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0 | The natural history of flexion contracture in total knee arthroplasty. A prospective study | Surgical Management of Osteoarthritis of the Knee CPG | A prospective study was carried out to document the natural history of flexion contractures of the knee after total knee arthroplasty (TKA). Thirty-five knees in 33 patients with TKA were followed for a mean duration of 55 weeks. In no case did the surgical procedure include excessive bony resection in order to correct... |
0 | Trauma-Informed Hospice and Palliative Care | DoD PRF (Psychosocial RF) | This review highlights the need to integrate trauma-informed practices into hospice and palliative care. The pervasiveness of psychological trauma exposure has been established in the general population and among the elderly adults. Moreover, there is emerging evidence for multiple additional opportunities for exposure... |
0 | Evaluation of the comparative efficacy of etoricoxib and ibuprofen for treatment of patients with osteoarthritis: a randomized, double-blind, placebo-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To directly compare the efficacy and safety of etoricoxib, 30 mg once daily, ibuprofen, 800 mg 3 times daily, and placebo for treatment of osteoarthritis (OA) of the hip and knee. PATIENTS AND METHODS: A randomized, doubleâ?blind, placeboâ?controlled trial of patients with OA of the knee or hip was perform... |
0 | Determinants of physical functioning in women with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee osteoarthritis (OA) is an important health problem with its high prevalence and association with pain and functional disability in physical tasks and activities especially in women.
AIMS: To explore the impacts of widely seen demographic, pathological, psychological, and impairment factors on physical ... |
0 | The management of elbow fractures in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Pediatric elbow fractures can be challenging to manage. Compression of the medial column in Gartland Type I and Type II supracondylar fractures must be reduced to prevent varus deformity. Gartland Type III fractures may be stabilized with two lateral pins or a medial lateral cross-pin technique. Non-displaced lateral c... |
1 | Excess skin problems among adolescents after bariatric surgery | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Bariatric surgery results in significant and durable weight loss and improved health in severely obese adolescents. An important adverse consequence of the massive weight loss after bariatric surgery is excess skin and soft tissue. The prevalence and clinical characteristics of excess skin-related symptoms ... |
0 | Listeria monocytogenes infection in a prosthetic knee joint in rheumatoid arthritis during methotrexate therapy | Surgical Management of Osteoarthritis of the Knee CPG | A 70-year-old man with rheumatoid arthritis developed Listeria monocytogenes septic arthritis in his prosthetic right knee. He initially responded well to ampicillin, but later developed relapse of Listeria joint infection. The prosthesis was removed, and arthrodesis was performed. This report suggests that prolonged a... |
0 | Thick skin and cosmetic surgery of the nasal tip: how to avoid the cutaneous polly beak | Panniculectomy & Abdominoplasty CPG | Although thick skin is generally considered a disadvantage in cosmetic surgery of the nasal tip, responsible for the supra tip deformity known as "polly beak" and other aesthetic defects, there are surgical guidelines that can greatly reduce the occurrence of these problems, the most interesting of which is grafting. O... |
0 | Stress Fracture of the Distal Radius | Pediatric Supracondylar Humerus Fracture 2020 Review | In brief A 14-year-old female gymnast reported pain at the dorsum of her right wrist. Physical examination and radiographs suggested a stress fracture of the wrist physis-an injury reported most often in highly competitive, advanced gymnasts. Radiographs revealed marked widening of the growth plate and haziness within ... |
0 | Treatment of lipedema by low-volume micro-cannular liposuction in tumescent anesthesia: Results in 111 patients | Panniculectomy & Abdominoplasty CPG | Lipedema is a painful disease of subcutaneous adipose tissue leading to bilateral increase of leg and/or arm volume, but sparing hands and feet. Although conservative treatment with complex decongestive therapy has been considered as the fundamental treatment, micro-cannular liposuction in tumescent anesthesia has beco... |
0 | Improvements in patients with lipedema 4, 8 and 12 years after liposuction | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Long-term results following liposuction in patients with lipedema were available only for an average period of 8?years. OBJECTIVE: To find out whether the improvements persist for a further 4?years. METHODS: In 60 patients with lipedema a single-centre study with a mail questionnaire - often in combination ... |
0 | Ultrasound assessment of the elbow | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Ultrasonography of the elbow is a very helpful and reliable diagnostic procedure for a broad spectrum of rheumatic and orthopedic conditions, representing a possible substitute to magnetic resonance imaging for evaluation of soft tissues of the elbow. Musculoskeletal ultrasound (US) shows many advantages over other ima... |
0 | Trunk movement asymmetry associated with pain, disability, and quadriceps strength asymmetry in individuals with knee osteoarthritis: a cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: This study examined 1) the clinical relevance of trunk movement asymmetry, which was evaluated using a trunk-mounted inertial measurement unit (IMU), and 2) the relationship between trunk movement asymmetry and lower limb muscle strength asymmetry in individuals with knee osteoarthritis (OA).
DESIGN: One-hun... |
0 | Assessment of median nerve with MR neurography by using diffusion-tensor imaging: normative and pathologic diffusion values | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To determine normative diffusion values of the median nerve at several anatomic locations in healthy men and women of variable age and to compare these normative values with those in patients with carpal tunnel syndrome. MATERIALS AND METHODS: After ethics board approval and written informed consent were obtai... |
0 | Effect of occupational keyboard typing on magnetic resonance imaging of the median nerve in subjects with and without symptoms of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To examine the effects of occupational keyboard typing on median nerve shape and T2 relaxation and on forearm muscle T2 in professional typists with and without symptoms of carpal tunnel syndrome. DESIGN: Based on the Levine Carpal Tunnel Syndrome Symptom Severity scale (LCTSS), 12 female professional typist... |
1 | Effects of sensory nerve anterolateral femoral lateral flaps in the treatment of open fractures with soft tissue defects | DoD SSI (Surgical Site Infections) | Objective: The aim of this study was to investigate the clinical effects of sensory nerve-free anterolateral free flaps in the treatment of open fractures of the foot with soft tissue defects. Methods: A total of 100 cases with open fractures of the foot and soft tissue defects, from August 2015 to February 2017, were ... |
0 | Sensory and autonomic function in the hands of patients with non-specific arm pain (NSAP) and asymptomatic office workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Chronic pain in the upper limb associated with repetitive movements of the arm and hand is often seen in patients in the absence of specific pathology such as epicondylitis, carpal tunnel syndrome and tenosynovitis. This condition has been given many names and will be referred to here as non-specific arm pain (NSAP). P... |
0 | Early evaluation and value-based pricing of regenerative medicine technologies | Surgical Management of Osteoarthritis of the Knee CPG | Since the first pioneering scientists explored the potential of using human cells for therapeutic purposes the branch of regenerative medicine has evolved to become a mature industry. The focus has switched from 'what can be done' to 'what can be commercialized'. Timely health economic evaluation supports successful ma... |
0 | The carpal tunnel syndrome in diabetes: Clinical and electrophysiological improvement after treatment with palmitoylethanolamide | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To investigate the clinical and electrophysiological effects of conservative treatment in the carpal tunnel syndrome with palmitoylethanolamide. Patients and methods: 25 diabetic patients with a clinical and electrophysiological diagnosis of CTS were considered in our study, compared with 25 diabetic subject... |
0 | Allograft meniscus transplantation | AMP (Acute Meniscal Pathology) | At this time, meniscal allograft transplantation remains an investigational procedure with very limited indications. To date, no work has shown that the transplanted meniscus is capable of protecting and, preserving the hyaline cartilage of the knee joint. The technical aspects of the procedure have been established an... |
1 | What is the optimal salvage procedure for cut-out after surgical fixation of trochanteric fractures with the PFNA or TFN?: A multicentre study | Hip Fx in the Elderly 2019 | PURPOSE: To evaluate the outcome after different types of revision operations for blade 'cut-out' and 'cut-through' after fixation of trochanteric fractures with proximal femoral nail antirotation (PFNA) or a trochanter fixation nail (TFN).
METHODS: Twenty hospitals participated in this multicentre study. A total of 41... |
1 | Radiological features in congenital camptodactyly, familial arthropathy and coxa vara syndrome | Developmental Dysplasia of the Hip CPG | The association of congenital camptodactyly, familial arthropathy and coxa vara is a rare but recognized clinical entity. The radiological manifestations were reviewed in five patients. In the hips, coxa vara, short broad femoral necks and intraosseous cysts were demonstrated in all patients. Abnormal modeling of the a... |
0 | The three-pin modified 'Harrington' procedure for advanced metastatic destruction of the acetabulum | Dental Implant Infection | Pathological fractures due to metastasis with destruction of the acetabulum and central dislocation of the hip present a difficult surgical challenge. We describe a series using a single technique in which a stable and long-lasting reconstruction was obtained using standard primary hip replacement implants augmented by... |
0 | Outcomes of total hip arthroplasty using dual mobility components in patients with a femoral neck fracture: A systematic review and meta-analysis | Hip Fx in the Elderly 2019 | Aims Dislocation is the most common indication for further surgery following total hip arthroplasty (THA) when undertaken in patients with a femoral neck fracture. This study aimed to assess the complication rates of THA with dual mobility components (THA-DMC) following a femoral neck fracture and to compare outcomes b... |
0 | Current Status of Rib Plating: Hardware Failure When and How? | DoD SSI (Surgical Site Infections) | Purpose of Review: Surgical stabilization of rib fractures (SSRF) has been shown to decrease morbidity and mortality in patients with multiple rib fractures. This has led to a concomitant increase in the procedure, but the complications are just now being described in the literature. The purpose of this review is to fo... |
1 | Effectiveness of continuous and pulsed ultrasound for the management of knee osteoarthritis: a systematic review and network meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: To investigate the efficacy of continuous and pulsed ultrasound (US) in the management of knee osteoarthritis (OA).
DESIGN: This systematic review and network meta-analysis covered 12 trials in total. Electronic databases including MEDLINE, Embase and Cochrane Library were searched through to identify rando... |
1 | Pattern for reduction mammoplasty that uses a superior vertical dermal pedicle | Reduction Mammoplasty for Female Breast Hypertrophy | A new surgical planning pattern is described that permits application of the "coning principle" of the regional tissue after mammary reduction. It makes use of a superior vertical dermal pedicle for nourishing the nipple-areola complex. The pedicle is not connected to the subjacent mammary tissue and thus can be folded... |
0 | Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A Population-Based, Matched Cohort Study | Hip Fx in the Elderly 2019 | Importance: Overlapping surgery, also known as double-booking, refers to a controversial practice in which a single attending surgeon supervises 2 or more operations, in different operating rooms, at the same time.
Objective: To determine if overlapping surgery is associated with greater risk for complications followin... |
0 | Pituitary dysfunction after traumatic brain injury: Screening and hormone replacement | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This article highlights the risk of hypopituitarism in survivors of traumatic brain injury (TBI), an underdiagnosed clinical problem. Clinical evidence shows that anterior pituitary dysfunction is common in TBI survivors evaluated at least 6 months after the TBI, with an estimated prevalence of up to 27.5%. Although pa... |
1 | Comparison Of Acetabulum Posterior Wall Fractures And Fracture Dislocations: Dislocation Does Not Affect Clinical And Radiological Outcomes | Hip Fx in the Elderly 2019 | The aim of this study was to compare radiological and clinical outcomes of posterior wall acetabulum fractures and posterior wall fracture dislocations. Data were including 52 acetabulum fractures and fracture dislocations. Twenty-six patients (%50) had posterior acetabulum fractures and fracture dislocations who were ... |
0 | The influence of steroid injections on the incidence of infection following total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | AIM: To investigate whether a relationship exists between preoperative intra-articular steroid injections and postoperative wound healing in total knee arthroplasty (TKA). Similar research studies on total hip arthroplasty (THA) have found higher rates of post surgical problems in hips that have been injected with ster... |
0 | Pulmonary and respiratory complications of pediatric trauma | DOD - Acute Comp Syndrome CPG | Pediatric trauma management requires both operative and nonoperative (supportive) care. Fewer than 15% of pediatric trauma patients require surgery (Children's Hospital of Michigan Registry Data, excluding fractures), and the primacy of closed head injury and the multisystem nature of pediatric trauma dictate assessmen... |
0 | Assessment of Low-Grade Meniscal and Cartilage Damage of the Knee at 7 T: A Comparison to 3 T Imaging With Arthroscopic Correlation | AMP (Acute Meniscal Pathology) | OBJECTIVES: The aim of this study was to compare the assessment of low-grade meniscal tears and cartilage damage in ultrahigh-field magnetic resonance imaging (MRI) at 7 T to routine clinical MRI at 3 T.
MATERIALS AND METHODS: This study was approved by the local ethics committee, and written informed consent was obtai... |
1 | Shoulder and arm muscle activity during elastic band exercises performed in a hospital bed | Trial Systematic Review Project | Objective: Muscle atrophy is a common side-effect of bed rest during hospitalization. However, resistance training may minimize or even prevent these complications. Therefore, we evaluated the efficiency of four upper-body elastic resistance exercises that could be performed while lying or sitting in a hospital bed. Me... |
0 | Persistence with bisphosphonates in patients with metastatic breast cancer: A retrospective database analysis | MSTS 2022 - Metastatic Disease of the Humerus | Background: In women with breast cancer and bone metastasis, compliance to antiresorptive treatment is of upmost importance to ensure maximum effectiveness in clinical practice. The aim of our study was to investigate persistence with oral and intravenous bisphosphonates (BIS) in a large group of women with metastatic ... |
0 | Sigmoid perforation after medial migration of lag screw in gamma nailing | Management of Hip Fractures in the Elderly | Medial lag screw migration in Gamma nailing is a rare complication. In an 84-year-old woman, the medial migration of the lag screw into the pelvic was observed 8 weeks after intramedullary osteosynthesis of a trochanteric fracture by Gamma nailing. Total hip replacement was performed after removal of the Gamma nail. Tw... |
1 | Dexmedetomidine-fentanyl versus midazolam-fentanyl in pain management of distal radius fractures reduction; a randomized clinical trial | Distal Radius Fractures | Introduction: Currently, using various combinations of sedative and analgesic agents has received attention for induction of sedation and analgesia due to their synergy in controlling pain and anxiety. The present study was designed with the aim of comparing dexmedetomidineâ?fentanyl combination with midazolamâ?fenta... |
0 | Perforator vessel recipient options in the lower extremity: An anatomically based approach to safer limb salvage | DoD LSA (Limb Salvage vs Amputation) | When free tissue transfer is employed for defects of the lower third of the leg, recipient anastomoses are typically performed to major vessels. The aim of this study was to assess soleal perforators located in the distal half of the leg as potential vessels for free flap recipient vessels. Six fresh cadavers (12 limbs... |
0 | Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men | SR for PM on OA of All Extremities | BACKGROUND: Obesity increases the risk of many serious illnesses such as coronary heart disease, type 2 diabetes and osteoarthritis. More men than women are overweight or obese in the UK but men are less likely to perceive their weight as a problem and less likely to engage with weight-loss services. OBJECTIVE: The aim... |
0 | A new lens for argon laser suture lysis | Upper Eyelid and Brow Surgery | Argon laser suture lysis is a valuable adjunct for regulating intraocular pressure and establishing a filtration bleb in the early postoperative period after trabeculectomy. We have developed a lens that provides excellent compression of the conjunctiva, an improved view of scleral flap sutures, and effortless retracti... |
0 | Three-year outcome of the heparin-bonded Viabahn for superficial femoral artery occlusive disease | DoD LSA (Limb Salvage vs Amputation) | Objective Self-expanding covered stents for superficial femoral artery (SFA) occlusive disease have undergone an evolution during the years. Early results of the latest generation, the heparin-bonded Viabahn (W. L. Gore & Associates, Flagstaff, Ariz) with a contoured proximal edge, were promising, with reported 1-year ... |
0 | Fracture surgery in known COVID-19 infected patients: What are the challenges? | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Surgery in the time of COVID-19 pandemic is a challenging issue while treatment of affected fracture patients is inevitable. The present study summarizes the challenges that an orthopedic surgeon is confronting during the surgical treatment of fracture patients with concomitant COVID-19 infection. Methods: ... |
0 | The pharmacokinetics and pharmacodynamics of denosumab in patients with advanced solid tumours and bone metastases: a systematic review | MSTS 2018 - Femur Mets and MM | AIM: The objective of this systematic review was to characterize the pharmacokinetics and pharmacodynamics of denosumab (XGEVA), a fully human IgG2 monoclonal antibody which binds to receptor activator of nuclear factor kappa-B ligand (RANKL), for the treatment of skeletal-related events (SREs) in patients with advance... |
0 | Chondroitin sulphate reduces both cartilage volume loss and bone marrow lesions in knee osteoarthritis patients starting as early as 6 months after initiation of therapy: A randomised, double-blind, placebo-controlled pilot study using MRI | Surgical Management of Osteoarthritis of the Knee CPG | Objective To determine the effect of chondroitin sulphate (CS) treatment on cartilage volume loss, subchondral bone marrow lesions (BML), synovitis and disease symptoms in patients with knee osteoarthritis (OA). Methods In this pilot multicentre, randomised, doubleblind, controlled trial in primary knee OA, 69 patients... |
1 | Serum albumin and health in older people: Review and meta analysis | Hip Fx in the Elderly 2019 | Albumin is the most abundant plasmatic protein. It is only produced by the liver and the full extent of its metabolic functions is not known in detail. One of the main roles assigned to albumin is as an indicator of malnutrition. There are many factors, in addition to nutrition, that influence levels of albumin in plas... |
1 | Prosthetic alignment and sizing in computer-assisted total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We implanted 60 posterior stabilized total knee prostheses (P.F.C. Sigma, DePuy, Warsaw, USA). In 30 cases, we used a CT-free navigation system (Vector Vision, Brain LAB, Heimstetten, Germany), and in 30 matched-paired controls, we used a conventional manual implantation. We compared postoperative long-leg radiographs ... |
0 | Association between bisphosphonate use and implant survival after primary total arthroplasty of the knee or hip: population based retrospective cohort study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: To test whether bisphosphonate use is related to improved implant survival after total arthroplasty of the knee or hip. DESIGN: Population based retrospective cohort study. SETTING: Primary care data from the United Kingdom. PARTICIPANTS: All patients undergoing primary total arthroplasty of the knee (n = 1... |
0 | Wide excision and ulno-carpal arthrodesis for primary aggressive and recurrent giant cell tumours | Distal Radius Fractures | Twenty-five patients underwent wide resection of the distal radial giant cell tumours (GCTs) followed by ulno-carpal arthrodesis. There were 15 male and ten female patients, with an average age of 21.5 years. Tumours included ten primary aggressive and 15 recurrent GCTs. Mean follow up was 2.4 years. Pain, swelling and... |
0 | Long-term patient reported outcomes following acetabular fracture fixation | Hip Fx in the Elderly 2019 | INTRODUCTION: Patient reported outcome scores may be the preferred method to assess clinical results following acetabular fracture fixation. However, in current acetabular fracture research, there is a scarcity of studies using these scores and long-term follow-up is lacking. The aim of this study is to describe long-t... |
0 | The biomechanical potential of the bone graft in the proximal ulna non-union surgery | Pediatric Supracondylar Humerus Fracture 2020 Review | Introduction. Non-union after operative treatment of a displaced fracture of the olecranon or osteotomy are very uncommon and usually related to patient noncompliance and/or insufficient surgical technique with implant failure. The purpose of this study is to evaluate the outcomes our plate-and-bone-strut-allograft tec... |
0 | Primary and key secondary results from the ROCKET AF trial, and their implications on clinical practice | DOD - Acute Comp Syndrome CPG | Background: The safety and efficacy of the oral anticoagulant rivaroxaban were studied in the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET AF trial). A number of subanalyses of the ROCKET AF trial ha... |
0 | A standardized pivot shift test and newly developed IPAD application can quantify ACL injury in patients | Surgical Management of Osteoarthritis of the Knee CPG | This study introduces a new iPad application to quantify the pivot shift test. First results of clinical use in patients with ACL deficiency are presented. Background: Recently the pivot shift test can be quantified by measuring tibial translation and acceleration. Noninvasive tools include simple image analysis, which... |
0 | Total hip replacement with a short metaphyseal-fitting anatomical cementless femoral component in patients aged 70 years or older | Management of Hip Fractures in the Elderly | We reviewed the results of 84 total hip replacements performed with a short metaphyseal-fitting anatomical cementless femoral component in 84 unselected consecutive patients with a mean age of 78.9 years (70 to 88). The mean follow-up was 4.6 years (4 to 5). The mean pre-operative Harris hip score was 26 points (0 to 5... |
0 | Correlation of impairment and activity limitation after wrist fracture | Distal Radius Fractures | BACKGROUND AND PURPOSE: During physiotherapy rehabilitation, judgements about activity limitation are often based on measurements of impairment. The present paper reports an investigation into the relationship between measurements of impairment and activity limitation in people with a fracture of the distal radius.
MET... |
0 | Amblyopia in congenital ptosis | Upper Eyelid and Brow Surgery | This study evaluates the association between congenital ptosis and amblyopia. Amblyopia was detected in 7 of 36 (19%) patients with congenital ptosis. Two patients (6%) with amblyopia had no contributing factors other than the presence of congenital ptosis. A statistically significant correlation between severe nonoccl... |
0 | Increased incidence of vertebral fracture in older female hemodialyzed patients with type 2 diabetes mellitus | Distal Radius Fractures | Bone disease in hemodialysis (HD) patients with type 2 diabetes mellitus (DM) is characterized by low bone turnover (Inaba M, et al. Am J Kidney Dis 2002; 39:1261-1269), although their bone quality is yet to be determined. The present study was designed to examine whether the prevalence of vertebral fracture in female ... |
0 | Upper lid crease approach for margin rotation in trachomatous cicatricial entropion without external sutures | Upper Eyelid and Brow Surgery | PURPOSE: To describe the use of a lid crease incision for upper eyelid margin rotation in cicatricial entropion combining internal traction on the anterior lamella, tarsotomy, and tarsal overlap without external sutures. METHODS: Surgical description: The main steps of the procedure consisted of exposure of the entire ... |
0 | Prediction of thoracic injury severity in frontal impacts by selected anatomical morphomic variables through model-averaged logistic regression approach | DoD PRF (Psychosocial RF) | This study resulted in a model-averaging methodology that predicts crash injury risk using vehicle, demographic, and morphomic variables and assesses the importance of individual predictors. The effectiveness of this methodology was illustrated through analysis of occupant chest injuries in frontal vehicle crashes. The... |
0 | Free flap reconstructions of 100 tibial fractures | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: Reconstructive microsurgery has been part of the treatment for severe tibial fractures for over 20 years. METHODS: In this study, we have analyzed 100 patients with 104 microvascular reconstructions to the lower leg in a 15-year period (1980-1994). Sixty-three of the reconstructions were made during the past... |
0 | Role of epigenetic regulatory mechanisms in neonatal hypoxic-ischemic brain injury | DoD PRF (Psychosocial RF) | Hypoxic-ischemic brain injury is an important cause of neonatal mortality and subsequent serious neurological sequel. In neonatal brain the severity of hypoxic injury varies most probably due to the effects of multiple protective or deleterious factors. But the mechanisms under this difference are still not full unders... |
0 | Surgical treatment of the rheumatoid elbow | Surgical Management of Osteoarthritis of the Knee CPG | In rheumatoid arthritis, the elbow is involved in 20 to 50% of the cases. Surgical treatment for rheumatoid arthritis is proposed to patients in whom an appropriate and adequate attempt at medical management has failed. Improvements in surgical technique and prosthetic design have led to more predictable results in the... |
0 | Lower-extremity arteriovenous access for haemodialysis: a systematic review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: The lower extremity is increasingly used as an access site in end-stage renal disease patients. However, reports present conflicting results, creating confusion regarding the feasibility and outcomes. Our objective is to review the available literature and analyse the patency rates and complications of vari... |
0 | Minimum thickness of all-poly tibial component unicompartmental knee arthroplasty in patients younger than 60 years does not increase revision rate for aseptic loosening | OAK 3 - Non-arthroplasty tx of OAK | Purpose: Management of unicompartmental knee osteoarthritis in middle-aged patients is a challenging problem. Despite its functional advantages, UKA still raises questions concerning implant survivorship and an increased revision risk for aseptic loosening mainly due to polyethylene wear. The main purpose of the presen... |
0 | Is there an association between pseudoexfoliation syndrome and knee osteoarthritis? | OAK 3 - Non-arthroplasty tx of OAK | Aim: The purpose of this study was to investigate whether there is an association between pseudoexfoliation (PEX) syndrome and knee osteoarthritis (OA), and compare to compare patients with PEX and OA to a control group without PEX. Design and methods: This observational caseâ??control study examined 254Â subjects: 127... |
0 | Prevention of haemophilic arthropathy | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Early and adequate treatment of haemarthroses, will prevent or lessen future arthropathy. A prospective double blind controlled study of three different dose regimes of Factor VIII in the treatment of haemarthroses of the knees, elbows and ankles has shown that site and severity affect the initial response and should d... |
0 | Familial influence and childhood trauma in female alcoholism | DoD PRF (Psychosocial RF) | Background: To assess the role of genetic and environmental factors in female alcoholism using a large population-based twin sample, taking into account possible differences between early and late onset disease subtype. Method: Twins aged 20â??47 years from the Swedish Twin Registry (n=24 119) answered questions to est... |
0 | Clinical efficacy of the first metatarsophalangeal joint arthroplasty as a curative procedure for hallux interphalangeal joint wounds in patients with diabetes | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To evaluate the safety and efficacy of first metatarsophalangeal joint arthroplasty compared with standard, nonsurgical management of wounds at the plantar hallux interphalangeal joint in patients with diabetes. RESEARCH DESIGN AND METHODS: We evaluated 41 patients with ulcers classified as University of Tex... |
0 | Femur bone mineral density, age and fracture type in 300 hip-fractured women | Management of Hip Fractures in the Elderly | BACKGROUND AND AIMS: Several studies showed that cervical and trochanteric hip fractures were associated with different levels of bone mineral density (BMD). Our aim was to investigate the association between femur BMD and hip fracture type at different ages. METHODS: We studied 300 postmenopausal women affected by the... |
1 | Regional prophylaxis with teicoplanin in monolateral or bilateral total knee replacement: an open study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | From January 1991 to June 1997, patients undergoing primary elective monolateral or bilateral total knee replacement (TKR) were consecutively enrolled in a prospective, open clinical study on the efficacy and safety of regional prophylaxis with teicoplanin (TEC). Those scheduled for monolateral TKR (115 patients) recei... |
0 | An arthroscopic treatment regimen for osteoarthritis of the knee | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to evaluate the functional and subjective outcomes of patients with moderate to severe osteoarthritis of the knee who underwent a comprehensive arthroscopic treatment regimen.
METHODS: Between August 2000 and November 2001, 69 knees in 61 patients were treated with an arthroscopic... |
0 | Ptosis repair for the cosmetic surgeon | Upper Eyelid and Brow Surgery | The cosmetic surgeon must be familiar with the evaluation and management of the ptotic eyelid. A small amount of unrecognized preoperative eyelid ptosis can seem obtrusive if it is unmasked after blepharoplasty. As such, ptosis repair is an important adjunctive procedure in cosmetic eyelid surgery. This article describ... |
1 | Impact of Acellular Dermal Matrix (ADM) Use Under Mastectomy Flap Necrosis on Perioperative Outcomes of Prosthetic Breast Reconstruction | Acellular Dermal Matrix | BACKGROUND: There is conflicting data on the potential necrotic complications of acellular dermal matrix (ADM) use in breast reconstruction, and most studies focus on mastectomy flap necrosis as an outcome measure associated with ADM use. The aim of this study was to examine cases with necrotic complications with and w... |
1 | Physician and dentist compliance with American Heart Association guidelines for prevention of bacterial endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | To determine the rate of physician and dentist compliance with the American Heart Association's (AHA) recommendations for prophylaxis against bacterial endocarditis--considered the standard of care--questionnaires were mailed to 1,131 dental and medical practitioners. They were asked to identify various cardiac conditi... |
0 | Excellent long-term results of the Muller acetabular reinforcement ring in primary total hip arthroplasty: A prospective study on radiology and survival of 321 hips with a mean follow-up of 11 years | PJI DX Updated Search | BACKGROUND AND PURPOSE: The original Muller acetabular reinforcement ring (ARR) shows favorable medium-term results for acetabular reconstruction in total hip arthroplasty, where it is used when the acetabular bone stock is deficient. However, there are no data regarding long-term survival of the device. We therefore i... |
1 | Arthroscopic subscapularis tendon repair: Technique and preliminary results | Optimizing the Management of Full-Thickness Rotator Cuff Tears | PURPOSE: Our objective was to evaluate the preliminary results of 25 consecutive arthroscopic subscapularis tendon repairs.TYPE OF STUDY: Case series. METHODS: All 25 shoulders had longer than 3 months follow-up, with an average of 10.7 months (range, 3 to 48 months). The average age was 60.7 years (range, 41 to 78 yea... |
0 | BNIP3-Dependent Mitophagy via PGC1alpha Promotes Cartilage Degradation | AMP (Acute Meniscal Pathology) | Since mitochondria are suggested to be important regulators in maintaining cartilage homeostasis, turnover of mitochondria through mitochondrial biogenesis and mitochondrial degradation may play an important role in the pathogenesis of osteoarthritis (OA). Here, we found that mitochondrial dysfunction is closely associ... |
1 | Postoperative complications in prosthesis-based breast reconstruction using acellular dermal matrix | Acellular Dermal Matrix | BACKGROUND: Acellular dermal matrix has become a common adjunct in prosthesis-based breast reconstruction. The authors' aim was to determine whether acellular dermal matrix use in immediate prosthesis-based breast reconstruction is associated with higher rate of complications. METHODS: Over a 5½-year period at the Brig... |
0 | Use of screws and cement in primary TKA with up to 20 years follow-up | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of this study was to investigate screws and cement for large tibial bone defects during primary TKA. Of 14,686 consecutive primary TKAs performed between December 1988 and February 2010, 256 received screws and cement for tibial defects. Cox regression was used for the analysis. 20-year survival probability... |
0 | The long-term results of Stanmore total knee replacements | Surgical Management of Osteoarthritis of the Knee CPG | One hundred and three sequential Stanmore knee replacements were reviewed retrospectively on two occasions with a maximal follow-up period of nine years three months. This knee prosthesis, which is hinged, was successful in alleviating pain, stabilising an unstable knee and modestly increasing the arc of flexion. Walki... |
0 | Some vagaries of the lateral epicondyle | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The early roentgenographic characteristics of ossification of the epiphysis of the normal lateral epicondyle may be misinterpreted as being due to trauma. This is primarily due to the shape of the lateral epicondyle and its apparent separation from the associated metaphysis. The following points are noted. (1) The dist... |
0 | Should national standards for reporting surgical site infections distinguish between primary and revision orthopedic surgeries? | PJI DX Updated Search | OBJECTIVE: To compare the surgical site infection (SSI) rate after primary total hip arthroplasty with the SSI rate after revision total hip arthroplasty. DESIGN: Retrospective cohort study. SETTING: Mayo Clinic in Rochester, Minnesota, a referral orthopedic center. PATIENTS: All patients undergoing primary total hip a... |
0 | Does nutritional intervention for patients with hip fractures reduce postoperative complications and improve rehabilitation? | Management of Hip Fractures in the Elderly | AIMS AND OBJECTIVES: The aims were to investigate whether there were any differences between patients receiving nutritional intervention preoperatively and over five days postoperatively and patients who did not, in terms of postoperative complications, rehabilitation, length of stay and food and liquid intake. BACKGRO... |
0 | Comparison of conventional infrainguinal versus modified proximal suprainguinal approach of Fascia Iliaca Compartment Block for postoperative analgesia in Total Hip Arthroplasty. A prospective randomized study | AAHKS (8) Anesthetic Infiltration | Fascia Iliaca Compartment Block (FICB) has been widely used as a postoperative analgesic adjunct to opioids for total hip arthroplasty (THA), either by the conventional infrainguinal approach or the modified proximal suprainguinal approach irrespective of any specific advantage of one over the other. This study was con... |
1 | Carpal tunnel syndrome with severe sensory deficit: endoscopic release in 18 cases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) with severe sensory deficit was treated with endoscopic carpal tunnel release in 18 hands of 16 consecutive patients (median age 72 (28-92) years). In all hands, preoperative 2-point discrimination (2-PD) exceeded 15 mm in the radial and ulnar sides of the pulps of at least 2 of the 3 radia... |
0 | Optimal management of metastatic bone disease | MSTS 2018 - Femur Mets and MM | OBJECTIVES: Skeletal-related events (SREs) from bone metastases are a major cause of morbidity and significantly decrease patients' quality of life. Strategies for the optimal management of SREs with bisphosphonates are explored.
METHODS: Existing and novel therapies were identified and published guidelines were review... |
0 | Similar polyethylene wear between cemented and cementless Oxford medial UKA: a 5-year follow-up randomized controlled trial on 79 patients using radiostereometry | OAK 3 - Non-arthroplasty tx of OAK | Background and purpose â?? Hydroxyapatite (HA)-coated implants have been associated with high polyethylene wear in hip arthroplasties. HA coating as a promoter of wear in knee arthroplasties has not been investigated. We compared the wear-rate of the polyethylene bearing for cemented and cementless HA-coated Oxford med... |
0 | Acute calcifying tendonitis--an unusual cause of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We report a rare case of acute calcifying tendinitis resulting in acute carpal tunnel syndrome. Acute medical staff should be aware of this condition and the importance of early referral to avoid long term median nerve neuropathy |
0 | Clinical anatomy of the hand | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This article reviews the underlying anatomy of trigger finger and thumb (fibrous digital pulleys, sesamoid bones), flexor tenosynovitis, de Quervain's syndrome, Dupuytren's contracture, some hand deformities in rheumatoid arthritis, the carpal tunnel syndrome and the ulnar nerve compression at Guyon's canal. Some impor... |
0 | Clinical and anatomic results of rotator cuff repair at 10 years depend on tear type | Glenohumeral Joint OA | PURPOSE: Although good short-term and mid-term outcomes are reported for rotator cuff repair, few studies have investigated long-term outcome with clinical and MRI evaluation. The hypothesis was that 10 years following repair of rotator cuff tear, the clinical and anatomic results depend on the extension of the tear.
M... |
0 | Single- vs. double-dose gadolinium contrast in delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) in knee osteoarthritis: is dose reduction possible on 3-T MRI? | AMP (Acute Meniscal Pathology) | Background: Reduction in gadolinium (Gd) contrast agents is wanted due to the uncertainty of the potential side effects. Purpose: To investigate whether it is possible to reduce the contrast dose from conventional double dose to single dose when increasing the field strength from 1.5-T to 3-T for separating early carti... |
0 | Evaluation of bone-seeking novel radiotracer 68Ga-NO2AP-Bisphosphonate for the detection of skeletal metastases in carcinoma breast | MSTS 2018 - Femur Mets and MM | Purpose: The successful labelling of bisphosphonates (BP) with 68Ga using macrocyclic chelators such as the based triazacyclononane (NO2AP) is a step forward in the in-house availability of a novel bone-seeking PET radiopharmaceutical with dual advantage of PET/CT imaging and generator production. In this study, we com... |
0 | Intra-articular Corticosteroid Injections for Symptomatic Knee Osteoarthritis: What the Orthopaedic Provider Needs to Know | OAK 3 - Non-arthroplasty tx of OAK | Intra-articular corticosteroid injections have been used for decades in the management of symptomatic osteoarthritis of the knee and remain a common practice. The pain relief from a steroid injection is thought to work by reducing inflammation within the arthritic knee. Substantial variability remains among providers w... |
0 | Zoledronic acid: An overview of its current and potential benefits in patients with malignancy | MSTS 2018 - Femur Mets and MM | The bisphosphonates, potent inhibitors of bone resorption, have proven especially beneficial in the treatment of hypercalcemia of malignancy. Bisphosphonates have also been shown to reduce the overall skeletal morbidity rate, pathological fractures and the need for palliative or preventive therapy in patients with brea... |
0 | The role of copy and paste function in orthopedic trauma progress notes | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: The electronic medical record (EMR) is standard in institutions. While there is not concern for legibility of notes and access to charts, there is an ease of copy and paste for daily notes. This may not lead to accurate portrayal of patient's status. Our purpose was to evaluate the use of copy and paste f... |
0 | Relationship of intermuscular fat volume in the thigh with knee extensor strength and physical performance in women at risk of or with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine the extent to which thigh intermuscular fat (IMF) and quadriceps muscle (QM) volumes explained variance in knee extensor strength and physical performance in women with radiographic knee osteoarthritis (ROA) and without.
METHODS: Baseline data from 125 women (age >=50 years) in the Osteoarthriti... |
0 | Use of distal arteries for microvascular reconstruction in forearm and hand surgery | DoD LSA (Limb Salvage vs Amputation) | Three techniques that use distal arteries for microvascular reconstruction in forearm and hand surgery are described: (1) distal based supply from the deep branch of the radial artery, (2) proximal reversal of the radial artery, and (3) distal based supply from the ulnar artery. Nine cases are described to illustrate t... |
1 | Design of "neuropsychological and mental health outcomes of operation Iraqi freedom: a longitudinal cohort study" | DoD PRF (Psychosocial RF) | OBJECTIVE: This study aimed to describe methodological challenges encountered in designing a follow-up assessment of US Army Soldiers who served in Operation Iraqi Freedom.
STUDY DESIGN AND SETTING: The Neurocognition Deployment Health Study (NDHS) enrolled 1595 soldiers at 2 military installations, starting in 2003. P... |
0 | Presentation and management outcome of tibial infected non-union with ilizarov technique | DoD SSI (Surgical Site Infections) | Objective: To document the presentation of tibial infected non-union and analyze the management outcome with Ilizarov technique in terms of bone results, functional outcome, bone transport time, external fixation time, external fixation index and any complications. Methods: This case series was conducted at the Departm... |
1 | Efficacy of acupuncture versus night splinting for carpal tunnel syndrome: a randomized clinical trial | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To compare the efficacy of acupuncture with night splinting for carpal tunnel syndrome (CTS). MATERIAL AND METHOD: Sixty one mild-to-moderate degree CTS patients, aged 27-67 were randomly assigned to acupuncture (Acu) and night splinting (NS) groups. The Acu group received 10 sessions of electro-acupuncture ... |
0 | Trial of Realignment Therapy for Treatment of Medial Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | We propose a double blind, randomized crossover trial of a realignment therapy for patients with medial knee osteoarthritis with the primary outcome being knee pain and function as assessed by the WOMAC Osteoarthritis Index (VAS Version). Because of the possibility that the therapy may provide proprioceptive input and ... |
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