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0 | Antibiotic resistance of oral anaerobic bacteria and their effect on the management of upper respiratory tract and head and neck infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Anaerobes of oral origin are common in chronic upper respiratory tract and other head and neck infections. Anaerobes are the predominant components of the normal human oropharyngeal flora, and are therefore a common cause of bacterial infections of the upper respiratory tract that are of endogenous origin. These bacter... |
0 | Calcium pyrophosphatase dihydrate (CPPD) crystal deposition disease in a teaching hospital in Kuwait | SR for PM on OA of All Extremities | OBJECTIVE: A Medline electronic search showed a paucity of reports on calcium pyrophosphate dihydrate crystal deposition disease (CPPD-CDD) from the Gulf region. To date only a single case report has been published from this region. Therefore, this study aimed, firstly, at finding out the prevalence of chondrocalcinosi... |
0 | Comparison of the direct and indirect reduction techniques during the surgical management of posterior malleolar fractures | DoD SSI (Surgical Site Infections) | Background: The optimal method for the reduction and fixation of posterior malleolar fracture (PMF) remains inconclusive. Currently, both of the indirect and direct reduction techniques are widely used. We aimed to compare the reduction quality and clinical outcome of posterior malleolar fracture managed with the direc... |
0 | A Trial of Acupuncture for Knee Osteoarthritis With Differential Functional Status of Acupoints | OAK 3 - Non-arthroplasty tx of OAK | Patients in the intervention group received acupuncture treatment on the 5 most sensitized points/ acupoints.Patients in the control group received acupuncture treatment on the 5 least /nonâ?sensitized points. All other treatment settings were the same as in the intervention group. |
0 | Surgical dislocation of the hip for reduction of acetabular fracture and evaluation of chondral damage | Osteochondritis Dissecans 2020 Review | PURPOSE: To assess the outcome of open reduction and internal fixation combined with surgical dislocation of the hip for displaced acetabular fractures. METHODS: 20 men and 2 women aged 20 to 55 (mean, 28) years underwent open reduction and internal fixation combined with surgical dislocation of the hip for displaced a... |
1 | Definition of periprosthetic joint infection: is there a consensus? | PJI DX Updated Search | BACKGROUND: The diagnosis of periprosthetic joint infection (PJI) continues to pose a challenge. While many diagnostic criteria have been proposed, a gold standard for diagnosis is lacking. Use of multiple diagnostic criteria within the joint arthroplasty community raises concerns in patient treatment and comparison of... |
0 | Outcome of revision for mechanical stem failure using the cemented Charnley's stem. A study of 399 cases | Management of Hip Fractures in the Elderly | Three hundred ninety-nine cemented stem revision total hip arthroplasties performed in cases with mechanical stem failure without infection and having a minimum follow-up period of 3 years were prospectively studied. Two hundred eighty-three were revised for aseptic stem loosening and 116 were revised for fractured ste... |
0 | Vasomotor innervation of the skin of the hand: A contribution to the study of human anatomy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The sympathetic vasomotor innervation of the skin of the human hand was studied in 47 subjects who underwent local anaesthetic block of ulnar, median or radial nerves at elbow or wrist levels. Areas of cutaneous anaesthesia were compared with cutaneous territories of paralytic vasodilatation delineated by infrared tele... |
0 | Improving outcomes: understanding the psychosocial aspects of the orthopaedic trauma patient | DoD PRF (Psychosocial RF) | The care of orthopaedic trauma patients with multiple injuries has dramatically improved in the past 25 years. The understanding of the physiology of trauma has evolved, new surgical approaches have been developed, and technologic advances have created better implants. New methods of treating fractures include fluorosc... |
0 | Intraoperative electrophysiological monitoring of oculomotor nuclei and their intramedullary tracts during midbrain tumor surgery | Upper Eyelid and Brow Surgery | OBJECTIVE: During surgery for intrinsic midbrain lesions, we intraoperatively recorded evoked compound muscle action potentials (ECMAPs) from the extraocular muscles and evaluated how this type of intraoperative electrophysiological monitoring could minimize postoperative oculomotor nerve palsy (ptosis and/or diplopia)... |
0 | Group critical incident stress debriefing with emergency services personnel: a randomized controlled trial | DoD PRF (Psychosocial RF) | Although single-session individual debriefing is contraindicated, the efficacy of group psychological debriefing remains unresolved. We conducted the first randomized controlled trial of critical incident stress debriefing (CISD) with emergency workers (67 volunteer fire-fighters) following shared exposure to an occupa... |
0 | Thermal necrosis after simultaneous tibial osteotomy and total knee arthroplasty using press-fit extension-stem | Surgical Management of Osteoarthritis of the Knee CPG | One-staged tibial corrective osteotomy and total knee arthroplasty is a challenging but effective treatment for arthritic knees with extra-articular deformity. Although osteocutaneous thermal necrosis is accepted as a complication of intramedullary reamed nailing following long bone fractures, only 15 cases have been r... |
0 | Complications Associated With Medial Opening-Wedge High Tibial Osteotomy Using a Locking Plate: A Multicenter Study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The aim of this study is to investigate complications following medial opening-wedge high tibial osteotomy using a locking plate. In addition, we aimed to compare postoperative outcomes between the complicated and the uncomplicated group.
METHODS: This study enrolled 209 patients who underwent medial openin... |
0 | Combined bilateral submandibular and sublingual swelling, macroglossus, and carpal tunnel syndrome caused by light chain amyloidosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Three cases of light chain kappa amyloidosis in multiple myeloma patients are described with remarkable involvement of the tongue and swelling of the sublingual and submandibular regions, and without signs of nephropathy despite Bence Jones kappa proteinuria. All three patients had carpal tunnel syndrome at the beginni... |
0 | Osteomalacia associated with adult Fanconi's syndrome: clinical and diagnostic features | MSTS 2018 - Femur Mets and MM | OBJECTIVE: Osteomalacia associated with adult acquired Fanconi's syndrome is thought to result from hypophosphataemia and relative 1,25-dihydroxyvitamin D deficiency. We have followed the clinical and diagnostic features of patients with osteomalacia associated with adult Fanconi's syndrome, with particular emphasis on... |
0 | Composition of a vision screen for servicemembers with traumatic brain injury: consensus using a modified nominal group technique | Upper Eyelid and Brow Surgery | Vision impairment is common in the first year after traumatic brain injury (TBI), including among service members whose brain injuries occurred during deployment in Iraq and Afghanistan. Occupational therapy practitioners provide routine vision screening to inform treatment planning and referral to vision specialists, ... |
0 | Carcinogen-DNA adducts in human breast tissue | Reduction Mammoplasty for Female Breast Hypertrophy | Breast cancer is the second leading cause of cancer death among American women. Known risk factors account for only approximately one-third of the 182,000 new cases diagnosed each year in the United States. There is both concern and debate over the contribution of environmental exposures related to lifestyle, occupatio... |
0 | Total joint arthroplasty of the distal radioulnar joint for rheumatoid arthritis | Distal Radius Fractures | PURPOSE: To evaluate the clinical and radiological results of primary total distal radioulnar joint (DRUJ) replacement as well as reconstruction following ulnar head excision in patients with rheumatoid arthritis (RA).
METHODS: Seventeen patients with RA underwent 19 total DRUJ replacement between 2005 and 2011. Mean a... |
0 | Effects of post-hospital Medicare home health and informal care on patient functional status | HipFx Supplemental Cost Analysis | OBJECTIVE: To examine the effect of post-hospital Medicare home health and informal care on the functional status of 755 Medicare beneficiaries six weeks after hospital discharge for treatment of stroke, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), hip procedures, and hip fractures. STU... |
0 | In vitro ultrasound measurement at the human femur | Management of Hip Fractures in the Elderly | Measurements of broadband ultrasonic attenuation (BUA) represent an established means of skeletal status assessment in osteoporosis. Today, the skeletal site that is the most widely used clinically is the calcaneus (heel bone). However, we hypothesized that fracture risk predictions could be improved if ultrasound meas... |
1 | Antibiotic-impregnated calcium sulfate use in combat-related open fractures | DoD LSA (Limb Salvage vs Amputation) | This article presents our experience with the use of antibiotic-impregnated calcium sulfate in the management of comminuted open fractures with a bony defect caused by combat-related blast injuries and high-energy wounds. Calcium sulfate was used 19 times in 15 patients (17 fractures) as a bone graft substitute and a c... |
0 | Peripheral intravenous catheter infiltration: Anesthesia providers do not adhere to their own ideas of best practice | DOD - Acute Comp Syndrome CPG | Study Objective To survey anesthesia providers for their opinion on "best practice" in perioperative peripheral intravenous catheter (PIV) management, and to determine if they follow those opinions. Design Survey instrument. Setting Academic medical center. Subjects 266 United States (U.S.) anesthesia provider responde... |
0 | Analysis of the sensory innervations of the greater trochanter for improving the treatment of greater trochanteric pain syndrome | PJI DX Updated Search | In medical practice, greater trochanteric pain syndrome has an incidence of 5.6 per 1,000 adults per year, and affects up to 25% of patients with knee osteoarthritis and low back pain in industrialized nations. It also occurs as a complication after total hip arthroplasty. Different etiologies of the pain syndrome have... |
0 | Intrapelvic penetration of Olmed cervical hip fracture screws. A report of 7 cases | Management of Hip Fractures in the Elderly | During a 5-year period 1,307 patients with cervical hip fractures were operated on with Olmed screws. In 7 patients one or both screws migrated into the pelvis. 6 patients underwent a total hip arthroplasty without complications, 1 patient had a Girdlestone procedure |
1 | Observation may be an inadequate approach for injured extremities with single tibial vessel run-off | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: Trauma patients with sudden loss of distal perfusion due to tibial injuries are frequently not offered vascular interventions if a single vessel retains patency. We hypothesized that sudden loss of either all or some tibial vasculature would result in increased non-operative failure and higher amputation ... |
0 | Bioinks for bioprinting functional meniscus and articular cartilage | AMP (Acute Meniscal Pathology) | 3D bioprinting can potentially enable the engineering of biological constructs mimicking the complex geometry, composition, architecture and mechanical properties of different tissues and organs. Integral to the successful bioprinting of functional articular cartilage and meniscus is the identification of suitable bioi... |
0 | In-hospital low-cost custom made VAC: Effective method for reducing infection in late presenting Open lower limb fractures in overburdened Indian hospitals | DoD SSI (Surgical Site Infections) | Background: Open fractures are still associated with troublesome rates of infection. Thorough debridement irrigation and antibiotic cover are of paramount importance irrespective of the fixation method. VAC therapy is a well known method of accelerating the wound healing and decreasing the infection in non healing ulce... |
0 | Clinical and microbial evaluation of a histatin-containing mouthrinse in humans with experimental gingivitis: a phase-2 multi-center study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: P-113, a 12 amino acid histatin-based peptide, was evaluated in a mouthrinse formulation for safety and efficacy in a phase 2 multi-center clinical study. METHOD: 294 healthy subjects abstained from oral hygiene procedures and self-administered either 0.01% P-113, 0.03% P-113 or placebo mouthrinse formulatio... |
1 | Usefulness of multi-detector CT in Boyd-Griffin type 2 intertrochanteric fractures with clinical correlation | Management of Hip Fractures in the Elderly | OBJECTIVE: To investigate the usefulness of multi-detector computed tomography (MDCT) in three-part intertrochanteric fractures of proximal femur. MATERIALS AND METHODS: Twenty-six patients with Boyd-Griffin type 2 intertrochanteric fractures with MDCT (group 1) and 36 patients of the same type fracture without MDCT (g... |
0 | Prognosis of nonoperative treatment in elderly patients with a hip fracture: A systematic review and meta-analysis | Hip Fx in the Elderly 2019 | OBJECTIVE: Hip fractures in frail elderly patients are associated with significant mortality and morbidity. Surgery remains the predominant treatment of choice, despite the poor prognosis. Limited research has been done with regards to nonoperative management of frail elderly patients with a hip fracture and therefore ... |
0 | Clinical efficacy comparison between electroacupuncture and meloxicam in the treatment of knee os- teoarthritis at the early and middle stage: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To compare the clinical efficacy on knee osteoarthritis (KOA) at the early and middle stage between electroacupuncture (EA) and meloxicam. METHODS: Ninety patients of KOA at the early and middle stage were randomized into an EA group and a meloxicam group, 45 cases in each one. In the EA group, EA was applie... |
0 | Initial Biomechanical Properties of Transtibial Meniscal Root Repair are Improved By Using a Knotless Anchor as a Post-Insertion Tensioning Device | AMP (Acute Meniscal Pathology) | The importance of meniscal root integrity to preserve contact load distribution and stability at the knee joint is recognised. Transosseous suture technique is commonly used to repair meniscal root tears. However, clinical results are not completely satisfactory. Specifically, concern exists about the development of su... |
0 | Regional variation in T1rho and T2 times in osteoarthritic human menisci: correlation with mechanical properties and matrix composition | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Changes in T1rho and T2 magnetic resonance relaxation times have been associated with articular cartilage degeneration, but similar relationships for meniscal tissue have not been extensively investigated. This work examined relationships between T1rho and T2 measurements and biochemical and mechanical prope... |
0 | Limitations of accessibility of the talar dome with different open surgical approaches | Osteochondritis Dissecans 2020 Review | PURPOSE: The aim of this study is to systematically review the current, relevant literature and provide a thorough understanding of the various open surgical approaches utilized to gain access to the talar dome for treatment of osteochondral lesions. Realizing the limits of access from soft tissue exposures and osteoto... |
0 | Massive septic pelvic osteolysis following revision total hip arthroplasty in a patient with sickle cell anemia: clinical presentation and review of the literature | PJI DX Updated Search | Total hip arthroplasty (THA) performed in patients with osteonecrosis, caused by sickle cell disease, carries a higher risk of medical and orthopedic complications, than those observed after THA for osteonecrosis related to other conditions. We report such a case of a male patient, who underwent one-stage revision hip ... |
0 | Histone deacetylase inhibition activates Nrf2 and protects against osteoarthritis | AMP (Acute Meniscal Pathology) | INTRODUCTION: Osteoarthritis (OA) is a common joint disease that can cause gradual disability among the aging population. Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) is a key transcription factor that regulates the expression of phase II antioxidant enzymes that provide protection against oxidative stress and ti... |
0 | Evaluation of analgesic efficacy of intra-articular bupivacaine, bupivacaine plus fentanyl, and bupivacaine plus tramadol after arthroscopic knee surgery | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: To compare the efficacy of intra-articular (IA) bupivacaine, bupivacaine-fentanyl, and bupivacaine-tramadol for relief of postoperative pain after arthroscopic knee surgery. Methods: In a randomized double-blind design, 60 adult American Society of Anesthesiologists class I or class II patients undergoing elec... |
0 | Five-year outcome analysis of intertrochanteric femur fractures: A prospective randomized trial comparing a 2-screw and a single-screw cephalomedullary nail | PJI DX Updated Search | Objectives: To compare the radiological and functional outcome after fixation of intertrochanteric fractures (IF) using either an integrated 2-screw cephalomedullary nail [InterTan (IT); Smith & Nephew] or a single-screw device [Gamma3 (G3); Stryker] with a 5-year follow-up. Design: Prospective, randomized. Settings: A... |
0 | Proposed digital arthroplasty critical study of the preliminary results | Surgical Management of Osteoarthritis of the Knee CPG | In view of the results of Swanson implants, particularly the long-term course of silicone implants, the authors studied and developed semi-constrained sliding arthroplasty designed for metacarpo-phalangeal and proximal interphalangeal joints. The preliminary study on bones and then on cadaver hands and finally on the k... |
0 | ``Sandwich technique" with dual strut allograft in surgical treatment of femoral nonunion | Hip Fx in the Elderly 2019 | OBJECTIVE: The treatment of femoral nonunion is challenging for both the surgeon and the patient. Strut allografts increase the bone stock, enhance fracture healing and increase stability by acting as a biological plate. In this study, we aimed to report the results of the sandwich technique with two-strut allograft in... |
0 | Prophylactic Intramedullary Rodding Following Femoral Lengthening in Congenital Deficiency of the Femur | DoD SSI (Surgical Site Infections) | INTRODUCTION: Femoral fracture after lengthening of congenital femoral deficiency (CFD) is a common complication with a high incidence, up to 50%. The purpose of this study is to determine whether prophylactic intramedullary Rush rodding after lengthening for CFD is an effective method to prevent femoral fracture and t... |
0 | Endogenous parathyroid hormone is associated with reduced cartilage volume in vivo in a population-based sample of adult women | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Animal and in vitro studies suggest that parathyroid hormone (PTH) may affect articular cartilage. However, little is known of the relationship between PTH and human joints in vivo.
DESIGN: Longitudinal.
SETTING: Barwon Statistical Division, Victoria, Australia.
PARTICIPANTS: 101 asymptomatic women aged 35-... |
1 | More postoperative femoral fractures with the Gamma nail than the sliding screw plate in the treatment of trochanteric fractures | Management of Hip Fractures in the Elderly | Despite several studies showing a higher incidence of peri-implant femoral fractures with the Gamma nail than with a sliding screw plate (SSP), the Gamma nail has remained the standard implant for trochanteric fractures in many hospitals. We recorded 921 trochanteric fractures in the city of Oslo during 2 years and com... |
1 | Arthritis self-efficacy scale scores in knee osteoarthritis: a systematic review and meta-analysis comparing arthritis self-management education with or without exercise | OAK 3 - Non-arthroplasty tx of OAK | STUDY DESIGN: Systematic literature review and meta-analysis.
OBJECTIVE: To evaluate studies that used arthritis self-management education alone or with exercise to improve Arthritis Self-Efficacy Scale scores of patients with knee osteoarthritis.
BACKGROUND: Increasing self-efficacy may improve patient knee osteoarthr... |
0 | Proteasome as a therapeutic target in osteoarthritis? | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis (OA) is a common chronic joint disorder affecting approximately 10% of the population today. Pain is the predominant symptom in patients with OA followed by changes in articular cartilage, subchondral bone, synovial membrane and adjacent supporting connective tissues. The mechanisms of pain in OA remain ... |
1 | Density changes at the proximal tibia after medial meniscectomy | AMP (Acute Meniscal Pathology) | Trabecular bone density changes at the proximal tibia were studied after total and partial meniscectomy using quantitative computerized tomography. Thirty-seven medially meniscectomized patients (5- and 10-year follow-up) and 10 control persons were included. In the partially and the totally meniscectomized knees, the ... |
0 | Vitamin D deficiency in a sample of patients admitted for inpatient rehabilitation following orthopaedic surgery in Sydney, Australia | Surgical Management of Osteoarthritis of the Knee CPG | Objectives: The objective of this paper is to analyse vitamin D deficiency in a sample of patients admitted for rehabilitation following elective orthopaedic surgery, and to assess the effectiveness of vitamin D supplementation. Materials/Methods: Prospective survey of 135 consecutive patients admitted for rehabilitati... |
0 | Value of information in the osteoarthritis setting: cost effectiveness of COX-2 selective inhibitors, traditional NSAIDs and proton pump inhibitors | SR for PM on OA of All Extremities | BACKGROUND: Recent National Institute for Health and Clinical Excellence (NICE) guidance recommended that when traditional NSAIDs or cyclo-oxygenase (COX)-2 selective inhibitors are used by people with osteoarthritis (OA), they should be prescribed along with a proton pump inhibitor (PPI). However, specific recommendat... |
0 | The outcomes of pediatric femoral shaft fractures treated surgically by different types of orthopedists | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: The objective of this study was to compare the outcomes of pediatric femoral shaft fractures treated with titanium elastic nail (TEN) by pediatric orthopedists and non-pediatric orthopedists. METHODS: From May 2006 to June 2014, 88 children with femoral shaft fractures were randomized to operative stabiliza... |
0 | Low power radiofrequency electromagnetic radiation for the treatment of pain due to osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate the analgesic effect of low power radiofrequency electromagnetic radiation (RF) in osteoarthritis (OA) of the knee. METHODS: In a randomized study on 40 patients the analgesic effect of RF was compared with the effect of transcutaneous electrical nerve stimulation (TENS). RF and TENS applicati... |
1 | Pain relief after total hip replacement: oral CR oxycodone plus IV paracetamol versus epidural levobupivacaine and sufentanil. A randomized controlled trial | AAHKS (4) Acetaminophen | BACKGROUND: We tested the hypothesis that pain relief after total hip replacement (THR) can be obtained with a multimodal approach using oral controlled release (CR) oxycodone plus IV paracetamol.
METHODS: Two hundred and sixty patients undergoing THR were randomized into two groups. A group of 130 patients (EPI) under... |
0 | Decontamination efficacy of photon-initiated photoacoustic streaming (PIPS) of irrigants using low-energy laser settings: an ex vivo study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | AIM: To assess ex vivo, the antibacterial effectiveness of photon-initiated photoacoustic streaming (PIPS) of irrigants using an Er:YAG laser equipped with a newly designed, stripped and tapered tip in extracted teeth with infected root canals. METHODOLOGY: One hundred and forty-eight single-rooted extracted teeth were... |
0 | A patellar tendon length conservation method: Biplanar retrotubercle open-wedge proximal tibial osteotomy | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The early-period results of our technique for performing a medial biplanar retrotubercle open-wedge proximal tibial osteotomy for the surgical treatment of varus gonarthrosis were evaluated and compared with those reported in the literature.
METHODS: The clinical and radiological results of a medial biplanar... |
0 | Surgical fixation of extra-articular distal humerus fractures with a posterolateral plate through a triceps-reflecting technique | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Surgical management of extra-articular distal humerus fractures results in predictable fracture alignment. Open reduction and internal fixation also decrease the soft tissue complications and frequent follow-up required with functional bracing. A triceps-reflecting posterior approach provides excellent expo... |
0 | 3D-printed cell-free PCL-MECM scaffold with biomimetic micro-structure and micro-environment to enhance in situ meniscus regeneration | AMP (Acute Meniscal Pathology) | Despite intensive effort was made to regenerate injured meniscus by cell-free strategies through recruiting endogenous stem/progenitor cells, meniscus regeneration remains a great challenge in clinic. In this study, we found decellularized meniscal extracellular matrix (MECM) preserved native meniscal collagen and glyc... |
0 | Garden type I fractures myth or reality? A prospective study comparing CT scans with X-ray findings in Garden type I femoral neck fractures | Management of Hip Fractures in the Elderly | The Garden type I femoral neck fracture is defined as an incomplete fracture of the neck of the femur as seen on the antero-posterior (AP) radiograph of the injured hip. The diagnosis of incomplete femoral neck fractures has decreased in recent years with the development of improved radiographic imaging. We hypothesize... |
0 | Posterior medial meniscus root ligament lesions: MRI classification and associated findings | AMP (Acute Meniscal Pathology) | OBJECTIVE: The purposes of this study were to determine the prevalence of altered MRI appearances of "posterior medial meniscus root ligament (PMMRL)" lesions, introduce a classification of lesion types, and report associated findings.
MATERIALS AND METHODS: We retrospectively reviewed 419 knee MRI studies to identify ... |
0 | The Hip and Knee Book: developing an active management booklet for hip and knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The pain and disability of hip and knee osteoarthritis can be improved by exercise, but the best method of encouraging this is not known. AIM: To develop an evidence-based booklet for patients with hip or knee osteoarthritis, offering information and advice on maintaining activity. DESIGN OF STUDY: Systemat... |
0 | Head and neck oncology during the COVID-19 pandemic: Reconsidering traditional treatment paradigms in light of new surgical and other multilevel risks | Coronavirus Disease 2019 (COVID-19) | The COVID-19 pandemic demands reassessment of head and neck oncology treatment paradigms. Head and neck cancer (HNC) patients are generally at high-risk for COVID-19 infection and severe adverse outcomes. Further, there are new, multilevel COVID-19-specific risks to patients, surgeons, health care workers (HCWs), insti... |
0 | Distal Humerus Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Although still a relatively uncommon injury, the incidence of distal humerus fractures is increasing as people live longer and osteoporosis remains epidemic. These fractures continue to represent one of the most challenging fractures to fix with complication being commonplace. Elite implant technology and imaging have ... |
0 | A forward-striking technique for reducing fracture gaps during intramedullary nailing: A technical note with clinical results | PJI DX Updated Search | INTRODUCTION: A residual postoperative fracture gap between major bone fragments following intramedullary nailing of long-bone fractures is recognised as one of the major risk factors for delayed union and non-union. The most common method for reducing a fracture gap after nail insertion is through application of the b... |
0 | Total hip replacement after intertrochanteric osteotomy | Management of Hip Fractures in the Elderly | Forty-five hips were analyzed in 42 patients treated with total hip replacements (THR) after earlier intertrochanteric osteotomies. At time of osteotomy, the patients' mean age was 50 years (range: 14 to 65). Total hip replacement was performed at a mean interval of 11.9 years later (standard deviation: 7.7). Narrowing... |
0 | SKI-606 (Bosutinib) blocks prostate cancer invasion, growth, and metastasis in vitro and in vivo through regulation of genes involved in cancer growth and skeletal metastasis | MSTS 2018 - Femur Mets and MM | In the current study, we have examined the efficacy of a Src/Abl kinase inhibitor SKI-606 (Bosutinib) for its effect on prostate cancer growth and skeletal metastasis. Treatment of highly invasive human prostate cancer cells PC-3 and DU-145 with different doses of SKI-606 decreased Src activation, cell proliferation, m... |
0 | Correlation of proximal and distal muscle strength with upper limb functional ability in patients with essential tremor | Pediatric Supracondylar Humerus Fracture 2020 Review | Despite being considered as a benign, genetic and monosymptomatic disorder, ET is a poorly understood entity with etiological and pathological heterogeneity. The aim of the present study was to examine the relation between proximal and distal muscle strength and upper limb functionality and tremor severity in patients ... |
0 | Implant Fracture Analysis of the TFNA Proximal Femoral Nail | Hip Fx in the Elderly 2019 | BACKGROUND: Mechanical failure of intramedullary nails is rare. This investigation was prompted by a series of cases of observed breakage of the recently introduced TFNA Proximal Femoral Nailing System (TFN [Trochanteric Fixation Nail]-Advanced; DePuy Synthes) in our region. Laboratory analysis and case data are presen... |
0 | Review on 3D printing in dentistry: conventional to personalized dental care | Dental Implant Infection | The CAD (Computer-aided design) and CAM (computer-aided manufacturing) have most applications in the manufacturing of fully automated, personalized dental devices and tailor-made treatment plans. 3D printing is one of the most rapidly expanding and new methods of manufacturing different things because of its on-demand ... |
0 | Parastomal hernia-repair using mesh and an open technique | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Parastomal hernia occurs in 35%-50% of patients who have had a stoma formed, whether for the digestive tract or the urinary tract. There are many repair techniques including primary repair and repair using different types of mesh prosthesis, and the surgical approach may be open or laparoscopic. However, ... |
0 | Cadherin-11 involves in synovitis and increases the migratory and invasive capacity of fibroblast-like synoviocytes of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To detect the expression of cadherin-11 and its correlation with synovitis in osteoarthritis (OA), to explore the mechanism of over expression of cadherin-11 and its role in migratory or invasive capacity of fibroblast-like synoviocytes (FLS).
METHODS: Synovitis severity was recorded according to Krenn's sco... |
0 | Interventions for treating wrist fractures in children | Distal Radius Fractures | Background: Approximately a third of all fractures in children occur at the wrist, usually from falling onto an outstretched hand. Objectives: We aimed to evaluate removable splintage versus plaster casts (requiring removal by a specialist) for undisplaced compression (buckle) fractures; cast length and position; and t... |
0 | Perioperative management of patient with alkaptonuria and associated multiple comorbidities | PJI DX Updated Search | Alkaptonuria is a rare inherited genetic disorder of tyrosine metabolism characterized by a triad of homogentisic aciduria, ochronosis, and arthritis. The most common clinical manifestations of ochronosis involve the musculoskeletal, respiratory, airway, cardiovascular, genitourinary, cutaneous, and ocular systems. We ... |
0 | Prevalence estimates of combat-related post-traumatic stress disorder: critical review | DoD PRF (Psychosocial RF) | The aim of the present study was to provide a critical review of prevalence estimates of combat-related post-traumatic stress disorder (PTSD) among military personnel and veterans, and of the relevant factors that may account for the variability of estimates within and across cohorts, including methodological and conce... |
0 | Comparison of continuous epidural and intravenous analgesia for postoperative pain control in pediatric lower extremity surgery | Surgical Management of Osteoarthritis of the Knee CPG | In recent years epidural anesthesia and analgesia techniques were used in pediatric surgery owing to the development of pediatric epidural catheter needles. And the need of postoperative pain control in pediatric patients is also increasing. We compared combined general-epidural anesthesia and analgesia technique with ... |
0 | Validation of a 4-item score predicting hip fracture and mortality risk among elderly women | Management of Hip Fractures in the Elderly | PURPOSE: One in 4 Swedish women experiences a hip fracture, an event that has high concomitant morbidity and mortality. We developed and validated a clinical predictor of fracture and mortality risk, the Fracture and Mortality (FRAMO) Index. METHODS: This was a population-based prospective cohort study with a baseline ... |
0 | Outpatient total knee arthroplasty : Pathways and protocols | Surgical Management of Osteoarthritis of the Knee CPG | Historically, the implementation of specialized clinical pathways has not only decreased the length of hospital stay in total knee replacement but has also actually significantly decreased complications as well. We developed newer perioperative anesthesia and rehabilitation protocols and combined them with a minimally ... |
0 | Complications of hip arthroscopy in children and adolescents | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Hip arthroscopy has become an established procedure for certain hip disorders. Complications of hip arthroscopy have been characterized in adult populations, but complications in children and adolescents have not been well described. The purpose of this study was to characterize complications of hip arthros... |
0 | Treatment of full-thickness chondral defects in the knee with autologous chondrocyte implantation | AMP (Acute Meniscal Pathology) | Autologous chondrocyte implantation (ACI) has now been performed for over a decade in the United States. ACI has been demonstrated as a reproducible treatment option for large, full-thickness, symptomatic chondral injuries of the knee. As clinical experience has expanded and indications broadened to more complex cartil... |
0 | Cardiac conduction alterations in a French family with amyloidosis of the Finnish type with the p.Asp187Tyr mutation in the GSN gene | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Familial amyloidosis of the Finnish type (FAF) is a rare autosomal-dominant disorder caused by the accumulation of a 71-amino acid amyloidogenic fragment of mutant gelsolin, an actin-modulating protein. The main symptoms include corneal lattice dystrophy, progressive cranial and peripheral neuropathy, and skin changes.... |
0 | A new technique of subtrochanteric shortening in total hip replacement for crowe type 3 to 4 dysplasia of the hip | PJI DX Updated Search | A new technique of femoral fixation that uses a transverse osteotomy for subtrochanteric shortening and derotation in total hip arthroplasty for Crowe type 3 to 4 dysplasia of the hip is described. This series included 21 cases in 12 women and 2 men, with a mean age of 42.3 years. Follow-up averaged 41.2 months. Bone p... |
0 | Neuromuscular changes and the rapid adaptation following a bout of damaging eccentric exercise | Pediatric Supracondylar Humerus Fracture 2020 Review | Introduction: An initial bout of eccentric exercise is known to protect against muscle damage following a repeated bout of the same exercise; however, the neuromuscular adaptations owing to this phenomenon are unknown. Aim: To determine whether neuromuscular disturbances are modulated following a repeated bout of eccen... |
0 | Physical workload, ergonomic problems, and incidence of low back injury: A 7.5-year prospective study of San Francisco transit operators | DoD PRF (Psychosocial RF) | Background: The etiologic role of biomechanical factors for low back injury (LBI) needs to be confirmed in prospective studies that control for psychosocial factors. Methods: Complete baseline information on 1,233 vehicle operators was gathered during medical examinations and by questionnaire. First LBI during 7.5 year... |
1 | Systematic review of tip apex distance (TAD) in dynamic hip screw (DHS) fixation of osteoporotic hip fractures | Management of Hip Fractures in the Elderly | Introduction: Femoral neck fractures are common problems seen in elderly osteoporotic patients, among which the extra-capsular ones, are treated with Dynamic Hip Screw (DHS). This (DHS) is based on tension band principle which allows the screw to slide within the barrel to enable compression of the fracture when the pa... |
1 | Severin classification system for evaluation of the results of operative treatment of congenital dislocation of the hip. A study of intraobserver and interobserver reliability | Developmental Dysplasia of the Hip CPG | The Severin classification system frequently is used to evaluate the radiographic results of operations performed for the treatment of congenital dislocation of the hip. However, the reliability of this classification scheme has not been established, to our knowledge. Ideally, a classification system should be validate... |
0 | Midterm results of the cylindrical fully porous-coated uncemented femoral stem in revision patients with Paprosky I-IIIA femoral defects | Hip Fx in the Elderly 2019 | INTRODUCTION: The aim of this study was to analyze the survival of the Echelon R femoral stems in revision hip surgeries in patients with Paprosky I-IIIA femoral defects.
PATIENTS AND METHODS: Sixty-six patients (70 hips) who underwent revision hip surgery with at least 3 years of follow-up data were included in the st... |
0 | Refractures of the upper extremity in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | PURPOSE: To investigate the etiologic factors related to refractures of the upper extremity in children. PATIENTS AND METHODS: Eighteen refractures were divided into three groups according to the location of the initial fractures. They were analyzed in terms of the type of refractures, fracture patterns, and the existe... |
0 | Four-point molding: a new cast molding technique for closed reduction treatment of developmental dysplasia of the hip | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: In order to achieve added stability in a hip spica cast and decrease unnecessary open reduction, the authors have devised a new hip spica cast molding technique that has been named, "Four-point molding technique". Our aim was to evaluate the efficacy of this technique, in terms of its ability to deliver a s... |
0 | Diabetic foot syndrome - dermatological point of view | DoD LSA (Limb Salvage vs Amputation) | Patients with diabetes mellitus often suffer from diabetic foot syndrome, a condition leading to foot ulceration or even amputation of lower extremity. Peripheral neuropathy combined with repetitive trauma to the foot and peripheral vascular disease are the main etiological factors in the development of foot ulcers. Ot... |
0 | Leg swelling after inguinal sentinel lymph node biopsy and primary melanoma excision with a safety margin | Reconstruction After Skin Cancer | BACKGROUND: Risk-factors for leg swelling following primary melanoma excision and inguinal sentinel lymphadenectomy (SLNE) have not been sufficiently investigated.PATIENTS AND METHODS: We prospectively studied three parameters in 105 subjects: 1) subjectively perceived swelling, 2) clinically diagnosed swelling and 3) ... |
0 | Osteoarthritis guidelines:A progressive role for topical nonsteroidal anti-inflammatory drugs | OAK 3 - Non-arthroplasty tx of OAK | Current treatment guidelines for the treatment of chronic pain associated with osteoarthritis reflect the collective clinical knowledge of international experts in weighing the benefits of pharmacologic therapy options while striving to minimize the negative effects associated with them. Consideration of disease progre... |
0 | Outcome after hip fracture in individuals ninety years of age and older | Management of Hip Fractures in the Elderly | Objective: To assess outcome after hip fracture in patients ninety years of age and older, as compared with a population of the same age and sex in the United States and younger patients with hip fractures. Design: Prospective, consecutive. Setting: University teaching hospital. Methods: Eight hundred fifty community-d... |
1 | Pitfalls and limitations of Magnetic Resonance Imaging in bucket-handle tears of knee menisci | AMP (Acute Meniscal Pathology) | PURPOSE: The aim of the present study was to assess the accuracy of magnetic resonance imaging (MRI) in the diagnosis of bucket-handle tears of the knee menisci, determining the sensitivity and specificity of the imaging for each of the signs typical of these tears.
MATERIALS AND METHODS: MR examinations of 495 patient... |
1 | Comparison of modular and nonmodular tapered fluted titanium stems in femoral revision hip arthroplasty: a minimum 6-year follow-up study | Hip Fx in the Elderly 2019 | Both modular and nonmodular tapered fluted titanium stems are commonly used in revision total hip arthroplasty (THA). However, which type of femoral stem is superior remains controversial. The purpose of this study was to assess the clinical and radiographic outcomes of modular and nonmodular tapered fluted titanium. T... |
1 | Weight gain and the risk of knee replacement due to primary osteoarthritis: a population based, prospective cohort study of 225,908 individuals | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To study the association between weight gain and the risk of knee replacement (KR) due to primary osteoarthritis (OA), and to evaluate whether the association differs by age.
DESIGN: 225,908 individuals from national health screenings with repeated measurements of height and weight were followed prospectivel... |
0 | Results of a multimodal analgesic trial involving patients with total hip or total knee arthroplasty | AAHKS (2) Corticosteroids | The mainstays for pain relief after total hip arthroplasty (THA) and total knee arthroplasty (TKA) have been the opioids, but these medications, though excellent analgesics, have problems limiting their effectiveness. Alternative analgesics have been considered too mild for the pain caused by THA and TKA. These medicat... |
0 | Patellofemoral morphology is not related to pain using three-dimensional quantitative analysis in an older population: Data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | Objectives. Current structural associations of patellofemoral pain (PFP) are based on 2D imaging methodology with inherent measurement uncertainty due to positioning and rotation. This study employed novel technology to create 3D measures of commonly described patellofemoral joint imaging features and compared these fe... |
0 | Risk factors for revision after shoulder arthroplasty: 1,825 shoulder arthroplasties from the Norwegian Arthroplasty Register | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND AND PURPOSE: Previous studies on shoulder arthroplasty have usually described small patient populations, and few articles have addressed the survival of shoulder implants. We describe the results of shoulder replacement in the Norwegian population (of 4.7 million) during a 12-year period. Trends in the use o... |
0 | Patient-Specific CT-Based Instrumentation versus Conventional Instrumentation in Total Knee Arthroplasty: A Prospective Randomized Controlled Study on Clinical Outcomes and In-Hospital Data | PJI DX Updated Search | Total knee arthroplasty (TKA) is a frequently performed procedure in orthopaedic surgery. Recently, patient-specific instrumentation was introduced to facilitate correct positioning of implants. The aim of this study was to compare the early clinical results of TKA performed with patient-specific CT-based instrumentati... |
0 | Weight Loss: A Determinant of Hip Bone Loss in Older Men and Women: The Rancho Bernardo Study | Management of Hip Fractures in the Elderly | The sex-specific effect of weight change on change in total hip bone mineral density was evaluated over 4 years (1992-1996) in 1,214 community-dwelling adults whose mean age at baseline was 71 years. Weight and bone mineral density (by dual-energy x-ray absorptiometry) were assessed at two study visits. The average bon... |
1 | Functional cast immobilization of thumb metacarpophalangeal joint injuries | Distal Radius Fractures | A prospective study was performed on 40 patients who were treated with a modified thumb spica cast (MTSC) for injuries involving the region of the metacarpophalangeal joint of the thumb. Twenty-seven of these injuries occurred during sports participation. The immobilization consisted of a fiberglass cast which incorpor... |
1 | Anterior cruciate ligament tear: prospective evaluation of diagnostic accuracy of middle- and high-field-strength MR imaging at 1.5 and 0.5 T | Anterior Cruciate Ligament Injuries CPG | PURPOSE: To compare the diagnostic efficacy of current-generation middle- and high-field-strength magnetic resonance (MR) imagers in the diagnosis of anterior cruciate ligament (ACL) tears. MATERIALS AND METHODS: In 114 of 230 patients referred for knee imaging, MR imaging at 0.5 and 1.5 T was performed with identical ... |
0 | Epidemiology of vertebral osteoporosis | Distal Radius Fractures | Whereas the extent, morbidity and costs of hip and Colles' fracture are well recognised from epidemiological studies, those arising from vertebral fracture are less secure. Reasons relate to the uncertain definition of vertebral fracture and its variable clinical expression, and hence its incidence is not known. Utilis... |
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