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Complex fractures of the distal humerus in the elderly: is primary total elbow arthroplasty a valid treatment alternative? A series of 20 cases
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
INTRODUCTION: Distal humerus fractures are fairly rare. But as our population ages, these fractures become more complex and the choice of treatment more delicate. Poor bone quality results in many technical problems and the fixation hardware stability remains at risk. The goal of this study was to evaluate the function...
0
Structural correlates of pain in osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis (OA) is the most common form of arthritis, with knee OA itself being among the most common conditions and a leading cause of disability among older adults worldwide. Pain is a key symptom in the decision to seek medical attention, yet available therapies for managing OA are limited with only minimal or m...
0
Financial analysis of revision knee surgery based on NHS tariffs and hospital costs: does it pay to provide a revision service?
PJI DX Updated Search
Revision total knee arthroplasty (TKA) is a complex procedure which carries both a greater risk for patients and greater cost for the treating hospital than does a primary TKA. As well as the increased cost of peri-operative investigations, blood transfusions, surgical instrumentation, implants and operating time, ther...
0
Spinal anaesthesia: Comparison of plain ropivacaine 5 mg ml-1 with bupivacaine 5 mg ml-1 for major orthopaedic surgery
AAHKS (8) Anesthetic Infiltration
Background. Ropivacaine provides effective spinal anaesthesia for total hip arthroplasty. This study was designed to compare the efficacy and safety of plain ropivacaine with plain bupivacaine for spinal anaesthesia in patients undergoing total hip arthroplasty. Methods. Sixty-six patients, ASA I or II, were randomized...
0
Antifracture efficacy and reduction of mortality in relation to timing of the first dose of zoledronic acid after hip fracture
Management of Hip Fractures in the Elderly
Annual infusions of zoledronic acid (5 mg) significantly reduced the risk of vertebral, hip, and nonvertebral fractures in a study of postmenopausal women with osteoporosis and significantly reduced clinical fractures and all-cause mortality in another study of women and men who had recently undergone surgical repair o...
0
Sacral osteomyelitis after laparoscopic sacral colpopexy performed after a recent dental extraction: a case report
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Sacral osteomyelitis and subsequent discitis is a rare complication after laparoscopic sacral colpopexy to repair apical vaginal prolapse. CASE: We present a patient who developed Bacteroides fragilis sacral osteomyelitis and discitis after laparoscopic sacrocolpopexy with synthetic monofilament mesh and sa...
0
[68Ga]PSMA-HBED-CC Uptake in Osteolytic, Osteoblastic, and Bone Marrow Metastases of Prostate Cancer Patients
MSTS 2018 - Femur Mets and MM
Purpose: The aim of this study was to evaluate potential differences in â??Glu-NH-CO-NH-Lysâ? radio-labeled with [68Ga]gallium N,N-bis[2-hydroxy-5-(carboxyethyl)benzyl]ethylenediamine-N,N-diacetic acid ([68Ga]PSMA-HBED-CC) uptake in osteolytic, osteoblastic, mixed, and bone marrow metastases in prostate cancer (PC) pa...
0
Experiences with the two incision minimal invasive hip replacement in 150 cases with a proximally hydroxyapatite coated implant
Management of Hip Fractures in the Elderly
BACKGROUND: In this retrospective study we describe our experiences in minimally invasive two incision total hip replacement (THR). METHODS: We performed 150 fluoroscopy-assisted two incision minimally invasive THR on 148 patients using a proximally coated hydroxyapatite implant. Clinical (Harris Hip Score (HHS), surgi...
0
Alumina Delta-on-Alumina Delta Bearing in Cementless Total Hip Arthroplasty in Patients Aged <50 Years
Hip Fx in the Elderly 2019
BACKGROUND: There are limited studies to evaluate long-term clinical and radiographic outcomes of alumina delta ceramic-on-ceramic bearings in cementless total hip arthroplasty (THA). The purpose of this study was to evaluate the clinical and radiographic results, prevalence of osteolysis, squeaking, and fracture of ce...
0
Cementoplasty for painful bone metastases: a series of 42 cases
MSTS 2022 - Metastatic Disease of the Humerus
The aim of this study is to assess the interest of cementoplasty in the management of bone metastases, based on a retrospective study involving 42 cementoplasty procedures. The median age of the patients is 59 years, with 24 women (57%) and 18 men, all of them presenting with an advanced disease. The cementoplasty was ...
0
A Comparison of 5 Models of Total Knee Arthroplasty in Young Patients
PJI DX Updated Search
Background: Several different total knee implants were introduced in an attempt to potentially improve outcomes of total knee arthroplasty in young patients. The object of this study was to compare the clinical outcomes of 5 models of total knee implants. Methods: We compared 172 patients who received posterior substit...
1
Early magnetic resonance imaging of radiographically occult osteoporotic fractures of the femoral neck
Management of Hip Fractures in the Elderly
Osteoporosis is associated with thinning of cortical and trabecular bone, which reduces bone strength and predisposes individuals to fracture development. Femoral neck fractures in patients with osteoporosis may not be apparent on radiographs. Magnetic resonance imaging is useful at detecting these radiographically occ...
0
Bone mineral density in patients with prostatic cancer treated with orchidectomy and with estrogens
Management of Hip Fractures in the Elderly
Bone mineral density (BMD) and bone mineral content (BMC) were measured in the femoral neck area, trochanteric area and Wards triangle, and in the distal radius of the left forearm before and after 1 year of endocrine treatment in 27 patients with prostatic cancer. Eleven of the patients were treated with orchidectomy ...
0
Effects of platelets rich fibrin and bone marrow on the healing of distal radial fracture in local dogs: Comparative study
Distal Radius Fractures
The aim of this study was to evaluate the effects of platelets rich fibrin and bone marrow on distal radial fracture healing in local breed dogs. Twenty four adult animals (males and females), mean aged 2.6 ±0.15 years, and the mean body weight 24.58 ±1.07 kg were used. The experimental animals were randomly divided ...
0
Characterization of bone lesions in myeloma before and during anticancer therapy using 18F-FDG-PET/CT and 18F-NAF-PET/CT
MSTS 2018 - Femur Mets and MM
Background: The objective of this study was to characterize tumor activity and mineralization status in newly-detected multiple myeloma (MM) bone lesions using 2-18F-fluoro-2-deoxy-D-glucose (18F-FDG)-PET/CT and 18F-sodium fluoride (18F-NaF)-PET/CT before and after antitumor treatment. Materials and Methods: In this re...
0
Gender differences in epidemiology and outcome after hip fracture: evidence from the Scottish Hip Fracture Audit
Management of Hip Fractures in the Elderly
We report gender differences in the epidemiology and outcome after hip fracture from the Scottish Hip Fracture Audit, with data on admission and at 120 days follow-up from 22 orthopaedic units across the country between 1998 and 2005. Outcome measures included early mortality, length of hospital stay, 120-day residence...
0
Correction to: Safety guideline: reducing the risk from cemented hemiarthroplasty for hip fracture 2015: Association of Anaesthetists of Great Britain and Ireland British Orthopaedic Association British Geriatric Society (Anaesthesia, (2015), 70, 5, (623-626), 10.1111/anae.13036)
Hip Fx in the Elderly 2019
The author name â??Scase A.â?? was listed incorrectly as â??Scrase A.â?? in Reference 12 of the following Guidelines. The correct reference should read as: Scase A, Horwood G, Sandys S. Coventry, â??Cement Curfewâ??: team training for crisis. Anaesthesia News 2014; 327: 8â??9.
0
Interaction of axial and oblique astigmatism in theoretical and physical eye models
Upper Eyelid and Brow Surgery
The interaction between oblique and axial astigmatism was investigated analytically (generalized Coddington's equations) and numerically (ray tracing) for a theoretical eye model with a single refracting surface. A linear vector-summation rule for power vector descriptions of axial and oblique astigmatism was found to ...
0
Homonymous hemianopic field defects and driving in Canada
Upper Eyelid and Brow Surgery
Significant functional impairment due to loss of visual field may seriously compromise the safe operation of a motor vehicle. The variable degree of recovery from homonymous hemianopic field defects and the lack of standardized provincial licensing guidelines on visual field defects further compound the difficulty in m...
0
Falls among older adults--Risk factors and prevention strategies
DoD PRF (Psychosocial RF)
Among people age 65 and older, falls are the leading cause of injury deaths. Fall risk factors are often categorized as personal or environmental. Personal factors include characteristics of the individual (such as age, functional abilities, and chronic conditions) while environmental risk factors usually refer to fall...
0
Asymmetric knee loading at heel contact during walking in patients with unilateral knee replacement
Surgical Management of Osteoarthritis of the Knee CPG
Increased load on the knee joint by excessive levels of impact forces during initial contact has been suggested to lead to knee osteoarthritis (OA). Asymmetric loading after knee replacement may also relate to the development of OA in the contralateral limb, therefore this study investigated the heel strike transient v...
0
Acellular dermal matrix in cosmetic breast procedures and capsular contracture
Acellular Dermal Matrix
Prevention and treatment of capsular contracture after breast augmentation is a controversial and oftentimes vexing problem. While there are traditional methods of addressing this condition, acellular dermal matrix materials offer a new and promising modality that is gaining momentum in the field of plastic surgery. In...
0
Bone microarchitecture in adolescent boys with autism spectrum disorder
Distal Radius Fractures
Background Boys with autism spectrum disorder (ASD) have lower areal bone mineral density (aBMD) than typically developing controls (TDC). Studies of volumetric BMD (vBMD) and bone microarchitecture provide information about fracture risk beyond that provided by aBMD but are currently lacking in ASD. Objectives To asse...
0
Total knee arthroplasty after varus distal femoral osteotomy vs native knee: similar results in a case control study
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: The aim of this study was to investigate the results of total knee arthroplasty (TKA) performed after varus distal femoral osteotomy (VrDFO), in comparison to a control group of TKAs performed as the primary intervention for arthrosis. Main hypothesis was that the medium term results for the two groups would b...
0
Odour-tracking capability of a silkmoth driving a mobile robot with turning bias and time delay
Upper Eyelid and Brow Surgery
The reconstruction of mechanisms behind odour-tracking behaviours of animals is expected to enable the development of biomimetic robots capable of adaptive behaviour and effectively locating odour sources. However, because the behavioural mechanisms of animals have not been extensively studied, their behavioural capabi...
0
Rehabilitation therapy self-efficacy and functional recovery after hip fracture
Management of Hip Fractures in the Elderly
Little is known about the role of psychological factors in the functional recovery process of hip fracture patients. This study employed a prospective cohort design to test the hypothesis that hospitalized hip fracture patients with greater reported self-efficacy for conducting rehabilitation therapy would have a great...
0
Histologic evaluation of posterior cruciate ligaments from osteoarthritic knees
Surgical Management of Osteoarthritis of the Knee CPG
It is controversial whether posterior cruciate ligament-retaining or posterior cruciate ligament-sacrificing (-substituting) implants should be used in total knee arthroplasty. The use of posterior cruciate ligament-retaining implants implies that the residual ligament is functional, and presumably normal, but few stud...
0
ACL reconstruction with physiological graft tension by intraoperative adjustment of the anteroposterior translation to the uninjured contralateral knee
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: Fixation of anterior cruciate ligament (ACL) substitutes with non-physiological anteroposterior translation (APT) worsens outcome. The aim was to present a technique for physiological APT adjustment of the transplant in ACL reconstruction and its outcome at midterm. METHODS: In a consecutive series of 28 patie...
0
Impact of a new cryotherapy device on early rehabilitation after primary total knee arthroplasty (TKA): a prospective randomised controlled trial
OAK 3 - Non-arthroplasty tx of OAK
Background: The aim of this prospective, randomised and single blinded study was to evaluate the efficiency and safety of a new cryotherapy device in patients undergoing unilateral, primary total knee arthroplasty (TKA). Our hypothesis was that patients administered to the new cryotherapy device would perform better th...
0
Homonymous Hemianopia: A Critical Analysis of Optical Devices, Compensatory Training, and NovaVision
Upper Eyelid and Brow Surgery
Homonymous hemianopia (HH) results from damage to visual pathways posterior to the optic chiasm. Due to the significant functional impairment that can result, rehabilitative techniques and devices intended to improve visual function after HH have been explored and are reviewed here. Two basic treatment strategies inclu...
0
Epidemiology of musculoskeletal tumors in Shiraz, south of Iran
MSTS 2018 - Femur Mets and MM
Background: Musculoskeletal tumors are rare, but their descriptive data in any region are important to reduce mortality rate and improve their management. Materials and Methods: Retrospectively, 426 pathologic reports from 1997 to 2008 were reviewed in Shiraz University Orthopedic Hospitals which are the main referral ...
1
Frozen section biopsy assessment for the presence of polymorphonuclear leukocytes in patients undergoing revision of arthroplasties
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Despite progress in techniques, early or late deep infection develops in 1 to 5% of patients with prosthetic joint replacements. We report a retrospective review of 64 original frozen sections (FSs) compared with permanent sections, the preoperative clinical and intraoperative findings, and the subsequent culture resul...
0
Possible reparative effect of low-intensity pulsed ultrasound (LIPUS) on injured meniscus
AMP (Acute Meniscal Pathology)
Menisci are a pair of crescent-shaped fibrocartilages, particularly of which their inner region of meniscus is an avascular tissue. It has characteristics similar to those of articular cartilage, and hence is inferior in healing. We previously reported that low-intensity pulsed ultrasound (LIPUS) treatment stimulates t...
1
Ice and pulsed electromagnetic field to reduce pain and swelling after distal radius fractures
Distal Radius Fractures
OBJECTIVE: To examine the relative effectiveness of ice therapy and/or pulsed electromagnetic field in reducing pain and swelling after the immobilization period following a distal radius fracture. METHODS: A total of 83 subjects were randomly allocated to receive 30 minutes of either ice plus pulsed electromagnetic fi...
1
Late diagnosed congenital dislocation of the hip
Developmental Dysplasia of the Hip CPG
During the years 1975 to 1979, 82,574 children from five counties in southeast Norway were live-born, 197 of whom were treated for late detected CDH, for an incidence of 2.4 per 1,000 live births, i.e., 0.4 promille dislocation, 0.6 promille subluxation, and 1.4 promille dysplasia of the acetabulum without dislocation....
0
Exposure of mental health nurses to violence associated with job stress, life satisfaction, staff resilience, and post-traumatic growth
DoD PRF (Psychosocial RF)
Workplace violence towards health workers in hospitals and in mental health units in particular is increasing. The aim of the present study was to explore the effects of exposure to violence, job stress, staff resilience, and post-traumatic growth (PTG) on the life satisfaction of mental health nurses. A descriptive, c...
0
Cancer patients use hospital-based care until death: a further analysis of the Dutch Bone Metastasis Study
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: To describe health care utilization (HCU) at the end of life in cancer patients. These data are relevant to plan palliative care services, and to develop training programs for involved health care professionals. METHODS: The Dutch Bone Metastasis Study (DBMS) was a nationwide study proving equal effectiveness ...
0
Whole-head SQUID system in a superconducting magnetic shield
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We have constructed a mobile whole-head SQUID system in a superconducting magnetic shield - a cylinder of high T(c) superconductor BSCCO of 65 cm in diameter and 160cm in length. We compared the noise spectra of several
0
Hip dislocation after modular unipolar hemiarthroplasty
Management of Hip Fractures in the Elderly
An institutional review board-approved retrospective review of hip fractures in elderly patients treated with a modular unipolar implant was carried out to identify factors predisposing to dislocation of a hemiarthroplasty. The main outcome measure evaluated was dislocation vs nondislocation. Two hundred seventeen pati...
0
Functional outcome at 2.5, 5, 9, and 24 months after injury in the Netherlands
Management of Hip Fractures in the Elderly
BACKGROUND: The collection of empirical data on the frequency, severity, and duration of functioning is a prerequisite to identify patient groups with long term or permanent disability. METHODS: We fielded postal questionnaires in a stratified sample of 8,564 injury patients aged 15 years and older, who had visited an ...
0
Time trends of incidence of age-associated diseases in the US elderly population: medicare-based analysis
Management of Hip Fractures in the Elderly
OBJECTIVES: time trends of age-adjusted incidence rates of 19 ageing-related diseases were evaluated for 1992-2005 period with the National Long Term Care Survey and the Surveillance, Epidemiology and End Results Registry data both linked to Medicare data (NLTCS-Medicare and SEER-Medicare, respectively). METHODS: the r...
0
Relationship between pain and opioid analgesics on the development of delirium following hip fracture
Management of Hip Fractures in the Elderly
BACKGROUND: Delirium and pain are common following hip fracture. Untreated pain has been shown to increase the risk of delirium in older adults undergoing elective surgery. This study was performed to examine the relationship among pain, analgesics, and other factors on delirium in hip fracture patients. METHODS: We co...
0
Role of abrasion arthroplasty and debridement in the management of osteoarthritis of the knee
Surgical Management of Osteoarthritis of the Knee CPG
The role of arthroscopic debridement for the treatment of degenerative arthritis of the knee is controversial. Success rates are dependent on multiple factors including the age of the patient, degree of arthritis, activity level, and length of follow-up. This article elaborates on and defines the indications and result...
0
Mechanisms by which sleep disturbance contributes to osteoarthritis pain: A conceptual model
Surgical Management of Osteoarthritis of the Knee CPG
Sleep disturbance is prevalent in aging and painful rheumatologic populations, but it has largely been a neglected dimension of the routine clinical care of arthritis patients. Pain associated with osteoarthritis (OA) is a leading cause of disability worldwide, and factors that contribute to pain in OA are poorly under...
0
[A new technique determining tibial rotational alignment in total knee arthroplasty]
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To compare the two different techniques determining tibial rotational alignment in total knee arthroplasty (TKA) to enhance postoperative effect and reduce complications.METHODS: From May 2006 to April 2007, 60 patients (27 males, 33 females, aged 55-78 years) received TKA and randomly divided into 2 groups ...
0
Physical activity and risk factors for hip fractures in Thai men
Management of Hip Fractures in the Elderly
To test the hypothesis that hip fracture is associated with physical activity in Thai elderly men, a case-control study was conducted in Bangkok, Thailand. A total of 187 men aged 51 years over, resident in Bangkok, admitted consecutively with a radiologically confirmed first hip fracture were studied. 177 age-matched ...
0
Arthroscopic technique: two-piece excision of discoid meniscus
AMP (Acute Meniscal Pathology)
This article describes a new arthroscopic technique of excision of complete discoid meniscus with a tear in which the discoid is divided into anterior and posterior pieces for removal. It is easy to perform because an excellent visualization of the posterior segment is obtained after removal of the anterior piece. The ...
0
Prognosis and risk factors of nerve injuries in displaced pediatric supracondylar humerus fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: Supracondylar humerus (SCH) fractures are serious injuries due to the neighborhood of critical neural and vascular structures. One of the most devastating complications of SCH fractures is neurological damage, since it may cause permanent disability. The aim of this study is to categorize neurological compl...
1
Efficacy and safety of intravenous tanezumab for the symptomatic treatment of osteoarthritis: 2 randomized controlled trials versus naproxen
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Two studies evaluated efficacy and safety of tanezumab versus naproxen for treatment of knee or hip osteoarthritis (OA). METHODS: Randomized controlled studies [NCT00830063 (Study 1015, n=828) and NCT00863304 (Study 1018, n=840)] of subjects with hip or knee OA compared intravenous tanezumab (5 mg or 10 mg) ...
0
Foot compartment syndrome: diagnosis and management
DoD - ACS - Interrater Reliability
Although uncommon, foot compartment syndrome (FCS) is a distinct clinical entity that typically results from high-energy fractures and crush injuries. In the literature, the reported number of anatomic compartments in the foot has ranged from 3 to 10, and the clinical relevance of these compartments has recently been i...
0
Guidelines of clinical practice for the management of swallowing disorders and recent dysphonia in the context of the COVID-19 pandemic
Coronavirus Disease 2019 (COVID-19)
Procedures putting healthcare workers in close contact with the airway are particularly at risk of contamination by the SARS-Cov-2 virus, especially when exposed to sputum, coughing, or a tracheostomy. In the current pandemic phase, all patients should be considered as potentially infected. Thus, the level of precautio...
0
Fractionated 5-aminolevulinic acid photodynamic therapy after partial debulking versus surgical excision for nodular basal cell carcinoma: a randomized controlled trial with at least 5-year follow-up
Reconstruction After Skin Cancer
BACKGROUND: Although effective in superficial basal cell carcinoma (BCC), the treatment effect of photodynamic therapy (PDT) in nodular BCC (nBCC) is still questionable. The relation between tumor thickness and PDT failure is unclear.OBJECTIVE: We sought to compare long-term effectiveness of fractionated 20% 5-aminolev...
0
Effect of continuous femoral nerve block on pain score, rehabilitation and stress response after total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Background and aims: To assess the influence of continuous femoral nerve block (CFNB) and IV patient-controlled analgesia (PCIA) on postoperative pain scores, knee rehabilitation and stress response after total knee arthroplasty (TKA). Methods: After informed consent with institutional approval, , 32 adult patients sch...
0
Mechanical and repeated antimicrobial therapy using a local drug delivery system in the treatment of peri-implantitis: a randomized clinical trial
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Peri-implantitis is an inflammatory process caused by microorganisms affecting the tissues around an osseointegrated implant in function, resulting in a loss of supporting bone. Limited data exist regarding the treatment of peri-implantitis. The aim of this study was to assess the clinical and microbiologic...
0
Ipsilateral fractures of the pelvis and the femur--floating hip? A retrospective analysis of 42 cases
Management of Hip Fractures in the Elderly
A consecutive series of 40 patients, who sustained 42 ipsilateral pelvic and femoral fractures, is reported. There were eight (26.6%) traumatic neurological deficits and three open femoral fractures. Two multiply injured patients died in the postraumatic period because of the severity of their injuries. No associated v...
0
S-ROM modular arthroplasty combined with transverse subtrochanteric shortening for Crowe type IV congenital dislocation of hip
PJI DX Updated Search
BACKGROUND: This work was carried out to evaluate the clinical efficacy and the complications of S-ROM modular hip arthroplasty combined with transverse subtrochanteric shortening for Crowe type IV congenital dislocation of the hip (CDH). METHODS: A total of 28 consecutive patients with Crowe type IV CDH received treat...
0
Use of computed tomography and magnetic resonance imaging for occult neck of femur fractures: A single-centre study
Hip Fx in the Elderly 2019
OBJECTIVE: Neck of femur (NOF) fractures are common and serious injuries in the elderly. When a NOF fracture is suspected but is not clearly visible on radiographs, guidelines recommend magnetic resonance imaging (MRI), or computed tomography (CT) if MRI is not available/contraindicated. The aim of our study was to rev...
1
How to improve satisfaction with hospital stay of severely injured patients
DoD PRF (Psychosocial RF)
BACKGROUND: In the context of medical quality assurance, patient satisfaction with medical and organisational aspects of health care service is considered to be a relevant outcome of patient surveys after a stay in hospital. Within quality research, it is assumed that assessments of patient satisfaction represent a dir...
0
Pancreas cancer-associated antigen (PCAA) in medullary thyroid carcinoma
MSTS 2018 - Femur Mets and MM
Pancreas cancer-associated antigen (PCAA), primarily isolated from the ascites of pancreatic cancer (PC) patients, is strongly positive in PC, colon cancer and normal colonic mucosa. In immunohistochemical staining of tumor tissues with antibodies, medullary thyroid carcinoma (MTC) was no less strongly positive for PCA...
1
A Profile of Patients With Traumatic Brain Injury Within Home Care, Long-Term Care, Complex Continuing Care, and Institutional Mental Health Settings in a Publicly Insured Population
DoD PRF (Psychosocial RF)
OBJECTIVE: To describe the sociodemographic and clinical profile of people with traumatic brain injury (TBI) in home care, nursing homes, and complex continuing care settings in a national sample. METHODS: Cross-sectional study using available Resident Assessment Instrument (RAI 2.0 and RAI Home Care [HC]) national dat...
0
Open-label use of Anakinra (Kineret) in the treatment of patients with osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Background: Novel treatments for osteoarthritis (OA) are needed for patients not responding to and/or not tolerating conventional treatments. In this prospective study the usefulness of Anakinra (Kineret) in the treatment of OA was evaluated. Methods: Eleven patients with symptomatic OA were treated with Anakinra (Kine...
0
Partial-thickness rotator cuff tears
Glenohumeral Joint OA
Partial-thickness rotator cuff tears are not a single entity; rather, they represent a spectrum of disease states. Although often asymptomatic, they can be significantly disabling. Overhead throwing athletes with partial-thickness rotator cuff tears differ with respect to etiology, goals, and treatment from older, nona...
1
The Fate of the Contralateral Knee in Patients With a Lateral Discoid Meniscus
AMP (Acute Meniscal Pathology)
PURPOSE: To analyze the survivorship of the lateral meniscus (LM) in the contralateral knee after surgery for symptomatic torn discoid lateral meniscus (DLM) and to determine its associated factors. METHODS: Two hundred ninety-six patients who underwent arthroscopic meniscectomy for torn symptomatic DLM were reviewed r...
0
Psychosoziale Auswirkungen der plastisch-chirurgischen Rekonstruktion der weiblichen Brust nach der Amputation aufgrund eines malignen/benignen Tumors. [Psychosocial benefits of breast reconstruction after mastectomy in patients with benign or malignant tumors.]
DoD PRF (Psychosocial RF)
Studied the psychosocial effects of breast reconstruction following mastectomy. Human Ss: 22 female Austrian adults (breast cancer, mastectomy, and breast reconstruction); 17 female Austrian adults (breast cancer, mastectomy, and no breast reconstruction); 13 female Austrian adults (benign breast tumor, mastectomy, and...
0
Common protective movements govern unexpected falls from standing height
Management of Hip Fractures in the Elderly
Simple energy considerations suggest that any fall from standing height has the potential to cause hip fracture. However, only 1-2% of falls among the elderly actually result in hip fracture, and less than 10% cause serious injury. This suggests that highly effective movement strategies exist for preventing injury duri...
0
Secondary prosthetic joint infection: Diagnostic criteria, treatment
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Per-operative contamination is the most frequent cause of prosthetic joint infection. In other cases, hematogenous contamination, which may be symptom-free, is responsible for secondary infection, which is the best-suited designation. Several factors, either isolated or combined, are important in establishing this diag...
0
The popliteal fibular ligament in acute knee trauma: patterns of injury on MR imaging
AMP (Acute Meniscal Pathology)
OBJECTIVE: To describe the patterns of injury associated with injury to the popliteofibular ligament injury. MATERIALS AND METHODS: A retrospective review was performed of 180 MRI scans undertaken for acute knee trauma. Scans were excluded if the time of injury was over 4 weeks from the time of the scan, or if there wa...
0
Chondrogenic differentiation potential of osteoarthritic chondrocytes and their possible use in matrix-associated autologous chondrocyte transplantation
Surgical Management of Osteoarthritis of the Knee CPG
INTRODUCTION: Autologous chondrocyte transplantation (ACT) is a routine technique to regenerate focal cartilage lesions. However, patients with osteoarthritis (OA) are lacking an appropriate long-lasting treatment alternative, partly since it is not known if chondrocytes from OA patients have the same chondrogenic diff...
0
The reverse sural artery fasciomusculocutaneous flap for small lower-limb defects: the use of the gastrocnemius muscle cuff as a plug for small bony defects following debridement of infected/necrotic bone
DoD SSI (Surgical Site Infections)
The reverse sural artery fasciomusculocutaneous flap is a modification of the original fasciocutaneous flap in which a midline gastrocnemius muscle cuff around the buried sural pedicle is included in the flap. This modification was done to improve the blood supply of the distal part of the flap, which is harvested from...
0
Clinical results of percutaneous fixation of pelvic and acetabular fractures: A minimally invasive internal fixation technique
Hip Fx in the Elderly 2019
Background: The pelvic ring fractures (PRF) and acetabular fractures (AF) are among the major orthopedic injuries associated with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for the majority of these complications. Percutaneous minimally invasive surgical stabilization o...
0
Tumescent liposuction report performance measurement initiative: National survey results
Panniculectomy & Abdominoplasty CPG
BACKGROUND. This study was created by the Accreditation Association for Ambulatory Health Care Institute for Quality Improvement to measure clinical performance and improvement opportunities for physicians and ambulatory health-care organizations. Data were collected prospectively between February 2001 and August 2002....
0
The influence of geography on uptake of plastic surgery services - analysis based on bilateral breast reduction data
Reduction Mammoplasty for Female Breast Hypertrophy
The hub-and-spoke model was introduced in the National Health Service (NHS) with the goal of providing equitable access to health care for all. This study uses bilateral breast reduction (BBR) surgery to assess the success of this model in delivering equity of access for plastic surgery within a publicly funded health-...
0
Head injury in young adults: Long-term outcome
DoD PRF (Psychosocial RF)
Objective: To describe the long-term outcome 5 years after injury of young adults who were 15 to 19 years old at the time of their head injuries. Design: A retrospective cohort. The health records of 62 consecutive eligible subjects were abstracted for baseline sociodemographic, health, and injury variables. A telephon...
0
COVID-19 outbreak in Italy: protecting worker health and the response of the Italian Industrial Hygienists Association
Coronavirus Disease 2019 (COVID-19)
The number of people infected with severe acute respiratory syndrome - coronavirus 2 (SARS-CoV-2), i.e. the virus causing coronavirus disease (COVID-19), is dramatically increasing worldwide to the size of a pandemic. At the time of writing Italy is ranking first among countries both in terms of number of COVID-19 conf...
0
Osteochondritis dissecans of the femoral head in children and adolescents: a report of 17 cases
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Osteochondritis dissecans of the femoral capital epiphysis is uncommon and is usually reported as a case report or in association with other diseases. This study reports 17 cases with the primary underlying diagnosis of Legg-Calve-Perthes disease in seven, idiopathic in six, avascular necrosis following trauma in three...
0
Sustained release of vancomycin from polyurethane scaffolds inhibits infection of bone wounds in a rat femoral segmental defect model
PJI DX Updated Search
Infection is a common complication in open fractures that compromises the healing of bone and can result in loss of limb or life. Currently, the clinical standard of care for treating contaminated open fractures comprises a staged approach, wherein the wound is first treated with non-biodegradable antibiotic-laden poly...
0
Geriatric rehabilitation: state of the art
Management of Hip Fractures in the Elderly
OBJECTIVES: To provide a clinically useful conceptual framework for the evaluation and treatment of disability in older persons, to review the rehabilitation of common conditions affecting function in older persons, and to discuss the effects of the ongoing changes in the healthcare system on geriatric rehabilitation. ...
0
Spinal anesthesia in arthroscopic meniscectomie: 0.5% hyperbaric bupivacaine and hyperbaric prilocaine 2%: Which is the anesthetic of choice?
Surgical Management of Osteoarthritis of the Knee CPG
Purpose/Objective: The aim of this study is to compare the quality of the block, the recovery time of motor activity, the incidence of bladder globe and the occurrence of Transient Neurologic Symptoms (TNS) in patients undergoing arthroscopic meniscectomy under spinal anesthesia with hyperbaric bupivacaine 0, 5% vs. 2%...
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Diagnostic and prognostic use of bone turnover markers
MSTS 2018 - Femur Mets and MM
The use of bone turnover markers in oncology includes monitoring of anticancer treatment in patients with malignant disease metastatic to the bones (therapeutic monitoring), predicting the risk of bone relapse in patients with a first diagnosis of potentially curative, early-stage malignant tumors (prognostic use), and...
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Inhibited osteoclastic bone resorption through alendronate treatment in rats reduces severe osteoarthritis progression
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis (OA) is a non-rheumatoid joint disease characterized by progressive degeneration of extra-cellular cartilage matrix (ECM), enhanced subchondral bone remodeling, osteophyte formation and synovial thickening. Alendronate (ALN) is a potent inhibitor of osteoclastic bone resorption and results in reduced bon...
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Preparation of decellularized meniscal scaffolds using sonication treatment for tissue engineering
AMP (Acute Meniscal Pathology)
Scaffolds play a key role in the process of regeneration and morphogenesis of tissue or organ. We have developed a novel sonication decellularization system to prepare decellularized bio-scaffolds in a short treatment time. The aim of the study is to investigate sonication decellularization condition that completely de...
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Mapping of Metastatic Level I Axillary Lymph Nodes in Patients with Newly Diagnosed Breast Cancer
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: We examined the distribution of pretreatment nodal metastases to the level I axilla (Ax-L1) to assess the appropriateness of current breast atlases and provide guidelines in relationship to easily identifiable anatomic landmarks for accurate delineation of this lymph node (LN) basin. METHODS AND MATERIALS: Pat...
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Safety and efficacy of three-dimensional vacuum-assisted bipolar plasma skin regeneration for tissue tightening
Panniculectomy & Abdominoplasty CPG
The aim of the study was to evaluate the safety and efficacy of a new device for body contouring. Sixteen informed and consenting female patients (aged 20-59 years, mean: 32.38 ± 7.26 years) were recruited for this study. The PSR device used here combined bipolar PSR radiofrequency and vacuum technologies. The patient...
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Reduced bone density of the hip in elderly patients with Parkinson's disease
Management of Hip Fractures in the Elderly
Parkinson's disease (PD) is a major cause of falls and reduced mobility in elderly people. Fractures often occur as a result of these falls but there have been no studies of bone mineral density (BMD) in PD. We have prospectively studied 29 elderly women (mean age 77 years) and 26 elderly men (mean age 74 years) with P...
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Conservative management of MRI-confirmed knee osteoarthritis with instrument-assisted soft-tissue mobilization, joint manipulation, and platelet-rich plasma
AMP (Acute Meniscal Pathology)
OBJECTIVE: To describe the successful conservative management of a patient with chronic degenerative knee pain. CLINICAL FEATURES: An active 47 year-old female office-worker with intermittent right knee pain inferolateral to the right patella for eight months described difficulty ascending stairs, sitting on a chair fo...
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The significance of metastasis-related factors cathepsin-D and nm23 in advanced ovarian cancer
MSTS 2018 - Femur Mets and MM
BACKGROUND: Different regulators or effectors of the metastatic cascade can be of prognostic and/or predictive significance. Cathepsin-D and nm23 operate at different levels of the metastatic process and have not yet been analyzed in combination in ovarian cancer. PATIENTS AND METHODS: The prevalence of cathepsin-D and...
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The significance of arthroscopy and examination under anaesthesia in the diagnosis of fresh injury haemarthrosis of the knee joint
Surgical Management of Osteoarthritis of the Knee CPG
Arthroscopy and examination under anaesthesia were performed for 328 consecutive knee injuries with haemarthrosis. These examinations were grouped according to a modified classification (Jackson and Abe, 1972) into very useful (117/328, 36 per cent), useful (98/328, 30 per cent) and useless (113/328, 34 per cent) categ...
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Mechanisms and treatment of hypercalcemia of malignancy
MSTS 2018 - Femur Mets and MM
PURPOSE OF REVIEW: Hypercalcemia of malignancy is a common paraneoplastic syndrome and a frequent complication of advanced breast and lung cancer, and multiple myeloma. The development of this malignancy complication often purports a poor prognosis. Thorough evaluation to establish the cause of hypercalcemia is essenti...
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Intra-articular glucocorticoids for acute gout
SR for PM on OA of All Extremities
BACKGROUND: Although intra-articular glucocorticoids are a commonly used intervention in the treatment of acute gout, there is little evidence to support their safety and efficacy in this setting. OBJECTIVES: To evaluate the safety and efficacy of intra-articular glucocorticoids in the treatment of acute gout. SEARCH M...
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Assessment of changes in the meniscus and subchondral bone in a novel closed-joint impact and surgical reconstruction lapine model
AMP (Acute Meniscal Pathology)
Despite reconstruction surgery to repair a torn anterior cruciate ligament (ACL), patients often still show signs of post-traumatic osteoarthritis (PTOA) years following the procedure. The goal of this study was to document changes in the meniscus and subchondral bone due to closed-joint impact and surgical reconstruct...
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Arthroscopic cystectomy for popliteal cysts through the posteromedial cystic portal
AMP (Acute Meniscal Pathology)
In the treatment of patients with popliteal cysts (Baker's cysts), we generally need to address the intra-articular pathologies, most commonly, medial meniscal tears and concomitant connecting valvular mechanisms responsible for the formation and recurrence of the cyst. We introduce here an arthroscopic technique that ...
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Metacarpal radiogrammetry by computed radiography in postmenopausal women with Colles' fracture and vertebral crush fracture syndrome
Distal Radius Fractures
Based on the hypothesis that the underlying osteoporotic mechanism of Colles' fracture in postmenopausal women is similar to that of other osteoporotic fractures, that is, cortical bone resorption as opposed to cancellous bone resorption, the rate of corticoendosteal bone loss was compared in 40 normal postmenopausal w...
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Would FRAX define the high fracture risk if the patients were evaluated the day before hip fracture?
Hip Fx in the Elderly 2019
Objective: The aim of this study was to evaluate the 10-year major osteoporotic and hip fracture risks in patients with a recent hip fracture. Material and Methods: The study population comprised 58 patients (32 male and 26 female, mean age 79.1 years) with a recent hip fracture. A bedside questionnaire including fract...
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Late surgical treatment of lateral condylar fractures in children
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
We describe four cases of successful late surgical treatment of lateral condylar fractures of the humerus performed 8 weeks and 2, 5, and 14 years after injury and review the literature on the subject. We suggest that children with symptomatic nonunion and malunion of these fractures can benefit from late surgical trea...
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Characteristics of US combat veterans (2001-2011) who remain on active duty after upper extremity amputations
DoD LSA (Limb Salvage vs Amputation)
OBJECTIVES: Return to duty following traumatic amputations has been extensively studied in those with lower extremity amputation. As upper extremity amputations occur less frequently, the issue of return to duty for those with upper extremity amputations has received relatively little research. The purpose of this stud...
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Bilateral fatigue fracture of the femoral components in a cruciate-retaining cementless total knee prosthesis
PJI DX Updated Search
This article reports a case of bilateral fatigue fracture of the femoral components in a cruciate- retaining uncemented total knee arthroplasty (TKA). A 75-year-old woman (height, 158 cm; weight, 72 kg; body mass index, 29.2) had undergone one-stage bilateral TKA for osteoarthritis 11 years previously at the author's i...
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Subcapital fracture of the femoral neck following internal fixation with a dynamic hip screw
Management of Hip Fractures in the Elderly
A case of subcapital femoral neck fracture following osteosynthesis of a trochanteric fracture is described. The implant used was the dynamic hip screw. This kind of fracture is very rare, and has to our knowledge never been described with the use of the dynamic hip screw
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Once daily high-dose gentamicin to prevent infection in open fractures of the tibial shaft: a preliminary investigation
DoD SSI (Surgical Site Infections)
BACKGROUND: Cephalosporin and aminoglycoside antibiotics are currently recommended for infection prophylaxis in high-energy open tibial shaft fractures. We evaluated cephalosporin in conjunction with once daily high-dose gentamicin as prophylaxis against infection in Gustilo types II and III open tibial shaft fractures...
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The effects of silver coated external fixation pins
DoD SSI (Surgical Site Infections)
We performed a randomized controlled trial in order to assess the effect silver coating of an external fixator pin has on pin infection. The experimental silver coated pins (SC) were compared to control stainless steel (SS) pins. A clamp design monolateral fixator was used, and pins were randomized to clamp position to...
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One-year outcome for elderly patients with displaced intracapsular fractures of the femoral neck managed non-operatively
Hip Fx in the Elderly 2019
The outcome of patients with a displaced intracapsular femoral neck fracture treated non-operatively was assessed at 1 year and compared with patients managed operatively over the same time period. Data were collected prospectively for 102 consecutive patients. 80 patients underwent hemiarthroplasty and 22 were managed...