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The use of the pain pump and patient-controlled analgesia in joint reconstruction
Surgical Management of Osteoarthritis of the Knee CPG
Controlling postoperative pain following painful orthopedic procedures such as total knee arthroplasty is an ongoing challenge, as current pain management techniques often result in undermedication and/or complications. Traditional pain management strategies include opioid analgesics administered orally or via epidural...
0
Comparison of postdischarge physiotherapy versus usual care following primary total knee arthroplasty for osteoarthritis: an exploratory pilot randomized clinical trial
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To evaluate a pilot trial of a postdischarge physiotherapy intervention to improve patient function versus usual physiotherapy in patients undergoing total knee arthroplasty aiming to assess: recruitment rate, feasibility and acceptability of the intervention and control, suitability of outcomes, retention a...
1
Endoscopic treatment of carpal tunnel syndrome: a critical review
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
An extensive review of published articles on the subject of endoscopic carpal tunnel release surgery is presented, encompassing six endoscopic techniques used to treat carpal tunnel syndrome. Since the first report in 1987, 7091 patients have undergone 8068 operations. The overall success rate has been 96.52%, with a c...
0
Childhood trauma and factors associated with depression among inpatients with cardiovascular disease
DoD PRF (Psychosocial RF)
AIM: To identify factors associated with depressive symptoms among inpatients with cardiovascular disease (CVD). METHODS: This is a cross-sectional study performed in a subsample of a large cross-sectional research that investigated affective disorders and suicide behaviour among inpatients hospitalized in non-surgical...
0
Zoledronic acid: An unending tale for an antiresorptive agent
MSTS 2018 - Femur Mets and MM
Importance of the field: Therapy with zoledronic acid (ZOL) is a standard for patients with malignant bone disease. However, the antitumor effects of ZOL are demonstrated only in the preclinical setting and, therefore, they require pharmacological and molecular optimization. ZOL blocks protein isoprenylation, a pleiotr...
0
Knee and hip replacements: Prevalence and healthcare utilization and costs pre-and post-surgery for Medicare Advantage members
Surgical Management of Osteoarthritis of the Knee CPG
During the last decade, knee and hip replacement rates in the US rose dramatically. While joint replacement may result in improvement in pain and functionality, the rise in prevalence and associated high cost call for better selecting appropriate candidates to ensure successful outcomes. This study examined the prevale...
0
Liposuction
Panniculectomy & Abdominoplasty CPG
Liposuction is one of the most commonly performed procedures in aesthetic surgery. The primary aim is body contouring and not weight reduction. The vast amount of available methods for suctioning subcutaneous fat allows an optimal individual treatment plan, keeping in mind the correct indications. Although liposuction ...
1
Operative risk of staged bilateral knee arthroplasty is underestimated in retrospective studies
Surgical Management of Osteoarthritis of the Knee CPG
To find a safer surgical option, a number of studies have compared postoperative complications after bilateral total knee arthroplasty vs staged total knee arthroplasty (STKA) by contrasting postoperative complications collected retrospectively. However, we believe that a comparison based on retrospective studies could...
0
Intratibial injection of human multiple myeloma cells in NOD/SCID IL-2Rgamma(null) mice mimics human myeloma and serves as a valuable tool for the development of anticancer strategies
MSTS 2018 - Femur Mets and MM
BACKGROUND: We systematically analyzed multiple myeloma (MM) cell lines and patient bone marrow cells for their engraftment capacity in immunodeficient mice and validated the response of the resulting xenografts to antimyeloma agents. DESIGN AND METHODS: Using flow cytometry and near infrared fluorescence in-vivo-imagi...
0
Arthroscopic knee anatomy in young achondroplasia patients
AMP (Acute Meniscal Pathology)
PURPOSE: Achondroplasia is the most common form of skeletal dysplasia, affecting more than 250 000 individuals worldwide. In these patients, the developing knee undergoes multiple anatomical changes. The purpose of this study was to characterise the intra-articular knee anatomy in children with achondroplasia who under...
0
Predictive value of subjective and objective evaluation before acupuncture treatment
Surgical Management of Osteoarthritis of the Knee CPG
To evaluate if it is possible to predict the outcome of acupuncture treatment in patients with knee osteoarthrosis, six treatments were given during a 3 week period. Follow-up time was 9-17 weeks. Seven parameters were evaluated to examine if they had any influence on the outcome of treatment: Age, duration of disease,...
0
Return to work and quality of life in severely injured patients
DoD PRF (Psychosocial RF)
Background: Little is known about the long-term consequences of severe injuries in terms of return to productivity and quality of life. Methods: In this study we focused on the return to work status and quality of life in 53 severely injured patients (AIS/ISS â?¥ 16, mean ISS 24, range 16-54), mean age 37 years, one to...
0
Whiplash injury and neuro-otological sequelae: An evidence based systematic review
DoD PRF (Psychosocial RF)
Objective: Epidemiological data showing an association between whiplash and neuro-otological symptoms have existed for many years; however, despite growing evidence a causal relationship has not been forthcoming. This review aims to identify whether evidence exists to substantiate a pathophysiological link between whip...
0
Risk factors for severe injury in cyclists involved in traffic crashes in Victoria, Australia
DoD PRF (Psychosocial RF)
This study examines the impact of cyclist, road and crash characteristics on the injury severity of cyclists involved in traffic crashes reported to the police in Victoria, Australia between 2004 and 2008. Logistic regression analysis was carried out to identify predictors of severe injury (serious injury and fatality)...
0
Is Obesity Associated With an Increased Risk of Complications After Surgical Management of Acetabulum and Pelvis Fractures? A Systematic Review
DoD SSI (Surgical Site Infections)
BACKGROUND: When considering surgical fixation of acetabulum and pelvis fractures in patients with obesity, a thorough understanding of the risks of potential complications is important. We performed a systematic review to evaluate whether obesity is associated with an increased risk of complications after surgical man...
0
Dynamic cyclic compression modulates the chondrogenic phenotype in human chondrocytes from late stage osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Human osteoarthritic chondrocytes (hOACs) are characterized by their "dedifferentiated" and catabolic phenotype and lack the ability for restoring their inherent functions by themselves. Here we investigated whether extrinsically supplemented mechanical signal via compression loading would affect the phenotype of hOACs...
0
Role of elective lymph node dissection in stage I malignant melanoma: evaluation by matched pair analysis
MSTS 2022 - Metastatic Disease of the Humerus
The role of elective lymph node dissection (ELND) in clinical stage I malignant melanoma continues to be controversial. We present a matched pair analysis of 375 patients treated in the Department of Dermatology in Kassel between 1979 and 1991 by wide local excision (WLE) plus ELND. Multivariate analysis revealed tumor...
1
Intramedullary nailing for impending pathological subtrochanteric fractures
MSTS 2018 - Femur Mets and MM
We reviewed ten patients with metastatic carcinoma and impending pathological fractures of the subtrochanteric region of the femur who had prophylactic insertion of the Russell-Taylor reconstruction nail. There were no operative complications or long-term mechanical failures. This reconstruction nail has some technical...
0
The acute psychobiological impact of the intensive care experience on relatives
DoD PRF (Psychosocial RF)
There is a growing awareness amongst critical care practitioners that the impact of intensive care medicine extends beyond the patient to include the psychological impact on close family members. Several studies have addressed the needs of relatives within the intensive care context but the psychobiological impact of t...
0
Reduced short-term complications and mortality following Enhanced Recovery primary hip and knee arthroplasty: Results from 6,000 consecutive procedures
AAHKS (4) Acetaminophen
Background and purpose Enhanced Recovery (ER) is a well-established multidisciplinary strategy in lower limb arthroplasty and was introduced in our department in May 2008. This retrospective study reviews short-term outcomes in a consecutive unselected series of 3,000 procedures (the "ER" group), and compares them to a...
0
Brief report: The sensitivity of motor responses for detecting catheter-nerve contact during ultrasound-guided femoral nerve blocks with stimulating catheters
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: We determined the sensitivity of motor responses evoked by stimulating catheters in determining catheter-nerve contact using ultrasonography as reference. METHODS: Femoral nerves were contacted using stimulating catheters under ultrasonography scanning in 25 patients. The output current was increased from i...
0
The triceps-dividing approach to open reduction of complex distal humeral fractures in adolescents: a Cybex evaluation of triceps function and motion
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Triceps function and elbow motion were evaluated in nine elbows after open reduction of complex distal humeral fractures through a triceps dividing approach. At 3-year 6-month follow-up, the patients had an average flexion/extension of 136 degrees to -6 degrees. Triceps peak torque decreased slightly, measured by Cybex...
0
Papineau technique combined with vacuum-assisted closure for open tibial fractures: clinical outcomes at five years
DoD SSI (Surgical Site Infections)
PURPOSE: Treatment of open tibial fractures with soft tissue and segmental bone defects is difficult. This study reports our results for treating these injuries with a combination of Papineau open bone grafting and vacuum-assisted wound closure (VAC). METHODS: The records of 19 patients with open tibial fractures with ...
0
The Arthroscopic Superior Capsular Reconstruction
Glenohumeral Joint OA
In a subset of patients with rotator cuff tears, the glenohumeral joint has minimal degenerative changes and the rotator cuff tendon is either irreparable or very poor quality and unlikely to heal. Reverse shoulder arthroplasty (RSA) is often considered for these patients despite the lack of glenohumeral arthritis. How...
0
A review of preclinical and clinical studies using synthetic materials for meniscus replacement
AMP (Acute Meniscal Pathology)
The emerging field of tissue engineering holds the promise to use bio-materials for meniscus injury repair, namely scaffold or meniscus implant. Many implants have been studied and several studies have been conducted to verify the safety and quality of scaffolds. Preliminary data support the idea that synthetic implant...
1
Long-term outcome after whiplash injury. A 2-year follow-up considering features of injury mechanism and somatic, radiologic, and psychosocial findings
DoD PRF (Psychosocial RF)
With the increased incidence of whiplash injury following the introduction of compulsory car seat belts, a large number of reports have dealt with the aftermath of this condition. Previous studies, however, focused on somatic symptoms on the one hand or considered only psychological or neuropsychological variables on t...
0
Treatment of humeral shaft fractures with the Seidel intramedullary nail
DoD SSI (Surgical Site Infections)
BACKGROUND: The use of intremedullary nails for the management of humeral shaft fractures has been controversial. Recently, the Seidel nail has become available. The purpose of this study was to review our initial experience with the Seidel nail. METHODS: A retrospective clinical and radiographic review of 25 consecuti...
0
Concomitant Hip Arthroscopy and Periacetabular Osteotomy
DoD SSI (Surgical Site Infections)
Purpose To detail our early experience using concomitant hip arthroscopy and periacetabular osteotomy (PAO) for the treatment of acetabular dysplasia. Methods We prospectively collected and retrospectively reviewed the surgical and outcome data of 17 patients who underwent concomitant hip arthroscopy and PAO between Oc...
1
Clinical outcome of autologous bone marrow aspirates concentrate (BMAC) injection in degenerative arthritis of the knee
BMAC (Bone Marrow Aspirate Concentrate)
PURPOSE: As a treatment method of degenerative arthritis of knee, this study evaluated the clinical efficacy of the intra-articular injection of autologous bone marrow aspirates concentrate (BMAC) with adipose tissue. MATERIALS AND METHODS: Between April 2011 and May 2012, 41 patients (75 knees) who were diagnosed as a...
0
Preoperative Serum Albumin Level As A Predictor Of Postoperative Pneumonia After Femoral Neck Fracture Surgery In A Geriatric Population
Hip Fx in the Elderly 2019
Purpose: Femoral neck fracture usually occurs in the geriatric population. Postoperative pneumonia (POP) is known to be devastated, and it is the most frequent complication among patients receiving surgical treatment for femoral neck fractures. However, whether patients who have hypoalbuminaemia are susceptible to the ...
0
Laser lipolysis used to treat localized adiposis: a preliminary report on experience with Asian patients
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Localized deposits of fat (adiposis) located in the face, chin, neck, and arms usually are more compact and difficult to treat using conventional liposuction. It is necessary to find an effective approach for this type of localized adiposis. This study aimed to investigate the clinical application of laser ...
0
Psychological predictors of sport injuries among junior soccer players
DoD PRF (Psychosocial RF)
Previous researches have established models that specify psychological factors that could predict sport injuries. One example is Williams and Andersenâ??s stressâ??injury model stressing factors such as anxiety, negative life stress and few coping resources. The purpose of the current study was to find psychological fa...
0
The biomechanical analysis of three-dimensional distal radius fracture model with different fixed splints
Distal Radius Fractures
BACKGROUND: The distal radius fracture is one of the common clinical fractures. At present, there are no reports regarding application of the finite element method in studying the mechanism of Colles fracture and the biomechanical behavior when using splint fixation. OBJECTIVE: To explore the mechanism of Colles fractu...
0
Collagen gel contraction as a measure of fibroblast function in an animal model of subsynovial connective tissue fibrosis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Carpal tunnel syndrome (CTS) is a peripheral neuropathy characterized by non-inflammatory fibrosis of the subsynovial connective tissues (SSCT). A rabbit model of CTS was developed to test the hypothesis that SSCT fibrosis causes the neuropathy. We used a cell-seeded collagen-gel contraction model to characterize the f...
0
Stiffness after total knee arthroplasty
PJI DX Updated Search
Stiffness after total knee arthroplasty (TKA) adversely affects outcome and impacts patient function. Various risk factors for stiffness after TKA have been identified, including reduced preoperative knee range of motion, history of prior knee surgery, etiology of arthritis, incorrect positioning or oversizing of compo...
0
Adipose-derived mesenchymal stem cells (AdMSC) for the treatment of secondary-progressive multiple sclerosis: A triple blinded, placebo controlled, randomized phase I/II safety and feasibility study
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Currently available treatments for secondary progressive multiple sclerosis(SPMS) have limited efficacy and/or safety concerns. Adipose-mesenchymal derived stem cells(AdMSCs) represent a promising option and can be readily obtained using minimally invasive procedures. PATIENTS AND METHODS: In this triple-bl...
0
Comparison of arthroscopic meniscal repair results using 3 different meniscal repair devices in anterior cruciate ligament reconstruction patients
AMP (Acute Meniscal Pathology)
PURPOSE: The goal of this study was the clinical evaluation of arthroscopic meniscal repair results with the use of 3 different repair devices. METHODS: From 2001 to 2006, 265 patients underwent 280 meniscal repairs (RapidLoc [DePuy Mitek, Raynham, MA] in 88 patients, T-Fix [Acufex Microsurgical, Mansfield, MA] in 85 p...
0
Early home rehabilitation for the elderly patient with hip fracture. The Peterborough hip fracture scheme
Management of Hip Fractures in the Elderly
In October 1986 a scheme began which was intended to provide the optimum treatment for patients who had sustained fractures of the proximal femur (hip fractures). It combined team management with, where possible, early discharge and home rehabilitation. The team included a community physiotherapist responsible for supe...
1
Use of gentamicin-loaded collagen sponge in internal fixation of open fractures
DoD SSI (Surgical Site Infections)
OBJECTIVE: To assess the outcome of immediate plate osteosynthesis via application of antibiotic impregnated collagen fleeces (gentamicin-collagen and antibiotic sponge) which gradually release antibiotic locally in the surgical treatment of open fractures presented to us 6 hours after injury. METHODS: All cases were t...
0
Injury to infrapatellar branch of saphenous nerve-a cause of neuropathic pain after knee replacement
Surgical Management of Osteoarthritis of the Knee CPG
Background and aims: Neuropathic pain following knee replacement is a rare but disabling condition. There are a variety of causes attributed to this problematic condition. We describe a case series of three patients who presented with neuropathic pain involving the infrapatellar branch of the saphenous nerve. Methods: ...
0
Reamer-irrigator-aspirator bone graft and bi Masquelet technique for segmental bone defect nonunions: a review of 25 cases
DoD LSA (Limb Salvage vs Amputation)
INTRODUCTION: Segmental bone loss, either from trauma, tumor or infection is a challenging clinical entity. Amputation is a possible outcome and part of the decision making process. Surgical management is almost always needed and can require several interventions to obtain bone union. A staged protocol of obtaining a c...
0
Surgical anatomy of the pectoral nerves and the pectoral musculature
Reduction Mammoplasty for Female Breast Hypertrophy
The pectoral nerves (PNs) may be selectively injured through various traumatic mechanisms such as direct trauma, hypertrophic muscle compression, and iatrogenic injuries (breast surgery and axillary node dissection, pectoralis major muscle transfers). The PN may be surgically recovered through nerve transfers. They may...
0
Maintenance therapy and supportive care for patients with multiple myeloma
MSTS 2018 - Femur Mets and MM
Although multiple myeloma remains incurable, several drug therapies are valuable in the management of patients suffering from this condition. Interferon-alpha2b and prednisone are two agents that have been shown to modestly prolong disease-free survival when each is used as monotherapy and when used in combination. Bon...
1
Efficacy and Safety of Massage for Osteoarthritis of the Knee: a Randomized Clinical Trial
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Current treatment options for knee osteoarthritis have limited effectiveness and potentially adverse side effects. Massage may offer a safe and effective complement to the management of knee osteoarthritis. OBJECTIVE: Examine effects of whole-body massage on knee osteoarthritis, compared to active control (...
0
Transgenerational effects of trauma in midlife: Evidence for resilience and vulnerability in offspring of Holocaust survivors
DoD PRF (Psychosocial RF)
Despite abundant research on offspring of Holocaust survivors (OHS), it is relatively unknown how they function in middle age. Transgenerational effects of the Holocaust may be stronger among middle-aged OHS as they previously suffered from early inclement natal and postnatal environment and now face age-related declin...
0
Acute nerve injury as a complication of closed fractures or dislocations of the elbow
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Twenty-one patients with acute injury of either the median, ulnar, radial, anterior interosseous or posterior interosseous nerves associated with 1540 closed fractures or dislocations of the elbow have been reviewed. The mean time of follow-up was three years and nine months. Nine patients, 6 of whom had ulnar nerve le...
1
Irreparable rotator cuff tears: long-term follow-up, five to ten years, of arthroscopic debridement and tenotomy of the long head of the biceps
Trial Systematic Review Project
Purpose: Rotator cuff tears (RCT) are a common source of pain and disability of the shoulder and are frequently combined with pathology of the long head of the biceps tendon (LHBT). The aim of this study was to evaluate the long-term results (5–10 years) of arthroscopic debridement of the rotator cuff with or without t...
0
Thermal damage during humeral reaming in total shoulder resurfacing
Glenohumeral Joint OA
INTRODUCTION: Total shoulder resurfacing (TSR) provides a reliable solution for the treatment of glenohumeral arthritis. It confers a number of advantages over traditional joint replacement with stemmed humeral components, in terms of bone preservation and improved joint kinematics. This study aimed to determine if hum...
0
About the role of visual field defects in pure alexia
Upper Eyelid and Brow Surgery
Pure alexia is an acquired reading disorder characterized by a disproportionate prolongation of reading time as a function of word length. Although the vast majority of cases reported in the literature show a right-sided visual defect, little is known about the contribution of this low-level visual impairment to their ...
0
Salvage of failed internal fixation of intertrochanteric hip fractures
Management of Hip Fractures in the Elderly
Most intertrochanteric hip fractures treated with internal fixation heal. If nonunion or early loss of fracture fixation occurs, treatment options include prosthetic replacement and revision internal fixation. The purpose of the current study was to evaluate the results of revision internal fixation and bone grafting f...
0
Redeployment of Orthopaedic Advanced Practice Providers at Academic Medical Centers During the COVID-19 Pandemic
Coronavirus Disease 2019 (COVID-19)
The novel coronavirus (SARS-CoV-2) represents a rapidly evolving pandemic. Health systems are scrambling to mobilize and redeploy their medical staff in the fight against COVID-19. Orthopaedic nurse practitioners/physician assistants should be part of any redeployment strategy to address unmet needs during these unprec...
0
Peripheral T-cell lymphoma unspecified (PTCL-U): a new prognostic model from a retrospective multicentric clinical study
MSTS 2022 - Metastatic Disease of the Humerus
To assess the prognosis of peripheral T-cell lymphoma unspecified, we retrospectively analyzed 385 cases fulfilling the criteria defined by the World Health Organization classification. Factors associated with a worse overall survival (OS) in a univariate analysis were age older than 60 years (P=.0002), equal to or mor...
0
Sources of stress in family members following head or spinal cord injury
DoD PRF (Psychosocial RF)
Sources of stress and perceptions of patients' psychosocial adjustment were comparatively examined in the family members of patients who had sustained moderate to severe closed head injury (CHI) or spinal cord injury (SCI). The family members of the patients with CHI reported significantly greater stress in relation to...
0
The relationship between lateral epicondyle morphology and iliotibial band friction syndrome: A matched case–control study
AMP (Acute Meniscal Pathology)
Background: Iliotibial band friction syndrome (ITBFS) is an overuse injury with pain at the level of the knee lateral epicondyle. We sought to determine whether there is greater knee lateral epicondyle prominence among patients with ITBFS versus matched controls. Methods: Seventy five patients with ITBFS and 75 age-, h...
0
Innate and adaptive immunosenescence
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: To review the effect of increasing age on the immune system and some of its clinical implications. Data Sources: MEDLINE and PubMed searches were performed cross-referencing the keywords immunosenescence, aging, and immunity. Articles were reviewed for additional citations. Study Selection: Articles were rev...
0
Upper extremity injuries in the paediatric athlete
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Injuries to the upper extremity in paediatric and adolescent athletes are increasingly being seen with expanded participation and higher competitive levels of youth sports. Injury patterns are unique to the growing musculoskeletal system and specific to the demands of the involved sport. Shoulder injuries include stern...
0
Future directions of next-generation novel therapies, combination approaches, and the development of personalized medicine in myeloma
MSTS 2018 - Femur Mets and MM
Despite tangible progress in recent years, substantial therapeutic challenges remain in multiple myeloma (MM), particularly for patients at high risk for early relapse or death and for those with advanced multi-drug resistant disease and refractoriness to currently available combination regimens. Addressing these chall...
0
Ten year survivorship after cemented and uncemented medial Uniglide R unicompartmental knee arthroplasties
Dental Implant Infection
BACKGROUND: Results of knee replacement registries have shown that unicompartmental knee arthroplasty (UKA) has a significantly higher revision and failure rate than current state-of-the-art TKA. The aim of this prospective study is to evaluate the long-term outcomes and to calculate the 10 year survival of knees with ...
0
An Innovative Technique in Local Antibiotic Delivery Method in Open Infected Wounds of the Musculoskeletal System
DoD SSI (Surgical Site Infections)
Bone and soft tissue infections are difficult problems in orthopedic surgery. Infections resulting in chronic osteomyelitis if established are difficult to eradicate. The delivery of local antibiotics for the treatment of open infected wounds of the musculo skeletal system is a more logical approach to treat these infe...
0
Arthroscopic cartilage regeneration facilitating procedure for osteoarthritic knee
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The effectiveness of arthroscopic treatment for osteoarthritic knee is a controversy. This study presents the technique of a novel concept of arthroscopic procedure and investigates its clinical outcome. METHOD: An arthroscopic procedure targeted on elimination of focal abrasion phenomenon and regaining sof...
0
Surgical treatment of pathologic peritrochanteric femur fractures caused by metastatic disease
MSTS 2018 - Femur Mets and MM
The peritrochanteric femur can be defined as the femoral neck and the intertrochanteric and subtrochanteric areas. Metastases to this area are common and are devastating secondary to pain and loss of mobility. A multimodality approach to patients with peritrochanteric metastases, including appropriate chemotherapy, rig...
0
The natural history of unicompartmental arthroplasty. An eight-year follow-up study with survivorship analysis
Surgical Management of Osteoarthritis of the Knee CPG
From 1983 to 1987, 82 unicondylar arthroplasties were performed for primary unicompartmental osteoarthrosis. Seven knees had lateral compartment arthroplasties and 75 had medial unicompartmental knee arthroplasties (UKA). At a minimum follow-up period of four years, eight patients had been revised, one patient was sche...
0
Peritraumatic dissociation as a mediator of peritraumatic distress and PTSD: A retrospective, cross-sectional study
DoD PRF (Psychosocial RF)
The objective of the present article was to examine the mediational significance of peritraumatic dissociation in the relationship between peritraumatic distress and posttraumatic stress disorder (PTSD). A total of 71 individuals with spinal cord injuries completed interviews and questionnaires measuring PTSD symptomat...
0
Severe damage of the femoral head after dislocation and difficult reduction maneuvers after total hip arthroplasty
Management of Hip Fractures in the Elderly
Introduction: Aseptic loosening associated with osteolysis and release of wear particles is the main reason for revision of total hip arthroplasty (THA). Damage of femoral heads is well known to increase the wear rate at the articulating surface. Instability and dislocation are serious complications and are the second ...
0
Levobupivacaine plus fentanyl versus racemic bupivacaine plus fentanyl in epidural anaesthesia for lower limb surgery
AMP (Acute Meniscal Pathology)
Background. To compare the anaesthetic epidural effects of levobupivacaine plus fentanyl versus bupivacaine plus entanyl in patients undergoing lower limb surgery. Methods. A single blind, randomised, prospective, multicentre study was designed to compare both therapies. The study was conducted in 10 tertiary hospitals...
0
Imaging of Wrist Injuries: A Standardized US Examination in Daily Practice
Distal Radius Fractures
The keys to successful ultrasonography (US) of the wrist include knowledge of the relevant anatomy and understanding the biomechanical aspects. A wide spectrum of pathological findings including bone fractures (scaphoid, triquetrum) and ligament lesions (dorsal intercarpal and radiocarpal ligaments, scapholunate ligame...
0
Total knee replacement in previous recipients of fresh osteochondral allograft transplants
Diagnosis and Treatment of Osteochondritis Dissecans AUC
BACKGROUND: Fresh osteochondral allograft transplantation is a treatment option for young patients with osteochondral lesions of the knee. The present study evaluated the surgical complexity of, and the prevalence of complications related to, total knee arthroplasty in patients who had had a previous osteochondral graf...
0
The effect of intensive exercise program and kinesiotaping following total knee arthroplasty on functional recovery of patients
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Total knee arthroplasty (TKA) is a gold standard for terminal term gonarthrosis patients in order to diminish pain, correct deformities, and regain stability. Postoperative functional recovery of patients depends on the current postoperative rehabilitation program to an important extent. The purpose of our ...
1
Early Versus Delayed Motion After Rotator Cuff Repair: A Systematic Review of Overlapping Meta-analyses
Trial Systematic Review Project
BACKGROUND: Previous meta-analyses have been conducted to compare outcomes of early versus delayed motion after rotator cuff repair. PURPOSE: To conduct a systematic review of overlapping meta-analyses comparing early versus delayed motion rehabilitation protocols after rotator cuff repair to determine which meta-analy...
0
Carpal tunnel syndrome: relationship between clinical and patient-oriented assessment
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Clinical diagnosis of carpal tunnel syndrome usually is easy and sensitive, but frequently, it is based on history and referred symptoms when no motor or sensory deficits are observed during examination. In patients with carpal tunnel syndrome, a dissociation between the severity of the disease reported by the patient ...
0
Transthyretin familial amyloidotic polyneuropathy: A 5- year follow-up in a population from Southern Italy
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Transthyretin-related familial amyloidotic polyneuropathy (TTR-FAP) is the most common hereditary amyloidosis. More than 100 point mutations in the gene coding for transthyretin have been described and involvement of autonomic and somatic nerve fibres is most common. Among 31 patients coming to our observation between ...
0
Total knee arthroplasty in haemophilic arthritis
Surgical Management of Osteoarthritis of the Knee CPG
The results of total knee replacement in five patients aged between 22 and 37 with severe haemophilia A or B are described. All patients had been managed conservatively without success. Frequent bleeds, severe pain and limitation of movement were the indications for operation. Despite close haematological surveillance,...
0
Dermatologic management, sun avoidance and vitamin D status in organ transplant recipients (OTR)
MSTS 2018 - Femur Mets and MM
It is well known that skin cancer, especially cutaneous squamous cell carcinoma (SCC), in organ transplant recipients (OTRs) has higher incidence rates, behaves more aggressively and has higher rates of metastasis. OTRs who have been treated for many years with immunosuppressive medication are at the highest risk for d...
0
Validity of ABCD rule of dermoscopy in clinical practice
Reconstruction After Skin Cancer
The ABCD rule of dermoscopy was developed to facilitate the dermoscopic differentiation between benign and malignant melanocytic lesions. However, there is a lack of studies on its validity in clinical practice. The aim of this study was to evaluate the accuracy of the algorithm used bedside, compared with the accuracy...
0
Description of load progression and pain response during progressive resistance training early after total hip arthroplasty: secondary analyses from a randomized controlled trial
OAK 3 - Non-arthroplasty tx of OAK
DESIGN: Secondary analyses of data from the intervention group in a randomized controlled trial. SUBJECTS: This study reports data from the intervention group ( nâ??=â??37). INTERVENTIONS: The protocol described supervised progressive resistance training of the operated leg two days/week in addition to home-based exerc...
0
Prior treadmill exercise promotes resilience to vicarious trauma in rats
DoD PRF (Psychosocial RF)
Background Post-traumatic stress disorder (PTSD) is a serious psychological condition, which can develop both from physically experiencing and also from witnessing traumatic events. There is evidence that physical exercise can have a positive impact on the symptoms of PTSD. Relevant to this, in our previous pre-clinica...
0
The effect of osteoporosis management on proximal humeral fracture
Hip Fx in the Elderly 2019
HYPOTHESIS AND BACKGROUND: Proximal humeral fractures comprise 10% of fractures in the Medicare population. The effect, if any, of treating osteoporosis to prevent these fractures has not been determined. The primary objective is to determine the effectiveness of a systematic osteoporosis screening and treatment progra...
0
Goals of therapy for Multiple myeloma
MSTS 2022 - Metastatic Disease of the Humerus
Multiple myeloma accounts for approximately 1% of new cancer diagnoses in the United States each year. The American Cancer Society predicts 19,920 new cases and 10,690 deaths from multiple myeloma in 2008. A major risk factor is exposure to ionizing radiation. Additional risk factors include exposure to pesticides and ...
0
Dosing related effects of zoledronic acid on bone markers and creatinine clearance in patients with multiple myeloma and metastatic breast cancer
MSTS 2018 - Femur Mets and MM
UNLABELLED: Zoledronic acid (Zol) is frequently used for the treatment of bone disease in patients with multiple myeloma and breast cancer with metastasis to bone. Therefore, there is also an interest in finding the optimal dosing regimen to optimize effects, minimize side effects and reduce costs. In our phase II clin...
0
Neurogenic transdifferentiation of human adipose-derived stem cells? A critical protocol reevaluation with special emphasis on cell proliferation and cell cycle alterations
Panniculectomy & Abdominoplasty CPG
Adipose-derived stem cells (ASCs) are reported to display multilineage differentiation potential, including neuroectodermal pathways. The aim of the present study was to critically re-evaluate the potential neurogenic (trans-)differentiation capacity of ASCs using a neurogenic induction protocol based on the combinatio...
0
The Outpatient DIEP: Safety and Viability following a Modified Recovery Protocol
Panniculectomy & Abdominoplasty CPG
Background: Breast reconstruction with autologous tissue is considered the current state-of-the-art choice following mastectomies, and the deep inferior epigastric perforator (DIEP) flap is often among the favored techniques. Commonly referred to patients as a combination between a tummy tuck and a breast augmentation,...
0
Early or prophylactic thyroidectomy in MEN 2/FMTC gene carriers: results in 71 thyroidectomized patients. The French Calcitonin Tumours Study Group (GETC)
MSTS 2018 - Femur Mets and MM
BACKGROUND: Once genetic testing accurately identifies MEN 2 gene carriers, affected children are given the opportunity to undergo thyroidectomy at the earliest stages of the C-cell disease. OBJECTIVE: To define reliable parameters by which to identify the best moment for thyroidectomy in patients who are carriers of t...
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Realignment treatment for medial tibiofemoral osteoarthritis: randomised trial
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: The objective of this 30-week randomised crossover trial was to determine whether a multi-modal realignment treatmentwould be successful in relieving pain and improving function among persons with medial tibiofemoral osteoarthritis (OA). METHODS: The authors conducted a double-blind randomised crossover tri...
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Can preoperative CRP levels predict infections of bipolar hemiarthroplasty performed for femoral neck fracture? A retrospective, multicenter study
Hip Fx in the Elderly 2019
INTRODUCTION: Current recommendations urge us to operate quickly on femoral neck fractures to reduce the risk of comorbidity decompensation. In some cases, this leads us to operate when an underlying infection is present. In this study, we evaluated the infection rate of bipolar hemiarthroplasty after femoral neck frac...
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Surgical Complications of Ankle Joint Arthrodesis and Ankle Arthroplasty Procedures
DoD SSI (Surgical Site Infections)
Total ankle arthroplasty (TAA) and ankle arthrodesis (AA) are complicated surgeries that carry a learning curve with them. Complications are an aspect of all surgeries that must be considered. Surgeons must be prepared to handle these complications. The most important things are early identification and treatment of th...
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Progression of radiolucent lines in cementless twin-bearing low-contact-stress knee prostheses: a retrospective study
AMP (Acute Meniscal Pathology)
A total of 134 low-contact-stress (LCS) total knee arthroplasties (TKAs) with mobile meniscal bearings were implanted in 121 patients with a mean age of 74 years (range, 49-91 years) at the time of surgery. The radiographic results obtained from 91 prostheses at an average follow-up of 7.5 years (range, 4.8-9.6 years) ...
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Static monolateral external fixation for the Rolando fracture: a simple solution for a complex fracture
DoD SSI (Surgical Site Infections)
INTRODUCTION: Rolando fractures are often difficult to manage because of their inherent instability. We describe a simple technique for the treatment of this fracture using the principle of ligamentotaxis, with a static, two-pin external fixator spanning the trapeziometacarpal joint, and present the results of a single...
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Need for Specialized Support Services for Nurse Victims of Physical Assault by Psychiatric Patients
DoD PRF (Psychosocial RF)
Assault of nurses in the psychiatric setting is an ongoing global concern. In a prior study by these authors, many nurses reported concern about the lack of supportive interventions offered to nurses after the assault event. These nurses reported ongoing psychosocial and emotional disturbance consistent with symptoms o...
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Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: A randomised controlled trial protocol
OAK 3 - Non-arthroplasty tx of OAK
Background: Knee osteoarthritis (OA) is a prevalent and chronic condition with no known cure. Exercise is advocated in all clinical guidelines due to its positive effects on symptoms. Despite this, exercise participation is often poor in people with knee OA with access to exercise treatments a known barrier. Internet-d...
1
Gamma nailing of pertrochanteric and subtrochanteric fractures: clinical results of a series of 63 consecutive cases
Management of Hip Fractures in the Elderly
OBJECTIVE: To analyze the use of the gamma nail in the treatment of pertrochanteric fractures. DESIGN: Prospective. SETTING: University. PATIENTS: Sixty-three fractures in sixty-three patients treated with gamma nails. RESULTS: Forty-five of the sixty-three patients (71 percent) were followed until the end of treatment...
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Prestructural cartilage assessment using MRI
AMP (Acute Meniscal Pathology)
Cartilage loss is irreversible, and to date, no effective pharmacotherapies are available to protect or regenerate cartilage. Quantitative prestructural/compositional MR imaging techniques have been developed to characterize the cartilage matrix quality at a stage where abnormal findings are early and potentially rever...
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Bone mineral density and aortic calcification: the Study of Osteoporotic Fractures
Distal Radius Fractures
OBJECTIVE: To investigate the relationship between bone mineral density (in the axial and appendicular skeleton) and calcification of the aorta. DESIGN: Cross-sectional study. SETTING: Community-based study. PARTICIPANTS: A total of 2051 women aged 65 years and older enrolled in the Study of Osteoporotic Fractures. MEA...
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Association between sleep disorders and injury: A nationwide population-based retrospective cohort study
DoD PRF (Psychosocial RF)
Background: The evidence is insufficient for the association between the exposure of sleep disorders and the risk of injury. The aim of this study was to examine the association between patients with sleep disorders and the risk of injury. Methods: This was a population-based retrospective cohort study using Taiwan Nat...
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Care of the older adult following hip fracture
Management of Hip Fractures in the Elderly
Proximal femoral (hip) fractures are the leading cause of hospitalization for injuries among older persons and constitute a serious health problem. Research shows significant functional losses among older persons following surgery for hip fracture related to a wide range of problems. Because of the physiological, emoti...
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The prognostic significance of margin width for extremity and trunk sarcoma
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND AND OBJECTIVES: To evaluate the significance of resection margin for soft tissue sarcoma (STS), we determined local recurrence-free interval (LRFI), distant metastases-free interval (DMFI), and overall survival (OS) for primary extremity and truncal STS with clear margins (> or =10 mm), close margins (1-9 mm...
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C-reactive protein as a parameter of surgical trauma: CRP response after different types of surgery in 349 hip fractures
Management of Hip Fractures in the Elderly
BACKGROUND: Postoperative C-reactive protein (CRP) levels in serum appear to reflect surgical trauma. We examined CRP levels after different types of surgery in hip fractures. METHODS: We studied the CRP response after 349 operative procedures in proximal femur fractures with a normal postoperative course. 5 different ...
1
One-step arthroscopic technique for the treatment of osteochondral lesions of the knee with bone-marrow-derived cells: three years results
BMAC (Bone Marrow Aspirate Concentrate)
Osteochondral lesions of the knee (OLK) are a common cause of knee pain and associated diseases. A new bone-marrow-derived mesenchymal stem cells technique has been developed for the treatment of OLK. 30 patients with OLK underwent arthroscopic one-step procedure. The bone marrow was harvested from the patients' poster...
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Reinforced orbitotemporal lift: contribution to midface rejuvenation
Upper Eyelid and Brow Surgery
The changes in the aging face occur from progressive ptosis of the skin, fat, and muscle, in conjunction with bone absorption and cartilage atrophy. In the orbital region, hollowness and compartmentalization occur. Conventional face lift procedures correct only the skin flaccidity, and superficial musculoaponeurotic sy...
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The health care burden of skeletal related events in patients with renal cell carcinoma and bone metastasis
MSTS 2022 - Metastatic Disease of the Humerus
Purpose We examined temporal trends in skeletal related events and associated charges in patients with renal cell carcinoma metastatic to bone. We also identified patient and hospital characteristics associated with skeletal related events and related mortality. Materials and Methods Using the Nationwide Inpatient Samp...
1
Action of antimicrobial agents on infected odontogenic cysts
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
OBJECTIVE: The treatment of choice for odontogenic cysts is surgery, and when the cysts are infected, preoperative antibiotic coverage is needed. However, the diffusion of antibiotics is a matter of controversy because of the low vascularization of the cystic epithelium. The aim of the present study was to determine th...