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0 | Association of ABO Blood Types and Clinicopathological Features of Prostate Cancer | MSTS 2022 - Metastatic Disease of the Humerus | Purpose. To investigate the association between ABO blood types and clinicopathological characteristics in patients with prostate cancer (PC). Methods. A total of 237 pathologically diagnosed PC patients were enrolled. All patients were classified as low-middle or high-risk group. The correlation of ABO blood types wit... |
0 | Perioperative pregabalin does not reduce opioid requirements in total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | PURPOSE: The purpose of this prospective, randomized, double-blinded, placebo-controlled study was to determine if pregabalin, when given perioperatively in addition to patient-controlled analgesia morphine, paracetamol and etoricoxib, is effective in reducing morphine requirements and moderating pain scores after prim... |
0 | Evaluation of the dose range of etoricoxib in an acute pain setting using the postoperative dental pain model | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objective: This study was conducted to evaluate the dose range of etoricoxib in acute pain using the postoperative dental pain model further. Methods:: This double-blind, randomized controlled study evaluated etoricoxib (90 and 120 mg), ibuprofen (600 mg), and acetaminophen (600 mg/codeine) (60 mg, (A/C)) in patients a... |
0 | Peripheral arterial disease in community-based patients with diabetes in Singapore: Results from a Primary Healthcare Study | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: Peripheral arterial disease (PAD) is an important complication of diabetes mellitus (DM), significantly associated with increased morbidity and mortality secondary to amputations, strokes and coronary artery disease. Information on DM patients with PAD is limited in our ethnically diverse population in Si... |
1 | Influence of the treatment of developmental dysplasia of the hip by the abduction brace on locomotor development in children | Developmental Dysplasia of the Hip CPG | PURPOSE: To assess the influence of treating developmental dysplasia of the hip (DDH) with the abduction brace on locomotor development in children. METHODS: One hundred children treated for DDH served as the study group. There were 80 girls and 20 boys. The children's average age at the beginning of the treatment was ... |
0 | Nonmodular Tapered Fluted Titanium Stems Osseointegrate Reliably at Short Term in Revision THAs | Hip Fx in the Elderly 2019 | BACKGROUND: The ideal femoral component for revision THA is undecided. Cylindrical nonmodular stems have been associated with stress shielding, whereas junctional fractures have been reported with tapered fluted modular titanium stems. We have used a tapered fluted nonmodular titanium femoral component (Wagner Self-loc... |
0 | Pathophysiology of osteoporosis | Management of Hip Fractures in the Elderly | As with many chronic diseases that express themselves late in life, osteoporosis is distinctly multifactorial, both in etiology and pathophysiology. Osteoporotic fractures occur because of a combination of injury and intrinsic bony fragility. Injury comes most often from a combination of falls, falling to the side, poo... |
1 | Anatomical total shoulder arthroplasty in young patients with osteoarthritis | Glenohumeral Joint OA | Aims: Controversy about the use of an anatomical total shoulder arthroplasty (aTSA) in young arthritic patients relates to which is the ideal form of fixation for the glenoid component: cemented or cementless. This study aimed to evaluate implant survival of aTSA when used in patients aged < 60 years with primary gleno... |
0 | Axillary nerve repair in 99 patients with 101 stretch injuries | Distal Radius Fractures | OBJECT: The purpose of this paper was to analyze outcomes in patients at the Louisiana State University Health Sciences Center (LSUHSC) who presented with contusion-stretch injuries to the axillary nerve. These injuries resulted from shoulder injury either with or without fracture/dislocation. Although recovery of delt... |
0 | Metastatic spinal cord compression: a validated survival score for elderly patients | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND AND PURPOSE: This study aimed to develop a validated survival score for elderly patients with metastatic spinal cord compression (MSCC).
PATIENTS AND METHODS: In all, 1,128 patients were randomly assigned to the test (n = 564) or validation group (n = 564). In the test group, ten pretreatment factors (age, g... |
0 | In vivo comparison of knee kinematics before and after high-flexion posterior cruciate-retaining total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | The objectives of this study were to compare preoperative and postoperative knee kinematics for subjects implanted with flexion-enhanced posterior cruciate-retaining total knee arthroplasty during deep flexion and to examine flexion performance of the prosthesis design. Three-dimensional kinematics was analyzed by fluo... |
0 | VII. Meta-analysis of calcium supplementation for the prevention of postmenopausal osteoporosis | Distal Radius Fractures | Objective: To summarize controlled trials examining the effect of calcium on bone density and fractures in postmenopausal women. Data Source: We searched MEDLINE and EMBASE up to 1998 and the Cochrane Controlled Register up to 2000, and we examined citations of relevant articles and proceedings of international meeting... |
0 | Assessment of lateral subluxation in Legg-Calvé-Perthes disease: a time-sequential study of magnetic resonance imaging and plain radiography | Developmental Dysplasia of the Hip 2020 Review | Lateral subluxation of the femoral head is one of the poor prognostic factors of Legg-Calvé-Perthes disease. The aim of this study was to investigate the cause of lateral subluxation of the femoral head on the basis of the changes over time on MRI. Twenty-four patients with unilateral Legg-Calvé-Perthes disease were ... |
0 | Association of circulating microRNAs with prevalent and incident knee osteoarthritis in women: The OFELY study | OAK 3 - Non-arthroplasty tx of OAK | Objectives: In the context of the scarcity of biomarkers for knee osteoarthritis (OA), we examined the associations of prevalent and incident OA with the expression levels of serum miRNAs in subjects with and without OA. Methods: With a next-generation sequencing approach, we compared the miRome expression of 10 women ... |
0 | The results of fasciotomy in the management of chronic exertional compartment syndrome | DOD - Acute Comp Syndrome CPG | Twenty-five patients with well-documented clinical history and elevated tissue pressures were subjected to surgical fasciotomy of the respective compartment (anterior, 13; anterior and posterior, 4; deep posterior, 8). The indications for surgery were resting pressures in excess of 15 mmHg and elevated postexercise pre... |
0 | Predicting breast reduction weight using the mass of breast ptosis | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The preoperative prediction of therapeutic breast reduction weights, to achieve both relief of breast weight symptoms and yet achieve excellent breast shape, remains a challenge.
OBJECTIVES: To design a simple clinical method to preoperatively predict and quantify therapeutic breast reduction weights.
METHO... |
0 | Our experience with Zoledronic acid in the treatment of patients with non- small cell lung cancer and bone metastases | MSTS 2018 - Femur Mets and MM | Objective: Bone metastases occur in 30- 40% of patients with lung cancer. The aim of this study was to assess the efficacy and safety of Zoledronic acid, a third generation biphosphonates, in patients with non- small cell lung cancer and bone metastases. Methods: Among May 2004 and December 2008 fifty three consecutive... |
0 | Removal of Well-Fixed Cementless Acetabular Components in Revision Total Hip Arthroplasty | PJI DX Updated Search | The Zimmer Explant Acetabular Cup Removal System (Warsaw, Indiana) has been touted as a superior method for removing well-fixed cementless acetabular components while minimizing bone loss; however, no comparative data support this. This study compares bone loss following the removal of well-fixed acetabular components ... |
0 | A comparison of normal and osteoarthritic humeral head size and morphology | Glenohumeral Joint OA | BACKGROUND: The purpose of this study was to evaluate and to compare the size and morphologic patterns among normal and osteoarthritic (OA) humeral heads.
METHODS: This comparative anatomic imaging study evaluated 150 humeral heads that were separated into 3 cohorts: normal, OA with symmetric glenoid erosion, and OA wi... |
0 | Alterations in the Secretome of Clinically Relevant Preparations of Adipose-Derived Mesenchymal Stem Cells Cocultured with Hyaluronan | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) can be a debilitating degenerative disease and is the most common form of arthritic disease. There is a general consensus that current nonsurgical therapies are insufficient for younger OA sufferers who are not candidates for knee arthroplasties. Adipose-derived mesenchymal stem cells (MSCs) therapy... |
0 | Treatment of deep infection of the hip associated with massive bone loss | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We have carried out in 24 patients, a two-stage revision arthroplasty of the hip for infection with massive bone loss. We used a custom-made, antibiotic-loaded cement prosthesis as an interim spacer. Fifteen patients had acetabular deficiencies, eight had segmental femoral bone loss and one had a combined defect. There... |
0 | Osteoscopy for assessment of blood supply to the femoral head: a preliminary study | Management of Hip Fractures in the Elderly | OBJECTIVES: The aim of our study was to develop a minimally invasive endoscopic procedure (osteoscopy), which is capable of visualizing blood supply and quantitatively assessing circulation to the femoral head at the time of definitive surgery. METHODS: The new diagnostic technique was developed in animal experiments (... |
1 | Nerve Stimulator Guided Axillary Block in Painless Reduction of Distal Radius Fractures; a Randomized Clinical Trial | Distal Radius Fractures | INTRODUCTION: Given the high prevalence of upper extremity fractures and increasing need to perform painless reduction in the emergency departments, the use of analgesic methods with fewer complications and more satisfaction appears to be essential. The aim of this study is comparison the nerve stimulator guided axilla... |
1 | Randomised controlled study of two different techniques of skin suture in endoscopic release of carpal tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In a prospective, randomised trial of 54 hands in 47 patients incisions were randomised to be closed by either absorbable subcuticular (polyglytone 6211, Caprosyn), or non-absorbable interrupted (polybutester, Novafil), sutures after single-portal endoscopic release of the carpal tunnel. There was a significant reducti... |
0 | Revision Total Hip Arthroplasty Using the Cement-in-Cement Technique | Hip Fx in the Elderly 2019 | The cement-in-cement technique is useful in the setting of revision total hip arthroplasty (THA), especially to gain acetabular exposure, change a damaged or loose femoral component, or change the version, offset, or length of a fixed femoral component. The goal of this retrospective study was to assess the clinical an... |
0 | A biomechanical analysis of applied pinch force during periodontal scaling | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | One of the factors associated with the high prevalence of upper extremity musculoskeletal disorders, such as carpal tunnel syndrome, among dental practitioners is the repeated high pinch force applied during periodontal scaling. The goal of this study was to determine the relationship between the pinch force applied du... |
0 | The effects of strontium ranelate in Asian women with postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | The aim of this study was to assess the efficacy and safety of strontium ranelate in the treatment of postmenopausal women with osteoporosis in Taiwan. In this 12-month multicenter, randomized, double-blind, placebo-controlled study, 125 women with osteoporosis were randomly given either strontium ranelate 2 g daily or... |
1 | The carpal tunnel syndrome: a clinical and electrophysiological study of 250 patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Clinical and electrophysiological studies were performed on 250 patients with carpal tunnel syndrome. Acroparaesthesia was often referred to all digits (64%) and proximal pain was not uncommon (46%). The male patients as a group differed from the female in that nocturnal acroparaesthesia was less frequent and a causal ... |
0 | Development and validation of an epitope prediction tool for swine (PigMatrix) based on the pocket profile method | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: T cell epitope prediction tools and associated vaccine design algorithms have accelerated the development of vaccines for humans. Predictive tools for swine and other food animals are not as well developed, primarily because the data required to develop the tools are lacking. Here, we overcome a lack of T c... |
0 | Variables impacting the efficacy of regional nerve block for post-operative pain management in total knee arthroplasty (TKA) patients: A retrospective study | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Continuous nerve blocks have been demonstrated to provide more effective perioperative pain control than PCA opioid in orthopedics (Richman et al., 2006; McFarlane et al., 2009) However, protocols of local anesthetic administration do not account for the possibility that pathological conditions may influe... |
0 | Modifications of arterial blood flow to the hand after carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Any surgical procedure is followed by an inflammatory reaction, associated with arteriolar dilatation and increased capillary permeability. The normal evolution is in most cases a progressive decrease of the inflammatory signs. Some patients however, particularly after orthopedic trauma affecting the extremities, devel... |
0 | Intrathecal clonidine added to a bupivacaine-morphine spinal anesthetic improves postoperative analgesia for total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | UNLABELLED: Postoperative pain after total knee arthroplasty (TKA) is severe and can complicate early physical therapy. We tested the hypothesis that intrathecal clonidine would improve postoperative analgesia for TKA using a hyperbaric bupivacaine spinal anesthetic. In a double-blinded, placebo-controlled protocol, 81... |
0 | Impaction Allografting for Massive Femoral Defects in Revision Hip Arthroplasty Using Collared Textured Stems | Management of Hip Fractures in the Elderly | We present a prospective study of impaction grafting using collared textured stems in femurs with massive defects (defined as requiring >150 cm(3) of cancellous allograft). Eighteen hips were followed for a minimum of 2 years. Average Harris hip scores increased from 50 preoperatively to 83 at most recent follow-up. Se... |
0 | Preoperative muscle thickness influences muscle activation after arthroscopic knee surgery | AMP (Acute Meniscal Pathology) | PURPOSE: The aim of this study was to compare the correlation between preoperative quadriceps femoris muscle thickness and postoperative neuromuscular activation and quadriceps femoris strength in patients with and without patellofemoral pain after arthroscopic partial meniscectomy.
METHODS: A series of 120 patients we... |
0 | Total condylar knee arthroplasty. Prosthetic component positioning and radiolucent lines | Surgical Management of Osteoarthritis of the Knee CPG | Prosthetic positioning and overall postoperative alignment were studied in 138 consecutive total knee replacements, using the Insall/Burstein total condylar knee system. Overall alignment was within 7 +/- 5 degrees of valgus in 63 per cent of the knees, while tibial component positioning was within 4 degrees of tilt in... |
0 | Comparison of ankle kinematics and ground reaction forces between prospectively injured and uninjured collegiate cross country runners | DOD - Acute Comp Syndrome CPG | Biomechanical comparative studies on running-related injuries have included either currently or retrospectively injured runners. The purpose of this study was to prospectively compare ankle joint and ground reaction force variables between collegiate runners who developed injuries during the cross country season and th... |
0 | The management of open fractures associated with arterial injury requiring vascular repair | DoD SSI (Surgical Site Infections) | Seventy-two open fractures associated with arterial injury requiring vascular repair (Gustilo type IIIC injuries) were treated at the University of Louisville from May 1983 and through 1992. The involved anatomic areas were the humerus (four), forearm (ten), femur (eight), tibia (31), ankle (ten), and foot (nine). Frac... |
0 | Bizarre parosteal osteochondromatous proliferation of bone (Nora's lesion) | MSTS 2022 - Metastatic Disease of the Humerus | Bizarre parosteal osteochondromatous proliferation was first described in 1983, when Nora et al. reported 35 examples of a proliferative lesion involving the small bones of the hands and, less often, the feet. No examples involving the large bones were reported. We present 65 cases of this condition, five from the Mayo... |
0 | Psychological factors at work and musculoskeletal disorders: A one year prospective study | DoD PRF (Psychosocial RF) | The etiology of musculoskeletal disorders is complex, with physical and psychosocial working conditions playing an important role. This study aimed to determine the relationship between psychosocial work conditions, such as psychological job demands, decision latitude, social support and job insecurity and musculoskele... |
0 | Topical methyl aminolevulinate photodynamic therapy using red light-emitting diode light for multiple actinic keratoses: A randomized study | Reconstruction After Skin Cancer | Background Photodynamic therapy (PDT) is an effective treatment for actinic keratoses (AKs). Light-emitting diodes (LEDs) offer practical advantages when treating multiple lesions. Objective To evaluate the efficacy and tolerability of PDT using a LED and topical methyl aminolevulinate (MAL) for treatment of multiple A... |
1 | Coronal alignment after total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Maquet's line passes from the centre of the femoral head to the centre of the body of the talus. The distance of this line from the centre of the knee on a long-leg radiograph provides the most accurate measure of coronal alignment. Malalignment causes abnormal forces which may lead to loosening after knee replacement.... |
0 | Avocado-soybean unsaponifiables (ASU) for osteoarthritis - a systematic review | SR for PM on OA of All Extremities | Patients suffering from osteoarthritis (OA) are often tempted to try 'alternative' treatment options. Avocado/soybean unsaponifiables (ASU) have shown some promise for OA. This systematic review is aimed at critically evaluating the data from rigorous clinical trials of ASU. Six databases were searched for randomised, ... |
0 | Prevalence of musculoskeletal disorders and ergonomic assessments of cleaners | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Professional cleaning has emerged as a new industry in Taiwan in the past few years. However, information about the workload and prevalence of musculoskeletal disorders (MSDs) among these workers is still limited. This study investigated the prevalence of musculoskeletal discomforts and the characteristics ... |
0 | Symptomatic improvement of cervical spondylosis by sliding cupping and its relation to disease course and age | Glenohumeral Joint OA | Background: Sliding cupping has been used for treating cervical spondylosis, with the effects of dredging the meridian system, activating qi and removing blood stasis. Objective: To probe into symptomatic improvement of cervical spondylosis with sliding cupping and the relationship between curative effect and course of... |
0 | Constrained acetabular liners in hip revision surgery. A low-cost solution for senile patients | Hip Fx in the Elderly 2019 | The objective of this study was to analyze the results of a cemented polyethylene model that captures the hip prosthetic head. In a retrospective study we reviewed 36 cemented constrained acetabular liners implanted in patients older than 75 years (mean 83, SD : 4.4), of which 30 patients were aged 80-90 years and 26 w... |
0 | Correlations between Traditional Chinese Medicine syndromes and IL-1, MMP and TIMP-1 in knee osteoarthritis | BMAC (Bone Marrow Aspirate Concentrate) | Objective: To investigate the correlations of the concentrations of cytokines IL-1, MMP and TIMP-1 in synovial fluid to disease course and age in patients with different Traditional Chinese Medicine (TCM) syndromes of knee osteoarthritis (KOR). Methods: A total of 120 patients with KOR admitted to the Department of TCM... |
0 | A comparison of 5% dextrose in 0.9% normal saline versus non-dextrose-containing crystalloids as the initial intravenous replacement fluid in elective surgery | AAHKS (8) Anesthetic Infiltration | Intravenous fluid replacement in adult elective surgery is often initiated with dextrose-containing fluids. We sought to determine if this practice resulted in significant hyperglycaemia and if there was a risk of hypoglycaemia if non-dextrose-containing crystalloids were used instead. We conducted a randomized control... |
0 | Prosthetic joint infection following hip fracture and degenerative hip disorder: a cohort study of three thousand, eight hundred and seven consecutive hip arthroplasties with a minimum follow-up of five years | DoD SSI (Surgical Site Infections) | Purpose: Prosthetic joint infections (PJIs) occur on a regular basis and with an increasing incidence. Under reporting of complications to national registries and unreliable ICD-10 coding increases the risk of under estimating the true rate of PJIs after hip arthroplasty. Also, the microbiology and final outcome is les... |
1 | Management of infections of osteoarticular prosthesis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Prosthetic joint infections are an uncommon complication of joint replacement surgery, but are associated with significant morbidity and costs when they do occur. Gram-positive cocci, in particular Staphylococcus aureus and Staphylococcus epidermidis, are the most commonly recovered microorganisms (>or=50% of all isola... |
0 | A practical guide to antibiotic prophylaxis in restorative dentistry | Dental Implant Infection | The purpose of this paper is to review the principles and practicalities of antibiotic prophylaxis in medically compromised patients who require restorative dentistry. Guidelines for the management of patients who are susceptible to infection are given. The importance of oral health and the rational use of both local a... |
0 | Population demographics and socioeconomic impact of osteoporotic fractures in Canada | Management of Hip Fractures in the Elderly | Through a survey of the literature and an analysis of selected national and regional statistics, a review of the incidence of osteoporosis and its consequences was performed. Results illustrate that the consequences of osteoporosis are preventable and should sensitize clinicians to the importance of early detection and... |
1 | A different kind of co-morbidity: Understanding posttraumatic stress disorder and chronic pain | DoD PRF (Psychosocial RF) | Many traumatic events leave lingering physical injuries and chronic pain in their wake, in addition to trauma-related psychopathology. In this review, we provide an overview of developments in the recent literature on co-morbid posttraumatic stress disorder (PTSD) and chronic pain. Starting with the conceptual models p... |
0 | Effects of BIS076 in a model of osteoarthritis induced by anterior cruciate ligament transection in ovariectomised rats | OAK 3 - Non-arthroplasty tx of OAK | Background: Osteoarthritis (OA) is the most frequent articular disease and a leading cause of disability. There is a need for effective treatments able to slow the progression of disease. Some of the available treatments are dietary supplements providing natural components. Recent studies have shown that estrogen defic... |
0 | MMP-3 in the peripheral serum as a biomarker of knee osteoarthritis, 40 years after open total knee meniscectomy | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: To explore potential biomarkers in a meniscectomy-induced knee osteoarthritis model, at forty years after meniscectomy.
METHODS: We carried out a forty-year study of 53 patients who, as adolescents, underwent open total meniscectomy and assessed two potential synovial and serum biomarkers, namely glycosamin... |
0 | Distribution of presynaptic inhibition on type-identified motoneurones in the extensor carpi radialis pool in man | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | 1. The question was addressed as to whether the magnitude of Ia presynaptic inhibition might depend on the type of motor unit activated during voluntary contraction in the wrist extensor muscles. For this purpose, we investigated the effects of applying electrical stimulation to the median nerve on the responses of 25 ... |
0 | A survey of neurologists on the likeability of headaches and other neurological disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: A pilot survey of 94 neurologists attending a continuing medical education meeting was performed to assess whether neurologists like to treat headaches and other common disorders and evaluate their personal prevalence of the disorders. METHODS: Physicians were asked to respond to the following statement usi... |
0 | Hazardous benzodiazepine regimens in the elderly: Effects of half-life, dosage, and duration on risk of hip fracture | HipFx Supplemental Cost Analysis | Objective: While benzodiazepine treatment is known to increase the risk of hip fracture in older populations, controversy persists over which characteristics of benzodiazepine use (e.g., elimination half-life, dosage, duration of use) are most associated with such risks. Method: The authors reviewed the health care uti... |
0 | Use of Botulinum Toxin for the Correction of Mild Ptosis | Upper Eyelid and Brow Surgery | Background: Lid margin asymmetry and its associated compensatory mechanisms might cause patients to seek treatment to improve aesthetics. Surgery might not be indicated and can potentially worsen the asymmetry in these cases. Methods: A case series of three patients was organized to illustrate the use of botulinum toxi... |
0 | Validation of a Norwegian version of the Burn Specific Health Scale | DoD PRF (Psychosocial RF) | BACKGROUND: The abbreviated Burn Specific Health Scale (BSHS-A) is an 80-item questionnaire that has proven useful in measuring physical, mental, social and general health in burn survivors. The aim of this study was to adapt the BSHS-A into Norwegian, including assessing reliability and validity.
METHODS: Standard pro... |
0 | An approach to diagnosis in arthroplasty specimens | Pediatric Supracondylar Humerus Fracture 2020 Review | Optimal examination of arthroplasty specimens requires careful assessment of the macroscopic findings and in many cases the microscopic findings only serve to confirm the findings, occasionally adding further data. With optimized gross and microscopic examination, the discrepancy rate between preoperative clinical and ... |
0 | Knee dislocation. Complications of nonoperative and operative management | DoD - ACS - Interrater Reliability | Because of the nature and extreme severity of the injury, complications will continue to be a common denominator in traumatic knee dislocations. The major complications that cause significant morbidity, including amputation and death, are now relatively infrequent. Prompt recognition and treatment of these complication... |
0 | Algorithmic treatment of Busch-Hoffa distal femur fractures: A technical note based on a modified Letenneur classification | Pediatric Supracondylar Humerus Fracture 2020 Review | Treatment of distal femur fractures in the coronal plane can be challenging. Depending on fracture line orientation, topography and associated comminution, decision-making regarding approach and fixation is not straightforward and can result in complications. Therefore, treatment of coronal plane distal femur fractures... |
0 | The young patient and the medial unicompartmental knee replacement | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Younger patients with unicompartmental degenerative knee joint diseases present a therapeutic dilemma. The purpose of this study is to evaluate the long-term results of the Oxford phase III unicompartmental knee replacement through a minimally invasive approach in the young patient. METHODS: We have studied a ... |
0 | Decomposing racial and ethnic disparities in the use of postacute rehabilitation care | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine the degree to which racial and ethnic disparities in the use of postacute rehabilitation care (PARC) are explained by observed characteristics. DATA SOURCES: State inpatient databases (SIDs) for 2005 and 2006 from four diverse states were used to identify patients with stays for joint replacemen... |
0 | Resection of the radial head for fracture of the radial head. Long-term follow-up of seventeen cases | Distal Radius Fractures | Seventeen patients who had a closed fracture of the radial head that was not associated with a dislocation of the elbow or another injury were evaluated eight to forty-six years after resection of the radial head. Few patients complained of even mild, intermittent pain. The ranges of motion of the wrist and elbow were ... |
0 | Reconstruction of irradiated mandible after segmental resection of osteoradionecrosis-A technique employing a microvascular latissimus dorsi flap and subsequent particulate iliac bone grafting | Hip Fx in the Elderly 2019 | The fibula osteocutaneous flap has revolutionized the options of mandibular segmental defect bridging in osteoradionecrosis (ORN). In selected cases, however, the fibula flap is not an option because of atherosclerosis or other features that compromise the vascularity of the lower leg and foot. The aim of this study is... |
0 | Wavelet analyses of electromyographic signals derived from lower extremity muscles while walking or running: A systematic review | OAK 3 - Non-arthroplasty tx of OAK | Surface electromyography is often used to assess muscle activity and muscle function. A wavelet approach provides information about the intensity of muscle activity and motor unit recruitment strategies at every time point of the gait cycle. The aim was to review papers that employed wavelet analyses to investigate ele... |
0 | Liposuction for submental lymphedema improves appearance and self-perception in the head and neck cancer patient | Panniculectomy & Abdominoplasty CPG | Objective. Patients who have undergone treatment for head and neck cancer are at risk for neck lymphedema, which can severely affect quality of life. Liposuction has been used successfully for cancer patients who suffer from posttreatment limb lymphedema. The purpose of our study was to review the outcomes of head and ... |
0 | Direct Skeletal Fixation in bilateral above knee amputees following blast: 2 year follow up results from the initial cohort of UK service personnel | DoD SSI (Surgical Site Infections) | Aims: The aim of the study is to evaluate the clinical outcome and complications from the initial cohort of blast injured bilateral lower limb, above knee amputees who underwent Direct Skeletal Fixation (DSF). Patients and methods: We undertook a retrospective analysis of a prospective data base identifying patients wh... |
0 | Ondansetron does not prevent pruritus induced by low-dose intrathecal fentanyl | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Addition of an opioid to low-dose spinal anesthesia with bupivacaine improves the quality and success of anesthesia. However, the intrathecal fentanyl-induced pruritus is as high as 75%. We hypothesized that after administration of 4 or 8 mg of prophylactic IV ondansetron, the incidence of pruritus induced ... |
0 | Soft-Tissue Tumors About the Knee | DoD LSA (Limb Salvage vs Amputation) | Soft-tissue tumors about the knee include a wide variety of entities, ranging from synovial cysts to aggressive high-grade sarcomas. The overlap in clinical presentation of these various masses frequently results in misdiagnosis and inappropriate treatment. Unnecessary and sometimes costly arthroscopy sometimes precede... |
0 | Femoral neck fractures in the elderly patient: A preventable injury | Management of Hip Fractures in the Elderly | There is growing evidence that many fractures of the femoral neck in the elderly occur spontaneously because of stresses imposed on osteoporotic bone, rather than because of the trauma of the fall. A case of a spontaneous femoral neck fracture (Garden type IV) in an elderly woman with osteoporosis is presented. Early d... |
0 | Perthes disease. Evaluation and management | Osteochondritis Dissecans 2020 Review | Perthes disease refers to self-limiting idiopathic avascular necrosis of capital femoral epiphysis in a child. There is no consensus for the optimum treatment of Perthes disease even 100years after the first description. The prime aim of the treatment is to maintain the sphericity of the femoral head and the congruency... |
0 | Medial approach for operative treatment of the widely displaced supracondylar fractures of the humerus in childre | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Twenty-seven widely displaced supracondylar fractures of the humerus in children were treated by open reduction and cross K-wire fixation by the medial approach over a 30-month period. The mean follow-up was 14 months, average age 8 years and the mean delay in presentation 49 hours. Medial approach provided an excellen... |
1 | A randomized trial of arthroscopic surgery for osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The efficacy of arthroscopic surgery for the treatment of osteoarthritis of the knee is unknown. METHODS: We conducted a single-center, randomized, controlled trial of arthroscopic surgery in patients with moderate-to-severe osteoarthritis of the knee. Patients were randomly assigned to surgical lavage and ... |
0 | Cardamonin inhibits osteoclastogenesis induced by tumor cells through interruption of the signaling pathway activated by receptor activator of NF-κB ligand | MSTS 2018 - Femur Mets and MM | Bone loss/resorption or osteoporosis is a disease that is accelerated with aging and age-associated chronic diseases such as cancer. Bone loss has been associated with human multiple myeloma, breast cancer, and prostate cancer and is usually treated with a bisphosphonate. Because of the numerous side effects of the cur... |
0 | Osteoarthritis in shoulders with traumatic anterior instability: preoperative survey using radiography and computed tomography | Glenohumeral Joint OA | The purposes of this report are to determine the incidence of preoperative osteoarthritis in shoulders with traumatic anterior instability and to detect the factors leading to its development. The radiographs and computed tomograms of shoulders in 282 patients with unilateral instability and without previous surgery, w... |
0 | Infection prevention in total knee arthroplasty | PJI DX Updated Search | Periprosthetic joint infections are devastating complications that are difficult and expensive to treat and have a substantial mortality rate. A major goal of modern joint arthroplasty is to minimize these infections. Preoperative factors associated with increased risk of infection include malnutrition, diabetes mellit... |
0 | Gray scale and power doppler ultrasound assessment of the median nerve: A biomarker that can help in setting a treat to target approach tailored for carpal tunnel syndrome patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background Though there are various carpal tunnel syndrome (CTS) treatment options, their outcomes and long-term effects are still debatable. An accurate understanding of the predictive factors of CTS management outcomes would enable physicians and patients to make more informed decisions about an approach tailored to ... |
0 | Burnout and posttraumatic stress in paediatric critical care personnel: Prediction from resilience and coping styles | DoD PRF (Psychosocial RF) | INTRODUCTION: Our aims were (1) to explore the prevalence of burnout syndrome (BOS) and posttraumatic stress disorder (PTSD) in a sample of Spanish staff working in the paediatric intensive care unit (PICU) and compare these rates with a sample of general paediatric staff and (2) to explore how resilience, coping strat... |
0 | Non-pharmacological and non-surgical interventions to manage patients with knee osteoarthritis: An umbrella review | OAK 3 - Non-arthroplasty tx of OAK | Objective - Update the last known umbrella review and summarize the available high-quality evidence from systematic reviews on the effectiveness of non-pharmacological and non-surgical interventions for patients with knee OA. |
0 | Regional anesthesia in trauma medicine | DOD - Acute Comp Syndrome CPG | Regional anesthesia is an established method to provide analgesia for patients in the operating room and during the postoperative phase. While regional anesthesia offers unique advantages, as shown by the recent military experience, it is not commonly utilized in the prehospital or emergency department setting. Most of... |
0 | Pupillary Responses to Full-Field Chromatic Stimuli Are Reduced in Patients with Early-Stage Primary Open-Angle Glaucoma | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the ability of chromatic pupillometry to reveal abnormal pupillary responses to light in patients with early-stage primary open-angle glaucoma (POAG) and to test whether the degree of pupillometric impairment correlates with structural hallmarks of optic nerve damage in the disease. DESIGN: Cross-s... |
0 | Vision outside the focus of attention | Upper Eyelid and Brow Surgery | We investigated the relationship between focal attention and a feature-gradient detection that is performed in a parallel manner. We found that a feature gradient can be detected without measurable impairment of performance even while a concurrent form-recognition task is carried out. In spite of the fact that the form... |
0 | The impact of including corticosteroid in a periarticular injection for pain control after total knee arthroplasty: a double-blind randomised controlled trial | PJI DX Updated Search | There is conflicting evidence about the benefit of using corticosteroid in periarticular injections for pain relief after total knee arthroplasty (TKA). We carried out a double-blinded, randomised controlled trial to assess the efficacy of using corticosteroid in a periarticular injection to control pain after TKA. A t... |
0 | 25-Hydroxyvitamin D, parathyroid hormone, and functional recovery after hip fracture in elderly patients | Management of Hip Fractures in the Elderly | There is increasing interest in the effects of vitamin D and parathyroid hormone (PTH) on extraskeletal tissues, including the muscle. These effects may explain impairment in functional ability found in vitamin D-deficient subjects. Our aim was to investigate the roles of vitamin D and PTH in affecting the ability to p... |
0 | Clinical outcomes of open meniscal repair of horizontal meniscal tears in young patients | AMP (Acute Meniscal Pathology) | PURPOSE: Symptomatic horizontal meniscal tears in young patients are a singular entity. The extent of the lesion is often large, without any injury to the knee. The meniscal tissue might be degenerative. However, a complete resection of the lesion would result in a subtotal meniscectomy. The purpose of this study was t... |
0 | Disruption of collagen/apatite alignment impairs bone mechanical function in osteoblastic metastasis induced by prostate cancer | MSTS 2022 - Metastatic Disease of the Humerus | Prostate cancer (PCa) frequently metastasizes to the bone, generally inducing osteoblastic alterations that increase bone brittleness. Although there is growing interest in the management of the physical capability of patients with bone metastasis, the mechanism underlying the impairment of bone mechanical function rem... |
1 | Effects of coping on psychological outcome when controlling for background variables: a study of traumatically spinal cord lesioned persons | DoD PRF (Psychosocial RF) | STUDY DESIGN: Cross-sectional.
OBJECTIVES: In a previous study we found spinal cord lesion (SCL)-related coping factors to be distinctly related to levels of SCL-related psychological outcome. However, we did not control for other potentially confounding variables. In this study we investigated effects of coping strate... |
0 | Potential of Melt Electrowritten Scaffolds Seeded with Meniscus Cells and Mesenchymal Stromal Cells | AMP (Acute Meniscal Pathology) | Meniscus injury and meniscectomy are strongly related to osteoarthritis, thus there is a clinical need for meniscus replacement. The purpose of this study is to create a meniscus scaffold with micro-scale circumferential and radial fibres suitable for a one-stage cell-based treatment. Poly-caprolactone-based scaffolds ... |
0 | Does the preoperative radiographic degree of osteoarthritis correlate to results in primary total knee arthroplasty? | Surgical Management of Osteoarthritis of the Knee CPG | The preoperative radiographs of 1,888 patients undergoing 2,759 consecutive total knee arthroplasties (TKAs) performed for osteoarthritis (OA) were retrospectively reviewed to test the hypothesis that patients with less severe OA changes experience less pain relief and lower function scores after TKA. Age at surgery av... |
0 | Trochanteric versus piriformis entry portal for the treatment of femoral shaft fractures | Management of Hip Fractures in the Elderly | OBJECTIVES: The purpose of this study was to compare results of femoral shaft fracture treatment with nailing through the greater trochanter to nailing through the piriformis fossa with nails specifically designed for each starting point. DESIGN: Prospective cohort study. SETTING: Four level 1 trauma centers. PATIENTS:... |
0 | Renal safety of zoledronic acid with thalidomide in patients with myeloma: a pharmacokinetic and safety sub-study | MSTS 2018 - Femur Mets and MM | BACKGROUND: Cases of impaired renal function have been reported in patients who had been treated with both zoledronic acid and thalidomide for myeloma. Hence, we conducted a safety study of zoledronic acid and thalidomide in myeloma patients participating in a trial of maintenance therapy. METHODS: TwentyÎ?Ã?Ã?four pat... |
0 | Analysis of early vascular and neurological complications of supracondylar humerus fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Supracondylar fracture of the humerus is one of the most common elbow injuries in children. It represents 60% elbow fractures and 16% all pediatric fractures. Extension-type fracture is the most frequent mechanism of this injury. MATERIAL/METHODS: The aim of our study was to analyse early vascular and neuro... |
0 | Compartment pressure in nailed tibial fractures. A threshold of 30 mmHg for decompression gives 29% fasciotomies | DOD - Acute Comp Syndrome CPG | During the past few years we have monitored tissue pressure in patients treated with intramedullary nailing of tibial shaft fractures. A value of 30 mmHg has been used as the threshold for fasciotomy. The purpose of this study was to evaluate this practice. Sixty-three patients were included in the series. Forty-three ... |
0 | Exercise adherence: beliefs of adults with knee osteoarthritis over 2 years | OAK 3 - Non-arthroplasty tx of OAK | Exercise is an established treatment to alleviate pain and improve function among adults with knee osteoarthritis (KOA). However, long-term adherence to exercise is poor and effective approaches to support adherence are limited. Here, we report on an ancillary study to a randomized controlled trial (RCT) where the prim... |
0 | Impact of Patient Sex on Clinical Outcomes: Data From an Anterior Cruciate Ligament Reconstruction Registry, 2008-2013 | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The Combined Quality Care Anterior Cruciate Ligament registry provides data for clinical research regarding primary anterior cruciate ligament (ACL) surgery.
PURPOSE: To explore the data with regard to the clinical outcomes between sexes after ACL reconstruction in a Dutch population.
STUDY DESIGN: Cohort s... |
0 | Effectiveness and cost of bisphosphonate therapy in tumor bone disease | MSTS 2018 - Femur Mets and MM | BACKGROUND: Tumor-induced osteolysis due to breast carcinoma and myeloma is responsible for a considerable morbidity that severely impairs patients'quality of life. Osteoclast-mediated bone resorption is reported to be increased markedly in patients with tumor bone disease and can be inhibited by bisphosphonate therapy... |
0 | Clinical efficacies of resurfacing and non-resurfacing patella in total knee arthroplasty for osteoarthritis: A meta-analysis | Surgical Management of Osteoarthritis of the Knee CPG | Objective: The compare the clinical efficacies of resurfacing and non-resurfacing the patella in primary total knee arthroplasty (TKA) in osteoarthritis patients, so as to provide evidence for clinical practice. Methods: A comprehensive search for relevant studies was performed in PubMed (January 1966 to December 2010)... |
0 | Quantitative MR Imaging of Cartilage and Trabecular Bone in Osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Whereas the strength of scoring systems in osteoarthritis (OA) lies in detecting local changes, involving small parts of the structures of interest (ie, cartilage lesions), quantitative measures are powerful where minute changes occur homogeneously throughout large structures. Cartilage measurements at 1.5 or 3 Tesla a... |
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