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Treatment of deep infection after total shoulder arthroplasty with an antibiotic-impregnated cement spacer
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
INTRODUCTION: Deep infections of a hemishoulder or total shoulder arthroplasty are an extremely difficult condition to treat effectively. Usually, the infection is treated at the expense of the soft tissue envelope, and the patients are left with little options after they have successfully eradicated their infection. T...
0
Scapular fractures: A common diagnostic pitfall
Glenohumeral Joint OA
Scapular fractures are one of the most difficult fractures to diagnose on radiographs. Detection can be challenging because of the obscuration by the overlying structures or incomplete imaging due to difficult patient collaboration. Familiarity with imaging characteristics of these abnormalities will allow radiologists...
1
Primary Wound Closure After Open Fracture: A Prospective Cohort Study Examining Nonunion and Deep Infection
DoD SSI (Surgical Site Infections)
OBJECTIVES: Determine the proportion of subjects developing deep infection or nonunion after primary wound closure of open fractures (humerus, radius/ulna, femur, and tibia/fibula). Secondarily, a matched-series analysis compared outcomes with subjects who underwent delayed wound closure. DESIGN: Prospective cohort bet...
0
Extent and distribution of CPP deposits in patients affected by calcium pyrophosphate dihydrate deposition disease: an ultrasonographic study
AMP (Acute Meniscal Pathology)
OBJECTIVE: To assess the extent of calcium pyrophosphate dihydrate (CPP) crystal deposition and the distribution of affected sites, using ultrasonography (US), in patients affected by CPP deposition disease (CPPD). PATIENTS AND METHODS: 42 consecutive patients affected by definite CPPD according to the McCarty criteria...
1
Onset and durability of pain relief in knee osteoarthritis: pooled results from two placebo trials of naproxen/esomeprazole combination and celecoxib
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To further characterize time-to-first pain relief, effect size, correlations between various outcome measures and durability of relief for single-tablet naproxen 500 mg/esomeprazole 20 mg (NAP/ESO) given twice daily and celecoxib (CEL) (200 mg) given once daily versus placebo in knee osteoarthritis (OA). MET...
1
The risk assessment of pathological fracture in the proximal femur using a CT-based finite element method
MSTS 2018 - Femur Mets and MM
Background Patients who have lytic bone lesions in their proximal femurs are at risk for pathological fracture. Lesions with high fracture risk are surgically treated using prophylactic osteosynthesis, whereas low-risk lesions are treated conservatively. However, it is difficult to discriminate between high- and low-ri...
0
Ultraviolet Light Treatment of Titanium Enhances Attachment, Adhesion, and Retention of Human Oral Epithelial Cells via Decarbonization
Dental Implant Infection
Early establishment of soft-tissue adhesion and seal at the transmucosal and transcutaneous surface of implants is crucial to prevent infection and ensure the long-term stability and function of implants. Herein, we tested the hypothesis that treatment of titanium with ultraviolet (UV) light would enhance its interacti...
0
Effects of Baduanjin () exercise on knee osteoarthritis: a one-year study
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: Knee osteoarthritis (OA) is a major cause of pain and functional limitation. Short-term Baduanjin () exercise had been testified to be beneficial to the disease. This study conducted an initial assessment of the one-year Baduanjin exercise on knee OA. METHODS: The recruited patients practiced Baduanjin at t...
0
Prediction of incident hip fracture risk by femur geometry variables measured by hip structural analysis in the study of osteoporotic fractures
Management of Hip Fractures in the Elderly
The role of bone tissue's geometric distribution in hip fracture risk requires full evaluation in large population-based datasets. We tested whether section modulus, a geometric index of bending strength, predicted hip fracture better than BMD. Among 7474 women from the Study of Osteoporotic Fractures (SOF) with hip DX...
1
A Meta-Analysis of the Effects of Abdominoplasty Modifications on the Incidence of Postoperative Seroma
Panniculectomy & Abdominoplasty CPG
Background: Seroma is the most common complication of abdominoplasty. Certain modifications to abdominoplasty may reduce the risk of seroma. Objectives: The authors evaluated the incidence of seroma for 3 abdominoplasty techniques: preservation of Scarpa's fascia, placement of progressive tension (or quilting) sutures,...
0
Prognostic variables and calcitonin in medullary thyroid cancer
MSTS 2018 - Femur Mets and MM
OBJECTIVES/HYPOTHESIS: Medullary thyroid cancer (MTC) is a nonepithelial, neuroendocrine tumor with a more aggressive clinical behavior than differentiated thyroid cancer. The purpose of the study was to review a single institution's experience with MCT since 1969. STUDY DESIGN: Retrospective cohort study. METHODS: A r...
0
Delayed diagnosis of developmental dysplasia of the hip in Northern Ireland: can we do better?
Developmental Dysplasia of the Hip 2020 Review
Developmental dysplasia of the hip (DDH) should be diagnosed as early as possible to optimise treatment. The current United Kingdom recommendations for the selective screening of DDH include a clinical examination at birth and at six weeks. In Northern Ireland babies continue to have an assessment by a health visitor a...
0
Allograft-prosthetic composite reconstruction for massive bone loss including catastrophic failure in total elbow arthroplasty
Pediatric Supracondylar Humerus Fracture 2020 Review
Introduction: Revision total elbow arthroplasty with an allograft-prosthetic composite is a difficult salvage procedure due to massive bone loss and a compromised soft-tissue envelope. High failure rates in prior studies of patients treated with allograft-prosthetic composites and an increased burden of revision total ...
0
Judet osteoperiosteal decortication for treatment of non-union: the Cornwall experience
DoD SSI (Surgical Site Infections)
BACKGROUND: The treatment of non union can be challenging with a variety of surgical options available to achieve bone consolidation. Robert Judet first described a method of osteo-periosteal decortication in 1963. He stated that by elevating cortical chips that remain attached to the periosteum and overlying soft tiss...
0
Evaluating anterior knee pain
OAK 3 - Non-arthroplasty tx of OAK
Musculoskeletal complaints account for about 20% to 30% of all primary care office visits; of these visits, discomfort in the knee, shoulder, and back are the most prevalent musculoskeletal symptoms. Having pain or dysfunction in the front part of the knee is a common presentation and reason for a patient to see a heal...
0
Association between clinical and sonographic synovitis in patients with painful knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Aim and Objective: To evaluate the association between ultrasonographic findings of inflammation (effusion, synovitis) and clinical findings in patients with primary painful knee osteoarthritis. Method: This cross-sectional study was performed on 142 patients with primary painful knee osteoarthritis (American College o...
0
Delayed Onset Seizures after Inguinal Herniotomy in a Premature Infant: A Case Report
Patrick’s pharmacoepidemiology project
We report a case of a premature neonate born at 34 weeks and operated at 6 weeks of age developing unexplained seizures 10 hours after the end of surgery under single shot caudal epidural analgesia with bupivacaine and lidocaine combined with general anesthesia. �© 2012 Elsevier Editora Ltda
0
Ascorbic acid deficiency, iron overload and alcohol abuse underlie the severe osteoporosis in black African patients with hip fractures--a bone histomorphometric study
Management of Hip Fractures in the Elderly
Osteoporosis and femoral neck fractures (FNF) are uncommon in black Africans although osteoporosis accompanying iron overload (from traditional beer brewed in iron containers) associated with ascorbic acid deficiency (oxidative catabolism by iron) has been described from sub-Saharan Africa. This study describes histomo...
0
Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel-Lavallee lesion
Management of Hip Fractures in the Elderly
Closed internal degloving is a significant soft-tissue injury associated with a pelvic trauma in which the subcutaneous tissue is torn away from the underlying fascia, creating a cavity filled with hematoma and liquefied fat. It commonly occurs over the greater trochanter but may also occur in the flank and lumbodorsal...
0
New therapeutic options in DVT prophylaxis
AAHKS (9/10) Regional Nerve Blocks
In the absence of prophylaxis, elective orthopedic surgery is associated with a high risk of venous thromboembolic events that are responsible for substantial morbidity and mortality. Despite the publication of articles questioning the significance of fatal pulmonary embolism (PE) following elective hip replacement, re...
0
Assessment of trochanteric osteotomy fragment union after acetabular fracture surgery
DoD SSI (Surgical Site Infections)
BACKGROUND: Trochanteric osteotomies are performed in conjunction with standard approaches to improve surgical exposure during open reduction and internal fixation (ORIF) of acetabular fractures. The literature on total hip arthroplasty reports nonunion rates as high as 30% associated with trochanteric osteotomies; how...
0
Diagnostic values of serum cathepsin B and D in patients with nasopharyngeal carcinoma
MSTS 2018 - Femur Mets and MM
BACKGROUND: The diagnostic and prognostic significance of increased cathepsin B (CTSB) and cathepsin D (CTSD) concentration in the serum of cancer patients were evaluated for some tumor types. High expression of CTSD and CTSB was detected in biopsy tissues from nasopharyngeal carcinoma (NPC). However, whether CTSD and ...
0
Blood conservation in total joint arthroplasty: Blood as a drug
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Dr Steven F. Harwin, Surgical Director of the New York Center for Bloodless Medicine and Surgery at the Beth Israel Medical Center, shares his expertise on blood conservation in total joint arthroplasty. Initially launched in 1997, the New York Center for Bloodles Medical and Surgery is the first comprehensive clinical...
1
Pre-incision infiltration with lidocaine reduces pain and opioid consumption after reduction mammoplasty
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND AND OBJECTIVES: To determine the analgesic efficacy of preoperative tumescent infiltration with lidocaine for reduction mammoplasty. METHODS: Women with mammary hypertrophy were randomly allocated to one of two study groups in a double-blind clinical trial. Patients in group 1 received preincision infiltrati...
0
Visual evoked potential abnormalities in compressive chiasmal lesions: The relevance of central visual field defects
Upper Eyelid and Brow Surgery
In healthy subjects, the pattern visual evoked potential (VEP) arises predominantly from the stimulation of the central 5 degrees of the visual field. This central-field paradigm is well confirmed in VEP studies of retrochiasmal lesions, but it appears to be more ambiguous in patients with compressive lesions of the ch...
0
Palmar cutaneous branch of the ulnar nerve
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
With recent attention being placed on the median palmar cutaneous nerve, a surgical approach, ulnar to the axis of the ring finger ray, has been advocated for median nerve decompression at the wrist. Painful hypothenar neuromas have developed in 2 patients with this type of incision. After dissecting 21 cadaver forearm...
0
Networking of databases for regional anesthesia: Fractured neck of femur
Management of Hip Fractures in the Elderly
Proximal femur fractures occur in aged patients. Approximately 100.000 patients are treated annually in German hospitals and approximately 55.000 in England. The majority of these patients is female and has many comorbid conditions affecting cardiovascular, renal, pulmonary, endocrine systems. Therefore, current qualit...
1
Tranexamic acid reduces blood loss and blood transfusion after TKA: a prospective randomized controlled trial
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: TKA may be associated with considerable blood loss, and transfusion carries substantial risk of immunologic reaction and disease transmission. Blood transfusion also involves additional cost, therefore a reduction in its use is important. Several methods reportedly reduce postoperative blood loss and avoid ...
1
Self-Reported Driving Difficulty in Veterans With Traumatic Brain Injury: Its Central Role in Psychological Well-Being
DoD PRF (Psychosocial RF)
BACKGROUND: The ability to drive is a core function supporting independent living. Traumatic brain injury (TBI) may impair driving capacity in numerous ways. Previous research has documented that individuals with TBI have more driving-related problems than other people and has identified predictors of driving status or...
0
The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data
AMP (Acute Meniscal Pathology)
BACKGROUND: The International Knee Documentation Committee Subjective Knee Evaluation Form may be used to measure symptoms, function, and sports activity for people with a variety of knee disorders, including ligamentous and meniscal injuries, osteoarthritis, and patellofemoral dysfunction. To date, normative data have...
0
Sequence types of Staphylococcus epidermidis associated with prosthetic joint infections are not present in the laminar airflow during prosthetic joint surgery
PJI DX Updated Search
Molecular characterization of Staphylococcus epidermidis isolates from prosthetic joint infections (PJIs) has demonstrated a predominance of healthcare-associated multi-drug resistant sequence types (ST2 and ST215). How, and when, patients acquire these nosocomial STs is not known. The aim was to investigate if sequenc...
0
Distal tibia fractures: Management and complications of 101 cases
DOD - Acute Comp Syndrome CPG
Distal tibia fractures are complex injuries with a high complication rate. In this retrospective and multicentre study we attempted to detail complications and outcomes of this type of injury in order to determine predictive factors of poor results. Between 2002 and 2004, 104 patients were admitted for 105 distal tibia...
0
Mid-term radiological and clinical results of incomplete triple pelvic osteotomy
Developmental Dysplasia of the Hip 2020 Review
OBJECTIVE: The aim of this study was to assess clinical and radiological results of incomplete triple pelvic osteotomy in acetabular dysplasia. PATIENTS AND METHODS: Twenty-six hips of 24 patients (5 males, 19 females) treated with incomplete triple pelvic osteotomy by a single surgeon from February 1995 to October 200...
0
Acute necrotizing ulcerative gingivitis. A study of some of the contributing factors and their validity in an Army population
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A study of some of the possible contributing factors in ANUG were evaluated by a comparison of ANUG patients with a random patient sample. This paper supports the role of stress and smoking in the pathogenesis of ANUG
0
Volkmann's ischemic contracture of the foot and ankle: evaluation and treatment of established deformity
DoD - ACS - Interrater Reliability
Fibrotic contracture of skeletal muscle can follow weeks or months after the severe ischemic insult of compartment syndrome. Commonly known as Volkmann's ischemic contracture, the affected limb often becomes dysfunctional and painful, and may lose sensibility. The pathogenesis of the muscle contracture includes prolong...
0
Efficiency and Safety of Intravenous Tranexamic Acid in Simultaneous Bilateral Total Knee Arthroplasty: A Systematic Review and Meta-analysis
PJI DX Updated Search
The objective of this systematic review and meta-analysis was to evaluate the efficacy and safety of i.v. tranexamic acid (TXA) in simultaneous bilateral total knee arthroplasty (TKA). Potentially relevant published reports were identified from the following electronic databases: Medline, PubMed, Embase, ScienceDirect ...
0
Radical Prostatectomy or External Beam Radiation Therapy vs No Local Therapy for Survival Benefit in Metastatic Prostate Cancer: A SEER-Medicare Analysis
MSTS 2022 - Metastatic Disease of the Humerus
Purpose We assessed survival after radical prostatectomy, intensity modulated radiation therapy or conformal radiation therapy vs no local therapy for metastatic prostate cancer adjusting for patient comorbidity, androgen deprivation therapy and other factors. Materials and Methods We identified men 66 years old or old...
1
Anatomic observations in carpal tunnel syndrome as they relate to the tethered median nerve stress test
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The Tethered Median Nerve Stress Test (TMNST) has proved to be a reliable clinical tool in the diagnosis of chronic, low-grade carpal tunnel syndrome (CTS). The TMNST consists of hyperextending the index finger at the distal interphalangeal joint with the wrist maintained in a supinated position. Proximal volar forearm...
1
A 12-year experience using the Brown two-portal endoscopic procedure of transverse carpal ligament release in 14,722 patients: defining a new paradigm in the treatment of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Compared with the open technique, endoscopic carpal tunnel release has a shorter postoperative recovery period but has been associated with an increased risk of iatrogenic injury. Because of morbidity of the open method, including painful scars, pillar pain, tendon adhesions, scar entrapment of the median n...
0
Management of meningococcal disease
DOD - Acute Comp Syndrome CPG
In recent years remarkable progress has been made in the development of vaccines against the different disease-causing serotypes of Neisseria meningitidis. Despite this, invasive meningococcal disease (IMD) remains a life threatening illness with significant mortality, morbidity and long term sequelae. Prompt recogniti...
0
Comparative Study of Opening-Wedge High Tibial Osteotomy With and Without a Combined Computed Tomography-Based and Image-Free Navigation System
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: To assess whether a combined computed tomography (CT)-based and image-free navigation system results in better coronal and sagittal alignment than the conventional method for performing opening-wedge high tibial osteotomy (OWHTO) and whether CT-based navigation results in acquisition of an accurate osteotomy p...
0
MCF-7 breast carcinoma cells overexpressing FGF-1 form vascularized, metastatic tumors in ovariectomized or tamoxifen-treated nude mice
MSTS 2018 - Femur Mets and MM
FGF-1 is expressed in a high proportion of breast tumors. While overexpression of FGF-4 in the MCF-7 breast carcinoma cell line confers the ability to form spontaneously metastasizing tumors in ovariectomized nude mice without estrogen supplementation and in mice that receive tamoxifen pellets, the response of a cell t...
0
Heparanase enhances local and systemic osteolysis in multiple myeloma by upregulating the expression and secretion of RANKL
MSTS 2018 - Femur Mets and MM
Excessive bone destruction is a major cause of morbidity in myeloma patients. However, the biological mechanisms involved in the pathogenesis of myeloma-induced bone disease are not fully understood. Heparanase, an enzyme that cleaves the heparan sulfate chains of proteoglycans, is upregulated in a variety of human tum...
0
Early failure of a mobile-bearing unicompartmental knee replacement
AMP (Acute Meniscal Pathology)
Concerned by a perceived high revision rate, we retrospectively reviewed the survivorship of a series of 43 cemented, medial, mobile-bearing Preservation unicompartmental knee replacements implanted during a 2-year period at a single institution. The initial post-operative AP and lateral radiographs were independently ...
0
Fatty infiltration in the thigh muscles in knee osteoarthritis: a systematic review and meta-analysis
OAK 3 - Non-arthroplasty tx of OAK
Knee osteoarthritis is a chronic degenerative joint disease, influenced by inflammatory, mechanical and metabolic processes. Current literature shows that thigh muscles of people with knee osteoarthritis can have increased infiltration of fat, both between and within the muscles (inter- and intramuscular fat). The fatt...
0
Coping with coronary heart disease: a longitudinal study
DoD PRF (Psychosocial RF)
This longitudinal study evaluated the effects of two types of coping strategies, approach and avoidance, on anxiety, depression, and well-being in patients with coronary heart disease. Measurements were made at three timepoints: 1 month, 3 months, and 12 months after the cardiac event. Both cross-sectional and longitud...
0
Rheology of joint fluid in total knee arthroplasty patients
Surgical Management of Osteoarthritis of the Knee CPG
While the properties of joint fluid may affect the tribology of joint replacement prostheses, the flow parameters of joint fluid have not yet been examined in the context of total knee arthroplasty (TKA). The objective of this study was to evaluate the flow properties of joint fluids in patients undergoing index TKA or...
0
Long gamma nail in the treatment of subtrochanteric fractures
Management of Hip Fractures in the Elderly
INTRODUCTION: The purpose of our study was to retrospectively evaluate the clinical and radiological results of subtrochanteric fractures treated with a long gamma nail (LGN). The LGN has been the implant of choice at our level-1 trauma center since 1992. MATERIALS AND METHODS: Over a period of 7 years, we have treated...
0
Effectiveness and cost-effectiveness of duloxetine added to usual care for patients with chronic pain due to hip or knee osteoarthritis: protocol of a pragmatic open-label cluster randomised trial (the DUO trial)
OAK 3 - Non-arthroplasty tx of OAK
INTRODUCTION: Osteoarthritis (OA) is a highly prevalent painful condition of the musculoskeletal system. The effectiveness of current analgesic options has proven to be limited and improved analgesic treatment is needed. Several randomised placebo-controlled trials have now demonstrated the efficacy of duloxetine, an a...
0
Ilizarov ring fixator in the management of infected non-unions of tibia
DoD SSI (Surgical Site Infections)
PURPOSE: The purpose of the study was to evaluate the effectiveness of debridement and application of Ilizarov ring fixator (IRF) in the management of infected tibial non-unions. PATIENTS AND METHODS: Twenty six patients with infected non-unions of tibia were managed by debridement and resection of infected portion +/-...
0
Vascularized fibular grafts extended with vascularized periosteum in children
DoD SSI (Surgical Site Infections)
Purpose: The purpose of this report is to evaluate the results of extending vascularized fibular grafts (VFG) with vascularized periosteum (VPG) in bone defect reconstruction in children. Methods: Retrospective study of 10 children, mean age at surgery was 9.8 years (range, 4–16 years). Origin of one defect was oncolog...
0
MRI characteristics of torn and untorn post-operative menisci
AMP (Acute Meniscal Pathology)
OBJECTIVE: To compare magnetic resonance imaging (MRI) characteristics of torn and untorn post-operative menisci. METHODS: The study group consisted of 140 patients with 148 partially resected menisci who were evaluated with a repeat knee MRI examination and subsequent repeat arthroscopic knee surgery. Two musculoskele...
1
Radiographic and Clinical Evidence for Osteoarthritis at Medium-Term Follow-up after Arthroscopic Partial Medial Meniscectomy
AMP (Acute Meniscal Pathology)
OBJECTIVE: The purpose of this study is to assess if incident radiographic osteoarthritis (OA) is associated with clinical OA symptoms at midterm follow-up after arthroscopic partial medial meniscectomy (APMM). DESIGN: A total of 44 patients (43% females, mean age 50.1 +/- 2.8 years, minimum 5.6-year follow-up) with is...
1
Short-term radiographic results of a cemented polyethylene keeled glenoid component with varying backside radiuses of curvature
Glenohumeral Joint OA
BACKGROUND: This study analyzed the radiographic results of a cemented all-polyethylene keeled glenoid component available in different sizes and multiple backside radiuses of curvature. METHODS: The study group consisted of 118 cases (114 patients). There were 63 women and 51 men. Mean age at the time of arthroplasty ...
0
Oral health status and prosthetic needs in elderly patient of Chennai resident
Dental Implant Infection
Background: Oral health is a state of being free from mouth and facial pain, oral and throat cancer, oral infection and sores, periodontal disease, tooth decay, tooth loss, and other diseases and disorders that limit an individual's capacity in biting, chewing, smiling, speaking, and psychosocial well-being. Prosthesis...
0
All-Polyethylene Tibial component in walter-motorlet total knee arthroplasty. Long-term outcomes
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE OF THE STUDY An analysis of long-term results of the all-polyethylene tibial component in Walter-Motorlet cemented condylar knee arthroplasty, with a standard tibial plateau (STP) of our own design
0
Cancer-associated secondary lymphoedema
Panniculectomy & Abdominoplasty CPG
Lymphoedema is an oedematous condition with a specific and complex tissue biology. In the clinical context of cancer, the pathogenesis of lymphoedema ensues most typically from the modalities employed to stage and treat the cancer (in particular, surgery and radiotherapy). Despite advances in cancer treatment, lifelong...
0
The fake unlocked femoral nail: A configuration to avoid in stable pertrochanteric femur fractures
DoD SSI (Surgical Site Infections)
Background: Intramedullary unlocked nailing is a safe and used treatment for stable pertrocantheric fractures. Due to the femoral anterior bow of the shaft or a wrong entry point, the distal tip of the nail can be impinging the anterior cortex. This type of situation can compromise the function of the nail, leading to ...
1
Polyurethane meniscal scaffolds lead to better clinical outcomes but worse articular cartilage status and greater absolute meniscal extrusion
AMP (Acute Meniscal Pathology)
PURPOSE: Implantation of polyurethane (PU) meniscal scaffolds has become a popular procedure to provide a scaffold for vessel ingrowth and meniscal tissue regeneration in patients with partial meniscal defects. However, it is unclear whether PU meniscal scaffolds lead to better clinical and magnetic resonance imaging (...
0
Mortality Rate and Mid-Term Outcomes of Total Hip Arthroplasty Using Dual Mobility Cups for the Treatment of Femoral Neck Fractures in a Middle Eastern Population
Hip Fx in the Elderly 2019
BACKGROUND: The dual mobility cups (DMCs) were shown to reduce dislocation rate following total hip arthroplasty for any etiology, including femoral neck fractures. No reported studies evaluating DMC results for femoral neck fracture in a Middle Eastern population were found in the literature. METHODS: This study aims ...
0
Long-term results of bulk femoral head autograft in cementless THA for developmental hip dysplasia
PJI DX Updated Search
We evaluated the fate of bulk femoral head autograft in cementless total hip arthroplasty (THA) for developmental hip dysplasia. Of 87 hips (80 patients) studied, 37 hips (32 patients) were available for follow-up at a mean of 18.5 years (range, 15-24 years) postoperatively. The mean age of these 32 patients at the ind...
1
Does late presentation of displaced supracondylar humerus fracture in children influence outcomes of surgery?
Pediatric Supracondylar Humerus Fracture 2020 Review
Introduction: Displaced Supracondylar Humerus Fracture (SCHF) in children is usually treated with percutaneous pinning on emergency basis in fresh cases. Though there are spectrum of modalities treatment reported, still paucity of literature available to compare between cross versus lateral pinning in late presented ca...
1
Is a sliding hip screw or im nail the preferred implant for intertrochanteric fracture fixation?
Management of Hip Fractures in the Elderly
This study was performed to determine whether patients who sustain an intertrochanteric fracture have better outcomes when stabilized using a sliding hip screw or an intramedullary nail. A 20% sample of Part A and B entitled Medicare beneficiaries 65 years or older was used to generate a cohort of patients who sustaine...
1
Subjective health in spinal cord injury after outpatient healthcare follow-up
DoD PRF (Psychosocial RF)
OBJECTIVE: To compare self-reported health, independence, and depression in two samples of people with spinal cord injury (SCI), one which receives regular, comprehensive outpatient health care follow-up and one that does not. DESIGN: Exploratory study of self-reported secondary conditions in 235 individuals with SCI w...
0
Well-leg positioning on a fracture table: using a pillow sling
DOD - Acute Comp Syndrome CPG
Although rare, acute compartment syndrome remains a well-reported complication of the lithotomy position. The avoidable nature of this potentially devastating complication has led many surgeons to forgo this well-leg setup when using the fracture table, and instead place the uninjured limb into a scissored position. In...
1
Analysis of postoperative and hematogenous prosthetic joint-infection microbiological patterns in a large cohort
Dental Implant Infection
OBJECTIVES: This study was undertaken to analyze prosthetic joint infection (PJI)-causing microorganisms and compare their distribution patterns according to PJI classification., METHODS: Cohort study from a single referral center for bone-and-joint infections from January 2004 to December 2015., RESULTS: Nine hundred ...
0
Human immunodeficiency virus-associated blepharoptosis
Upper Eyelid and Brow Surgery
PURPOSE: To better characterize an unusual blepharoptosis observed in HIV-positive patients and to evaluate histopathology. METHODS: This retrospective case series evaluated patients with HIV/AIDS and blepharoptosis with reduced levator excursion. Exclusion criteria included patients with identifiable causes of ptosis ...
0
Evaluation of clinical problems associated with bone metastases from carcinoma from unknown primary sites
MSTS 2018 - Femur Mets and MM
INTRODUCTION: This study focused on the evaluation of data concerning the clinical features of patients who were initially diagnosed with bone metastases of carcinoma from unknown primary sites that could not be detected, even using state of-the-art diagnostic modalities. METHOD: The oncologic outcome of these patients...
0
The influence of a long term exercise program on lower limb movement variability and walking performance in patients with peripheral arterial disease
Management of Hip Fractures in the Elderly
The purpose of this study was to examine the effects of a 12month exercise program on lower limb movement variability in patients with peripheral arterial disease (PAD). Participants (n=21) with an appropriate history of PAD and intermittent claudication (IC) volunteered for this study and were randomly allocated to ei...
0
Hip Arthroscopy Surgical Volume Trends and 30-Day Postoperative Complications
PJI DX Updated Search
PURPOSE: To determine hip arthroscopy surgical volume trends from 2006 to 2013 using the National Surgical Quality Improvement Program (NSQIP) database, the incidence of 30-day complications of hip arthroscopy, and patient and surgical risk factors for complications. METHODS: Patients who underwent hip arthroscopy from...
0
Early gain in pain reduction and hip function, but more complications following the direct anterior minimally invasive approach for total hip arthroplasty: a randomized trial of 100 patients with 5 years of follow up
AAHKS (4) Acetaminophen
Background and purpose â?? The minimally invasive direct anterior (DA) approach for total hip arthroplasty (THA) is supposed to reduce surgical tissue trauma. We hypothesized that patients operated with the DA technique would have less postoperative pain and better hip function compared with a group operated with a con...
1
Structured Education and Neuromuscular Exercise Program for Hip and/or Knee Osteoarthritis: A Health Technology Assessment
OAK 3 - Non-arthroplasty tx of OAK
Background: Osteoarthritis is a chronic disorder and the most common form of arthritis. The joints most commonly affected are the hip and knee. The progression of osteoarthritis results in the breakdown of tissues and cartilage and the loss of joint function, causing symptoms such as pain, stiffness, reduced physical f...
1
Analyzing on the location of the bicipital groove for alignment in shoulder arthroplasty of Chinese
Glenohumeral Joint OA
Background Many anthropometric studies of the normal glenohumeral relationship have been performed for the implant design and to identify reference points for the correct placement of the prosthesis in glenohumeral joint replacement. However, whether those implantation marks, which adopted from European or American, ca...
0
Cellular mechanisms by which FGF21 improves insulin sensitivity in male mice
Panniculectomy & Abdominoplasty CPG
Fibroblast growth factor 21 (FGF21) is a potent regulator of glucose and lipid metabolism and is currently being pursued as a therapeutic agent for insulin resistance and type 2 diabetes. However, the cellular mechanisms by which FGF21 modifies insulin action in vivo are unclear. To address this question, we assessed i...
0
Synthetic mesh. Its use in abdominal wall reconstruction after the TRAM
Acellular Dermal Matrix
This technique has evolved over 13 years and has been associated with very few mesh-related complications. A recently reported study of 65 consecutive patients with a mean follow-up of 47.4 months reported a hernia rate of 1.5% (1 of 65) and an incidence of mesh-related infection of 1.5% (1 of 65). It appears that the ...
0
Bone scintigraphy after osteochondral autograft transplantation in the knee: 13 patients followed for 4 years
Diagnosis and Treatment of Osteochondritis Dissecans AUC
BACKGROUND AND PURPOSE: Autologous osteochondral transplantation (OCT) is an established method of treating articular cartilage defects in the knee. However, the potential for donor site morbidity remains a concern. Both the restoration of the original cartilage defect and the evolution of the donor site defects can be...
0
Medullary thyroid cancer responsiveness to pentagastrin stimulation: an early surrogate parameter of tumor dissemination?
MSTS 2018 - Femur Mets and MM
CONTEXT: Because of its outstanding sensitivity, stimulation of calcitonin secretion with iv injection of pentagastrin is widely used for biochemical diagnosis of medullary thyroid cancer. OBJECTIVE: The objective of this study was to explore the relationship between the results of the pentagastrin stimulation test and...
0
Biomechanical evaluation of distal radius fracture stability
Distal Radius Fractures
OBJECTIVES/HYPOTHESES: (a) To determine the radiographic correlation between an artificially created dorsal comminution (via a wedge osteotomy) and dorsal tilt (clinical instability) and (b) to determine the efficacy of cast immobilization in maintaining reduction of the simulated fracture pattern as a predictor of suc...
0
Sonographic evaluation of the sciatic nerve in patients with lower-limb amputations
DoD LSA (Limb Salvage vs Amputation)
Hypertrophy of the sciatic nerve after lower-limb amputation in patients with sarcomas has been previously reported by magnetic resonance imaging; however, sonographic evaluation of the sciatic nerve after lower-limb amputation due to nonmalignant causes has not been done before. Therefore, the aim of this study was to...
1
Evaluating the cost-effectiveness of fall prevention programs that reduce fall-related hip fractures in older adults
HipFx Supplemental Cost Analysis
OBJECTIVES: To model the incremental cost-utility of seven interventions reported as effective for preventing falls in older adults. DESIGN: Mathematical epidemiological model populated by data based on direct clinical experience and a critical review of the literature. SETTING: Model represents population level interv...
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A physiotherapy perspective on management of degenerative rotator cuff tendinopathy
DoD PRF (Psychosocial RF)
Physiotherapists lack confidence in managing patients with shoulder problems, partly as a result of the complexity of presentation and lack of clear understanding of the pathology. Recently, tendon pathology has been proposed to occur in a continuum, with pathologic, imaging, and clinical evidence to support the hypoth...
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Dementia predicted one-year mortality for patients with first hip fracture: a population-based study
Hip Fx in the Elderly 2019
Aims: We aimed to determine the effect of dementia and Parkinson's disease on one, three and 12-month mortality following surgery for fracture of the hip in elderly patients from an Asian population. Patients and Methods: Using a random sample of patients taken from the Taiwan National Health Insurance Research Databas...
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Platelet-rich plasma augmentation for arthroscopic rotator cuff repair: a randomized controlled trial
Optimizing the Management of Full-Thickness Rotator Cuff Tears
BACKGROUND: After reinsertion on the humerus, the rotator cuff has limited ability to heal. Growth factor augmentation has been proposed to enhance healing in such procedure. PURPOSE: This study was conducted to assess the efficacy and safety of growth factor augmentation during rotator cuff repair. STUDY DESIGN: Rando...
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Arthroscopic Ramp Repair: “No-Implant, Pass, Park, and Tie Technique” Using Knee Scorpion
AMP (Acute Meniscal Pathology)
Ramp lesions play a significant role in both anteroposterior and rotational knee stability. Ramp lesions are difficult to diagnose clinically as well as on magnetic resonance imaging. Arthroscopic identification by visualizing the posterior compartment and probing via the posteromedial portal will confirm the diagnosis...
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Recovery of muscular performance after surgical stress in elderly patients
AAHKS (8) Anesthetic Infiltration
Introduction: Inflammation is related to muscle wasting in elderly persons. Since surgery is accompanied by an important inflammatory response, the degree of muscle wasting and related symptoms such as weakness and tiredness might exacerbate very rapidly in elderly surgery patients. Methods: PubMed and Web of Science w...
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Analysis of the body mass index and leg profiles of Asian women after total leg sculpture
Panniculectomy & Abdominoplasty CPG
BACKGROUND: In addition to the conventional methods used to improve leg contours, total leg sculpture, including liposuction, selective neurectomy, and transilluminated powered phlebectomy, provides a one-time solution of leg contour problems, which is a major aesthetic concern among Asian women. The authors present th...
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Patient specific cutting guides versus an imageless, computer-assisted surgery system in total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
Background: Patient specific cutting guides (PSC) in total knee arthroplasty (TKA) have recently been introduced, in which preoperative 3-dimensional imaging is used to manufacture disposable cutting blocks specific to a patient's anatomy. The purpose of this study was to compare the alignment accuracy of PSC to an ima...
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Prevalence of and risk factors for the occurrence of symptomatic osteoarthritis in rural regions of Shanxi Province, China
OAK 3 - Non-arthroplasty tx of OAK
Aim: To determine the prevalence of symptomatic osteoarthritis (OA) in rural regions of Shanxi Province, China, and to identify factors increasing the prevalence of OA. Method: Residents over 16 years of age of targeted towns and villages in rural regions of Shanxi Province were sampled using a stratified multi-stage ...
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The principles of caring for patients with Ilizarov external fixation
DoD SSI (Surgical Site Infections)
External fixation is an important aspect of complex fracture management. Ilizarov fixation is a specialised type of external fixator consisting of numerous wires that penetrate the limb and are attached to a circular metal frame. Ilizarov fixation is used for fracture fixation and stabilisation, limb reconstruction, de...
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Psychometric properties of the Cumulated Ambulation Score French translation
Hip Fx in the Elderly 2019
OBJECTIVE: To examine measurement properties (inter-rater reliability, agreement, validity, and responsiveness) of the Cumulated Ambulation Score French translation in patients with hip fracture. DESIGN: Methodological study. SETTING: A 20-bed orthopedic unit and 20-bed geriatric unit. SUBJECTS: About 140 consecutive p...
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Techniques for rejuvenation of the neck platysma
Panniculectomy & Abdominoplasty CPG
This article reviews evaluation and techniques for neck rejuvenation. It includes a detailed overview of cervical rhytidectomy and discusses the potential complications associated with surgical correction. A review of clinical outcomes in the literature is also included.
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Streptococcal diseases worldwide: present status and prospects
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Infections caused by streptococci pathogenic for man are some of the most common bacterial diseases in temperate zones and occur very frequently in tropical and subtropical countries. The highest morbidity occurs from infections caused by group A streptococci; these infections can lead to rheumatic fever and acute glom...
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What's all that noise? The effect of co-morbidity on health outcome questionnaire results after knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: We modified the Charnley Classification for hips to facilitate its use with knee arthroplasty patients and investigated what affect the different classes of co-morbidity had on the results of a spectrum of outcome questionnaires. PATIENTS AND METHODS: 3600 patients from the Swedish Knee Arthroplasty Registr...
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Clinical benefits of oral nutritional supplementation for elderly hip fracture patients: a single blind randomised controlled trial
Management of Hip Fractures in the Elderly
BACKGROUND: malnutrition is an important risk factor for poor outcome in patients recovering after hip fracture surgery. This study aimed to investigate the clinical, nutritional and rehabilitation effects of an oral nutritional supplementation (ONS) in an inpatient rehabilitation setting. METHODS: this was an observer...
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Autologous Chondrocyte Implantation: Past, Present, and Future
OAK 3 - Non-arthroplasty tx of OAK
Focal cartilage defects of the knee are relatively common and may increase the risk of developing osteoarthritis. Autologous chondrocyte implantation (ACI) aims to restore the integrity of isolated cartilage lesions through the induction of hyaline-like cartilage formation. Although ACI has traditionally been used as a...
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Comparison of the postoperative analgesic efficacy of an ultrasound-guided fascia iliaca compartment block versus 3 in 1 block in hip prosthesis surgery
Hip Fx in the Elderly 2019
OBJECTIVES: In this study, we aimed to compare the postoperative analgesic efficiency of an ultrasound-guided fascia iliaca compartment block and a 3 in 1 block in patients who underwent hip prosthesis surgery as a result of hip fracture. METHODS: With approval from the local ethics committee, 70 patients, aged 20 to 8...
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Symptomatic and chondroprotective treatment with collagen derivatives in osteoarthritis: a systematic review
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases. Collagen derivatives are candidates for disease-modifying OA drugs. This group of derivatives can be divided into undenatured collagen (UC), gelatine and collagen hydrolysate (CH). Collagen derivatives are marketed as having direct ch...
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The association between hospital care intensity and surgical outcomes in medicare patients
HipFx Supplemental Cost Analysis
IMPORTANCE Hospitals' care intensity varies widely across the United States. Payers and policy makers have become focused on promoting quality, low-cost, efficient health care. Copyright 2014 American Medical Association. All rights reserved.OBJECTIVE To evaluate whether increased hospital care intensity (HCI) is assoc...
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Association between calcium ingested from drinking water and femoral bone density in elderly women: evidence from the EPIDOS cohort
Management of Hip Fractures in the Elderly
Although the main source of dietary calcium is dairy products, the calcium contained in mineral water, which is as available as that of milk, could provide a valuable source of calcium. We analyzed the data from the EPIDOS multicenter study to evaluate the relationship between both dietary calcium and that supplied by ...
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Return to sports after bucket handle medial meniscus tear repair using inside out technique in recreational sports players
AMP (Acute Meniscal Pathology)
The main purpose of our study is to determine the outcomes of bucket handle medial meniscus tears repaired with the inside out technique in recreational sports players, and the return of these to pre-injury sports levels. 41 athletes with medial meniscus bucket handle tear were included in the study. 28 cases were asso...