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Change in long-term mortality associated with fractures of the hip: evidence from the scottish hip fracture audit
Management of Hip Fractures in the Elderly
We investigated the excess mortality risk associated with fractures of the hip. Data related to 29 134 patients who underwent surgery following a fracture of the hip were obtained from the Scottish Hip Fracture Audit database. Fractures due to primary or metastatic malignancy were excluded. An independent database (Gen...
0
Preliminary results with abrasion arthroplasty in the osteoarthritic knee
Surgical Management of Osteoarthritis of the Knee CPG
A retrospective survey of 110 patients treated by arthroscopic debridement of the knee joint was conducted; 73 of 100 operations included abrasion arthroplasty. The average follow-up period was one year. All patients had Grade IV articular changes. Overall, 60% of the patients who underwent abrasion arthroplasty showed...
0
Predicting the rotationally neutral state of the femur by comparing the shape of the contralateral lesser trochanter
Management of Hip Fractures in the Elderly
The rotationally neutral state of the femur was measured by comparing the shape of the contralateral lesser trochanter in 100 adults. Three observers predicted a position presumed to be neutral by comparing the shape of the neutrally positioned contralateral lesser trochanter previously recorded by C-arm image intensif...
0
Osteochondritis dissecans knee histology studies have variable findings and theories of etiology
Osteochondritis Dissecans 2020 Review
BACKGROUND: Although many etiological theories have been proposed for osteochondritis dissecans (OCD), its etiology remains unclear. Histological analysis of the articular cartilage and subchondral bone tissues of OCD lesions can provide useful information about the cellular changes and progression of OCD. Previous res...
1
Evidence-based radiology (part 2): Is there sufficient research to support the use of therapeutic injections into the peripheral joints?
Glenohumeral Joint OA
INTRODUCTION: This review article addresses the best evidence currently available for the effectiveness of injection therapy for musculoskeletal conditions involving the peripheral joints. The research is presented by anatomical region and areas of controversy and the need for additional research are identified. DISCUS...
0
The incidence of noise generation arising from the large-diameter Delta Motion ceramic total hip bearing
Management of Hip Fractures in the Elderly
Noise generation has been reported with ceramic-on-ceramic articulations in total hip replacement (THR). This study evaluated 208 consecutive Delta Motion THRs at a mean follow-up of 21 months (12 to 35). There were 141 women and 67 men with a mean age of 59 years (22 to 84). Patients were reviewed clinically and radio...
0
Compartment pressure in the carpal tunnel in distal fractures of the radius. A prospective study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
In a prospective controlled study, carpal tunnel tissue pressures were determined in a group of 56 patients with distal dislocated fractures of the radius at initial presentation, immediately prior to and after reduction, and 1, 2, 4, 12, and 24 h after reduction. Depending on the severity of the trauma and delay to pr...
0
Tibial post wear in posterior-stabilized knee replacements is design-dependent
Surgical Management of Osteoarthritis of the Knee CPG
Polyethylene tibial post wear in posterior-stabilized knee designs is a major problem. The Insall-Burstein II (IB PS II) reportedly has severe anterior wear of the post in retrieved implants. We hypothesized the more anterior placement in the IB PS II would be reflected in greater wear at the anterior face than the IB ...
0
Immunocytochemical detection of occult tumor cells in the bone marrow: prognostic impact on early stages of lung cancer
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVES: This study was designed to verify the prognostic impact of occult tumor cells in the bone marrow of stage I and II non-small-cell lung cancer patients using cytokeratin as a micrometastatic marker. METHODS: One hundred and fifty-two patients with stage I and II non-small-cell lung cancer, who underwent radi...
0
Osteoporosis in primary biliary cirrhosis: a randomized trial of the efficacy and feasibility of estrogen/progestin
Management of Hip Fractures in the Elderly
The optimal therapy for the prevention and treatment of osteoporosis in primary biliary cirrhosis (PBC) is unknown. Hormone replacement therapy (HRT) prevents osteoporosis, but may promote cholestasis. We performed a double-blind, randomized, placebo-controlled trial of transdermal estrogen/progestin in postmenopausal ...
0
Clinical effectiveness of single dose of intravenous dexamethasone on the duration of ropivacaine axillary brachial plexus block: The randomized placebo-controlled ADEXA trial
DoD SSI (Surgical Site Infections)
Background and objectives The effect of intravenous dexamethasone on the duration of axillary plexus block performed using ropivacaine is not described. The aim of this study is to assess the effect of intravenous dexamethasone on the duration of axillary plexus block analgesia after distal upper arm surgery. Methods I...
0
Fracture types and risk factors in men with prostate cancer on androgen deprivation therapy: A matched cohort study of 19,079 men
Management of Hip Fractures in the Elderly
Purpose: Accumulating evidence shows that androgen deprivation therapy is associated with osteoporosis and fragility fractures of the spine, hip and wrist. One study suggested that androgen deprivation therapy may also be associated with nonfragility fractures in older men. Whether other clinical risk factors independe...
0
[Improvement of rehabilitation outcomes of hip fractures: discharge assessment by patient care team, case management and wound healing]. [German]
Management of Hip Fractures in the Elderly
Fall related hip fractures in elderly persons may substantially deteriorate a previously worthwhile life. Anxiety, isolation, depression and the immediate need for help jeopardize surgery and successful rehabilitation. It was therefore of interest to evaluate the impact of a comprehensive case management guided by a di...
0
Osteocyte lacunar occupancy in the femoral neck cortex: an association with cortical remodeling in hip fracture cases and controls
Management of Hip Fractures in the Elderly
In adult humans, osteocytes die and disappear from their lacunae in the cortex of bones which remodel slowly, such as the proximal femur, and osteocyte death is particularly prevalent in the elderly. We have investigated the statistical determinants of osteocyte density in microscopic fields (0.71 mm2) within thin, com...
0
Post-operative pain after total knee replacement: A comparative study between three analgesic techniques
Surgical Management of Osteoarthritis of the Knee CPG
Purpose/Objective: Pain after total knee replacement (TKR) is a major concern, since it influences rehabilitation and patient satisfaction. Continuous Lumbar Epidural Analgesia and Peripheral Nerve Blocks are the most used analgesic techniques, however it remains unclear which one is the most effective. The aim of our ...
1
Congenital dislocation of the hip. Open reduction by the medial approach
Developmental Dysplasia of the Hip CPG
In a retrospective clinical review of patients with congenital dislocation of the hip who underwent open reduction through the Ludloff medial approach, stability of reduction, acetabular development and presence of avascular necrosis were evaluated in 11 patients with 15 dislocated hips. This approach was reserved for ...
0
Intra-abdominal compartment syndrome as a complication of ruptured abdominal aortic aneurysm repair
DOD - Acute Comp Syndrome CPG
In four patients with ruptured abdominal aortic aneurysms increased intra-abdominal pressure developed after repair. It was manifested by increased ventilatory pressure, increased central venous pressure, and decreased urinary output associated with massive abdominal distension not due to bleeding. This set of findings...
0
Knee disarticulation
DoD LSA (Limb Salvage vs Amputation)
Knee disarticulation is a muscle balanced amputation level that can be used in patients with diabetes, peripheral vascular disease, and trauma. Patients who are capable of sitting in a chair retain an excellent platform for sitting, a lever arm for transfer, and are unlikely to have joint contractures develop. In patie...
1
Increased pulse wave velocity and carotid intima-media thickness in patients with carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
INTRODUCTION: Carpal tunnel syndrome (CTS) is associated with cardiovascular risk factors. The aim of our study was to determine whether carotid intima-media thickness (CIMT) and carotid-femoral pulse wave velocity (cf-PWV), as surrogates of cardiovascular disease and arterial stiffness, are increased in patients with ...
0
Teriparatide: a review
Management of Hip Fractures in the Elderly
BACKGROUND: Traditionally, the management of osteoporosis in men and women has included the use of antiresorptive agents in combination with calcium and vitamin D supplementation. The mechanism of action of teriparatide is unique in that it possesses anabolic properties and therefore builds bone. Since the approval of ...
1
Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children. Surgical technique
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
BACKGROUND: Closed reduction and percutaneous pin fixation is the treatment of choice for completely displaced (type-III) extension supracondylar fractures of the humerus in children, although controversy persists regarding the optimal pin-fixation technique. The purpose of this study was to compare the efficacy of lat...
0
Difficulties of bariatric surgery after abdominoplasty
Panniculectomy & Abdominoplasty CPG
During laparoscopy, the main problems of patients who have undergone previous abdominoplasty are inadequate pneumoperitoneum secondary to fibrosis and reconstructed anatomic landmarks for trocar placement. In this study, we present our laparoscopic bariatric experience in two patients with previous abdominoplasty. The ...
0
Dental amalgam and antibiotic- and/or mercury-resistant bacteria
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Mercury emitted from dental amalgam may select for increased numbers of antibiotic- or mercury-resistant commensal bacteria in patients and increase their risk for bacterial diseases that are resistant to common therapies. We hypothesized that the presence of dental amalgams would increase the level of mercury-, tetrac...
1
Is the Clavicula Pro Humero Technique of Value for Reconstruction After Resection of the Proximal Humerus in Children?
Trial Systematic Review Project
Background: There are several options for reconstruction of proximal humerus resections after wide resection for malignant tumors in children. The clavicula pro humero technique is a biologic option that has been used in the past, but there are only scant case reports and small series that comment on the results of the...
0
Conversion of Hip Arthrodesis to Total Hip Arthroplasty: Survivorship and Clinical Outcome
Management of Hip Fractures in the Elderly
This study evaluated survivorship and clinical outcomes of patients undergoing conversion of a hip arthrodesis to a total hip arthroplasty (THA) and compared them to 2 patient cohorts: primary THA and first-time revision THA. Patients completed 5 standardized outcome questionnaires. The study cohort was compared to mat...
0
Meniscal allograft subluxations are not associated with preoperative native meniscal subluxations
AMP (Acute Meniscal Pathology)
PURPOSE: To determine the relationship between preoperative subluxation of the original menisci and postoperative graft subluxation after lateral meniscal allograft transplantation (MAT). METHODS: Forty patients who underwent isolated lateral MATs in meniscus-deficient knees with a low-grade chondral lesion (<=ICRS gra...
0
Complications of Radial Column Plating of the Distal Radius
Distal Radius Fractures
BACKGROUND: Distal radius fractures treated with open reduction and internal fixation are commonly stabilized with a volar locking plate; however, more complex fracture patterns may require supplemental fixation with fragment-specific implants. The objective of this study was to evaluate the outcomes of distal radius f...
0
Excellent results of primary THA using a highly porous titanium cup
Hip Fx in the Elderly 2019
Cementless acetabular cups for primary total hip arthroplasty have had excellent results, with failure rates typically less than 5% at up to 10-year follow-up. Tritanium is a 3-dimensional metal interface that has been used for porous biological fixation. The purpose of this study was to review the clinical and radiogr...
0
The effects of intraarticular injection of lornoxicam on knee joint cartilage and sinovia in rats
Surgical Management of Osteoarthritis of the Knee CPG
Background and aims: Post-operative pain is a major impediment to early discharge and rehabilitation. Intra-articular NSAIDs are used for this aim. There are a lot of studies investigates the side effects of NSAIDs oral, IV, IM administrations. But the long term and short term safety of intra-articular administration h...
0
Distal humerus prosthetic hemiarthroplasty: midterm results
Pediatric Supracondylar Humerus Fracture 2020 Review
Treatment of comminuted distal humeral fractures remains challenging. Open reduction-internal fixation remains the preferred treatment, but is not always feasible. In selected cases with non-reconstructable or highly comminuted fractures, total elbow arthroplasty has been used, however, also with relatively high compli...
0
Internal suture for mallet finger fracture
DoD SSI (Surgical Site Infections)
An internal suture technique has been used for mallet finger fractures involving at least 30% of the articular surface. It provides fixation without a button or transfixion of the fragment. An independent retrospective review was conducted of ten patients at a mean follow-up of 17 months. Mean visual analogue score (0 ...
0
Digital breast volume estimation (DBVE)-A new technique
Reduction Mammoplasty for Female Breast Hypertrophy
OBJECTIVE:: There are several limitations with current methods of breast volume measurement; principally relating to assumption of fixed shape forms. This study, utilizing computer aided volume estimates, developed a new method using the digital mapping of breast area and compares results to existing techniques of brea...
0
Dissecting the role of bone marrow stromal cells on bone metastases
MSTS 2018 - Femur Mets and MM
Tumor-induced bone disease is a dynamic process that involves interactions with many cell types. Once metastatic cancer cells reach the bone, they are in contact with many different cell types that are present in the cell-rich bone marrow. These cells include the immune cells, myeloid cells, fibroblasts, osteoblasts, o...
0
Cross-cultural adaptation and psychometric testing of the Hindi version of the patient-rated wrist evaluation
Distal Radius Fractures
UNLABELLED: The purpose of this study was to perform cross-cultural adaptation and Hindi translation of the patient-rated wrist evaluation (PRWE) and assess psychometric properties of the PRWE-Hindi. Cross-cultural adaptation and Hindi translation of the PRWE was performed using standardized guidelines. Intraclass corr...
0
Hip dysplasia in the young adult caused by residual childhood and adolescent-onset dysplasia
Developmental Dysplasia of the Hip 2020 Review
Hip dysplasia is a treatable developmental disorder that presents early in life but if neglected can lead to chronic disability due to pain, decreased function, and early osteoarthritis. The main causes of hip dysplasia in the young adult are residual childhood developmental dysplasia of the hip (DDH) and adolescent-on...
0
Effect of Glucosamine Sulfate on Osteoarthritis in the Cruciate-Deficient Canine Model of Osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Objective Osteoarthritis (OA) is a major cause of musculoskeletal pain and disability worldwide. The investigation of disease-modifying treatment options for OA has become an important aspect of orthopedic care. To assess the effect of intra-articular and oral glucosamine sulfate (GS) versus placebo on osteoarthritis i...
1
Effect of lateral femoral cutaneous nerve-block on pain after total hip arthroplasty: a randomised, blinded, placebo-controlled trial
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND: Total hip arthroplasty (THA) is a common procedure associated with moderate postoperative pain. No nerve block without loss of motor function has been documented for THA. We hypothesised that an ultrasound-guided lateral femoral cutaneous nerve (LFCN) block added to a multimodal postoperative pain regimen w...
1
Can We Predict Discharge Status After Total Joint Arthroplasty? A Calculator to Predict Home Discharge
Hip Fx in the Elderly 2019
BACKGROUND: Postoperative discharge to a skilled nursing facility after total joint arthroplasty (TJA) is associated with increased costs, complications, and readmission. The purpose of this study was to identify the risk factors for discharge to a location other than home to build a calculator to predict discharge dis...
0
The spherocentric knee prosthesis (long term results in 18 cases)
Surgical Management of Osteoarthritis of the Knee CPG
The authors report the clinical and radiographic results at from six months to two years after the insertion of spherocentric knee prostheses in fourteen patients with rheumatoid arthritis and four patients with arthrosis of the knee. The results were satisfactory and there were no complications. This type of prosthesi...
0
Temperature-dependent interaction between vasoconstrictor and vasodilator mechanisms in human skin
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The putative influence of the thermoregulatory state on skin blood-flow responses to various stimuli was studied in 17 healthy subjects exposed to different ambient temperatures. Skin blood flow was monitored by laser Doppler flowmeters and photoelectrical pulse plethysmographs. Stimuli included painful intraneural ele...
0
Anterior craniofacial resection for malignant ethmoid tumors - A series of 91 patients
Reconstruction After Skin Cancer
Background. Anterior craniofacial resection is now recognized as the best treatment for ethmoid tumors involving the cribriform plate with or without invasion of anterior cranial fossa. Methods. Ninety-one patients underwent an anterior craniofacial resection for ethmoid malignant tumors at the Milan Cancer Institute b...
0
Single-Injection Adductor Canal Block With Multiple Adjuvants Provides Equivalent Analgesia When Compared With Continuous Adductor Canal Blockade for Primary Total Knee Arthroplasty: A Double-Blinded, Randomized, Controlled, Equivalency Trial
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Peripheral nerve blockade is used to provide analgesia for patients undergoing total knee arthroplasty. This study compared a single-injection adductor canal block (SACB) with adjuvants to continuous adductor canal blockade (CACB). The hypothesis was that the 2 groups would have equivalent analgesia at 30 h...
0
Clinical utility of biochemical markers of bone metabolism for improving the management of patients with advanced multiple myeloma
MSTS 2018 - Femur Mets and MM
Osteolytic bone lesions from advanced multiple myeloma (MM) result in significant skeletal morbidity. Therefore, biochemical markers of bone metabolism, such as the N-terminal and C-terminal telopeptides of type I collagen, bone-specific alkaline phosphatase, and osteocalcin, have been investigated as tools for evaluat...
0
Acral lentiginous melanoma
MSTS 2022 - Metastatic Disease of the Humerus
Objective: To analyze whether the histologic subtype acral lentiginous melanoma confers independent prognostic significance. Design: Case series retrospective review. Setting: Academic surgical practice. Patients or Other Participants: Fifty-six patients with histologically confirmed acral lentiginous melanoma identifi...
0
Effects of Milk and Dairy Products on the Prevention of Osteoporosis and Osteoporotic Fractures in Europeans and Non-Hispanic Whites from North America: A Systematic Review and Updated Meta-Analysis
Distal Radius Fractures
Nutrition plays an important role in bone health. The aim of our study was to update the evidence regarding dairy intake, osteoporotic fracture (OF) risk, and prospective bone mass density (BMD) evolution assessed by dual-energy X-ray absorptiometry in Europeans and non-Hispanic whites from North America. A systematic ...
0
The association between dental health and procedures and developing shunt infections in pediatric patients
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
OBJECT: Cerebrospinal fluid-diverting shunts are often complicated by bacterial infections. Dental procedures are known to cause transient bacteremia that could potentially spread hematogenously to these implanted devices. No literature currently exists to inform practitioners as to the need for prophylactic antibiotic...
0
Long term changes of the throwing arm of former elite javelin throwers
Glenohumeral Joint OA
The aim of this study was to determine long term changes in shoulder and elbow joints of former elite javelin throwers. Twenty-one elite javelin throwers were examined at an average of 19 years after the end of their high performance phase. Mean age at examination was 50 years. Functional assessment of both shoulders w...
0
Challenging Surgical Treatment of Displaced Articular Tibial Plateau Fractures: Do Early Knee Radiographic Features Have a Predictive Value of the Mid-Term Clinical Functional Outcomes?
DoD SSI (Surgical Site Infections)
OBJECTIVE: To evaluate mid-term radiographic and functional outcomes of tibial plateau fracture (TPF) patients treated with the open reduction internal fixation (ORIF) technique and to find predictive factors of clinical outcomes. METHODS: A retrospective, single-center study was performed enrolling a consecutive serie...
0
Brucellosis as a cause of septic loosening of total hip arthroplasty
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Infection after a total hip arthroplasty is a severe complication and is associated with a high incidence of morbidity. We describe a case of late infection, 5 years after the implantation of a cemented hip prosthesis. The infection was caused by gram-negative Brucella melitensis and occurred in a 63-year-old man who o...
0
Oropharyngeal dysphagia in an elderly post-operative hip fracture population: a prospective cohort study
Management of Hip Fractures in the Elderly
BACKGROUND: normal ageing processes impact on oropharyngeal swallowing function placing older adults at risk of developing oropharyngeal dysphagia (OD). Anecdotal clinical experience has observed that older patients recovering from hip fracture surgery commonly develop OD post-operatively. OBJECTIVE: to document the pr...
0
Postoperative evaluation of the knee
AMP (Acute Meniscal Pathology)
New developments and improvements in ligamentous and meniscal surgery and cartilage repair procedures have led to an increased incidence ot these procedures being performed. Subsequently, there has been a corresponding increase in postoperative imaging studies. and it is imperative for radiologists to be comfortable wi...
0
Long-term survival is similar between closed-wedge high tibial osteotomy and unicompartmental knee arthroplasty in patients with similar demographics
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: Long-term clinical and radiographic results and survival rates were compared between closed-wedge high tibial osteotomy (HTOs) and fixed-bearing unicompartmental knee arthroplasty (UKA) in patients with similar demographics. METHODS: Sixty HTOs and 50 UKAs completed between 1992 and 1998 were retrospectively r...
0
Risk factors for vascular repair and compartment syndrome in the pulseless supracondylar humerus fracture in children
DOD - Acute Comp Syndrome CPG
BACKGROUND: The aims of this study were to determine how often fracture reduction alone restored pulses and vascular perfusion in displaced supracondylar humerus fractures with absent distal pulses on presentation, and whether any preoperative factors were associated with the need for vascular repair and vascular compl...
0
Development and reliability of a multi-modality scoring system for evaluation of disease progression in pre-clinical models of osteoarthritis: Celecoxib may possess disease-modifying properties
OAK 3 - Non-arthroplasty tx of OAK
Objective: We sought to develop a comprehensive scoring system for evaluation of pre-clinical models of osteoarthritis (OA) progression, and use this to evaluate two different classes of drugs for management of OA. Methods: Post-traumatic OA (PTOA) was surgically induced in skeletally mature rats. Rats were randomly di...
0
Trochanteric slide osteotomy on previously osteotomized greater trochanters
Management of Hip Fractures in the Elderly
The sliding trochanteric osteotomy is a useful and safe technique facilitating exposure of the hip in a complex arthroplasty. The modified sliding trochanteric osteotomy preserves the posterior capsule and short external rotators, allows anterior dislocation of the hip, and is associated with a lower dislocation rate. ...
0
Effect of intra-articular steroids on deep infections following total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Intra-articular steroids have been commonly used for the treatment of arthritis. The aim of our study was to discover any relation between deep infections following total knee arthroplasty and intra-articular steroid use before the arthroplasty. We undertook a retrospective matched cohort study. In the study group ther...
0
Altered expression of exon 6 deleted progesterone receptor variant mRNA between normal human breast and breast tumour tissues
Reduction Mammoplasty for Female Breast Hypertrophy
The progesterone receptor (PR) is an important prognostic marker in breast cancer as well as a marker of responsiveness to endocrine therapies. The presence of several exon-deleted PR variant mRNAs in both normal and neoplastic breast samples has recently been reported. Amongst them, a variant mRNA deleted in exon 6 (D...
1
Ketorolac May Increase Hematoma Risk in Reduction Mammaplasty: A Case-control Study
Reduction Mammoplasty for Female Breast Hypertrophy
Background: Ketorolac is a potent nonsteroidal anti-inflammatory drug that has valuable analgesic properties but also a hypothetical risk of increased bleeding due to inhibition of platelet activation. The clinical significance of this risk, however, is unclear when it is used after reduction mammaplasty. Our study obj...
1
Acute compartment syndrome: A promising future for its diagnosis and management
DOD - Acute Comp Syndrome CPG
Compartment syndrome remains a diagnosis that is far more easily to exclude than to confirm. As described in this volume, there are a host of new technologies for monitoring tissue perfusion and physiology that may soon provide a reliable means to diagnose compartment syndrome in its early stages, obviating the need fo...
1
Comparison of audible sound transmission with ultrasound in screening for congenital dislocation of the hip
Developmental Dysplasia of the Hip CPG
In a comparative study ultrasound and the sound transmission test were used to seek congenital dislocation of the hip in 102 babies referred to a paediatric orthopaedic clinic. The sound transmission test correctly identified all those hips considered normal or dislocated on ultrasound. 17 babies underwent repeated ult...
0
Clinical Study of Umbilical Cord Tissue Mesenchymal Stem Cells (UC-MSC) for Treatment of Osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Allogeneic human umbilical cord tissue�derived stem cells injected intravenously (IV) once per day for 3 days or once intra�articularly are a safe and will induce a therapeutic effect in osteoarthritis (OA) patients.
0
Mitigation of Head and Neck Cancer Service Disruption During COVID-19 in Hong Kong Through Telehealth and Multi-institution Collaboration
Coronavirus Disease 2019 (COVID-19)
The 2019 novel coronavirus disease (COVID-19) pandemic has been spreading worldwide at an alarming rate. Healthcare workers have been confronted with the challenge of not only treating patients with the virus, but also managing the disruption of healthcare services caused by COVID-19. In anticipation of outbreak, clini...
0
Osteodensitometry measurements of periprosthetic bone using dual energy X-ray absorptiometry following total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
INTRODUCTION: The present study investigates the reaction of bone density as well as the possible factors influencing this reaction following a cement-free total knee arthroplasty (TKA). MATERIALS AND METHODS: Osteodensitometry scan data from 50 prospective patients with TKA was evaluated. The patients were split into ...
0
Computed tomography morphometric study of gender differences in osteoarthritis proximal tibias
Surgical Management of Osteoarthritis of the Knee CPG
One hundred and thirty osteoarthritic knees(65 males, 65 females) from a Chinese population were measured by computed tomography for tibial mediolateral (ML), middle anteroposterior (AP), medial anteroposterior (MAP), lateral anteroposterior (LAP) dimensions and ML/AP aspect ratio. The ML/AP aspect ratio were classifie...
0
SATR-1 hypomethylation is a common and early event in breast cancer
Reduction Mammoplasty for Female Breast Hypertrophy
Genome stability and normal gene expression are maintained by a fixed and predetermined DNA methylation pattern, which becomes abnormal in malignant cells. Hypomethylation of satellite DNA sequences is frequently found in tumors and has been associated with an increased frequency of DNA rearrangements and chromosome in...
0
Predictors of outcomes of total knee replacement surgery
OAK 3 - Non-arthroplasty tx of OAK
Objective. To identify pre-operative predictors of patient-reported outcomes of primary total knee replacement (TKR) surgery.Methods. The Elective Orthopaedic Centre database is a large prospective cohort of 1991 patients receiving primary TKR in south-west London from 2005 to 2008. The primary outcome is the 6-month p...
0
Abnormal course of the median nerve associated with an anomalous belly of flexor digitorum superficialis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We report an anomalous muscle belly of the flexor digitorum superficialis acting on the right index finger. The median nerve lay superficial to the muscle in the forearm and at the wrist
0
Utilization of a partially threaded Kirschner wire in the treatment of femoral neck fractures
HipFx Supplemental Cost Analysis
OBJECTIVE: This report introduces a new type of pin for treatment of femoral neck fractures. DESIGN: Retrospective analysis. METHODS: The pin used in this study has a tapered thread in its middle portion to facilitate fixation in the lateral femoral cortex, as well as a simple tip that allows percutaneous pinning witho...
0
Androgens and bone density in women with hypopituitarism
Management of Hip Fractures in the Elderly
Hypopituitarism is associated with osteopenia and a reduction in lean body mass. We have recently demonstrated markedly reduced serum androgen levels in women with hypopituitarism. We hypothesized that serum androgen levels and lean body mass are important determinants of bone mineral density (BMD) in women with hypopi...
0
Different reimbursement influences surviving of hip fracture in elderly patients
HipFx Supplemental Cost Analysis
OBJECTIVES: Research has shown that early surgical intervention for hip fractures serves to decrease mortality. In 2004 the Ministry of Health decided to condition the reimbursement regime at the time of operation. The objectives of this study were to examine whether the reform succeeded to decrease inpatient mortality...
0
Coagulation abnormalities in malignancy: A review
MSTS 2022 - Metastatic Disease of the Humerus
As outlined in this review, patients with cancer may harbor many alterations of hemostasis. These are multi-faceted and must be taken into account when trying to control hemorrhage or thrombosis in cancer patients. Often, hemorrhage or thrombosis is the final fatal event in many patients with metastatic solid tumor or ...
0
Mycotic aneurysm of the aortic arch
Surgical Management of Osteoarthritis of the Knee CPG
A 61-year-old diabetic woman presented with a mycotic aneurysm of the aortic arch, also involving the left subclavian and vertebral arteries, caused by Staphylococcus aureus. Two months before, she had suffered from staphylococcal septic arthritis in her left knee. The patient was treated with antibiotics and an emerge...
0
A Novel Method of Human Adipose-Derived Stem Cell Isolation with Resultant Increased Cell Yield
Panniculectomy & Abdominoplasty CPG
BACKGROUND: The authors have developed a novel protocol for isolating adipose-derived stem cells from human lipoaspirate. In this study, they compare their new method to a previously published standard protocol. METHODS: Human adipose-derived stem cell isolation was performed using two methods to compare cell yield, ce...
0
Risk factors for falls as a cause of hip fracture in the elderly
Management of Hip Fractures in the Elderly
Almost all epidemiologic studies have shown that the age-adjusted incidence of osteoporotic hip fracture has been increasing during the last decades. Although the age-related bone loss is considered to be a crucial determinant of the incidence of hip fracture, spontaneous fractures appear to be uncommon: about 90% of h...
0
Incidence of Prosthetic Joint Infections After Primary Knee Arthroplasty
PJI DX Updated Search
We report the 1-year incidence of postoperative infections in an unselected series of 2647 consecutive primary knee arthroplasties (3137 knees) performed in a modern specialized hospital dedicated solely to joint arthroplasty surgery in 2002 to 2006. The rates of superficial and prosthetic joint infections were 2.9% an...
0
Achieving symmetry in unilateral breast reconstruction: 17 years experience with 683 patients
Reduction Mammoplasty for Female Breast Hypertrophy
Breast symmetry is one of the most important parameters of patient satisfaction in breast reconstruction. We undertook this retrospective study to determine whether autologous reconstruction requires opposite-breast procedures less often to achieve symmetry than do non-autologous techniques. The records of 683 patients...
0
Anabolic steroids for rehabilitation after hip fracture in older people
SR for PM on OA of All Extremities
Background: Hip fracture occurs predominantly in older people, many of whom are frail and undernourished. After hip fracture surgery and rehabilitation, most patients experience a decline in mobility and function. Anabolic steroids, the synthetic derivatives of the male hormone testosterone, have been used in combinati...
0
Altered sagittal plane kinematics and kinetics during sit-to-stand in individuals with knee osteoarthritis: A systematic review and meta-analysis
AMP (Acute Meniscal Pathology)
Knee osteoarthritis (OA) progression is associated with an increase in peak external knee flexion torque (EKFT) during gait. However, the difference in the peak EKFT between individuals with knee OA and age-matched subjects was unclear. Therefore, to understand the kinematics, kinetics, and electromyogram characteristi...
0
Natural history of new horizontal meniscal tears in individuals at risk for and with mild to moderate osteoarthritis: data from osteoarthritis initiative
AMP (Acute Meniscal Pathology)
OBJECTIVES: To study the natural history of new horizontal meniscal tears and their association with progression of cartilage degeneration in individuals at risk for or with mild to moderate knee osteoarthritis over 4 years. METHODS: Individuals who developed a new meniscal tear in the right knee over 2 years were sele...
0
Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems
DoD SSI (Surgical Site Infections)
Objectives: To evaluate the effectiveness of arthroscopic management of posttraumatic elbow stiffness due to soft tissue problems. Methods: A retrospective review of 30 consecutive arthroscopic elbow releases for posttraumatic stiff elbow from November 2011 to December 2019 was conducted. Stiff elbows with bony problem...
0
Shoulder pain
Pediatric Supracondylar Humerus Fracture 2020 Review
INTRODUCTION: Shoulder pain is a common problem with an estimated prevalence of 4% to 26%. About 1% of adults aged over 45 years consult their GP with a new presentation of shoulder pain every year in the UK. The aetiology of shoulder pain is diverse and includes pathology originating from the neck, glenohumeral joint,...
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Medial meniscus tears are most prevalent in type I ACL tears, while type I ACL tears only account for 8% of all ACL tears
AMP (Acute Meniscal Pathology)
PURPOSE: This study aimed to assess the distribution of different anterior cruciate ligament (ACL) tear locations in different magnetic resonance imaging (MRI) planes, and to explore the relationships of ACL tear types with both meniscus injuries and bone bruising. METHODS: A retrospective study was performed in patien...
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Comparative risk of early postoperative pulmonary embolism after cemented total knee versus total hip arthroplasty with low-dose warfarin prophylaxis
Surgical Management of Osteoarthritis of the Knee CPG
Four hundred thirteen cemented total hip arthroplasties and 852 cemented total knee arthroplasties were evaluated prospectively for postoperative pulmonary embolism. Inclusion criteria were a diagnosis of osteoarthritis, age 50 to 75 years old, cemented primary arthroplasty, and prophylaxis with low-dose warfarin (Coum...
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Perkins traction for adult femoral shaft fractures: a report on 53 patients in Sierra Leone
Management of Hip Fractures in the Elderly
A retrospective study of 53 consecutive adult patients with 54 femoral shaft fractures treated with Perkins traction over a 25-month period was carried out. Mean length of stay was 52.1 days (range 25-108), and mean duration of traction was 45.0 days (range 23-66). At a mean follow-up of 4.6 months (range 3-9), 50 (92....
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Ten year experience with use of Ilizarov bone transport for tibial defects
DoD LSA (Limb Salvage vs Amputation)
Tibial defects greater than 4 cm and secondary to high-energy trauma or debridement for infected nonunion pose a significant challenge to the treating orthopaedic surgeon. Twelve patients who had been treated with Ilizarov bone transport for tibial defects over the past ten years were retrospectively reviewed. All pati...
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Methods for prevention of complications during eyelid and peri-orbital surgery
Upper Eyelid and Brow Surgery
Introduction: Complications during eyelid and periorbital surgery can result in a poor post-operative outcome. Prevention and early recognition of complications is key to a good outcome. Areas covered: The published literature with the terms â??complications of oculoplastic/ptosis/ blepharoplasty surgery, anticoagulati...
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Spines of the porcupine fish: Structure, composition, and mechanical properties
Distal Radius Fractures
This paper explores the structure, composition, and mechanical properties of porcupine fish spines for the first time. The spine was found to be composed of nanocrystalline hydroxyapatite, protein (collagen), and water using X-ray diffraction, energy-dispersive X-ray spectroscopy, and thermogravimetric analysis. Micros...
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Rupture of the flexor digitorum profundus tendon to the small finger within the carpal tunnel
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We report three patients who sustained a rupture of the flexor digitorum profundus tendon to the small finger within the carpal tunnel. There was a common mechanism of injury, each rupture occurred during resisted flexion of the digit with the metacarpophalangeal joint in extension. All the patients were male, one pati...
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Areolar scar in mammaplasty without loss of peripheral pigment shading
Reduction Mammoplasty for Female Breast Hypertrophy
The authors present a new approach to the position of scars in mammaplasty. The skin to be resected from the areola is marked in such a fashion that the shaded transition between the areola itself and the breast skin is maintained. When reduction of the areola is necessary, the resection is performed within the areola ...
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A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. METHODS: A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with...
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Comparison of Traditional Superficial Cutaneous Sutures Versus Adhesive Strips in Layered Dermatologic Closures on the Back-A Prospective, Randomized, Split-Scar Study
Reconstruction After Skin Cancer
BACKGROUNDBilayered suture repairs have become the standard of care in dermatologic surgery. However, the benefit of superficial sutures for fine epidermal alignment on high-tension areas remains unclear.OBJECTIVETo compare the overall cosmetic outcome of traditional epidermal sutures with adhesive strips in layered de...
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Deep neck infection
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Deep neck infections present significant morbidity and mortality, particularly when associated with predisposing factors that impair a functional immunologic response. Familiarity with deep neck spaces and fascial planes is critical, because these form the basis for the emergent nature of the disease process. Common an...
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The pink pulseless hand
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
The management of a child with a perfused, pink, but pulseless upper extremity following reduction and pinning of a type III supracondylar humerus fracture remains controversial. The authors present the initial treatment, evaluation, operative findings, and postoperative course of a 6-year-old with a pink pulseless han...
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Scleral Buckling versus Vitrectomy for Retinal Detachment Repair: Comparison of Visual Fields and Nerve Fiber Layer Thickness
Upper Eyelid and Brow Surgery
PURPOSE: To compare visual field loss and retinal nerve fiber layer (RNFL) defects in cases of rhegmatogenous retinal detachment (RRD) treated with scleral buckle (SB) versus pars plana vitrectomy (PPV) and C3F8 injection. METHODS: This was a prospective, comparative interventional study of 50 eyes with primary RRD, tr...
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Histological examination of collagen and proteoglycan changes in osteoarthritic menisci
AMP (Acute Meniscal Pathology)
This study sought to examine collagen and proteoglycan changes in the menisci of patients with osteoarthritis (OA). Collagens were examined using picrosirius red, and hematoxylin and eosin. Proteoglycans were examined using safranin-O and alcian blue. Types I and II collagens and aggrecan were examined using immunochem...
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Total hip arthroplasty in severe segmental femoral bone loss situations: Use of a reconstruction modular stem design (JVC IXâ?¢)
MSTS 2018 - Femur Mets and MM
Background: Management of extensive proximal femur bone loss secondary to tumor resection or major osteolysis remains controversial. The possible options include a composite allograft/stem prosthesis, a modular type megaprosthesis or a custom-made megaprosthesis. Modularity allows versatility at reconstruction and avoi...
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The effect of mouthrinses containing zinc and triclosan on plaque accumulation, development of gingivitis and formation of calculus in a 28-week clinical test
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Experimental mouthrinses containing 0.4% zinc sulphate and 0.15% triclosan, which differed in base formulations were compared to a commercially available non-active control mouthrinse. Following baseline clinical examinations for plaque, gingival bleeding and calculus, the volunteers were provided with a dental prophyl...
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Fixation of displaced acetabular fractures with an anatomic quadrilateral surface plate through the stoppa approach
Hip Fx in the Elderly 2019
Satisfactory fixation for displaced acetabular fractures involving the quadrilateral surface remains difficult to obtain with conventional reconstruction plates. To achieve minimally invasive management of fractures of the quadrilateral surface, the authors designed a type of anatomic quadrilateral surface plate (AQSP)...
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Effect of zoledronic acid on the doxycycline-induced decrease in tumour burden in a bone metastasis model of human breast cancer
MSTS 2018 - Femur Mets and MM
Bone is one of the most frequent sites for metastasis in breast cancer patients often resulting in significant clinical morbidity and mortality. Bisphosphonates are currently the standard of care for breast cancer patients with bone metastasis. We have shown previously that doxycycline, a member of the tetracycline fam...
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Long-term results of reverse Liss plate applied to unstable proximal femur extracapsular fractures in Istanbul, Turkey
Hip Fx in the Elderly 2019
OBJECTIVE: To evaluate the results of the minimally invasive internal fixation method using reverse Less Invasive Stabilisation System locking plate in unstable proximal femur extracapsular fractures. METHODS: The retrospective study was conducted at Department of Orthopaedics in Taksim Training and Research Hospital (...