and mortality in surgical procedures. Microvascular and trauma surgeons have documented the adverse effect of smoking in the healing of skin flaps and increased complication rates in the treatment of nonunions. In addition, spine surgeons have shown the adverse effects of sm... |
0 | 10-Year probability of recurrent fractures following wrist and other osteoporotic fractures in a large clinical cohort: An analysis from the Manitoba bone density program | Management of Hip Fractures in the Elderly | Background: Wrist fractures are the most prevalent type of fracture occurring in postmenopausal women. We sought to contrast the probability of recurrent osteoporotic fractures after a primary wrist fracture with other important primary fracture sites. Methods: A historical cohort study comprising 21 432 women 45 years... |
0 | Prevalence of and factors associated with unmanageable pain levels in people with knee or hip osteoarthritis: a cross-sectional population-based study | AMP (Acute Meniscal Pathology) | Background: Pain due to knee and / or hip osteoarthritis (HKOA) is the most common symptom for seeking healthcare. Pain interferes on daily activities, social and occupational participation in people with HKOA. The goal of this study is to estimate the prevalence of unmanageable pain levels (UPL) among people with HKOA... |
0 | Deep-dish congruent tibial component use in total knee arthroplasty: a randomized prospective study | Surgical Management of Osteoarthritis of the Knee CPG | One hundred seventy-six patients with osteoarthritis of the knee were randomized prospectively into two groups. In both groups the posterior cruciate ligament was released from its femoral attachment. In one group a posterior stabilized tibial component was used whereas in the other group a deep-dish tibial polyethylen... |
1 | Impact of Residents on Operative Time in Aesthetic Surgery at an Academic Institution | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Duration of surgery is a known risk factor for increased complication rates. Longer operations may lead to increased cost to the patient and institution. While previous studies have looked at the safety of aesthetic surgery with resident involvement, little research has examined whether resident involvement... |
0 | The use of acellular dermal matrices in revisional breast reconstruction | Acellular Dermal Matrix | BACKGROUND: The use of acellular dermal matrices in breast surgery has become popular in the last two decades, with a corresponding increase in experience and literature. The authors reviewed the literature and summarize key technical points regarding use of acellular dermal matrices in reconstructive breast surgery. M... |
1 | What are the factors to affect outcome and healing of meniscus bucket handle tears? | AMP (Acute Meniscal Pathology) | INTRODUCTION: The purpose of this study is to identify patient, meniscus rupture and surgical characteristics that influence the outcome and clinical healing following operative repair of bucket handle tears.
METHODS: Between 02/2006 and 10/2012, a total of 38 patients (14 women, 24 men) with bucket handle tears underw... |
0 | Clinical use of a novel audio pillow with recorded hypnotherapy instructions and music for anxiolysis during dental implant surgery: A prospective study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A prospective, comparative study of a novel audio pillow with hypnosis text and relaxation music was conducted in 82 dental-implant surgery patients to relieve anxiety over a 6-month period. Visual analogue scales combined with the Aachen Dental Treatment Fear Inventory (AZI) questionnaire were used to quantify patient... |
0 | A prospective evaluation of opioid utilization after upper-extremity surgical procedures: Identifying consumption patterns and determining prescribing guidelines | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Although adequate management of postoperative pain with oral analgesics is an important aspect of surgical procedures, inadvertent overprescribing can lead to excess availability of opioids in the community for potential diversion. The purpose of our study was to prospectively evaluate opioid consumption fo... |
0 | Can muscle power be estimated from thigh bulk measurements? A preliminary study | AMP (Acute Meniscal Pathology) | The purpose of this study was to assess whether measurements of thigh bulk taken with a tape measure would give an indication of muscle power. Eleven male patients, all undergoing unilateral menisectomies, performed exercises of the quadriceps and hamstring muscles during concentric loading at 60°/s. The patients were ... |
0 | Prognostic factors in early breast carcinoma | MSTS 2018 - Femur Mets and MM | Several investigators, the SEER data, and the ECOG/Intergroup study have shown that patients with small tumors (< 0.5 cm) have a recurrence rate of less than 2%, compared to 20-25% for large tumors (> or = 5 cm). Nuclear grade and tumor differentiation are established indicators; however, the interobserver lack of conc... |
1 | Can secondary extremity compartment syndrome be diagnosed earlier? | DOD - Acute Comp Syndrome CPG | BACKGROUND: In 2002, our institution published a 5-year retrospective review of 10 patients who developed secondary extremity compartment syndrome (SECS) with a mortality rate of 70%. Since then, we have aggressively screened for the development of SECS in high-risk patients. We postulate that awareness of SECS and vig... |
0 | Evaluation of the effectiveness of platelet rich plasma in treatment of chronic pes anserinus pain syndrome | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Enthesopathy-associated pain does not only occur in athletes but also in persons of average daily activity levels. Repetitive microtrauma within the pes anserinus may lead to chronic inflammation and later result in development of degenerative changes in this region. It is commonly believed that this condit... |
0 | Comparison of Analgesic Consumption Between Perioperative ıv Dexamethasone and Added to Femoral Block | AAHKS (2) Corticosteroids | Total knee arthroplasty leads to severe postoperative pain. for postoperative pain control after total knee arthroplasty oral â?intramuscular opioids ,patient controlled analgesia intravenous or epidural opioids, single â?continuous femoral nerve block involving techniques are used. Dexamethasone is a glucocorticoid ... |
0 | No bias of ignored bilaterality when analysing the revision risk of knee prostheses: analysis of a population based sample of 44,590 patients with 55,298 knee prostheses from the national Swedish Knee Arthroplasty Register | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The current practice of the Swedish Knee Register is not to take into consideration if one or both knees in a patient are subject to surgery when evaluating risk of revision after arthroplasty. Risk calculations are typically done by statistical methods, such as Kaplan-Meier analyses and Cox's proportional ... |
0 | Mitigating Litigating: An Examination of Psychosocial Impacts of Compensation Processes Associated with the 2010 BP Deepwater Horizon Oil Spill | DoD PRF (Psychosocial RF) | During the past four decades, a number of social science scholars have conceptualized technological disasters as a social problem. More specifically, research in this arena has identified individual and collective stress as a secondary trauma of processes intended to provide compensation and economic relief from disast... |
0 | Variation of cell and matrix morphologies in articular cartilage among locations in the adult human knee | AMP (Acute Meniscal Pathology) | OBJECTIVE: Understanding of articular cartilage physiology, remodelling mechanisms, and evaluation of tissue engineering repair methods requires reference information regarding normal structural organization. Our goals were to examine the variation of cartilage cell and matrix morphology in different topographical area... |
0 | Anti-osteoporosis drug prescribing after hip fracture in the UK: 2000-2010 | Hip Fx in the Elderly 2019 | UNLABELLED: The probability of initiating with anti-osteoporosis therapy increased from 7 % in 2000 to 46 % in 2010. This improvement was greater for patients over the age of 75 years. Men, those overweight, having dementia or exposed to antipsychotics, sedatives/hypnotics or opioid analgesics were significantly less l... |
0 | Trauma in cirrhosis: An indication of the pattern of alcohol abuse in different societies | DoD PRF (Psychosocial RF) | Determined the prevalence of bone fractures in alcoholic cirrhotics in 9 countries (US, Canada, England, Finland, France, Ireland, Italy, Japan, and Spain). Physicians in the countries studied assessed the presence or absence of healed rib or vertebral fractures on routine chest x-rays in 100 male patients with the dia... |
0 | Early Assessment of Proof-of-Problem to Guide Health Innovation | AMP (Acute Meniscal Pathology) | BACKGROUND: Although the relevance of both push and pull factors is acknowledged in models of innovation, needs, broadly defined, are rarely considered, whereas supply-driven innovation in publicly funded health systems carries the risk that it may not match the underlying problems experienced by patients and consumers... |
1 | Preserved sympathetic skin response at the distal phalanx in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To assess the viability of sympathetic sudomotor fibers in carpal tunnel syndrome (CTS). METHODS: We recorded sympathetic skin response (SSR) with a multichannel recording system. Forty-four patients with CTS (51 hands), 7 patients (7 hands) with asymptomatic median mononeuropathy at the wrist (MMW), and 20 ... |
0 | The association between vitamin K status and knee osteoarthritis features in older adults: the Health, Aging and Body Composition Study | AMP (Acute Meniscal Pathology) | BACKGROUND: Vitamin K-dependent (VKD) proteins, including the mineralization inhibitor matrix-gla protein (MGP), are found in joint tissues including cartilage and bone. Previous studies suggest low vitamin K status is associated with higher osteoarthritis (OA) prevalence and incidence.
OBJECTIVE: To clarify what joint... |
0 | Predictive blood coagulation markers for early diagnosis of venous thromboembolism after total knee joint replacement | Surgical Management of Osteoarthritis of the Knee CPG | Pulmonary embolism development may be prevented if asymptomatic venous thromboembolism (VTE) can be predicted and treated preoperatively or soon after total knee arthroplasty (TKA). The purpose of this study was to evaluate whether asymptomatic VTE can be predicted by blood coagulation markers preoperatively or early a... |
0 | The measurement of calcium-regulating hormones in clinical medicine | MSTS 2018 - Femur Mets and MM | Assays of serum immunoreactive parathyroid hormone are clinically useful in the differential diagnosis of hypercalcaemic states and in the assessment of the severity of parathyroid bone disease in uraemic patients. Serum immunoreactive calcitonin measurements are essential in the investigation of individuals who might ... |
0 | The carpal tunnel syndrome in hypertensive patients treated with beta-blockers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We report the development of the carpal tunnel syndrome in 3 hypertensive men (aged 46-58) treated with beta-blockers (propranolol in two patients and metoprolol in the 3rd) for 8-11 years. Known causes of carpal tunnel syndrome were excluded in each case. Withdrawal of the beta-blocker was followed by complete resolut... |
0 | Rheumatologic manifestations of hepatic diseases | MSTS 2018 - Femur Mets and MM | A possible link is suggested between hepatic diseases and rheumatic disease. Polyarthralgia and polyarthritis may be seen during the prodromal period of acute viral hepatitis, especially in hepatitis B virus (HBV). The symptoms of arthritis, mild, localized or generalized, mostly involve the small joints of hands. Join... |
0 | Cupping therapy for treating knee osteoarthritis: The evidence from systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Cupping therapy is widely used in East Asia, the Middle East, or Central and North Europe to manage the symptom of knee osteoarthritis (KOA). The purpose of this systematic review was to evaluate the available evidence from randomized controlled trials (RCTs) of cupping therapy for treating patients with KOA... |
0 | Natural history of carpal tunnel syndrome according to the neurophysiological classification | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Although many studies on carpal tunnel syndrome (CTS) have been reported, few data on the natural history of CTS are available. Knowledge of the natural course of the disease has significant clinical and therapeutic value. We prospectively followed up 80 cases of untreated CTS. The evaluation was based on self-administ... |
0 | Distraction osteogenesis to improve limb function in congenital bilateral humeroradioulnar synostosis | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Congenital bilateral humeroradioulnar fusion of the elbow is rare. Many patients tolerate unilateral elbow stiffness very well, but bilateral fixed elbows are very disabling. We report the management of a 13-year-old patient using the Ilizarov technique. The left elbow was ankylosed in 70 degrees flexion. It was gradua... |
0 | Epidural fentanyl speeds the onset of sensory block during epidural lidocaine anesthesia | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVES: Shortening the onset time of sensory block is a practical goal to improve the quality of epidural anesthesia. The addition of fentanyl to a local anesthetic solution is widely used during epidural anesthesia. This randomized double-blind study examined the onset time of sensory block during e... |
0 | Dual mobility retentive acetabular liners and wear: surface analysis of 40 retrieved polyethylene implants | PJI DX Updated Search | PURPOSE OF THE STUDY: Dual mobility systems with retentive acetabular liners have been used in clinical practice for total hip arthroplasty since 1976. The dual mobility system preserves a wide range of motion while providing greater stability. This study measured wear on the concave and convex surfaces of 40 retrieved... |
0 | Clinical errors and medical negligence | DOD - Acute Comp Syndrome CPG | This paper discusses the definition, nature and origins of clinical errors including their prevention. The relationship between clinical errors and medical negligence is examined as are the characteristics of litigants and events that are the source of litigation. The pattern of malpractice claims in different specialt... |
0 | Teriparatide improves early callus formation in distal radial fractures: Analysis of a subgroup of patients within a randomized trial: Analysis of a subgroup of patients within a randomized trial | Distal Radius Fractures | Background Teriparatide (parathyreoid hormone; PTH 1-34) increases skeletal mass in humans and improves fracture healing in animals. A recent randomized multicenter trial of nonoperated distal radial fractures showed a moderate shortening of the time to restoration of cortical continuity by treatment with 20 μg (low-d... |
1 | Vitamin D Intake and Magnetic Resonance Parameters for Knee Osteoarthritis: Data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | Purpose: There is evidence that vitamin D may play a role in the osteoarthritis (OA) pathogenesis, but the few data available are limited to X-rays and clinical findings. The aim of this study was to investigate whether a higher intake of vitamin D was associated with a better architecture of the cartilage of the knee,... |
0 | Intra-operative periarticular multimodal injection in total knee arthroplasty: a local hospital experience in Hong Kong | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Data from a local report revealed the superior outcome of regional anaesthesia and analgesia compared with general anaesthesia and intravenous patient-controlled analgesia in total knee arthroplasty. This retrospective study aimed to assess the efficacy of intra-operative periarticular multimodal injectio... |
0 | Diabetes is a Risk Factor for Restricted Range of Motion and Poor Clinical Outcome After Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background We investigated the effects of diabetes mellitus on knee range of motion, muscle strength, and functional outcome after total knee arthroplasty. Methods A total of 20 patients with type 2 diabetes and 20 patients without diabetes matched for age, body mass index, knee range of motion, and muscle strength at ... |
0 | The saddle prosthesis in pelvic primary and secondary musculoskeletal tumors: functional results at several postoperative intervals | DoD LSA (Limb Salvage vs Amputation) | The first purpose of this study was to evaluate the saddle prosthesis in patients with periacetabular tumors in terms of the functional results obtained after several postoperative intervals. The second purpose was to evaluate the complications and how they might be prevented in the future. Functional results according... |
0 | Inadvertent intradiscal contrast flow during lumbar transforaminal epidural steroid injections: a case series examining the prevalence of intradiscal injection as well as potential associated factors and adverse events | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: The primary aim was to evaluate the prevalence of inadvertent intradiscal injection during fluoroscopically guided contrast-enhanced lumbar transforaminal epidural steroid injections. The secondary aim was to determine if there are any risk factors for or adverse events as a result of inadvertent intradisca... |
0 | Ovarian metastases from colorectal carcinoma. Clinicopathologic profile, immunophenotype, and karyotype analysis | MSTS 2018 - Femur Mets and MM | Ovarian metastases from colorectal carcinoma frequently mimic primary ovarian carcinomas. The present study was performed to identify possible criteria helpful in differential diagnosis. Twenty-three ovarian metastases from colorectal carcinomas and 23 primary ovarian carcinomas were evaluated clinicopathologically and... |
0 | Eighty-seven percent of 66 adult patients with advanced osteoarthritis of the knee subjected to treatment with intra-articular injections of human growth hormone avoid total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Intra-articular injections of growth hormone produce Pre-natal Developmental Healing (PDH). This unique action of growth hormone, proven in mature rabbits, does not involve bleeding, clot formation or the in-pouring of inflammatory cells. This healing is scar-free and produces no fibroartilage. The cascade of ... |
0 | Disorders of body fat distribution in HIV-1-infected patients | Panniculectomy & Abdominoplasty CPG | Body fat disorders are a common and relevant problem in HIV-1-infected patients that can be associated with metabolic alterations. Many controversies in their definition, pathogenesis, measurement, and management remain unclear. Several factors including HIV-1 infection itself and antiretroviral therapy have been assoc... |
0 | Intramedullary nailing versus locked plate for treating supracondylar periprosthetic femur fractures | PJI DX Updated Search | The objective of this study was to compare retrograde intramedullary femoral nailing with supracondylar locked screw-plate fixation for the treatment of periprosthetic femur fractures following total knee arthroplasty. Time to union and full weight bearing were the primary study outcomes, with perioperative blood loss,... |
0 | Gastrointestinal tolerability of NSAIDs in elderly patients: a pooled analysis of 21 randomized clinical trials with celecoxib and nonselective NSAIDs | SR for PM on OA of All Extremities | BACKGROUND: Gastrointestinal (GI) tolerability is an important treatment consideration for physicians when choosing a nonselective nonsteroidal anti-inflammatory drug (NSAID) for their elderly arthritis patients. The objective of this study was to compare the GI tolerability of the cyclooxygenase-2 selective NSAID cele... |
0 | Combat-Related Extremity Wounds: Injury Factors Predicting Early Onset Infections | DoD SSI (Surgical Site Infections) | We examined risk factors for combat-related extremity wound infections (CEWI) among U.S. military patients injured in Iraq and Afghanistan (2009-2012). Patients with >=1 combat-related, open extremity wound admitted to a participating U.S. hospital (<=7 days postinjury) were retrospectively assessed. The population was... |
1 | The effect of hydroxyapatite coated screw in the lateral fragility fractures of the femur. A prospective randomized clinical study | Hip Fx in the Elderly 2019 | Due to a growing numbers of lateral fragility fractures of the femur and their high social costs the need to work out an effective strategy in order to find a better solution for these patients is warranted. From January 2010 to July 2011, we carried out a prospective randomized clinical study comparing the results of ... |
0 | The effects of applying adhesion prevention gel on the range of motion and pain after TKA | PJI DX Updated Search | A mixed solution of sodium hyaluronate and sodium carboxymethylcellulose (HA/CMC) has been shown to be effective for decreasing postoperative adhesions in various kinds of surgeries. We evaluated the clinical efficacy and safety of HA/CMC gel on the early postoperative range of motion and pain relief after total knee a... |
0 | Corset platysmaplasty | Panniculectomy & Abdominoplasty CPG | Contemporary surgery to rejuvenate the aging neck commonly includes some type of platysma modification. Most currently used methods of platysmaplasty involve upper midline plication, muscle resection, or transection. These methods, however, have their shortcomings, often producing necks that display persistent or recur... |
0 | Hemiarthroplasty proximal femoral endoprostheses following tumour reconstruction: is acetabular replacement necessary? | Hip Fx in the Elderly 2019 | AIMS: Dislocation rates are reportedly lower in patients requiring proximal femoral hemiarthroplasty than for patients undergoing hip arthroplasty for neoplasia. Without acetabular replacement, pain due to acetabular wear necessitating revision surgery has been described. We aimed to determine whether wear of the nativ... |
0 | Precise targeting of miR-141/200c cluster in chondrocytes attenuates osteoarthritis development | AMP (Acute Meniscal Pathology) | OBJECTIVES: Despite preclinical studies involving miRNA therapeutics conducted in osteoarthritis (OA) over the years, none of these miRNAs have yet translated to clinical applications, owing largely to the lack of efficient intra-articular (IA) delivery systems. Here, we investigated therapeutic efficacy of the chondro... |
0 | The neural feedback loop between the brain and adipose tissues | Panniculectomy & Abdominoplasty CPG | There are more and more data supporting the importance of nervous regulation of both white and brown adipose tissue mass. This short paper will review the different physiological parameters which are regulated such as metabolism (lipolysis and thermogeneis), secretory activity (leptin and other adipokines) but also to ... |
0 | Internal and External Fixation Approaches to the Surgical Management of Calcaneal Fractures | DOD - Acute Comp Syndrome CPG | Calcaneal fractures are one of the most difficult fractures to surgically manage and often require a steep learning curve to achieve consistent results. They usually occur in young individuals with labor intensive occupations and are associated with major complications. Conservative treatment of intraarticular calcanea... |
0 | Effect of current pathway on mortality and morbidity in electrical burn patients | DOD - Acute Comp Syndrome CPG | INTRODUCTION: Electrical injury is relatively uncommon but it is a devastating form of thermal injury. The aim of this study is to analyze specific aspects of electrical injuries, especially the effect of current pathways on morbidity and mortality.
METHOD: This descriptive-analytical study was performed on patients wi... |
0 | Adult monteggia fractures: Surgical treatment and management of complications | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Monteggia fractures in adults continue to be challenging injuries to manage. As experience with these complex fractures continues to evolve, a better understanding has emerged allowing for improved surgical techniques and patient outcomes. Certain subtypes of this injury recently have been shown to be correlated with p... |
0 | Surgical approaches and ancillary techniques for internal fixation of intracapsular proximal femoral fractures | Management of Hip Fractures in the Elderly | BACKGROUND: In fixation of intracapsular hip fractures, different implants, surgical approaches and ancillary manoeuvres have been employed to improve the reduction, and the stability of the reconstruction, in an attempt to reduce the frequency of non-union and aseptic necrosis of the femoral head |
0 | Role of mitochondrial DNA variants and copy number in diabetic atherogenesis | DoD LSA (Limb Salvage vs Amputation) | Hyperglycemia-induced reactive oxygen species production can cause diabetes and its complications, including atherosclerosis. The role of mitochondrial DNA variants and mitochondrial copy number in the pathogenesis of diabetic atherogenesis is not well understood. We examined 36 diabetic patients who had undergone ampu... |
1 | Computerized tomography scan evaluation after fresh osteochondral allograft transplantation of the knee correlates with clinical outcomes | Osteochondritis Dissecans 2020 Review | PURPOSE: To determine the correlation between the assessment computed tomography osteochondral allograft (ACTOCA) scoring system and clinical outcomes scores. The hypothesis was that the ACTOCA score would show sufficient correlation to support its use in clinical practice. METHODS: We prospectively collected data from... |
0 | Effectiveness and safety of 5% lidocaine-medicated plaster on localized neuropathic pain after knee surgery: a randomized, double-blind controlled trial | AAHKS (8) Anesthetic Infiltration | Localized neuropathic pain symptoms are reported after knee surgery in 30% to 50% of patients. 5% lidocaine plaster (LP5) is recommended for localized neuropathic pain, but evidence in postsurgery neuropathic pain is missing. This study focuses on the effectiveness of LP5 on allodynia, hyperalgesia, and thermal stimuli... |
0 | Bone mineral content of the lumbar spine in normal and osteoporotic women: cross-sectional and longitudinal studies | Management of Hip Fractures in the Elderly | 1. Bone mineral content of the second, third and fourth lumbar vertebrae was determined in normal women and women with clinical osteoporosis by using dual-photon (153Gd) absorption. 2. A cross-sectional study of 70 normal (aged 19-88 years) showed a bone loss of 44% from the age of around 34 years throughout life. 3. L... |
0 | High failure rate of trochanteric fracture osteosynthesis with proximal femoral locking compression plate | Hip Fx in the Elderly 2019 | INTRODUCTION: Stable reconstruction of proximal femoral (PF) fractures is especially challenging due to the peculiarity of the injury patterns and the high load-bearing requirement. Since its introduction in 2007, the PF-locking compression plate (LCP) 4.5/5.0 has improved osteosynthesis for intertrochanteric and subtr... |
0 | Perioperative intravenous adenosine infusion to extend postoperative analgesia in brachial plexus block | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background and objective: Adenosine infusions have been shown to reduce requirements of anaesthetics, to decrease the need for postoperative analgesics and to attenuate hyperaesthesia related to neuropathic pain. We decided to investigate the effects, beneficial or otherwise, of an adenosine infusion administered durin... |
1 | Remodeling bodylift with high lateral tension | Panniculectomy & Abdominoplasty CPG | Body lifts are surgical procedures that are infrequently performed because the length of operating time increases the risk to the patient as well as the likelihood of surgeon fatigue. The other drawback of body lifts is the long incision line. However in our experience, these incisions are well accepted if they are wel... |
0 | Total knee arthroplasty in patients with prior adjacent multi-organism osteomyelitis | OAK 3 - Non-arthroplasty tx of OAK | Joint degeneration may make a total knee replacement a requirement for pain relief and function, however the presence of adjacent osteomyelitis makes management extremely challenging. We describe a series of four patients with a mean age of 50 with multi-organism osteomyelitis who underwent single-stage total knee repl... |
0 | Fixation of midfoot and forefoot fractures | DoD SSI (Surgical Site Infections) | This chapter focuses on preferred treatment of forefoot and midfoot fractures. When a nondisplaced forefoot or midfoot fracture is healed, the bone or bones should permit stress transfer and maintain biomechanical activities such as standing or walking. Conversely, displaced fractures may require surgical intervention ... |
0 | Wide step width reduces knee abduction moment of obese adults during stair negotiation | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: An increased likelihood of developing obesity-related knee osteoarthritis may be associated with increased peak internal knee abduction moments (KAbM). Increases in step width (SW) may act to reduce this moment. The purpose of this study was to determine the effects of increased SW on knee biomechanics during ... |
0 | Obstetric care providers assessing psychosocial risk factors during pregnancy: validation of a short screening tool - the KINDEX Spanish Version | DoD PRF (Psychosocial RF) | BACKGROUND: High levels of stress due to diverse psychosocial factors have a direct impact on the mothers' wellbeing during pregnancy and both direct and indirect effects on the fetus. In most cases, psychosocial risk factors present during pregnancy will not disappear after delivery and might influence the parent-chil... |
0 | Impact of radiotherapy on pain relief and recalcification in plasma cell neoplasms: Long-term experience | MSTS 2018 - Femur Mets and MM | Purpose: To evaluate the impact of radiotherapy on pain relief and on recalcification in patients with osteolytic lesions due to plasma cell neoplasm. Patients and Methods: Pain relief was evaluated according to a 0-10 verbal numerical rating scale (NRS) and recalcification was measured using radiological imaging. Resu... |
0 | Quantitative 3-dimensional computed tomography measurement of volar shearing fractures of the distal radius | Distal Radius Fractures | PURPOSE: We used a method for quantitative measurement of articular surface area based on 3-dimensional computed tomography (CT) images to test the hypothesis that among volar shearing fractures of the distal radius, complete articular fractures have on average larger volar fracture fragments than partial articular fra... |
0 | Visual impairments in people with severe and profound multiple disabilities: an inventory of visual functioning | Upper Eyelid and Brow Surgery | BACKGROUND: The prevalence of visual impairments in people with severe and profound multiple disabilities (SPMD) is the subject of considerable debate and is difficult to assess. METHODS: In a typical Dutch care organization, all clients with SPMD (n = 76) participated in the study and specific instruments adapted to t... |
0 | Cancer risk in tuberculosis patients in a high endemic area | MSTS 2022 - Metastatic Disease of the Humerus | Background: Tuberculosis (TB) may facilitate carcinogenesis. We performed a case-control study of the association between TB and cancer in Xinjiang, a high TB endemic area of China. Methods: From January 2016 to December 2018, a total of 45,455 patients hospitalized in Xinjiang Cancer Hospital were consecutively enroll... |
0 | Early outcome of TKA with a medial pivot fixed-bearing prosthesis is worse than with a PFC mobile-bearing prosthesis | Surgical Management of Osteoarthritis of the Knee CPG | Although the design features of the Medial Pivot fixed-bearing prosthesis reportedly improve kinematics compared with TKAs using fixed-bearings, clinical improvements have not been reported. We asked whether the clinical and radiographic outcomes, ranges of motion of the knee, patient satisfaction, and complication rat... |
0 | Risk factors for mid-term revision surgery in patients with articular surface replacement total hip arthroplasty | Hip Fx in the Elderly 2019 | Introduction: This study assessed the associations between gender and implant survival, as well as adverse local tissue reaction (ALTR), in patients with articular surface replacement (ASR) XL total hip arthroplasty (THA). Secondly, we sought to report the differences between genders in metal ion levels and patient rep... |
1 | Complications of endoscopic and open carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To compile the major complications of carpal tunnel surgery and compare reported complications for open and endoscopic techniques. METHODS: A literature assessment was performed for published complications of open and endoscopic carpal tunnel release procedures; 80 publications, representing a period from 1966... |
0 | A comparison of spinal isobaric levobupivacaine and racemic bupivacaine for lower abdominal and lower extremity surgery | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Levobupivacaine is a new long-acting local anesthetic, which is the isolated S-enantiomer of racemic bupivacaine with less cardiovascular and central nervous system toxicity than bupivacaine. Reports using levobupivacaine for epidural or brachial plexus anesthesia suggested equivalent clinical efficacy to b... |
0 | Regional analgesia for improvement of longâ?쳌term functional outcome after elective large joint replacement | AAHKS (8) Anesthetic Infiltration | - Background Regional analgesia is more effective than conventional analgesia for controlling pain and may facilitate rehabilitation after large joint replacement in the short term. It remains unclear if regional anaesthesia improves functional outcomes after joint replacement beyond three months after surgery. Objecti... |
0 | How frequent is rotational mismatch within 0 degrees +/-10 degrees in kinematically aligned total knee arthroplasty? | Surgical Management of Osteoarthritis of the Knee CPG | Rotational mismatch of the tibial component on the femoral component within 0 degrees +/-10 degrees is associated with better function after mechanically aligned total knee arthroplasty (TKA). Kinematically aligned TKA has gained interest; however, the percentage of kinematically aligned TKA within 0 degrees +/-10 degr... |
0 | Development of micro-injection as an innovative autologous fat graft technique: The use of adipose tissue as dermal filler | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Autologous fat graft, by virtue of its volumetric qualities and its action on skin trophicity, can be considered as a gold standard implant. Current techniques do not allow very superficial or subdermal injections of adipose tissue. The authors report technical modifications that enable fat transfer through... |
0 | Hip Fracture in Nonagenarians: Characteristics and Factors Related to 30-Day Mortality in 1177 Patients | Hip Fx in the Elderly 2019 | BACKGROUND: The number of nonagenarian patients with hip fracture is increasing. The goals of this study were to describe the characteristics and in-hospital course of a cohort of 1177 nonagenarians admitted for hip fracture compared with younger patients and to identify risk factors for 30-day mortality after admissio... |
0 | Histological scoring systems for tissue-engineered, ex vivo and degenerative meniscus | SR for PM on OA of All Extremities | PURPOSE: Because its function is strictly related to the quality of meniscal tissue, one of the most important outcome measures for the evaluation of meniscal repair effectiveness is the assessment of histological features. Data on the validation and application of the histological scoring systems in research settings ... |
0 | Medical surveillance for carpal tunnel syndrome in workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal canal size was examined as a risk factor associated with carpal tunnel syndrome in the workplace. Seven of 14 electricians had symptoms of carpal tunnel syndrome. When cross-sectional areas were measured by computed tomography (CT), affected workers had a cross-sectional area of 1.75 +/- 0.21 cm2; control values... |
0 | Patellofemoral replacement: the third compartment | OAK 3 - Non-arthroplasty tx of OAK | Isolated patellofemoral arthritis is a common condition and there are varying opinions on the most effective treatments. Non-operative and operative treatments have failed to demonstrate effective long-term treatment for those in an advanced stage of the condition. Newer designs and increased technology in patellofemor... |
0 | Ketamine potentiates analgesic effect of morphine in postoperative epidural pain control | AAHKS (8) Anesthetic Infiltration | Background and Objectives. Ketamine is currently the only N-methyl-D- aspartate receptor channel blocker in clinical use. This study evaluated the analgesic efficacy of epidurally coadministered ketamine and morphine in postoperative pain control. Methods. The patient population consisted of ASA class I and II patients... |
0 | Colles' fracture as an indicator of increased risk of hip fracture. An epidemiological study | Management of Hip Fractures in the Elderly | The relative value of previous Colles' fracture and previous fractures of any other type as an indicator of likelihood of sustaining a subsequent hip fracture was investigated. The frequency of hip fractures was no higher in a group of 242 women and 20 men who had a past history of radius shaft or Colles' fracture than... |
1 | The effect of morphine added to periarticular multimodal drug injection or spinal anesthesia on pain management and functional recovery after total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | BACKGROUND: The efficacy of morphine added to periarticular multimodal drug injection (PMDI) for pain management after total knee arthroplasty (TKA) is controversial. Adding morphine to spinal anesthesia has reportedly improved pain relief for the first 24 h. We examined the effect of morphine added to PMDI or spinal a... |
0 | Efficacy of an ultrasound-guided subsartorial approach to saphenous nerve block: a case series | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The saphenous nerve, a branch of the femoral nerve, is a pure sensory nerve that supplies the anteromedial aspect of the lower leg from the knee to the foot. There is limited evidence of the effectiveness of ultrasound-guided techniques to block the saphenous nerve. We therefore undertook a retrospective case ... |
0 | Arthroscopic findings at the time of patellar realignment surgery in adolescents | Diagnosis and Treatment of Osteochondritis Dissecans AUC | ABSTRACT: Articular cartilage injuries and loose bodies have been associated with patellar dislocations. At the time of patellar realignment surgery (PRS), direct intraarticular visualization of the structures of concern may be limited with the use of a small arthrotomy. Concomitant diagnostic arthroscopy can improve t... |
1 | Comparison between Freeze-dried and Ready-to-use AlloDerm in Alloplastic Breast Reconstruction | Acellular Dermal Matrix | BACKGROUND: AlloDerm, a brand of acellular dermal matrix, is commonly used as an internal hammock to support the tissue expander or permanent implant in breast reconstruction. The aim of our study is to evaluate the complication rates associated with the freeze-dried (FD) AlloDerm and the ready-to-use (RTU) AlloDerm. M... |
0 | Modulation of invasive properties of murine squamous carcinoma cells by heterologous expression of cathepsin B and cystatin C | MSTS 2018 - Femur Mets and MM | Murine SCC-VII squamous carcinoma cells have the capacity to penetrate reconstituted basement membranes (Matrigel) in vitro. The invasion of Matrigel layers by SCC-VII cells was significantly reduced by E-64, a specific inhibitor of lysosomal cysteine proteinases. The cathepsin-B-selective E-64 derivative, CA-074, inhi... |
0 | Effectiveness of proximal femoral nail antirotation assisted by mesh locator for intertrochanteric fracture in the elderly | Hip Fx in the Elderly 2019 | Objective: To explore the effectiveness of proximal femoral nail antirotation (PFNA) assisted by mesh locator in treatment of intertrochanteric fracture in the elderly. Methods: Ninetyâ?four elderly patients with intertrochanteric fractures admitted between August 2014 and July 2017 were selected as the study subjects... |
0 | The response of Trauma & Orthopaedic Departments to the first four weeks of lockdown for the COVID-19 pandemic - A trainee-led analysis of the East of England | Coronavirus Disease 2019 (COVID-19) | Through a trainee research collaborative, we have studied the changes in practice of 12 T&O departments across the East of England over the first four weeks of the UK lockdown and COVID-19 pandemic, comparing to activity levels with the corresponding period in 2019. We focused on changes in T&O practice, training and r... |
0 | Pyridinium cross-links in multiple myeloma: correlation with clinical parameters and use for monitoring of intravenous clodronate therapy--a pilot study of the German Myeloma Treatment Group (GMTG) | MSTS 2018 - Femur Mets and MM | The relevance of quantitative determinations of urinary deoxypyridinolines (DPY) and pyridinolines (PY), and of serum type I collagen carboxyterminal cross-linked telopeptides (ICTP), has been evaluated for patient monitoring in multiple myeloma (MM). In 178 untreated MM patients, a clear correlation was found between ... |
0 | Bisphosphonate therapy in patients under androgen deprivation therapy for prostate cancer: A systematic review and meta-analysis | MSTS 2018 - Femur Mets and MM | The objective of this study was to clarify the role of bisphosphonates in the treatment of osteoporosis in patients with prostate adenocarcinoma under androgen deprivation therapy (ADT). The Medline, EMBASE, Cancerlit and the American Society of Clinical Oncology abstract databases were searched for published randomize... |
0 | Indications and outcomes for revision of gold weight implants in upper eyelid loading | Upper Eyelid and Brow Surgery | Background: Gold weights are effective for upper eyelid loading in patients with lagophthalmos. Complications include poor cosmesis, migration, extrusion, allergy and astigmatism. The authors looked at indications for revision of primary gold weights inserted using a high pretarsal placement and outcomes following corr... |
0 | Civilian gunshot injuries of the humerus | DoD SSI (Surgical Site Infections) | An institutional review board-approved retrospective study was performed at a level 1 trauma center to evaluate the adequacy of current treatment guidelines in the management of humerus fractures following civilian gunshot injuries. Fifty-four patients with a humerus shaft fracture from a low-velocity gunshot wound wer... |
1 | The effect of a tourniquet on intraoperative patellofemoral tracking during total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | A prospective investigation was performed on the effect of the tourniquet on intraoperative patellofemoral tracking during primary total knee arthroplasty (TKA). A total of 75 TKAs in 67 patients were performed by 1 surgeon in a consecutive series using the same technique. Using strict criteria, patellar tracking was a... |
0 | Autogenous vein graft repair of injured extremity arteries: early and late results with 134 consecutive patients | DoD LSA (Limb Salvage vs Amputation) | Autogenous vein tissue is recognized as the preferred material for extremity revascularizations that require the use of a conduit. However, the results after vascular repair of injured extremity arteries with autogenous vein interposition or bypass grafts have not been well defined. This study was done to determine bot... |
0 | Patellofemoral Pain Syndrome | OAK 3 - Non-arthroplasty tx of OAK | Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The incidence in the United States is between 3% and 6%. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies ... |
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