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0 | Bisphophonates related osteonecrosis of the jaw | MSTS 2018 - Femur Mets and MM | OBJECTIVE: With sporadic reporting of BPs related osteonecrosis of jaw and in absence of definitive guidelines regarding the management of such patients, the dentists and the oral and maxillofacial surgeons need to be updated about this issue. The objective of this article was to produce an updated bibliographic review... |
0 | The Corail(R) stem for the treatment of displaced femoral neck fractures - a viable alternative | Management of Hip Fractures in the Elderly | Cementless hemiarthroplasty in hip fracture surgery has been associated with poorer outcomes and more pain than cemented hemiarthroplasty. The aim was to investigate clinical and radiographic outcomes for a cementless tapered titanium fully hydroyxapatite-coated (Corail(R) System) stem in this consecutive cohort of hip... |
0 | Factors delaying recovery after volar plate fixation of distal radius fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Purpose To evaluate the factors influencing delayed functional recovery in patients with a distal radius fracture treated by volar plate fixation. Methods A total of 122 patients with a distal radius fracture treated by volar locking plate were enrolled. The wrist range of motion, grip strength, and functional outcome ... |
0 | Cemented hip designs are a reasonable option in young patients | PJI DX Updated Search | BACKGROUND: Young patients with degenerative cartilage disease of the hip remain a challenge for the orthopaedic surgeon. Different treatment options are available of which uncemented hips are the most popular owing to long-term concerns about cemented implants. As an alternative, we have used a cemented hip design in ... |
0 | Current guidelines have limited applicability to patients with comorbid conditions: a systematic analysis of evidence-based guidelines | SR for PM on OA of All Extremities | BACKGROUND: Guidelines traditionally focus on the diagnosis and treatment of single diseases. As almost half of the patients with a chronic disease have more than one disease, the applicability of guidelines may be limited. The aim of this study was to assess the extent that guidelines address comorbidity and to assess... |
0 | A randomized comparison of proximal and distal ultrasound-guided adductor canal catheter insertion sites for knee arthroplasty | AAHKS (8) Anesthetic Infiltration | OBJECTIVES: Proximal and distal (mid-thigh) ultrasound-guided continuous adductor canal block techniques have been described but not yet compared, and infusion benefits or side effects may be determined by catheter location. We hypothesized that proximal placement will result in faster onset of saphenous nerve anesthes... |
1 | Is pin configuration the only factor causing loss of reduction in the management of pediatric type III supracondylar fractures? | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: Closed reduction with percutaneous pinning is the treatment of choice for displaced supracondylar humerus fractures in children. In addition to configuration of pin fixation, many factors have been attributed to loss of reduction (LOR). The aim of the present study was to review potential factors that contri... |
0 | Union rate of tibiotalocalcaneal nails with internal or external bone stimulation | DoD LSA (Limb Salvage vs Amputation) | Introduction: The use of bone growth stimulation has been reported in the application of hindfoot and ankle arthrodesis. Most studies have been retrospective case series with few patients. The authors present a comparative analysis of patients undergoing tibiotalocalcaneal (TTC) arthrodesis via a retrograde intramedull... |
0 | Critical care use during the course of serious illness | HipFx Supplemental Cost Analysis | Despite its expense and importance, it is unknown how common critical care use is. We describe longitudinal patterns of critical care use among a nationally representative cohort of elderly patients monitored from the onset of common serious illnesses. A retrospective population-based cohort study of elderly patients i... |
0 | Enhanced MR imaging of the shoulder, and sternoclavicular and acromioclavicular joint arthritis in primary hemochromatosis | PJI DX Updated Search | Shoulder arthritis is a common feature of hemochromatosis. However, a combination of sternoclavicle (SC) and acromioclavicular (AC) joint involvement associated with shoulder is uncommonly seen. We describe the MR imaging findings of the shoulder and SC and AC joint in a patient with primary hemochromatosis. MRI of the... |
0 | Complications following palmar plate fixation of distal radius fractures: A review of 665 cases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Palmar plate fixation of unstable distal radial fractures is quickly becoming the standard treatment for this common injury. The literature reporting complications consists mainly of isolated case reports or small case series. Method: Between February 2004 and December 2009 palmar plate fixation was perfo... |
0 | Modified Hughes flap: division at 7 days | Upper Eyelid and Brow Surgery | PURPOSE: To report the outcome of early division of the tarsoconjunctival pedicle of a modified Hughes flap at 1 week after the primary operation. DESIGN: Noncomparative, interventional, prospective case series. PARTICIPANTS: Twenty-nine eyelids of 29 consecutive patients operated using the modified Hughes flap and ful... |
0 | Current concepts in the treatment of hip fracture | Management of Hip Fractures in the Elderly | Clinicians involved in the care of hip fracture patients should move away from using treatments based on historical practices or local preferences, to those that are derived from careful evaluations and summaries of all previous medical research on that topic. For the busy clinician the use of summary articles, reviews... |
0 | Current status of stem cell transplantation for multiple myeloma | MSTS 2018 - Femur Mets and MM | Stem cell transplantation for myeloma has become a standard of care for newly diagnosed patients. Current evidence favors tandem transplants for those patients not achieving a complete or very good partial response (<90%) after the first transplant. Transplantation is safe and has been shown to prolong survival even in... |
0 | Effects of oral alendronate and intranasal salmon calcitonin on bone mass and biochemical markers of bone turnover in postmenopausal women with osteoporosis | Management of Hip Fractures in the Elderly | The main objective of this study was to determine the effect of daily oral alendronate treatment on bone mass in postmenopausal women affected by osteoporosis. The efficacy of intranasal salmon calcitonin was also examined. Nine centers in Italy enrolled 286 postmenopausal women between the ages of 48 and 76 with spina... |
0 | Failure of knee arthroplasty secondary to inadequate technique in cephalomedullary nailing of a subtrochanteric hip fracture | Management of Hip Fractures in the Elderly | A case of total knee replacement loosening caused by a failed cephalomedullary nail is presented. The nail was inserted for the treatment of an unstable subtrochanteric femoral fracture. The distal locking screw of the nail subsequently fractured allowing the leg to shorten and causing the nail to displace the femoral ... |
0 | The effects of femoral component design on the patello-femoral joint in a PS total knee arthroplasty | PJI DX Updated Search | INTRODUCTION: Anterior knee pain following TKA performed utilizing the PFC Sigma system still represents a cause of failure. The purpose of this study was to evaluate whether or not a recent change in the femoral design (PFC Sigma PS) had a positive impact on the patello-femoral complication rate. MATERIALS AND METHODS... |
1 | Multimodal analgesia for controlling acute postoperative pain | AAHKS (4) Acetaminophen | Purpose of review: Multimodal analgesia is needed for acute postoperative pain management due to adverse effects of opioid analgesics, which can impede recovery; a problem that is of increasing concern with the rapid increase in the number of ambulatory surgeries. Yet, the literature on multimodal analgesia often shows... |
0 | Role of C-X-C chemokine ligand 12/C-X-C chemokine receptor 4 in the progression of hepatocellular carcinoma | MSTS 2018 - Femur Mets and MM | The efficacy of the current non-surgical treatments for advanced hepatocellular carcinoma (HCC) remains limited and novel treatments are required to improve patient outcomes. The majority of HCCs develop from chronically damaged tissue that contains a high degree of inflammation and fibrosis, which promotes tumor progr... |
0 | Transformation of an alkylating regimen of thiotepa into tepa determines disease progression through GSTP1 gene polymorphism in metastatic breast cancer patients receiving thiotepa-containing salvage chemotherapy | MSTS 2022 - Metastatic Disease of the Humerus | Background: The shifts to second-line chemotherapy for metastatic breast cancer (MBC) were widely required based on pharmaceutical molecular profiles to reach out precision medicine. The emerging precise treatment of cancer requires the implementation of clarified pharmacogenetic profiles which are capable of elucidati... |
0 | Low dose tranexamic acid reduces blood transfusion rate after total knee arthroplasty: A population-based study in Taiwan | PJI DX Updated Search | BACKGROUND/PURPOSE: Previous reports, mostly small clinical trials conducted in USA or Europe, indicated that tranexamic acid (TXA) would be effective for reducing blood transfusions after total knee arthroplasty (TKA). However, large scale studies are needed regarding the effectiveness and safety issue of complication... |
0 | Factors predicting knee function in patients with meniscal lesions | AMP (Acute Meniscal Pathology) | The relationships between the magnitude of strength and muscle activation (EMG activity) deficits during maximal isokinetic knee movements and clinical and anthropometric factors (pain, effusion, type of meniscal lesion, degenerative changes, duration of symptoms and age) were studied in a group of 34 patients 5 days (... |
0 | Physical and Occupational Therapy Use and Cost After Common Hand Procedures | Distal Radius Fractures | PURPOSE: The use of routine physical therapy (PT) and occupational therapy (OT) after certain hand procedures, such as carpal tunnel release, remains controversial. The objective of this study was to evaluate baseline use, the change in use, variation in prescribing patterns by region, and costs for PT/OT after common ... |
0 | Age delays the recovery of distal motor latency after carpal tunnel syndrome surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Studies have shown slow healing of peripheral nerve injury in elderly patients. Carpal tunnel syndrome (CTS) is the most frequent compressive mononeuropathy, affecting mostly older people and females. Few studies have assessed electrophysiological differences between younger and older patients. We aimed to ... |
1 | High dose dexamethasone offers better postoperative analgesia than dexmedetomidine when added to intra articular ropivacaine following knee arthroscopic surgery | AAHKS (8) Anesthetic Infiltration | Objective: Adequate pain relief after knee arthroscopy reduces surgical stress response and postoperative morbidity and improves recovery and rehabilitation. The objective of our study was to compare the duration of postoperative analgesia produced by high dose with that of low dose dexamethasone when added to dexmedet... |
0 | A Comparison of Pediatric vs. Adult Patients with the Ewing Sarcoma Family of Tumors | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: This study sought to identify differences in clinical characteristics, outcomes, and treatments between adult and pediatric patients with the Ewing sarcoma family of tumors (ESFT).
METHODS: By using the Surveillance, Epidemiology, and End Results database from 1983 to 2013, 1,870 patients were analyzed (n = 97... |
0 | The burch-schneider antiprotrusio cage in acetabular revision surgery: A mean follow-up of 12 years | Management of Hip Fractures in the Elderly | A total of 38 acetabular revisions using a Burch-Schneider antiprotrusio cage in 37 patients (18 women and 19 men), with a mean age at surgery of 75 years (range, 55-88 years), were evaluated retrospectively with a mean follow-up of 12 years (range, 8-21 years). In 2 cases with total hip dislocation and in 1 case with ... |
0 | Multivariate analysis of dissemination relapse of medulloblastoma and estimation of its time parameter for craniospinal irradiation | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: To examine in retrospect prognostic factors influencing meningeal dissemination relapse of medulloblastoma (MB) and to estimate time parameter ?/a of the biologically effective dose for fractionated craniospinal irradiation (CSI). Materials and Methods: Fifty-eight patients with MB who had been treated at our ... |
0 | Evaluating outcome of distal tibia and fibula fractures treated with intra medullary nailing | DoD SSI (Surgical Site Infections) | Choice of best treatment in tibiofibular fractures should be based on many affecting factors such as age, wound contamination's, presence of associated conditions and availability of stabilization devices. This study is aimed to evaluating outcome of distal tibia and fibula fractures treated with intra medullary nailin... |
0 | Incidence, predictive factors, and prognosis of chondrosarcoma in patients with Ollier disease and Maffucci syndrome: an international multicenter study of 161 patients | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Enchondromatosis is characterized by the presence of multiple benign cartilage lesions in bone. While Ollier disease is typified by multiple enchondromas, in Maffucci syndrome these are associated with hemangiomas. Studies evaluating the predictive value of clinical symptoms for development of secondary cho... |
0 | The Charnley-Hastings bipolar prosthesis in femoral neck fractures - a study of dynamic motion | Management of Hip Fractures in the Elderly | Fourteen patients who had a Charnley-Hastings bipolar prosthesis inserted for a fracture of the neck of the femur underwent a fluoroscopic assessment of the prosthesis while walking on a treadmill at an average of 24 months (range 8-48 months) post-insertion. This motion was compared with static weight-bearing and non-... |
0 | Milnacipran for Chronic Pain in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | If you are in this study, you will be placed in one of two study groups: one group will receive the study drug and one will receive a placebo. You will be assigned a study group by chance using a process similar to the flip of a coin. At the first visit (week one) we will review and sign the informed consent, obtain yo... |
0 | Is hyaluronate sodium effective in the management of knee osteoarthritis? A placebo-controlled double-blind study | OAK 3 - Non-arthroplasty tx of OAK | AIM: The aim of this study was to investigate the effect of intraâ?articular hyaluronic acid (HA) injection on pain and function in knee osteoarthritis (OA). METHODS: Fourtyâ?eight patients with knee OA were included in this study. The patients were randomized into two groups: one group received HA injections (averag... |
0 | A lateral approach defect closure technique with deep fascia flap for valgus knee TKA | AMP (Acute Meniscal Pathology) | BACKGROUND: Routinely, we use a midline skin incision and lateral parapatellar approach of the knee to perform valgus knee TKA (total knee arthroplasty). It is generally very difficult to close the lateral capsular defect after valgus knee TKA, especially for severe valgus and flexion knee deformity.
METHODS: We descri... |
0 | Race and sex differences in mortality following fracture of the hip | Management of Hip Fractures in the Elderly | This paper describes the all-cause mortality experience, following a fracture of the hip, of 712,027 persons covered by the Medicare program from 1984 through 1987. White women experienced the lowest mortality rate (17.2 per 1000 person-months), followed by Black women (22.9 per 1000 person-months), Black men (33.5 per... |
0 | Midterm results of osteochondral allograft transplantation to the humeral head | AMP (Acute Meniscal Pathology) | BACKGROUND: This study evaluated clinical outcomes of osteochondral allograft (OCA) transplantation for humeral head osteochondral defects. We hypothesized that patients with isolated humeral head disease would achieve favorable results and that patients with bipolar disease would experience inferior outcomes.
METHODS:... |
1 | Clinical effect of meniscus tear repair surgery by arthroscopy | AMP (Acute Meniscal Pathology) | An analysis of the clinical effect of arthroscopy as guidance in repair surgery for meniscus tear to accelerate physical recovery. Method: 3100 patients who underwent meniscus tear surgery with arthroscopic aid in various hospitals from Feb 2012 to July 2014 were followed up after 1-year to observe the postoperative cl... |
1 | Reduced morphine consumption and pain intensity with local infiltration analgesia (LIA) following total knee arthroplasty: A randomized double-blind study involving 48 patients | AAHKS (8) Anesthetic Infiltration | Background and purpose Postoperative pain is often severe after total knee arthroplasty (TKA). We investigated the efficacy of the local infiltration analgesia (LIA) technique both intraoperatively and postoperatively. Methods 48 patients undergoing TKA were randomized into 2 groups in a double-blind study. In group A ... |
0 | Hydroxyapatite-coated total hip femoral components in patients less than fifty years old. Clinical and radiographic results after five to eight years of follow-up | Management of Hip Fractures in the Elderly | One hundred and thirty-three patients (152 hips) who were an average of thirty-nine years old (range, sixteen to forty-nine years old) received a proximally hydroxyapatite-coated femoral prosthesis as part of a total hip arthroplasty and were followed for a minimum of five years (average, 6.4 years; range, five to 8.3 ... |
0 | Colles' fracture of the wrist as an indicator of underlying osteoporosis in postmenopausal women: a prospective study of bone mineral density and bone turnover rate | Distal Radius Fractures | Colles' fracture has been shown to be associated with an increased risk of hip fracture. The incidence of low bone mineral density (BMD) and high bone turnover in such patients is uncertain. The aim of this study was to prospectively assess BMD and bone turnover in a cohort of consecutive postmenopausal Colles' fractur... |
0 | Osteochondral transplantation to treat osteochondral lesions in the elbow | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Effective treatment of osteochondral lesions in the elbow remains challenging. Arthroscopic debridement and microfracture or retrograde drilling techniques are often insufficient and provide only temporary symptomatic relief. The purpose of this study was to evaluate the treatment of these lesions with oste... |
0 | Intra-articular use of a medical device composed of hyaluronic acid and chondroitin sulfate (Structovial CS): effects on clinical, ultrasonographic and biological parameters | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: This pilot open noncontrolled study was designed to assess the efficacy of intra-articular injections of a solution combining hyaluronic acid (HA) and chondroitin sulphate (CS) in the treatment of outpatients affected by knee osteoarthrosis.
FINDINGS: Thirty patients with knee OA have been included. The pri... |
0 | Salter-Harris type III fracture-dislocation of the proximal humerus | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Salter-Harris type III fractures of the proximal humerus are rare injuries. We report a Salter-Harris type III anterior fracture-dislocation of the proximal humerus in a 10-year-old boy that was open reduced and internally stabilized. A bone scan performed during the initial hospitalization and at 2-year follow-up reve... |
0 | Intracranial aneurysms presenting with mass effect over the anterior optic pathways: neurosurgical management and outcomes | Upper Eyelid and Brow Surgery | OBJECT: Intracranial aneurysms may grow closer to anterior optic pathways, causing mass effect over these anatomical structures, including visual deficit. The authors retrospectively reviewed a series of aneurysms in patients presenting with visual field deficit caused by mass effect, to analyze the aneurysm's characte... |
1 | The role of eccentric and offset humeral head variations in total shoulder arthroplasty | Glenohumeral Joint OA | BACKGROUND: Humeral head variations were developed based on anatomic and biomechanical advantages; however, the effect of this expanded prosthetic inventory has yet to be investigated clinically. This study seeks to determine whether prosthetic variety has led to better outcomes, has led to similar outcomes facilitatin... |
1 | Risk factors for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Between September 1983 and July 1985, a case-control study was performed of carpal tunnel syndrome risk factors in the general population of Maastricht, The Netherlands, and some surrounding villages. Twenty-eight of the 501 participants were found to suffer from carpal tunnel syndrome. These 28 were added to a series ... |
0 | Vitamin D, race, and experimental pain sensitivity in older adults with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Low circulating serum levels of 25-hydroxyvitamin D (referred to hereafter as vitamin D) have been correlated with many health conditions, including chronic pain. Recent clinical practice guidelines define vitamin D levels <20 ng/ml as deficient and levels of 21-29 ng/ml as insufficient. Vitamin D insufficie... |
0 | Quadriceps strength in relation to total knee arthroplasty outcomes | Surgical Management of Osteoarthritis of the Knee CPG | After total knee arthroplasty, quadriceps femoris muscle strength is an important determinant of physical function. Quadriceps weakness is often present in the osteoarthritic limb and worsens after total knee arthroplasty. Although some quadriceps strength is regained, it may take more than 2 years to achieve preoperat... |
0 | Epidemiology of osteoporosis and osteoporotic fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Osteoporosis and associated fractures are common in Western countries, especially among elderly white women. In the United States alone, the total cost of osteoporosis and osteoporotic fractures was estimated to be 6.1 billion dollars in 1983. In addition to enormous economic costs, these fractures cause considerable d... |
0 | Paediatric lateral condyle fractures of the distal humerus | Pediatric Supracondylar Humerus Fracture 2020 Review | Lateral humeral condyle fractures are the most common intra-articular fracture of the skeletally immature elbow and the second most common elbow fracture in children (approximately 16%). Inadequately treated fractures can lead to non-union and growth disturbance which results in deformity and loss of function. Controve... |
0 | Acquired lymphoedema and cutaneous lymphangiectasia of abdominal skin following bilateral breast reduction and abdominoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | We report two cases where the combination of breast reduction surgery and abdominoplasty led to lymphatic congestion clinically manifesting as lymphoedema and acquired cutaneous lymphangiectasia over the abdomen. These associations have not been previously reported, and clinicians need to be aware of them to obtain pat... |
0 | Different intraoperative kinematics, stability, and range of motion between cruciate-substituting ultracongruent and posterior-stabilized total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The aim of this study was the comparison of intraoperative kinematics, stability, and range of motion (ROM) between the native osteoarthritic knee and cruciate-substituting fixed-bearing total knee arthroplasty (TKA) using both an ultracongruent (UC) and a posterior-stabilized (PS) insert design in the same pa... |
0 | Quality of life in patients with peripheral neuropathic pain | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Neuropathic pain (NP) is a common condition but its impact on quality of life (QoL) has not been explored in detail. While many QoL studies have been performed in patients with diabetic NP, data from mononeuropathies and monoradiculopathies are scanty. We explore QoL measures in different peripheral NP conditions and t... |
1 | Comparing the effects of femoral nerve block versus femoral and sciatic nerve block on pain and opiate consumption after total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | The goal of this study was to compare femoral and femoral plus sciatic nerve blocks in the postoperative pain management of patients undergoing total knee arthroplasty (TKA). A total of 97 patients participated in a convenience sample, comparative study. Patients who received femoral nerve block only (n = 30) reported ... |
0 | Functional outcome of diaphyseal tibial fractures treated by intramedullary interlocking Nail, LUMHS experience | DoD SSI (Surgical Site Infections) | Objective: To evaluate the functional outcome of Diaphyseal Tibial Fractures treated by Intramedullary interlocking nail by looking at the rate of infection, time of union and knee range of motions." Study Design: Non randomized controlled trial." Place and Duration of Study: This study was conducted at the Orthopedic ... |
0 | Comparison of gene expression profiles between normal and sclerosis regions of human osteoarthritic subchondral bone | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Osteoarthritis (OA) is the most prevalent form of arthritis and is characterized primarily by the degeneration of cartilage and subchondral bone remodeling. Recently, increasing evidences support the involvement of subchondral bone in the cartilage destruction. However, methods of extracting good quality RNA f... |
0 | In-vivo function of the thumb muscles | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective. The purpose of this study is to quantify the electrical activity of the thumb muscles responsible for the production of force in different directions of thumb movement. Design. The isometric forces and electromyographic activity generated by seven thumb muscles were measured on five normal healthy test subje... |
0 | The management of osteoporosis following hip fracture: have we improved our care? | Management of Hip Fractures in the Elderly | To determine if physicians have improved the recognition and treatment of osteoporosis in patients with an acute hip fracture, we performed a retrospective analysis of discharge data from 1995 and 2000 at the University of Pittsburgh Medical Center, a large tertiary care, academic institution. We examined patients admi... |
0 | Clear cell chondrosarcoma of bone: long time follow-up of 18 cases | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: Clear cell chondrosarcoma is a variant of conventional chondrosarcoma behaving as low grade malignant bone tumor. We reviewed our cases of clear cell chondrosarcoma with the aim to assess the best diagnostic and curative approach to this rare tumor.
MATERIALS AND METHODS: We report 18 cases of clear cell ... |
1 | Comparison of two home care protocols for total joint replacement | Management of Hip Fractures in the Elderly | OBJECTIVES: To examine the effect of a more-efficient home care protocol to manage total joint replacement (TJR) patients after surgery.DESIGN: A randomized trial of two home care protocols for TJR management.SETTING: A hospital-affiliated home healthcare agency in a large midwestern city.PARTICIPANTS: Medicare-eligibl... |
0 | Baseline and follow-up characteristics of participants and nonparticipants in a randomized clinical trial of multifactorial fall prevention in Denmark | Management of Hip Fractures in the Elderly | OBJECTIVES: To address the external validity of a trial of multifactorial fall prevention through an analysis of differences between participants and nonparticipants regarding socioeconomic and morbidity variables. DESIGN: Analysis of nonresponse in a randomized clinical trial. SETTING: Geriatric outpatient department.... |
0 | Bilateral atypical femoral fractures in a patient with multiple myeloma treated with intravenous bisphosphonate therapy | MSTS 2018 - Femur Mets and MM | Bisphosphonates are currently the standard approach to managing bone disease in multiple myeloma. Bisphosphonates have high bone affinity that inhibits osteoclastic activity and additionally reduces the growth factors released from malignant or osteoblastic cells, thereby impairing abnormal bone remodeling which leads ... |
0 | Use of hip and knee clinical scoring systems in prosthesis surgery in Norwegian hospitals | Surgical Management of Osteoarthritis of the Knee CPG | In a postal survey of all orthopaedic surgery departments performing total hip or knee replacements in Norway, we inquired about the use of hip or knee scoring systems and their impact. All 63 eligible hospitals responded to the questionnaire. Thirteen (21%) reported routine use of hip clinical scoring systems, and fiv... |
0 | Anaesthesia for total knee arthroplasty: efficacy of single-injection or continuous lumbar plexus associated with sciatic nerve blocks--a randomized controlled study | AAHKS (8) Anesthetic Infiltration | Total knee arthroplasty (TKA) often results in marked postoperative pain. We compared in a randomized controlled study tramadol consumption, postoperative pain and patient satisfaction after primary TKA in patients who received a single injection lumbar plexus and sciatic nerve blocks or a continuous lumbar plexus and ... |
0 | Anatomic localization of the popliteal artery at the level of the knee joint: a magnetic resonance imaging study | AMP (Acute Meniscal Pathology) | PURPOSE: The anatomic localization of the popliteal artery in the mediolateral plane at the level of the joint line was investigated on axial knee magnetic resonance imaging (MRI) scans to study anatomic variations.
METHODS: The transverse and central axes were described on axial MRI scans of 334 knees. The distance be... |
1 | PC-Fix and local infection resistance--influence of implant design on postoperative infection development, clinical and experimental results | DoD SSI (Surgical Site Infections) | Bacterial infection is still one of the main complications after internal fixation of fractures. The design of implants influences local infection resistance. To reduce the development of infections around implants after internal fixation, the vitality of the bone should be preserved to optimize cellular and humoral ho... |
1 | The Well-Being of Australian Service Mothers | DoD PRF (Psychosocial RF) | In recent years servicewomen with dependent children have for the first time in history been deployed into conflict zones in support of Australian Defence Force operations. This represents a significant social change, and the implications of deployment on the health of these service mothers are not fully understood. Da... |
0 | The Porous-Coated Anatomic total knee experience. Special emphasis on complications and wear | Surgical Management of Osteoarthritis of the Knee CPG | One hundred sixty knees in 141 patients with the Primary Porous-Coated Anatomic prosthesis (Howmedica, Rutherford, NJ) were evaluated after a follow-up period of 5.6 years (range, 1-10 years). One hundred six knees were in the latest follow-up evaluation, including clinical examination and a defined standing radiograph... |
1 | The influence of job satisfaction, burnout, pain, and worker's compensation status on disability after finger injuries | DoD PRF (Psychosocial RF) | PURPOSE: Motivation, job satisfaction, burnout, and secondary gain are factors that can influence return to work and disability after orthopedic injuries. The current study evaluated the separate effects of job satisfaction, burnout, and secondary gain on arm-specific disability after a finger injury. METHODS: Ninety-t... |
0 | Transperitoneal removal of an intrapelvic acetabular component after total hip replacement and salvage of a destroyed acetabulum | Management of Hip Fractures in the Elderly | Intrapelvic migration of the acetabular component of a total hip replacement, with severe acetabular destruction making reconstruction impossible, is very rare. We present a patient in whom the component was removed using a laparotomy and a transperitoneal approach with subsequent salvage using a saddle prosthesis and ... |
0 | Evaluation of dynamic hip screw blade in extracapsular fracture neck of femur in the elderly | Hip Fx in the Elderly 2019 | Introduction: Intertrochanteric fractures account for 50% of all fractures of the proximal femur, the average age of incidence being 66 to 77 years. Dynamic Hip Screw (DHS) fixation is considered to be one of the standard treatments of trochanteric fractures. The most common mode of failure with the DHS is cut-out of t... |
0 | Evolution and healing of fragility fractures of the proximal femur | Hip Fx in the Elderly 2019 | After a traumatic fracture a physiological process begins to heal the fracture. The steps of the process are inflammation, granulation, formation of fibrous callus and finally bone. There are many factors that may influence the healing of the fracture: adequate blood supply, good contact between bone fragments, good st... |
0 | Rheumatoid adipose tissue is a potent source of cytokines | Surgical Management of Osteoarthritis of the Knee CPG | Objectives : Numerous cytokines and adipokines have a fundamental role in synovial inflammation and articular destruction characteristic of rheumatoid arthritis (RA). Cytokines are thought to originate from inflamed synovial tissue. Recently, adipose tissue has been suggested to play a role in chronic inflammatory join... |
0 | Differences in component and limb alignment between computer-assisted and conventional surgery total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Marked coronal femoral bowing may bear a risk for mal-alignment of femoral component and reconstructed mechanical axis (MA) by using conventional instrumentations. The aim of this study was to investigate the usefulness of computer-assisted surgery-total knee arthroplasty (CAS-TKA) under this circumstance. MET... |
0 | The dissection of the rectus abdominis myocutaneous flap with complete preservation of the anterior rectus sheath | Reduction Mammoplasty for Female Breast Hypertrophy | Harvesting the rectus abdominis myocutaneous flap results in defects in both the rectus abdominis muscle and the anterior rectus sheath, which may be circumvented by dissecting a perforator flap (DIEP flap) instead. However, the latter is associated with a reduction in the number of myocutaneous perforators nourishing ... |
0 | Single-dose irradiation of painful bone metastases is as effective as multiple fractions. Outcome of the Dutch Bone Metastasis Study | MSTS 2022 - Metastatic Disease of the Humerus | Objective. To determine whether a single fraction of radiotherapy is as effective as multiple fractions for the palliation of painful bone metastases. Design. Prospective, randomised, open. Patients and method., In the period from 1 March 1996 to 31 August 1998, patients with painful bone metastases were randomised bet... |
0 | Gastrointestinal tolerability and efficacy of 2-isopropyl-5-methylphenol in the treatment of osteoarthritis in an animal model | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE To evaluate the gastrointestinal (GI) tolerability and efficacy of 2-isopropyl-5-methylphenol in the treatment of osteoarthritis (OA) in a rabbit model. METHOD A study was conducted on 28 healthy male albino rabbits, aged 6â??8 months, which were divided into four groups randomly. Group A was a healthy contro... |
0 | Calcar femorale grafting in the hemiarthroplasty of the hip for unstable inter trochanteric fractures | Hip Fx in the Elderly 2019 | BACKGROUND: The sliding screw-plate devices and cephalo-medullary nail devices have performed well in stable inter-trochanteric fractures in patients with reasonably good quality of bone. However, their suboptimal performance in comminuted fractures in the presence of osteoporotic bone has prompted many surgeons to con... |
0 | Parathyroid hormone and bone metabolism in kidney-transplanted patients | Management of Hip Fractures in the Elderly | BACKGROUND: Decreases in bone mass and increased susceptibility to fractures are well-recognized complications in organ transplants. SUBJECTS AND METHODS: We performed a cross-sectional study on 60 patients (40 males, 20 females, mean age 43.2 +/- 1.06, SE range 22 - 70) who underwent kidney transplantation (KTX) 55.6 ... |
0 | Lower limb proximal amputation for a tumour: A retrospective study of 12 patients | MSTS 2018 - Femur Mets and MM | Objective: To analyse survival, prosthetic fitting and functional status after trans-femoral amputation or hip disarticulation for a primitive tumour. Methods: Retrospective study of all patients admitted since 1985. Results: Mean age at amputation was 55. Causes of amputation were osteosarcoma in 50%. Eight (8) patien... |
0 | Chronic Kidney Disease Worsens Health Outcomes in Diabetic Patients After Hip Fracture Surgery: An Asian Nationwide Population-Based Cohort Study | DoD SSI (Surgical Site Infections) | There is an increased tendency for hip fractures in patients with chronic kidney disease (CKD). Although surgery is the mainstay of treatment for hip fractures, there is scant information on outcomes after hip fracture surgery in diabetic patients at different stages of CKD. In this population-based cohort study, we co... |
0 | Emergency stent-graft implantation for iatrogenic peripheral arterial rupture | MSTS 2018 - Femur Mets and MM | We evaluated the experience with and efficacy of stent-grafting for iatrogenic peripheral arterial ruptures. From 2005 to 2009 we performed stent-grafting on four male patients (age 38-67 years) with iatrogenic peripheral arterial ruptures. In patient 1, grointissue necrosis followed a subcutaneous injection and led to... |
0 | CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: Technical outcome and complications in 29 patients | MSTS 2018 - Femur Mets and MM | PURPOSE We aimed to assess the safety and technical outcome of computed tomography (CT) fluoroscopy-guided osteoplasty with or without prior percutaneous radiofrequency ablation (RFA) in patients with painful osteolyses. METHODS We performed a retrospective analysis of 29 patients with painful extraspinal and spinal os... |
1 | Plates versus external fixation in severe open tibial shaft fractures. A randomized trial | DoD SSI (Surgical Site Infections) | A prospective study of 59 patients with Grade II or III open tibial shaft fractures compared internal and external fixation. Bony stabilization was with plating by AO principles or with external fixation with the one-half pin technique, prospectively randomized. In 12 cases, minimal internal fixation of the tibia and e... |
0 | Spotlight on avian pathology: current growth-related breast meat abnormalities in broilers | Reduction Mammoplasty for Female Breast Hypertrophy | Selection for fast-growing and high-breast-yield hybrids has enormously increased the pressure on muscle development rate and mass, indirectly promoting the development of muscular abnormalities affecting the pectoral muscles such as White Striping, Wooden Breast and Spaghetti Meat. Macroscopically, the muscles affecte... |
0 | Periodontal infections and pre-term low birth weight: a case-control study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: Pre-term delivery of low-birth-weight infants [pre-term low birth weight (PLBW)] remains a significant public health issue and a major cause of neonatal death and long-term health problems. There is a growing consensus that infections remote from fetal-placental unit may influence PLBW infants. Recent studie... |
0 | Partial two-stage exchange for infected total hip arthroplasty: a preliminary report | PJI DX Updated Search | BACKGROUND: One common approach to the infected total hip arthroplasty (THA) calls for a staged revision, including removal of all components. However, removal of well-fixed femoral components can result in bone loss and compromised fixation; it is not known whether it is effective to leave a well-fixed femoral compone... |
0 | Taste, olfactory and food texture reward processing in the brain and obesity | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Complementary neuronal recordings and functional neuroimaging in humans, show that the primary taste cortex in the anterior insula provides separate and combined representations of the taste, temperature and texture (including fat texture) of food in the mouth independently of hunger and thus of reward value and pleasa... |
0 | Epidemiologic Aspects of Medical Retirement from the Republic of Korea Army due to Visual Impairment | Upper Eyelid and Brow Surgery | This study was done to report the epidemiologic characteristics of medical retirement from the Republic of Korea (ROK) Army due to visual impairment and to suggest a practical screening system for the draft. The medical records of 423 eyes of 301 patients who retired from the ROK Army due to visual impairment were revi... |
0 | Acute Management of Traumatic Knee Dislocations for the Generalist | DOD - Acute Comp Syndrome CPG | Acute knee dislocations are an uncommon injury that can result in profound consequences if not recognized and managed appropriately on presentation. Patients presenting with knee pain in the setting of high- or low-energy trauma may have sustained a knee dislocation that spontaneously reduced. Prompt reduction of the d... |
0 | Operative arthroscopy of the ankle. Three years' experience | Diagnosis and Treatment of Osteochondritis Dissecans AUC | This is a preliminary report on 15 cases of surgical arthroscopy of the ankle performed between 1979 and 1983. Age range of the patients was from 14 to 35 years. Follow-up examinations were performed between six months and two and one-half years after surgery, with an average of 14 months. The indications were pain or ... |
1 | Longitudinal effects of mild traumatic brain injury and posttraumatic stress disorder comorbidity on postdeployment outcomes in national guard soldiers deployed to Iraq | DoD PRF (Psychosocial RF) | CONTEXT: Troops deployed to Iraq and Afghanistan are at high risk for exposure to combat events resulting in mild traumatic brain injury (MTBI) or concussion and posttraumatic stress disorder (PTSD). The longer-term impact of combat-related concussion/MTBI and comorbid PTSD on troops' health and well-being is unknown.
... |
0 | Robotic simple prostatectomy plus panniculectomy and Giant umbilical hernia repair | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Simple prostatectomy is the gold standard for prostates >80 grams, robotic system has proven to help into speed the recovery of the patient and in morbid obesity the advantages of the robotic system can help to perform a successful surgery. CASE: 80 years old male with morbid obesity (BMI 45) and several ... |
1 | Outpatient lipoabdominoplasty: review of the literature and practical considerations for safe practice | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Lipoabdominoplasty, popularized by Saldanha et al in 2001, is a powerful technique to contour the abdomen and flanks. It has not gained widespread use as concerns exist about increased complications related to wound healing and thromboembolism. OBJECTIVES: The authors review the existing literature on lipoa... |
0 | Vitamin D: Pharmacokinetics and safety when used in conjunction with the pharmaceutical drugs used in cancer patients: A systematic review | MSTS 2018 - Femur Mets and MM | Vitamin D has reported anti-cancer and anti-inflammatory properties modulated through gene transcription and non-genomic signaling cascades. The purpose of this review was to summarize the available research on interactions and pharmacokinetics between vitamin D and the pharmaceutical drugs used in patients with cancer... |
0 | The impact of acceptance of disability and psychological resilience on post-traumatic stress disorders in burn patients | DoD PRF (Psychosocial RF) | Objective To investigate the impact of acceptance of disability and psychological resilience on post-traumatic stress disorders (PTSD) in patients with burns. Methods A total of 127 patients with burns were asked to complete PTSD Checklist-Civilian Version, Acceptance of Disability Scale and Connor-Davidson Resilience ... |
0 | Primary infected abdominal aortic aneurysm: surgical procedures, early mortality rates, and a survey of the prevalence of infectious organisms over a 30-year period | PJI DX Updated Search | PURPOSE: The purpose of this study was to analyze the surgical procedures, culture results, and outcomes, and to survey the prevalence of the infectious organisms over a 30-year period in patients with a primary infected abdominal aortic aneurysm (PIAAA). METHODS: A total of 11 patients (1.8%) with PIAAA were surgicall... |
0 | Comparison of re-operation rates following primary and secondary hemiarthroplasty of the hip | Management of Hip Fractures in the Elderly | Primary arthroplasty or internal fixation are the most common ways of treating intracapsular femoral neck fractures, while arthroplasty is the preferred salvage treatment after failed internal fixation. A prospective registration of hip hemiarthroplasties between January 1998 and March 2002 identified 282 procedures fo... |
1 | Practical considerations in the anaesthetic management of patients during a COVID-19 epidemic | Coronavirus Disease 2019 (COVID-19) | We read with interest the excellent Association guidelines [1] for the anaesthetic management of patients during a COVID-19 outbreak. We concur with these guidelines, which are not dissimilar to our hospital's protocols since Singapore reported its first case of COVID-19 on 23 January 2020. To date, there have been 226... |
0 | Norcantharidin modulates the miR-30a/Metadherin/AKT signaling axis to suppress proliferation and metastasis of stromal tumor cells in giant cell tumor of bone | MSTS 2018 - Femur Mets and MM | Giant cell tumor of bone (GCTB) is a benign but locally aggressive tumor, which can cause significant bone destruction at the epiphysis of long bones. Recent studies have demonstrated that norcantharidin (NCTD) can inhibit the proliferation and migration of various human cancer cells, but the role of NCTD in GCTB has n... |
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