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0 | Modified pedicle screw-rod fixation versus anterior pelvic external fixation for the management of anterior pelvic ring fractures: a comparative study | DoD SSI (Surgical Site Infections) | BACKGROUND: Anterior pelvic ring fracture, as high-energy trauma, needs to be effectively treated. The purpose of the current study was to evaluate the clinical applications of modified pedicle screw-rod fixation and anterior pelvic external fixation for the treatment of anterior pelvic ring fracture.
METHODS: Either m... |
0 | Is hip fracture surgery safe for patients on antiplatelet drugs and is it necessary to delay surgery? A systematic review and meta-analysis | Hip Fx in the Elderly 2019 | BACKGROUND: Hip fractures are common and account for a large proportion of orthopedic surgical admissions in elderly patients. However, determining the timing for surgery has been controversial for patients who develop hip fractures while on antiplatelet treatment.
METHODS: Computerized databases for studies published ... |
0 | The effect of a short course of calcium and vitamin D on bone turnover in older women | Management of Hip Fractures in the Elderly | Calcium and vitamin D (1200 mg/day + 800 IU) has been shown to reduce hip fracture incidence in older women living in long-term care facilities who had borderline low vitamin D levels. We examined the effect of a short course of calcium and vitamin D on biochemical markers of bone turnover in older community-living wom... |
1 | Mineral rich algae with pine bark improved pain, physical function and analgesic use in mild-knee joint osteoarthritis, compared to Glucosamine: A randomized controlled pilot trial | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Osteoarthritis (OA) is characterised by synovial joint pain, functional disability and affects â?¼13 % of people worldwide, of which â?¼16â??27 % report Knee-OA (KOA). Glucosamine (Glu) is the most widely used nutraceutical treatment for OA despite a lack of scientific consensus, therefore alternative nut... |
1 | Implant Based Breast Reconstruction With Acellular Dermal Matrix: Safety Data From an Open-label, Multicenter, Randomized, Controlled Trial in the Setting of Breast Cancer Treatment | Acellular Dermal Matrix | OBJECTIVE: To evaluate clinical outcomes of using acellular dermal matrix (ADM) with implant based breast reconstructions (IBBRs) in a randomized controlled trial. SUMMARY BACKGROUND DATA: The use of ADMs in IBBRs is widespread, but link between ADM and complications remain a controversial topic. In view of reports con... |
0 | Disrupting the Indian hedgehog signaling pathway in vivo attenuates surgically induced osteoarthritis progression in Col2a1-CreERT2; Ihhfl/fl mice | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Previous observations implicate Indian hedgehog (Ihh) signaling in osteoarthritis (OA) development because it regulates chondrocyte hypertrophy and matrix metallopeptidase 13 (MMP-13) expression. However, there is no direct genetic evidence for the role of Ihh in OA, because mice with cartilage or other t... |
0 | Expert opinions on endocrine toxicity induced by new anticancer therapies: Precautions to be taken in performing and interpreting hormonal assays under immunotherapy | MSTS 2018 - Femur Mets and MM | As well as tyrosine kinase and mTOR inhibitors, new anticancer therapies make use of antibodies targeting tyrosine kinase receptors or blocking anti-tumor immune response checkpoints. These are always monoclonal; in their international non-proprietary names, the origin is prefixed to â??-mabâ?: e.g., mouse antibodies ... |
0 | Synvisc to Treat Osteoarthritis of the Temporomandibular Joint | OAK 3 - Non-arthroplasty tx of OAK | This study will examine the effectiveness of injected hylan (Synvisc) for treating pain associated with osteoarthritis of the temporomandibular joint (jaw joint) and improving function of the joint. Hylan is a synthetic product very similar to a component of normal healthy joint fluid (synovial fluid), which is present... |
0 | Local anaesthetic infiltration for peri-operative pain control in total hip and knee replacement: systematic review and meta-analyses of short- and long-term effectiveness | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Surgical pain is managed with multi-modal anaesthesia in total hip replacement (THR) and total knee replacement (TKR). It is unclear whether including local anaesthetic infiltration before wound closure provides additional pain control. METHODS: We performed a systematic review of randomised controlled tria... |
0 | Patient-controlled sedation in orthopedic surgery under regional anesthesia: a new approach in procedural sedation | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVES: Regional anesthesia is a commonly used technique in orthopedic procedures. Sedation should reduce the patient's anxiety and fear while increasing regional anesthesia quality. This study evaluated the hemodynamic changes, level of sedation, both patients' and surgeons' levels of satisfaction a... |
0 | Evaluation of lung cancer metastases to the spine | MSTS 2018 - Femur Mets and MM | Most metastatic spinal lesions (70%) are found at the thoracic level, 20% in the lumbar region, and 10% in the cervical region. A variety of benign and malignant tumours may arise in the lung, but the vast majority is bronchogenic carcinomas (90 to 95%). The aim of this study was to evaluate the lung cancer metastases ... |
0 | Transepidermal water loss at palm and wrist in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objectives: Transepidermal water loss (TEWL) from palms and wrists in patients with carpal tunnel syndrome (CTS) was not reported before. Abnormal nerve function may change the skin properties in those patients and as a result the TEWL may change. Materials & Methods: TEWL was measured using a device called VapoMeter (... |
0 | Influence on chondrogenesis of human osteoarthritic chondrocytes in co-culture with donor-matched mesenchymal stem cells from infrapatellar fat pad and subcutaneous adipose tissue | OAK 3 - Non-arthroplasty tx of OAK | Co-culture of mesenchymal stem cells (MSCs) and articular chondrocytes (ACs) has been proposed for autologous cartilage cell-based therapies, to overcome the issues associated to limited availability of articular chondrocytes (ACs). To evaluate the potentiality of a co-culture approach in aged osteoarthritic patients, ... |
0 | Direct Beam Radiation Exposure to Surgeons During Pinning of Supracondylar Humerus Fractures: Does C-Arm Position and the Attending Surgeon Matter? | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND:: Direct beam radiation exposure to the surgeon, especially to their hands, is extremely common during supracondylar humerus fracture pinnings and results in exposure to significantly greater doses of ionizing radiation when compared with scatter radiation. The purpose of this study was to determine how ofte... |
0 | Purely intra-articular versus general anesthesia for proposed arthroscopic partial meniscectomy of the knee: a randomized controlled trial | AMP (Acute Meniscal Pathology) | PURPOSE: The aim of this study was to compare intra-articular anesthesia alone versus general anesthesia with regard to ease of the procedure, level of postoperative pain, and patient satisfaction when partial meniscectomy is anticipated.
METHODS: We prospectively randomized to general anesthesia or to intra-articular ... |
0 | Adductor canal block with continuous infusion versus intermittent boluses and morphine consumption: A randomized, blinded, controlled clinical trial | AAHKS (2) Corticosteroids | BACKGROUND: Based on the assumption that relatively large volumes of local anesthetic optimize an adductor canal block (ACB), we theorized that an ACB administered as repeated boluses would improve analgesia without compromising mobility, compared with a continuous infusion. METHODS: We performed a randomized, blinded,... |
0 | Secondary traumatic stress among domestic violence advocates: workplace risk and protective factors | DoD PRF (Psychosocial RF) | This study identified workplace factors associated with secondary traumatic stress (STS) in a sample of 148 domestic violence advocates working in diverse settings. Findings indicate that coworker support and quality clinical supervision are critical to emotional well-being and that an environment in which there is sha... |
0 | Emergence of teicoplanin-resistant coagulase-negative staphylococci | Patrick’s pharmacoepidemiology project | Over a period of 5 years we have recovered 32 clinical isolates of coagulase-negative staphylococci (CoNS) exhibiting either decreased levels of susceptibility or true resistance to teicoplanin (MICs, 16 to 128 Ã?¼g/ml); these isolates make up 0.55% of the total CoNS isolated by us. Twenty-nine of the strains were als... |
0 | Treatment of highly comminuted distal radius fractures with temporary distraction plate: Case reviews | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Support of highly comminuted distal radius fractures in elderly patients with poor bone quality or in young polytrauma patients need a surgical technique in order to rebuild an anatomical alignment. The aim of the study was to show post-operative results in 10 patients with temporary bridge plate and comp... |
0 | CT-Guided Percutaneous Femoroplasty (PFP) for the Treatment of Proximal Femoral Metastases | Hip Fx in the Elderly 2019 | BACKGROUND: The spine, pelvis, skull, and femur are the most common sites of bone metastases, and pain is the main symptom of metastatic tumors. Percutaneous femoroplasty (PFP) is becoming increasingly popular for treating proximal femoral metastases.
OBJECTIVES: To assess the clinical value and feasibility of PFP perf... |
0 | Home care-rehabilitation under the universal health care in Japan | Management of Hip Fractures in the Elderly | Background: The population in Japan is aging more quickly than that of other countries. Twenty-three percent people are over 65 years-old and 2.6 million older adults live in densely populated Tokyo in 2011. Musculoskeletal disorders (e.g. osteoporosis, osteoarthritis and rheumatoid arthritis) often spoil activities of... |
0 | Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series | BMAC (Bone Marrow Aspirate Concentrate) | Regenerative therapeutic strategies for joint diseases usually employ either enriched concentrates of bone marrow-derived stem cells, chondrogenic preparations such as platelet-rich plasma, or irritant solutions such as hyperosmotic dextrose. In this case series, we describe our experience with a simple, cost-effective... |
0 | Effect of spinal degenerative changes on volumetric bone mineral density of the central skeleton as measured by quantitative computed tomography | Management of Hip Fractures in the Elderly | PURPOSE: To evaluate the impact of degenerative changes due to osteoarthritis (OA) at the spine on volumetric bone mineral density (BMD) as measured by volumetric quantitative computed tomography (vQCT). MATERIAL AND METHODS: Eighty-four elderly women (mean age 73 +/- 6 years), comprising 33 with vertebral fractures as... |
1 | Functional comparison between uncemented Austin-Moore hemiarthroplasty and osteosynthesis with three screws in displaced femoral neck fractures--a matched-pair study of 168 patients | Management of Hip Fractures in the Elderly | There is no consensus as to whether osteosynthesis (OS) or hemiarthroplasty (HA) should be used as the primary treatment of displaced femoral-neck fracture. In a prospective matched-pair study, we compared 84 patients treated with OS with three screws and 84 patients treated with uncemented Austin-Moore HA focusing on ... |
0 | Vascular disease as a cause of death in patients with severe disability due to osteoarthritis and rheumatoid arthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: The mechanism of the increased risk of cardiovascular disease in rheumatoid arthritis (RA) remains uncertain. We had the opportunity to compare the causes and ages of death in a population of osteoarthritis (OA) and RA patients who had had similar lower limb disability.
METHODS: Death certificates were soug... |
0 | Intra-articular Recombinant Human Proteoglycan 4 Mitigates Cartilage Damage After Destabilization of the Medial Meniscus in the Yucatan Minipig | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Lubricin, or proteoglycan 4 (PRG4), is a glycoprotein responsible for joint boundary lubrication. PRG4 has been shown previously to be down-regulated after traumatic joint injury such as a meniscal tear. Preliminary evidence suggests that intra-articular injection of PRG4 after injury will reduce cartilage ... |
0 | Patterns of de-novo metastasis and breast cancer-specific mortality by race and molecular subtype in the SEER population-based dataset | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: To examine patterns of de-novo metastases (mets) and association with breast cancer-specific mortality across subtypes and racial groups. Methods: Non-Hispanic (NH) Black and NH-White patients ages 40 years and older with primary breast cancer (BC) between 2010 and 2015 were examined. Multilevel logistic regre... |
0 | A carboxymethyl chitosan and peptide-decorated polyetheretherketone ternary biocomposite with enhanced antibacterial activity and osseointegration as orthopedic/dental implants | Dental Implant Infection | Carbon fiber-reinforced polyetheretherketone (CFRPEEK) possesses biomechanical properties such as elastic modulus similar to human bones and is becoming a dominant alternative to replace the traditional metallic implants. The defective osseointegration and bacterial infection risk of CFRPEEK, however, impede its clinic... |
0 | Long-term clinical outcomes of Iranian veterans with unilateral transfemoral amputation | DoD LSA (Limb Salvage vs Amputation) | AIM: To study long-term outcome of unilateral above-knee amputation. OBJECTIVE: Long-term clinical symptoms and functional status of above-knee amputees are not well documented. The purpose of this study was to document the long-term outcome of war related above-knee amputations. CONTEXT: The study consisted of a compr... |
0 | The Role of Peripheral Nociceptive Neurons in the Pathophysiology of Osteoarthritis Pain | OAK 3 - Non-arthroplasty tx of OAK | Knee osteoarthritis is characterized by progressive damage and remodeling of all tissues in the knee joint. Pain is the main symptom associated with knee osteoarthritis. Recent clinical and pre-clinical studies have provided novel insights into the mechanisms that drive the pain associated with joint destruction. In th... |
0 | BMI and gender increase risk of sacral fractures after multilevel instrumented spinal fusion compared with bone mineral density and pelvic parameters | Hip Fx in the Elderly 2019 | Background Context: Sacral fractures are a rare but potentially devastating complication. Long-fusion constructs, including the sacrum, that do not extend to the pelvis may result in sacral fractures. Besides established risk factors including gender, age, and number of levels fused, body mass index (BMI), pelvic param... |
0 | Clinical associations in patients with hand osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objectives: To investigate the clinical associations of hand osteoarthritis (HOA) and their relationships with radiographic features. Methods: A total of 446 patients with hand osteoarthritis (HOA; 233 with erosive HOA (EHOA) and 213 with non-EHOA) and 307 controls were evaluated. Demographic and clinical data frompati... |
0 | Polyurethane Meniscal Scaffold: Does Preoperative Remnant Meniscal Extrusion Have an Influence on Postoperative Extrusion and Knee Function? | AMP (Acute Meniscal Pathology) | Meniscal extrusion (ME) has been identified as a risk factor in the development of knee osteoarthritis. The relevance of this finding when a meniscal scaffold is used has not been extensively studied. The objective of this study was to determine whether preoperative meniscal remnant extrusion (MRE) was correlated with ... |
1 | Infant hip joint diagnostic support system based on clinical manifestations in X-ray images | Developmental Dysplasia of the Hip CPG | Plain X-ray radiography is frequently used for the diagnosis of developmental dislocation of the hip (DDH). The aim of this study was to construct a diagnostic support system for DDH based on clinical findings obtained from the X-ray images of 154 female infants with confirmed diagnoses made by orthopedists. The data f... |
1 | Functional outcome after road-crash injury: description of the ESPARR victims cohort and 6-month follow-up results | DoD PRF (Psychosocial RF) | OBJECTIVE: It is essential to know about the long-term consequences of road crashes involving corporal injury in order to adopt relevant public health measures. METHODS: The ESPARR cohort comprises 1168 road-crash victims, aged 16 or over, managed in hospitals in the Rhone administrative department (France). It is base... |
1 | Effectiveness of Aquatic Physical Therapy for Knee Osteoarthritis Patients | OAK 3 - Non-arthroplasty tx of OAK | Sixty patients will be recruited from clinics and through printed newspaper. Physicians who routinely evaluate patients with this diagnosis will be informed of the study, and the same will be announced by television call. After passing a medical examination confirming the clinical diagnosis of knee osteoarthritis by Am... |
0 | Microbial contamination and the sterilization/disinfection of surgical guides used in the placement of endosteal implants | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: The purpose of this study was twofold: (1) to estimate the level of microbial contamination found on commercial guides (CG) and in-house laboratory guides (LG) prior to use, and (2) to evaluate the antimicrobial potential of disinfectants commonly used in dentistry to decontaminate heat-sensitive surgical guid... |
1 | Advantages of patellar resurfacing in total knee arthroplasty. Two-year results of a prospective randomized study | Surgical Management of Osteoarthritis of the Knee CPG | Complications of patellar resurfacing in total knee arthroplasty have rekindled the interest of many surgeons in patellar retention. In a prospective study 20 randomly selected patients of 40 underwent patellar resurfacing in combination with their total knee arthroplasty. The other 20 patients were left with an unresu... |
0 | Tendon rehabilitation: Factors affecting outcomes and current concepts | DoD PRF (Psychosocial RF) | Tendon rehabilitation is a complex aspect of rehabilitation and requires the coordinated efforts of surgeons, hand therapists, and patients in order to achieve desired outcomes. Typically, postoperative management of tendon repairs falls into one of three categories: immobilization, early passive protocols, or early ac... |
0 | Gotfried percutaneous compression plating compared with sliding hip screw fixation of intertrochanteric hip fractures: A prospective randomized study | Management of Hip Fractures in the Elderly | Background: The use of a Gotfried percutaneous compression plate provides a minimally invasive technique for the fixation of intertrochanteric proximal femoral fractures. The purpose of this study was to determine if the percutaneous compression plate provided advantages compared with the sliding hip screw for treatmen... |
0 | Altered gene products involved in the malignant reprogramming of cancer stem/progenitor cells and multitargeted therapies | MSTS 2018 - Femur Mets and MM | Recent studies in the field of cancer stem cells have revealed that the alterations in key gene products involved in the epithelial-mesenchymal transition (EMT) program, altered metabolic pathways such as enhanced glycolysis, lipogenesis and/or autophagy and treatment resistance may occur in cancer stem/progenitor cell... |
0 | Extensive undertreatment of osteoporosis in older Swedish women | Hip Fx in the Elderly 2019 | In a population-based study of older Swedish women, we investigated the proportion of women treated with osteoporosis medication in relation to the proportion of women eligible for treatment according to national guidelines. We found that only a minority (22%) of those eligible for treatment were prescribed osteoporosi... |
0 | Intermediate follow-up of high tibial osteotomy: a comparison of two techniques | DOD - Acute Comp Syndrome CPG | All high tibial osteotomies (HTOs) performed in the Royal Bournemouth Hospital from June 1987 to February 1995 were retrospectively analyzed looking at the preoperative and postoperative radiographs, preoperative and postoperative range of motion (ROM), alignment, and knee scores. Patient perception was also recorded. ... |
0 | Long-term outcomes of cemented versus cementless humeral components in arthroplasty of the shoulder: a propensity score-matched analysis | Dental Implant Infection | AIMS: In the initial development of total shoulder arthroplasty (TSA), the humeral component was usually fixed with cement. Cementless components were subsequently introduced. The aim of this study was to compare the long-term outcome of cemented and cementless humeral components in arthroplasty of the shoulder., PATIE... |
0 | Abdominal compartment syndrome: a concise clinical review | DOD - Acute Comp Syndrome CPG | OBJECTIVE: There has been an increased awareness of the presence and clinical importance of abdominal compartment syndrome. It is now appreciated that elevations of abdominal pressure occur in a wide variety of critically ill patients. Full-blown abdominal compartment syndrome is a clinical syndrome characterized by pr... |
0 | Functional bracing of humeral shaft fractures. A review of clinical studies | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Functional bracing has been widely accepted as the gold standard for treating humeral shaft fractures conservatively. We conducted a literature review to verify the efficacy of this treatment method. Sixteen case series and two comparative studies fulfilled the criteria set. Analysis of these clinical studies showed th... |
0 | Relation between lifespan polytrauma typologies and post-trauma mental health | DoD PRF (Psychosocial RF) | BACKGROUND: Most individuals experience more than one trauma. Hence, it is important to consider the count and types of traumas (polytraumatization) in relation to post-trauma mental health.
METHOD: The current study examined the relation of polytraumatization patterns to PTSD clusters (intrusions, avoidance, negative ... |
0 | Some aspects of treatment of metastatic bone tumors | MSTS 2022 - Metastatic Disease of the Humerus | Background. Metastatic bone tumors are the most frequently met malignant musculoskeletal tumors. Asymptomatic and hidden onset of the primary stage of the illness may state very serious diagnostic and treatment problems for the orthopaedic surgeon, oncologist and radiotherapist. |
0 | Updates in Enhanced Recovery Pathways for Total Knee Arthroplasty | AAHKS (2) Corticosteroids | Enhanced recovery after surgery (ERAS) programs for orthopedics involve a multidisciplinary approach to accelerating return to function, reducing pain, improving patient comfort and satisfaction, reducing complications from the surgical procedure, reducing hospital length of stay, and reducing costs. ERAS pathways for ... |
1 | Clinical practice: the hip from birth to adolescence | Developmental Dysplasia of the Hip CPG | Hip problems in children are relatively rare but usually serious, potentially causing lifelong disability. Early diagnosis and treatment is, therefore, mandatory. The aim of this review is to discuss the most frequent diseases of the hip from birth to adolescence. The different affections are relatively closely related... |
0 | Diagnosis of osteoporosis and assessment of fracture risk | HipFx Supplemental Cost Analysis | The diagnosis of osteoporosis centres on the assessment of bone mineral density (BMD). Osteoporosis is defined as a BMD 2.5 SD or more below the average value for premenopausal women (T score < -2.5 SD). Severe osteoporosis denotes osteoporosis in the presence of one or more fragility fractures. The same absolute value... |
0 | Objective Measurement of Medial Joint Space Widening with Percutaneous "Pie Crust" Release of Medial Collateral Ligament during Knee Arthroscopy | AMP (Acute Meniscal Pathology) | Knee arthroscopy may be called the most commonly and increasingly performed orthopaedic procedure. Posterior medial compartment visualization may be quite challenging. The aim of the present study is to detect objective measurement of medial joint space widening with percutaneous "pie crust" release of medial collatera... |
0 | Distal extremities soft tissue sarcomas: Are they so different from other limb localizations? | MSTS 2022 - Metastatic Disease of the Humerus | Background and Objectives: Soft tissue sarcoma localization in distal extremities (DESTS) of the limbs (hand/fingers, and foot/toes) is unusual. The literature is scarce about their behavior and this study was designed to assess their epidemiological characteristics, outcomes, and prognosis compared to other limb local... |
0 | Perioperative management of proximal hip fractures in the elderly: the surgeon and the anesthesiologist | Hip Fx: Early-Weight Bearing Search | The comprehensive management of proximal hip fractures in elderly patients requires dedicated and responsive teamwork. Elderly patients often present with several comorbidities and the immediate treatment of a fracture has to optimize both medical therapy and analgesic control in order to reduce surgical and anesthetic... |
1 | Intensity of bacteraemia associated with conservative dental procedures in children | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: To explore the individual dento-gingival manipulative procedures that together lead to the placement of a restoration and to estimate the associated intensity of bacteraemia. PATIENTS AND METHODS: Healthy children receiving dental treatment under general anaesthesia provided blood samples 30 seconds after o... |
0 | A meta-analysis of the antitumor effect and safety of bisphosphonates in the treatment of multiple myeloma | MSTS 2018 - Femur Mets and MM | BACKGROUND: The objective of this meta-analysis was to determine the effectiveness and safety of bisphosphonates (BPs) for patients with multiple myeloma (MM).
METHODS: The study included patients with MM, who were randomly allocated to receive either BPs or control. PubMed/Medline, Embase, the Cochrane Database of Sys... |
0 | Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94 | AAHKS (4) Acetaminophen | OBJECTIVE: To estimate the US national prevalence of tibiofemoral radiographic knee osteoarthritis (RKOA) with and without symptoms, and its influence on functional tasks.
METHODS: Radiographic and interview data from the National Health and Nutrition Examination Survey (NHANES III), a nationally representative cross-s... |
1 | Outcome of limb reconstruction system in open tibial diaphyseal fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: Management of open tibial diaphyseal fractures with bone loss is a matter of debate. The treatment options range from external fixators, nailing, ring fixators or grafting with or without plastic reconstruction. All the procedures have their own set of complications, like acute docking problems, shortening,... |
0 | Predictive factors of chronic post-surgical pain at 6 months following knee replacement: Influence of postoperative pain trajectory and genetics | AAHKS (4) Acetaminophen | Background: The frequency of chronic postsurgical pain (CPSP) after knee replacement remains high, but might be decreased by improvements to prevention. Objectives: To identify pre- and postsurgical factors predictive of CPSP 6 months after knee replacement. Study Design: Single-center prospective observational study. ... |
0 | Successful management of complex regional pain syndrome type 1 using single injection interscalene brachial plexus block | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Complex regional pain syndrome (CRPS) type 1 of the upper limb is a painful and debilitating condition. Interscalene brachial plexus block (ISB) in conjugation with other modalities was shown to be a feasible therapy with variable success. We reported a case of CRPS type 1 as diagnosed by International Association for ... |
0 | An infiltration technique for reduction mammaplasty: Results in 192 consecutive breasts | Panniculectomy & Abdominoplasty CPG | The use of local anaesthetic infiltration with adrenaline is now considered safe in reduction mammaplasty. However, the technique of infiltration by those who support its use is often unclear. Any technique must take account of the neurovascular anatomy of the breast if it is to be effective. We propose the use of a la... |
1 | Effects of Dexmedetomidine on Postoperative Delirium and Expression of IL-1beta, IL-6, and TNF-alpha in Elderly Patients After Hip Fracture Operation | Hip Fx in the Elderly 2019 | Objective: Postoperative delirium (POD) is a common surgical complication in elderly patients. This study investigated the effects of dexmedetomidine on POD and pro-inflammatory markers in elderly patients with hip fracture.
Methods: This randomized, double-blind, controlled trial enrolled patients >=65 years of age wh... |
0 | Cysts of the medial meniscus. Arthroscopic diagnosis and management | AMP (Acute Meniscal Pathology) | We report the clinical and arthroscopic findings in 20 cases of medial meniscal cyst with a mean follow-up of 20 months. These were studied prospectively from a series of 7435 knee arthroscopies in which there were 1246 stable non-arthritic knees with medial meniscal tears. The diagnosis on referral was incorrect in se... |
1 | Long-term effects of glucosamine sulphate on osteoarthritis progression: a randomised, placebo-controlled clinical trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Treatment of osteoarthritis is usually limited to short-term symptom control. We assessed the effects of the specific drug glucosamine sulphate on the long-term progression of osteoarthritis joint structure changes and symptoms. METHODS: We did a randomised, double-blind placebo controlled trial, in which 2... |
0 | Breast reduction as an alternative treatment option for early breast cancer in women with macromastia | Reduction Mammoplasty for Female Breast Hypertrophy | Macromastia has been considered a relative contraindication to breast conservation therapy because of difficulties with postoperative radiation therapy and cosmesis. This study evaluates the feasibility of the inferior pedicle reduction mammaplasty as a component of breast conservation therapy for patients with early b... |
0 | Biology of bone metastases: causes and consequences | MSTS 2018 - Femur Mets and MM | Breast cancer is a highly osteotropic neoplasm, and as many as 75% of patients with metastatic disease will have involvement of the bony skeleton. On radiologic examination, these metastases are predominantly osteolytic but can be osteoblastic or mixed. The mechanisms by which metastases are formed are complex, involvi... |
0 | Full-thickness burn formation after the use of electrical stimulation for rehabilitation of unicompartmental knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Electrical stimulation and interferential current are commonly used modalities in the physical rehabilitation of patients who have undergone joint arthroplasty surgery. Sparse data are available in the literature regarding potential complications from using these modalities. We report on a patient who underwent a unico... |
1 | Functional compartmental space: The missing link in the pathogenesis of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is the most common compressive neuropathy, yet its exact aetiology remains unknown. Ultrasonographic examination of the carpal tunnel inlet showed anechoic areas distributed around the nerve and tendons. The areas were measured during fist motion in 10 asymptomatic and 10 CTS-symptomatic in... |
0 | Closed reduction and percutaneous pinning of displaced supracondylar humerus fractures in children: description of a new closed reduction technique for fractures with brachialis muscle entrapment | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A retrospective review of 43 displaced extension-type supracondylar humerus fractures in children was performed. Thirty-four fractures were completely displaced (type III). Ninety-one percent (39 of 43) of the fractures were managed by immediate closed reduction and percutaneous pinning. Ten type III fractures exhibite... |
0 | Adductor Canal Block Versus Femoral Nerve Block for Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | The specific objectives of this study are to determine the effectiveness of ACB for analgesia compared to FNB as determined by patient reported VAS scores. Determine the effectiveness of ACB for analgesia compared to FNB as determined by opioid usage. Determine the effectiveness of ACB in physical therapy as determined... |
0 | Smoking and unstable hinge fractures cause delayed gap filling irrespective of early weight bearing after open wedge osteotomy | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study was to examine the osteotomy gap filling rate with new bone after open wedge high tibial osteotomy (HTO) without bone graft and the effects of smoking, lateral hinge fracture, and early full weight bearing.
METHODS: A prospective series (N = 70) of open wedge HTOs with the TomoFix pla... |
0 | Cannulated screw fixation of fracture neck of femur | Hip Fx in the Elderly 2019 | Objective: To determine the outcome of cannulated screw fixation of intra capsular fracture neck of femur in terms of union rates and complications. Study Design: Retrospective case series study. Place and Duration: This study was carried out at the DHQ Teaching hospital Abbottabad & Gilani hospital Abbottabad from Mar... |
0 | On the role of peripheral visual afferent information for the control of rapid video-aiming movements | Upper Eyelid and Brow Surgery | It has been shown that, even for very fast and short duration movements, seeing one's hand in peripheral vision, or a cursor representing it on a video screen, resulted in a better direction accuracy of a manual aiming movement than when the task was performed while only the target was visible. However, it is still unc... |
0 | Current Controversies in Arthroscopic Partial Meniscectomy | AMP (Acute Meniscal Pathology) | PURPOSE OF REVIEW: Given the continued controversy among orthopedic surgeons regarding the indications and benefits of arthroscopic partial meniscectomy (APM), this review summarizes the current literature, indications, and outcomes of partial meniscectomy to treat symptomatic meniscal tears.
RECENT FINDINGS: In patien... |
0 | Magnetic resonance imaging in pathologic conditions of knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Objective: To study MR appearances in various conditions affecting the knee and to identify the common lesions. Materials and methods: One hundred and fifteen patients with knee complaints and suspected to have meniscal, ligamentous or other pathology were studied using Signa contour 0.5 T (GE) MR machine. Images were ... |
0 | Patient use and evaluation of analgesics in day-case surgery | Surgical Management of Osteoarthritis of the Knee CPG | Background and Goal of Study: Patients were asked to report use of analgesics before surgery and evaluate perioperative analgesia. Materials and Methods: Data about analgesic use were collected by questionnaires from 200 patients reporting for gynaecological, surgical or orthopaedic day-case surgery in one day-case uni... |
0 | Influence of changes in visual acuity under various visual field conditions on the spectral characteristics of center of pressure sway | Upper Eyelid and Brow Surgery | AIM: This study aimed to examine the influence of visual information (visual acuity and visual field conditions) on the center of pressure (COP) sway spectrum. METHODS: The subjects were 17 healthy young adults (7 males and 10 females), whose naked eye binocular visual acuity was under 0.2 (mean naked eye visual acuity... |
0 | Experimental investigation and biomechanical analysis of lower limb movements for clutch pedal operation | Management of Hip Fractures in the Elderly | Lower limb movements for clutch-pedal operations were investigated and the influence of four parameters (seat height, pedal travel, pedal travel inclination, pedal resistance) was studied using a multi-adjustable experimental seat. Fifteen subjects participated in the experiment: five short females, five average height... |
0 | Returning to sports after total joint replacements and tibial osteotomies: is it possible? | Surgical Management of Osteoarthritis of the Knee CPG | Total joint replacement and tibial osteotomies have been used for decades to return the individual to activities and relieve pain. According to the American Academy of Orthopaedic Surgeons, joint replacement is considered one of the most successful medical innovations of the 20th century. Hip and knee-replacement opera... |
0 | Coaxial PCL/PVA electrospun nanofibers: osseointegration enhancer and controlled drug release device | AAHKS (2) Corticosteroids | The failure of prosthesis after total joint replacement is mainly due to dysfunctional osseointegration and implant infection. There is a critical need for orthopedic implants that promote rapid osseointegration and prevent bacterial colonization, particularly when placed in bone compromised by disease or physiology of... |
1 | Rapid infusion of ibandronate in lung cancer patients with bone metastases | MSTS 2018 - Femur Mets and MM | Background: The high prevalence of bone metastases in stage IV non-small cell lung cancer (NSCLC) patients contributes substantially to the burden of the disease by resulting in significant skeletal morbidity. Ibandronate is a new generation of bisphosphonates (BPs) with demonstrated clinical benefit in breast and pros... |
0 | Chondroblastoma: An Update | MSTS 2022 - Metastatic Disease of the Humerus | Chondroblastoma is a rare primary bone tumor of young people that typically arises in the ends of the long bones. Radiologic investigations show a small, circumscribed, lytic lesion. The tumor is characterized histologically by the proliferation of chondroblasts along with areas of mature cartilage, giant cells, and oc... |
0 | Antibiotic prophylaxis of subacute bacterial endocarditis for adult patients by dentists in Dade County, Florida | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | To determine compliance with 1977 American Heart Association (AHA) recommendations for antibiotic prophylaxis (AbP) of subacute bacterial endocarditis (SBE), we mailed a questionnaire to 1019 licensed dentists from Dade County, Florida. Of the 614 practicing dentists who responded, 97.7% believe that AbP prevents SBE a... |
0 | Surgical management of the hip in the elderly patient | HipFx Supplemental Cost Analysis | Hip surgery is the most common major orthopedic procedure performed in the elderly. The indications are fracture and pain secondary to degenerative arthritis. Patients undergoing hip replacement for arthritis have excellent outcomes with decreased pain, increased mobility, and a low mortality. Age should not be a contr... |
0 | Knee kinematics and kinetics are associated with early patellofemoral osteoarthritis following anterior cruciate ligament reconstruction | OAK 3 - Non-arthroplasty tx of OAK | Objective Patellofemoral osteoarthritis (PFOA) commonly occurs following anterior cruciate ligament reconstruction (ACLR). Our study aimed to compare knee kinematics and kinetics during a hop-landing task between individuals with and without early PFOA post-ACLR. Design Forty-five individuals (mean ± SD 26 ± 5 ye... |
0 | Osteogenesis with hematopoiesis simulating infection in a hydroxyapatite orbital implant | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A 28-year-old woman underwent secondary orbital implant surgery with placement of a hydroxyapatite implant. Over the next 7 years she underwent 3 drilling procedures. She began having copious discharge 1 year after the last drilling procedure. She was seen on numerous occasions with socket discharge, unresponsive to a ... |
0 | Obesity, leukocytosis, embolization, and injury severity increase the risk for deep postoperative wound infection after pelvic and acetabular surgery | DoD SSI (Surgical Site Infections) | OBJECTIVE: To determine if preoperative fever and leukocytosis without an established source of untreated infection are independent risk factors for the development of deep postoperative wound infection (DPWI) after surgical treatment of pelvic and acetabular fractures.
DESIGN: Retrospective chart and radiographic revi... |
0 | Severe and morbid obesity and transfusional risk in total knee arthroplasty: An observational study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Severe and morbid obesity (Class II -III) represents a challenge for successful knee surgery. There isn't consensus on what influence body mass index has on blood loss and on red blood cell (RBC) transfusion during total knee arthroplasty (TKA). The objective was to determine blood loss and transfusion need... |
0 | Trial to Assess the Structural Effect and Long-term Symptomatic Relief of Intra-articular Injections of Hyaluronic Acid in Primary Knee OA | OAK 3 - Non-arthroplasty tx of OAK | The target population will be patients with the diagnosis of knee osteoarthritis who are followed at two Portuguese hospitals (Centro Hospitalar de Lisboa Norte â? Hospital Santa Maria, Centro Hospitalar de Lisboa Ocidental â? Hospital Egas Moniz). All patients selected will be included in the intentionâ?toâ?treat ... |
0 | Arthroplasty as primary treatment for distal humeral fractures produces reliable results with regards to revisions and adverse events: a registry-based study | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Primary prosthetic replacement has become an accepted method for the treatment of complex distal humeral fractures. The present study investigated implant survival and adverse events related to this procedure based on available Swedish registries and examined the completeness of the Swedish Elbow Arthroplas... |
0 | The skeletal metastatic complications of renal cell carcinoma | MSTS 2018 - Femur Mets and MM | Of the 103 patients with advanced renal cell carcinoma 31 (30%) developed symptomatic radiologically confirmed skeletal metastases. These were typically lytic, predominantly affecting the axial skeleton and associated with considerable skeletal morbidity. Solitary bone lesions occurred in 14 (45%) of patients. The medi... |
0 | Continuous peripheral nerve blocks in acute pain management | AAHKS (9/10) Regional Nerve Blocks | The indications for continuous nerve blocks for the perioperative pain management in hospitalized and ambulatory patients have extended well beyond orthopaedics. These techniques are not only used to control pain in patients undergoing major upper and lower extremity surgery, but also to provide perioperative analgesia... |
0 | Effectiveness of HILT in Shoulder Osteoarthritis | Glenohumeral Joint OA | This study will determine the efficacy of High Intensity Laser Therapy (HILT) for the treatment of shoulder osteoarthritis. |
0 | The association between health-related quality of life/dietary satisfaction and perceived food environment among Japanese individuals with spinal cord injury | DoD PRF (Psychosocial RF) | STUDY DESIGN: Cross-sectional.
OBJECTIVES: To examine the association between health-related quality of life (HRQOL)/dietary satisfaction and perceived food environment in community-dwelling individuals with spinal cord injury (SCI).
SETTING: Members of the Spinal Injuries Japan organization.
METHODS: Subjects were 200... |
0 | General and Abdominal Obesity as Risk Factors for Late-Life Mobility Limitation After Total Knee or Hip Replacement for Osteoarthritis Among Women | OAK 3 - Non-arthroplasty tx of OAK | Objective: To investigate associations of body mass index (BMI), waist circumference (WC), and waist/hip ratio (WHR) with survival to age 85 years with mobility limitation or death before age 85 years among older women with total knee replacement (TKR) or total hip replacement (THR) for osteoarthritis (OA). Methods: Th... |
0 | Treatment of Postoperative Pain After Total Hip Arthroplasty Using Intravenous Lidocaine Infusion | AAHKS (8) Anesthetic Infiltration | This study will focus on patients undergoing total hip arthroplasty and Loma Linda University Medical Center & East Campus. These patients will be randomized to receive a low dose lidocaine infusion or placebo, in addition to the patient controlled analgesia pump. These groups will be compared to one another statistica... |
0 | Comparison of dual-mobility cup and unipolar cup for prevention of dislocation after revision total hip arthroplasty | Developmental Dysplasia of the Hip 2020 Review | Background and purpose - Revision total hip arthroplasty (THA) is associated with higher dislocation rates than primary THA. We compared the risk of dislocation within 6 months and all-cause re-revision during the whole study period using either the dual-mobility cup or the unipolar cup. Methods - We used a prospective... |
0 | Modulation of Synovial Fluid-Derived Mesenchymal Stem Cells by Intra-Articular and Intraosseous Platelet Rich Plasma Administration | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to evaluate the effect of intra-articular (IA) or a combination of intra-articular and intraosseous (IO) infiltration of Platelet Rich Plasma (PRP) on the cellular content of synovial fluid (SF) of osteoarthritic patients. Thirty-one patients received a single infiltration of PRP either in the... |
0 | A comparison of blood loss in minimally invasive surgery with and without electromagnetic computer navigation in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To compare the blood loss after minimally invasive surgery total knee arthroplasty (MIS-TKA) between the procedures performed with and without electromagnetic computer navigation. MATERIAL AND METHOD: Eighty patients were recruited for a cohort study of the minimally invasive surgery total knee arthroplasty ... |
0 | Functional capabilities of users of mobility devices after femoral hip fracture | Management of Hip Fractures in the Elderly | Backround: The present study investigates the functional skills and capabilities of a sample of 105 patients treated at the Lutheran Geriatric Center Berlin after a hip fracture during a period of two years between 2004 and 2006. Patients and methods: Geriatric assessment instruments (Barthel index, Instrumental Activi... |
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