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0 | Longitudinal evaluation of supervised versus unsupervised exercise programs for the treatment of osteoporosis | Management of Hip Fractures in the Elderly | The efficacy of an exercise program was investigated in a study of 89 post-menopausal women with osteoporosis over a 5-year follow-up period. The study attempted to examine and compare potential differences in bone mineral density (BMD), incidence of fracture, and loss of height, between a group of patients (n = 42) wh... |
0 | Patterns of fracture among the United States elderly: Geographic and fluoride effects | HipFx Supplemental Cost Analysis | The purpose of this study was to examine whether geographic area or water fluoride were related to the occurrence of fractures among the elderly in the United States. We used a 5% sample of the white U.S. Medicare population, aged 65 to 89 years during the period 1986-1990, to identify fractures of the hip, proximal hu... |
0 | Age-associated risks of prophylactic anticoagulation in the setting of hip fracture | Management of Hip Fractures in the Elderly | PURPOSE: Controversy exists as to whether patient age, either independently or as a marker of concomitant illness or medication use, is associated with the dose or complication rate of warfarin prophylaxis. The aim of this study was to assess this relationship in patients receiving warfarin prophylaxis after hip fractu... |
0 | Association analysis of BMD-associated SNPs with knee osteoarthritis | SR for PM on OA of All Extremities | Osteoarthritis (OA) risk is widely recognized to be heritable but few loci have been identified. Observational studies have identified higher systemic bone mineral density (BMD) to be associated with an increased risk of radiographic knee osteoarthritis. With this in mind, we sought to evaluate whether well-established... |
0 | Outcome of humeral shaft fractures treated by functional cast brace | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Functional brace application for isolated humeral shaft fracture persistently yields good results. Nonunion though uncommon involves usually the proximal third shaft fractures. Instead of polyethylene bivalve functional brace four plaster sleeves wrapped and molded with little more proximal extension expect... |
0 | Pre-emptive analgesia with ketamine, morphine and epidural lidocaine prior to total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Pre-emptive analgesia can improve postoperative pain management. The purpose of this study was to examine the effectiveness of ketamine as a pre-emptive analgesic as previous studies have shown the involvement of N-methyl-D-Aspartate (NMDA) receptor in neuroplasticity. METHODS: Forty-five ASA 1-2 patients, und... |
0 | Contemporary Management and Outcome After Lower Extremity Fasciotomy in Non-Trauma-Related Vascular Surgery | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: Acute compartment syndrome (ACS) is a challenging and recognized complication to vascular surgery revascularization. The aim of this study was to investigate the current epidemiology, management, and early outcomes of fasciotomy in vascular surgery. METHODS: Retrospective cohort study of all patients unde... |
0 | Preoperative administration of etoricoxib in patients undergoing hip replacement causes inhibition of inflammatory mediators and pain relief | AAHKS (8) Anesthetic Infiltration | OBJECTIVE: Administering cyclooxygenase-2 inhibitors preoperatively appears attractive since these drugs reduce post-operative pain, but do not increase the risk of post-operative bleeds, asthmatic attacks and stress-related gastrointestinal ulcers. In a former investigation, we could show that post-operative administr... |
0 | An agarose spot chemotaxis assay for chemokine receptor antagonists | MSTS 2018 - Femur Mets and MM | INTRODUCTION: Chemokines are important players in directing the migration of cancer cells as part of the metastatic process. The aim of this study is to develop an easy-to-perform, reliable, and inexpensive assay for rapid analysis of anti-chemotactic activity of chemokine antagonists under a number of experimental con... |
0 | Effects of whole body vibration exercise on neuromuscular function for individuals with knee osteoarthritis: study protocol for a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee osteoarthritis (KOA) is a leading cause of public disability. Neuromuscular function contributes to the development and/or progression of KOA. Whole body vibration (WBV) exercise improve the neuromuscular function of patients with neurological disorders and even that of older patients with limited exer... |
0 | No difference in clinical outcome between patient-matched positioning guides and conventional instrumented total knee arthroplasty two years post-operatively | OAK 3 - Non-arthroplasty tx of OAK | Aims We wished to compare the clinical outcome, as assessed by questionnaires and the rate of complications, in total knee arthroplasty (TKA) undertaken with patient-matched positioning guides (PMPGs) or conventional instruments. Patients and Methods A total of 180 patients (74 men, 106 women; mean age 67 years) were i... |
0 | Muscle Strengthening Device for Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Previous studies have shown that isometric strengthening is beneficial in managing osteoarthritis of the knee. This type of exercise can decrease jointâ?related pain and stiffness while increasing strength and functional measures. However, individuals rarely adhere to isometric exercise for any lengthy period of time ... |
0 | Effect of maternal use of chewing gums containing xylitol, chlorhexidine or fluoride on mutans streptococci colonization in the mothers' infant children | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: The aim was to evaluate the effect of maternal use of chewing gums containing xylitol, chlorhexidine/xylitol or fluoride on the prevalence of mutans streptococci (MS) in the mothers' 18-month-old offsprings. MATERIALS AND METHODS: After screening 416 women with newborn babies, 173 mothers with high counts of s... |
0 | Botulinum toxin A for the prevention of hip dislocation in cerebral palsy | Management of Hip Fractures in the Elderly | This is the protocol for a review and there is no abstract. The objectives are as follows:To determine the safety and effectiveness of Botulinum Toxin A in preventing hip dislocation in cerebral palsy. As a secondary objective, we intend to analyse the effect of botulinum toxin on adductor and iliopsoas spasticity, on ... |
0 | Loss of offset after pertrochanteric hip fractures affects hip function one year after surgery with a short intramedullary nail. A prospective cohort study | PJI DX Updated Search | PURPOSE: We hypothesised that protruding collum screws in intramedullary nails used for pertrochanteric fractures cause lateral pain/discomfort and that loss of offset relates to poorer hip function. METHODS: Seventy-six patients with an acute pertrochanteric femoral fracture AO types A1 and A2 were operated upon using... |
0 | Trans-tibial pull-out technique in repair of posterior root tear of medial meniscus | AMP (Acute Meniscal Pathology) | Background: Damage to the medial meniscus root, destroyed knee to withstand hoop strain abilities, came from increasing the contacting pressures and osteoarthritis progression and kinematic alterations. Many techniques were developed for repairing medial meniscus posterior root tear (MMPRT), Available surgical techniqu... |
0 | Approaches to total knee arthroplasty at UNC: Multimodal regional anesthetics versus monomodal general anesthetics | Surgical Management of Osteoarthritis of the Knee CPG | Background: Traditionally total joint arthroplasty was performed under general endotracheal anesthesia (GETA). This approach has been abandoned by many surgeons in favor of neuraxial/regional approaches. Proponents of this shift cite improved pain control, decreased perioperative complications, and shorter hospital sta... |
1 | Resilience Is Associated with Outcome from Mild Traumatic Brain Injury | DoD PRF (Psychosocial RF) | Resilient individuals manifest adaptive behavior and are better able to recover from adversity. The association between resilience and outcome from mild traumatic brain injury (mTBI) is examined, and the reliability and validity of the Resilience Scale and its short form in mTBI research is evaluated. Patients with mTB... |
0 | Clinical features of patients with HER2-positive breast cancer and development of a nomogram for predicting survival | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Different estrogen receptor (ER) and progesterone receptor (PR) expression patterns have important biological and therapeutic implications in patients with human epidermal growth factor receptor 2 (HER2)-positive breast cancer. However, little is known about hormone receptor (HR)-positive and triple-positiv... |
0 | Stimulating catheters do not improve the effectiveness of lumbar plexus block compared with traditional nonstimulating catheters. A prospective, randomized, double blinded study | Surgical Management of Osteoarthritis of the Knee CPG | Purpose/Objective: No volume-response study has still compared the success rates of stimulating catheters over nonstimulating catheters. The preliminary data of this prospective, randomized, blinded study are to detect if stimulating catheters decrease the minimal effective volume (MEAV50) of 1.5% mepivacaine for succe... |
0 | Multimodality management of metastatic patients with soft tissue sarcomas may prolong survival | MSTS AUC - Based on ACR Lit Review | OBJECTIVES: Patients who develop metastatic disease from soft tissue sarcoma have a poor prognosis. The purpose of this study was to identify metastatic survival rates and identify prognostic variables that predict for these outcomes. METHODS: Between 2000 and 2010, 182 patients with stage I to IV primary soft tissue s... |
1 | Screening in Trauma for Opioid Misuse Prevention (STOMP): study protocol for the development of an opioid risk screening tool for victims of injury | DoD PRF (Psychosocial RF) | BACKGROUND: Opioid addiction and overdose are epidemic in the U.S. Victims of traumatic injury are at greater than average risk for opioid misuse and related complications. Potential risk screens and preventive interventions in this clinical population remain under-investigated. The current project seeks to develop and... |
0 | Avulsion fractures of the volar aspect of triquetral bone of the wrist: a subtle sign of carpal ligament injury | Distal Radius Fractures | OBJECTIVE: We report five examples of a triquetral fracture pattern not previously described to our knowledge. These fractures from the volar aspect of the triquetral bone are important because they are easily missed with conventional wrist radiographs and yet are associated with significant ligament injuries and carpa... |
0 | Parotid abscess due to salmonella enteritidis: A case report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Salmonella infection of the parotid gland is rare. CASE: An instance in a 50-year-old man of Salmonella enteritidis parotiditis initially recognized by microbial culture of a fine needle aspiration cytology material is described. The identified predisposing factor was chronic alcoholic abuse. For the infect... |
0 | Update on hormone-refractory prostate cancer | MSTS 2022 - Metastatic Disease of the Humerus | Purpose of review: Androgen deprivation therapy is the cornerstone treatment for men with de novo or recurrent metastatic prostate cancer. Unfortunately, androgen deprivation therapy is primarily palliative, with nearly all men progressing to an androgen-independent state. Hormone-refractory prostate cancer presents si... |
1 | Custom-fit total knee arthroplasty: our initial experience in 32 knees | Surgical Management of Osteoarthritis of the Knee CPG | We share our initial experience of total knee arthroplasty (TKA) using customized cutting block technology in 32 TKAs from May 2010 to March 2011. Ten of these patients had prior TKA done on the other side using conventional or navigation-assisted TKA. Customized cutting blocks were generated for each of the knee using... |
0 | Efficacy of Periarticular Multimodal Drug Injection Without NSAIDs in Elderly Patients With Displaced Femoral Neck Fractures Undergoing Bipolar Hemiarthroplasty: A Prospective Triple-Blinded RCT | Hip Fx in the Elderly 2019 | Introduction Recently, periarticular multimodal drug injection (PMDI) has demonstrated the ability to significantly reduce early postoperative pain with hip fractures in the elderly. Nonetheless, data on PMDI without non-steroidal anti-inflammatory drugs (NSAIDs) in these patients are still doubtful. The current study ... |
0 | Closing the gap on Achilles tendon rupture: A cadaveric study quantifying the tendon apposition achieved with commonly used immobilisation practices | DoD LSA (Limb Salvage vs Amputation) | The relative benefits of surgical and conservative treatment of Achilles tendon rupture are widely debated. With modern conservative management protocols, the re-rupture risk appears to fall to one similar to surgical repair with negligible loss of function. Conservative management typically employs a period of time in... |
0 | The Use of Multiple Negative Pressure Wound Therapy Modalities to Help Manage Extensive Wounds Caused by a Crush/Sheer Injury | DoD SSI (Surgical Site Infections) | INTRODUCTION: Vehicular run-over accidents cause crushing and sheering forces that can result in fractures and cause extensive damage to the cutaneous layer of the skin and underlying soft tissues. These types of injuries present immense challenges that often require numerous treatment modalities for wound management. ... |
0 | Psychosocial profiles of older adolescent MDMA users | DoD PRF (Psychosocial RF) | PURPOSE: Using a case-control design, patterns of drug use, psychological symptoms, and behavioral characteristics associated with 3,4-methylenedioxymethamphetamine (MDMA ) use were surveyed in a sample of older adolescents (median age 20).
METHODS: One hundred (42 MDMA users; 58 non-MDMA users) older adolescents were ... |
0 | Acute primary total knee arthroplasty for proximal tibial fractures in elderly | OAK 3 - Non-arthroplasty tx of OAK | Background: Proximal tibial fractures in elderly patients with osteoporosis or knee osteoarthritis (OA) are challenging cases. In the current study, we present our experience with uncommon acute primary total knee arthroplasty (PTKA) in this patient population. Methods: PTKAs were performed following proximal tibial fr... |
1 | Replacement options for the B2 glenoid in osteoarthritis of the shoulder: a biomechanical study | Glenohumeral Joint OA | BACKGROUND: Glenoid replacement in cases of severe glenoid retroversion (RV) or eccentric wear is challenging. The aim of this study was to evaluate different treatment methods under standardized conditions to assist surgeons in the decision-making process.
METHODS: Three treatment options for severe glenoid RV (15degr... |
0 | Delto-Pectoral vs Deltoid split approach for proximal HUmerus fracture fixation with locking plate | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: This study aimed to compare the functional and clinical outcomes between the deltoid split (DS) approach and the classic deltopectoral (DP) approach for locking plate fixation of proximal humerus fractures (PHF) in a prospective randomized multicenter study. METHODS: From 2007 to 2015, all patients with a P... |
0 | Trabecular bone architecture in the distal radius using magnetic resonance imaging in subjects with fractures of the proximal femur | Distal Radius Fractures | To determine whether magnetic resonance (MR)-derived measures of trabecular bone architecture in the distal radius are predictive for prevalent hip fractures, 20 subjects with hip fractures and 19 age matched postmenopausal controls were studied. Bone mineral density (BMD) measures at the hip (dual-energy X-ray absorpt... |
1 | Scarpa Fascia Preservation to Reduce Seroma Rate on Massive Weight Loss Patients Undergoing Abdominoplasty: A Comparative Study | Panniculectomy & Abdominoplasty CPG | (1) Background: An increasing number of patients undergo bariatric surgery and seek body contouring surgery after massive weight loss (MWL). Abdominoplasty itself is associated with a high complication rate in these patients, particularly due to seroma formation. Scarpa fascia preservation (SFP) has been proven to be a... |
0 | Reliability of meniscus tear description: a study using MRI from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | Despite being one of the most common indications for surgery, data on the types of meniscus tear that should be treated surgically are limited. Improving patient selection requires agreement on meniscus tear description. This study evaluates a simple MRI tear classification system for inter-observer agreement. Knee MRI... |
0 | Smoking and hip fracture; a study of 3617 cases | Management of Hip Fractures in the Elderly | We analysed the characteristics and outcome for 467 hip fracture patients, who reported that they were currently smoking at the time of admission, against 3150 non-smoking hip fracture patients. Those patients who smoked were younger (72 years versus 81 years mean age), more likely to be male (35.3% versus 19.5%), more... |
0 | An update on the recent literature on sickle cell bone disease | PJI DX Updated Search | PURPOSE OF REVIEW: To summarize the findings of the recent publications on sickle cell bone disease (SBD). RECENT FINDINGS: Individuals with sickle cell disease (SCD) are living longer and develop progressive organ damage including SBD with age. Recent studies suggest alternative radiological diagnostics such as ultras... |
0 | Evaluation of risk factors associated with diabetic foot ulcers in Saudi Arabia | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND AND AIMS: Considering that diabetic foot ulceration is one of the major health issues globally, we aimed to evaluate the risk factors associated with foot ulcers in patients with type 2 diabetes mellitus (T2DM). METHODS: A total of 81 T2DM patients (age range: 40-80 years) registered at the Diabetes Treatmen... |
0 | Medial plica syndrome | AMP (Acute Meniscal Pathology) | Synovial plicae are membranous inward folds of the synovial lining of the knee joint capsula. Such folds are regularly found in the human knee, but most are asymptomatic and of little clinical consequence. However, they can become symptomatic and cause knee pain. In this review, we will discuss medial plica syndrome. M... |
0 | Downregulated microRNA-340-5p promotes proliferation and inhibits apoptosis of chondrocytes in osteoarthritis mice through inhibiting the extracellular signal-regulated kinase signaling pathway by negatively targeting the FMOD gene | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Osteoarthritis (OA) is a degenerative joint disease that leads to the destruction of joint function. The aim of this study is to investigate the effects of microRNA-340-5p (miR-340-5p) and its target gene, FMOD, on the proliferation and apoptosis of chondrocytes in mice with OA through the extracellular signal... |
0 | Meniscal Root Repair With Mini-Open Medial Collateral Ligament Release | AMP (Acute Meniscal Pathology) | Meniscal root repair is becoming more common with increasing knowledge regarding the function of the meniscal root and its role in long-term joint preservation, as well as improved surgical techniques and instrumentation. Despite this, adequate visualization of the posterior horn of the medial meniscus may be challengi... |
1 | Current Trends in the Management of Ballistic Fractures of the Hand and Wrist: Experiences of a High-Volume Level I Trauma Center | DoD SSI (Surgical Site Infections) | BACKGROUND: Ballistic fractures of the carpus and hand are routinely treated in large urban centers. These injuries can be challenging due to many factors. Various treatment options exist for these complicated injuries, but there are limited data available. This report analyzes patient demographics, treatments, and out... |
1 | Comparison of suture button fixation and syndesmotic screw fixation in the treatment of distal tibiofibular syndesmosis injury: A systematic review and meta-analysis | DoD SSI (Surgical Site Infections) | PURPOSE: This systematic review and meta-analysis was performed to investigate the outcomes of syndesmotic screw fixation versus suture button fixation in the treatment of distal tibiofibular syndesmosis injury from the current literature.
METHODS: The electronic literature database of PubMed, Embase, and Cochrane libr... |
0 | High-performance total knee replacement | SR for PM on OA of All Extremities | The concept of a high-performance total knee replacement has gained prominence because of continued technological improvements by implant manufacturers and the changing expectations of an increasingly younger, more active patient population. Improvements in surgical technique, instrumentation, implant design, biomateri... |
1 | Retrospective analysis of case series of patients with vascular war injury treated in a district hospital | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: As the Syrian civil war continues, medical care of the injured remains a priority for health facilities receiving casualties. Ziv Medical Centre, the closest hospital in Israel to the Syrian border, has received 500 casualties since February 2013. Seventeen of these patients had vascular injuries. This re... |
0 | Autoinfarcted wandering spleen and fatal pneumococcal sepsis in an infant | Patrick’s pharmacoepidemiology project | A wandering or ectopic spleen, a rare congenital condition caused by improper fixation of the ligamentous attachments, was identified during a postmortem examination of a 10-month-old female who had died of Streptococcus pneumoniae sepsis. The wandering spleen was autoinfarcted and adherent to the left hepatic lobe, wi... |
0 | Medial patellofemoral ligament injury patterns and associated pathology in lateral patella dislocation: an MRI study | AMP (Acute Meniscal Pathology) | BACKGROUND: Lateral Patella dislocations are common injuries seen in the active and young adult populations. Our study focus was to evaluate medial patellofemoral ligament (MPFL) injury patterns and associated knee pathology using Magnetic Resonance Imaging studies.
METHODS: MRI studies taken at one imaging site betwee... |
0 | Risk Factors for Moderate and Severe Persistent Pain in Patients Undergoing Total Knee and Hip Arthroplasty: A Prospective Predictive Study | PJI DX Updated Search | Persistent post-surgical pain (PPSP) is a major clinical problem with significant individual, social and health care costs. The aim of this study was to examine the joint role of demographic, clinical and psychological risk factors in the development of moderate and severe PPSP after Total Knee and Hip Arthroplasty (TK... |
1 | Mutual influence of posttraumatic stress disorder symptoms and chronic pain among injured accident survivors: a longitudinal study | DoD PRF (Psychosocial RF) | The relationship between acute stress disorder (ASD), posttraumatic stress disorder symptoms (PTSD), and chronic pain was investigated in a longitudinal study of injured accident victims (N = 323, 64.7% men). Assessments took place 5 days (T1), 6 (T2) months, and 12 (T3) months postaccident. Relations between pain and ... |
0 | Dietary Supplement-Drug Interaction-Induced Serotonin Syndrome Progressing to Acute Compartment Syndrome | DOD - Acute Comp Syndrome CPG | BACKGROUND Dietary supplements have been associated with an increase in emergency intervention as a result of unexpected adverse events. Limited resources and information on significant drug-drug interactions with dietary supplements and prescription medications have contributed to associated complications and unexpect... |
0 | Neoadjuvant Therapy Combined With Oncoplastic Reduction for High-Stage Breast Cancer Patients | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: Oncoplastic surgery has been shown to be a good alternative to breast conservation surgery (BCS) alone for patients with breast cancer. Its role in patients with advanced disease is unclear. In this study, we evaluate the safety of oncoplastic BCS (OBCS) in patients who received neoadjuvant therapy (NT) for ... |
1 | Osteochondral Autograft Transplant (Mosaicplasty) for Knee Articular Cartilage Defects | Osteochondritis Dissecans 2020 Review | Osteochondral autograft transplant (mosaicplasty) is a cartilage repair procedure for patients with knee articular cartilage lesions of a substantial size (>3 cm(2)). Patient selection is key to a successful result; patients with established osteoarthritis or systematic disorders such as rheumatoid arthritis should not... |
0 | Weight loss intervention before total knee replacement. A safety study | Surgical Management of Osteoarthritis of the Knee CPG | Background: Annually 8500 total knee replacements (TKR) are performed in Denmark. About 50% of this population is overweight or obese. The present material is part of a longitudinal randomized study (ClinicalTrial.gov: NCT01469403) investigating, whether it is possible to implement an intensive weight loss program in o... |
0 | Cervicofacial liposuction: results and controversies | Panniculectomy & Abdominoplasty CPG | Obtaining ideal results with cervicofacial rhytidectomy has long frustrated facial plastic surgeons due to the difficulty of removing local excesses of adipose tissue in the parotid, melolabial, submental and submandibular areas. Open and closed liposuction techniques are being developed in conjunction with the facelif... |
0 | Extra-articular manifestations of rheumatoid arthritis: results of a university hospital of 526 patients in Turkey | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: Presence of extra-articular manifestations (EAM) in rheumatoid arthritis (RA) is associated with more severe disease and increased mortality. Prevalence of EAM may vary in different geographic areas and in different ethnic populations. In this study we investigated the frequency of EAM in 526 RA patients fro... |
0 | Repair of popliteomeniscal fascicles tear using a posterior transseptal portal fixes hypermobile lateral meniscus | AMP (Acute Meniscal Pathology) | PURPOSE: This study investigates the effects of the all-inside repair of posterosuperior popliteomeniscal fascicle (PMF) on lateral meniscus stabilization using a posterior arthroscopic approach.
METHODS: Between 2015 and 2018, 17 patients with hypermobile lateral meniscus (HLM) underwent posterior knee arthroscopy for... |
0 | Hip fracture-related pain strongly influences functional performance of patients with an intertrochanteric fracture upon discharge from the hospital | Hip Fx in the Elderly 2019 | OBJECTIVE: To examine whether functional performance upon hospital discharge is influenced by pain in the region of the hip fracture or related to the fracture type.
DESIGN: Prospective observational study.
SETTING: A 20-bed orthopedic hip fracture unit.
PATIENTS: Fifty-five cognitively intact patients (20 men and 35 w... |
0 | “Stem cell” infiltration therapy for osteoarthritis | AMP (Acute Meniscal Pathology) | Everyone is talking about “stem cell therapy”; not only in the scientific context, but also in popular science, so there is great interest and hope on the doctor and patient side. Potentially, stem cells have a wide range of indications that include not only cartilage-, but also meniscus and ligament regeneration. Alth... |
0 | Cross-linked compared with historical polyethylene in THA: an 8-year clinical study | Management of Hip Fractures in the Elderly | Wear particle-induced osteolysis is a major cause of aseptic loosening in THA. Increasing wear resistance of polyethylene (PE) occurs by increasing the cross-link density and early reports document low wear rates with such implants. To confirm longer-term reductions in wear we compared cross-linked polyethylene (irradi... |
0 | Symptoms of postsurgical distress following total knee replacement and their relationship to recovery outcomes | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Prior research has suggested that posttraumatic stress symptoms may occur in the context of medical events. Further, these symptoms are often comorbid with conditions associated with pain. Therefore, the current study examined the occurrence of distress following arthroplastic surgery and the relationship of... |
0 | Risk reduction for vertebral fractures in patients with normal to osteopenic bone mineral density receiving denosumab: a subgroup analysis of the HALT Prostate Cancer Trial | Distal Radius Fractures | Introduction: Results from the HALT Prostate Cancer Trial (1) showed that denosumab increased bone mineral density (BMD) compared with placebo in men receiving androgen deprivation therapy (ADT; bilateral orchiectomy or GnRHâ?agonist therapy planned for >12 months) for nonmetastatic prostate cancer at all sites measur... |
0 | Increased 1-year mortality rates among elderly hip fracture patients with atrial fibrillation | Management of Hip Fractures in the Elderly | BACKGROUND AND AIMS: Prediction of factors associated with survival following hip fracture is important. We studied crude and adjusted survival rates in elderly hip fracture patients with and without atrial fibrillation (AF) to assess possible risk of death associated with AF. METHODS: A historical prospective cohort s... |
1 | Comparison of Arthroscopic Partial Meniscectomy to Physical Therapy following Degenerative Meniscus Tears: A Systematic Review and Meta-analysis | AMP (Acute Meniscal Pathology) | OBJECTIVE: To compare the effectiveness of arthroscopic partial meniscectomy (APM) and physical therapy (PT) for degenerative meniscus tears.
METHOD: We conducted a literature search through PubMed, Embase, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov. Randomized controlled trials in adult... |
0 | Management of Dislocation of the Shoulder Joint with Ipsilateral Humeral Shaft Fracture: Initial Experience | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: To gain a better understanding of the traumatic mechanism and to develop appropriate treatment for dislocation of the shoulder joint with an ipsilateral humeral shaft fracture. METHODS: This was an observational and descriptive study. Nine patients with traumatic shoulder dislocations associated with ipsilat... |
0 | Surgical treatment for early osteoarthritis. Part I: cartilage repair procedures | OAK 3 - Non-arthroplasty tx of OAK | Young patients with early osteoarthritis (OA) represent a challenging population due to a combination of high functional demands and limited treatment options. Conservative measures such as injection and physical therapy can provide short-term pain relief but are only palliative in nature. Joint replacement, a successf... |
0 | Neck reconstruction (AIIMS Box Technique) in the management of large femoral neck defects | PJI DX Updated Search | Large femoral neck defects are frequently associated with neglected femoral neck fractures, sequelae of infection, and failed fixation devices. The AIIMS box technique of neck reconstruction has the objectives of femoral head preservation and restoration of hip function in such cases. 32 patients (age range 20-56, aver... |
0 | Rivaroxaban-induced serum sickness after total knee arthroplasty | PJI DX Updated Search | Purpose: A case of serum sickness or serum sicknesslike reaction (SSLR) in a patient receiving rivaroxaban for venous thromboembolism (VTE) prophylaxis after undergoing elective right total knee arthroplasty (TKA) is reported. Summary: A 61-year-old man arrived at the emergency department from a short-term rehabilitati... |
0 | Intra-articular hyaluronic acid injection in treating knee osteoarthritis: assessing risk of bias in systematic reviews with ROBIS tool | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Intra-articular injection of hyaluronic acid (HA) is a common, yet controversial therapeutic option in treating knee osteoarthritis (OA). The purpose of the present study was to assess the risk of bias (RoB) of systematic reviews (SRs) and to summarize available evidence of HA in treating knee OA.
METHODS: ... |
0 | Targeting the CXCL12/CXCR4 axis in acute myeloid leukemia: From bench to bedside | MSTS 2018 - Femur Mets and MM | The interactions between the cancerous cells of acute myeloid leukemia (AML) and the bone marrow (BM) microenvironment have been postulated to be important for resistance to chemotherapy and disease relapse in AML. The chemokine receptor CXC chemokine receptor 4 (CXCR4) and its ligand, CXC motif ligand 12 (CXCL12), als... |
0 | Posterior cruciate ligament-retaining total knee arthroplasty in patients with rheumatoid arthritis: a concise follow-up of a previous report | PJI DX Updated Search | 7We previously reported the minimum eight-year follow-up results of cruciate-retaining total knee arthroplasty in a consecutive series of seventy-two knees in patients with rheumatoid arthritis. In the present study, we evaluated the longer-term outcomes after twenty to twenty-five years of follow-up. Since the publica... |
0 | Medial meniscus extrusion is a determinant factor for the gait speed among MRI-detected structural alterations of knee osteoarthritis | AMP (Acute Meniscal Pathology) | Objective: Knee osteoarthritis (OA) is one of the most common causes for reduction in gait speed. Research into the mechanism of underlying knee OA pain and other symptoms such as the reduction in the gait speed is essential to development of disease-modifying treatments for knee OA. We examined the magnetic resonance ... |
0 | Effects of a tailor-made exercise program on exercise adherence and health outcomes in patients with knee osteoarthritis: a mixed-methods pilot study | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Previous studies showed that exercise intervention was effective in symptoms control of knee osteoarthritis (OA) but poor intervention adherence reduced the exercise effect. It has been suspected that the design of exercise intervention mainly from the health care professionals' perspective could not addr... |
1 | Peripheral nerve entrapments | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A disruption in the function of a peripheral nerve results in a pattern of symptoms and signs that usually identifies the location, and, at times, the nature of the pathological condition. A common type of neuropathy, the so-called entrapment neuropathy, is caused by compression on an intact nerve, thereby altering its... |
0 | Prevalence of hip fracture risk factors in women aged 70 years and over | Management of Hip Fractures in the Elderly | We estimated the prevalence of common risk factors for hip fracture and the numbers needed to treat (NNT) to prevent a hip fracture in various high-risk population groups, using a postal risk factor survey of women aged 70 years and above from General Practices in Grampian and Yorkshire. Recorded risk factors included ... |
0 | Rare presentation of lateral meniscus tear with pathognomonic MRI finding | AMP (Acute Meniscal Pathology) | INTRODUCTION: Meniscal tears are common knee injuries that occur in different populations and particularly among athletes. Either isolated or accompanied with anterior cruciate ligament injury, meniscal tears can be a source of significant knee pain, locking and instability. Different patterns of meniscal tears are des... |
0 | Kidney transplantation with early corticosteroid withdrawal: paradoxical effects at the central and peripheral skeleton | Distal Radius Fractures | The use of early corticosteroid withdrawal (ECSW) protocols after kidney transplantation has become common, but the effects on fracture risk and bone quality are unclear. We enrolled 47 first-time adult transplant recipients managed with ECSW into a 1-year study to evaluate changes in bone mass, microarchitecture, biom... |
0 | Poor Performance on Single-Legged Hop Tests Associated With Development of Posttraumatic Knee Osteoarthritis After Anterior Cruciate Ligament Injury | OAK 3 - Non-arthroplasty tx of OAK | Background: The risk for knee osteoarthritis (OA) is substantially increased after anterior cruciate ligament (ACL) injury. Tools are needed to identify characteristics of patients after ACL injury who are most at risk for posttraumatic OA. Purpose: To determine whether clinical measures of knee function after ACL inju... |
1 | Detection of periprosthetic infections with use of ribosomal RNA-based polymerase chain reaction | PJI DX Updated Search | BACKGROUND: Previously described molecular biology techniques used to detect periprosthetic infections have been complicated by false-positive results. We have reported the development of a messenger RNA (mRNA)-based procedure to reduce these false-positive results. The limitations of this procedure are the lack of a u... |
0 | A third-generation bisphosphonate, minodronic acid (YM529), successfully prevented the growth of bladder cancer in vitro and in vivo | MSTS 2018 - Femur Mets and MM | Minodronic acid (YM529) is a third-generation bisphosphonate (BP) that has been shown to directly and indirectly prevent proliferation, induce apoptosis, and inhibit metastasis of various types of cancer cells. In this study, we have investigated the therapeutic efficacy of YM529 against bladder cancer, both in vitro a... |
0 | Conservative surgical management of patients with bisphosphonate-related osteonecrosis of the jaws: a series of 120 patients | MSTS 2018 - Femur Mets and MM | We evaluated retrospectively the efficacy of local resection for patients who presented with bisphosphonate-related osteonecrosis of the jaw (BRONJ). We studied 120 subjects with who required local resection of 129 BRONJ lesions that had not responded to medical treatment. The primary outcomes were improvement of the c... |
0 | Custom orbital implant in the repair of late posttraunmatic enophthalmos | Upper Eyelid and Brow Surgery | We repaired late, posttraumatic enophthalmos in 21 patients by inserting a large, soft, Silastic block through a lower eyelid flap and transconjunctival approach to the orbit. These blocks were hand carved at the time of surgery to match bony defects as characterized by hypocycloidal tomographic biometry. Enophthalmos ... |
0 | Outcomes after revision of metal-on-metal hip resurfacing arthroplasty | Hip Fx in the Elderly 2019 | We report the results of 58 hip resurfacing arthroplasties (HRA) revised by a single surgeon with an average of 5.2+/-2.6 years follow-up. The four most common causes for revision were acetabular component loosening, femoral neck fracture, femoral component loosening, and adverse wear related failure (AWRF). In 95% of ... |
1 | Characteristics of the electrophysiological activity of muscles attached to the transverse carpal ligament in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The main cause of carpal tunnel syndrome (CTS) remains unknown. Stiffness of the subcutaneous area of the volar aspect of the carpal tunnel is present in many patients and suggests that the stiffness of muscles attached to the transverse carpal ligament is increased. We performed an electrophysiological study to invest... |
0 | Carpal tunnel syndrome associated with macrodactyly | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This is a case report of a 17-year-old youth with carpal tunnel syndrome and congenital macrodactyly |
0 | Time course and predictors of median nerve conduction after carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To identify predictors of outcome and of electrophysiologic recovery in patients with carpal tunnel syndrome (CTS) treated by endoscopic carpal tunnel release using a nerve conduction testing system (NC-Stat; NEUROMetrix, Inc, Waltham, MA). METHODS: Validity of the automated nerve conduction testing system was... |
0 | Differences in physical performance between men and women with and without lymphoma | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVES: To describe and compare physical performance profiles in men and women with lymphoma with age- and gender-matched controls and to examine relationships among fatigue severity and physical performance in men and women with lymphoma.
DESIGN: Case-control study.
SETTING: Outpatient lymphoma service in a major ... |
0 | Dynamic view of postoperative pain evolution after total knee arthroplasty: A prospective observational study | PJI DX Updated Search | BACKGROUND: Having a dynamic view of postoperative pain resolution allows a better understanding of the transition towards chronic pain. Sleep and quality of life are important determinants of satisfaction after total knee arthroplasty (TKA), besides functional recovery and pain. METHODS: For 114 patients undergoing TK... |
0 | Insufficiently dosed intravenous ibandronate injections are associated with suboptimal antifracture efficacy in postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | Less frequent bisphosphonate dosing in women with postmenopausal osteoporosis has the potential to promote therapy adherence through improved convenience. Ibandronate is a highly potent nitrogen-containing bisphosphonate, proven to significantly increase vertebral and nonvertebral bone mineral density (BMD) when admini... |
0 | Browlift a south east asian experience | Upper Eyelid and Brow Surgery | Background:To describe the indications, techniques and outcomes of various browlift procedures in a predominantly East-Asian community. Patients and Methods:Retrospective review of patients who underwent browlift procedures performed by 2 oculoplastic surgeons or under their direct supervision, in a tertiary referral h... |
0 | Acute compartment syndrome of the arm | DoD - ACS - Interrater Reliability | Compartment syndrome of the arm, although uncommon, may result in significant disability if the diagnosis is missed. A high index of suspicion is needed, particularly in those patients at high risk, especially intoxicated or comatose patients. This article discusses the relevant anatomy, pathogenesis, diagnosis, progno... |
0 | Comparison of mesenchymal stem cells obtained by suspended culture of synovium from patients with rheumatoid arthritis and osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Mobilization of mesenchymal stem cells (MSCs) from the synovium was revealed using a "suspended synovium culture model" of osteoarthritis (OA). The pathology of rheumatoid arthritis (RA) differs from that of OA. We investigated whether mobilization of MSCs from the synovium also occurred in RA, and we compa... |
0 | Bone mineral density, bone markers, and fractures in adult males with congenital adrenal hyperplasia | Hip Fx in the Elderly 2019 | OBJECTIVE: The aim of this study was to determine bone mineral density (BMD), markers of bone metabolism, fractures, and steroids reflecting hormonal control in adult males with congenital adrenal hyperplasia (CAH). SUBJECTS, METHODS, AND DESIGN: We compared CAH males with 21-hydroxylase deficiency (n=30), 19-67 years ... |
0 | 11th International Workshop on Scleroderma Research | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The proceedings contain 80 papers. The topics discussed include: increased alveolar nitric oxide in early systemic sclerosis; differences in presentation of younger and older systemic sclerosis patients in clinical trials; early detection of median nerve syndrome at the carpal tunnel with high-resolution 18 MHz ultraso... |
0 | Effect of degenerative and radial tears of the meniscus and resultant meniscectomy on the knee joint: a finite element analysis | OAK 3 - Non-arthroplasty tx of OAK | Objective: The objective of this study is to investigate the biomechanics on the knee components caused by degenerative and radial meniscal tears and resultant meniscectomy. Methods: A detailed finite element model of the knee joint with bones, cartilages, menisci and main ligaments was constructed from a combination o... |
0 | Prognostic factors after a traumatic hip dislocation. A long-term retrospective study | Hip Fx in the Elderly 2019 | INTRODUCTION: Traumatic hip dislocations can have devastating complications such as osteoarthritis or osteonecrosis. The aim of this study was to identify the variables and prognostic factors associated with clinical and radiological outcome after a traumatic hip dislocation at long-term follow-up.
MATERIAL AND METHODS... |
0 | Muscle versus Fasciocutaneous Flap in Lower Limb Reconstruction: Is There a Best Option? | DoD SSI (Surgical Site Infections) | Soft tissue defects of the lower extremity that expose underlying bones, joints, and tendons pose challenging problems and generally require free tissue transfer for a successful reconstruction. Historically, muscle flaps were the gold standard choice for lower limb reconstruction. To obviate the unpredictable appearan... |
0 | SPECT/CT in Imaging Foot and Ankle Pathology-The Demise of Other Coregistration Techniques | DoD SSI (Surgical Site Infections) | Disorders of the ankle and foot are common and given the complex anatomy and function of the foot, they present a significant clinical challenge. Imaging plays a crucial role in the management of these patients, with multiple imaging options available to the clinician. The American College of radiology has set the appr... |
0 | Rheumatic-musculoskeletal manifestations in type 2 diabetes mellitus patients in south India | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Aim: To determine the prevalence of rheumatic musculoskeletal disorders (RMSD) in type 2 diabetes mellitus (T2DM) and study their risk factors. Methods: Diagnosed patients of T2DM attending the diabetic clinic in a premier teaching institution in south India were interviewed and requested to mark their RMS pain sites o... |
1 | Bilaterally dislocated hips treated with the Pavlik harness are not at a higher risk for failure | Developmental Dysplasia of the Hip CPG | BACKGROUND: The purpose of this study is to evaluate the efficacy of the Pavlik harness treatment in patients with bilaterally dislocated hips, and to compare them with cases with unilaterally dislocated hips. METHODS: Twenty-nine patients (58 hips) were identified who presented with bilateral dislocated hips with no e... |
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