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1 | Dose optimized chest CT for diagnosis of COVID-19 - Evaluation of the image quality and diagnostic impact | Coronavirus Disease 2019 (COVID-19) | OBJECTIVES: The detection of COVID-19 by reverse transcription polymerase chain reaction (RT-PCR) has varying sensitivity. CT of the chest can verify the infection in patients with clinical symptoms and a negative test result accelerating treatment and actions to prevent further contagion. However, CT employs ionizing ... |
0 | Failed hip arthroscopy: Causes and treatment options | DOD - Acute Comp Syndrome CPG | Indications for arthroscopic surgery of the hip have increased over the past several years, along with the number of procedures performed annually. In addition, the number of unsuccessful procedures and subsequent revision surgeries have also increased. Recent literature has defined several common causes for failed hip... |
0 | No differences in prevalence of osteoarthritis or function after open versus endoscopic technique for anterior cruciate ligament reconstruction: 12-year follow-up report of a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Although arthroscopic techniques are the most common procedures today when reconstructing the anterior cruciate ligament (ACL), many surgeons still prefer the open and/or 2-incision techniques.
HYPOTHESIS: There are no differences in knee function or prevalence of knee osteoarthritis (OA) in patients who ha... |
0 | Management of articular cartilage defects of the knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Articular cartilage injuries of the knee present a difficult clinical dilemma and their treatment is controversial. Hyaline articular cartilage is an avascular, low-friction, and wear-resistant weightbearing surface that has limited capacity for self-repair. The optimal treatment for cartilage lesions has yet to be est... |
0 | Results of cemented total shoulder replacement with a minimum follow-up of ten years | Glenohumeral Joint OA | BACKGROUND: The purpose of this study was to assess the clinical and radiographic long-term outcomes of patients treated with a third-generation cemented total shoulder replacement and followed for at least ten years.
METHODS: The results of thirty-nine arthroplasties were analyzed clinically with use of the Constant s... |
0 | Factors associated with meniscal extrusion in knees with or at risk for osteoarthritis: The multicenter osteoarthritis study | OAK 3 - Non-arthroplasty tx of OAK | Purpose: To assess the associations of meniscal tears, knee malalignment, cartilage damage, knee effusion, and body mass index with meniscal extrusion. Materials and Methods: The Multicenter Osteoarthritis study is an observational study of individuals who have or are at risk for knee osteoarthritis (OA). The HIPAA-com... |
0 | Covid-19: cases grow in US as Trump pushes promise of a malaria drug | Coronavirus Disease 2019 (COVID-19) | President Trump has told Americans that the covid-19 threat is serious, reversing his earlier position of telling Americans to relax because the coronavirus threat would soon pass. He called himself a â??wartime presidentâ? and invoked an old defence production act to direct factories to produce protective equipment f... |
0 | Dissecting aneurysm of the radiculomedullary artery originating from extracranial vertebral artery dissection in a patient with rheumatoid cervical spine disease: An unusual cause of subarachnoid hemorrhage - Case report | Surgical Management of Osteoarthritis of the Knee CPG | The authors report the case of a 65-year-old woman with atlantoaxial subluxation caused by rheumatoid arthritis. The patient had been hospitalized because of an infection after a total-knee replacement, when she suddenly lost consciousness and became apneic after an episode of intractable neck pain. Cranial computed to... |
0 | Early complications and radiological outcome after distal radius fractures stabilized by volar angular stable locking plate | Distal Radius Fractures | INTRODUCTION: Distal radius fractures (DRF) are the most common fractures of the upper extremities. The incidence is expected to continue rising in the next years due to the increased life expectancy. Palmar locking plate stabilizing has since become the standard treatment for dorsally displaced DRF with a complication... |
1 | A useful electrophysiologic parameter for diagnosis of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In 43 patients (50 hands) with clinical manifestations of mild-moderate carpal tunnel syndrome (CTS) and 36 healthy volunteers (40 hands), orthodromic sensory nerve conduction velocity (SNCV) was measured with surface electrodes in the median nerve between the third digit and palm and between the palm and wrist. These ... |
0 | Experience with transtrapezium approach for transverse carpal ligament release in patients with coexisted trapeziometacarpal joint osteoarthritis and carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An experience with transtrapezium approach for carpal tunnel release is reported. This technique seems to be successful in cases when carpal tunnel syndrome and first carpometacarpal joint osteoarthritis coexist and surgical treatment is indicated for both conditions. The transtrapezium approach to carpal tunnel releas... |
0 | How have new designs and new types of joint replacement influenced wear behavior? | Surgical Management of Osteoarthritis of the Knee CPG | As the principles of joint arthroplasty become increasingly refined and more widely established, new designs are being developed that require careful evaluation for their propensity to generate wear debris in vivo. In the past several years, new designs intended to improve clinical performance have emerged in both tota... |
0 | Transradial arterial access for coronary and peripheral procedures: Executive summary by the transradial committee of the SCAI | DOD - Acute Comp Syndrome CPG | In response to growing U.S. interest, the Society for Coronary Angiography and Interventions recently formed a Transradial Committee whose purpose is to examine the utility, utilization, and training considerations related to transradial access for percutaneous coronary and peripheral procedures. With international par... |
0 | Orthopedic complications. Compartment syndrome, fat embolism syndrome, and venous thromboembolism | DoD - ACS - Interrater Reliability | Specialized education in the care of orthopedic patients includes an understanding of the common complications for which patients require monitoring. With a socioeconomic backdrop of decreasing hospital stays and prospective payment, patient care must be managed proactively. For all three complications presented, there... |
0 | Role of the microenvironment in multiple myeloma bone disease | MSTS 2018 - Femur Mets and MM | Multiple myeloma bone disease occurs in over 70-80% of patients with myeloma and represents a significant source of morbidity and mortality. Early in multiple myeloma bone disease there is a balance between osteoclast activation and osteoblast suppression. However, this balance appears to be lost in advanced disease, r... |
0 | Prognostic factors in Taiwanese patients with penile-invasive squamous cell carcinoma | MSTS 2022 - Metastatic Disease of the Humerus | In Taiwanese patients, carcinoma of the penis is an uncommon disease. We retrospectively reviewed potential prognostic factors in Taiwanese patients with invasive-penile squamous cell carcinoma (SCC). From 1997 to 2009, 52 patients were enrolled. The median patient age at diagnosis was 66.5 years and the peak incident ... |
0 | Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases | SR for PM on OA of All Extremities | Background: Our systematic review has demonstrated that antioxidant supplements may increase mortality. We have now updated this review.Objectives: To assess the beneficial and harmful effects of antioxidant supplements for prevention of mortality in adults.Search methods: We searched The Cochrane Library, MEDLINE, EMB... |
0 | Intra-articular drug delivery systems for joint diseases | OAK 3 - Non-arthroplasty tx of OAK | Intra-articular (IA) injections directly deliver high concentrations of therapeutics to the joint space and are routinely used in various musculoskeletal conditions such as osteoarthritis (OA) and rheumatoid arthritis (RA). However, current IA-injected drugs are rapidly cleared and do not significantly affect the cours... |
0 | Current controversies in clinical management of postmenopausal osteoporosis | DoD PRF (Psychosocial RF) | Osteoporosis is a frequent disease in postmenopausal women. Despite the fact that fragility fractures cause many problems - a bio-psycho-social burden for the individual and an economic burden for the society - osteoporosis is still underdiagnosed and undertreated. Controversies exist concerning assessment with differe... |
1 | Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery | Hip Fx Time to Surgery | Importance: Although wait times for hip fracture surgery have been linked to mortality and are being used as quality-of-care indicators worldwide, controversy exists about the duration of the wait that leads to complications. Objective: To use population-based wait-time data to identify the optimal time window in which... |
0 | Hip arthroplasty with the articular surface replacement (ASR) system: survivorship analysis and functional outcomes | Hip Fx in the Elderly 2019 | BACKGROUND: The articular surface replacement (ASR) hip resurfacing system, now withdrawn, has the highest all-cause revision rate (24.2 % at 7 years) compared with other resurfacing brands. We present our experience with the ASR articulation and the implant recall process.
METHODS: We reviewed the medical records and ... |
1 | A controlled clinical trial of postoperative hand elevation at home following day-case surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Although elevation of the upper limb is considered valuable for the prevention and of the reduction of swelling following major surgery or severe injuries to the hand, it is not clear how much elevation, if any, is required following minor surgery such as carpal tunnel decompression. We investigated this by randomizing... |
1 | Patient level pooled analysis of 68 500 patients from seven major vitamin D fracture trials in US and Europe | Management of Hip Fractures in the Elderly | Objectives: To identify participants' characteristics that influence the anti-fracture efficacy of vitamin D or vitamin D plus calcium with respect to any fracture, hip fracture, and clinical vertebral fracture and to assess the influence of dosing regimens and co-administration of calcium. Design: Individual patient d... |
0 | Control of postoperative pain in knee arthroplasty: single dose femoral nerve block versus continuous femoral block | AAHKS (8) Anesthetic Infiltration | MATERIAL AND METHODS: A prospective randomised study of patients subjected to knee replacement with subarachnoid anaesthesia. The postoperative analgesia consisted of tramadol, dexketoprofen and paracetamol, and one of the following techniques: Femoral nerve block with a single dose of 30mL of 0.5% ropivacaine, or that... |
0 | A prospective multicenter study of Legg-CalvÃ?©-Perthes disease: Functional and radiographic outcomes of nonoperative treatment at a mean follow-up of twenty years | PJI DX Updated Search | Background: Long-term studies have indicated good outcomes for most patients with Legg-Calvé-Perthes disease. However, clinical experience suggests that less favorable outcomes are common. We sought to prospectively document pain and function in a cohort of adults who had previously been treated nonoperatively for L... |
0 | Thromboprophylaxis and orthopaedic surgery: Options and current guidelines | Surgical Management of Osteoarthritis of the Knee CPG | Antithrombotic therapy remains crucial in the peri- and post-operative management of patients who undergo orthopaedic surgical procedures, particularly total joint arthroplasty (TJA) and hip fracture surgery (HFS). Optimal thromboprophylaxis is currently mandatory in most orthopaedic practices to avoid the dreaded comp... |
1 | Ureaplasma parvum prosthetic joint infection detected by PCR | PJI DX Updated Search | We describe the first reported case of Ureaplasma parvum prosthetic joint infection (PJI) detected by PCR. Ureaplasma species do not possess a cell wall and are usually associated with colonization and infection of mucosal surfaces (not prosthetic material). U. parvum is a relatively new species name for certain serova... |
0 | COVID-19 and Neurosurgery. Literature and Neurosurgical Societies Recommendations Update | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Since January 2020, 3 months ago, when the pathogen causing the Coronavirus-disease was identified in humans, the literature on COVID-19 has grown exponentially to over 4000 publications. There is the need to provide an update for each single medical discipline, including neurosurgery, to be used by single ... |
0 | Does Neuraxial Anesthesia Decrease Transfusion Rates Following Total Hip Arthroplasty? | PJI DX Updated Search | Perioperative transfusions increase complications and cost following THA. Current series evaluating neuraxial anesthesia and blood loss following THA are small and utilize heterogeneous populations. Using the NSQIP database we compared transfusion rates following THA with neuraxial and general anesthesia. Between 2005 ... |
0 | Management of extremity vascular trauma: Jammu experience | DoD LSA (Limb Salvage vs Amputation) | Experience in 111 patients treated for extremity vascular trauma between 1995 and 2004 is described. Only 40 (36%) patients presented within 6 hours of sustaining the injury. Penetrating injuries due to stabbing and gunshots were the causes in 65 patients, and blunt trauma in 46. There were associated bone fractures in... |
0 | Outcome of Surgical Fixation of Lateral Column Distal Humerus Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: The purpose of this study was to report the long-term outcome and complications of surgically fixated lateral unicondylar distal humerus fractures. DESIGN: Retrospective Review. SETTING: Two level 1 Trauma Centers, Massachusetts General Hospital and Brigham and Women's Hospital. PATIENTS/PARTICIPANTS: Betwee... |
0 | Overexpression of cathepsin B correlates with angiogenesis in colon adenocarcinoma | MSTS 2018 - Femur Mets and MM | Some studies have shown the influence of proteases and vascular density in colorectal primary tumors on spreading and on the course of colorectal cancer. In the present study we have analyzed the relationships between overexpression of cathepsin B protein and angiogenesis intensity in resected colon tumors and their im... |
0 | Fluoroscopy as Definitive Postreduction Imaging of Pediatric Wrist and Forearm Fractures Is Safe and Saves Time | Distal Radius Fractures | BACKGROUND: Recent studies indicate that formal postreduction radiographs may be unnecessary for closed, isolated pediatric wrist, and forearm when mini C-arm fluoroscopy is used for reduction. Our institution changed the Emergency Department (ED) management protocol to reflect this by allowing orthopaedic providers to... |
0 | Enterobacter sakazakii infections among neonates, infants, children, and adults: Case reports and a review of the literature | DOD - Acute Comp Syndrome CPG | Enterobacter sakazakii can cause serious infections especially among the very young and the elderly. It continues to be more common among neonates and infants than adults. Its tropism for the central nervous system in neonates and infants remains a mystery. Among neonates and infants, E. sakazakii has a propensity to c... |
0 | Patient-Reported Outcomes for Large Bipolar Osteochondral Allograft Transplantation in Combination with Realignment Osteotomies for the Knee | Osteochondritis Dissecans 2020 Review | Effective treatment for bipolar articular cartilage lesions in the knee remains a clinical challenge. Lower extremity malalignment is a risk factor for treatment failures, which can be addressed by tibial or femoral osteotomy. The purpose of this study was to compare outcomes among patients who underwent knee joint res... |
0 | Autologous osteochondral transplantation for talar lesions | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Objective. Replacement of cartilaginous defects of the talus by autologous osteochondral cylinders allowing restoration of form and function of ankle. Elimination of pain and joint irritation, delay of osteoarthritis. Indications. Localized osteochondral defects not exceeding a diameter of 2 cm. Circumscribed cartilage... |
0 | Ki-67 staining in benign, borderline, malignant primary and metastatic ovarian tumors: correlation with steroid receptors, epidermal-growth-factor receptor and cathepsin D | MSTS 2018 - Femur Mets and MM | Ki-67 immunoreactivity was studied in relation to immunohistochemically assessed expression of epidermal-growth-factor receptor (EGFR), estrogen receptor (ER) progesterone receptor (PgR) and cytosolic levels of cathepsin D in advanced human ovarian adenocarcinomas, borderline and benign cystadenomas and normal ovaries.... |
0 | Reduced fracture risk in users of thiazide diuretics | Management of Hip Fractures in the Elderly | Thiazide diuretics (TD) reduce renal calcium excretion and may increase bone mineral density. A reduced fracture risk has been reported in some but not all studies. The aim of this study was to assess fracture risk in users of TD. The study design was nationwide population-based pharmacoepidemiological case-control stu... |
0 | Hip fusion as hip salvage procedure in Cerebral Palsy | DoD SSI (Surgical Site Infections) | The treatment of the spastic hip in Cerebral Palsy (CP) remains a challenge especially in cases of advance changes. Many options are available and the key for a good outcome is to find the best surgical procedure to an individualized patient. The hip fusion is one of the surgical options. The authors presented a group ... |
0 | Temporal arteritis: An approach to suspected vasculitides | MSTS 2018 - Femur Mets and MM | Temporal arteritis, also known as giant cell arteritis, is the most common vasculitis in adults. Classic symptoms include polymyalgia rheumatica, new-onset headache, jaw claudication, and visual symptoms such as diplopia and amaurosis fugax. Elevated erythrocyte sedimentation rate is a common laboratory finding in temp... |
0 | Using bisphosphonates to control the pain of bone metastases: evidence-based guidelines for palliative care | MSTS 2018 - Femur Mets and MM | This work was undertaken by the Science Committee of the Association for Palliative Medicine of Great Britain and Ireland (APM) as a demonstration project in developing clinical guidelines relevant to palliative care from a pragmatic approach to literature review and grading of clinical evidence. CANCERLIT and Embase w... |
0 | The cost-effectiveness of surgical fixation of distal radial fractures | Distal Radius Fractures | Background: There is no consensus on the optimal fixation method for patients who require a surgical procedure for distal radial fractures. We used cost-effectiveness analyses to determine which of 3 modalities offers the best value: closed reduction and percutaneous pinning, open reduction and internal fixation, or ex... |
0 | Analysis of lower eyelid aging in an Asian population for customized lower eyelid blepharoplasty | Upper Eyelid and Brow Surgery | PURPOSE: The objectives of this study were to evaluate the factors that contribute to aging in the lower eyelids and periorbital changes in Asians and to analyze the contribution of different anatomic factors before surgery. METHODS: We analyzed photographs and examination findings of 108 patients older than 80 years w... |
1 | Efficacy of mesenchymal stem cells in treating patients with osteoarthritis of the knee: A meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | To assess the clinical efficacy and safety of mesenchymal stem cell (MSC) treatment for osteoarthritis of the knee (KOA), a systematic electronic literature search was performed on PubMed, EMBASE and Web of Science. Studies published in English from the earliest record to December 2014 were searched using the following... |
0 | Comparison of lateral approach versus anterolateral approach with Herbert screw fixation for isolated coronal shear fractures of humeral capitellum | Distal Radius Fractures | BACKGROUND: For coronal shear fractures of humeral capitellum, the lateral approach is the most commonly used surgical approach. However, exposure range of the anterior aspect of the distal humerus is inadequate. The anterolateral approach has also been adopted to overcome this disadvantage. However, this approach seem... |
0 | Transportation of children in spica casts in the USA | Developmental Dysplasia of the Hip 2020 Review | The aim of this study was to report outcomes of a hospital restraint loaner program for transporting children treated with spica casts. Fifty-two patients were studied. Appropriate restraints were selected by a therapist, consisting of 17 E-Z-On vest, 17 hippo car seat, five spelcast device, four family owned car seat,... |
0 | Role of tcf4 in signaling crosstalk with nfkb in human chondrocytes | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Wnt/b-catenin signaling plays a crucial role in cartilage development as well as the development and progression of osteoarthritis (OA). The family of TCF/LEF transcription factors is a downstream effector of the canonical Wnt/b-catenin pathway. There is accumulating evidence that TCF4 is involved in the devel... |
1 | Isokinetic muscle strengthening for knee osteoarthritis: A systematic review of randomized controlled trials with meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the level of scientific evidence and the place in the rehabilitation framework of isokinetic muscle strengthening (IMS) for knee osteoarthritis (OA).
METHODS: A systematic review of the English literature in MEDLINE via PubMed, the Cochrane Library, and PEDro databases for only randomized comparati... |
0 | Effects of dietary fatty acid content on humeral cartilage and bone structure in a mouse model of diet-induced obesity | OAK 3 - Non-arthroplasty tx of OAK | Obesity is a primary risk factor for osteoarthritis (OA), and previous studies have shown that dietary content may play an important role in the pathogenesis of cartilage and bone in knee OA. Several previous studies have shown that the ratio of omega-3 polyunsaturated fatty acids (PUFAs), omega-6 PUFAs, and saturated ... |
0 | Changes in bone mineral density of both proximal femurs after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: This study investigated the effects of total knee arthroplasty (TKA) on bone mineral density (BMD) of the proximal femur in patients who underwent the procedure. METHODS: Forty-eight patients scheduled to undergo unilateral TKA because of primary knee osteoarthritis were included in this study, which was co... |
0 | Treatment of metastatic castration-resistant prostate cancer with abiraterone and enzalutamide despite PSA progression | MSTS 2022 - Metastatic Disease of the Humerus | Background/Aim: National guidelines offer little guidance on the use of PSA progression (PSA increase as defined below) as a clinical endpoint in metastatic castration-resistant prostate cancer (mCRPC). The aim of the study was to examine treatment patterns/outcomes with abiraterone (abi)/enzalutamide (enza) throughout... |
0 | Acute hip pain and inability to ambulate: a rare presentation for perirectal abscess | Management of Hip Fractures in the Elderly | A patient with acute hip pain out of proportion to physical findings and inability to weight bear despite negative plain films warrants further in-depth evaluation. Correctly diagnosing the cause of hip pain, a common emergency department (ED) complaint, may be a challenge in the geriatric population (Perron A, Miller ... |
0 | Osteochondral transplantation in the elbow leads to good clinical and radiologic long-term results: an 8- to 14-year follow-up examination | Glenohumeral Joint OA | BACKGROUND: In the long-term follow-up after debridement, microfracture, or drilling of osteochondral lesions in the elbow, subsequent osteoarthritis is a problem. Osteochondral transplantation for these defects has become a more common procedure. However, long-term results are unknown.
PURPOSE: This study was undertak... |
1 | Complications associated with opening wedge high tibial osteotomy--A review of the literature and of 15 years of experience | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Complication rates following opening wedge high tibial osteotomy (OWHTO) is an issue that has not been comprehensively addressed in current literature.
METHODS: We performed a retrospective study of local patients who underwent OWHTO for isolated medial compartment knee osteoarthritis from 1997 to 2013. We ... |
1 | Quality of Life Following Symptomatic Macromastia Surgery: Short- and Long-term Evaluation | Reduction Mammoplasty for Female Breast Hypertrophy | UNLABELLED: Mammary hypertrophy or macromastia can cause a wide range of symptoms (physical, psychosomatic or behavioral), which affect patients' quality of life. Breast reduction can, in most of the cases, solve the problem. However, certain factors could have a negative effect on the outcome of surgery. The aims of t... |
0 | Osteoporosis and proximal femoral fractures in the female elderly of Jerusalem | Management of Hip Fractures in the Elderly | The incidence of proximal femoral fractures in women between the ages of 45 and 75 years was investigated in 735 women of whom 378 were of Western origin and 230 of Eastern origin; 127 women were excluded from this study either because they were Israeli or because their country of origin was unknown. In a general popul... |
0 | Adductor Under Sartorial Canal Catheter (KTT) Versus Femoral Catheter (KTF) in a Quick Rehabilitation Process After Total Knee Replacement | AAHKS (8) Anesthetic Infiltration | The main objective of this study is to show that postoperative Total Knee Replacement (TKR), an analgesic perineural catheter in position under sartorial (KTSS) best preserves motor quadriceps femoral perineural catheter that (KTF) infused with even low doses of local anesthetics, this motor being evaluated by a semi q... |
0 | The epidemiology and demographics of hip dysplasia | Developmental Dysplasia of the Hip 2020 Review | The etiology of developmental dysplasia of the hip (DDH) is unknown. There are many insights, however, from epidemiologic/demographic information. A systematic medical literature review regarding DDH was performed. There is a predominance of left-sided (64.0%) and unilateral disease (63.4%). The incidence per 1000 live... |
0 | Juvenile Osteochondritis Dissecans of the Trochlea: A Cohort Study of 34 Trochlear Lesions Associated With Sporting Activities That Load the Patellofemoral Joint | Osteochondritis Dissecans 2020 Review | BACKGROUND: Juvenile osteochondritis dissecans (JOCD) lesions are rarely located in the trochlea and few studies have focused on the causes and outcomes of JOCD lesions in this part of the knee. The purpose of this study is to (1) evaluate the clinical characteristics and outcomes of patients who undergo surgery for JO... |
0 | Comparison of a generic (SF-36) and a disease specific (WOMAC) instrument in the measurement of outcomes after knee replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | Objective. The discriminant validity of a generic, health related quality of life (HRQL) measure, the SF-36, was compared with that of a disease specific HRQL measure, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), in patients aged 67-99 years who had undergone knee replacement surgery 2 to... |
0 | The cervicofacial lift under pure local anaesthesia diminishes the incidence of post-operative haematoma | Panniculectomy & Abdominoplasty CPG | The cervicofacial lift is a frequently performed procedure in plastic surgery. It is the reference technique for facial rejuvenation and restoration of the oval form of the face and it is essential to treat excess skin. One of the most frequent complications of this procedure is the formation of haematomas. The aim of ... |
0 | Efficacy of repeat isolated limb perfusions with tumor necrosis factor α and melphalan for multiple in-transit metastases in patients with prior isolated limb perfusion failure | DOD - Acute Comp Syndrome CPG | Background: Isolated limb perfusion (ILP) is an effective treatment modality for multiple in-transit melanoma metastases confined to the limb. Recurrences after ILP, however, occur in approximately 50% of patients and are a challenge for further treatment. The efficacy of repeat ILPs to prolong local control in this pa... |
1 | Magnetic Resonance Imaging Compared to Magnetic Resonance Arthrography in Assessment of Post-Arthroscopic knee Pain | AMP (Acute Meniscal Pathology) | Background: Arthroscopic knee surgery including partial meniscectomy, meniscal repair and anterior cruciate ligament reconstruction are the most performed surgical procedures. Magnetic Resonance arthrography is the cornerstone imaging modality in evaluating the postoperative symptomatic patients. Our prospective cross-... |
0 | What is the survivorship of fully coated femoral components in revision hip arthroplasty? | PJI DX Updated Search | BACKGROUND: Femoral revision using fully coated femoral components offers distinct advantages in patients with notable bone loss. With the increasing concerns being raised about the problems of stem modularity, the results and complications of revision arthroplasty using devices with limited modularity are important. Q... |
0 | HIV-associated facial lipoatrophy: establishment of a validated grading scale | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: HIV-associated lipodystrophy is considered a sequela of highly active antiretroviral treatment. We describe the characteristics, possible etiology, and pathophysiology of HIV-associated lipodystrophy and facial lipoatrophy and establish a validated grading scale for HIV-associated facial lipoatrophy using ev... |
0 | Morphological characteristics of olecranon fractures in adultsâ??: a Computed Tomography-based study | Distal Radius Fractures | The aim of this study was to identify the fragment's shape by evaluating olecranon fractures. We examined the CT images of 48 olecranon fractures (28 women and 20 men). Mean age was 59.9 years. On the olecranon's posterior surface, we measured the distance between the apex of the olecranon fragment and the radial edge ... |
0 | Mid- and long-term results of femoral component revision using the cement-in-cement technique: Average 10.8-year follow-up study | PJI DX Updated Search | BACKGROUND: Few reports are available on the long-term outcomes of femoral component revision by using the cement-in-cement technique. We report the mid- and long-term results of femoral component revision in total hip arthroplasty using the cement-in-cement technique. METHODS: Between April 1996 and June 2009, 62 cons... |
1 | Cemented versus cementless hemiarthroplasty for intracapsular neck of femur fracture--a comparison of 60,848 matched patients using national data | Hip Fx in the Elderly 2019 | National guidelines recommend cemented hemiarthroplasty for intracapsular fractured neck of femur (NOF), based on evidence of less pain, better mobility and lower costs. We aimed to compare complications following cemented and cementless implants, using the national hospital episode statistics (HES) database in England... |
0 | Early Pulmonary Complications following Total Knee Arthroplasty under General Anesthesia: A Prospective Cohort Study Using CT Scan | PJI DX Updated Search | PURPOSE: Postoperative pulmonary complications (PPCs) are common after major surgeries. However, the number of studies regarding PPCs following total knee arthroplasty (TKA) is limited. The aim of this study was to determine the incidence of early PPCs following TKA by computed tomography (CT) scan and to identify asso... |
0 | Update on the epidemiology, risk factors and disease outcomes of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is the most frequent form of arthritis and a leading cause of pain and disability worldwide. OA can affect any synovial joint, although the hip, knee, hand, foot and spine are the most commonly affected sites. Knowledge about the occurrence and risk factors for OA is important to define the clinical... |
0 | Combined Volar T-Plate and Dorsal Pi-Plate for Distal Radius Fractures: A Consecutive Series of 80 AO type C2 and C3 Cases | Distal Radius Fractures | Background The distal radius fracture (DRF) is the most common fracture among adults. In recent years, there has been a shift toward volar locking plates in the treatment of DRFs, and this shift has taken place with a low degree of evidence. Question/purposes Can combined volar T-plating and dorsal pi-plating of AO typ... |
0 | Stress reaction of the humerus in tennis players | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Overuse injuries are a frequent occurrence among competitive athletes. When analysing the incidence of overuse injuries in tennis players, it has been determined that a significant number of these injures occur in the upper limb area. In this study, we describe five cases of a stress-induced injury to the m... |
0 | Predictors of posttraumatic distress 1 year after exposure to community violence: the importance of acute symptom severity | DoD PRF (Psychosocial RF) | In this longitudinal study of 333 primarily male, Hispanic survivors of community violence, the authors investigated the effects of 4 categories of risk factors on posttraumatic stress disorder (PTSD) symptom severity: demographic characteristics, pretraumatic psychological factors, characteristics of the trauma, and r... |
0 | Specvis: Free and open-source software for visual field examination | Upper Eyelid and Brow Surgery | Visual field impairment affects more than 100 million people globally. However, due to the lack of the access to appropriate ophthalmic healthcare in undeveloped regions as a result of associated costs and expertise this number may be an underestimate. Improved access to affordable diagnostic software designed for visu... |
0 | Are process performance measures associated with clinical outcomes among patients with hip fractures? A population-based cohort study | Hip Fx in the Elderly 2019 | Objectives: To examine the association between process performance measures and clinical outcome among patients with hip fracture.
Design: Nationwide, population-based follow-up study.
Setting: Public Danish hospitals.
Participants: A total of 25 354 patients 65 years or older who were admitted with a hip fracture in D... |
0 | 99mTc-methylene diphosphonate single photon emission tomography of the knees: intensity of uptake and its correlation with arthroscopic findings | AMP (Acute Meniscal Pathology) | OBJECTIVE: To examine whether single photon emission computed tomography (SPECT) can determine the severity of knee pathology, based on intensity of uptake and, therefore, possibly substituting this technique for more invasive and expensive diagnostic procedures, such as arthroscopy, in certain patient populations.
MET... |
0 | Patients with metal-on-metal articulation in trapeziometacarpal total joint arthroplasty may have elevated serum chrome and cobalt | Glenohumeral Joint OA | Serum chrome and cobalt was measured in 50 patients with trapeziometacarpal total joint replacement with metal-on-metal articulation and compared with serum chrome and cobalt values in 23 patients with trapeziometacarpal total joint replacement with metal-on-polyethylene articulation. In 10 of 50 (20%) patients with me... |
0 | Pricing of common cosmetic surgery procedures: local economic factors trump supply and demand | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The pricing of cosmetic surgery procedures has long been thought to coincide with laws of basic economics, including the model of supply and demand. However, the highly variable prices of these procedures indicate that additional economic contributors are probable. OBJECTIVES: The authors sought to reassess... |
1 | The foreign body response: at the interface of surgery and bioengineering | Acellular Dermal Matrix | BACKGROUND: The surgical implantation of materials and devices has dramatically increased over the past decade. This trend is expected to continue with the broadening application of biomaterials and rapid expansion of aging populations. One major factor that limits the potential of implantable materials and devices is ... |
1 | Comparison of intramedullary fixation and arthroplasty for the treatment of intertrochanteric hip fractures in the elderly: A meta-analysis | Hip Fx in the Elderly 2019 | BACKGROUND: More and more studies conduct to compare intramedullary fixation (IMF) with arthroplasty in treating intertrochanteric hip fractures, but it remains controversy. The aim of this meta-analysis was to find out whether IMF or arthroplasty was more appropriate for treating intertrochanteric hip fractures in eld... |
0 | Teriparatide and the risk of nonvertebral fractures in women with postmenopausal osteoporosis | Distal Radius Fractures | PURPOSE: In the Fracture Prevention Trial, the risks of any nonvertebral fracture (relative risk [RR] 0.65, P=0.04) and any fragility nonvertebral fracture (RR 0.47, P=0.02) were significantly reduced in the teriparatide 20 mug/day (teriparatide) versus placebo group. The purpose of this analysis was to examine the eff... |
0 | Surgical treatment of blepharophimosis | Upper Eyelid and Brow Surgery | Blepharophimosis is a congenital malformation of familial character with dominant hereditary transmission. It is a consequence of a genetic mutation with significant penetrance and expressivity. Here you have an example of blepharophimosis in a mother and her two daughters demonstrating that this malformation does not ... |
0 | Analgesic effect of intraarticular bupivacaine or morphine after arthroscopic knee surgery: a randomized, prospective, double-blind study | Surgical Management of Osteoarthritis of the Knee CPG | The effect of 20 mL of intraarticular bupivacaine (0.25%, with or without 1:200,000 epinephrine), morphine (0.03%, with or without 1:200,000 epinephrine), or normal saline on postoperative analgesia after arthroscopic knee surgery was studied in a randomized, prospective, double-blind trial in ASA I-III outpatients rec... |
1 | Improved Methods to Measure Outcomes After High Tibial Osteotomy | OAK 3 - Non-arthroplasty tx of OAK | Observational studies suggest high tibial osteotomy produces substantial improvements in knee loading and stability that can limit the progression of joint damage; decrease pain; improve function and quality of life; and delay the need for knee replacement surgery. It can be cost-effective in knee osteoarthritis. Howev... |
0 | Comparison of Arthroscopic and Conservative Treatments for Knee Osteoarthritis: A 5-Year Retrospective Comparative Study | AAHKS (2) Corticosteroids | Purpose: To compare the effectiveness of arthroscopic and conservative treatments in patients with knee osteoarthritis (KOA) with 5 years of follow-up. Methods: Patients diagnosed with Kellgren-Lawrence grade 2 to 4 KOA who underwent arthroscopic or conservative treatment from May 2005 to May 2012 were included. The We... |
1 | Risk Factors for Nonunion Following Ankle Arthrodesis: A Systematic Review and Meta-analysis | DoD SSI (Surgical Site Infections) | BACKGROUND: Nonunion is a postoperative complication after ankle arthrodesis (AA), which leads to increased morbidity and revision rates. Previous studies have identified risk factors for nonunion following AA, but no meta-analysis has been performed to stratify risk factors based on strength of evidence. METHODS: Abst... |
0 | Osteomalacia in fractures of the proximal femur | Management of Hip Fractures in the Elderly | The occurrence of osteomalacia was studied in 58 hip fracture patients who were admitted to the University Central Hospital of Kuopio for operative treatment. Findings indicating osteomalacia were frequent in the series. Hypocalcaemia was found in 70 per cent and an increase in serum alkaline phosphatase in 22 per cent... |
0 | Efficacy of viscosupplementation with intra-articular hyaluronic acid in knee osteoarthritis | OAK Recommendation 9 Articles | Objective: The standard pharmacological treatment of osteoarthritis with nonsteroidal anti-inflammatory drugs is essent i a lly symptomat i c , aiming a t rel i eving pa i n . Viscosupplementation with intra-articular hyaluronic acid is an alternative to the treatment of symptomatic knee osteoarthritis. The aim of this... |
0 | Incidence of and risk factors for falls following hip fracture in community-dwelling older adults | Hip Fx in the Elderly 2019 | Background and Purpose. Hip fracture is a major medical problem among older adults, leading to impaired balance and gait and loss of functional independence. The purpose of this study was to determine the incidence of and risk factors for falls 6 months following hospital discharge for a fall-related hip fracture in ol... |
0 | Controversies in orthopaedic trauma--management of fractures of shaft of femur in children between 6 and 12 years of age | Pediatric Diaphyseal Femur Fractures 2020 Review | The management of femoral shaft fractures in children is largely directed by the age and built of the child. There is wide consensus on the non operative treatment of children less than six years of age. Operative treatment is recommended for children more than 12 years of age, only the surgical options vary. The age g... |
0 | Functional evaluation of comminuted intra-articular fractures of the distal humerus (AO type C). Long term results in twenty-six patients | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The authors present the results achieved in 26 patients who presented with intra-articular fractures of the distal humerus (8 AO type C1, 8 C2 and 10 C3) and who were operatively treated between 1999 and 2001; they were retrospectively evaluated after a mean follow-up period of 70.2 months. There were 12 males and 14 f... |
0 | A longitudinal comparative study of falls in persons with knee arthroplasty and persons with or at high risk for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: we determined the yearly prevalence of single and multiple falls in persons with or at risk of knee osteoarthritis (OA) and persons undergoing knee arthroplasty over an 8-year period. We also compared annual fall rates among persons with and without knee arthroplasty to determine if fall rates are associate... |
0 | Characteristic morphology of the proximal tibiofibular joint in patients with discoid lateral meniscus | AMP (Acute Meniscal Pathology) | BACKGROUND: Patients with discoid lateral meniscus (DLM) are prone to meniscal injuries related to its shape and abnormal mobility. The anatomical joint inclination of the proximal tibiofibular joint (PTFJ) can also affect joint movement in knee motion. However, an association between PTFJ morphology and DLM remains un... |
0 | Potential clinical applications of matrix metalloproteinase inhibitors and their future prospects | MSTS 2018 - Femur Mets and MM | Matrix metalloproteinases (MMPs) are endopeptidases that are involved in extracellular matrix degradation. They are also implicated in a number of abnormal bioprocesses, such as tumor growth, invasion, and metastasis. Therefore, controlling MMP activities has generated considerable interest as a possible therapeutic ta... |
1 | Arthroscopically assisted osteosynthesis of complex intra-articular fractures of the distal radius | Distal Radius Fractures | BACKGROUND: Complex intra-articular fractures of the distal radius pose a great challenge in orthopedic surgery. Conventional open reduction and internal fixation generally yields poor functional outcome. The technique of arthroscope-assisted surgery allows more accurate reduction of the articular surface and treatment... |
0 | Interest of the ultrasonography in the diagnoses and treatment of traumatic neuroma after limb amputation | Surgical Management of Osteoarthritis of the Knee CPG | Introduction.- Post-traumatic neuroma, also called amputation neuroma, is related to a proliferation of disorganised nerve fibres after amputation leading to pain which may be difficult to control without a surgical procedure. Prosthesis wearing may be compromised. We used ultrasonography to visualise the neuroma and t... |
1 | The prevalence of injury for stroke caregivers and associated risk factors | DoD PRF (Psychosocial RF) | Background: A vast body of research has shown that the emotional and physical demands of caregiving may lead to increased stress and burden. However, it is unknown whether these factors are associated with increased risk for injuries among caregivers. Purpose: Stroke survivors and their caregivers (N = 275) were survey... |
0 | Association of urinary metabolites with radiographic progression of knee osteoarthritis in overweight and obese adults: an exploratory study | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Metabolic factors may contribute to osteoarthritis (OA). This study employed metabolomics analyses to determine if differences in metabolite profiles could distinguish people with knee OA who exhibited radiographic progression.
METHODS: Urine samples obtained at baseline and 18 months from overweight and ... |
0 | A study on the mechanism of Wnt inhibitory factor 1 in osteoarthritis | TO: WNT2 Pathway Modulator | Introduction: In our study we aimed to investigate the mechanism of Wnt inhibitory factor 1 (WIF1) on regulating chondrocyte proliferation and apoptosis via reactive oxygen species (ROS) and the Wnt/betacatenin signaling pathway in osteoarthritis (OA).
Material and methods: Osteoarthritis chondrocytes were treated with... |
0 | The protective role of the 3-mercaptopyruvate sulfurtransferase (3-MST)-hydrogen sulfide (H<sub>2</sub>S) pathway against experimental osteoarthritis | AMP (Acute Meniscal Pathology) | BACKGROUND: Osteoarthritis (OA) is characterized by the formation and deposition of calcium-containing crystals in joint tissues, but the underlying mechanisms are poorly understood. The gasotransmitter hydrogen sulfide (H<sub>2</sub>S) has been implicated in mineralization but has never been studied in OA. Here, we in... |
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