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0 | Neurophysiological changes in neurologically asymptomatic hypothyroid patients: a prospective cohort study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This is a prospective cohort study on neurologically asymptomatic patients with primary hypothyroidism. It was conducted to evaluate the frequency and pattern of neurophysiological changes in this group of patients. Twenty-three subjects were included over a period of 2(1/2) years. Neurophysiological evaluation include... |
0 | Dickkopf-1 as a potential therapeutic target in Paget's disease of bone | MSTS 2018 - Femur Mets and MM | Importance of the field: Wnt signalling plays a role in maintaining healthy bone mass. Dickkopf-1 (DKK-1) is a soluble inhibitor of Wnt signalling and its excessive expression contributes to bone loss in rheumatoid arthritis and multiple myeloma. New therapeutics have been developed for treatment of these conditions th... |
0 | Increasing demands on orthopedic services | Management of Hip Fractures in the Elderly | In Finland, waiting lists have been analyzed country-wide several times during the last two decades. In this presentation, the data obtained are reviewed. The orthopedic waiting lists grew threefold from 1969 to 1987, more rapidly than the total waiting list to hospitals in the country. Meanwhile, the average duration ... |
0 | Discharge Readiness after Tricompartment Knee Arthroplasty: Adductor Canal versus Femoral Continuous Nerve Blocks-A Dual-center, Randomized Trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND: The authors conducted a randomized, controlled, parallel-arm, superiority study to test the hypothesis that a continuous adductor canal block decreases the time to attain four discharge criteria compared with a continuous femoral nerve block after tricompartment knee arthroplasty.
METHODS: Subjects undergoi... |
0 | Characteristics and outcomes of patients with Ewing sarcoma over 40 years of age at diagnosis | MSTS 2022 - Metastatic Disease of the Humerus | Background: The peak incidence of Ewing sarcoma (EWS) is in adolescence, with little known about patients who are =40 years at diagnosis. We describe the clinical characteristics and survival of this rare group. Methods: This retrospective cohort study utilized the Surveillance Epidemiology and End Results database. 27... |
1 | The role of high tibial osteotomy in the treatment of knee laxity: a comprehensive review | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study is to review the indications for and outcomes of high tibial osteotomy in the treatment of patients with chronic knee laxity.
METHODS: A comprehensive literature review was performed to identify surgical indications and results of high tibial osteotomy for the treatment of chronic kne... |
0 | Greater first year effectiveness drives favorable cost-effectiveness of brand risedronate versus generic or brand alendronate: modeled Canadian analysis | Management of Hip Fractures in the Elderly | The RisedronatE and ALendronate (REAL) study provided a unique opportunity to conduct cost-effectiveness analyses based on effectiveness data from real-world clinical practice. Using a published osteoporosis model, the researchers found risedronate to be cost-effective compared to generic or brand alendronate for the t... |
0 | The influence of ambient theater temperature on cement setting time | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We have prospectively recorded ambient operating theater temperature from 186 total knee arthroplasties and the time taken for the cement to set at implantation. The majority of cases used Antibiotic Simplex cement (n = 131), and the rest, Simplex with tobramycin (n = 55). Set time was defined as when a no. 15 scalpel ... |
0 | Methicillin-resistant Staphylococcus aureus and infection control for restorative dental treatment in nursing homes | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in nursing home residents now averages 20-35%. This includes both numerous asymptomatic mostly unidentified carriers, and the occasional patient with an active infection. Among the most common sites for positive MRSA colonization are the nares and mou... |
0 | Can the Femoral Nerve Block be Improved by Ultrasound Guidance? | AAHKS (9/10) Regional Nerve Blocks | Studies have suggested a link with effective pain relief and reduced illness and death in very unwell patients. This study will determine the most effective method of injecting local anaesthetic around the nerves which supply the hip joint. Local anaesthetic will be injected around the hips nerve supply using either ul... |
0 | Kinematic posterior cruciate ligament-retaining total knee replacements. A 10-year survivorship study of 445 arthroplasties | Surgical Management of Osteoarthritis of the Knee CPG | Survival was tested in 445 primary Kinematic knee replacements performed between January 1981 and December 1990. Three criteria were applied to indicate failure: 1) revision or recommended revision, 2) presence of moderate to severe pain or revision, and 3) lost to follow-up or revision. Using these three criteria, the... |
0 | Proximal median nerve entrapment due to a CYST: An ultrasonographic diagnosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A ganglion cyst is a benign tumor-like mass which often occurs close to a joint or tendon sheath. It is most frequently located at the wrist, foot, ankle or knee joints. The probable etiologic factors are tenosynovitis and mechanical trauma. In this case, we present a peritendinous ganglion cyst pertaining to the dista... |
0 | Total knee arthroplasty with fully porous-coated stems for the treatment of large bone defects | PJI DX Updated Search | Between February1999 and April 2006, 25 patients (28 knees) underwent a TKA by a single surgeon. At an average final follow-up of 7+/-2years (range, 3-10years), 34 (100%) of 34 fully porous stems had achieved bone ingrowth. However, one case (3%) had a component loosening due to the de-bonding of sheets of beads from t... |
0 | Patellar tendinopathy: preliminary surgical results | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Calcific deposits (CaDs) may be related to chronic postoperative pain and may affect function after patellar tendon surgery.
STUDY DESIGN: Cross-sectional.
HYPOTHESIS: We hypothesized that patients with CaDs (+CaDs) would rate lower than those without (-CaDs) on measures of knee function and quality of life... |
0 | Pain management in total knee arthroplasty: efficacy of a multimodal opiate-free protocol | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: this study was conducted to identify the most effective method of postoperative pain management, comparing the intravenous opiate infusion protocol with the use of a single periarticular local anesthetic infiltration (LAI) in patients undergoing total knee arthroplasty (TKA) surgery.
METHODS: 50 patients submi... |
1 | Comparisons of external fixator combined with limited internal fixation and open reduction and internal fixation for Sanders type 2 calcaneal fractures: Finite element analysis and clinical outcome | DoD SSI (Surgical Site Infections) | OBJECTIVES: The aim of this study was to compare the biomechanical stability and clinical outcome of external fixator combined with limited internal fixation (EFLIF) and open reduction and internal fixation (ORIF) in treating Sanders type 2 calcaneal fractures.
METHODS: Two types of fixation systems were selected for f... |
0 | Escherichia coli - Marauding masquerading microbe | Glenohumeral Joint OA | BACKGROUND: Escherichia coli is a rare cause of monoarticular septic arthritis, but is an even rarer cause of polyarticular septic arthritis.
CASE DESCRIPTION: We report an unusual case of polyarticular septic arthritis with an atypical presentation caused by E. coli, the source of which was a left pyelonephritis. Our ... |
0 | Osteochondral and Meniscal Allograft Transplantation in the Football (Soccer) Player | Osteochondritis Dissecans 2020 Review | Knee injuries are common in football, frequently involving damage to the meniscus and articular cartilage. These injuries can cause significant disability, result in loss of playing time, and predispose players to osteoarthritis. Osteochondral allografting is an increasingly popular treatment option for osteoarticular ... |
1 | Outcome of closed reduction and casting in displaced supracondylar fracture of humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Supracondylar fracture of humerus in children is most common in first decade of life and needs proper management to prevent complications like cubitus varus, elbow stiffness and compartment syndrome. There are various treatment modalities i.e. traction, closed reduction and casting, open reduction and inter... |
0 | The efficacy of the A-V Impulse system in the treatment of posttraumatic swelling following ankle fracture: a prospective randomized controlled study | DoD SSI (Surgical Site Infections) | OBJECTIVES: To determine whether the use of the A-V Impulse "in-cast" system conveyed any clinical benefit in the treatment of post-traumatic swelling following ankle fracture.
DESIGN: A prospective randomised study comparing the effectiveness of the A-V Impulse "in-cast" system to that of elevation and plaster in the ... |
0 | The value of routine radiography in patients with knee osteoarthritis consulting primary health care: a study of agreement | Osteochondritis Dissecans 2020 Review | BACKGROUND: Radiography is often used routinely by the general practitioner (GP) in knee osteoarthritis (KOA), even though the diagnosis can be made based on clinical findings. However, radiography may also be requested when serious pathology is suspected. The agreement between the radiographic and the GPs clinical dia... |
0 | Validity and reliability of the Thai version of the barthel index for elderly patients with femoral neck fracture | Hip Fx in the Elderly 2019 | Background: Hip fracture is a common osteoporotic fracture that requires a specific outcome measurement tool to evaluate functional status. The authors aimed to develop the Thai version of the Barthel Index (TVBI) and to evaluate the validity and reliability of TVBI for assessment of elderly patients with femoral neck ... |
1 | Cervical spine injury in dismounted improvised explosive device trauma | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The injury pattern from improvised explosive device (IED) trauma is different if the target is in a vehicle (mounted) or on foot (dismounted). Combat and civilian first response protocols require the placement of a cervical collar on all victims of a blast injury. METHODS: We searched the Joint Theatre Trau... |
0 | Transition from Round to Shaped Implants in Immediate Breast Reconstruction: Our Preferred Approach and Clinical Outcomes | Acellular Dermal Matrix | BACKGROUND: Smooth, round, silicone implants predominate device-based breast reconstruction in the USA; despite their prevalence, complications can include bottoming out, superior contour deformity, rippling, and/or lateral malposition. This complication profile increases the need for revision surgery and subsequent pa... |
0 | Effect of Previous Posttraumatic Stress in the Perinatal Period | DoD PRF (Psychosocial RF) | OBJECTIVE: To review the extant literature on the effect of traumatic experiences that pre-date conception, pregnancy, and the postpartum period (perinatal period) and present a thematic overview of current issues in this relatively new area of inquiry.
DATA SOURCES: Electronic databases Cochrane, CINAHL, PsychINFO, an... |
0 | Impact of Preemptive Analgesia on inflammatory responses and Rehabilitation after Primary Total Knee Arthroplasty: A Controlled Clinical Study | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to investigate the effects of preemptive analgesia on the inflammatory response and rehabilitation in TKA. 75 patients with unilateral primary knee osteoarthritis were conducted in this prospective study. All patients were randomly divided into two groups (MMA with/without preemptive analgesia... |
1 | The optimal approach in hip hemiarthroplasty: a cohort of 1009 patients | Hip Fx in the Elderly 2019 | BACKGROUND: A hip hemiarthroplasty is the treatment of choice for a displaced femoral neck fracture in elderly patients not eligible for total hip arthroplasty. There is continuing debate about the optimal surgical approach for this operation, with the most commonly used approaches being posterior and lateral.
OBJECTIV... |
1 | Assessment of malnutrition in hip fracture patients: effects on surgical delay, hospital stay and mortality | Management of Hip Fractures in the Elderly | The importance of malnutrition in elderly hip fracture patients has long been recognised. All patients operated upon for a hip fracture over a five-year period were assessed according to two nutritional markers : a) serum albumin levels and b) peripheral blood total lymphocyte count. Patients were subdivided into group... |
0 | Dislocation After Total Hip Arthroplasty Using Hueter Anterior Approach | Management of Hip Fractures in the Elderly | A prospective study including 1764 hips has been carried out to evaluate the frequency of dislocation while using the Hueter anterior approach and the correlated factors. The dislocation group was compared with the patients without dislocation. We observed 27 dislocations (1.5%). The dislocation rate when using 28 mm h... |
0 | Acute Charcot arthropathy in patients with diabetes mellitus: healing times by foot location | DoD LSA (Limb Salvage vs Amputation) | Foot deformity and lower extremity dysfunction are debilitating complications of diabetes mellitus which often lead to significant permanent disability. Acute diabetic neuroarthropathy (Charcot arthropathy) directly leads to foot deformity, subsequent lower-extremity complications and may lead to lower-extremity amputa... |
0 | High tibial osteotomy for gonarthrosis | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of the investigation was to analyse the effect of high tibial osteotomy in different kinds, types and degrees of gonarthrosis, to assess the correlation between the results of operation and the correction of the deformity, and, finally, to define the indications of high tibial osteotomy in gonarthrosis as c... |
0 | Elbow injuries in athletes | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Throwing and racquet sports produce large stresses at the elbow joint consisting of tension on the medial or ulnar side, and compression on the lateral or radial side. Medial tension can lead to tears of the common flexor origin or medial collateral ligament, ulnar nerve subluxation, or pronator teres syndrome. Bony le... |
0 | The aging hip: St. Louis University Geriatric Grand Rounds | DoD PRF (Psychosocial RF) | The case of a 68-yr-old man illustrates the current state of the art in understanding and treating problems of the aging hip. Related topics include pathophysiology of hip fracture, osteoarthritis, and psychosocial issues associated with hip fracture. Cognitive dysfunction may be predictive of poor functional recovery,... |
1 | Repair integrity and clinical outcome after arthroscopic rotator cuff repair using single-row anchor fixation: a prospective study of single-tendon and two-tendon tears | Optimizing the Management of Full-Thickness Rotator Cuff Tears | This prospective study determined whether single-row anchor fixation would reliably improve clinical outcome and maintain structural integrity after arthroscopic repair of single-tendon and 2-tendon rotator cuff tears. In 39 patients, 21 shoulders had single-tendon tears and 18 had 2-tendon tears. Mean follow-up was 38... |
0 | Dosing of zoledronic acid throughout the treatment continuum in breast cancer | MSTS 2018 - Femur Mets and MM | Several bisphosphonates including zoledronic acid (ZOL) are approved for treating bone metastases from breast cancer (BC). Recent trials demonstrated that ZOL prevents bone loss and reduces disease recurrence in early BC. This review uses pharmacodynamic, efficacy, and safety data from phase III trials of ZOL in early ... |
0 | Oncoplastic breast conservation surgery: The new paradigm | Reduction Mammoplasty for Female Breast Hypertrophy | Oncoplastic surgery combines plastic surgical techniques with sound surgical oncologic principles. The goal is to completely excise the cancer, with wide surgical margins while maintaining or improving cosmesis. For large, poorly defined, or unfavorably situated tumors, standard lumpectomies may lead to unacceptable co... |
0 | The effect of step length on young and elderly women's ability to recover balance | Management of Hip Fractures in the Elderly | Background: Stepping is a common technique for balance recovery. Previous studies have shown that elderly adults are less able than young adults to recover balance by stepping, apparently due to reductions in step length and step speed. We sought to clarify these relations by testing the hypothesis that step length and... |
0 | High resolution imaging of tunnels by magnetic resonance neurography | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Peripheral nerves often traverse confined fibroosseous and fibro-muscular tunnels in the extremities, where they are particularly vulnerable to entrapment and compressive neuropathy. This gives rise to various tunnel syndromes, characterized by distinct patterns of muscular weakness and sensory deficits. This article f... |
0 | Morphological and morphometrical analysis of radial fossa of humerus bone and its clinical implications | Pediatric Supracondylar Humerus Fracture 2020 Review | A small depression which is found on the humerus just above the front part of the capitulum is known as radial fossa. It is the bony septum that separates the Coronoid fossa and the olecranon fossa at the lower end of the humerus. The opacity and the translucency is determined by the thickness of the bony septum. The a... |
0 | Subcutaneous mastectomy and immediate reconstruction for prevention of breast cancer for high-risk patients | Reduction Mammoplasty for Female Breast Hypertrophy | Breast cancer is the most common malignant tumor among females in the USA, with one out of eight American females developing breast cancer in their lifetimes. The latest studies show that 212,920 new cases of invasive cancer developed in 2006, which is 2.5 times more common than the incidence of lung cancer, and that 4... |
0 | Do biologic drugs affect the need for and outcome of joint replacements in patients with rheumatoid arthritis? A register-based study | Surgical Management of Osteoarthritis of the Knee CPG | Background There is little information on the effect of biological treatment on the incidence and outcomes of joint replacement surgery. The results from a single centre in Brazil show a reduction in the number of total joint replacements that occurred simultaneously with induction of biologic therapies, which is in li... |
1 | Non-invasive interactive neurostimulation in the post-operative recovery of patients with a trochanteric fracture of the femur. A randomised, controlled trial | Hip Fx in the Elderly 2019 | We undertook a trial on 60 patients with AO 31A2 fractures of the hip who were randomised after stabilisation of the fracture into two equal groups, one of which received post-operative treatment using a non-invasive interactive neurostimulation device and the other with a sham device. All other aspects of their rehabi... |
0 | A family with demyelinating CMT1B with myelin protein zero Thr95Met mutation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Myelin protein zero (MPZ) is a member of the immunoglobulin gene superfamily involved in the myelin compaction process. MPZ mutations, found in about 5% of patients with inherited neuropathies, are responsible for Charcot-Marie- Tooth type 1B (CMT1B) neuropathy. CMT1B is a demyelinating neuropathy, yet a subgroup of pa... |
0 | Laser-assisted liposuction: here's the skinny | Panniculectomy & Abdominoplasty CPG | Liposuction is one of the most popular cosmetic procedures. The advent of laser-assisted liposuction is the next evolutionary step in the market of body contouring. The goal of laser-assisted liposuction is to facilitate liposuctioning, enhance tissue tightening, and reduce downtime and morbidity. Several different pro... |
0 | Is radiolunate fusion a viable option in advanced Kienbock disease? | Distal Radius Fractures | The management of Kienbock's disease in the advanced stages (Lichtman stages 3B and 4) remains controversial. The aim of this study was to report the results of radiolunate fusion (Chamay) in patients with advanced Kienbock with localised radiolunate chondral changes. There were six patients. The average age was 40 yea... |
0 | International Myeloma Working Group recommendations for global myeloma care | MSTS 2018 - Femur Mets and MM | Recent developments have led to remarkable improvements in the assessment and treatment of patients with multiple myeloma (MM). New technologies have become available to precisely evaluate the biology and extent of the disease, including information about cytogenetics and genetic abnormalities, extramedullary manifesta... |
0 | Transcutaneous electrical nerve stimulation for the control of pain during rehabilitation after total knee arthroplasty: A randomized, blinded, placebo-controlled trial | AAHKS (4) Acetaminophen | This study evaluated the efficacy of transcutaneous electrical nerve stimulation (TENS) in reducing pain and hyperalgesia and increasing function after total knee arthroplasty (TKA). We hypothesized that participants using TENS during rehabilitation exercises would report significantly lower pain during range-of-motion... |
0 | Acromegaly in a patient with normal pituitary gland and somatotropic adenoma located in the sphenoid sinus | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Ectopic acromegaly is a very rare clinical entity occurring in less than 1% of acromegalic patients. In most cases it is caused by GHRH or rarely GH-secreting neoplasms. Even rarer are ectopic pituitary adenomas located in the sphenoid sinus or nasopharynx that originate from pituitary remnants in the craniopharyngeal ... |
0 | The efficacy of traction of transverse carpal ligament in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background and aims: We aimed to investigate the clinical and electrophysiological efficacy of transverse carpal ligament traction in idiopathic CTS treatment. Methods: 32 hands with electrodiagnostic evidence of CTS underwent transverse carpal ligament traction by using CTRAC CTS system with the pressure of 180 mmHg a... |
1 | Inpatient falls after total knee arthroplasty: the role of anesthesia type and peripheral nerve blocks | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Much controversy remains on the role of anesthesia technique and peripheral nerve blocks (PNBs) in inpatient falls (IFs) after orthopedic procedures. The aim of the study is to characterize cases of IFs, identify risk factors, and study the role of PNB and anesthesia technique in IF risk in total knee arthr... |
0 | Intrawound Antibiotic Powder in Acetabular Fracture Open Reduction Internal Fixation Does Not Reduce Surgical Site Infections | DoD SSI (Surgical Site Infections) | OBJECTIVES: To compare the risks of surgical site infection (SSI) and postoperative complications after acetabular fracture open reduction internal fixation (ORIF) in patients receiving topical intrawound antibiotic powder compared to those not receiving antibiotic powder (control group).
DESIGN: Retrospective cohort S... |
0 | A review on diabetic foot ulcer: Complication of Diabetes mellitus | DoD LSA (Limb Salvage vs Amputation) | In present scenario sedentary life style, lot of stress and over nutrition are important etiology of diabetic mellitus, as one of the most prevalent disease in the world. Diabetic foot ulcer is often quite dreaded disability cause of non traumatic lower extremity amputation. It occurs in 15% of all patient with diabete... |
0 | Delayed spinal epidural hematoma following spinal anesthesia, far from needle puncture site | PJI DX Updated Search | Study design:Case report.Objectives:We report a case of spinal epidural hematoma (SEH) that appeared on the third postoperative day after lumbar spinal anesthesia, far from the needle puncture site. Possible mechanisms and etiological relation to patient's risk factors as well as diagnosis and management of SEH are bri... |
0 | The validity of sensory threshold measures and functional measures in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose: The first objective of this study is to evaluate the validity of two sensory threshold tools (NK PSSD and vibrometer) in relation to self reported measures of symptom severity, function, and dexterity. The second objective of the study is to compare the responsiveness of the NK PSSD and vibrometer. Background:... |
0 | The patient with an odontogenic infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The routine use of antibacterial agents for the management of odontogenic infections has not been shown to be effective and is inappropriate. Most of these bacterial infections can be resolved satisfactorily through an approach that incorporates debridement (primary dental care) in conjunction with local anesthesia. Od... |
1 | Endoprosthetic replacement for bony metastases | MSTS 2018 - Femur Mets and MM | A series of 38 patients with long bone metastases treated at the Birmingham Bone Tumour Treatment Service with resection of the metastatic lesion and replacement of the bone defect with an endoprosthesis was reviewed. The majority of cases had pathological fractures due to a massive destructive lesion. Two-thirds of th... |
0 | Novel prognostic nomograms for female patients with breast cancer and bone metastasis at presentation | MSTS 2022 - Metastatic Disease of the Humerus | Background: There is a paucity of literature about prognostic evaluation for patients with breast cancer (BC) and bone metastasis at presentation. To date, little is known about how to accurately predict the prognosis of BC patients with bone metastasis at presentation. Thus, an accurate prediction tool of prognosis in... |
0 | Reliability of magnetic resonance imaging in evaluating meniscal and cartilage injuries in anterior cruciate ligament-deficient knees | AMP (Acute Meniscal Pathology) | PURPOSE: The accuracy of magnetic resonance (MR) imaging in assessing meniscal and cartilage injuries in anterior cruciate ligament (ACL)-deficient knees as compared to arthroscopy was evaluated in the present study.
METHODS: The results of all preoperative MR imaging performed within 3 months prior to the ACL reconstr... |
0 | Does hallux valgus impair physical function? | OAK 3 - Non-arthroplasty tx of OAK | Background: The relationships between radiographic hallux valgus (HV) and various physical functions independent of knee osteoarthritis (KOA) were examined among residents of a mountain village in Japan. Methods: Study participants were recruited from mountain village residents aged â?¥50 years. Participants' height, w... |
0 | Radiostereometric analysis of the initial stability of internally fixed femoral neck fractures under differential loading | Hip Fx in the Elderly 2019 | We examined the feasibility of radiostereometric analysis (RSA) in the assessment of the initial stability of internally fixed femoral neck fractures. The study included 16 patients (mean age 73 years). During surgery, multiple RSA-beads were inserted on both sides of the fracture. Radiographs for RSA were taken in the... |
0 | Stresses and strains in the medial meniscus of an ACL deficient knee under anterior loading: A finite element analysis with image-based experipmental validation | AMP (Acute Meniscal Pathology) | The menisci are believed to play a stabilizing role in the ACL-deficient knee, and are known to be at risk for degradation in the chronically unstable knee. Much of our understanding of this behavior is based on ex vivo experiments or clinical studies in which we must infer the function of the menisci from external mea... |
0 | The role of viscosupplementation with hylan G-F 20 (Synvisc) in the treatment of osteoarthritis of the knee: a Canadian multicenter trial comparing hylan G-F 20 alone, hylan G-F 20 with non-steroidal anti-inflammatory drugs (NSAIDs) and NSAIDs alone | Surgical Management of Osteoarthritis of the Knee CPG | To determine the safety and efficacy of viscosupplementation with hylan G-F 20, a cross-linked hyaluronan preparation, used either alone or in combination with continuous non-steroidal anti-inflammatory drug (NSAID) therapy, a randomized, controlled, multicenter clinical trial, assessed by a blinded assessor, was condu... |
0 | Micro Perfusion and Quantitative Analysis of the Femoral Head Intraosseous Artery | Hip Fx in the Elderly 2019 | The present study investigates the feasibility of micro perfusion of femoral head specimens from femoral neck fracture patients by the inferior retinacular arteries and performing intraosseous artery quantitative analysis of the femoral head. Twelve femoral neck fracture patients who had undergone conventional hip repl... |
0 | Improving medication adherence through patient education distinguishing between appropriate and inappropriate utilization. Patient Education Study Group | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the effectiveness of a computer assisted educational intervention to facilitate appropriate utilization of an antiinflammatory medication (Arthrotec) and investigate the mechanism by which it produces these effects. METHODS: A double blind, multicenter, randomized, controlled trial studied patien... |
0 | Elbow angle modulates corticospinal excitability to the resting biceps brachii at both spinal and supraspinal levels | Pediatric Supracondylar Humerus Fracture 2020 Review | New Findings: What is the central question of this study? Corticospinal excitability to biceps brachii is known to modulate according to upper-limb posture. Here, cervicomedullary stimulation was used to investigate potential spinal contributions to elbow angle-dependent changes in corticospinal excitability at rest. W... |
0 | The use of locking plates for greater trochanteric fixation | Management of Hip Fractures in the Elderly | Stable fixation for healing of the greater trochanter after fracture or osteotomy is difficult to achieve, especially when associated with periprosthetic osteolysis. Wiring techniques are cumbersome and cable grip fixation has an unacceptable rate of non-union, cable fraying, and production/migration of third-body debr... |
0 | Assessment of the content reporting for therapeutic exercise interventions among existing randomized controlled trials on knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Purpose /Rationale: Physical exercise interventions for the management of knee osteoarthritis are well known to be effective and accessible forms of rehabilitation and symptom management. However, without adequate reporting of these interventions, accurate replication and clinical use is negatively impacted.
OBJECTIVES... |
1 | Carpal tunnel syndrome in primary care: A report from ASPN | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background. Carpal tunnel syndrome (CTS) is a common condition in primary care, yet little is known about its presentation and management. This study was designed to provide a better understanding of the frequency of CTS in a primary care population, and its presentation, diagnosis, and management. Methods. Clinicians ... |
0 | Posteromedial approach to the distal humerus for fracture fixation | Distal Radius Fractures | The authors report their experience with the posteromedial surgical approach of the humeral shaft for internal fixation of fractures by plating. Sixteen patients were treated for humeral shaft fractures (14 for recent fractures and two for nonunion) below the mid-diaphysis, all without injury of the radial nerve. Patie... |
0 | Model development for determining the efficacy of a combination coating for the prevention of perioperative device related infections: a pilot study | PJI DX Updated Search | Antibiotic resistant bacterial infections are a growing problem in patient care. These infections are difficult to treat and severely affect the patient's quality of life. The goal of this translational experiment was to investigate the antimicrobial potential of cationic steroidal antimicrobial-13 (CSA-13) for the pre... |
0 | A randomized comparative study of safety and efficacy of immediate release glucosamine HCL and glucosamine HCL sustained release formulation in the treatment of knee osteoarthritis: A proof of concept study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To compare the safety and efficacy of glucosamine HCl- sustained release (GLU-SR) with that of Glucosamine HCl- immediate release (GLU-IR) in patients with knee osteoarthritis (OA).
MATERIALS AND METHODS: This study involved 59 patients with knee OA, randomised to receive single oral dose of 1,500 mg, GLU-S... |
0 | Extracapsular hip fracture management: cost-consequences analysis of two alternative operative methods | Management of Hip Fractures in the Elderly | OBJECTIVES: The aim of this prospective study was to perform a cost and outcome comparison between two alternative operative techniques (osteosynthesis and hemiarthroplasty) used in the treatment of elderly patients with unstable trochanteric hip fracture. MATERIALS AND METHODS: One hundred seventy-three trochanteric h... |
0 | Renal cell carcinoma | MSTS 2018 - Femur Mets and MM | Purpose of review: Renal cell carcinoma continues to be a devastating cancer, which currently has few effective treatment options. Recent developments in our understanding of the molecular biology of renal cell carcinoma, particularly clear cell renal cell carcinoma, have led to the development of new agents targeting ... |
1 | Surgical treatment of fractures of the distal radius with plates: a comparison of palmar and dorsal plate position | Distal Radius Fractures | INTRODUCTION: While most fractures of the distal radius can be treated successfully by conservative means, some fractures-especially the more complicated fracture types-require surgical fixation. One of the operative techniques is plate osteosynthesis, which can be performed in either a dorsal or a palmar plate positio... |
0 | Fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Fractures of the humerus above the distal epiphysis are not common fractures in children. Treatment should be directed toward maintenance of alignment with healing expected without fail. Contrary to experience with adults with the same fractures, children seldom have residual functional or cosmetic problems if one alig... |
0 | Overuse injuries of the lower extremity: shin splints, iliotibial band friction syndrome, and exertional compartment syndromes | DOD - Acute Comp Syndrome CPG | The authors' discussion of overuse injuries of the lower extremity encompasses shin splints, iliotibial band friction syndrome, and exertional compartment syndromes. Etiology, diagnosis, and treatment are considered for each disorder. [References: 76] |
0 | Fixed- vs Mobile-Bearing Total Knee Arthroplasty. Does It Make a Difference?-A Prospective Randomized Study | PJI DX Updated Search | The purpose of this prospective, randomized study was to compare the early clinical and functional results of primary total knee arthroplasty using a fixed-bearing (FB) and a rotating-platform (RP) prosthesis. Outcomes including range of motion (ROM), Knee Society Score, Western Ontario MacMaster (WOMAC), and Short For... |
0 | Measurement of distal forearm bone mineral density: can different forearm segments be used interchangeably ? | Distal Radius Fractures | Many different forearm sites have been used for the measurement of bone mineral density (BMD) and prediction of risk of future fracture among community dwelling populations. In populations where bone densitometry of peripheral sites may be the most cost effective and practical means of measuring BMD, such as the nursin... |
0 | Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report | Distal Radius Fractures | Extensor pollicis longus tendon rupture occurs in 0.2% to 3% of fractures of the distal radius. The underlying mechanism, or mechanisms, of rupture are unknown. This study evaluated this tendon and its surrounding structures using high-resolution ultrasound in 62 patients with distal radius fracture at 6 weeks after in... |
0 | The microbiology of infected hip arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infection following joint replacement surgery although rare presents a challenging problem. Bacterial resistance to antibiotics is an emerging problem. We analysed the microbiology of 337 single-stage revisions for deep infection. Coagulase negative staphylococcus was found to be the predominant organism, although stap... |
0 | Attenuated synovial fluid ghrelin levels are linked with cartilage damage, meniscus injury, and clinical symptoms in patients with knee anterior cruciate ligament deficiency | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The meniscus injury and post-traumatic knee osteoarthritis (PTOA) following anterior cruciate ligament (ACL) lesions often cause great burdens to patients. Ghrelin, a recently identified 28-amino-acid peptide, has been shown to inhibit inflammation and perform as a growth factor for chondrocyte.
OBJECTIVE: ... |
0 | Estimation of distal radius failure load with micro-finite element analysis models based on three-dimensional peripheral quantitative computed tomography images | Distal Radius Fractures | There is increasing evidence that, in addition to bone mass, bone microarchitecture and its mechanical load distribution are important factors for the determination of bone strength. Recently, it has been shown that new high-resolution imaging techniques in combination with new modeling algorithms based on the finite e... |
0 | Incidence of Garden 1 + 2 and Garden 3 + 4 cervical hip fractures in Copenhagen | Management of Hip Fractures in the Elderly | The incidence of Garden 1 + 2 and Garden 3 + 4 cervical hip fractures was studied in Copenhagen. The total incidence was 1.32 fractures per 1,000 inhabitants per year. A decrease in incidence in the oldest patients was found in the Garden 1 + 2 group |
0 | Effects of a heparin-heparinoid combination on esthesiologic and trophic changes in deep periarticular tissues in gonarthritis | OAK 3 - Non-arthroplasty tx of OAK | We evaluated the efficacy of heparinâ?glucuronylglucosaminoglycane association topically used on periarticular deep tissues (subcutaneous and muscle), in 20 females divided into two homogeneous groups of 10 each, affected by painful osteoarthritis of the knee. Electrically stimulated subcutaneous and muscular pain thr... |
0 | Energy expenditure during ambulation in dysvascular and traumatic below-knee amputees: a comparison of five prosthetic feet | DoD LSA (Limb Salvage vs Amputation) | Recent advancement in prosthetic technology has led to the development of dynamic elastic response feet (DER), which are reported to store and release energy to facilitate gait. To date, there has been no objective evidence to suggest energy conservation while using these foot designs. The purpose of this study was to ... |
0 | A humoral immune defect distinguishes the response to Staphylococcus aureus infections in mice with obesity and type 2 diabetes from that in mice with type 1 diabetes | PJI DX Updated Search | Obesity and diabetes are among the greatest risk factors for infection following total joint arthroplasty. However, the underlying mechanism of susceptibility is unclear. We compared orthopedic implant-associated Staphylococcus aureus infections in type 1 (T1D) versus type 2 (T2D) diabetic mouse models and in patients ... |
1 | Electrophysiological studies in mild idiopathic carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Many techniques have been reported to improve the diagnosis of carpal tunnel syndrome (CTS), but there is no agreement on the diagnostic yield of these different methods. We used an electrophysiological protocol including the assessment of the orthodromic sensory conduction velocity of the median nerve along the carpal... |
0 | Researching the effect of radial nerve injury in humerus shaft fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Aim: Radial nerve injury (RNI) is a frequently encountered condition in distal humeral shaft fractures. However, few studies have researched the effect of RNI on fracture healing and extremity functions in patients. In this study, we examined the fracture union time and functional results of the extremity in patients w... |
0 | Prevalence of low bone mass and endocrine disorders in hip fracture patients in Southern Germany | Management of Hip Fractures in the Elderly | Low bone mass and conditions leading to falls are considered to determine the risk of hip fracture. Bone mass is influenced by underlying diseases and risk factors such as malnutrition and life style habits. In order to evaluate the clinical significance of osteopenia and risk factors in the pathogenesis of hip fractur... |
1 | Home-Based vs Supervised Inpatient and/or Outpatient Rehabilitation Following Knee Meniscectomy: A Systematic Review and Meta-analysis | AMP (Acute Meniscal Pathology) | Importance: Arthroscopic meniscectomy is one of the most common orthopedic procedures. The optimal postoperative approach remains debated.
Objective: To compare outcomes associated with home-based rehabilitation programs (HBP) vs standard inpatient and/or outpatient supervised physical therapy (IOP) following arthrosco... |
0 | Multivariate Analysis of Risk Factors of Graft Extrusion After Lateral Meniscus Allograft Transplantation | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To identify risk factors that predict major graft extrusion (>3 mm in relation to the margin of the tibial plateau) on magnetic resonance imaging (MRI) after lateral meniscus allograft transplantation (MAT) using multivariate logistic regression.
METHODS: In this retrospective trial, inclusion criteria were co... |
0 | Outcome 5 years after surgical treatment of acetabular fractures: a prospective clinical and radiographic follow-up of 101 patients | Hip Fx in the Elderly 2019 | INTRODUCTION: The aim of this study was to evaluate functional outcome after surgically treated acetabular fracture using radiography and patient-reported outcome measures, and to determine predictors of hip joint failure 5 years post-surgery.
PATIENTS AND METHODS: All patients with acetabular fractures treated with op... |
0 | Recovery of Motor Nerve Injuries Associated With Displaced, Extension-type Pediatric Supracondylar Humerus Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Nerve injuries occur in approximately 11% of pediatric extension supracondylar humerus fractures (SCHF), yet there is scarce literature to guide clinicians on management. The primary goal of this study was to report the presentation, treatment, and outcome of motor nerve injuries associated with extension S... |
0 | Plastic Surgery and Cosmetic Procedures: Liposuction and Nonsurgical Fat Reduction Procedures | Panniculectomy & Abdominoplasty CPG | Liposuction and nonsurgical fat reduction modalities (ie, body contouring) are among the most commonly performed cosmetic procedures in the United States. Liposuction is an invasive surgical procedure in which adipose tissue is dislodged and suction is used to remove it. The procedure originally was performed with a re... |
1 | The lateralization and distalization shoulder angles are important determinants of clinical outcomes in reverse shoulder arthroplasty | Trial Systematic Review Project | Background: Reverse shoulder arthroplasty (RSA) designs vary in the lateralization and distalization geometry, which may affect functional outcomes. The purpose was to determine the effect of RSA lateralization and distalization on final functional outcomes by using the “lateralization shoulder angle” (LSA) and the “di... |
0 | Medial meniscus extrusion and stage are related to the size of spontaneous osteonecrosis of the knee in patients who underwent high tibial osteotomy | AMP (Acute Meniscal Pathology) | PURPOSE: Spontaneous osteonecrosis of the knee (SONK) causes acute atraumatic knee pain, and meniscus tears may be associated with the pathogenesis of SONK. The purpose of this study was to investigate the relationship of the type of meniscus tear and medial meniscus extrusion with SONK on the medial femoral condyle in... |
0 | Osteotomy for treating knee osteoarthritis | PJI DX Updated Search | BACKGROUND: Patients with unicompartmental osteoarthritis of the knee can be treated with an osteotomy. The goal of an osteotomy is to unload the diseased compartment of the knee. This is the second update of the original review published in The Cochrane Library, Issue 1, 2005. OBJECTIVES: To assess the benefits and ha... |
0 | Pathogenesis of HIV-1-protease inhibitor-associated peripheral lipodystrophy, hyperlipidaemia, and insulin resistance | Reduction Mammoplasty for Female Breast Hypertrophy | HIV-1 protease-inhibitor treatments are associated with a syndrome of peripheral lipodystrophy, central adiposity, breast hypertrophy in women, hyperlipidaemia, and insulin resistance. The catalytic region of HIV-1 protease, to which protease inhibitors bind, has approximately 60% homology to regions within two protein... |
0 | Lessons learned from the management of complex intra-articular fractures at the base of the middle phalanges of fingers | DoD SSI (Surgical Site Infections) | The use of dynamic traction splintage is established in the treatment of complex intra-articular phalangeal fractures. Several different systems have been used and we report our experience with one of these, the Pins and Rubber Traction System. A cohort of 14 patients with complex intra-articular fractures at the base ... |
0 | Liposuction assisted lipoma removal â?? option or alternative? | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Lipomas are the most frequent soft -tissue tumors arising from adipose tissue. Traditionally, open surgery is a mainstay of their treatment. Recently, new treatment modalities emerge in order to decrease morbidity, to increase satisfaction rate in patents, but not to raise recurrence risk at the same time. ... |
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