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0 | Cartilage in anterior cruciate ligament-reconstructed knees: MR imaging T1{rho} and T2--initial experience with 1-year follow-up | AMP (Acute Meniscal Pathology) | PURPOSE: To longitudinally evaluate cartilage matrix changes by using magnetic resonance (MR) imaging T1(rho) (T1 relaxation time in rotating frame) and T2 quantification and to study the relationship between meniscal damage and cartilage degeneration in anterior cruciate ligament (ACL)-reconstructed knees.
MATERIALS A... |
0 | Femoral artery laceration complicating an intertrochanteric hip fracture: a multi-disciplinary therapeutic problem | Management of Hip Fractures in the Elderly | Major arterial injuries are uncommon complications of intertrochanteric hip fractures. Described is transcatheter embolization of a lacerated femoral artery complicated by a large hematoma, discovered following surgical repair of an eight day old intertrochanteric fracture. The case was complicated due to a history of ... |
0 | Propofol and remifentanil pharmacodynamic interaction during orthopedic surgical procedures as measured by effects on bispectral index | AMP (Acute Meniscal Pathology) | Study Objective: To identify and quantify the interaction between propofol and remifentanil during surgical procedures with a bispectral index (BIS) of 50 that was chosen as a continuous surrogate measure for "adequate depth" of anesthesia. Design: Prospective, open-label study. Setting: Department of orthopedics of a ... |
0 | Injury risk curves for the skeletal kneeâ??thighâ??hip complex for knee-impact loading | DoD PRF (Psychosocial RF) | Injury risk curves for the skeletal kneeâ??thighâ??hip (KTH) relate peak force applied to the anterior aspect of the flexed knee, the primary source of KTH injury in frontal motor-vehicle crashes, to the probability of skeletal KTH injury. Previous KTH injury risk curves have been developed from analyses of peak knee i... |
0 | Efficacy and safety of aceclofenac-cr and aceclofenac in the treatment of knee osteoarthritis: a 6-week, comparative, randomized, multicentric, double-blind study | OAK 3 - Non-arthroplasty tx of OAK | The efficacy and safety of aceclofenac control release (CR) tablets was compared with conventional aceclofenac tablets in patients with knee osteoarthritis (OA). This was a doubleâ?blind, doubleâ?dummy, randomized, parallel group multicentric study conducted at 6 centers. Two hundred and eighty five patients were ran... |
0 | In vitro and in vivo evaluation of doxycycline-chondroitin sulfate/PCLmicrospheres for intraarticular treatment of osteoarthritis | OAK Recommendation 9 Articles | Osteoarthritis (OA) is a degenerative joint disease, which has no complete treatment with medication yet. Intraarticular hyaluronan (HA) injection can decrease pain and modify the natural course of OA. This study was designed to provide long term delivery of an MMP (matrix-metalloproteinase) inhibitor agent-doxycycline... |
0 | Procedural Precautions and Personal Protective Equipment during Head and Neck Instrumentation in the COVID-19 Era | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Otolaryngologists represent a subset of healthcare workers uniquely vulnerable to COVID-19 transmission. Given the segmentation of extant guidelines concerning precautions and protective equipment for SARS-CoV2, we aimed to provide consolidated recommendations regarding appropriate personal protective equip... |
0 | Massive haemorrhage from the internal iliac artery following a low energy superior pubic ramus fracture in a 73-year-old man | Hip Fx in the Elderly 2019 | We report a case of a 73-year-old man with a background of aspirin use who fell and sustained a minimally displaced right superior pubic ramus fracture. He subsequently developed hypotension that necessitated fluid resuscitation, associated with a significant drop in blood haemoglobin levels that required a packed red ... |
0 | Surgical management of tibial plateau fractures - A clinical study | OAK 3 - Non-arthroplasty tx of OAK | Background: Advance in mechanization and acceleration of travel have been accompanied by increase in number and severity of fractures and those of tibial plateau are no exception. Being one of the major weight bearing joints of the body, fractures around it are of paramount importance. The study was aimed to identify t... |
0 | Fatalities and injuries from falls among older adults--United States, 1993-2003 and 2001-2005 | Management of Hip Fractures in the Elderly | Unintentional falls are a common occurrence among older adults, affecting approximately 30% of persons aged > or =65 years each year. The injuries received from a fall can result in death, disability, nursing-home admission, and direct medical costs. In 2003, a total of 13,700 persons aged > or =65 years died from fall... |
0 | Expression of stromal derived factor-1 (SDF-1) and chemokine receptor (CXCR4) in bone metastasis of renal carcinoma | MSTS 2018 - Femur Mets and MM | Renal cancer is a relatively common malignant carcinoma that metastasizes to bone. The chemokine stromal derived factor-1 (SDF-1) and its corresponding receptor CXCR4 have been shown to regulate organ-specific metastasis in other cancer types. Based on this observation, we predicted that the expressions of SDF-1 and CX... |
0 | Bisphosphonate-associated osteonecrosis of mandibular and maxillary bone: an emerging oral complication of supportive cancer therapy | MSTS 2018 - Femur Mets and MM | BACKGROUND: The current report presented 17 patients with cancer with bone metastases and 1 patient with osteopenia who received treatment with bisphosphonates and who subsequently developed osteonecrosis of the mandible and/or maxilla.
METHODS: The authors reviewed information on 18 patients who were referred to oral ... |
0 | Non-operative treatment of complete tears of the medial collateral ligament of the knee | AMP (Acute Meniscal Pathology) | A prospective study was designed to compare the results of operative and non-operative treatment of complete (Grade-III) isolated tears of the medial collateral ligament of the knee. For eighteen consecutive months, all patients suspected of having this injury were examined under anesthesia and arthroscopically before ... |
0 | The Use of Exparel (Liposomal Bupivacaine) to Manage Postoperative Pain in Unilateral Total Knee Arthroplasty Patients | Surgical Management of Osteoarthritis of the Knee CPG | Efforts continue to improve pain after total knee arthroplasty (TKA) in order to allow for accelerated rehabilitation. The purpose of this study was to evaluate pain control after TKA. A randomized prospective study of 80 consecutive patients was performed comparing Exparel versus femoral nerve block (FNB). Inpatient p... |
0 | Articular adipose tissue resident macrophages in rheumatoid arthritis patients: potential contribution to local abnormalities | Surgical Management of Osteoarthritis of the Knee CPG | Objectives. The objectives of this study were to characterize macrophages resident in inflamed articular adipose tissue (AAT) and non-inflamed subcutaneous adipose tissue (ScAT) of RA patients and to evaluate the basal and cytokine-triggered secretory activities of these tissues. Methods. Tissues were obtained from pat... |
0 | Hamstring donor-site block do not improve postoperative analgesia after anterior cruciate ligament reconstruction | Surgical Management of Osteoarthritis of the Knee CPG | Purpose/Objective: The purpose of this study was to evaluate the effectiveness of using a hamstring donor-site block in controlling postoperative pain levels after anterior cruciate ligament(ACL) reconstruction with autogenous hamstring graft, in patiens receiving Neuroaxial Anesthesia. Materials and Methods: Over a 9 ... |
0 | New Therapeutic Targets for Osteoarthritis Pain | AAHKS (4) Acetaminophen | Osteoarthritis (OA), the most common form of arthritis, causes pain and disability, as well as emotional distress. While total joint replacement is one of the most effective treatments available for improving the quality of life in people with severe OA, it is not suitable for all patients and all joints. Current pharm... |
0 | Graded full-thickness anterior blepharotomy for correction of upper eyelid retraction not associated with thyroid eye disease | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the efficacy of graded full-thickness anterior blepharotomy for upper eyelid retraction of various causes not associated with Graves eye disease. METHODS: Twenty-one eyelids of 18 patients with upper eyelid retraction not caused by Graves eye disease were treated with graded full-thickness anterior... |
0 | Biomechanical evaluation of the percutaneous compression plating system for hip fractures | Management of Hip Fractures in the Elderly | OBJECTIVE: To investigate the biomechanical properties of the percutaneous compression plating system for intertrochanteric hip fractures. DESIGN: A biomechanical laboratory investigation on human cadaveric upper femora was conducted. SETTING: Biomechanical laboratory. PATIENTS: Sixteen femora from cadavers of patients... |
1 | Ultrasonographic evaluation of breech presentation as a risk factor for hip dysplasia | Developmental Dysplasia of the Hip CPG | In order to gain more information of breech position as a risk factor for congenital hip dysplasia or dislocation, the hips of 408 newborns delivered in the breech position were examined by ultrasound. Clinical examination was performed by both experienced paediatricians and orthopaedic surgeons. The infants were re-ex... |
1 | Femoral nerve block using ropivacaine 0.025%, 0.05% and 0.1%: effects on the rehabilitation programme following total knee arthroplasty: a pilot study | Surgical Management of Osteoarthritis of the Knee CPG | Femoral nerve blockade is recommended for analgesia following total knee arthroplasty. Following implementation of this type of postoperative analgesia in our hospital we found that active mobilization the day after surgery, may be difficult due to insufficient quadriceps muscle strength. We therefore designed a pilot ... |
0 | Influence of Six Medicinal Herbs on Collagenase-Induced Osteoarthritis in Rats | OAK 3 - Non-arthroplasty tx of OAK | Medicinal herbs have been effectively used for their anti-inflammatory activity, but their exact role has not yet been documented in scientific literature for the management of Osteoarthritis (OA). Since Sida cordifolia L., Piper longum L., Zingiber officinale Rosc., Ricinus communis L., Vitex negundo L. and Tribulus t... |
0 | Conservation treatment intensified with tamoxifen and CAF chemotherapy without axillary dissection for early breast cancer patients with clinically-negative axillary nodes | MSTS 2018 - Femur Mets and MM | Axillary node dissection has been a routine part of breast cancer treatment for more than 100 years. As so few patients have been shown to have positive nodes, more consideration should be given to eliminating axillary node dissection for duct carcinoma in situ (DCIS) and T1a lesions. And for patients with a T1/2N0M0 c... |
0 | Longitudinal sliding of the median nerve in patients with non-specific arm pain | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In patients with non-specific arm pain (NSAP; also known as repetitive strain injury), there are clinical signs of altered median nerve sliding. It is possible that a restriction along the nerve course will lead to abnormal increases in local strain during limb movements, possibly contributing to symptoms. The present ... |
0 | Factors predicting rehabilitation outcomes of elderly patients with hip fracture | Hip Fx in the Elderly 2019 | Objective: To identify predictors of rehabilitation outcomes for the development of a case-mix system to rehabilitate patients suffering from hip fractures. Design: Prospective cohort study. Setting: Two hospitals in Hong Kong. Patients: A cohort of hip fracture patients in 2005 (n=303) with a mean age of 82 years was ... |
0 | Custom-made hinged spacers in revision knee surgery for patients with infection, bone loss and instability | DoD SSI (Surgical Site Infections) | Polymethyl methacrylate spacers are commonly used during staged revision knee arthroplasty for infection. In cases with extensive bone loss and ligament instability, such spacers may not preserve limb length, joint stability and motion. We report a retrospective case series of 19 consecutive patients using a custom-mad... |
0 | New drugs for multiple myeloma | MSTS 2018 - Femur Mets and MM | Multiple myeloma is a plasma cell neoplasm that is currently incurable. older patients are managed with melphalan and prednisolone. Younger patients have induction chemotherapy followed by high-dose melphalan and autologous stem cell transplantation. Recent insights into the biological basis of myeloma have resulted in... |
0 | The applicability of diagnostic criteria in the diagnosis of algodystrophy (CRPS 1) after distal radius fracture in primary care practice | Distal Radius Fractures | Background. A diagnosis of CRPS 1 is usually difficult, and to recognize CRPS 1 a certain set of symptoms is required. Objectives. To check the diagnostic efficiency of two sets of criteria in recognition of algodystrophy after the fracture of the distal radius. Materials and methods. 120 patients were examined for alg... |
0 | Acetabular revision arthroplasty using trabecular titanium implants | Hip Fx in the Elderly 2019 | PURPOSE: The aim of this study was to evaluate early results of acetabular revisions of total hip replacement using fully cementless trabecular titanium (TT) acetabular modular implants (Delta Trabecular Titanium, Limacorporate, Udine, Italy).
METHODS: Between March 2009 and May 2012 TT was used in 81 revisions. The me... |
0 | Revision total hip arthroplasty using a cementless tapered revision stem in patients with a mean age of 82 years | Dental Implant Infection | PURPOSE: A tapered straight cementless stem was used for revision in a group of old and very old patients. We wanted to know whether the use of this implant could achieve satisfactory results despite age and osteoporosis., METHODS: We retrospectively analysed data of 77 elderly patients (77 hips) who underwent revision... |
0 | Large-scale evidence for the effect of the COLIA1 Sp1 polymorphism on osteoporosis outcomes: the GENOMOS study | Management of Hip Fractures in the Elderly | BACKGROUND: Osteoporosis and fracture risk are considered to be under genetic control. Extensive work is being performed to identify the exact genetic variants that determine this risk. Previous work has suggested that a G/T polymorphism affecting an Sp1 binding site in the COLIA1 gene is a genetic marker for low bone ... |
0 | Treatment of Femur Fractures in Preschool Children with Double Pin Technique: Immediate Incorporated Hip Spica Casting by Two K-Wires | Pediatric Diaphyseal Femur Fractures 2020 Review | The immediate hip spica casting is a popular treatment method for femoral fractures in the pediatric age group. Femoral shortening is the unacceptable result for the treatment. In this technique, we tried to describe the immediate spica casting technique pinning with double K-wire in preschool children and evaluate the... |
1 | Landscape of oncoplastic breast surgery across Poland | Acellular Dermal Matrix | Oncoplastic and reconstructive techniques are essential tools in the armamentarium of contemporary breast surgeons. The aim of the study was to identify oncoplastic reconstructive patterns in breast cancer centers across Poland. A questionnaire of 18 questions was sent by email to the members of the Polish Society of S... |
1 | One and two femoral neck screws with intramedullary nails for unstable trochanteric fractures of femur in the elderly--randomised clinical trial | Hip Fx in the Elderly 2019 | Intramedullary nailing has been the gold standard in the management of lower limb fractures by virtue of advantage of early joint mobilisation and weight bearing. They are being increasingly used in the peri-trochanteric fractures of femur. Biomechanical studies have proved the supremacy of single femoral neck screw co... |
0 | Congenital insensitivity to pain with anhidrosis (CIPA): A case report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Congenital insensitivity to pain with anhidrosis (CIPA) is a rare disorder characterized by episodes of fever and the inability to sense of pain despite the fact that all other sensory modalities remain intact or minimally impaired. The patient also may exhibit the signs of self-mutilation, mental retardation and littl... |
0 | Trends and geographical variation of primary hip and knee joint replacement in Germany | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Considerable variation in total hip replacement and total knee replacement (THR/TKR) between regions has been described. The aim of this study was to explore geographical variation in THR and TKR in Germany and to analyse potentially explanatory variables. METHOD: We used data of Germany's largest statutory ... |
0 | The effect of lifetime adversities on resistance to antipsychotic treatment in schizophrenia patients | DoD PRF (Psychosocial RF) | AIM: The aim of this study is to examine whether there is an association between cumulative life adversities and treatment-resistant schizophrenia.
METHODS: We recruited 186 participants diagnosed with schizophrenia spectrum disorders. Adverse life-events were assessed using the Stressful Life Events Screening Question... |
0 | Physiotherapists' falls prevention knowledge, beliefs and practices in osteoarthritis care: A national cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate physiotherapists' knowledge, beliefs and current practice around falls prevention in osteoarthritis (OA) care. METHODS: Currently registered, practicing Australian physiotherapists who care for people with hip and/or knee OA were invited to participate in this cross-sectional study. A comprehe... |
0 | Severe outcome of juvenile idiopathic arthritis (JIA) associated with familial Mediterranean fever (FMF) | Surgical Management of Osteoarthritis of the Knee CPG | Juvenile Idiopathic Arthritis (JIA) and Familial Mediterranean Fever (FMF) may involve the same population of children and be confused at times. In a cohort of 350 consecutive FMF patients followed by us, 98 had onset before 10 years of age and, of those, JIA was present in 3. All three had the M694 V mutation of the M... |
0 | Ten- to 15-year results of the Oxford Phase III mobile unicompartmental knee arthroplasty: A prospective study from a non-designer group | OAK 3 - Non-arthroplasty tx of OAK | Aims The interest in unicompartmental knee arthroplasty (UKA) for medial osteoarthritis has increased rapidly but the long-term follow-up of the Oxford UKAs has yet to be analysed in non-designer centres. We have examined our ten- to 15-year clinical and radiological followup data for the Oxford Phase III UKAs. Patient... |
0 | Lesions of cartilage and bone around the knee | AMP (Acute Meniscal Pathology) | A variety of bone and cartilage abnormalities can be demonstrated on magnetic resonance imaging (MRI), which can play an important role in the diagnosis and management of these abnormalities. Ischemic bone lesions, including medullary bone infarction, primary osteonecrosis, and the osteochondroses, can be precisely eva... |
0 | Hip fractures: changing patterns in hospital bed use in NSW between 1979 and 1990 | Management of Hip Fractures in the Elderly | Osteoporotic hip fractures are associated with significant medical, social and financial costs. To examine trends in hip fracture incidence, acute hospital admissions, bed use and outcome for these fractures were reviewed for the period 1979-90. In this period, there was a 45% increase in the total number of fractures.... |
0 | Secondary osteoporosis and its associated fractures in postmenopausal women with diabetes | Management of Hip Fractures in the Elderly | Objective: Secondary osteoporosis is very common in patients with primary osteoporosis. Diabetes is a known cause of secondary osteoporosis. While type I diabetes has been clearly linked with diabetic osteoporosis, the effect of type II diabetes on bone health is controversial. Methods: In the present study, we investi... |
0 | Revision total joint arthroplasty: The epidemiology of 63,140 cases in New York state | OAK 3 - Non-arthroplasty tx of OAK | Recent evidence suggests a substantial rise in the number of revision total joint arthroplasty (TJA) procedures performed. The New York State SPARCS inpatient database was utilized to identify revision total shoulder, knee, and hip arthroplasty procedures between 1993 and 2010. Yearly incidence and related epidemiology... |
0 | Factors associated with actual long-term survival following soft tissue sarcoma pulmonary metastasectomy | MSTS 2022 - Metastatic Disease of the Humerus | AIMS: To identify clinicopathologic and treatment variables associated with long-term overall survival (OS) in soft tissue sarcoma (STS) patients with lung metastases undergoing pulmonary metastasectomy (PM).
METHODS: Retrospective review of 94 STS PM patients with an actual follow-up > or = 5 years. Data were collecte... |
0 | A review of the evaluation and management of cartilage defects in the knee | AAHKS (4) Acetaminophen | In the orthopedic community, there is controversy regarding the management of articular cartilage defects of the knee. Nonoperative treatment is indicated for initial management. Surgical options include autologous chondrocyte implantation, osteochodral autograft transfer, osteoarticular allografts, and microfracture. ... |
0 | New Targeted Therapies for Bone Metastases | MSTS 2018 - Femur Mets and MM | A number of targeted agents under investigation or in development have shown promise in the treatment or prevention of bone metastases. Among them is denosumab (XGEVA, Amgen Inc.), a fully human monoclonal antibody targeting the RANK ligand (RANKL) pathway that was approved on 18 November 2010 in the United States (Amg... |
0 | A Case Study of Sexual Abuse and Psychological Correlates among an HIV-Serodiscordant Couple | DoD PRF (Psychosocial RF) | Childhood sexual abuse (CSA), adult sexual abuse (ASA) and intimate partner violence (IVP) are documented risk factors for HIV infection and are often implicated in the presentation of mental health disorders in both males and females, including those who are vulnerable to HIV-infection (African-Americans; trauma survi... |
0 | Juvenile arthritis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Juvenile arthritis is relatively uncommon and consists of a heterogeneous group of disorders the most frequent being a chronic seronegative arthritis usually referred to as 'juvenile chronic arthritis' (JCA) in Europe and as 'juvenile rheumatoid arthritis' (JRA) in the USA. This can present as a systemic illness, later... |
0 | Volumetric DXA (VXA): A new method to extract 3D information from multiple in vivo DXA images | Management of Hip Fractures in the Elderly | Three-dimensional geometric and structural measurements of the proximal femur are of considerable interest in understanding the strength of the femur and its susceptibility to fracture. Quantitative computed tomography (QCT) with a small voxel size (</=1 mm per side) is the current "gold standard" to examine the macros... |
0 | Non-bridging Fixator Versus Percutaneous Pinning for Distal Radius Fractures | Distal Radius Fractures | The treatment of extraâ?articular distal radius fractures is still controversial. In Canada, most patients with unstable fractures are treated with pinning and cast. Results are often associated with shortening and lack of function. The purpose of the study is to compare stabilization with a radioâ?radial fixator to ... |
1 | Orthodromic sensory action potentials from palmar stimulation in the diagnosis of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | It is known that the major slowing of nerve conduction in the carpal tunnel syndrome occurs in the palm to wrist segment. A technique exploiting this fact and easily applicable in the routine laboratory would be useful in diagnosing early examples of the condition. To this end, orthodromic sensory potentials from stimu... |
1 | Clinical and functional outcomes of acute lower extremity compartment syndrome at a Major Trauma Hospital | DOD - Acute Comp Syndrome CPG | BACKGROUND: Acute lower extremity compartment syndrome (CS) is a condition that untreated causes irreversible nerve and muscle ischemia. Treatment by decompression fasciotomy without delay prevents permanent disability. The use of intracompartmental pressure (iCP) measurement in uncertain situations aids in diagnosis o... |
1 | Number of potential reversals (turns) and amplitude of the pattern of electrical activity of the abductor pollicis brevis muscle in patients with neurogenic diseases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We have quantified the pattern of electrical muscle activity at a force of 0.3 kg, 30% of maximum force, and maximum force in the abductor pollicis brevis muscle of 21 patients with neurogenic disorders (10 with carpal tunnel syndrome, 9 with polyneuropathy and 2 with motor neurone disease) and of 15 normal subjects. I... |
0 | The effect of tibia-foot rotatory position on the anterior drawer test | AMP (Acute Meniscal Pathology) | The effect of the position of the foot and tibia on the anteroposterior drawer test was quantified using a clinical testing device. Maximum laxity occurred at 15 degrees of external rotation of the foot. Extreme rotation of the foot and tibia resulted in reductions of anteroposterior laxity of 63% for internal rotation... |
0 | Concomitant Ankle Osteoarthritis Is Related to Increased Ankle Pain and a Worse Clinical Outcome Following Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Occasionally, patients experience new or increased ankle pain following total knee arthroplasty (TKA). The aims of this study were to determine (1) how the correction of varus malalignment of the lower limb following TKA affected changes in alignment of the ankle and hindfoot, (2) the difference in changes ... |
0 | Osteoarthritis (OA) and obesity-are the co-culprits? | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis (OA) is a multifactorial degenerative joint disease leading to patient's disability. Obesity is one of the growing problems of western civilization as well. In the past it has been pointed that obesity as comorbidity with OA can have a huge impact on OA progression. Proteins produced by adipose tissue su... |
1 | Nerve blocks for initial pain management of femoral fractures in children | DOD - Acute Comp Syndrome CPG | Background: Children and adolescents with femoral fractures are almost always admitted to hospital. They invariably start their hospital experience in the Emergency Department, often requiring transfer to a specialist children's hospital. They require analgesia or anaesthesia so that radiographs can be obtained and for... |
0 | PRIME: impact of previous mental health problems on health-related quality of life in women with childbirth trauma | DoD PRF (Psychosocial RF) | We investigated the impact of pre-existing mental ill health on postpartum maternal outcomes. Women reporting childbirth trauma received counselling (Promoting Resilience in Mothers' Emotions; n=137) or parenting support (n=125) at birth and 6 weeks. The EuroQol Five dimensional (EQ-5D)-measured health-related quality ... |
0 | A case-control study of temporomandibular disorders: symptomatic disc displacement | DoD PRF (Psychosocial RF) | This case-control study was designed to investigate the risk factors for disc displacement (DD) without myofascial pain (MFP). The study population included 59 cases with DD without MFP, selected in two hospital dental clinics, and 100 concurrent controls selected in one of these clinics. The association with DD was ev... |
1 | Orthopaedic management improves the rate of early osteoporosis treatment after hip fracture. A randomized clinical trial | Management of Hip Fractures in the Elderly | BACKGROUND: Although osteoporosis is strongly associated with hip fractures, the initiation of osteoporosis treatment following hip fractures occurs at surprisingly low rates of between 5% and 30%. Currently, most patients receiving treatment have been referred back to their primary care physician for osteoporosis mana... |
0 | Non Steroidal Antiinflammatory Drugs Influence on Heal of Distal Radius Fracture | Distal Radius Fractures | It is believed, that Non Steroidal Antiinflammatory Drug (NSAID) drugs slows bone healing, but the knowledge is based only on animal studies, and the results are automatically raised for the people. Many patients with bone fracture must therefore avoid the formerly so popular and good painkillers, although no clinical ... |
0 | The encircling mesh in abdominal wall surgery: Rationale and technical details of a dorso-ventral physiological restoration | Panniculectomy & Abdominoplasty CPG | We describe a new, functional surgical technique, known as 'encircling mesh', designed to address abdominal wall problems. The rationale of the procedure is to connect the anterior and posterior trunk muscle compartments by means of a purpose built polypropylene mesh that encloses a belt shifted posteriorly across the ... |
0 | Lip and perioral enhancement by direct intramuscular fat autografting | Panniculectomy & Abdominoplasty CPG | Extensive fat resorption when injected subcutaneously was proven a long time ago, as well as central fat necrosis when injected in bulk. On the other hand, direct intramuscular fat injections in the form of 1- to 2-mm threads allow good revascularization and thus proper taking of the graft with minimal resorption. Foll... |
0 | Hypoglycemia in hospitalized nondiabetic older patients | Management of Hip Fractures in the Elderly | OBJECTIVES: To analyze the clinical characteristics, associated risk factors, and outcome of hypoglycemia in nondiabetic hospitalized older patients. DESIGN: A retrospective case control study. PARTICIPANTS: Sixty patients, aged 65 years and older, in the acute medical and geriatric wards who developed hypoglycemia. A ... |
0 | A multicentre case series of tibia fractures treated with the Expert Tibia Nail (ETN) | DOD - Acute Comp Syndrome CPG | Introduction: The aim of this study was to present clinical experience and outcomes of intramedullary nailing of proximal, midshaft and distal tibia fractures with the Expert Tibia Nail (ETN; Synthes GmbH, Switzerland), an implant offering a wide range of proximal and distal locking options in multiple planes to increa... |
0 | High bifurcation of median nerve at the wrist causing common digital nerve injury in endoscopic carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A 45-year-old right-handed woman was treated by endoscopic carpal tunnel release under local anaesthetic. When cutting the proximal half of the flexor retinaculum with the retrograde blade, she complained of an electric shock-like pain in her middle and ring fingers. Open exploration of the carpal tunnel was performed ... |
1 | Individualized coracoid osteotomy and 3D congruent arc reconstruction of glenoid for the treatment of recurrent anterior shoulder dislocation | Glenohumeral Joint OA | BACKGROUND: The present study investigated individualized coracoid osteotomy for 3D congruent arc glenoid reconstruction and evaluated the clinical outcomes in recurrent anterior shoulder dislocation.
METHODS: From January 2005 to July 2015, 78 patients with glenoid defect underwent coracoid and conjoint tendon transpo... |
0 | Venous thromboembolism during hip plaster cast immobilisation: Review of the literature | Developmental Dysplasia of the Hip 2020 Review | Introduction: There is a paucity of data regarding the risk of deep vein thrombosis during hip plaster cast immobilisation. The purpose of this article was to review the available evidence regarding the incidence of symptomatic venous thromboembolism (VTE) during hip plaster cast immobilisation. Methods and Materials: ... |
0 | Improving the management of post-operative acute pain: Priorities for change | AAHKS (8) Anesthetic Infiltration | Poor management of post-operative acute pain can contribute to medical complications including pneumonia, deep vein thrombosis, infection and delayed healing, as well as the development of chronic pain. It is therefore important that all patients undergoing surgery should receive adequate pain management. However, evid... |
0 | Arthroscopically-assisted procedures on the hip joint | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE OF THE STUDY Since 2000 arthroscopically-assisted surgery on hip joints has become more widely used. The technique is relatively demanding and should be used only after arthroscopic procedures on other large joints are mastered to perfection. A thorough study on cadaverous specimens should be a prerequisite for... |
0 | A longitudinal study exploring pain control, treatment and service provision for individuals with end-stage lower limb osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To investigate the level of pain control, treatment and service provision amongst individuals with end-stage lower limb osteoarthritis who were on the waiting list for hip or knee joint replacement. METHODS: A total of 105 patients on a waiting list for primary knee or hip replacement from a regional orthopa... |
1 | Bacteremia of dental origin and antimicrobial sensitivity following oral surgical procedures in children | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | METHODS: The prevalence and intensity of bacteremia of dental origin were examined in 207 children divided into four groups: a baseline with no surgical intervention (group I), after a single tooth extraction (group II), multiple tooth extraction (group III), and mucoperiosteal flap elevation (group IV). The bacterial ... |
0 | Perioperative Pain Management in Total Hip Arthroplasty: Korean Hip Society Guidelines | AAHKS (9/10) Regional Nerve Blocks | Effective perioperative pain management techniques and accelerated rehabilitation programs can improve health-related quality of life and functional status of patients after total hip arthroplasty. Traditionally, postoperative analgesia following arthroplasty was provided by intravenous patient-controlled analgesia or ... |
0 | Adherence capacities of oral lactobacilli for potential probiotic purposes | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The most abundantly used probiotic strains come from the genus Lactobacillus and only a few studies have investigated their role in oral health. Even if a positive correlation has been established between the saliva Lactobacillus count and dental caries, this genus is generally recognized as safe (GRAS). Moreover, lact... |
0 | Venous thrombosis in an outpatient oncologic center: distribution, type, and comorbidities | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: To examine outpatient oncologic patients with venous thrombosis (VT) and correlate ultrasound findings with clinical characteristics and outcome.
MATERIALS AND METHODS: A retrospective study of 76 patients who had upper- and lower-extremity ultrasound examinations positive for VT formed the population, drawn f... |
0 | QCT bone mineral density responses to 1 year of oral bisphosphonate after total knee replacement for knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Bone mineral density (BMD) declined in more than half (53.7%) of post-total knee arthroplasty (TKA) patients (44 of the 82) after 1 year of oral bisphosphonate treatment, and that this decline was significant in bilateral TKA patients. INTRODUCTION: TKA has proven to be an extremely successful procedure in terms of imp... |
0 | Importance of joint line preservation in unicompartmental knee arthroplasty: Finite element analysis | AMP (Acute Meniscal Pathology) | Unicompartmental knee arthroplasty (UKA) is an effective surgical technique for pain relief and functional restoration in patients with localized osteoarthritis of the knee joint. However, the role of the joint line in UKA, especially its biomechanical effect, has not been previously investigated. This study numericall... |
0 | The variability problem of normal human walking | OAK 3 - Non-arthroplasty tx of OAK | Previous investigations have suggested considerable inter-individual variability in the time course pattern of net joint moments during normal human walking, although the limited sample sizes precluded statistical analyses. The purpose of the present study was to obtain joint moment patterns from a group of normal subj... |
1 | Congenital and acquired pediatric breast anomalies: a review of 20 years' experience | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The purpose of this article was to review the senior author's 20 years of experience in the treatment of pediatric breast abnormalities, to propose a classification system for their treatment, and to provide a synopsis of treatment options.
METHODS: Congenital and acquired breast anomalies were identified i... |
0 | Association of osteoarthritis risk factors with knee and hip pain in a population-based sample of 29-59 year olds in Denmark: A cross-sectional analysis | OAK 3 - Non-arthroplasty tx of OAK | Background: This study aimed to a) describe the prevalence of knee and hip osteoarthritis risk factors in a population of 29-59 year old individuals, b) estimate the association between persistent knee/hip pain and osteoarthritis risk factors, and c) describe the prevalence of osteoarthritis risk factors, including spe... |
0 | Concomitant oral tyrosine kinase inhibitors and bisphosphonates in advanced renal cell carcinoma with bone metastases | MSTS 2018 - Femur Mets and MM | BACKGROUND: The presence of bone metastases in patients with metastatic renal cell carcinoma treated with oral tyrosine kinase inhibitors (TKIs) is associated with poorer outcome as compared with patients without bone involvement. Concomitant bisphosphonates could probably improve outcomes but also induce osteonecrosis... |
1 | Current pain prescribing habits for common shoulder operations: a survey of the American Shoulder and Elbow Surgeons membership | Trial Systematic Review Project | Background: Orthopedic surgeons are among the highest prescribers of narcotic pills, and no guidelines currently exist for appropriate management of postoperative pain within this field. The purpose of this study was to gain understanding of the current pain management strategies used perioperatively and postoperativel... |
0 | Osteochondral resurfacing of the knee joint with allograft. Clinical analysis of 33 cases | Surgical Management of Osteoarthritis of the Knee CPG | This retrospective clinical study describes three years of experience with cryoprotected-cryopreserved allograft transplantation. During this period 33 knee joints were operated on for different reasons including osteoarthritis, osteochondritis dissecans and post-traumatic surface irregularity. The mean follow-up was n... |
0 | Examining the effectiveness of examination at 6-8 weeks for developmental dysplasia: testing the safety net | Developmental Dysplasia of the Hip 2020 Review | OBJECTIVE: The 'GP check' at 6-8 weeks forms part of the selective surveillance system for developmental dysplasia of the hip (DDH) in the UK. It is imperative to pick up DDH within the first months of life to allow for non-invasive treatment and the avoidance of surgery. We aim to investigate the effectiveness of hip ... |
1 | Comparative effectiveness of fragility fracture integrated rehabilitation management for elderly individuals after hip fracture surgery: A study protocol for a multicenter randomized controlled trial | Hip Fx in the Elderly 2019 | Introduction: Although it is essential to provide comprehensive rehabilitation after hip fracture to restore the patient to preoperative physical functioning, feasibility issues remain. Here, we describe a protocol for a randomized controlled trial (RCT) to evaluate the effectiveness of fragility fracture integrated re... |
1 | Diabetes and Healing Outcomes in Lower Extremity Fractures: A Systematic Review | DoD SSI (Surgical Site Infections) | Objective: The purpose of this study was to review the rates of adverse healing outcomes following surgical fixation of lower extremity fractures in diabetic patients and matched controls. Materials and Methods: Searches of PubMed, MEDLINE, CINAHL and Embase were performed for studies published between the date of data... |
0 | MR imaging of compartment syndrome of the lower leg: a case control study | DOD - Acute Comp Syndrome CPG | The aim of this study was to evaluate the use of MR imaging for diagnosis and therapy management of compartment syndromes. In total, 15 patients (5 with an imminent compartment syndrome and 10 with manifest compartment syndrome) underwent MR imaging with a variety of pulse sequences including fat suppression, magnetiza... |
0 | Necrotizing ulcerative gingivitis, periodontitis, and stomatitis: clinical staging and predisposing factors | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Necrotizing ulcerative gingivitis (NUG), necrotizing ulcerative periodontitis (NUP), and necrotizing stomatitis (NS), collectively termed necrotizing gingivostomatitis (NG), represent a dramatic, but rare oral infection associated with diminished systemic resistance, including HIV infection. Over a 5-year period, 68 co... |
0 | Special problems in burns | DOD - Acute Comp Syndrome CPG | Burn units provide a unique set of resources to patients with complex wounds, sepsis, and organ failures. This resource set is useful in a number of traumatic, infectious, and medical conditions as well. Further, many burn patients have sustained simultaneous non-burn trauma which will be managed in burn programs. © 2... |
1 | Stimulating catheters for continuous femoral nerve blockade after total knee arthroplasty: a randomized, controlled, double-blinded trial | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Continuous femoral nerve blockade (CFNB) is often used for postoperative analgesia after total knee arthroplasty (TKA). CFNB can be instituted using a variety of techniques. Stimulating catheters (SC) have the advantage of confirming placement of the catheter close to the nerve during advancement. METHODS: ... |
0 | Prediction of mechanical properties of cortical bone by quantitative computed tomography | Management of Hip Fractures in the Elderly | The relevance of Finite-Element models for hip fracture prediction should be increased by the recent subject-specific methods based on computed tomography (CT-scan), regarding the geometry as well as the material properties. The present study focused on the prediction of subject-specific mechanical parameters of cortic... |
0 | Rapid review of the use of community-wide surgical masks and acute respiratory infections | Coronavirus Disease 2019 (COVID-19) | <AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the effectiveness of using surgical masks in community settings to reduce the probability of infection by SARS-CoV-2 or other acute viral respiratory infection, compared to not using surgical masks.</AbstractText> <AbstractText Label="MATERIALS AND METHO... |
1 | Midterm to long-term longitudinal outcome of autologous chondrocyte implantation in the knee joint: a multilevel analysis | Osteochondritis Dissecans 2020 Review | BACKGROUND: Autologous chondrocyte implantation is a cell therapeutic approach for the treatment of chondral and osteochondral defects in the knee joint. The authors previously reported on the histologic and radiologic outcome of autologous chondrocyte implantation in the short- to midterm, which yields mixed results. ... |
0 | A double-blind, clinical evaluation of facial augmentation treatments: a comparison of PRI 1, PRI 2, Zyplast(Ã?®) and Perlane(Ã?®) | PJI DX Updated Search | Background: Facial wrinkles are caused by weakening of the sub-dermal collagen support layer. Dermal fillers can be used to treat wrinkles, and this double-blind, randomised, single-centre study compared four fillers: PRI 1, PRI 2 (both porcine collagen), Zyplast(î) (purified bovine collagen) and Perlane(î) (cros... |
0 | Glucocorticoid-induced leucine zipper (GILZ) is involved in glucocorticoid-induced and mineralocorticoid-induced leptin production by osteoarthritis synovial fibroblasts | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Glucocorticoid-induced leucine zipper (GILZ) is a mediator of the anti-inflammatory activities of glucocorticoids. However, GILZ deletion does not impair the anti-inflammatory activities of exogenous glucocorticoids in mice arthritis models and GILZ could also mediate some glucocorticoid-related adverse eve... |
0 | Influence of kinematics on the wear of a total ankle replacement | OAK 3 - Non-arthroplasty tx of OAK | Total ankle replacement (TAR) is an alternative to fusion, replacing the degenerated joint with a mechanical motion-preserving alternative. Minimal pre-clinical testing has been reported to date and existing wear testing standards lack definition. Ankle gait is complex, therefore the aim of this study was to investigat... |
1 | Continuous adductor canal block added to local infiltration analgesia (LIA) after total knee arthroplasty has no additional benefits on pain and ambulation on postoperative day 1 and 2 compared with LIA alone | AAHKS (9/10) Regional Nerve Blocks | Background and purpose - The additional effects of a continuous adductor canal block (ACB) compared with a single-dose local infiltration anesthesia (LIA) after total knee arthroplasty (TKA) has not been widely researched. Both methods have good effect individually. We hypothesized that a continuous ACB added to a sing... |
0 | Femoral tunnel defect filled with a synthetic dowel graft for a single-staged revision anterior cruciate ligament reconstruction | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Bone defects are a common obstacle to successful revision anterior cruciate ligament (ACL) reconstruction. We describe the use of a synthetic bone graft plug to fill a cylindric defect after femoral interference screw removal. During revision ACL reconstruction performed through a 2-incision technique, we placed an out... |
1 | Treatment of bone weakness in patients with femoral neck fracture by fluoride, calcium and vitamin D | Management of Hip Fractures in the Elderly | Twenty-three of 46 patients, aged 56 to 95 years, with fracture of the femoral neck (FNF) completed the first trial of 10 months treatment with oral sodium fluoride 60 mg and calcium 1800 mg on alternate days and 1 micrograms of vitamin D1 daily. Pre-treatment and post-treatment biopsy specimens and microradiographs of... |
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