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0 | Measuring quality of care with explicit process criteria before and after implementation of the DRG-based prospective payment system | Management of Hip Fractures in the Elderly | We developed explicit process criteria and scales for Medicare patients hospitalized with congestive heart failure, myocardial infarction, pneumonia, cerebrovascular accident, and hip fracture. We applied the process scales to a nationally representative sample of 14,012 patients hospitalized before and after the imple... |
0 | Study Evaluating the Efficacy and Safety of Topical Diclofenac Spray in Osteoarthritis of the Knee: trial I | OAK 3 - Non-arthroplasty tx of OAK | This is a multicenter, outpatient, multipleâ?dose, placeboâ? and active controlled, doubleâ?blind, doubleâ?dummy parallel group, randomized (stratified by unilateral vs. bilateral knee OA) trial. The trial will enroll subjects who have been diagnosed with OA of the knee (confirmed by weightâ?bearing xâ?ray) and w... |
1 | CaP cement is equivalent to iliac bone graft in filling of large metaphyseal defects: 2 year prospective randomised study on distal radius osteotomies | Hip Fx in the Elderly 2019 | The purpose of this prospective randomised study was to compare the clinical and radiological outcomes of injectable CaP bone cement with corticocancellous bone graft used to fill voids after corrective opening wedge osteotomies in the distal radius. 17 women/3 men, median age 56 (51.3; 61.0), underwent an open-wedge o... |
0 | Efficacy and safety of an intra-operative intra-articular magnesium/ropivacaine injection for pain control following total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | Eighty patients with osteoarthritis who underwent unilateral total knee arthroplasty were randomly assigned to two groups: the trial group received an intra-operative intra-articular injection of magnesium sulphate and ropivacaine, and the control group received an injection of normal saline. All patients received pati... |
0 | Ceramic-on-Ceramic Total Hip Arthroplasty | PJI DX Updated Search | Ceramic bearing surfaces have been introduced to prevent bone loss after osteolysis seen with conventional polyethylene bearing surfaces. One hundred three ceramic-on-ceramic total hip arthroplasties in 97 patients were retrospectively reviewed. Average follow-up was 50.4 months. Preoperative Harris Hip Score was 49.5 ... |
0 | Functional latissimus dorsi island pedicle musculocutaneous flap to restore elbow flexion in replantation or revascularisation of above-elbow amputations | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Two total and one subtotal above-elbow amputations had replantation or revascularization for their severely damaged upper extremities followed by functional latissimus dorsi island pedicle musculocutaneous flap to restore elbow flexion. The mean follow-up was 68 months (range: 14 to 121 months). At final follow-up exam... |
0 | Oral oxycodone offers equivalent analgesia to intravenous patient-controlled analgesia after total hip replacement: a randomized, single-centre, non-blinded, non-inferiority study | AAHKS (4) Acetaminophen | BACKGROUND: To determine if oral oxycodone (OOXY) could provide equivalent postoperative analgesia and a similar side-effect profile to i.v. patient-controlled morphine in patients undergoing elective primary total hip replacement (THR) under spinal anaesthesia.
METHODS: We studied 110 consecutive patients aged 60-85 y... |
1 | Cemented versus uncemented fixation of humeral components in total shoulder arthroplasty for osteoarthritis of the shoulder: a prospective, randomized, double-blind clinical trial-A JOINTs Canada Project | Glenohumeral Joint OA | BACKGROUND: Although cemented humeral fixation is recognized as the standard of care in total shoulder arthroplasty (TSA), uncemented fixation has the potential to provide stable fixation, decrease operative time, and simplify potential revision procedures. This prospective, randomized, double-blind clinical trial comp... |
0 | Distal Radius Fractures in the Elderly: Use of the Volar Bearing Plate | Distal Radius Fractures | BACKGROUND: Distal radius fractures represent some of the most common injuries to the upper extremity, yet current evidence demonstrates great variability in the management of this injury. Elderly patients, in particular, stand to benefit from the early mobilization provided by operative fixation with a volar bearing p... |
0 | Impaired joint function and entrapment syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Most peripheral nerve lesions formerly attributed to 'neuritis' are now thought to be due to mechanical compression and the term entrapment syndrome has been coined. The canals or tunnels in which compression takes place can be formed by a single bone, several bones or mainly muscle or muscle sheaths. If the canal is f... |
1 | MRI signal changes in completely healed meniscus confirmed by second-look arthroscopy after meniscal repair with bioabsorbable arrows | Anterior Cruciate Ligament Injuries CPG | This study evaluated the MRI signal characteristics and MRI diagnostic accuracy in identifying completely healed menisci repaired with bioabsorbable arrows. A total of 34 patients (38 menisci), with a mean age of 26.0 years, underwent arthroscopic meniscal repair with bioabsorbable arrows and concomitant anterior cruci... |
0 | Early versus delayed application of Thomas splints in patients with isolated femur shaft fractures: The benefits quantified | DOD - Acute Comp Syndrome CPG | Aims To investigate and quantify the clinical benefits of early versus delayed application of Thomas splints in patients with isolated femur shaft fractures. Materials and methods Level IV retrospective clinical and radiological analysis of patients presenting from January to December 2012 at a Level 1 Trauma Unit. All... |
0 | The increased expression of receptor activator of nuclear-kappaB ligand (RANKL) of multiple myeloma bone marrow stromal cells is inhibited by the bisphosphonate ibandronate | MSTS 2018 - Femur Mets and MM | The receptor activator of nuclear factor-kappaB ligand (RANKL) and interleukin-1beta are osteoclast activating factors which are abnormally expressed in bone marrow stromal cells and plasma cells of multiple myeloma patients. In this work we analyzed RANKL expression in human bone marrow mesenchymal stromal cells and t... |
0 | In vivo kinematics of the scaphoid, lunate, capitate, and third metacarpal in extreme wrist flexion and extension | Distal Radius Fractures | PURPOSE: Insights into the complexity of active in vivo carpal motion have recently been gained using 3-dimensional imaging; however, kinematics during extremes of motion has not been elucidated. The purpose of this study was to determine motion of the carpus during extremes of wrist flexion and extension.
METHODS: We ... |
0 | Pain, disability and health-related quality of life in osteoarthritis-joint matters: an observational, multi-specialty trans-national follow-up study | Glenohumeral Joint OA | The authors aimed to test potential relations between osteoarthritis (OA) features, disability and health-related quality of life (HR-QoL) at different body locations. Outpatients consulting for pain associated to self-reported OA at varied healthcare settings were evaluated in a 3-month observational non-controlled fo... |
0 | A prospective randomised controlled trial of ultrasound guided versus nerve stimulation guided distal sciatic nerve block at the popliteal fossa | Surgical Management of Osteoarthritis of the Knee CPG | The direct visualisation of nerves and adjacent anatomical structures may make ultrasonography the preferred method for nerve localisation. In this prospective randomised study, we investigated whether, for distal sciatic nerve block in the popliteal fossa, an ultrasound guided technique would result in the use of less... |
0 | Predictors of Pain and Function Before Knee Arthroscopy | OAK 3 - Non-arthroplasty tx of OAK | Background: Patient-reported outcome measures are commonly used to measure knee pain and functional impairment. When structural abnormality is identified on examination and imaging, arthroscopic partial meniscectomy and chondroplasty are commonly indicated for treatment in the setting of pain and decreased function. Pu... |
1 | Primary familial bilateral carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We identified bilateral carpal tunnel syndrome in 19 of 43 living persons of a nonconsanguineous family. No single common etiologic feature was seen. Sixty-three percent of the afflicted kindred had symptomatic digital flexor tenosynovitis. Noninflammatory thickening of the flexor retinaculum or tendon sheaths, or both... |
1 | A RCT study of Rivaroxaban, low-molecular-weight heparin, and sequential medication regimens for the prevention of venous thrombosis after internal fixation of hip fracture | Hip Fx in the Elderly 2019 | The guidelines for the prevention of venous thromboembolism in orthopedic surgeries have reached a consensus on the postoperative conventional anticoagulation. However, the choice of anticoagulant drugs is yet controversial. The use of the drug rivaroxaban is expensive. Since the compliance of patients with low-molecul... |
0 | The central mound technique for reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | The principle of this technique is the draping of medial and lateral skin flaps around a central breast mound. Nipple-areola viability does not depend on a dermal pedicle, but on the parenchymal circulation. The resection of breast tissue is primarily inferior. Contour is determined by the amount of medial and lateral ... |
0 | Comparison of patient-reported outcomes based on implant brand in total knee arthroplasty: A prospective cohort study | OAK 3 - Non-arthroplasty tx of OAK | Aims The outcomes of total knee arthroplasty (TKA) depend on many factors. The impact of implant design on patient-reported outcomes is unknown. Our goal was to evaluate the patient-reported outcomes and satisfaction after primary TKA in patients with osteoarthritis undergoing primary TKA using five different brands of... |
0 | Effect of coil orientation on strength-duration time constant and I-wave activation with controllable pulse parameter transcranial magnetic stimulation | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective: To compare the strength-duration (S-D) time constants of motor cortex structures activated by current pulses oriented posterior-anterior (PA) or anterior-posterior (AP) across the central sulcus. Methods: Motor threshold and input-output curve, along with motor evoked potential (MEP) latencies, of first dors... |
0 | Single-plug autologous osteochondral transplantation: Results at minimum 16 years' follow-up | OAK 3 - Non-arthroplasty tx of OAK | Different techniques have been proposed for the treatment of cartilage defects. Among the currently available options, autologous single-plug osteochondral transplantation is one of the few to be applied to address small and medium lesions. The goal of the current study was to document the long-term clinical outcome of... |
0 | Chronic progressive monomelic sensory neuropathy of the right lower extremity in an 11-year-old boy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: Sensory neuropathies (SNs), which are presented with various clinical manifestations, have been classified according to their genetic and aetiological causes. Sustained damage of the neuronal cell bodies located in the dorsal root ganglia seems to be a triggering factor for SN. Axonal damage, demyelinization... |
0 | Evaluation of a prediction model for long-term fracture risk | HipFx Supplemental Cost Analysis | The NOF cost-effectiveness model, based on clinical risk factors and femoral neck aBMD, predicted overall fracture risk in a cohort of postmenopausal women followed for up to 22 years. Introduction: To assess the ability of a statistical model to predict long-term fracture risk for a population of postmenopausal women,... |
1 | Clinical accuracy of mcmurray test and thessaly test in meniscal injuries and their correlation with MRI | AMP (Acute Meniscal Pathology) | The harmful of the meniscus are communal between group for example competitors when they are copiously behavior their body weight and just occur to twirl their legs. Several physical diagnostic tests are available for analyzing meniscal moans like “The McMurray test”and “The Apleydensity test”. But they are prone to va... |
0 | Electromyographic examination: Appropriateness of the request and customer satisfaction | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Endpoints of the study were (1) assessment of the appropriateness of the physician's request and (2) evaluation of the quality of care perceived by the patients. The examination request has been defined appropriate if it contained a diagnostic hypothesis, which could finalize the execution of the examination, the indic... |
0 | Adipose Stem Cell Function Maintained with Age: An Intra-Subject Study of Long-Term Cryopreserved Cells | Panniculectomy & Abdominoplasty CPG | Background: The progressive decline in tissue mechanical strength that occurs with aging is hypothesized to be due to a loss of resident stem cell number and function. As such, there is concern regarding use of autologous adult stem cell therapy in older patients. To abrogate this, many patients elect to cryopreserve t... |
1 | Physical and social factors determining quality of life for veterans with lower-limb amputation(s): a systematic review | DoD LSA (Limb Salvage vs Amputation) | PURPOSE: Most veterans live for many years after their war-related traumatic lower-limb amputation, which is why understanding which factors influence health-related quality of life (HRQoL) remains important to their long-term management. The objective of this study was to perform a review of the literature to summariz... |
0 | Poor WOMAC scores in contralateral knee negatively impact TKA outcomes: data from the osteoarthritis initiative | Surgical Management of Osteoarthritis of the Knee CPG | While total knee arthroplasty (TKA) has been shown to have excellent outcomes, a significant proportion of patients experience relatively poor post-operative function. In this study, we test the hypothesis that the level of osteoarthritic symptoms in the contralateral knee at the time of TKA is associated with poorer p... |
0 | Risk factors for heterotopic ossification and spur formation after total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Introduction: The present study investigated the incidence and risk factors of heterotopic ossification (HO) after implantation of knee prosthesis. Materials and methods: We undertook a retrospective cohort study in 434 cases (363 patients) treated with a total knee replant using a Press-Fit-Condylar (P.F.C.®Sigma®) ... |
0 | Lamotrigine extended-release as adjunctive therapy with optional conversion to monotherapy in older adults with epilepsy | Hip Fx in the Elderly 2019 | Purpose: To determine the tolerability and efficacy of lamotrigine extended-release (LTG XR) as adjunctive therapy with optional conversion to monotherapy in patients ages â?¥65 years with epilepsy. Methods: This open-label study included the standard LTG XR dose escalation, an 8-week Adjunctive Maintenance Phase (AMP)... |
1 | Efficacy of low-dose intra-articular tranexamic acid in total knee replacement; A prospective triple-blinded randomized controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Background: Recently, a number of studies using intra-articular application of tranexamic acid (IA-TXA), with different dosage and techniques, successfully reduced postoperative blood loss in total knee replacement (TKR). However, best of our knowledge, the very low dose of IA-TXA with drain clamping technique in conve... |
1 | Predictors of extended length of stay after elective shoulder arthroplasty | Glenohumeral Joint OA | Background: With policymakers and hospitals increasingly looking to cut costs, length of stay after surgery has come into focus as an area for improvement. Despite the increasing popularity of total shoulder arthroplasty, there is limited research about the factors contributing to prolonged hospital stay. We sought to ... |
0 | Mechanical stimulation of fibroblasts in micro-channeled bacterial cellulose scaffolds enhances production of oriented collagen fibers | AMP (Acute Meniscal Pathology) | Cellulose perforated by micro-channels (O ~500 mum) has been investigated as a potential future scaffold material for meniscus implants. Scaffolds seeded with 3T6 fibroblasts were cultivated with mechanical stimulation in a compression bioreactor for enhanced collagen production. Constructs under dynamic compression at... |
0 | Ipsilateral varus knee alignment correlates with increased femoral stem anteversion in primary total hip arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Purpose: The purpose of this study was to evaluate whether the ipsilateral knee alignment secondary to knee osteoarthritis affect positioning of the femoral component anteversion during total hip arthroplasty. Methods: Preoperative and postoperative computed tomography-based 3-D femoral models were reconstructed for 20... |
1 | Why a surgically treated humeral shaft fracture became a nonunion: review of 11 years in two trauma centers | DoD SSI (Surgical Site Infections) | AIM: The aim of this study was to evaluate nonunion causes of surgically treated humeral shaft fractures in two different trauma centers.
METHODS: A total of 327 cases of humeral shaft fractures were treated in 11 years in two trauma centers. We retrospectively reviewed in detail some factors in order to understand the... |
1 | Anesthetic Management of Patients with COVID 19 Infections during Emergency Procedures | Coronavirus Disease 2019 (COVID-19) | OBJECTIVES: The aim of the present study was to prevent cross-infection in the operating room during emergency procedures for patients with confirmed or suspected 2019 novel coronavirus (2019-nCoV) by following anesthesia management protocols, and to document clinical- and anesthesia-related characteristics of these pa... |
0 | First-line analysis of the effects of treatment on progression of structural changes in knee osteoarthritis over 24 months: Data from the osteoarthritis initiative progression cohort | AMP (Acute Meniscal Pathology) | Objective: To determine, using data from participants enrolled in the progression cohort of the OAI, the effects of conventional osteoarthritis (OA) pharmacological treatment and those of the combination of glucosamine and chondroitin sulfate (Glu/CS) on knee structural changes. Methods: Six hundred patients with knee ... |
0 | The Effect of Ptosis Surgery on Brow Position and the Utility of Preoperative Phenylephrine Testing | Upper Eyelid and Brow Surgery | INTRODUCTION: Many reports have suggested that upper eyelid position and brow height can be interdependent; however, the relation is not universally observed. This study aims to understand the prevalence of this phenomenon and examine the utility of phenylephrine testing in predicting brow height change after surgery. ... |
0 | Early fatigue failures of cemented, forged, cobalt-chromium femoral stems at the neck-shoulder junction | Management of Hip Fractures in the Elderly | Femoral component fracture is a rare but well-documented complication after total hip arthroplasty. Historically, most stem fractures have occurred at the middle third of the implant, where proximal stem loosening and solid distal stem fixation result in cantilever bending and eventual fatigue failure. In contrast, we ... |
0 | Five-year results of a randomised controlled trial comparing mobile and fixed bearings in total knee replacement | OAK 3 - Non-arthroplasty tx of OAK | There is conflicting evidence about the merits of mobile bearings in total knee replacement, partly because most randomised controlled trials (RCTs) have not been adequately powered. We report the results of a multicentre RCT of mobile versus fixed bearings. This was part of the knee arthroplasty trial (KAT), where 539... |
0 | The neutrophil-to-lymphocyte ratio (NLR) after surgery for hip fracture (HF) | Hip Fx in the Elderly 2019 | BACKGROUND: The NLR is a prognostic factor for outcome and survival in cardiology, oncology and digestive surgery. NLR has not yet been studied in HF.
METHODS: Retrospective analysis of a prospective cohort of 247 consecutive patients, older than 65 years, operated for HF. Mortality at 12 months was registered, as the ... |
0 | Determination of an applicable FRAX model in Korean women | Management of Hip Fractures in the Elderly | We investigated which of the three FRAX fracture risk assessment tool models is most applicable to Korean women. For 306 postmenopausal women (mean age, 77 yr) with a hip fracture, fracture probabilities were calculated using FRAX models from Japan, Turkey and China. Data on bone mineral density (BMD) at the femoral ne... |
0 | Reverse total shoulder arthroplasty using helical blade to optimize glenoid fixation and bone preservation: preliminary results in thirty five patients with minimum two year follow-up | Hip Fx in the Elderly 2019 | PURPOSE: Glenoid loosening is a common cause of reverse total shoulder arthroplasty (RTSA) failure, and grafting of the glenoid is often required for revision due to bone loss due to the central peg in most glenoid baseplates. Helical blades have been used in the hip to optimize bone fixation in proximal femoral fractu... |
0 | Prevalence of musculoskeletal disorders in patients visiting government unani hospital and ayush centres in Kashmir, India: A preliminary study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Musculoskeletal disorders (MSDs) are soft tissue injuries that occur gradually over time and affect the muscles, tendons, ligaments, joints and nerves. These conditions develop when one or more of these tissues are used for a long period of time without adequate rest. The common MSDs encompasses low backache (LBA) and ... |
1 | The Clinical Usefulness of (99m)Tc HMPAO Leukocyte/(99m)Tc Phytate Bone Marrow Scintigraphy for Diagnosis of Prosthetic Knee Infection: A Preliminary Study | PJI DX Updated Search | PURPOSE: The preferred radionuclide imaging procedure for diagnosing prosthetic joint infection is combined radiolabeled leukocyte/(99m)Tc sulfur colloid bone marrow scintigraphy, which has an accuracy of over 90 %. Unfortunately, sulfur colloid is no longer available in South Korea. In this study, we evaluated the use... |
0 | Skin and soft tissue infection caused by Achromobacter xylosoxidans: Report of 14 cases | PJI DX Updated Search | Background: Skin and soft tissue infections (SSTIs) caused by Achromobacter xylosoxidans are very infrequent. The aim of the present study was to investigate the clinical and microbiological characteristics of this infection. Methods: We carried out a retrospective review of 14 cases of |
0 | "I was really pleasantly surprised": first-hand experience with telephone-delivered exercise therapy shifts physiotherapists' perceptions of such a service for knee osteoarthritis. A qualitative study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To explore physiotherapists' perceptions before and after delivering exercise therapy via telephone for knee osteoarthritis.
METHODS: A descriptive qualitative study (based on interpretivist methodology) embedded within a randomised controlled trial. All eight physiotherapists involved in the trial particip... |
0 | Insall-Salvati ratio stabilizes one year after mobile-bearing total knee arthroplasty and does not correlate with mid-to-long-term clinical outcomes | AMP (Acute Meniscal Pathology) | PURPOSE: It has not been established whether changes in the length of the patellar tendon (LPT) after total knee arthroplasty (TKA) affect clinical outcomes. Therefore, this prospective cohort study aimed to evaluate changes in the LPT over time postoperatively and clarify their impact on clinical outcomes after bilate... |
0 | The role of anti-vascular endothelial growth factor (anti-VEGF) in the management of proliferative diabetic retinopathy | Upper Eyelid and Brow Surgery | Diabetes is a major cause of visual impairment among working-age adults in the United States. The proliferative form of diabetic retinopathy is associated with severe vision loss (acuity <5/200). The standard treatment in proliferative diabetic retinopathy (PDR) is panretinal photocoagulation (PRP), which is effective ... |
0 | How to Manage Cartilage Injuries? | Osteochondritis Dissecans 2020 Review | Although small cartilage injuries are commonly found in knee arthroscopy procedures, significant chondral and osteochondral injuries are relatively infrequent. Incidence of cartilage injury rises when considering traumatic origin, especially when approaching significant ligamentous or meniscal pathology. Options for re... |
0 | Is the posterior cruciate ligament destabilized after the tibial cut in a cruciate retaining total knee replacement? An anatomical study | PJI DX Updated Search | INTRODUCTION/PURPOSE: Cruciate retaining total knee replacement has been shown to effectively improve pain and quality of life. Successful outcomes depend on many factors, including the maintenance of a competent posterior cruciate ligament. This study sought to anatomically analyze the percentage of PCL injured during... |
0 | Effects of high heel wear and increased weight on the knee during walking | OAK 3 - Non-arthroplasty tx of OAK | Knee osteoarthritis (OA), a leading cause of disability, is more prevalent in women than men. Wearing high heeled shoes has been implicated as a potential contributing factor for the higher lifetime risk of osteoarthritis in women. This study tests the hypotheses that changes to knee kinematics and kinetics observed du... |
0 | Adult-onset exposure keratitis after childhood ptosis repair with frontalis sling procedure | Upper Eyelid and Brow Surgery | Objective: To report the development of adult-onset exposure keratitis in patients having undergone childhood ptosis repair with frontalis sling surgery (FSS). Study Design: Retrospective, noncomparative case series. Participants: Seven patients having received childhood FSS who were referred to us as adults with a com... |
0 | Management of multiple myeloma | MSTS 2018 - Femur Mets and MM | There has been no improvement in the treatment of multiple myeloma (MM) during the last decades and two meta-analyses of randomized trials recorded no significant survival benefit for combination chemotherapy compared to the classic melphalan-prednisone combination. However the past 15 years has seen several innovative... |
0 | Giant median nerve in bilateral carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We introduce a middle age healthy man with sequential bilateral carpal tunnel syndrome. At the surgery, we encountered a wide median nerve in both wrists. Although enlargement of median nerve in carpal tunnel has been well documented, 25 mm width of the nerve is a rare scene, underscoring that leaving the nerve under t... |
0 | The Use of Fibular Allograft in Complex Periarticular Fractures Around the Knee | Pediatric Supracondylar Humerus Fracture 2020 Review | Although the use of fibular strut allografts in proximal humerus fractures has gained popularity, their use in other types of fractures is less well described. Fibular allografts have recently been used in the repair of complex periarticular fractures of the proximal tibia and distal femur. Fibular allografts can be in... |
0 | Comparison of neuromuscular and quadriceps strengthening exercise in the treatment of varus malaligned knees with medial knee osteoarthritis: a randomised controlled trial protocol | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteoarthritis of the knee involving predominantly the medial tibiofemoral compartment is common in older people, giving rise to pain and loss of function. Many people experience progressive worsening of the disease over time, particularly those with varus malalignment and increased medial knee joint load. ... |
0 | Characterization of the anatomy of the anterolateral ligament of the knee using magnetic resonance imaging | AMP (Acute Meniscal Pathology) | OBJECTIVE: The anterolateral ligament (ALL) may limit tibial internal rotation and pivot-shift following anterior cruciate ligament reconstruction. Previous studies, using magnetic resonance imaging (MRI) to identify this structure, have been inconsistent. We aimed to further characterize the anatomy of this ligament w... |
0 | The influence of reduction mammaplasty techniques in synchronous breast cancer diagnosis and metachronous breast cancer prevention | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Although reduction mammaplasty (RM) is a well-described technique for cosmetic objectives, there are few reports regarding its bilateral application combined with oncologic breast surgery in patients with breast cancer. The purpose of this study is to analyze the role of RM in the contralateral breast (CB) ... |
0 | Hard-on-Hard Bearings Are Associated With Increased Noise Generation in Young Patients Undergoing Hip Arthroplasty | Hip Fx in the Elderly 2019 | BACKGROUND: Patient-perceived noise from prostheses after total hip arthroplasty (THA) does occur, yet questions remain including the overall frequency of this finding, demographic and prosthesis-related factors, and the association of noise generation with patient-reported outcomes.
QUESTIONS/PURPOSES: The purposes of... |
0 | Does total knee arthroplasty modify flexion axis of the knee? | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To prospectively investigate whether preoperative functional flexion axis in patients with osteoarthritis- and varus-alignment changes after total knee arthroplasty and whether a correlation exists both between preoperative functional flexion axis and native limb deformity. METHODS: A navigated total knee arth... |
0 | Hospital Resource Utilization Associated With Endoprosthetic Reconstruction Versus Primary Arthroplasty | MSTS 2022 - Metastatic Disease of the Humerus | Endoprosthetic reconstructions of the hip and knee are currently reimbursed as primary hip and knee arthroplasty according to Current Procedural Terminology (CPT) coding guidelines. The purpose of this study was to compare hospital resources consumed by patients undergoing endoprosthetic reconstruction with those consu... |
0 | Treatment of complications of shoulder arthrodesis | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A reconstructive osteotomy was performed to correct symptomatic malposition after arthrodesis of the shoulder in nine of fourteen patients who had complications related to the arthrodesis. The clinical position of the arm in relation to the trunk was determined with the method described by Rowe. Malposition was primari... |
0 | Accuracy of distal radius positioning using an anatomical plate | Distal Radius Fractures | Over the past decade, several anatomical plates have been introduced to improve the result of open reduction and internal fixation of the distal radius. Using 3-dimensional imaging techniques, the authors studied the accuracy and reproducibility of distal radius positioning using anatomical plates.Distal radius fractur... |
0 | Biofilm formation on titanium implants counteracted by grafting gallium and silver ions | Dental Implant Infection | Biofilm-associated infections remain the leading cause of implant failure. Thanks to its established biocompatibility and biomechanical properties, titanium has become one of the most widely used materials for bone implants. Engineered surface modifications of titanium able to thwart biofilm formation while endowing a ... |
0 | Tissue temperatures during ultrasound-assisted lipoplasty | Panniculectomy & Abdominoplasty CPG | Removing excess subcutaneous fat with the assistance of ultrasonic energy has recently become a technique of interest in the United States after nearly a decade of use in Europe. There are a number of reported advantages of ultrasound-assisted lipoplasty over traditional liposuction, and there are also some theoretical... |
0 | Accuracy of the skyline view for detecting dorsal cortical penetration during volar distal radius fixation | Distal Radius Fractures | Fractures of the distal radius are commonly treated using volar locking plates. Several complications have been associated with this procedure, including extensor tendon irritation and rupture. It has been suggested that prominence of screws past the dorsal cortex may contribute to this complication. This study aimed t... |
0 | Risk factors for injurious falls: A prospective study | Management of Hip Fractures in the Elderly | We conducted a prospective study of the consequences of falls in 325 elderly community-dwelling persons, all of whom had fallen in the previous year. We contacted subjects every week for one year to ascertain falls and to determine the circumstances and consequences of falls. Only 6% of 539 falls resulted in a major in... |
0 | Presence of gout is associated with increased osteoarthritis prevalence and severity | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: There is a pressing need to identify biomarkers of osteoarthritis (OA) presence/progression, and remediable risk factors that may promote OA therapeutic approaches. Uric acid (UA) in both soluble and crystalline forms is biologically active, and gout often occurs in a similar age group as OA. We tes... |
0 | Ventricular assist system applications in end-stage heart failure | Reconstruction After Skin Cancer | BACKGROUND: Mechanical circulatory support has an important role in the surgical therapy for heart failure. Patients deteriorating on transplantation waiting lists or those unsuitable for transplantation have been treated with ventricular assist devices. In this report, we have presented application of ventricular assi... |
0 | Minimally invasive unicompartmental knee arthroplasty for spontaneous osteonecrosis of the knee | PJI DX Updated Search | OBJECTIVE: To explore the outcome and surgical technique of minimally invasive unicompartmental knee arthroplasty (UKA) for spontaneous osteonecrosis of the knee. METHODS: Twenty-seven patients with medial compartmental spontaneous osteonecrosis treated by minimally invasive Oxford phase 3 UKA from January 2009 to June... |
0 | Proximal tibial resections and reconstructions: clinical outcome of 225 patients | PJI DX Updated Search | BACKGROUND: Previous studies reported variable outcome of proximal tibial resections and reconstructions. Therefore, we evaluated the survival, Musculoskeletal Tumor Society (MSTS) function, and complications of patients and reconstructions in this location. MATERIALS AND METHODS: We reviewed the files of 225 patients ... |
0 | Haemophilus influenza infection complicating a total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Haemophilus influenza is rarely a cause of septic arthritis in adults. It has not been reported as a cause of infection in total knee arthroplasties. Haemophilus influenza septic arthritis is a late stage, hematogenous infection. A 43-year-old woman with a history of rheumatoid arthritis was found to have Haemophilus i... |
0 | Not all cemented hips are the same: a register-based (NJR) comparison of taper-slip and composite beam femoral stems | Dental Implant Infection | Background and purpose - No difference in outcome has been demonstrated comparing cemented taper-slip and composite beam designs in short-term randomised trials; we assessed outcome differences using a registry analysis. Patients and methods - All cemented stems with > 100 implantations were identified in the National ... |
0 | Final results of a phase I-II trial using ex vivo expanded autologous Mesenchymal Stromal Cells for the treatment of osteoarthritis of the knee confirming safety and suggesting cartilage regeneration | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Cellular therapies have shown encouraging results in the treatment of chronic osteoarthritis (OA). Herein, we present the final results of a phase I-II clinical trial assessing the feasibility, safety and efficacy of ex vivo expanded autologous bone marrow Mesenchymal Stromal Cells (MSC, XCEL-M-ALPHA), infu... |
0 | Intra-articular xenogeneic mesenchymal stem cell-based therapy increases CD4<sup>+</sup>CD25<sup>+</sup> cells in synovial fluid | AMP (Acute Meniscal Pathology) | Osteoarthritis (OA) is a chronic joint disease afflicting a substantial portion of the world's population with no currently available cure. Mesenchymal stem cell (MSC)-based therapies have been observed to have a mild beneficial effect in OA but the mechanism behind their action remains unclear. This study aimed to ide... |
0 | Ileum resection is the most predictive factor for osteoporosis in patients with Crohn's disease | Management of Hip Fractures in the Elderly | INTRODUCTION: Crohn's disease is associated with a host of factors potentially increasing the risk for osteoporosis and fractures. The aim of our study was to identify the most predictive factors for skeletal pathology in this patients. METHODS: Using a cross-sectional study design, 146 randomly selected patients with ... |
0 | Morphometrical comparison between the resected surfaces in osteoarthritic knees and porous-coated anatomic knee prosthesis | Surgical Management of Osteoarthritis of the Knee CPG | In total knee replacement, a good match of the prosthesis to bone is very important. Most knees that require total knee replacement are deformed. However, most of the design parameters of knee prosthesis were based on the normal knee. In this series, the dimensions of the resected surfaces in 77 osteoarthritic knees we... |
0 | Can surgical management of bone metastases improve quality of life among women with gynecologic cancer? | MSTS 2018 - Femur Mets and MM | Background: The evaluation, counseling, and management of gynecologic patients with bone metastasis remain a challenge for clinicians. In order to critically evaluate the role of surgery, we retrospectively analyzed the records of 18 patients surgically treated for metastatic gynecologic tumors of bone, focusing on qua... |
0 | Periarticular analgesia for postoperative pain following total knee replacement | AAHKS (9/10) Regional Nerve Blocks | This is the protocol for a review and there is no abstract. The objectives are as follows: To determine the efficacy and safety of unimodal and multimodal periarticular analgesia in controlling postoperative pain following knee replacement surgery. |
0 | A Scoring System to Demonstrate the Risk for Bone Injury in Patients with Clinically Suspected or Occult Scaphoid Fracture | Distal Radius Fractures | Background: It is important to diagnose a scaphoid fracture accurately and start the correct treatment in the shortest time possible. However, the fracture of bone may not be visible on x-ray. In such cases, patients are clinically diagnosed with suspected or occult scaphoid fractures. The aim of this study was to defi... |
0 | Changing incidence of primary total hip arthroplasty and total knee arthroplasty for primary osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | This study reports on the incidence of primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) for primary osteoarthritis in Australia. Age-specific and gender-specific numbers for Australia, 1994 through 1998, and South Australia, 1988 through 1998, were obtained. Incidences were calculated per 100,000 ... |
0 | Glucosamine-containing supplement improves locomotor functions in subjects with knee pain - a pilot study of gait analysis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Previously, we demonstrated that glucosamine-containing supplementation was effective for improving locomotor functions, especially walking speed. However, the biomechanical mechanism of efficacy has not been elucidated. This study aimed to address this challenge in subjects with knee pain, using a motion c... |
0 | Oral mutans streptococci levels following use of a xylitol mouth rinse: a double-blind, randomized, controlled clinical trial | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Xylitol-sweetened chewing gum has cariostatic properties, but is not suitable for all patients. This study evaluated the effect of xylitol rinse on mutans streptococci (MS) levels in the mouth. One hundred and five subjects with high salivary MS levels were randomly assigned to one of three groups. Subjects in the posi... |
0 | Acetabular medial wall displacement osteotomy in total hip arthroplasty for treatment of adulf hip dysplasia: An 8-case analysis | Management of Hip Fractures in the Elderly | The present study retrospectively analyzed 8 patients with hip dysplasia (8 hips) comprising 2 males and 6 females, aged 46 years old (range, 35-65 years old) who received treatment at the Department of Orthopedics, Second Affiliated Hospital of Nanchang University between September 2004 and November 2006. Preoperative... |
0 | An anatomical way of treating ankle syndesmotic injuries | DoD SSI (Surgical Site Infections) | Treatment of tibiofibular syndesmotic ankle injury remains controversial in regard to the best method, although surgeons agree that the goal of treatment is reduction and operative stabilization. Ideally, the implant should stabilize the syndesmosis and allow physiologic micromotion and early mobilization, and conventi... |
0 | Manage pain before, during and after total knee arthroplasty using a multimodal approach to analgesia | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty is often associated with acute pain after surgery, which frequently develops into chronic pain. Careful management of pain during and after surgery, including implementation of a multimodal analgesic strategy, may lead to less pain after surgery, faster functional recovery and a lower likelihood... |
0 | Light insensitive silver(I) cyanoximates as antimicrobial agents for indwelling medical devices | Dental Implant Infection | Ten silver(I) cyanoximates of AgL composition (L = NC-C(NO)-R, where R is electron withdrawing groups: -CN, -C(O)NR(2), -C(O)R' (alkyl), -C(O)OEt, 2-heteroaryl fragments such as 2-pyridyl, 2-benzimidazolyl, 2-benzoxazolyl, 2-benzthiazolyl) were synthesized and characterized using spectroscopic methods and X-ray analysi... |
0 | A novel MPZ mutation in Charcot-Marie-Tooth disease type 1B with focally folded myelin and multiple entrapment neuropathies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Charcot-Marie-Tooth type 1B (CMT1B) is a demyelinating neuropathy caused by mutations in the myelin protein zero (MPZ) gene. Here, we describe a patient with CMT1B with focally folded myelin, a rarely reported phenotype of CMT1B, who initially presented with multiple entrapment neuropathies. She complained of palmar dy... |
0 | Coping behaviour following traumatic brain injury: what makes a planner plan and an avoider avoid? | DoD PRF (Psychosocial RF) | PRIMARY OBJECTIVE: Avoidant coping has consistently been related to negative outcomes following traumatic brain injury (TBI), although the mechanisms of this relationship are not clear. A recent study demonstrated that people with moderate-to-severe TBI engaged in more avoidant than planful coping behaviour during a ps... |
0 | Dermoadipose and adenadipose flaps in mammoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | After the follow-up of breasts operated on using several breast reduction techniques that resect the glands removing its central section, we noted in the last postoperative period that with the passage of time, these breasts developed a depression on the upper pole causing a somewhat ungraceful profile and the visual i... |
0 | Diabetic foot ulcers: Practical treatment recommendations | DoD SSI (Surgical Site Infections) | When treating diabetic foot ulcers it is important to be aware of the natural history of the diabetic foot, which can be divided into five stages: stage 1, a normal foot; stage 2, a high risk foot; stage 3, an ulcerated foot; stage 4, an infected foot; and stage 5, a necrotic foot. This covers the entire spectrum of fo... |
0 | Incidence of infection with the use of non-irradiated morcellised allograft bone washed at the time of revision arthroplasty of the hip | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Implantation of allograft bone is an integral part of revision surgery of the hip. One major concern with its use is the risk of transmission of infective agents. There are a number of methods of processing allograft bone in order to reduce this risk. One method requires washing the tissue using pulsed irrigation immed... |
0 | Ceftriaxone in treatment of serious infections. Meningitis | Patrick’s pharmacoepidemiology project | In many pediatric infectious disease programs, ceftriaxone or cefotaxime is now the preferred drug for bacterial meningitis caused by H. influenzae, meningococci, and pneumococci. Ceftriaxone reaches a high bactericidal titer in the cerebrospinal fluid and persists at the site of infection longer than any other beta-la... |
0 | Functional knee joint assymetry in subjects with unilateral knee osteoarthritis: An analysis of 11 different motor tasks | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Left-right symmetry in joint function is a frequently studied aspect of human motion. With a specific reference to knee osteoarthritis (OA) however, very few studies include the contralateral unaffected limb in their analysis and therefore there is a paucity of data relating to the symmetry in this subjec... |
0 | Maternofetal infections due to Eikenella corrodens | Patrick’s pharmacoepidemiology project | Eikenella corrodens, a commensal of the human oral cavity, is generally associated with bite wounds and head and neck infections. Neonatal infections are rare. We report two cases of premature birth associated with maternofetal E. corrodens infection. Ã?© 2009 SGM |
1 | Imaging of knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | The use of MRI in studies of osteoarthritis (OA) is becoming increasingly common. Its benefit over radiography relate to its enhanced ability to identify structural changes prior to the presence of radiographic disease. Although cartilage loss is the hallmark of OA, it is clear that OA is a disease of the whole joint. ... |
0 | Dextrose Prolotherapy: A Narrative Review of Basic Science, Clinical Research, and Best Treatment Recommendations | OAK 3 - Non-arthroplasty tx of OAK | Prolotherapy involves the injection of nonbiologic solutions, typically at soft tissue attachments and within joint spaces, to reduce pain and improve function in painful musculoskeletal conditions. A variety of solutions have been used; dextrose prolotherapy is the most rigorously studied and is the focus of this revi... |
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