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1 | Comparison between surgery and physiotherapy in the treatment of small and medium-sized tears of the rotator cuff: A randomised controlled study of 103 patients with one-year follow-up | Optimizing the Management of Full-Thickness Rotator Cuff Tears | In order to compare the outcome from surgical repair and physiotherapy, 103 patients with symptomatic small and medium-sized tears of the rotator cuff were randomly allocated to one of the two approaches. The primary outcome measure was the Constant score, and secondary outcome measures included the self-report section... |
0 | Bilateral osteochondritis dissecans of lateral femoral condyle | Diagnosis and Treatment of Osteochondritis Dissecans AUC | A 20-year-old male with bilateral osteochondritis dissecans (OD) of the distal lateral femoral condyle is presented. OD can occur in many joints; however, the medial femoral condyle of the knee is the most common. Bilateral OD of the distal lateral femoral condyle is extremely rare. In our case, the lesion on the right... |
0 | Characterization of arthralgia induced by PD-1 antibody treatment in patients with metastasized cutaneous malignancies | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: PD-1 antibodies (PD1ab) are increasingly used in metastatic melanoma and other malignancies. Arthralgia is an underestimated side effect of PD-1 antibody treatment with unknown cause. Our aim was to characterize PD1ab-induced arthralgia.
PATIENTS AND METHODS: We retrospectively included patients with metast... |
0 | Can drains be avoided in lipo-abdominoplasty? | Panniculectomy & Abdominoplasty CPG | Context: Seroma formation is a common complication after lipoabdominoplasty. Conventionally, drains have been placed to prevent seroma; however, there are problems with drains, namely, pain, compromised mobilisation, breakage, tissue irritation and infection. Strategies to prevent seroma, such as the use of glue or qui... |
1 | Cementless surface replacement arthroplasty of the shoulder for osteoarthritis: results of fifty Mark III Copeland prosthesis from an independent center with four-year mean follow-up | Glenohumeral Joint OA | PURPOSE: Few studies have reported the outcome of cementless surface replacement (CSRA). We initiated this study to analyze results of the Mark III Copeland prosthesis used as a hemiarthroplasty in patients with glenohumeral osteoarthritis.
MATERIALS AND METHODS: We retrospectively reviewed 53 consecutive Mark III Cope... |
0 | Efficacy and tolerability of diclofenac dispersible in painful osteoarthrosis | OAK 3 - Non-arthroplasty tx of OAK | A multicentre, twelveâ?week, doubleâ?blind, randomized trial was conducted to evaluate the efficacy and tolerability of diclofenac dispersible in patients suffering from osteoarthrosis of the knee and/or hip. Symptomatic adult patients (N = 129) of either sex were treated with diclofenac dispersible or the convention... |
1 | Primary care management of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome of mild to moderate severity can often be effectively treated in a primary care environment. Workplace task modification and wrist splints can reduce or defer referral to hospital for surgical decompression. Nerve and tendon gliding exercises may also be of benefit. Steroid injections to the mout... |
0 | Reduction mammaplasty-An eclectic approach | Reduction Mammoplasty for Female Breast Hypertrophy | In a series of 200 personally performed mammaplasties, two main approaches were used: (a) small, ptotic, and moderately hypertrophic breasts were treated by elliptical wedge excision either vertical or oblique; and (b) large hypertrophic breasts were treated by Arie-Pitanguy wedge excision, ending with an inverted T su... |
0 | Evolving indications and reported complications suggest total knee arthroplasty after acute and complex periarticular fractures remains a high-risk operation: A systematic review | Hip Fx in the Elderly 2019 | Importance: Complex periarticular fractures of the knee can be difficult to reconstruct with osteosynthesis, can result in poor function and can lead to increased morbidity and mortality - particularly in the elderly. Primary acute total knee arthroplasty (TKA) is a surgical option which is rarely performed, but though... |
0 | Deep-Frozen Allogeneic Onlay Bone Grafts for Reconstruction of Atrophic Maxillary Alveolar Ridges: A Preliminary Study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Purpose: The purpose of this article was to evaluate the suitability of deep-frozen allograft for ridge augmentation procedures in severely atrophic maxillae and to evaluate the clinical success of dental implants inserted after grafting and before prosthetic rehabilitation. Patients and Methods: This study included 13... |
1 | Carpal tunnel syndrome. Priorities for prevention | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) has gained attention as an occupationally related illness due to the dramatic increase in its incidence, the accompanying direct and indirect financial costs to employers, and the emotional and physical costs to employees diagnosed with CTS. Application of epidemiologic principles provides ... |
0 | Treatment of trochanteric fractures with Ender's nailing in Chinese patients | Management of Hip Fractures in the Elderly | A prospective series of 100 Chinese patients with trochanteric fractures treated by Ender's nailing is reported. The average age of the patients was 79 years (range from 57 to 105 years). The follow-up period ranged from 4 to 18 months, with an average of 81/2 months. The mortality rate was 6 per cent. There was no inc... |
0 | Gender differences for initiating teriparatide therapy: baseline data from the Direct Assessment of Nonvertebral Fracture in the Community Experience (DANCE) study | Management of Hip Fractures in the Elderly | The prospective, observational Direct Assessment of Nonvertebral Fracture in the Community Experience (DANCE) study shows that, among patients with risk factors for osteoporosis, women are more likely to be screened and to receive appropriate treatment than men. There needs to be greater awareness that osteoporosis aff... |
0 | Nonunion of tibial shaft fractures treated with locked intramedullary nailing without bone grafting | DoD SSI (Surgical Site Infections) | Twenty-five nonunions of tibial fractures were treated with Grosse-Kempf slotted, locked nails in 20 men and 5 women 6 to 54 months after fracture. No bone grafts were performed in connection with nailing. For better alignment, opening of the nonunion site, fibular osteotomy/resection, or both were used. In one patient... |
0 | Pain control with ibandronate for bone marrow oedema of the knee | AMP (Acute Meniscal Pathology) | INTRODUCTION: Bone marrow oedema is a disabling disease characterised by severe bone pain (with or without prior trauma), insufficient response to analgesics, and reduction of weight bearing. Several studies showed promising results after using bisphosphonates to inhibit osteoclast activity. The aim of this study was t... |
0 | MR imaging of patellar retinacular ligament injuries | AMP (Acute Meniscal Pathology) | Seventeen patients with patellar retinacular ligament injuries were evaluated with magnetic resonance (MR) imaging. MR findings were correlated with clinical, surgical, and arthroscopic findings. The injuries involved the medial retinacular ligament in 16 of 17 patients and the medial and lateral retinacular ligament i... |
1 | Human acellular dermal matrix (AlloDerm®) dimensional changes and stretching in tissue expander/implant breast reconstruction | Acellular Dermal Matrix | BACKGROUND: Human acellular dermal matrix (HADM) is widely used for post-mastectomy tissue expander/implant breast reconstruction. Since HADM has been shown to stretch following placement in other surgical settings, we hypothesised that stretching would occur in breast reconstruction as well. The goal of the study was ... |
0 | Assessment of Vascular Injuries and Reconstruction | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Trauma is the third leading cause of death. In this regard, vascular injury plays a leading role in of morbidity and mortality rates. OBJECTIVES: The present study aimed to assess the prevalence of vascular injuries and results of vascular reconstruction at a referral hospital in northern Iran. PATIENTS AND... |
0 | Endocarditis due to Neisseria sicca: report of one case | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Many species of the Neisseria, which are respiratory commensals in humans, have been regarded as being nonpathogenic or as causing disease in only immunocompromised hosts. We report a case in which Neisseria sicca was the cause of infective endocarditis in a child with a ventricular septal defect and review the literat... |
0 | Fast pinless external fixation for open tibial fractures: preliminary report of a prospective study | PJI DX Updated Search | A major drawback of conventional fixator system is the penetration of fixator pins into the medullary canal. The pins create a direct link between the medullary cavity and outer environment, leading to higher infection rates on conversion to intramedullary nailing. This study was designed to prospectively evaluate the ... |
0 | Bone defect reconstruction with autologous bone inactivated with liquid nitrogen after resection of primary limb malignant tumors: An observational study | DoD SSI (Surgical Site Infections) | Surgical treatment of malignant bone tumors comprises tumor resection and reconstruction. The most commonly used reconstruction method is prosthesis replacement, which achieves good early function, but has a high long-term incidence of complications. Another reconstruction option is autologous bone replantation, which ... |
0 | Treatment of knee joint arthritis in the middle-aged patient | AMP (Acute Meniscal Pathology) | Degenerative arthritis of the knee joint is a common problem of the middle-aged patient. Primary arthritis has to be distinguished from secondary disease caused by malalignment, instability or trauma. The key symptom is pain at the jointline on weight-bearing. Diagnosis is established from history, clinical and radiolo... |
0 | Perioperative Timing of Infliximab and the Risk of Serious Infection After Elective Hip and Knee Arthroplasty | AAHKS (2) Corticosteroids | OBJECTIVE: The optimal timing of tumor necrosis factor antagonists before elective surgery is unknown. This study evaluated the association between infliximab timing and serious infection after elective hip or knee arthroplasty.
METHODS: A retrospective cohort study evaluated US Medicare patients with rheumatoid arthri... |
0 | Arterial embolization of bone metastases: is it worthwhile? | MSTS 2022 - Metastatic Disease of the Humerus | Arterial embolization was performed in ten skeletal metastases occurring in nine patients: eight patients presented with renal cell carcinoma and one with bronchogenic carcinoma. Five metastatic lesions were located in the spine, one in the pelvis, three in the proximal humerus and one in the proximal femur. Selective ... |
0 | Differences in wound healing between ultrasound-assisted lipoplasty and suction-assisted lipoplasty in inverted T-pattern breast reduction surgery and chest wall contouring | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Inverted T-pattern breast reduction does not directly address axillary or lateral chest wall fullness. Lipoplasty of this tissue has been advocated by some surgeons to reduce additional scarring. OBJECTIVE: A prospective study was designed to examine the differences in wound healing of the breast reduction ... |
0 | Pain evaluation after all-inside anterior cruciate ligament reconstruction and short term functional results of a prospective randomized study | PJI DX Updated Search | PURPOSE: To assess post-operative pain in patients who underwent arthroscopic anterior cruciate ligament (ACL) reconstruction by the all-inside technique. METHODS: A prospective randomized comparative parallel trial was performed in 2010-2011 including all patients who underwent an ACL reconstruction in an orthopaedic ... |
1 | Osteochondral scaffold reconstruction for complex knee lesions: a comparative evaluation | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: The primary aim of the present study is to evaluate the results obtained in challenging knee lesions with the implant of an osteochondral scaffold and concomitant treatment of all comorbidities. The secondary aim is to compare the results obtained with those found when a chondral scaffold was applied. MATER... |
0 | Baclofen in the treatment of persistent hiccup: A case series | PJI DX Updated Search | Background Persistent hiccup is a worrying symptom both for patients, because of reduced quality of life, and for physicians, because of frustration for unsuccessful treatments. Aim To test baclofen administration for the treatment of persistent hiccup. Method We report a series of seven patients affected by persistent... |
0 | Postoperative malrotation of humeral shaft fracture after plating compared with intramedullary nailing | Glenohumeral Joint OA | OBJECTIVE: We supposed difference of rotation alignment of postoperative humeral shaft fracutres between open reduction and internal fixation (ORIF) and intramedullay nailing (IMN) could be identified and the difference might influence the involved shoulder. This study evaluated and compared the extent of malrotation a... |
1 | Health resource utilization associated with skeletal-related events: results from a retrospective European study | MSTS 2018 - Femur Mets and MM | BACKGROUND: Bone complications, also known as skeletal-related events (SREs), are common in patients with bone metastases secondary to advanced cancers.
OBJECTIVE: To provide a detailed estimate of the health resource utilization (HRU) burden associated with SREs across eight European countries.
METHODS: Eligible patie... |
0 | The first case of primary hypertrophic osteoarthropathy with soft tissue giant tumors caused by HPGD loss-of-function mutation | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Primary hypertrophic osteoarthropathy (PHO) is a rare genetic multi-organic disease characterized by digital clubbing, periostosis and pachydermia. Two genes, HPGD and SLCO2A1, which encodes 15-hydroxyprostaglandin dehydrogenase (15-PGDH) and prostaglandin transporter (PGT), respectively, have been reported... |
0 | Implications of expanding indications for drug treatment to prevent fracture in older men in United States: Cross sectional and longitudinal analysis of prospective cohort study | Hip Fx in the Elderly 2019 | Objectives: To quantify incremental effects of applying different criteria to identify men who are candidates for drug treatment to prevent fracture and to examine the extent to which fracture probabilities vary across distinct categories of men defined by these criteria. Design: Cross sectional and longitudinal analys... |
0 | Reliability and concurrent validity of three-dimensional ultrasound for quantifying knee cartilage volume | AMP (Acute Meniscal Pathology) | Purpose: Cartilage degradation, a hallmark of knee osteoarthritis (OA), has motivated efforts to characterize disease severity through measuring loss of femoral articular cartilage (FAC). Clinical assessments and longitudinal monitoring of knee OA are commonly performed by x-ray radiography and magnetic resonance imagi... |
1 | Developmental care for promoting development and preventing morbidity in preterm infants | Developmental Dysplasia of the Hip CPG | BACKGROUND: Preterm infants experience a range of morbidity related to the immaturity of their organ systems and to concurrent disease states. There is concern that an unfavourable environment in the neonatal intensive care unit (NICU) may compound this morbidity. Modification of the environment could minimize the iatr... |
0 | Comparison of low field (0.2T) and high field (1.5T) MR imaging in the differentation of torned from intact menisci | AMP (Acute Meniscal Pathology) | Purpose: To evaluate the usefulness of a low field MRI system (0.2T; Esaote, Biomedical) for the evaluation of meniscal tears with regard to anatomic site, and to compare the results with findings from a high field unit (1.5T; Siemens, Erlangen). Material and Methods: MRI was performed in 25 patients in a low field (0.... |
0 | Cumulative Long-Term Incidence of Postoperative Periprosthetic Femoral Fractures Using an Uncemented Tapered Titanium Hip Stem: 26- to 32-Year Results | Developmental Dysplasia of the Hip 2020 Review | Background: Although falling is becoming a major problem in the elderly, little is known about the long-term incidence of postoperative periprosthetic femoral fractures (PFF) after total hip arthroplasty (THA) using uncemented stems with a minimum follow-up of 26 years postoperatively. Methods: In a consecutive series,... |
1 | Two-team management of vascular injuries concomitant with osteo-articular injuries in 36 patients over six years | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Patients with both vascular and osteoarticular injuries require multidisciplinary management. Vascular injuries may be function- and/or life-threatening. The lower limbs are predominantly affected. Traffic, domestic, and work-related accidents contribute most of the cases. The primary objective of this stud... |
0 | The association between hospital care intensity and surgical outcomes in medicare patients | Hip Fx in the Elderly 2019 | IMPORTANCE Hospitals' care intensity varies widely across the United States. Payers and policy makers have become focused on promoting quality, low-cost, efficient health care. Copyright 2014 American Medical Association. All rights reserved. OBJECTIVE To evaluate whether increased hospital care intensity (HCI) is asso... |
0 | Parental response to child injury: Examination of parental posttraumatic stress symptom trajectories following child accidental injury | DoD PRF (Psychosocial RF) | Objective: Trajectory analyses were used to empirically differentiate patterns of posttraumatic stress symptoms in parents following child accidental injury and explore the relationship between parent and child recovery patterns. Method: Parent (n = 189) self-reported symptoms from acute to 2 years post accident were e... |
0 | Grip strength ratio: a grip strength measurement that correlates well with DASH score in different hand/wrist conditions | Distal Radius Fractures | BACKGROUND: Grip strength correlates with personal factors such as gender, age and nutritional status and has a good inter-rater reliability. It reflects fairly well how much people can use their hands.The Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure 3 is a 30-item, self-report, questionnaire that ... |
0 | Modified C7 neurotization for the treatment of obstetrical brachial plexus palsy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Contralateral C7 transfer is used rarely in infants with obstetrical brachial plexus palsy (OBPP). We aimed to determine the efficacy of contralateral C7 transfer to two different recipient nerves in infants with |
0 | Empty Sunrise Sign: An Arthroscopic Finding in Recurrent Patellar Dislocation | AMP (Acute Meniscal Pathology) | Patellar dislocation is a relatively common knee injury and can be challenging to diagnose. We describe an arthroscopic finding we noted in recurrent patellar dislocation. Arthroscopic photos were evaluated from 50 knees with a history patellar dislocation and 100 control patients. We quantified the amount of patellar ... |
0 | Aesthetic Evaluation of Breast Reconstruction with Autologous Fat Transfer vs. Implants | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Autologous fat transfer (AFT) seems to be a new minimal invasive method for total breast reconstruction, yet how patients, surgeons, and laymen evaluate cosmesis is lacking. The aim of this study was to evaluate the aesthetic outcome of AFT (intervention group) for total breast reconstruction post-mastectom... |
0 | Hip fracture prevention trial using hip protectors in Japanese nursing homes | Management of Hip Fractures in the Elderly | A method to protect the hips during falls could effectively reduce the incidence of hip fractures. We report the results of the first hip protector trial in Japan, performed between July 1996, and September 1999. One hundred and sixty-four elderly female residents of nursing homes, with Activities of Daily Living above... |
0 | Healing of meniscal tissue by cellular fibrin glue: An in vivo study | AMP (Acute Meniscal Pathology) | Menisci represent fundamental structures for the maintenance of knee homeostasis, playing a key role in knee biomechanics. However, their intrinsic regenerative potential is poor. As a consequence, when a lesion occurs and the meniscus is partially removed by surgery, knee mechanics is subject to dramatic changes. Thes... |
0 | Periacetabular osteotomy for acetabular dysplasia in patients older than 40 years: A preliminary study | PJI DX Updated Search | The functional outcomes of periacetabular osteotomy (PAO) and factors predicting outcome in the older patient with acetabular dysplasia are not well understood. We therefore retrospectively determined the functional outcome of 70 patients (87 hips) over age 40 treated with PAO in three institutions; we also determined ... |
0 | Imaging features of Ewing's sarcoma: Special reference to uncommon features and rare sites of presentation | MSTS 2022 - Metastatic Disease of the Humerus | Context: Ewing's sarcoma (EWS) commonly involves long bones with a permeative pattern of bone destruction and aggressive interrupted periosteal new bone formation. However, radiological features show wide variation and some presentations are uncommon, leading to diagnostic confusion. This study is aimed at studying the... |
0 | Cerebral Fat Embolism Syndrome After Simultaneous Bilateral Total Knee Arthroplasty. A Case Series | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty (TKA), particularly when performed as a simultaneous bilateral procedure, theoretically increases the risk for entry of fat globules into the blood stream. The frequency of cerebral fat embolism syndrome (CFES) was retrospectively investigated among 2345 simultaneous bilateral TKA procedures per... |
1 | A pilot study on continuous femoral perineural catheter for analgesia after total knee arthroplasty: the effect on physical rehabilitation and outcomes | AAHKS (9/10) Regional Nerve Blocks | Two techniques of postoperative analgesia for primary total knee arthroplasty were compared retrospectively. Twenty-four patients received a femoral nerve catheter with continuous infusion of ropivacaine (FNC group), whereas 26 patients received intravenous (IV) opioids (IV opioid group). Pain and rehabilitation scores... |
0 | Cortical networks for motion processing: effects of focal brain lesions on perception of different motion types | Upper Eyelid and Brow Surgery | Neuropsychological studies in humans provide evidence for a variety of extrastriate cortical areas involved in visual motion perception. Multiple mechanisms underlying processing of different motion types have been proposed, however, support for cortical specialization has remained controversial so far. We therefore st... |
0 | Prevalence and associated risk factors of sarcopenia in female patients with osteoporotic fracture | Hip Fx in the Elderly 2019 | Background: We determined the prevalence of sarcopenia according to fracture site and evaluated the associated risk factors in female patients with osteoporotic fractures. Methods: A total of 108 patients aged 50 years or older with an osteoporotic fracture (hip, spine, or wrist) were enrolled in this retrospective obs... |
0 | Endoprosthetic reconstruction for large extremity soft-tissue sarcoma with juxta-articular bone involvement: functional and survival outcome | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Large extracompartmental limb soft-tissue sarcoma with juxta-articular bone involvement poses major challenges in disease management. Radical resection of sarcoma frequently requires concomitant bone resection and reconstruction. We describe the clinical outcomes of endoprosthetic reconstruction and the com... |
1 | Postarthroscopy osteonecrosis of the knee | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Spontaneous subchondral osteonecrosis of the knee joint confined to a localized area of one condyle can occur after arthroscopic procedures. Meniscal tears, arthroscopic meniscectomy, and radiofrequency chondroplasty are aetiological factors in the development of osteonecrosis. The aim of this study was to inv... |
1 | Overgrowth of the Femur After Internal Fixation in Children With Femoral Shaft Fracture-A Multicenter Study | Pediatric Diaphyseal Femur Fractures 2020 Review | OBJECTIVES: To evaluate overgrowth after internal fixation for pediatric femur fracture and to identify any factors related with overgrowth in terms of fracture type and fixation method. DESIGN: Retrospective comparative study. SETTING: Multicenter, children's hospital and general hospital. PATIENTS/PARTICIPANTS: Eight... |
0 | Pediatric supracondylar fractures and pediatric physeal elbow fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Elbow fractures in children are extremely common, making up approximately 15% of all fractures in pediatric patients. The unique radiographic anatomy of the pediatric elbow, along with the potential for neurovascular compromise, often provokes anxiety in orthopedic surgeons. A thorough understanding of the anatomy and ... |
0 | Surgeon satisfaction agreement after total knee arthroplasty using a visual analogue scale: A single surgeon series | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: The outcome of total knee arthroplasty (TKA) is traditionally rated by objective criteria such as the knee society clinical rating system (KSCRS). Subjective criteria, such as satisfaction, will be of more importance, because health-care is shifting towards a market model. The aim of this study was to inv... |
1 | Prolonged median sensory latency as a predictor of future carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The purpose of the study was to determine whether abnormal median sensory nerve conduction among asymptomatic workers was predictive of future symptoms suggestive of carpal tunnel syndrome (CTS). This was a prospective study involving 77 workers who were identified as asymptomatic cases with electrodiagnostic findings ... |
0 | Long-term results in the treatment of fracture-dislocations of Galeazzi in adults. Report on twenty-nine cases | Distal Radius Fractures | The authors report 29 cases of a true Galeazzi fracture, (i.e. displaced fracture of the radial shaft and disruption of the distal radioulnar joint). In 1/4 of the cases, dislocation was overlooked and the injury was mistaken for a so-called "isolated" fracture of the radius. By accurate open reduction and compression ... |
1 | Effect of repeated high dose prophylaxis with amoxycillin on the resident oral flora of adult volunteers | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Healthy adult volunteers received either single or repeated 3-g doses of amoxycillin by mouth at weekly intervals on three occasions. The salivary flora of each volunteer was monitored before, during and up to 11 weeks after the final dose of antibiotic. Viable counts of anaerobic bacteria, streptococci and streptococc... |
1 | Hand-wrist disorders among investment casting plant workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A survey of the prevalence of chronic soft tissue disorders of the hand and wrist was conducted 3 years after an initial survey of workers in a midwestern investment casting plant. The second survey of 136 (90%) of the original participants disclosed that (1) approximately 25% had different jobs in 1986, (2) 35% of tho... |
0 | Rheumatoid arthritis patients are not at increased risk for 30-day cardiovascular events or infections following total joint arthoplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Although serious infection and cardiovascular disease are increased in patients with rheumatoid arthritis (RA), it is not known whether RA impacts the risk for these complications following total joint arthroplasty (TJA). We examined whether RA was associated with the occurrence of 30-day postoperat... |
1 | The effect of functional knee-braces on strain on the anterior cruciate ligament in vivo | Anterior Cruciate Ligament Injuries CPG | Functional knee-braces are widely used to protect injured or reconstructed anterior cruciate ligaments, despite the fact that few scientific data support their efficacy. We studied seven functional braces, representative of both the typical custom-fit and off-the-shelf designs. The braces were tested on subjects who ha... |
0 | Clinical outcome after lipectomy in the management of patients with human immunodeficiency virus-associated dorsocervical fat accumulation: An observational cohort study | Panniculectomy & Abdominoplasty CPG | Lipo-accumulation of the dorsocervical fat pad ("buffalo hump") is a complication observed in people living with human immunodeficiency virus (HIV). We described the clinical outcome of people living with HIV with "buffalo hump" treated by excisional lipectomy.From April 2013 to March 2018, medical records of people li... |
0 | Subregional laminar cartilage MR spinâ??spin relaxation times (T2) in osteoarthritic knees with and without medial femorotibial cartilage loss â?? data from the Osteoarthritis Initiative (OAI) | OAK 3 - Non-arthroplasty tx of OAK | Objective To explore whether subregional laminar femorotibial cartilage spinâ??spin relaxation time (T2) is associated with subsequent radiographic progression and cartilage loss and/or whether one-year change in subregional laminar femorotibial cartilage T2 is associated with concurrent progression in knees with estab... |
0 | Timing of Adverse Events Following Geriatric Hip Fracture Surgery: A Study of 19,873 Patients in the American College of Surgeons National Surgical Quality Improvement Program | Hip Fx in the Elderly 2019 | This study uses a prospective surgical registry to characterize the timing of 10 postoperative adverse events following geriatric hip fracture surgery. There were 19,873 patients identified who were >=70 years undergoing surgery for hip fracture as part of the American College of Surgeons National Surgical Quality Impr... |
0 | Timing of total knee arthroplasty: A decision analysis | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Total Knee Arthroplasty (TKA) reduces pain and restores mobility. However, replacement joints have limited durability and patients have to weight the benefits of having a knee replacement versus its lifespan, especially since revision arthroplasty has a higher complication rate and poorer outcomes. ... |
0 | Dislocation after total hip arthroplasty using the anterolateral abductor split approach | Management of Hip Fractures in the Elderly | The three basic surgical approaches used most commonly in total hip arthroplasty are transtrochanteric, posterior, and anterolateral. Complications related to each of these surgical approaches have been reported including dislocation, trochanteric nonunion, heterotopic ossification, neurovascular damage, postoperative ... |
0 | Integrating Oral Health into Primary Care | Dental Implant Infection | This article provides data on oral diseases as they relate to systemic health conditions. Research continues to identify biologic mechanisms that link oral diseases to systemic disease and vice versa. The Smiles for Life curriculum, developed for physicians, provides a systematic approach for incorporating an oral exam... |
0 | Accelerated Knee Osteoarthritis Is Characterized by Destabilizing Meniscal Tears and Preradiographic Structural Disease Burden | OAK 3 - Non-arthroplasty tx of OAK | Objective: To determine whether accelerated knee osteoarthritis (KOA) is preceded by, and characterized over time by, destabilizing meniscal tears or other pathologic changes. Methods: We selected 3 sex-matched groups of subjects from the first 48 months of the Osteoarthritis Initiative, comprising adults who had a kne... |
0 | Subacute pain after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Acute pain during and immediately after total knee arthroplasty (TKA) can be well controlled by spinal anesthesia, local infiltration analgesia, and peripheral nerve blocks; this enables early or fast-track rehabilitation. However, about half of patients have clinically significant pain in the following weeks. Active m... |
0 | Who seeks physiotherapy or exercise treatment for hip and knee osteoarthritis? A cross-sectional analysis of the english longitudinal study of age cohort | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To determine the characteristics of individuals with hip and/or knee osteoarthritis who are recommended to seek physiotherapy or exercise treatment, and to explore which people are more or less likely to follow such recommendations.
METHODS: All data were obtained from Wave 4 of the English Longitudinal Stu... |
0 | Advanced cosmetic procedures | Panniculectomy & Abdominoplasty CPG | Dermatology has changed in the past two decades. Surgery was always a part of the specialty of dermatology, including punch biopsies, minor excision, electrocautery, and other procedures. Mohs chemosurgery made a major impact on the management of all forms of skin cancer in the 1970s and 1980s. |
0 | Use of vacuum-assisted closure in pediatric open fractures with a focus on the rate of infection | DoD SSI (Surgical Site Infections) | The use of the vacuum-assisted closure device (VAC; KCI, San Antonio, Texas) has given the orthopedist a new tool for the successful management of severe traumatic wounds and open fractures. While the VAC's role in the adult population is proving itself as an improved therapy compared to "traditional wound care," it's ... |
0 | Voice quality after treatment of early vocal cord cancer: a randomized trial comparing laser surgery with radiation therapy | Reconstruction After Skin Cancer | OBJECTIVE: Early laryngeal cancer is usually treated with either transoral laser surgery or radiation therapy. The quality of voice achieved with these treatments has not been compared in a randomized trial.METHODS AND MATERIALS: Male patients with carcinoma limited to 1 mobile vocal cord (T1aN0M0) were randomly assign... |
0 | Survival and clinical prognostic factors in metastatic non-clear cell renal cell carcinoma treated with targeted therapy: A multi-institutional, retrospective study using the Korean metastatic renal cell carcinoma registry | MSTS 2022 - Metastatic Disease of the Humerus | Objectives: The optimal treatment strategy for metastatic non-clear cell renal cell carcinoma (mNCCRCC) is still elusive and mainly extrapolated from evidence available for metastatic clear cell renal cell carcinoma. The aim of the study was therefore to investigate the survival outcomes and prognostic factors affectin... |
0 | Which Are the Most Reliable Methods of Predicting the Meniscal Size for Transplantation? | AMP (Acute Meniscal Pathology) | BACKGROUND: Although the size of the meniscal allograft is crucial during meniscal transplantation, the accuracy of meniscal measurement methods is still under debate. A number of methods based on radiographic and magnetic resonance imaging (MRI) data as well as on anthropometric data have been proposed, but their repr... |
0 | Clinical Characteristics of Fibromyalgia in a Chronic Pain Population | Glenohumeral Joint OA | OBJECTIVE: To compare fibromyalgia (FM) characteristics among patients identified in a community-based chronic pain cohort based on traditional International Classification of Diagnoses 9th revision (ICD-9) diagnostic coding, with that of patients identified using a novel predictive model.
METHODS: This retrospective s... |
0 | Serum biochemical and haematological markers of alcohol abuse in patients with femoral neck and intertrochanteric fractures | Management of Hip Fractures in the Elderly | Excessive alcohol intake causes bone loss. Alcohol abuse is a commonly associated disorder in femoral neck fractures in men, but little attention is given to such an association in women. Using serum biochemical and haematological markers (mean red cell volume MCV, gamma-glutamyl transpeptidase GGT, aspartate transamin... |
0 | Comparison of adductor canal block and IPACK block (interspace between the popliteal artery and the capsule of the posterior knee) with adductor canal block alone after total knee arthroplasty: a prospective control trial on pain and knee function in immediate postoperative period | AAHKS (4) Acetaminophen | Background: Adductor canal block (ACB) is a peripheral nerve blockade technique that provides good pain control in patients undergoing total knee arthroplasty which however does not relieve posterior knee pain. The recent technique of an ultrasound-guided local anesthetic infiltration of the interspace between poplitea... |
0 | Surgical fixation of displaced midshaft clavicle fractures: elastic intramedullary nailing versus precontoured plating | DoD SSI (Surgical Site Infections) | BACKGROUND: This prospective comparative study was done to evaluate the effectiveness of implants of different design (titanium elastic intramedullary nail versus anatomical precontoured dynamic compression plate) in treatment of displaced midshaft clavicular fractures. MATERIALS AND METHODS: Sixty-six patients between... |
0 | Compliance With the AAOS Guidelines for Treatment of Osteoarthritis of the Knee: A Survey of the American Association of Hip and Knee Surgeons | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: The American Academy of Orthopaedic Surgeons (AAOS) published a series of evidence-based guidelines for treatment of knee osteoarthritis (OA). We studied compliance with these guidelines among orthopaedic surgeons.
METHODS: We sent a survey to members of the American Association of Hip and Knee Surgeons. ... |
0 | Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly | DoD PRF (Psychosocial RF) | To determine the frequency of and risk factors for falls and injurious falls in the noninstitutionalized elderly, the authors conducted a follow-up study of 409 community-dwelling persons aged 65 years or more in west-central Montreal, Quebec, Canada, from May 1987 to October 1988. Following an initial at-home intervie... |
0 | Reducing mortality in hip fracture patients using a perioperative approach and " Patient- Centered Medical Home" model: A prospective cohort study | HipFx Supplemental Cost Analysis | Background: Hip fracture patients experience high morbidity and mortality rates in the first post-operative year after discharge. We compared mortality, utilization, costs, pain and function between two prospective cohorts of hip fracture patients, both managed with identical perioperative protocols and one group subse... |
0 | Musculoskeletal injuries associated with physical activity in older adults | AMP (Acute Meniscal Pathology) | In order to compare the clinical presentation of overuse injuries in older and younger athletes, retrospective patient chart data were obtained from cases which had been referred to an outpatient sports medicine clinic over a 5-yr period. A total of 1,407 cases were studied comprising two populations separated by signi... |
1 | Performance, treatment pathways, and effects of alternative policy options for screening for developmental dysplasia of the hip in the United Kingdom | Developmental Dysplasia of the Hip CPG | AIMS: To compare, using a decision model, performance, treatment pathways and effects of different newborn screening strategies for developmental hip dysplasia with no screening. METHODS: Detection rate, radiological absence of subluxation at skeletal maturity and avascular necrosis of the femoral head, as favourable a... |
0 | CD147 induces angiogenesis through a vascular endothelial growth factor and hypoxia-inducible transcription factor 1alpha-mediated pathway in rheumatoid arthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Rheumatoid arthritis (RA) is an inflammatory and angiogenic disease. However, the molecular mechanisms that promote angiogenesis in RA have not been clearly identified. Our objective was to study the role of CD147 in angiogenesis and determine whether the strategy in which CD147 is suppressed might be useful... |
0 | Improvements in cardiovascular risk profile with large-volume liposuction: a pilot study | Panniculectomy & Abdominoplasty CPG | In this study, the authors investigated the physiologic effects of the altered body composition that results from surgical removal of large amounts of subcutaneous adipose tissue. Fourteen women with body mass indexes of greater than > 27 kg/m2 underwent measurements of fasting plasma insulin, triglycerides, cholestero... |
0 | The synovial fluid neuropeptide PACAP may act as a protective factor during disease progression of primary knee osteoarthritis and is increased following hyaluronic acid injection | OAK 3 - Non-arthroplasty tx of OAK | The correlation of serum and synovial fluid (SF) pituitary adenylate cyclase-activating polypeptide (PACAP) levels with disease progression of primary knee osteoarthritis (OA) was explored. Radiographic severity of OA was determined by Kellgrenâ??Lawrence (K-L) grades. PACAP levels were measured by ELISA before treatme... |
0 | Management of multiple myeloma | MSTS 2018 - Femur Mets and MM | After a sequence of standard and intensive therapies, approximately 70% of patients with multiple myeloma achieve a remission of good quality and of many months duration. Yet the disease remains incurable because the high residual burden of approximately 1010 tumor cells cannot be eradicated. Initial disease control, f... |
1 | Uncemented total knee replacement - The favourable influence of low over high pressure drainage | Surgical Management of Osteoarthritis of the Knee CPG | The post-operative blood loss following an uncemented total knee replacement is substantial and can be affected by the vacuum pressure in the suction drains. One hundred and nine patients undergoing 122 uncemented total knee replacements were monitored to ascertain the influence of high or low vacuum drains on blood lo... |
0 | Missed injuries and unplanned readmissions in pediatric trauma patients | DoD SSI (Surgical Site Infections) | Background We sought to determine the incidence and characteristics of missed injuries and unplanned readmissions at a Level-1 pediatric trauma center. Methods We conducted a retrospective review of all trauma patients who presented to our ACS-verified Level-1 pediatric trauma center from 2009 to 2014. Results Overall,... |
0 | Patients' expectations of screening and preventive treatments | Management of Hip Fractures in the Elderly | An informed decision to accept a health care intervention requires an understanding of its likely benefit. This study assessed participants' estimates of the benefit, as well as minimum acceptable benefit, of screening for breast and bowel cancer and medication to prevent hip fracture and cardiovascular disease. Three ... |
0 | Does acute whole-body vibration training improve the physical performance of people with knee osteoarthritis? | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study was to determine the effects of a single session of whole-body vibration training (WBVT) on the physical performance of individuals with knee osteoarthritis (OA) in 3 tests designed to simulate activities of daily living (ADLs). Fifteen individuals with symptomatic knee OA completed the Timed-... |
0 | Outcomes of Patients With Primary Sacral Chordoma Treated With Definitive Proton Beam Therapy | Hip Fx in the Elderly 2019 | Purpose: To evaluate the efficacy and safety of definitive proton beam therapy (PBT) for primary sacral chordoma. Methods and Materials: We conducted a retrospective analysis of the clinical outcomes of eligible patients with primary sacral chordoma who had undergone definitive PBT with 70.4 Gy (relative biological eff... |
1 | Extramedullary fixation of 569 unstable intertrochanteric fractures: a randomized multicenter trial of the Medoff sliding plate versus three other screw-plate systems | Management of Hip Fractures in the Elderly | We compared the efficacy of the Medoff sliding plate (MSP) with 3 other screw-plate systems for fixation of unstable intertrochanteric fractures in a randomized multicenter trial of 569 elderly patients. The MSP has biaxial dynamic capacity along both the neck and the shaft of the femur unlike the other systems, which ... |
0 | The distribution of vascular endothelial growth factor in human meniscus and a meniscal injury model | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The meniscus plays an important role in controlling the complex biomechanics of the knee. Meniscus injury is common in the knee joint. The perimeniscal capillary plexus supplies the outer meniscus, whereas the inner meniscus is composed of avascular tissue. Angiogenesis factors, such as vascular endothelial... |
1 | Can the use of an evidence-based algorithm for the treatment of intertrochanteric fractures of the hip maintain quality at a reduced cost? | HipFx Supplemental Cost Analysis | In March 2012, an algorithm for the treatment of intertrochanteric fractures of the hip was introduced in our academic department of Orthopaedic Surgery. It included the use of specified implants for particular patterns of fracture. In this cohort study, 102 consecutive patients presenting with an intertrochanteric fra... |
0 | Patient morbidity seen from injection sites | Panniculectomy & Abdominoplasty CPG | This paper presents the patient morbidity related to various injection sites. A common complaint was that of an unsightly scar. The degree of the reaction to the injected material is dependent on the product injected, the site used and factors intrinsic to the patient. These include the natural healing tendencies of th... |
1 | Antibiotic prophylaxis for dental procedures at risk of causing bacteremia among post-total joint arthroplasty patients: a survey of Canadian orthopaedic surgeons and dental surgeons | Dental Implant Infection | To elicit current practice and attitudes toward use of antibiotic-prophylaxis among TJA patients prior to dental procedures, a cross-sectional survey of practicing Canadian orthopaedic (OS) and dental surgeons (DS) was undertaken. Of respondents, 77% of OS and 71% of DS routinely prescribe antibiotic-prophylaxis, but w... |
0 | Inferior results after revision ACL reconstructions: a comparison with primary ACL reconstructions | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Anterior cruciate ligament (ACL) ruptures are common, especially among young athletes, and such injuries may have considerable impact on both sport careers and everyday life. ACL reconstructions are successful for most patients, but some suffer from persistent giving-way symptoms and/or re-ruptures requiring r... |
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