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0 | Use of the Gamma nail in the treatment of fractures of the proximal femur | Management of Hip Fractures in the Elderly | Fractures of the proximal femur are, more than ever, an important challenge in the field of traumatology. The Gamma nail, a combination of advantages of the sliding screw with the intramedullary nail, represents an efficient technique in the management of these fractures. A series of 224 fractures of the proximal femur... |
0 | The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study | SR for PM on OA of All Extremities | OBJECTIVE: To estimate the global burden of hip and knee osteoarthritis (OA) as part of the Global Burden of Disease 2010 study and to explore how the burden of hip and knee OA compares with other conditions. METHODS: Systematic reviews were conducted to source age-specific and sex-specific epidemiological data for hip... |
0 | Ligamentous, chondral, and osteochondral ankle injuries in athletes | Diagnosis and Treatment of Osteochondritis Dissecans AUC | There is a broad spectrum of intra- and extra-articular pathologies that may result in chronic pain and loss of function after an ankle sprain in an athlete. Multiple concurrent intra- and extra-articular pathologies are common. The complex anatomy in the ankle and foot may result in overlap of the clinical features of... |
1 | Hyaluronic acid for the treatment of osteoarthritis in all joints except the knee: what is the current evidence? | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The use of intra-articular hyaluronic acid (HA) is a well known treatment in patients with knee osteoarthritis (OA). In other joints, less evidence is available about the efficacy of treatment with intra-articular HA. HA is also used intra-articularly in the metatarsophalangeal-1 joint, the ankle, the hip, ... |
0 | Preoperative quadriceps strength predicts functional ability one year after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Quadriceps weakness is common after total knee arthroplasty (TKA) as is longterm disability. We hypothesized that preoperative quadriceps strength would be the best predictor of postoperative functional ability when compared to preoperative pain or knee range of motion (ROM). METHODS: Forty subjects (mean ag... |
0 | Periradicular curettage | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Periradicular curettage is a part of the treatment procedure of periradicular surgery. Its main purpose is to remove pathological periradicular tissues for visibility and accessibility to facilitate the treatment of the apical root canal system, or sometimes for the removal of harmful foreign materials present in the p... |
1 | Medial collateral ligament release during knee arthroscopy: key concepts | AMP (Acute Meniscal Pathology) | Complete access to the posterior medial compartment of the knee may represent a technical challenge during arthroscopy in patients with a tight tibiofemoral joint space.Medial collateral release reduces direct iatrogenic cartilage damage in the medial compartment of the knee through manipulation with instruments. We re... |
0 | A new fracture assessment approach coupling HR-pQCT imaging and fracture mechanics-based finite element modeling | Distal Radius Fractures | A new fracture assessment approach that combines HR-pQCT imaging with fracture mechanics-based finite element modeling was developed to evaluate distal radius fracture load. Twenty distal radius images obtained from postmenopausal women (fracture, n=10; nonfracture, n=10) were processed to obtain a cortical and a whole... |
0 | Intra-articular autologous uncultured adipose-derived stromal cell transplantation inhibited the progression of cartilage degeneration | OAK 3 - Non-arthroplasty tx of OAK | The role of uncultured adipose-derived stromal cells for osteoarthritis treatment remains unclear despite sporadic reports supporting their use in clinical settings. This study aimed to evaluate the therapeutic effects of autologous uncultured adipose-derived stromal cell transplantation in a rabbit osteoarthritis mode... |
0 | A comparison of single and multi-site BMC measurements for assessment of spine fracture probability | Distal Radius Fractures | In a prospective study of 699 women, 39 new spine fracture cases were observed during a mean follow-up of 3.6 yr. Spine fracture incidence was compared to initial bone mineral content (BMC) of the calcaneus, distal radius, proximal radius, and the lumbar spine. BMC at all four sites was significantly related to spine f... |
0 | Management of the difficult abdominal closure | DoD SSI (Surgical Site Infections) | Hemorrhagic shock and multiple trunk injuries, especially severe pelvic fracture, may cause massive swelling of intra-abdominal viscera and the abdominal wall, thereby precluding safe, primary abdominal wall closure. Primary closure, under tension in such patients, causes a multitude of problems including respiratory c... |
0 | The benefit of hormone replacement therapy on bone mass is greater at the vertebral body than posterior processes or proximal femur | Management of Hip Fractures in the Elderly | The aim of this study was to determine whether the higher vertebral bone mass in women receiving hormone replacement therapy (HRT) is confined to the trabecular rich vertebral body rather than the predominantly cortical posterior processes, and to determine whether the protective effect of HRT at the proximal femur, a ... |
0 | Weight loss in older persons: new therapeutic approaches | Management of Hip Fractures in the Elderly | There is now a large body of evidence that weight loss in older persons not only increases mortality, but also increases the incidence of hip fracture, functional deterioration and institutionalization. Weight loss is a central component of frailty. There is evidence that it is not only muscle, but also fat loss that l... |
0 | Outcomes of Injections in Patients Waiting for Total Knee Replacement | AAHKS (2) Corticosteroids | The objective of this research is to evaluate the shortâ?term results of viscosupplementation in patients with advanced osteoarthritis of the knee. There is a bigger demand of patients requiring total knee arthroplasty than the number of surgeries performed by the Unified Health System in Brazil. For this reason the q... |
0 | Association between leukocyte telomere length and angiogenic cytokines in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | AIM: The aims of this study were to compare leukocyte relative telomere length (RTL) in knee osteoarthritis (OA) patients and healthy controls and to investigate associations between plasma angiogenic cytokine concentrations and leukocyte RTL.
METHOD: Eighty knee OA patients and 60 age-matched controls were enrolled. L... |
0 | Transfer of hip arthroplasty patients leads to increased cost and resource utilization in the receiving hospital | HipFx Supplemental Cost Analysis | Factors other than complexity of care often drive the transfer of orthopedic patients to tertiary centers. We sought to compare the demographics, diagnoses, insurance data, peri-operative outcomes and institutional costs of total hip arthroplasty patients transferred from outside facilities with those of patients deriv... |
0 | Outcome of infected total knee utilizing a staging system for prosthetic joint infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This study reviews, over a 5-year period, the records of 70 consecutive patients with prosthetic knee infection and evaluates outcomes as a function of a staging system for prosthetic joint infection. The staging system for prosthetic joint infection was divided into three main categories that include infection type, s... |
0 | Younger age is associated with a higher risk of early periprosthetic joint infection and aseptic mechanical failure after total knee arthroplasty | PJI DX Updated Search | BACKGROUND: Although early aseptic mechanical failure after total knee arthroplasty has been reported in younger patients, it is unknown whether early revision due to periprosthetic joint infection is more or less frequent in this patient subgroup. The purpose of this study was to determine whether the incidence of ear... |
0 | Extracts from 'Clinical evidence'. Non-steroidal anti-inflammatory drugs | SR for PM on OA of All Extremities | Definition. Non-steroidal anti-inflammatory drugs (NSAIDs) have anti-inflammatory analgesic, and antipyretic effects and inhibit thrombocyte aggregation. The drugs have no documented effect on the disease process itself. Incidence/prevalence. NSAIDs are widely used. Almost 10% of people in the Netherlands had used a no... |
0 | A possible mechanism in DHEA-mediated protection against osteoarthritis | TO: WNT2 Pathway Modulator | Dehydroepiandrosterone (DHEA) and its ester form, DHEA-S, are the most abundant steroids in human plasma. Our previous studies showed that DHEA protects against osteoarthritis (OA). The aim of this paper was to explore the possible mechanisms that underlie DHEA-mediated protection against OA. We tested the expression o... |
0 | The effects of mandatory preclinical education on exposure to injuries as reported by Italian nursing students: A 15â?쳌year caseâ??control, multicentre study | DoD PRF (Psychosocial RF) | The present article aims to evaluate the effects of mandatory preclinical education on injury exposure occurrence as reported by nursing students. Of all the health workers, nurses show the highest risk of occupational exposure to percutaneous injuries, which constitutes the greatest risk of infection from blood-borne ... |
0 | Pilon fractures of the wrist. Displaced intra-articular fractures of the distal radius | Distal Radius Fractures | 22 patients who sustained high energy wrist injuries are reported. These complex injuries resulted in articular disruption of the distal radius. Associated injuries included scapho-lunate dissociation (18%), central die-punch injuries (14%), ulnar fractures (41%) and diastasis at the distal radioulnar joint (23%). Nine... |
0 | The effectiveness of preoperative colon cleansing on post-operative surgical site infection after hip hemiarthroplasty | DoD SSI (Surgical Site Infections) | AIM: This study aimed to evaluate the effectiveness of prophylactic mechanical bowel preparation in elderly patients undergoing hip hemiarthroplasty in a single training institution over a period of 2 years.
PATIENTS AND METHODS: The study was conducted in a prospective-randomised manner. All patients, who underwent pr... |
0 | Bone mineral density, prevalence of vertebral fractures, and bone quality in patients with adrenal incidentalomas with and without subclinical hypercortisolism: an Italian multicenter study | Management of Hip Fractures in the Elderly | CONTEXT: In patients with adrenal incidentalomas and subclinical hypercortisolism (SH), the factors influencing bone and the prevalence of vertebral fractures are debated. Spinal deformity index (SDI), which reflects bone quality, has never been evaluated. OBJECTIVE: The objective of the study was to investigate in the... |
1 | Safety of staged interpolation flaps after Mohs micrographic surgery in an outpatient setting: A single-center experience | Reconstruction After Skin Cancer | Objective To establish the safety of staged interpolation flaps performed in an outpatient dermatologic clinic setting. Methods A retrospective chart review was performed of patients who underwent staged interpolation flap reconstruction by a single dermatologic surgeon after tumor clearance using Mohs micrographic sur... |
1 | Do rehabilitative nursing homes improve the outcomes of care? | Management of Hip Fractures in the Elderly | OBJECTIVES: To compare the differences in outcomes of Medicare patients discharged from hospital to two types of nursing homes, rehabilitative and regular, and to rehabilitative facilities. DESIGN: Criteria for distinguishing rehabilitative nursing homes (RNHs) from ordinary nursing homes (NH), based on staffing criter... |
0 | Bisphosphonate therapy for skeletal malignancies and metastases: impact on jaw bones and prosthodontic concerns | MSTS 2018 - Femur Mets and MM | Healthy jawbones ensure better tooth anchorage and the ability to masticate and maintain metabolism. This is achieved by a delicate balance between bone formation and resorption in response to functional demands. An imbalance in the expression of receptor activator of nuclear factor kappa-B (RANK) ligand (RANKL) and os... |
0 | Results of the cementless Plasmacup in revision total hip arthroplasty: a retrospective study of 72 cases with an average follow-up of eight years | PJI DX Updated Search | BACKGROUND: There are multiple revision implant systems currently available for socket revision in revision total hip arthroplasty. Up until now, not all of these systems have been followed up with regards to their long-term use as a revision implantation.For the first time, this study presents the hemispherical porous... |
0 | Phantom pain: natural history and association with rehabilitation | DoD LSA (Limb Salvage vs Amputation) | All 338 lower limb amputees under the care of one disablement services centre were asked to assess phantom pain severity at different times after amputation. Of 212 (63%) replies, 13 had died, 22 were non-limb wearers and 22 were unable to complete the questionnaire. In all, 176 useful replies were received--96 below-k... |
1 | Randomized clinical trial of surgery versus conservative therapy for carpal tunnel syndrome [ISRCTN84286481] | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Conservative treatment remains the standard of care for treating mild to moderate carpal tunnel syndrome despite a small number of well-controlled studies and limited objective evidence to support current treatment options. There is an increasing interest in the usefulness of wrist magnetic resonance imagin... |
0 | Case-control study on tibetan Baimai ointment (see symbol in text) for the treatment of wrist-dysfunction after distal radius fracture | Distal Radius Fractures | OBJECTIVE: To evaluate efficacy and safety of Baimai ointment (see symbol in text) in the treatment of wristâ?dysfunction after distal radius fracture. METHODS: From April, 2011 to June, 2012, 43 patients with distal radius fracture were treated with plaster fixation. All the patients were divided into two group: test... |
0 | Tracheostomy Protocols during COVID-19 Pandemic | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: The COVID-19 pandemic has resulted in the implementation of rapidly changing protocols and guidelines related to the indications and perioperative precautions and protocols for tracheotomy. The purpose of this study was to evaluate current guidelines for tracheostomy during the COVID-19 pandemic to provide ... |
0 | The impact of a restrictive transfusion trigger on post-operative complication rate and well-being following elective orthopaedic surgery: A post-hoc analysis of a randomised study | PJI DX Updated Search | Background: Peri-operative red blood cell transfusions have been associated with post-operative complications in patients undergoing elective orthopaedic hip or knee replacement surgery. Materials and methods: We performed a post-hoc analysis of data extracted from a randomised study on transfusion triggers using pre-s... |
0 | Biochemical markers of bone turnover and clinical outcome in patients with renal cell and bladder carcinoma with bone metastases following treatment with zoledronic acid: The TUGAMO study | MSTS 2018 - Femur Mets and MM | BACKGROUND: Levels of bone turnover markers (BTM) might be correlated with outcome in terms of skeletal-related events (SRE), disease progression, and death in patients with bladder cancer (BC) and renal cell carcinoma (RCC) with bone metastases (BM). We try to evaluate this possible correlation in patients who receive... |
0 | Psychometric properties of self-administered Lequesne Algofunctional Indexes in patients with hip and knee osteoarthritis: an evaluation using classical test theory and Rasch analysis | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study is to perform a psychometric analysis of the Lequesne Algofunctional Indexes (LAI) for the severity of osteoarthritis (OA) of the hip (LAI-hip) and knee (LAI-knee), using classical test theory (CTT) and Rasch analysis. Questionnaires were completed by 1,214 patients with symptomatic OA of the knee... |
0 | A rational approach for the recognition and treatment of Colles' fracture | Distal Radius Fractures | The approach to Colles' fracture, as recommended in this article, is derived from understanding the mechanism of injury. Fractures that are inherently unstable can be recognized by observing the depth of comminution presented on the lateral postreduction radiography. These unstable fractures demand a more vigorous appr... |
0 | Clinical field-testing of ATLAS prosthetic system for trans-tibial amputees | DoD LSA (Limb Salvage vs Amputation) | The ATLAS prosthetic system was tested on 81 trans-tibial amputees in two tropical areas and followed for about two years. At the conclusion 19% (15/81) had given up its use, mostly because of unsatisfactory socket fit, but in 7% (6/81) system related failures were the cause of non-compliance; mostly because of a shrie... |
1 | Effectiveness of Platelet-ich Plasma Based on Gene Expression in Knee Osteoarthritis | PRP (Platelet-Rich Plasma) | Background: Intra-articular injection of Platelet-rich plasma (PRP) is an effective method for the treatment of patients with knee osteoarthritis (OA). This study aimed to assess the effects of PRP injection on OA, based on gene expression analysis.
Methods: A sample of 30 subjects with knee OA was asked to complete th... |
0 | Femoral stem fractures after primary and revision hip replacements: A single-center experience | Hip Fx in the Elderly 2019 | OBJECTIVES: This study aims to present our experience in the management of fractured femoral stems after primary and revision hip replacements by evaluating the clinical and radiographic characteristics and determining the effectiveness of the extraction methods.
PATIENTS AND METHODS: A total of 15 patients (5 males, 1... |
1 | Double semitendinosus anterior cruciate ligament reconstruction: 10-year results | Anterior Cruciate Ligament Injuries CPG | In a series of 30 consecutive patients who suffered from chronic instability of the knee joint, reconstruction of the torn anterior cruciate ligament was performed with a looped semitendinosus tendon, reinforced by an extra-articular anterolateral procedure. Of these 30, 27 could be followed up 9-11 years after the ope... |
0 | Surgeon error in performing intraoperative estimation of stem anteversion in cementless total hip arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | To examine the accuracy of intraoperative estimation of stem anteversion in total hip arthroplasty (THA), we compared the intraoperatively estimated stem anteversion (estimated prosthetic anteversion) to stem anteversion measured by postoperative computed tomography (true anteversion) in 73 hips in 73 patients. Estimat... |
0 | Variation in health care for children and young people with cerebral palsies: a retrospective multicentre audit study | Developmental Dysplasia of the Hip 2020 Review | AIM: To explore the provision and variations in care for children and young people with cerebral palsies (CP) registered with the population-based North of England Collaborative Cerebral Palsy Survey (NECCPS). METHOD: This is a retrospective multicentre record audit of 389 children with CP (220 males, 148 females, 21 n... |
1 | Anesthesia and Analgesia Practice Pathway Options for Total Knee Arthroplasty: An Evidence-Based Review by the American and European Societies of Regional Anesthesia and Pain Medicine | AAHKS (4) Acetaminophen | In 2014, the American Society of Regional Anesthesia and Pain Medicine in collaboration with the European Society of Regional Anaesthesia and Pain Therapy convened a group of experts to compare pathways for anesthetic and analgesic management for patients undergoing total knee arthroplasty in North America and Europe a... |
0 | The secondary and recurrent abdominal compartment syndrome | DOD - Acute Comp Syndrome CPG | INTRODUCTION: The Secondary Abdominal Compartment Syndrome (SACS) refers to cases of the ACS that do not originate from the abdomino-pelvic region. With greater awareness of the physiologic consequences of raised intra-abdominal hypertension (IAH), cases of the SACS are being increasingly described. The prior treatment... |
0 | Recurrent incisional hernia repairs at a tertiary hernia center: Are outcomes really inferior to initial repairs? | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Recurrent ventral hernia repairs are reported to have higher recurrence and complication rates than initial ventral hernia repairs. This is the largest analysis of outcomes for initial versus recurrent open ventral hernia repairs reported in the literature. METHODS: A prospective, institutional database at ... |
0 | Disease-specific gender differences among total knee arthroplasty candidates | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Women with knee osteoarthritis are less likely to undergo joint replacement despite greater self-reported disability. The primary aim of the present study was to assess gender differences in the type and magnitude of osteoarthritis-related impairment prior to knee arthroplasty. METHODS: Two hundred and twen... |
0 | Levator palpebrae superioris muscle in human fetuses: anatomical findings and their clinical relevance | Upper Eyelid and Brow Surgery | Accessory medial muscular bellies of the levator palpebrae superioris muscle and broad lateral insertion of its aponeurosis into tissue near the lacrimal gland have been reported as rare variations in adults. The anatomy of this muscle was studied in orbits of ten human fetuses between the 5th and 10th months of gestat... |
0 | Vascularized bone grafting for scaphoid nonunions | Distal Radius Fractures | Scaphoid nonunions remain a challenging problem for hand surgeons. While standard approaches have reasonably high success rates, the potential for devascularization. of a portion of the scaphoid after fracture remains a problem. The use of pedicled vascularized bone grafts offers a potential remedy for these problems. ... |
0 | Anatomic Interosseus Membrane Reconstruction Utilizing the Biceps Button and Screw Tenodesis for Essex-Lopresti Injuries | Distal Radius Fractures | Longitudinal radioulnar dissociation, also known as the Essex-Lopresti lesion, is a potentially debilitating condition causing painful instability of the forearm that often results from high-injury trauma with compromise of the proximal radius, triangular fibrocartilage complex, and the interosseous membrane. Indicatio... |
0 | Cost-effectiveness of strong opioids focussing on the long-term effects of opioid-related fractures: A model approach | Management of Hip Fractures in the Elderly | Opioid analgesics are known to impact on the central nervous system (CNS). These CNS side effects, such as dizziness and confusion, have been shown to lead to an increased risk of falling with subsequent fractures in elderly patients being treated with opioids. The risk of experiencing fractures has been shown to be de... |
0 | A case of lung tuberculosis in a patient with rheumatoid arthritis treated with infliximab after antituberculosis chemoprophylaxis with isoniazid | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We report a case of a 65-year-old man with rheumatoid arthritis. The patient was treated with methotrexate and prednisolone, but the disease activity remained high. A tuberculin skin test was positive. After antituberculosis (TB) chemoprophylaxis with isoniazid for four weeks, infliximab was administered. Chemoprophyla... |
0 | Treatment of Osteochondritis Dissecans of the Knee with Autologous Iliac Bone Graft and Hyaluronic Acid Scaffold | Osteochondritis Dissecans 2020 Review | Osteochondritis dissecans (OCD) is a condition that corresponds to an idiopathic focal lesion affecting the subchondral bone with possible compromise of the stability of the adjacent cartilage. Treatment depends on the size of the lesion, cartilage stability, and the physeal status. The case reported is about an 18-yea... |
1 | Survival and prognostic factors in Chinese patients with osteosarcoma: 13-year experience in 365 patients treated at a single institution | MSTS 2022 - Metastatic Disease of the Humerus | This study was designed to retrospectively analyze the survival and prognostic factors in Chinese osteosarcoma patients received neoadjuvant chemotherapy or/and surgery in a single institution. A total of 365 patients with pathological proved osteosarcoma undergoing neoadjuvant chemotherapy or/and surgery in a single i... |
0 | The Impact of Abdominal Liposuction on Abdominally Based Autologous Breast Reconstruction: A Systematic Review | Panniculectomy & Abdominoplasty CPG | Prior abdominal liposuction can be viewed as a relative or absolute contraindication to abdominally based autologous breast reconstruction given concerns for damaged perforators and scarring complicating intraoperative dissection. This systematic review aims to explore the outcomes of abdominally based breast reconstru... |
0 | Surgical interventions for symptomatic mild to moderate knee osteoarthritis | Osteochondritis Dissecans 2020 Review | - Background Osteoarthritis affecting the knee is common and represents a continuum of disease from early cartilage thinning to fullâ?thickness cartilage loss, bony erosion, and deformity. Many studies do not stratify their results based on the severity of the disease at baseline or recruitment. Objectives To assess t... |
1 | Potential mistakes in hip-joint sonography | Developmental Dysplasia of the Hip CPG | The growing propagation of hip-joint sonography and its increasing use as a screening method make it important to point out some potential mistakes. Good image quality, three-dimensional evaluation with real-time technique, consideration of form variants, correct estimation of angle parameters, consideration of medical... |
0 | How effective is infiltration of a cocktail of analgesic medication around the joint at the time of surgery in providing pain relief following Total Hip Arthroplasty? | AAHKS (4) Acetaminophen | INTERVENTION: Intervention1: To study the efficicy of a cocktail of standard drugs used for pain control: In this study we aim to compare the efficacy of the current method of pain control using epidural infusion of Bupivacaine with a multimodal approach using pericapsular injection of an anaesthetic cocktail of drugs ... |
0 | Stop the Bleed: Does the training work one month out? | DoD LSA (Limb Salvage vs Amputation) | The Stop the Bleed initiative empowers and trains citizens as immediate responders, to recognize and control severe hemorrhage. We sought to determine the retention of short-term knowledge and ability to apply a Combat Application Tourniquet (CAT) in 10 nonmedical personnel. A standard â??Stop the Bleedâ? (Bleeding Co... |
0 | Psychosocial responses during different phases of sport-injury rehabilitation: A qualitative study | DoD PRF (Psychosocial RF) | Context: Athletic trainers have traditionally conceptualized rehabilitation programs in terms of 3 distinct physiologic phases; however, these phases appear to neglect athletesâ?? psychosocial responses to their injuries. Objective: To document injured athletesâ?? psychosocial responses during the different phases of i... |
0 | Metastatic tumours of bone | MSTS 2018 - Femur Mets and MM | Metastatic tumours of the bone are tumours that spread to bone from another primary site in the body. Histologically they often resemble the cells of the tumour they originated from. Traditionally the presence of a metastatic bone deposit has been seen as a terminal event; however, with the increased survival of patien... |
0 | Radiofrequency Physics for Minimally Invasive Aesthetic Surgery | Panniculectomy & Abdominoplasty CPG | Radiofrequency energy has a wide range of medical applications, including noninvasive treatment of wrinkles and body contouring. This technology works by differential heating of skin and soft tissue layers causing dermal remodeling or adipolysis, ultimately leading to observable effects. This article reviews the physic... |
0 | The future of hip fractures in the United States. Numbers, costs, and potential effects of postmenopausal estrogen | HipFx Supplemental Cost Analysis | Because of the increasing number of elderly people in the United States, the total number of hip fractures in persons 50 years and older will rise from 238,000 to 512,000 by the year 2040, with a concomitant increase in avoidable deaths, disability, and medical costs. The total annual cost of hip fractures (in 1984 dol... |
1 | Pain Management Modalities after Total Knee Arthroplasty: A Network Meta-analysis of 170 Randomized Controlled Trials | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Optimal analgesia for total knee arthroplasty remains challenging. Many modalities have been used, including peripheral nerve block, periarticular infiltration, and epidural analgesia. However, the relative efficacy of various modalities remains unknown. The authors aimed to quantify and rank order the effi... |
0 | Task-specific training with trunk restraint on arm recovery in stroke: randomized control trial | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND AND PURPOSE: Task-specific training improves functional outcomes after stroke. However, gains may be accompanied by increases in movements compensating for motor impairments. We hypothesized that restriction of compensatory trunk movements may encourage recovery of premorbid movement patterns leading to bett... |
0 | Back and thigh pain of unusual etiology complicates rehabilitation after bilateral total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty is frequently performed and usually associated with favorable results. A case is presented where persistent back and thigh pain limited rehabilitation progress following bilateral total knee arthroplasty procedures. The pain was found to be related to the presence of a symptomatic 5.24-cm infrar... |
0 | Endoprosthetic replacement of unstable, comminuted intertrochanteric fracture of the femur in the elderly, osteoporotic patient | Management of Hip Fractures in the Elderly | This paper reports a prospective study of eight cases of unstable, comminuted intertrochanteric fractures in elderly patients with associated osteoporosis, operated on between June 1978 and May 1979 using a short-stem Thompson's prosthesis with cement. The posterior approach is employed. The operative technique is desc... |
0 | Stimulation of fracture healing with electromagnetic fields of extremely low frequency (EMF of ELF) | Distal Radius Fractures | This randomized, controlled study was performed to evaluate how electromagnetic fields affect the accumulation of 99mTechnetium - methylendiphosphonate (Tc-MDP) in fresh fractures. Thirty women with Colles' fractures, aged 50-70 years, participated in this study--some in a control group and some in a treated group. Aft... |
0 | Cementless total knee arthroplasty in chronic inflammatory rheumatism | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: We report a short-term monocentric retrospective evaluation of cementless total knee arthroplasty (TKA) in a population suffering from chronic inflammatory rheumatism. MATERIALS AND METHODS: We have reviewed 23 patients (34 knees) with an average age of 55 years (range 26-78), bearing a TKA for chronic in... |
0 | Quality of life in 70 women with disorders of sex development | DoD PRF (Psychosocial RF) | OBJECTIVE: The aim of this study was to assess the quality of life and psychosocial well-being in women with disorders of sex development (DSD).
DESIGN: An open case-control study.
METHODS: Social and psychiatric information was collected via a structured interview from 70 Danish women diagnosed with DSD, 70 controls m... |
0 | Bone mineral density and body composition in underweight and normal elderly subjects | Management of Hip Fractures in the Elderly | The importance of malnutrition as a risk factor in osteoporosis is emphasized by the evidence that patients with fractures of the proximal femur are often undernourished. In this study, nutritional status, bone mineral mass and its association with body composition were investigated in underweight and normal weight eld... |
1 | Arthroscopic meniscal repair using the BioStinger | Anterior Cruciate Ligament Injuries CPG | 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... |
0 | Treatment of severe osteochondral defects of the knee by combined autologous bone grafting and autologous chondrocyte implantation using fibrin gel | Osteochondritis Dissecans 2020 Review | PURPOSE: Severe symptomatic and unstable osteochondral defects of the knee are difficult to treat. A variety of surgical techniques have been developed. However, the optimal surgical technique is still controversial. We present a novel technique in which autologous bone grafting is combined with gel-type autologous cho... |
0 | New generation pharmacotherapy in elderly multiple myeloma patients | MSTS 2018 - Femur Mets and MM | Background:Observational databases have demonstrated that the overall prognosis of multiple myeloma patients has markedly improved over the past decade, yet the greatest strides have been attained in younger rather than older patients. Objective:To review recent clinical trials that include new generation agents (thali... |
0 | Hand-made articulating spacers for infected total knee arthroplasty: A technical note | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The standard treatment for late infections of knee prostheses is a two-stage reimplantation with a temporary articulating spacer between operations, but there is no universal agreement as to the best type of spacer to be used and surgeons have created modifications according to their technical and economic resources. W... |
0 | Pseudoaneurysm of the superficial femoral artery after closed hip nailing with a Gamma nail: report of a case | Management of Hip Fractures in the Elderly | Pseudoaneurysm of the femoral artery after internal fixation of a trochanteric fracture is caused primarily by overpenetration of the drill bit or screws. We report a case of pseudoaneurysm of the superficial femoral artery after insertion of a Gamma nail. A probable cause for this injury is adduction and internal rota... |
0 | Surgical treatment of metastatic femoral fractures: achieving an improved quality of life for cancer patients | MSTS 2018 - Femur Mets and MM | BACKGROUND: The femur is the most common long bone affected by metastatic carcinoma. We report our experience regarding treatment of metastatic femoral fracture using femoral head prosthesis (FHP) or intramedullary nailing (IM nail) with augmentation by polymethylmethacrylate (PMMA).
PATIENTS AND METHODS: Thirty-five c... |
1 | Combat Injury of the Sciatic Nerve - An Institutional Experience | DoD LSA (Limb Salvage vs Amputation) | Introduction: Combat injury of the sciatic nerve tends to be severe with variable but often profound consequences, is often associated with widespread soft tissue and bone injuries, significant neurologic impairment, severe neuropathic pain, and a prolonged recovery time. There is little contemporary data that describe... |
0 | Emergence of a Candida krusei isolate with reduced susceptibility to caspofungin during therapy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Clinical failure associated with reduced susceptibility to caspofungin has been described in Candida albicans and C. parapsilosis. We report a case of Candida krusei infection that progressed despite caspofungin therapy. Reduced microbial susceptibility to all three echinocandins (caspofungin, anidulafungin, and micafu... |
0 | Half-body irradiation with tomotherapy for pain palliation in metastatic breast cancer | MSTS 2018 - Femur Mets and MM | Context. Half-body irradiation (HBI) is the fastest and most effective tool against uncontrolled pain from widespread bone metastases but is somewhat toxic. Objectives: To assess the feasibility of lower HBI with helical tomotherapy in patients with metastatic breast cancer in terms of acute toxicity and delay in chemo... |
0 | Efficacy of sequential cyclical hormonal therapy in endometrial cancer and its correlation with steroid hormone receptor status | MSTS 2018 - Femur Mets and MM | Forty-six eligible women with metastatic endometrial cancer were randomly allocated to receive monthly cycles of either CAF (cyclophosphamide, adriamycin, 5-fluorouracil) or CAF plus Provera 200 mg daily for 3 weeks followed cyclically by Tamoxifen 20 mg daily for 3 weeks. Overall response rates of 15 and 43% were seen... |
0 | A Simple Dual-Planar Osteotomy to Correct Cubitus Varus Deformity in Children | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVES: To report the outcomes when performing a dual-planar osteotomy of the distal humerus via a posterior approach for gunstock deformity in children. DESIGN: A retrospective review. SETTING: Penn State Hershey Pediatric Bone and Joint Institute. PATIENTS/PARTICIPANTS: Sixteen patients were reviewed. The average... |
0 | Continuous Femoral Nerve Catheters Decrease Opioid-Related Side Effects and Increase Home Disposition Rates Among Geriatric Hip Fracture Patients | Hip Fx in the Elderly 2019 | OBJECTIVE: To evaluate the effect of continuous femoral nerve catheter (CFNC) for postoperative pain control in geriatric proximal femur fractures compared with standard analgesia (SA) treatment.
DESIGN: Retrospective comparative study.
SETTING: Academic Level 1 trauma center.
PATIENTS/PARTICIPANTS: We retrospectively ... |
0 | Recent trends in the incidence and lifetime risk of hip fracture in Tottori, Japan | Management of Hip Fractures in the Elderly | SUMMARY: Hip fracture incidence from 2004 to 2006 in the Tottori prefecture of Japan was investigated and compared with previously reported rates. The age- and gender-specific incidence of hip fracture in the Tottori prefecture has not plateaued, as has been reported for populations in Northern Europe or North America.... |
1 | Perceptions of facial aesthetics in surgical patients with basal cell carcinoma | Reconstruction After Skin Cancer | OBJECTIVESTo analyse (i) if there was a statistically significant improvement over time with regard to the perceived facial aesthetics of surgical patients; (ii) if there was a significant difference between primary and recurrent BCC patients; and (iii) between patients who had Mohs micrographic surgery (MMS) or surgic... |
0 | An MRI-based feasibility study of unilateral percutaneous vertebroplasty Orthopedics and biomechanics | Hip Fx in the Elderly 2019 | Background: Percutaneous vertebroplasty (PVP) has been demonstrated to be effective in the treatment of osteoporotic fracture. The bilateral pedicular approach is the most frequently used method. However, unilateral PVP is becoming increasingly more attractive for surgeons because of its numerous benefits, including lo... |
0 | Clinical relevance of action observation in upper-limb stroke rehabilitation: A possible role in recovery of functional dexterity. A randomized clinical trial | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective. A randomized controlled observer-blind trial was designed to evaluate the effectiveness of action observation as an add-on treatment to the standard rehabilitation of upper-limb function, early after stroke. Methods. Stroke survivors (N = 102) were consecutively recruited from 13 centers 30 days (±7) after ... |
0 | Binocular vertical rectus muscle recession for comitant vertical strabismus | Upper Eyelid and Brow Surgery | Background: Binocular vertical rectus muscle recession has not been formally evaluated in the correction of comitant vertical strabismus. Methods: Eight patients with stable comitant vertical strabismus for at least 6 months were included. All underwent recession of the superior rectus muscle of the hypertropic eye com... |
1 | Supracondylar humerus fractures in low- and lower middle-income countries: a scoping review of the current epidemiology, treatment modalities, and outcomes | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The purpose of this scoping review was to examine the nature and quality of research regarding paediatric supracondylar humerus (SCH) fractures in low and lower middle-income countries (LICs). METHODS: We searched PubMed, Embase, Web of Science, and African Journals Online on January 9, 2018, for studies of... |
1 | Determinants of Occupational Disability Following a Low Back Injury: A Critical Review of the Literature | DoD PRF (Psychosocial RF) | The aim of this research was to determine prognostic indicators of work disability in occupational back pain as reported in the literature, by systematically searching the research literature, assessing the methodological quality of the research, and synthesizing the findings into a concise summary. An article was cons... |
0 | Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know | Coronavirus Disease 2019 (COVID-19) | Coronavirus disease 2019 is an emerging disease with a rapid increase in cases and deaths since its first identification in Wuhan, China, in December 2019. Limited data are available about coronavirus disease 2019 during pregnancy; however, information on illnesses associated with other highly pathogenic coronaviruses ... |
0 | Anaesthesia for outpatient knee surgery | AAHKS (9/10) Regional Nerve Blocks | Surgical procedures of the knee are increasingly common in outpatient centres. Advances in arthroscopy and other technologies allow more complex knee procedures to be performed on an outpatient basis. This chapter focuses on the application and advantages of peripheral nerve block regional anaesthesia in the anaestheti... |
0 | Use of allograft bone for posterior C1-2 fusion | DoD SSI (Surgical Site Infections) | OBJECT: An iliac crest autograft is the gold standard for bone grafting in posterior atlantoaxial arthrodesis but can be associated with significant donor-site morbidity. Conversely, an allograft has historically performed suboptimally for atlantoaxial arthrodesis as an onlay graft. The authors have modified a bone gra... |
0 | Hazardous benzodiazepine regimens in the elderly: effects of half-life, dosage, and duration on risk of hip fracture | Management of Hip Fractures in the Elderly | 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 | Indication for joint replacement and glutathione s-transferases M1 and T1 genotypes | Surgical Management of Osteoarthritis of the Knee CPG | In most patients with osteoarthritis (OA), therapy-resistant pain is the indication for hip or knee replacement. Glutathione S-transferases, particularly glutathione S-transferase M1 (GSTM1), are involved in metabolism of highly reactive metabolites that may be generated by inflammatory processes. In total, 148 patient... |
1 | MRI-arthroscopy correlation: the knee | AMP (Acute Meniscal Pathology) | MRI findings can often be helpful in diagnosing and managing common knee injuries. The association between the normal and pathologic changes in the surgical anatomy of the knee commonly found on MRI and those found at arthroscopy can be demonstrated by examining a series of cases that correlate MRI and arthroscopy find... |
1 | Neuroplasticity following short-term strength training occurs at supraspinal level and is specific for the trained task | Trial Systematic Review Project | Aims: Different modalities of strength training cause performance enhancements, which are specific for the trained task. However, the involved mechanisms are still largely unknown. It has been demonstrated that strength training could induce neuroplasticity, which might underlie the performance improvements during the ... |
0 | Propensity for osteoarthritis and lower limb joint pain in retired professional soccer players | Management of Hip Fractures in the Elderly | Objective - To quantify the prevalence of osteoarthritis and the severity of pain in the lower limb joints of players retired from English professional soccer. Method - An anonymous self administered questionnaire was distributed to 500 former players registered with the English Professional Footballers' Association. T... |
0 | Unicameral bone cysts: general characteristics and management controversies | MSTS 2022 - Metastatic Disease of the Humerus | Unicameral bone cysts are benign bone lesions that are often asymptomatic and commonly develop in the proximal humerus and femur of skeletally immature patients. The etiology of these lesions remains unknown. Most patients present with a pathologic fracture, but these cysts can be discovered incidentally, as well. Radi... |
0 | Randomized prospective study of humeral shaft fracture fixation: intramedullary nails versus plates | Distal Radius Fractures | OBJECTIVES: To compare the clinical and radiographic results for locked intramedullary (IM) nails and plates used in the treatment of humeral diaphyseal fractures.
DESIGN: Prospective randomization by sealed-envelope technique of eighty-four patients into two study groups: those treated by intramedullary nailing (IMN g... |
0 | Exercise for osteoarthritis of the hip | Surgical Management of Osteoarthritis of the Knee CPG | Background: Current international treatment guidelines recommending therapeutic exercise for people with symptomatic hip osteoarthritis (OA) report are based on limited evidence.Objectives: To determine whether land-based therapeutic exercise is beneficial for people with hip OA in terms of reduced joint pain and impro... |
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