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1 | Tranexamic acid in hip fracture patients: A protocol for a randomised, placebo controlled trial on the efficacy of tranexamic acid in reducing blood loss in hip fracture patients | Hip Fx in the Elderly 2019 | Introduction: There is a high incidence of blood transfusion following hip fractures in elderly patients. Tranexamic acid (TXA) has proven efficacy in decreasing blood loss in general trauma patients as well as patients undergoing elective orthopaedic surgery. A randomised controlled trial will measure the effect of TX... |
1 | Psychosocial consequences of traffic accidents: a two year follow-up | DoD PRF (Psychosocial RF) | The aim of the study was to assess long term outcome of injuries from traffic accidents with focus on psychosocial aspects. Eighty-four persons injured in traffic accidents and with moderate to severe injuries (ISS > or = 9) were interviewed approximately two years after the accident. We examined psychosocial consequen... |
0 | Genomic Predictors of Recurrence Patterns in Localized Soft Tissue Sarcoma Treated With Radiation Therapy | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE/OBJECTIVE(S): Soft tissue sarcomas (STSs) are diverse mesenchymal tumors that are primarily managed with surgery. Radiation therapy (RT) is frequently added pre- or post-operatively for localized disease but uncommonly used as definitive treatment because the majority of unresected tumors progress with RT alone... |
0 | Patella bone density is lower in knee osteoarthritis patients experiencing moderate-to-severe pain at rest | PJI DX Updated Search | Objective: To determine differences in patellar subchondral bone mineral density (BMD) between knee osteoarthritis (OA) patients with differing levels of pain at rest. Methods: The preoperative knee of 41 total knee replacement (TKR) patients was scanned using QCT and scored for pain using Western Ontario McMasters Ost... |
0 | Differences in health at age 100 according to sex: Population-based cohort study of centenarians using electronic health records | DoD PRF (Psychosocial RF) | Objectives: To use primary care electronic health records (EHRs) to evaluate the health of men and women at age 100. Design: Populationâ?based cohort study. Setting: Primary care database in the United Kingdom, 1990â??2013. Participants: Individuals reaching the age of 100 between 1990 and 2013 (N = 11,084, n = 8,982 ... |
0 | The effect of skin expansion on acellular dermis in an experimental model | Acellular Dermal Matrix | OBJECTIVE: Although acellular dermis is widely used in prosthesis-based breast reconstruction, there is no study evaluating its expandability and histological, ultra-structural related changes. The purpose of this study is to determine whether acellular dermis could be expanded and whether the histological changes occu... |
1 | Which comes first: Crystals or osteoarthritis? | AMP (Acute Meniscal Pathology) | Crystal deposition could be a primary factor leading to joint damage in osteoarthritis or a secondary phenomenon resulting from it. Circumstantial evidence supports both. In 5 patients with hypermobility (laxity) of only 1 or 2 joints, calcium pyrophosphate dihydrate or hydroxyapatite crystals were found in the lax joi... |
0 | Removal of intramedullary rods after femoral shaft fracture | Management of Hip Fractures in the Elderly | We are reporting a retrospective review of the removal of 60 intramedullary rods in 58 patients. All fractures had healed at the time of rod extraction. The implant was removed from 34 asymptomatic patients (36 femurs). Twenty-four patients (24 femurs) had preoperative symptoms attributed to the femoral rod. Fourteen p... |
1 | Impact of reduction mammaplasty on sexuality in patients with macromastia and their partners | Reduction Mammoplasty for Female Breast Hypertrophy | AIM OF STUDY: Women with breast hypertrophy often experience a number of physical symptoms and psychological difficulties. The breasts are very important for the psychological well-being of women, which might be affected negatively because of breast size and shape distortions. Self-body dissatisfaction and, in this bac... |
0 | Coping with the Asian tsunami: perspectives from Tamil Nadu, India on the determinants of resilience in the face of adversity | DoD PRF (Psychosocial RF) | The Asian tsunami of December 26, 2004 wreaked havoc along the southeastern coast of India and resulted in devastating losses. The high rates of long-term mental health consequences in adult survivors predicted immediately after the disaster have not been borne out by recent surveys. This qualitative study explored the... |
1 | Costs of osteoporosis related fractures in hospital admitted patients, Tigrai, Northern Ethiopia: a retrospective study | HipFx Supplemental Cost Analysis | BACKGROUND: Osteoporotic fractures are among the non-communicable diseases imposing a growing morbidity and economic burden upon developing countries which have limited resources. Despite several studies from other countries, in Ethiopia sufficient information regarding the cost of illness related to osteoporotic fract... |
0 | Role of cytokines in gonarthrosis and knee prosthesis aseptic loosening | Surgical Management of Osteoarthritis of the Knee CPG | Cytokines, which have been demonstrated in synovial fluids during various joint diseases, play an important role in mediating synovial inflammation and in regulating the immune response of many inflammatory processes. We studied synovial fluid, serum, and synovial fragments obtained from 33 patients--10 affected by ser... |
1 | Acetabular development after closed reduction of congenital dislocation of the hip | Developmental Dysplasia of the Hip CPG | We reviewed the serial radiographs of 54 hips in 47 children treated by closed reduction for congenital dislocation of the hip and followed to at least 14 years of age, to determine the causes of acetabular dysplasia. We excluded hips with femoral head deformity or residual subluxation and compared the results with tho... |
1 | Cost-Effectiveness of Tramadol and Oxycodone in the Treatment of Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the cost-effectiveness of incorporating tramadol or oxycodone into knee osteoarthritis (OA) treatment.
METHODS: We used the Osteoarthritis Policy Model to evaluate long-term clinical and economic outcomes of knee OA patients with a mean age of 60 years with persistent pain despite conservative tr... |
0 | Epinephrine 4 μg/mL added to a low-dose mixture of ropivacaine and fentanyl for lumbar epidural analgesia after total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Epinephrine 2 μg/mL added to a local anesthetic-opioid mixture has been found to improve postoperative continuous epidural analgesia at the thoracic (TEA) but not at lumbar (LEA) level. Therefore, we studied whether a higher dose of epinephrine could improve LEA. METHODS: Patients received LEA comprising o... |
0 | The uses of tendon transfers to correct paralytic deformity of the foot and ankle | DOD - Acute Comp Syndrome CPG | Tendon transfers for paralytic foot and ankle deformities can be rewarding in well-selected patients. The goal should be to achieve a stable plantigrade foot which will not require a brace. This is possible if there is adequate preoperative tendon strength, adherence to the basic principles of tendon transfer during su... |
0 | Fear responses in patients with epilepsy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Ictal fear was found equally with left- and right-sided temporal lobe foci, suggesting that basic components of fear may be bilaterally represented. With regard to interictal fear, patients with left-sided foci reported more fear of social and sexual situations, but not of animals and physical injury, compared with oth... |
0 | Tranexamic acid reduces haematomas but not pain after total knee arthroplasty | AAHKS (4) Acetaminophen | Aim: Tranexamic acid (TxA) reduces total blood losses (TBL) and allogenic transfusion (TH) after total knee arthroplasty (TKA). TBL can be external (surgical field, drains), or hidden (haematomas). Haematomas induce pain and limit postoperative rehabilitation. The aim of the study was to evaluate if TxA reduces haemato... |
0 | Beneficial effects on intraoperative and postoperative blood loss in total hip replacement when performed under lumbar epidural anesthesia. An explanatory study | AAHKS (8) Anesthetic Infiltration | The effects of continuous lumbar epidural anesthesia and two types of general anesthesia on blood loss and hemodynamics during and after total hip replacement were compared in three groups of patients. Fourteen patients received local anesthetics via continuous lumbar epidural administration; 10 patients received inhal... |
0 | Indications, techniques and complications in surgical treatment of the acetabulum | DoD SSI (Surgical Site Infections) | Almost 50 % of acetabular fractures occur in polytraumatized patients; in over 80 % additional injuries are found. The surgical goal is anatomical restoration of the acetabulum and stable fixation, in order to avoid postoperative external fixation.Careful clinical and radiological evaluation is essential to successful ... |
0 | Anterior knee pain in the young athlete: diagnosis and treatment | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The underlying etiology of anterior knee pain has been extensively studied. Despite many possible causes, often times the diagnosis is elusive. The most common causes in the young athlete are osteosynchondroses, patellar peritendinitis and tendinosis, synovial impingement, malalignment, and patellar instability. Less c... |
0 | The mental health and psychosocial impact of the Bougainville Crisis: a synthesis of available information | DoD PRF (Psychosocial RF) | BACKGROUND: The Bougainville Crisis (1988-1997) was the largest armed conflict in the Pacific since WW-II. Despite this, there has been no assessment of the Mental Health and Psychosocial (MHPS) impact of the war. The aim of this paper is to summarize the available data regarding the longer-term MHPS impact of the Boug... |
0 | Incremental cost of medical care after hip fracture and first vertebral fracture: the Rotterdam study | HipFx Supplemental Cost Analysis | The aim of this study was to estimate the additional cost of medical care (the incremental cost) caused by incident hip and vertebral fractures, using a matched case cohort design within a longitudinal follow-up study. Incident hip fractures were recorded using the regular follow-up system of the Rotterdam Study. Incid... |
0 | Use of prescription analgesic medication and pain catastrophizing after total joint replacement surgery | OAK 3 - Non-arthroplasty tx of OAK | Objective: To survey the use of analgesic medication 4.8 years after total joint replacement (TJR) surgery and assess the determinants of medication usage. Patients and methods: Of 852 patients who had undergone TJR for osteoarthritis were recruited from secondary care. Participants (mean age, 73.7 years) responded to ... |
1 | Retrograde Stainless Steel Flexible Nails Have Superior Resistance to Bending in Distal Third Femoral Shaft Fractures | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: It has been shown that retrograde titanium flexible intramedullary nails (Ti FIN) provide superior resistance to bending compared to antegrade Ti FIN in distal femur fractures. The purpose of this study was to compare resistance to torsional and bending forces of stainless steel (SS) FIN, with or without a ... |
0 | The negative influence of multiple symptomatic joint involvement on patient-reported outcomes following TJR for OA can last up to 5 years | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Patient-reported pain and physical function are the most common outcomes examined in total joint replacement (TJR) for hip and knee osteoarthritis (OA). While TJR is an effective treatment for relieving pain and improving function, previous work has shown that the reporting of multiple symptomatic joints at th... |
0 | Experimental validation of a pinless femoral reference array for computer-assisted hip arthroplasty | PJI DX Updated Search | The use of computer navigation systems during total hip arthroplasty requires the femoral fixation of a reflective dynamic reference base (DRB), which theoretically involves the risk of bony fracture, infection, and pin loosening. The first objective of this study was to evaluate the relative movements between a novel,... |
0 | Can we prevent BRCA1-associated breast cancer by RANKL inhibition? | MSTS 2018 - Femur Mets and MM | BRCA1 mutation carriers face a high lifetime risk of breast cancer, estimated at 60 % compared to 10 % in the general population. BRCA1 breast cancers typically have an aggressive course (i.e., high-grade, triple-negative) and are associated with a poor prognosis. At present, primary prevention is limited to prophylact... |
0 | Infrapatellar fat pad area is associated with reduced knee symptomatic and structural abnormalities in older adults: A cross-sectional study | Surgical Management of Osteoarthritis of the Knee CPG | Background Recent studies consider infrapatellar fat pad (IPFP) as an active joint tissue in the initiation and progression of knee OA, as inflammatory cells from IPFP can produce inflammatory mediators [1]. As a result, partial resection or total excision of IPFP is usually occurred in the process of knee surgery (e.g... |
0 | Cytokine levels after transfusion of washed wound drainage in total knee arthroplasty: a randomized trial comparing autologous blood and washed wound drainage | Surgical Management of Osteoarthritis of the Knee CPG | Forty patients undergoing total knee arthroplasty (TKA) were prospectively randomized to autologous blood transfusion or retransfusion of washed wound drainage. The wound drainage was washed using a dynamic disk separation chamber. Interleukin (IL)-1 beta, IL-6, IL-8, and tumor necrosis factor (TNF) alpha blood levels ... |
0 | Femoral-shaft fractures and nonunions treated with intramedullary nails: the role of dynamisation | DoD SSI (Surgical Site Infections) | Dynamisation of a previously interlocked intramedullary nail is believed to stimulate an osteogenic response due to increased load across the fracture site. The purpose of this study was to retrospectively investigate fracture patterns that could tolerate dynamisation without the risk of major complications. Thirty pat... |
1 | Negative Pressure Wound Therapy Prevents Hernia Recurrence in Simultaneous Ventral Hernia Repair and Panniculectomy | Panniculectomy & Abdominoplasty CPG | Simultaneous ventral hernia repair with panniculectomy (VHR-PAN) is associated with a high rate of wound complications. Closed incision negative pressure wound therapy (ciNPWT) has been shown to lower complications in high-risk wounds. There is a debate in the literature as to whether ciNPWT is effective at preventing ... |
0 | Predictors of Intraoperative Fractures during Hemiarthroplasty for the Treatment of Fragility Hip Fractures | Hip Fx in the Elderly 2019 | Background: The aim of our study was to determine the rate and preoperative predictors of intraoperative fracture (IOF) during hip hemiarthroplasty (HA) in patients who have sustained a fragility hip fracture injury.
Methods: We reviewed 626 patients who underwent HA at our institution using the National Hip Fracture D... |
0 | The initiative on hip fractures of the Veneto Region | Management of Hip Fractures in the Elderly | Objective: to assess the prevalence of the most relevant environmental and individual risk factors in subjects with a recent hip fracture was the aim of this observational study promoted by the Health Authorities of the Regione Veneto (Italy). Methods: patients aged > 60 years of both genders with a recent hip fracture... |
0 | Preoperative adjuvant epidural tramadol: the effect of different doses on postoperative analgesia and pain processing | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Tramadol is an analgesic with combined opioid agonist and monoamine reuptake blocker properties, which may be useful as a perioperative analgesic and antinociceptive adjuvant. METHODS: The dose-dependent effects of adjuvant preoperative epidural tramadol on postoperative analgesia (pain scores and patient-c... |
0 | Gender and disease severity determine proximal femoral morphology in developmental dysplasia of the hip | Developmental Dysplasia of the Hip 2020 Review | In this computed tomography (CT) morphological study we describe the way the proximal femoral morphology differs with worsening degrees of developmental dysplasia of the hip (DDH) and describe gender differences in patients with DDH. Forty-nine male patients with DDH were matched with 49 females with DDH, using age and... |
0 | Cementless Oxford medial unicompartimental knee replacement: an independent series with a 5-year-follow-up | OAK 3 - Non-arthroplasty tx of OAK | Purpose: Cemented unicompartmental knee replacement (UKR) has proven excellent long-term survival rates and functional scores in Price et al. (Clin Orthop Relat Res 435:171â??180, 2005), Price and Svard (Clin Orthop Relat Res 469(1):174â??179, 2011) and Murray et al. (Bone Joint Surg Br 80(6):983â??989, 1998). The main... |
0 | Results of buccal mucosal grafting for patients with medically controlled ocular cicatricial pemphigoid | Upper Eyelid and Brow Surgery | Eyelid surgery for patients with ocular cicatricial pemphigoid is risky when there is unchecked perioperative inflammation. The authors performed buccal mucosal grafts on 42 eyelids (23 eyes) of 17 patients with ocular cicatricial pemphigoid whose disease was controlled by systemic immunosuppression. Results were grade... |
1 | Arthroscopic meniscal repair using the BioStinger | AMP (Acute Meniscal Pathology) | PURPOSE: Biodegradable devices are available for all-inside meniscal repairs. One device, the BioStinger (Linvatec, Largo, FL), is made of molded poly-L-lactic acid. The purpose of this study was to evaluate the effectiveness of and any adverse events associated with meniscus repair using this device.
TYPE OF STUDY: No... |
1 | Brace treatment for osteoarthritis of the knee: a prospective randomized multi-centre trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the effect of a brace intended to reduce load in patients with medial or lateral compartmental osteoarthritis (OA) and concurrent varus or valgus alignment, respectively. DESIGN: This multi-centre randomized controlled trial (performed 2001-2003) studies the additive effect of a brace intended to... |
0 | Peliosis hepatis. Report of nine cases | Management of Hip Fractures in the Elderly | Nine cases of peliosis hepatis are reported: five of these were associated with the administration of androgen or anabolic androgenic steroids and a sixth with large doses of medroxy-progesterone acetate. In five instances, neoplasm was present as an underlying disease. Antemortem evidence of liver disease was detected... |
0 | Articular cartilage regeneration using acellular bioactive affinity-binding alginate hydrogel: A 6-month study in a mini-pig model of osteochondral defects | Osteochondritis Dissecans 2020 Review | BACKGROUND: Despite intensive research, regeneration of articular cartilage largely remains an unresolved medical concern as the clinically available modalities still suffer from long-term inconsistent data, relatively high failure rates and high prices of more promising approaches, such as cell therapy. In the present... |
0 | Low intensity laser therapy: Still not an established clinical tool | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The surgical, ophthalmological, and dermatological applications of high power lasers are well known and easily understood. What is neither as well known nor as easily understood is that lasers at powers that are orders of magnitude smaller have also been used in the laboratory and clinic for nearly 30 years to modulate... |
0 | Psychosocial characteristics of young Norwegian women interested in liposuction, breast augmentation, rhinoplasty, and abdominoplasty: a population-based study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The present study investigated various psychosocial factors expected to predict an interest in liposuction, breast augmentation, rhinoplasty, and abdominoplasty. METHODS: Questionnaire data were obtained from 1862 participants who responded to a survey distributed to a representative sample of 3500 women fr... |
0 | Alendronate in the treatment of postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | The following article reviews the results of 2 investigational Phase III trials of alendronate. Alendronate has been found to induce clinically significant increases in bone mineral density at the spine, hip and other cortical and trabecular sites while maintaining bone quality thereby reducing the rate of vertebral fr... |
1 | 3T MRI of the knee with optimised isotropic 3D sequences: Accurate delineation of intra-articular pathology without prolonged acquisition times | AMP (Acute Meniscal Pathology) | OBJECTIVES: To investigate optimised isotropic 3D turbo spin echo (TSE) and gradient echo (GRE)-based pulse sequences for visualisation of articular cartilage lesions within the knee joint.
METHODS: Optimisation of experimental imaging sequences was completed using healthy volunteers (n=16) with a 3-Tesla (3T) MRI scan... |
0 | Comparison of Hallux Interphalangeal Joint Arthrodesis Fixation Techniques: A Retrospective Multicenter Study | DoD SSI (Surgical Site Infections) | Few studies have investigated the complications that occur after hallux interphalangeal joint arthrodesis. The present study evaluated complications in 152 patients aged 18 to 80 years from 2005 to 2012 from 4 different academic institutions after hallux interphalangeal joint arthrodesis. Overall, 65.8% of the patients... |
0 | Cosmetic surgery prior to diagnosis of breast cancer | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Cosmetic breast surgery is amongst the top five most commonly performed cosmetic surgical procedures. With breast cancer being the most common non-skin malignancy in women, the likelihood that a woman undergoing cosmetic breast surgery may have an occult breast cancer needs to be considered. Most of the ava... |
0 | Laser evoked potentials in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: The aim of this study was to evaluate the function of Adelta fibers at the hand level in patients with clinical symptoms of Carpal Tunnel Syndrome (CTS) using CO(2) laser evoked potentials (LEPs), in light of the intensity and distribution of sensory symptoms and pain. METHODS: Thirty-four CTS outpatients (... |
0 | Trends in trabecular and cortical bone in the radius compared with whole body calcium balance in osteoporosis | Distal Radius Fractures | Mean linear attenuation coefficients for trabecular bone (T) in the distal radius and total absorption coefficients (TA) in the radial mid-shafts of 22 patients with crush fracture osteoporosis were measured serially for a year by using computed tomography. After approximately 6 months, each patient was admitted to a m... |
0 | Comparison of the modified subvastus and medial parapatellar approaches in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | In this paper, we evaluated the difference between the modified subvastus approach and the medial parapatellar approach in total knee arthroplasty(TKA). We assessed the time of active straight-leg raise (SLR) post-operatively and the range of flexion of the operated knee at the tenth post-operative day, 6 weeks and 6 m... |
0 | Etiology of supracondylar humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The specific etiology of supracondylar humerus fractures in children is not well known. All supracondylar humerus fractures treated at Children's Hospital and Health Center, San Diego (CHSD) over an 8-year period (n = 391) were reviewed to determine specific information about the manner in which the injury occurred. Gi... |
0 | Effects of vacuum sealing drainage combined with ilizarov bone transport technique in the treatment of tibial traumatic osteomyelitis | DoD SSI (Surgical Site Infections) | Background: The aim of this study was to analyze the efficacy of vacuum sealing drainage combined with Ilizarov bone transport technique in the treatment of tibial traumatic osteomyelitis and risk factors for postoperative pin infection. Material/Methods: We enrolled 78 patients with tibial traumatic osteomyelitis admi... |
1 | The MeTeOR trial (Meniscal Tear in Osteoarthritis Research): rationale and design features | AMP (Acute Meniscal Pathology) | This paper presents the rationale and design features of the MeTeOR Trial (Meniscal Tear in Osteoarthritis Research; Clinical Trials.gov NCT00597012). MeTeOR is an NIH-funded seven-center prospective randomized controlled trial (RCT) designed to establish the efficacy of arthroscopic partial meniscectomy combined with ... |
1 | Treatment of distal radius fractures with locking plates: an update | Distal Radius Fractures | Internal fixation with volar locking plates has revolutionized the treatment of distal radius fractures. Manufacturers have introduced plate designs that closely follow the anatomy of the distal radius. However, use of volar plates has also led to the emergence of new types of complications. While the use of monoaxial ... |
0 | Safe approach for fixation of first metacarpal fractures: an anatomical study | Distal Radius Fractures | This anatomical study defines a safe zone for percutaneous or minimally invasive fixation of first metacarpal fractures in order to avoid injury of the superficial branch of the radial nerve and the dorsal branch of the radial artery. The courses of the nerve and artery branches were marked in 20 embalmed cadaver speci... |
0 | Characterization of patients undergoing total knee arthroplasty in a real-world setting and pain-related medication prescriptions for management of postoperative pain | OAK 3 - Non-arthroplasty tx of OAK | Presently, no "gold-standard" exists for the management of pain after total knee arthroplasty (TKA) surgery. Understanding pain management methods used in clinical practice and the associated patient outcomes are necessary to fill gaps in pain management strategies. This study characterizes medication use in the immedi... |
0 | Options for managing severe acetabular bone loss in revision hip arthroplasty. A systematic review | PJI DX Updated Search | Revision hip arthroplasty in the presence of severe acetabular bone loss is challenging and requires a solid understanding of current techniques. A literature search of multiple databases applying specific criteria revealed a total of 50 articles of level IV scientific evidence comprising 2415 patients (2480 hips) mana... |
1 | Patella retention versus replacement in total knee arthroplasty; functional and clinimetric aspects | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: Whether to resurface the patella or not in total knee arthroplasty still remains undecided. Classical scores and questionnaires might not be responsive or demanding enough. This study used two accelerometer based systems to study the hypothesis whether performance based tests are able to detect a differen... |
0 | Active involvement of alarmins S100A8 and S100A9 in the regulation of synovial activation and joint destruction during mouse and human osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate whether alarmins S100A8 and S100A9 are involved in mediating cartilage destruction during murine and human osteoarthritis (OA).
METHODS: Two different murine models of OA that differed in terms of synovial activation were compared. Cartilage destruction was measured histologically. Synovial bi... |
0 | Operative Repair of Medial Patellofemoral Ligament Injury Versus Knee Brace in Children With an Acute First-Time Traumatic Patellar Dislocation: A Randomized Controlled Trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: A lateral patellar dislocation (LPD) is the most common traumatic knee injury with hemarthrosis in children. The redislocation rate is high. Varying operative and nonoperative treatments have been advocated with no consensus on the best treatment.
PURPOSE: (1) To evaluate if arthroscopic-assisted repair of ... |
1 | Vascular Reconstruction Is Not Warranted in Most Civilian Traumatic Shank Vascular Injuries | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Operative management of traumatic shank vascular injuries (SVI) evolved significantly in the past few decades, thereby leading to a dramatic decrease in amputation rates. However, there is still controversy regarding the minimum number of patent shank arteries sufficient for limb salvage. METHODS: Between J... |
1 | Collaborative Establishment of an Integrated Orthotic and Rehabilitation Pathway | DoD LSA (Limb Salvage vs Amputation) | Returning to active military duty and to recreational activities has been difficult for service members sustaining combat-related high-energy lower extremity trauma (HELET). The Return to Run (RTR) clinical pathway was introduced in 2009 with favorable results in returning active duty service members to running, sports... |
0 | Elbow capsulectomy for posttraumatic elbow stiffness | Glenohumeral Joint OA | PURPOSE: To determine factors associated with diminished elbow function and upper-extremity-specific health status after elbow capsulectomy for posttraumatic stiffness.
METHODS: Forty-six adult patients with posttraumatic elbow stiffness were evaluated an average of 48 months after open capsular excision. A second caps... |
0 | Analysis of the hemoglobin level drop in patients with hip fracture after admission | Hip Fx in the Elderly 2019 | The studies that evaluated blood loss during hip surgery found a relatively small loss that does not explain the large hemoglobin drop postoperatively. The aim of this study was to determine the fall in hemoglobin level after admission and rehydration in patients with hip fractures and to identify the patients that nee... |
1 | Arthroscopic Joint Preservation in Severe Glenohumeral Arthritis Using Interpositional Human Dermal Allograft | Glenohumeral Joint OA | PURPOSE: To investigate the outcomes of arthroscopic glenoid resurfacing (AGR) for severe glenohumeral arthritis at short- to medium-term follow-up.
METHODS: We performed a multicenter retrospective review of consecutive patients undergoing AGR (2005-2013) with a minimum of 2 years' follow-up or until revision. Patient... |
0 | Case 17-2010: A 29-year-old woman with flexion of the left hand and foot and difficulty speaking | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A 29-year-old right-handed woman was seen in the neurology clinic of this hospital because of a 3-year history of involuntary flexion of the left hand and increasing difficulty moving the left foot. Examination revealed dystonic movements and posturing of the left arm, hand, and foot. Brain imaging was normal. During t... |
0 | Surgical treatment of gynecomastia: mastectomy compared to liposuction technique | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Gynecomastia is a benign enlargement of the male breast. Yet enlarged breasts cause anxiety, embarrassment, psychosocial discomfort, and fear of breast cancer. The aim of this study was to assess the experience of gynecomastia patients undergoing mastectomy and liposuction surgery. METHODS: Seven hundred th... |
0 | Advance pre-operative chlorhexidine reduces the incidence of surgical site infections in knee arthroplasty | PJI DX Updated Search | Surgical site infections following elective knee arthroplasties occur most commonly as a result of colonisation by the patient's native skin flora. The purpose of this study was to evaluate the incidence of deep surgical site infections in knee arthroplasty patients who used an advance cutaneous disinfection protocol a... |
0 | F wave velocity in the central segment of the median and ulnar nerves: a study in normal subjects and in patients with Charcot Marie Tooth disease | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The F wave velocity in the central segment (axilla to spinal cord) of the median and ulnar nerves was studied in contrast to the conventional motor nerve conduction velocity in the proximal segment (axilla to elbow) and in the distal segment (elbow to wrist). In 33 normal subjects, the F wave velocity in the central se... |
0 | Total knee arthroplasty for treatment of post-traumatic arthritis: Systematic review | PJI DX Updated Search | AIM: To review and report functional outcomes, complications, and survivorship associated with total knee arthroplasty (TKA) in the treatment of post-traumatic arthritis (PTA). METHODS: We conducted a systematic review according to the PRISMA guidelines. We searched PubMed, Cochrane Library, and SCOPUS in December 2015... |
0 | Solitary amyloidoma related to THA | PJI DX Updated Search | Amyloidoma of soft tissues is rare, and no previously published reports describe it in relation to hip prostheses. This article presents the case of a 78-year-old woman with a medical history of myelodysplasia and mild renal failure who underwent a right-sided metal-on-polyethylene total hip arthroplasty in 2003. She p... |
0 | Evidence-based hydro- and balneotherapy in Hungary--a systematic review and meta-analysis | SR for PM on OA of All Extremities | Balneotherapy is appreciated as a traditional treatment modality in medicine. Hungary is rich in thermal mineral waters. Balneotherapy has been in extensive use for centuries and its effects have been studied in detail. Here, we present a systematic review and meta-analysis of clinical trials conducted with Hungarian t... |
0 | Repair of osteochondral defects in joints--how to achieve success | OAK 3 - Non-arthroplasty tx of OAK | Osteochondral defects in the knee are difficult to repair because intrinsic healing of cartilage is poor and gradual progression to "early-onset" osteoarthritis leads to severe pain and disability. Of all methods tested to achieve regeneration of hyaline cartilage and long-lasting repair, autologous chondrocyte transpl... |
0 | A comparison of open reduction and closed reduction in treating distal radius fractures in elderly patients | Distal Radius Fractures | OBJECTIVE: To discuss the relationship between recovery of anatomical integrity and functional outcome in elderly patients with distal radius fractures by comparing the effects of open reduction and closed reduction. METHODS: The clinical data were retrospectively analyzed from 78 elderly patients with distal radius fr... |
0 | Operative principles for optimizing results in circumferential body contouring with ultrasound-assisted lipoplasty | Panniculectomy & Abdominoplasty CPG | The optimization of results in body contouring requires simultaneous visualization of all body regions. This goal is achieved through a circumferential and balanced surgical approach. Adjacent areas must blend together to evoke a smooth contour silhouette. The anatomic differences between men and women, patient selecti... |
0 | Risk of conjunctival contamination in total joint arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This study arose from a concern about the transmission of infection through conjunctival contamination during total joint arthroplasty surgery. A prospective analysis of 110 sets of personal face and eye protective equipment (Sterishields) used for 29 total hip arthroplasties (THA) and 26 total knee arthroplasties (TKA... |
0 | Mortality following bone metastasis and skeletal-related events among patients 65 years and above with lung cancer: A population-based analysis of U.S. Medicare beneficiaries, 1999-2006 | MSTS 2022 - Metastatic Disease of the Humerus | Background: To quantify the impact of bone metastasis and skeletal-related events (SREs) on mortality among older patients with lung cancer. Materials and Methods: Using the linked Surveillance, Epidemiology and End Results-Medicare database, we identified patients aged 65 years or older diagnosed with lung cancer betw... |
0 | Advances and challenges in the diagnosis and treatment of polymyalgia rheumatica | Glenohumeral Joint OA | Polymyalgia rheumatica (PMR) is a common inflammatory condition that often affects people over the age of 50 years. Characteristic symptoms are shoulder and hip girdle pain and prolonged morning stiffness. Markers of inflammation are often elevated. Clinicians are often faced with the challenge of distinguishing PMR fr... |
0 | Risk factors for secondary hyperparathyroidism in a nursing home population | Management of Hip Fractures in the Elderly | OBJECTIVE: Secondary hyperparathyroidism may cause bone loss and structural deterioration of bone and may thus be a cause of fracture in the elderly. Vitamin D deficiency, renal impairment and medications are potential causes of hyperparathyroidism and may also directly predispose to fracture. We present the first find... |
0 | Titanium niobium nitride knee implants are not inferior to chrome cobalt components for primary total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: Metal allergy in total knee arthroplasty (TKA) is still a controversial topic. Oxinium, ceramic or titanium niobium nitride (TiNbN) coated implants are available for some knee systems. The hypothesis of this study was that the use of TiNbN-coated components would not lead to inferior results compared to con... |
0 | Higher serum uric acid as a protective factor against incident osteoporotic fractures in Korean men: A longitudinal study using the National Claim Registry | DoD PRF (Psychosocial RF) | In this large longitudinal study of 16,078 Korean men aged 50 years or older, we observed that baseline elevation of serum uric acid level significantly associated with a lower risk of incident fractures at osteoporosis-related sites during an average follow-up period of 3 years. Introduction: Male osteoporosis and rel... |
0 | The rates of osteolysis and loosening associated with a modular posterior stabilized knee replacement. Results at five to fourteen years | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Osteolysis and increased polyethylene wear have been reported in association with several designs of modular total knee prostheses. The purpose of the present study was to evaluate a modular posterior stabilized prosthesis to determine its clinical performance as well as the rates of component loosening and... |
0 | Cumulative Childhood Trauma and Adult Sexual Satisfaction: Mediation by Affect Dysregulation and Sexual Anxiety in Men and Women | DoD PRF (Psychosocial RF) | Childhood cumulative trauma (CCT) refers to an amalgam of childhood maltreatment experiences that can lead to a range of symptoms and problems in adulthood. The current study examined an integrative model of CCT for its relevance to psychosexual adjustment in adult survivors. A total of 620 participants aged 18 years a... |
0 | The Management of Osteoarthritis: An Overview and Call to Appropriate Conservative Treatment | Surgical Management of Osteoarthritis of the Knee CPG | Despite its growing prevalence, osteoarthritis (OA) remains a poorly understood disease, and recent doubts about the safety of several commonly prescribed OA medications have served to highlight deficiencies in the traditional medical approach to management. This article presents a general outline for the management of... |
1 | Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Capacity to ambulate represents an important milestone in the recovery process after total knee arthroplasty (TKA). The purpose of this study was to determine the analgesic effect of two analgesic techniques and their impact on functional walking capacity as a measure of surgical recovery.
METHODS: Forty AS... |
0 | Flexion Contractures: Getting It Straight | Surgical Management of Osteoarthritis of the Knee CPG | The importance of correcting soft tissue imbalance at the time of total knee arthroplasty is well recognized. Fixed knee flexion contractures are common preoperatively and can make balancing more challenging for the surgeon. In addition, restoration of full passive knee extension is required at the time of total knee a... |
1 | Complications Post Abdominoplasty After Surgical Versus Non-surgical Massive Weight Loss: a Comparative Study | Panniculectomy & Abdominoplasty CPG | PURPOSE: This study aims to investigate the rate of short- and long-term complications as well as the need for operative revisions after abdominoplasty for patients following surgical versus non-surgical weight loss methods. METHODS: This is a retrospective chart review that enrolled consecutive patients undergoing abd... |
0 | Complex wound closure by plastic surgery following resection of spinal neoplasms minimizes postoperative wound complications in high-risk patients | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVE: Wound breakdown and infection are common postoperative complications following resection of spinal neoplasms. Accordingly, it has become common practice at some centers for plastic surgeons to assist with closure of large posterior defects after spine tumor resection. In this study, the authors tested the hy... |
0 | Transfixation pinning and casting of radial-ulnar fractures in calves: A review of three cases | Distal Radius Fractures | We reviewed the medical records of three calves with radial-ulnar fractures which were reduced and stabilized by transfixation pinning and casting. Multiple Steinmann pins were placed transversely through proximal and distal fracture fragments and the pin ends were incorporated in fiberglass cast material after fractur... |
0 | Skin Grafting in the Treatment of Diabetic Foot Soft Tissue Defects | DoD LSA (Limb Salvage vs Amputation) | Background: According to the World Health Organization, cases of diabetes have risen from 108 million in 1980 to 422 million in 2014, with a more rapid rising in middle- and low-income countries. Diabetes causes yearly approximately 1.6 million deaths, and is a major cause of heart attacks, stroke, kidney failure, blin... |
0 | Preliminary results for the use of knee mega-endoprosthesis in the treatment of musculoskeletal complications of haemophilia | Pediatric Supracondylar Humerus Fracture 2020 Review | Complications of haemophilia in the knee region are rare and difficult to treat. Use of surgical treatments such as total knee arthroplasty cannot satisfactorily restore knee function in patients with these complications, which include massive haemophilic pseudotumour, fracture around the knee and haemarthrosis. To ana... |
0 | Stem cells: Novel players in the treatment of erectile dysfunction | AMP (Acute Meniscal Pathology) | Stem cells are defined by their capacity for both self-renewal and directed differentiation; thus, they represent great promise for regenerative medicine. Historically, stem cells have been categorized as either embryonic stem cells (ESCs) or adult stem cells (ASCs). It was previously believed that only ESCs hold the a... |
1 | Intravenous Iron May Improve Outcomes in Elderly Patients With Operative Hip Fractures | Hip Fx in the Elderly 2019 | Introduction: Hip fractures are common injuries with high morbidity and mortality rates. These patients often become anemic and require allogenic blood transfusion. Transfusions are costly with potential complications. This study examines the effect of intravenous (IV) iron on patients with hip fractures, undergoing su... |
1 | Elective surgery in the time of COVID-19 | Coronavirus Disease 2019 (COVID-19) | The COVID-19 pandemic has placed a significant strain on the United States health care system, and frontline healthcare workers are rapidly altering their professional responsibilities to help meet hospital needs. In an effort to decrease disease transmission and conserve personal protective equipment (PPE), surgeons h... |
0 | Short scar abdominoplasty update | Panniculectomy & Abdominoplasty CPG | Techniques for abdominal contouring have proliferated and evolved over the past 2 decades. Now more than ever, aesthetic operations are tailored to fit the anatomic features and aesthetic goals of each individual patient, stressing the absolute importance of patient selection. This short scar procedure relies on a comb... |
1 | Endoscopic-Assisted Abdominoplasty | Panniculectomy & Abdominoplasty CPG | Advantages of standard endoscopic surgery include diminished incidence of scarring, numbness, bleeding, and edema, making endoscopic surgery preferable to the conventional suprapubic approach. Endoscopic-assisted abdominoplasty can also treat diastasis recti deformity with minimal excess skin. For enhanced results, a l... |
0 | Ultrasonic diagnosis of neonatal separation of the distal humeral epiphysis | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We report a case of neonatal separation of the distal humeral epiphysis in which non-invasive ultrasonic examination provided clear definition of the injury |
0 | Morphometry of adult human femur | Surgical Management of Osteoarthritis of the Knee CPG | Femur is the long bone studied and analysed for its importance in medico legal cases and forensic identification of an individual. The knowledge of normal anatomical features and morphometry of femur are pre-requisites for complete understanding of mechanics of hip and knee joint and diseases of these joints as well. I... |
0 | Immunophenotyping of Human B Lymphocytes in Blood and in Adipose Tissue | Panniculectomy & Abdominoplasty CPG | The human obese subcutaneous adipose tissue (SAT) contributes to systemic and B cell intrinsic inflammation, reduced B cell responses, and increased secretion of autoimmune antibodies. Immune cells are recruited to the SAT by chemokines released by both adipocytes and infiltrating immune cells. We describe here the cha... |
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