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A population-based comparative effectiveness study of peripheral nerve blocks for hip fracture surgery
Hip Fx in the Elderly 2019
Background: Adverse outcomes and resource use rates are high after hip fracture surgery. Peripheral nerve blocks could improve outcomes through enhanced analgesia and decreased opioid related adverse events. We hypothesized that these benefits would translate into decreased resource use (length of stay [primary outcome...
1
Prognosis in Perthes' disease: a comparison of radiological predictors
Developmental Dysplasia of the Hip CPG
We compared the prognostic value of the Catterall grouping, the Salter-Thompson grading, the arthrographic shape of the femoral head, and the Herring lateral pillar grouping during the fragmentation stage of Perthes' disease in 73 patients with 81 affected hips. Radiographs were available for study from the onset of th...
0
Risk of reoperation within 12 months following osteosynthesis of a displaced femoral neck fracture is linked mainly to initial fracture displacement while risk of death may be linked to bone quality: a cohort study from Danish Fracture Database
Hip Fx in the Elderly 2019
Background and purpose - Most guidelines use patient age as a primary decision factor when choosing between osteosynthesis or arthroplasty in displaced femoral neck fractures. We evaluate reoperation and death risk within 1 year after osteosynthesis, and estimate the influence of age, sex, degree of displacement, and b...
0
Distal Humeral Fracture Fixation with an Extensor Mechanism-on Approach
Pediatric Supracondylar Humerus Fracture 2020 Review
INTRODUCTION: Open treatment of extra-articular and intra-articular distal humeral fractures can be effectively accomplished through an extensor mechanism-on approach. STEP 1 PREOPERATIVE PLANNING: Assess all images for multiplane fracture lines involving the capitellum or trochlea. STEP 2 OPERATIVE SETUP: Verify with ...
1
Exercise combined with continuous passive motion or slider board therapy compared with exercise only: a randomized controlled trial of patients following total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND AND PURPOSE: The primary purpose of this randomized controlled trial was to determine which method of mobilization - (1) standardized exercises (SE) and continuous passive motion (CPM), (2) SE and slider board (SB) therapy, using an inexpensive, nontechnical device that requires minimal knee active range of ...
0
Genotoxicity of human mammary lipid
Reduction Mammoplasty for Female Breast Hypertrophy
We tested the proposition that human mammary lipid contains mutagenic/genotoxic agents that could cause DNA damage in adjacent epithelial cells. Lipid samples from breast tissue surgically removed from 40 women undergoing elective reduction mammoplasty were extracted by a solid-phase procedure. Mutagenicity was observe...
0
Complications in endoscopic plastic surgery
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Owing to the relatively short time endoscopic-assisted plastic surgery procedures have been done, there are few published reports of complications. The experiences of the faculty from the Endoscopy in Plastic Surgery: A Consensus Multidisciplinary Symposium as well as the few published reports in the literature have be...
1
The effect of selective ultrasound screening on late presenting DDH
Developmental Dysplasia of the Hip CPG
We examined the impact of selective ultrasound screening on late presenting Developmental Dysplasia of the Hip (DDH) in the Salford area. In the years 1991-1995, babies with suspected clinical hip instability and a number of babies with known risk factors for DDH were referred to a designated Baby Hip clinic for sonogr...
1
Improving the longevity and results of mastopexy and breast reduction procedures: reconstructing an internal breast support system with biocompatible mesh to replace the supporting function of the ligamentous suspension
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: The reasons for recurrent ptosis in mastopexy and breast reduction procedures are twofold. First, available surgical techniques do not reconstruct the normal breast anatomy responsible for maintaining breast shape. Second, in many instances the techniques rely on atrophied tissue to provide long-term suppor...
0
A novel nonfocused pulsed ultrasound technology for noninvasive circumference reduction
Panniculectomy & Abdominoplasty CPG
There is a continuously growing demand for circumference reduction and body shaping technologies, with an overwhelming preference for non-invasive, pain-free procedures. This paper presents a novel body contouring device which uses pulsed, vacuum-assisted non-focused ultrasound. To evaluate the clinical safety and effi...
1
Late reconstruction for sequelae of compartment syndrome
DOD - Acute Comp Syndrome CPG
Compartment syndrome can have devastating consequences including severe deformity, chronic pain, paralysis, and even amputation. The best treatment is immediate fasciotomies and prevention of late contractures from occurring. If they do occur, a variety of deformities can develop depending on the most fibrotic and isch...
1
The Utility of Oral Nonsteroidal Anti-inflammatory Drugs Compared With Standard Opioids Following Arthroscopic Meniscectomy: A Prospective Observational Study
AMP (Acute Meniscal Pathology)
PURPOSE: To evaluate the efficacy of oral nonsteroidal anti-inflammatory drugs (NSAIDs) as the primary postoperative pain medication compared with standard oral opioids following arthroscopic partial meniscectomy. METHODS: This was a single-center, prospective, nonrandomized, comparative observational study. Patients a...
0
Unusual fatigue failure of cobalt chrome alloy cementless femoral stem: Implant retrieval and biomechanical analysis
PJI DX Updated Search
Recent premature failures of metal total hip replacements have raised concerns about their load bearing capacity, safety, reliability, and survival rates. Specifically, femoral stem fracture is one of the most acute complications of total hip replacement (THR) and results in greater morbidity and higher cost of revisio...
0
Are Routine Blood Salvage/Preservation Measures Justified in All Patients Undergoing Primary TKA and THA?
AAHKS (9/10) Regional Nerve Blocks
A sequential series of 366 primary total knee arthroplasties and 320 total hip arthroplasties was reviewed to determine the incidence of allogeneic transfusion. Surgery was performed under regional anesthesia and all patients had a hemovac drain for 24degree. Tourniquet hemostasis in TKA was maintained through wound cl...
0
Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures
Management of Hip Fractures in the Elderly
The proximal femoral nail (PFN) and the proximal femoral nail anti-rotation (PFNA) have been successfully used in the management of osteoporotic pertrochanteric fractures. Although many studies have described the geometrical mismatch between the antecurvation of the femur and the contemporary intramedullay nails, techn...
0
An alternative management procedure after inadvertent dural puncture
AAHKS (4) Acetaminophen
BACKGROUND: Accidental dural puncture during epidural blockade is a rare complication. Since postdural puncture headache (PDPH) is the most frequent complication, a wisely management method will also reduce the incidence of PDPH. METHODS: Five patients who had inadvertent dural puncture during the epidural procedure be...
0
Lack of Agreement on Distal Radius Fracture Treatment
Distal Radius Fractures
INTRODUCTION: Variation in clinical practice resulting from the absence of evidence-based treatment protocols has negative implications on both the cost and the quality of medical care. The objective of this study was to assess whether a standard of care for the treatment of extra-articular nondisplaced distal radius f...
0
Effect of office-based brief high-impact exercise on bone mineral density in healthy premenopausal women: the Sendai Bone Health Concept Study
Management of Hip Fractures in the Elderly
Although there is ample evidence supporting the effectiveness of physical activity in the prevention and treatment of osteoporosis, there are no previous studies to examine the effect of office-based brief high-impact exercise (HIE) on bone mineral density (BMD) in healthy premenopausal women. This study evaluated the ...
0
Dairy-product intake and hip fracture among older women: issues for health behavior
Management of Hip Fractures in the Elderly
The purpose of this study was to examine the association between dairy-product intake and hip fracture among a national sample of women aged 50 years and older. Univariate analyses using SAS procedures showed dairy-product intake was significantly associated with hip fracture. Women who had suffered hip fracture report...
0
Cosmetic upper-lid blepharoplasty
DOD - Acute Comp Syndrome CPG
Cosmetic rejuvenation of the upper eyelid has been an area of continual advancement in surgical knowledge during the past century, with evolution in technique as well as esthetic canons. Outcome ideals have evolved from popular overoperated-appearing results to an emphasis on more natural- and nonsurgical-appearing eye...
0
Operative treatment of osteochondral lesions of the talus
Osteochondritis Dissecans 2020 Review
â?¤ Osteochondral lesions of the talus are common injuries in recreational and professional athletes, with up to 50% of acute ankle sprains and fractures developing some form of chondral injury. Surgical treatment paradigms aim to restore the articular surface with a repair tissue similar to native cartilage and to pro...
0
Chlorine-induced damage documented by neurophysiological, neuropsychological, and pulmonary testing
Upper Eyelid and Brow Surgery
Chlorine causes acute pulmonary edema and damages airways, thus producing obliterative bronchiolitis. In the case series in this study, its adverse effects were extended to visual and central nervous system impairment. Twenty-two patients exposed briefly to undiluted chlorine at home or work were evaluated with a batte...
0
Minimal important improvement thresholds for the six-minute walk test in a knee arthroplasty cohort: Triangulation of anchor- and distribution-based methods
OAK 3 - Non-arthroplasty tx of OAK
Background: The 6-minute walk test (6MWT) is a commonly used metric for measuring change in mobility after knee arthroplasty, however, what is considered an improvement after surgery has not been defined. The determination of important change in an outcome assessment tool is controversial and may require more than one ...
0
Evaluation of the effect of salmon nasal proteoglycan on biomarkers for cartilage metabolism in individuals with knee joint discomfort: A randomized double-blind placebo-controlled clinical study
OAK 3 - Non-arthroplasty tx of OAK
A randomized double-blind placebo-controlled clinical trial was conducted to evaluate the chondroprotective action of salmon nasal cartilage proteoglycan on joint health. The effect of oral administration of proteoglycan (10 mg/day) on cartilage metabolism was evaluated in individuals with knee joint discomfort but wit...
0
Immunohistochemical expression of angiogenesis-related markers in oral squamous cell carcinomas with multiple metastatic lymph nodes
MSTS 2018 - Femur Mets and MM
The aim of this study was to evaluate the histopathologic features and the expression of angiogenesis-related markers in primary tumors and metastatic lymph nodes of oral squamous cell carcinomas (SCCs) with multiple lymph node involvement in comparison with oral SCCs without nodal metastasis. The protein levels of the...
0
Inferior pedicle reduction technique for larger forms of gynecomastia
Panniculectomy & Abdominoplasty CPG
The treatment of larger types of gynecomastia is significantly different than that of less severe gynecomastias. Special concerns of the former include areola enlargement, nipple-areola ptosis, and redundant skin. Many procedures have been described to address these issues, none of which is completely satisfactory; the...
0
Prevention of thromboembolism after neurosurgery for brain and spinal tumors
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVE: Deep venous thrombosis (DVT) is a major cause of morbidity and mortality after surgery for primary and metastatic brain tumors. METHODS: We conducted a confidential survey of American neurosurgeons interested in tumor surgery to assess DVT risk awareness and thromboprophylaxis patterns. RESULTS: Of the 172 r...
0
Impact of osteosynthesis in fracture care: a cost comparison study
Hip Fx in the Elderly 2019
Aim: To estimate the health economic impact of osteosynthesis (OS) in fracture care over six decades in 17 high-income countries. Patients & methods: Applying a decision tree model, we assumed a hypothetical absence of OS and compared OS (intervention) with conservative treatment (CONS; comparator). We included patient...
0
Role of tissue engineering and regenerative medicine in treatment of sport injuries
AMP (Acute Meniscal Pathology)
Managing sports injuries is clinically challenging. Although new techniques can delay musculoskeletal deterioration and promote tissue restoration, they are not widely used. Thus, there is a critical need to promulgate these new methods. In recent years, “tissue engineering” approaches have been developed for improving...
0
Complications after surgery for metastatic humeral lesions
Pediatric Supracondylar Humerus Fracture 2020 Review
Background: Knowledge of surgical outcome and its predictors helps inform patients and aids in surgical decision-making. We aimed to assess the outcome-reoperation and systemic complication rate-of surgery for humeral metastases, myeloma, or lymphoma. Our null hypothesis was that there are no factors associated with th...
1
Extracorporeal shockwave therapy for the treatment of knee osteoarthritis: A retrospective study
OAK 3 - Non-arthroplasty tx of OAK
This retrospective study investigated the effect and safety of extracorporeal shockwave therapy (ESWT) for treatment of knee osteoarthritis (KOA).In this retrospective study, 105 patients with KOA were included. Of those, 60 patients underwent ESWT, whereas 45 patients received laser therapy. Effect was measured by the...
0
Is addition of sodium fluoride to cyclical etidronate beneficial in the treatment of corticosteroid induced osteoporosis?
Management of Hip Fractures in the Elderly
OBJECTIVE: To investigate whether administration of sodium fluoride (NaF) in addition to cyclical etidronate has a positive effect on bone mineral density (BMD) in patients with established osteoporosis during continued treatment with corticosteroids.PATIENTS AND METHODS: 47 patients who were receiving treatment with c...
0
Tropical diabetic hand syndrome. Epidemiology, pathogenesis, and management
DoD LSA (Limb Salvage vs Amputation)
The tropical diabetic hand syndrome (TDHS) is a complication affecting patients with diabetes mellitus in the tropics. The syndrome encompasses a localized cellulitis with variable swelling and ulceration of the hands, to progressive, fulminant hand sepsis, and gangrene affecting the entire limb. TDHS is less well reco...
1
Abdominal plasty with and without plication-effects on trunk muscles, lung function, and self-rated physical function
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Weight loss after obesity and pregnancy is associated with excess abdominal skin and weakness of the abdominal wall, which is assumed to cause low back pain and reduce lung function. Today, abdominoplasty is the only known method to treat excess skin, and plication is used to improve aesthetics and function...
1
A multicenter survey on profile of care for hip fracture: predictors of mortality and disability
Management of Hip Fractures in the Elderly
Because delay in time to surgery beyond 24-48 h has been observed in many studies to be associated with adverse outcomes, a survey in nine centers in Italy was undertaken to examine the impact of time to surgery on mortality and disability at 6 months after hospitalization. INTRODUCTION: Delays in surgery for hip fract...
0
Surgeon age as the major factor in recommendation of uni-compartmental knee replacement versus high tibial osteotomy: a case study in orthopaedic decision making
OAK 3 - Non-arthroplasty tx of OAK
This case report concerns surgical decision making. The subject is a 59 year old male orthopaedic surgeon with medial compartment knee arthritis. Both high tibial valgus osteotomy and uni-compartmental knee replacement would be appropriate with similar outcomes reported in the literature. Surprisingly, almost all young...
0
Cell quality affects clinical outcome after MACI procedure for cartilage injury of the knee
Osteochondritis Dissecans 2020 Review
The aim of our study was to test the hypothesis that in early follow up after matrix guided autologous chondrocyte implantation (MACI), clinical results do not correlate with radiological and histological results, and that MACI as first line procedure and treatment of traumatic cartilage defects leads to better results...
0
Umbilical restoration in abdominoplasty: a simple rectangular technique
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Many surgical procedures for reconstructing the umbilicus during dermolipectomy have been described. OBJECTIVE: The authors present a simple technique for umbilicus restoration in abdominal dermolipectomy to improve the shape of the umbilicus and disguise the periumbilical scar. METHODS: A skin incision was...
0
Clinical Outcome of Massive Endoprostheses Used for Managing Periprosthetic Joint Infections of the Hip and Knee
Hip Fx in the Elderly 2019
BACKGROUND: Endoprosthetic replacement (EPR) is an option for management of massive bone loss resulting from infection around failed lower limb implants. The aim of this study is to determine the mid-term outcome of EPRs performed in the treatment of periprosthetic joint infection (PJI) and infected failed osteosynthes...
0
Continuous femoral nerve block using levobupivacaine 0.18%: Effects on the rehabilitation following total knee arthroplasty with subvastus approach
Surgical Management of Osteoarthritis of the Knee CPG
Body: Adequate control of postoperative pain has major impact on the rehabilitation of patients undergoing total knee arthroplasty. The aim of our study was to analyze the effects of continuous femoral block with levobupivacaine 0.18% for 48 hours on in-hospital rehabilitation patients undergoing knee replacement surge...
0
Determinants and prognostic factors in fracture neck of femur sequel to osteoporosis in a South Western State of Nigeria
Management of Hip Fractures in the Elderly
This prospective study of 31 adults with femoral neck fracture admitted into the National Orthopaedic Hospital Igbobi, Lagos. The study group comprised of 15 (75%) females and 5 males (25.0%) patients. The control group comprised of 10 (90.9%) males and 1 female (9.1%) patients. Fermoral neck fracture in the study grou...
0
A new modification of corrective osteotomy for treatment of distal radius malunion
Distal Radius Fractures
A new modification of corrective osteotomy for distal radius malunion, which minimizes the need for bone grafting and addresses the constraining aspect of the extensor retinaculum, is described. This new modification uses a volar and dorsal approach to perform an angled step-cut osteotomy, release of the extensor retin...
1
An aesthetic perquisite of rectus muscle transplantation in extremity reconstruction
Panniculectomy & Abdominoplasty CPG
The authors combine a rectus abdominis muscle harvest with a mini-abdominoplasty in patients with Matarasso type II and III body types admitted for extremity reconstruction. The dermo-lipectomy tissue was used as a source for split-thickness skin graft. Twenty-five patients underwent the combined procedure. All flaps s...
0
Screening for postoperative delirium in patients with acute hip fracture: Assessment of predictive factors
Hip Fx in the Elderly 2019
AIM: The aim of the present study was to estimate the incidence and risk factors of delirium during the early postoperative period after hip fracture surgery. Furthermore, we investigated the accuracy of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) for detection and assessment of delirium in or...
0
Improving health care, Part 2: A clinical improvement worksheet and users' manual
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Small tests of change can be conducted in everyday clinical practice, thereby turning the health care delivery team into reflective practitioners who can learn from, and improve on, their work. CLINICAL IMPROVEMENT WORKSHEET AND USERS' MANUAL--CASE STUDY: The worksheet has been designed as a simple tool for...
0
A randomized controlled trial of a web-based early intervention for children and their parents following unintentional injury
DoD PRF (Psychosocial RF)
METHOD: Participants were randomly assigned to an intervention (n = 29) or a control group (n = 27) following baseline measurements. Further assessment was taken at 4�6 weeks and 6 months post�trauma event. RESULTS: Analyses revealed that children within the intervention group reported improved anxiety, in comparis...
1
A systematic review of post-surgical pyoderma gangrenosum: identification of risk factors and proposed management strategy
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Post-surgical pyoderma gangrenosum (PSPG) presents as a rapidly expanding cutaneous ulcer at a site of surgery with potentially devastating consequences. We systematically reviewed the English and foreign language literature to identify risk factors for PSPG and propose a management strategy. METHODS: A sys...
0
Baseline traits of patients presenting at a low vision clinic in Shanghai, China
Upper Eyelid and Brow Surgery
BACKGROUND: Low vision, along with cataract, trachoma, onchocerciasis, childhood blindness and refractive error, is one of the priorities in the global initiative, VISION 2020-The Right to Sight. The purpose of this study was to characterize the traits of patients presenting at a low vision clinic in China. METHODS: A ...
1
Utility of Stability and Tear Location in a Classification System for Discoid Meniscus Surgical Planning
AMP (Acute Meniscal Pathology)
BACKGROUND: Despite the presence of multiple classification systems for discoid meniscus, no system has yet to demonstrate utility in predicting the need for meniscal repair. The purpose of this study was to correlate characteristics associated with meniscal repair and propose a model that can inform preoperative plann...
0
Arterial and venous anatomies of the deep inferior epigastric perforator and superficial inferior epigastric artery flaps
Panniculectomy & Abdominoplasty CPG
BACKGROUND: This study uses three- and four-dimensional computed tomographic angiography and venography to evaluate the microvascular anatomy and perfusion of the deep inferior epigastric artery perforator (DIEP) and superficial inferior epigastric artery (SIEA) flaps. METHODS: Ten DIEP flaps harvested from fresh cadav...
0
Capitellar Fractures in Children and Adolescents: Classification and Early Results of Treatment
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: There has been limited published information regarding capitellar fractures in the pediatric population. The purpose of this investigation was to characterize capitellar fracture patterns in children and adolescents and to assess early clinical and radiographic treatment outcomes. METHODS: A retrospective a...
1
Is it an accident? Recurrent traumatic life events in level I trauma center patients compared to the general population
DoD PRF (Psychosocial RF)
The trauma history screen developed for the National Comorbidity Survey (NCS) was used to assess prior trauma in a representative sample of injured acute care inpatients (n = 251). Adjusted logistic regressions compared the trauma histories of intentionally (n = 66) and unintentionally (n = 185) injured patients with N...
0
Identification of incident fractures: the Geelong Osteoporosis Study
Management of Hip Fractures in the Elderly
BACKGROUND: Complete fracture ascertainment is critical for fracture cost estimates and planning for future health care facilities. Virtually complete ascertainment is possible for hip fractures because they nearly always require hospitalisation. AIMS: To validate the use of radiological reports as a resource for ascer...
0
Diagnosis and non-surgical treatment of peri-implant diseases and maintenance care of patients with dental implants - Consensus report of working group 3
Dental Implant Infection
The following consensus report is based on four background reviews. The frequency of maintenance visits is based on patient risk indicators, homecare compliance and prosthetic design. Generally, a 6-month visit interval or shorter is preferred. At these visits, peri-implant probing, assessment of bleeding on probing an...
0
Comparison of Two Volar Plating Systems for Distal Radius Fractures
Distal Radius Fractures
This study represents a prospective randomized clinical trial comparing two different systems of volar plate osteosynthesis in patients with distal radius fractures. Patients meeting the inclusion criteria will be enrolled in the present study provided they give their consent. Informed written consent will be obtained....
0
The relevance of epigenetics to occlusive cerebral and peripheral arterial disease
DoD LSA (Limb Salvage vs Amputation)
Athero-thrombosis of the arteries supplying the brain and lower limb are the main causes of stroke and limb loss. New therapies are needed to improve the outcomes of athero-thrombosis. Recent evidence suggests a role for epigenetic changes in the development and progression of ischaemic injury due to atherosclerotic oc...
0
An aromatase polymorphism (g.132810C>T) predicts risk of bisphosphonate-related osteonecrosis of the jaw
MSTS 2018 - Femur Mets and MM
Background: Bisphosphonate (BP)-related osteonecrosis of the jaw (ONJ) is an unpredictable, debilitating adverse effect. Recently, genetic polymorphisms have arisen as promising tools to identify patients with a higher risk of drug-related adverse events. Aim: We aimed to examine the association between the aromatase p...
0
Arthrodesis after osteosynthesis and infection of the ankle joint
DoD LSA (Limb Salvage vs Amputation)
Nineteen patients with a severely infected ankle joint after previous osteosynthesis were treated with arthrodesis in our institution. Their notes and X-rays were reviewed. Goals of treatment were eradication of infection by aggressive debridement of infected tissues, obtaining adequate soft-tissue coverage, preservati...
0
A phase II trial of tamoxifen, premarin, methotrexate and 5-fluorouracil in metastatic breast cancer
MSTS 2018 - Femur Mets and MM
Complete remissions in patients with metastatic breast cancer using endocrine therapy or chemotherapy are infrequent. Breast tumors are known to be heterogeneous with respect to estrogen receptor status, and the low complete remission rate may be related to this biochemical heterogeneity. Based on laboratory experiment...
0
Outcome Analysis of Fernandez Osteotomy in Malunited Extra-Articular Fractures of Distal Radius
Distal Radius Fractures
Deformity of wrist is very common after mal union of extra articular fractures over distal end of Radius. It causes limitation of movements too in different directions with or without pain. Deformity may be treated by different types of corrective osteotomy. We treated cases of this type of malunion with Fernandez oste...
0
Association of chemerin levels in synovial fluid with the severity of knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
CONTEXT: Chemerin has been implicated to be correlated with inflammation. OBJECTIVE: This study aims to determine the association of chemerin levels in serum and synovial fluid (SF) with the disease severity of patients with knee Osteoarthritis (OA). METHODS: 124 patients with knee OA and 76 healthy controls were enrol...
0
The role of arthroscopy in the management of glenohumeral osteoarthritis: a Markov decision model
Glenohumeral Joint OA
PURPOSE: The purposes of this study were (1) to construct a theoretical Markov decision model to compare the total remaining quality-adjusted life-years following either arthroscopic management (AM) or total shoulder arthroplasty (TSA) for the treatment of glenohumeral osteoarthritis and (2) to determine the possible e...
0
Biodistribution and radiation dosimetry for the chemokine receptor CXCR4-targeting probe 68Ga-pentixafor
MSTS 2018 - Femur Mets and MM
UNLABELLED: (68)Ga-pentixafor is a promising PET tracer for imaging the expression of the human chemokine receptor 4 (CXCR4) in vivo. The whole-body distribution and radiation dosimetry of (68)Ga-pentixafor were evaluated. METHODS: Five multiple-myeloma patients were injected intravenously with 90-158 MBq of (68)Ga-pen...
0
Progressive resistance training improves overall physical activity levels in patients with early osteoarthritis of the knee: a randomized controlled trial
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Prescription of resistance training (RT) exercises is an essential aspect of management for knee osteoarthritis (OA). However, whether patients with knee OA who are randomly assigned to receive RT simply substitute RT for other modes of physical activity remains unclear. OBJECTIVE: The aim of this study was...
0
Minimal-access variations in abdominoplasty
Panniculectomy & Abdominoplasty CPG
The use of liposuction began a trend toward less invasive abdominal contour surgery and resulted in a variety of techniques based on individual anatomy. An analysis of 170 patients was undertaken to determine which patients benefited from even less invasive techniques that evolved from these concepts. The selection cri...
0
Metal ion release barrier function and biotribological evaluation of a zirconium nitride multilayer coated knee implant under highly demanding activities wear simulation
OAK 3 - Non-arthroplasty tx of OAK
Total knee arthroplasty is a well established treatment for degenerative joint disease, which is also performed as a treatment in younger and middle-aged patients who have a significant physical activity and high life expectancy. However, complications may occur due to biological responses to wear particles, as well as...
0
Open neck lipectomy for patients with HIV-related cervical lipohypertrophy
Panniculectomy & Abdominoplasty CPG
BACKGROUND: The advent of effective antiviral medications has revolutionised the management of the HIV-infected patients. Although this has helped in achieving prolonged symptom control, high numbers of these patients are left with the stigmata of complications associated with the medication. Lipodystrophy, either as l...
1
The efficacy of multiple versus single hyaluronic acid injections: a systematic review and meta-analysis
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Intra-articular hyaluronic acid (IA-HA) is a common therapy used to treat knee pain and suppress knee inflammation in knee osteoarthritis (OA), typically prescribed in regimens ranging from a single injection to 5 weekly injections given once weekly. We conducted a systematic review to determine the efficac...
1
Denaturing gradient gel electrophoresis analysis of bacterial communities associated with failed endodontic treatment
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
OBJECTIVE: A great deal of evidence indicates that persistent infections of the root canal of human teeth play an important role in the failure of the root canal treatment. The present study was undertaken to apply the PCR-DGGE fingerprinting approach to examine the structure of the bacterial population infecting previ...
0
Current Surgical Management of Bone Metastases in the Extremities and Pelvis
MSTS 2022 - Metastatic Disease of the Humerus
Surgical management of metastases to the extremities and pelvis has benefited from advances in the technology of internal fixation, as well as the increased availability of options for large endoprostheses. Contoured periarticular plates and the screws that attach rigidly to the plates have made fixation into weakened ...
0
Comparison of peripheral nerve block with periarticular injection analgesia after total knee arthroplasty: a randomized, controlled study
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Pain after total knee arthroplasty (TKA) is usually severe. Recently, the usefulness of local periarticular injection analgesia (PAI) and peripheral nerve block (PNB) has been reported. We report a prospective blinded randomized trial of PAI versus PNB in patients undergoing primary TKA, in accordance with ...
0
Salivary gland dysfunction
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Clinically significant declines of salivary output are not a function of aging. Complaints of oral dryness (xerostomia) are common in the elderly patient, however. This complaint is most often a consequence of medications; tricyclic antidepressants, certain antihypertensives, and anticholinergics can cause marked decre...
0
Osteoporosis in men
MSTS 2018 - Femur Mets and MM
PURPOSE OF REVIEW: Osteoporosis in men contributes to significant morbidity and mortality, yet is underrecognised. Hip fractures in men are associated with greater mortality (up to 37.5% in the first year) compared with women. Timely diagnosis and treatment of osteoporosis in men are therefore critical. Secondary cause...
1
Difference in Mortality Rate by Type of Anticoagulant in Elderly Patients with Cardiovascular Disease after Hip Fractures
Hip Fx in the Elderly 2019
Background: The purpose of this study was to investigate the difference in mortalilty rate between cardiovascular disease (CVD) patients and non-CVD patients after hip fracture surgery performed in elderly patients. In addition, we compared the effect of CVD medication on mortality after hip fracture surgery. Methods: ...
0
Relation of Lateral Antebrachial Cutaneous Nerve to the Volar Approach to Distal Radius
Distal Radius Fractures
BACKGROUND: The anatomy of the lateral antebrachial cutaneous nerve (LABCN) in relation to volar approaches to the distal radius is not well visited. With the increasing popularity of distal radius fracture fixation with volar locking plates, it is prudent to study the innervation pattern of the LABCN to minimize the r...
0
Nasal reconstruction for maxillonasal dysplasia
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Maxillonasal dysplasia, Binder type (Binder syndrome and nasomaxillary hypoplasia), is a spectrum of deficient nasomaxillary osteocartilaginous framework, deficient nasal soft tissues, and a short columella. The correction of these deformities is challenging, and results are often disappointing. Tissue expa...
1
Pain conditions ranked by healthcare costs for members of a national health plan
HipFx Supplemental Cost Analysis
Healthcare resource utilization (HCRU) and associated costs specific to pain are a growing concern, as increasing dollar amounts are spent on pain-related conditions. Understanding which pain conditions drive the highest utilization and cost burden to the healthcare system would enable providers and payers to better ta...
0
Risk factors for osteoporosis and associated fractures
AAHKS (2) Corticosteroids
Established risk factors for osteoporosis and associated fractures are increasing age, female sex, white race, removal of the ovaries at an early age, prolonged immobility, and prolonged use of corticosteroids. Obesity and use of estrogen replacement therapy are protective. Factors that probably or possibly increase ri...
0
Complete human serum maintains viability and chondrogenic potential of human synovial stem cells: suitable conditions for transplantation
AMP (Acute Meniscal Pathology)
BACKGROUND: In our clinical practice, we perform transplantations of autologous synovial mesenchymal stem cells (MSCs) for cartilage and meniscus regenerative medicine. One of the most important issues to ensuring clinical efficacy involves the transport of synovial MSCs from the processing facility to the clinic. Comp...
0
The expression of matrix metalloproteinase 9 and cathepsin B in gastric carcinoma is associated with lymph node metastasis, but not with postoperative survival
MSTS 2018 - Femur Mets and MM
Degradation components of basement membrane could be crucial for tumor invasion. A key role in this process has been assigned to cysteine proteases, i.e. cathepsins and matrix metalloproteinases. The purpose of this study was to investigate the relationship of the expression of MMP-9 and cathepsin B with tumor aggressi...
0
Symptomatic myositis ossificans following computer navigated total knee replacement: a complication of fixed femoral marker placement
Surgical Management of Osteoarthritis of the Knee CPG
Myositis ossificans is a rare cause of pain following knee arthroplasty. We describe a 72-year-old woman who developed symptomatic early onset myositis ossificans at the femoral marker pin site following navigated knee arthroplasty
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Use of BMPs and bisphosphonates to improve bone fracture healing
OAK 3 - Non-arthroplasty tx of OAK
In orthopaedics, focus is often placed on increasing bone formation by an anabolic drug like the recombinant human bone morphogenetic protein (rhBMP). However, premature or excessive bone resorption, due to stress-shielding, instability or infection/inflammation can lead to poor, delayed, or absent bone union. Anti-cat...
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Corrective osteotomy of the distal radius through volar approach
Distal Radius Fractures
Operative correction through the malunion has become a well-accepted reconstructive procedure for symptomatic malunited extra-articular fractures of the distal radius over the last 3 decades. Now that newer plates designed specifically for the volar fixation of dorsally unstable distal radius fractures by incorporating...
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Analysis of significant factors influencing visual acuity in ocular syphilis
Upper Eyelid and Brow Surgery
BACKGROUND: The aim of this study is to determine whether statistical associations can be demonstrated in ocular syphilis between baseline clinical and laboratory parameters with visual acuity at presentation and with any change in visual acuity after treatment. METHODS: Charts of 26 patients (42 eyes) with ocular syph...
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An exploratory examination of the meanings of residual injuries from intimate partner violence
DoD PRF (Psychosocial RF)
The meanings attached to residual injuries resulting from intimate partner violence (IPV) may play an important role in shaping psychological distress associated with these experiences. This study explored IPV victims' personal definitions and meanings of their residual IPV-related injuries as a first step in determini...
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Growth in early life predicts bone strength in late adulthood: the Hertfordshire Cohort Study
Management of Hip Fractures in the Elderly
Infant growth is a determinant of adult bone mass, and poor childhood growth is a risk factor for adult hip fracture. Peripheral quantitative computed tomography (pQCT) allows non-invasive assessment of bone strength. We utilised this technology to examine relationships between growth in early life and bone strength. W...
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Supramalleolar Osteotomy for Tibial Component Malposition in Total Ankle Replacement
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Persistent pain despite a total ankle replacement is not uncommon. A main source of pain may be an insufficiently balanced ankle. An alternative to the revision of the existing arthroplasty is the use of a corrective osteotomy of the distal tibia, above the stable implant. This strictly extraarticular proce...
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Complications in children's orthopaedics: avoiding late deformity in paediatric fracture surgery
Pediatric Supracondylar Humerus Fracture 2020 Review
Paediatric orthopaedic surgery can be an unfamiliar and challenging field with the potential for devastating consequences. This article discusses late deformity associated with humeral supracondylar fractures and slipped capital femoral epiphysis (SCFE). Common complications include loss of fixation, mal-reduction, ava...
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Management of secondary lymphedema related to breast cancer
Panniculectomy & Abdominoplasty CPG
OBJECTIVE: To review recent literature on the management of secondary lymphedema following breast cancer. QUALITY OF EVIDENCE: MEDLINE, EMBASE, AMED, PubMed, and the Internet were searched for articles published between 2005 and 2009. Articles were evaluated using Sackett's levels of evidence. The literature search foc...
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YM-175 induces apoptosis of human native monocyte-lineage cells via inhibition of prenylation
MSTS 2018 - Femur Mets and MM
Nitrogen-containing bisphosphonates (NCBPs) have been widely used as standard supportive therapy to reduce skeletal-related events (SREs) in myeloma patients through suppression of osteoclast activity. In various prospective randomized trials that were performed following preliminary reports concerning efficacy, NCBPs ...
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Study on the effectiveness of a hyaluronic acid-chondroitin complex as a complementary therapy to arthroscopic intervention with cartilage damage in the knee joint
AMP (Acute Meniscal Pathology)
Introduction: Cartilage degenerations, also as a possible consequence of lesions of the ligaments and the meniscus in the knee joint, are not rarely to be found and almost always multifactorally caused. Thus the functional entity of active and passive structures of the skeletal and muscle systems seems to play the deci...
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Characterization of nitrotyrosine as a biomarker for arthritis and joint injury
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: To characterize the utility of nitrotyrosine (NT) as a biomarker for arthritis and joint injury. DESIGN: Synovial fluid, plasma, and urine from patients diagnosed with osteoarthritis (OA), rheumatoid arthritis (RA), anterior cruciate ligament (ACL) injury, meniscus injury and pseudogout, and knee-healthy vo...
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Two-Year Outcomes of a Randomized Trial Investigating a 6-Week Return to Full Weightbearing After Matrix-Induced Autologous Chondrocyte Implantation
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Matrix-induced autologous chondrocyte implantation (MACI) has demonstrated encouraging outcomes in treating patients with knee cartilage defects. Postoperatively, the time required to attain full weightbearing (WB) remains conservative. HYPOTHESIS: We hypothesized that patients would have no significant cli...
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Conservative versus operative treatment for hip fractures in adults
Management of Hip Fractures in the Elderly
BACKGROUND: Until operative treatment involving the use of various implants was introduced in the 1950s, hip fractures were managed using conservative methods based on traction and bed rest. OBJECTIVES: To compare conservative with operative treatment for fractures of the proximal femur (hip) in adults. SEARCH STRATEGY...
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Factors influencing the incidence and outcome of infection following total joint arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
During a ten-year period, 4240 total hip, knee, and elbow arthroplasties were performed. The overall infection rate was 1.25%. Certain groups were identified as being at higher risk of infection following total joint arthroplasty: rheumatoid arthritics were at 2.6 times greater risk than osteoarthritics; patients under...
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Physiotherapy: an overestimated factor in after-treatment of fractures in the distal radius?
Distal Radius Fractures
Supervision by physiotherapists, starting 4-6 weeks after cast removal, was compared with self-training in 110 patients treated for Colles' fracture. The patients guided by physiotherapists were all satisfied with the treatment, but no functional advantages could be discerned when compared with self-training.
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Fracture thresholds revisited. Geelong Osteoporosis Study
Management of Hip Fractures in the Elderly
Osteoporosis, in the absence of fracture, is defined as a deficit in bone mineral density (BMD) of 2.5 SD or more below the young adult reference mean in postmenopausal Caucasian populations. BMD is a measure of fracture risk but not the sole predictor. We have assessed a combination of easily accessible measures of ag...
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Laser-assisted endoscopic reduction malarplasty in Asians: quick combined surgery
Upper Eyelid and Brow Surgery
Removal of unwanted prominent cheek bones is of major importance to Korean women for correction of their unfavorable impression. We usually use a endoscope for reducing the external scar, but in endoscopic bone contouring surgery, it is important to prevent any damage to surrounding soft tissue during osteotomy and to ...
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Advances in the management of metastatic non-seminomatous germ cell tumours during the cisplatin era: a single-institution experience
MSTS 2022 - Metastatic Disease of the Humerus
Long-term outcome was reviewed in 266 consecutive patients with metastatic non-seminomatous germ cell tumours treated at a single institution. The overall 3 year survival was 77%, and 3 year progression-free survival was 71%. Multivariate analysis identified the following clinical features as independent prognostic fac...
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Radiographic definition of the dorsal and palmar edges of the distal radius
Distal Radius Fractures
The dorsal and palmar edges of the distal radius, as well as the concavity of the articular surface were labeled with wire and radiographs taken from neutral to 30 degrees of added dorsal tilt. The dorsal edge was identified as the structure that protrudes distally in neutral. The palmar edge was found to overlap with ...