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0 | Cosmetic surgical practice: are we complying with professional standards? | Reduction Mammoplasty for Female Breast Hypertrophy | UNLABELLED: Aesthetic surgery is a rapidly expanding industry and patient safety is a fundamental issue. The need for regulation has been outlined by the Professional Standards for Cosmetic Practice Report, published by the Royal College of Surgeons in January 2013 which highlighted standards of patient care. The aim o... |
0 | Treatment of long-segment fracture at middle-up part of femur with long proximal femoral nail antirotation | PJI DX Updated Search | OBJECTIVE: To investigate the results of non-invasive operation method and evaluate clinical and radiological outcome of long proximal femoral nail antirotation in treating long-segment fracture at middle-up part of femur. METHODS: The retrospective study was conducted at the Second Hospital of Fuzhou, China, and compr... |
0 | Experience in the use of the long Gamma nail for 16 femoral shaft fracture that have occurred following initial Asian Pacific Gamma nail fixation for pertrochanteric fractures | Hip Fx Time to Surgery | From January 1993 to September 2002, 931 patients suffered from intertrochanteric fracture and subrochanteric fracture received open reduction and internal fixation with APGN in our institute. Among these patients, 16 patients (1.7%) developed a femoral shaft fracture after the initial fixation with APGN. Removal of th... |
1 | Biomechanical differences before and after arthroscopic partial meniscectomy in patients with semilunar and discoid lateral meniscus injury | AMP (Acute Meniscal Pathology) | The purpose of the current study was to investigate the differences in knee kinematics and kinetics in patients with semilunar lateral meniscus (SLM) and discoid lateral meniscus (DLM) injuries before and after arthroscopic partial meniscectomy during level walking. Fifteen healthy volunteers (control group), thirteen ... |
0 | Outcome of total knee replacement following explantation and cemented spacer therapy | PJI DX Updated Search | BACKGROUND: Infection after total knee replacement (TKR) is one of the serious complications which must be pursued with a very effective therapeutic concept. In most cases this means revision arthroplasty, in which one-setting and two-setting procedures are distinguished. Healing of infection is the conditio sine qua n... |
0 | Knee arthrodesis using a customised modular intramedullary nail in failed infected total knee arthroplasty | DoD SSI (Surgical Site Infections) | Background: Knee arthrodesis is used to treat patients with failed infected total knee arthroplasty (TKA). Among fixation methods, intramedullary nailing increases the chances of bone union but may carry a risk of infection around the nail. This risk is not well understood, because available case-series studies were no... |
1 | Proximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparison | Hip Fx in the Elderly 2019 | AIM: We sought to determine whether intramedullary fixation with proximal femoral nail antirotation produces comparable outcomes to dynamic hip screw in the treatment of unstable trochanteric fractures.
MATERIALS AND METHODS: Patients were randomly allocated to receive proximal femoral nail antirotation (Group 1, n = 9... |
0 | Percutaneous distal radius-ulna pinning of distal radius fractures to prevent settling | Distal Radius Fractures | PURPOSE: To evaluate the clinical and radiological outcomes of distal radius fractures treated by percutaneous fixation using distal radius-ulna pinning and to assess its effectiveness especially for preventing fracture settling.
METHODS: We retrospectively reviewed 18 distal radius fractures (15 AO type A2 and 3 AO ty... |
0 | Bioabsorbable pins for treatment of osteochondral fractures of the knee after acute patella dislocation in children and young adolescents | Osteochondritis Dissecans 2020 Review | A retrospective study was performed on the use of bioabsorbable pins in the fixation of osteochondral fractures (OCFs) after traumatic patellar dislocation in children. Eighteen children (13 females, 5 males) aged 11 to 15 years (mean age 13.1 years) with osteochondral fracture (OCF) of the knee joint were treated at t... |
0 | Medial Unicompartmental Arthroplasty of the Knee | OAK 3 - Non-arthroplasty tx of OAK | Indications for medial unicompartmental knee arthroplasty (UKA) have expanded over the past two decades. Proposed advantages include faster recovery, improved kinematics, and better functional outcomes compared with total knee arthroplasty (TKA) in age-matched control subjects. A focused preoperative examination and im... |
0 | A New surgical approach to posterior pilon fractures | DoD LSA (Limb Salvage vs Amputation) | A posterior pilon fracture is a pilon variant that is a challenging injury to treat and can result in poor functional outcomes for patients. Owing primarily to the difficulty in approaching the fracture, there has been no widely accepted method of treatment. Treatments range from indirect reduction techniques to direct... |
0 | Ten-Year Experience With the Anterior Approach to Total Hip Arthroplasty at a Tertiary Care Center | DoD SSI (Surgical Site Infections) | BACKGROUND: The anterior approach (AA) to total hip arthroplasty (THA) has advantages for patients and healthcare providers. However, some studies have reported high rates of adverse events when introducing AA-THA. This was not consistent with our center's experience, where 4 senior surgeons safely introduced AA-THA in... |
0 | Perioperative alterations of the thromboelastography in patients receiving one-stage bilateral total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Total knee arthroplasty is associated with activation of coagulation and fibrinolytic system in the perioperative period. The coagulation and fibrinolytic activation in one-stage bilateral total knee arthroplasty has not been described before. Thromboelastography is a real-time aid in the monitoring of coag... |
1 | Effect of monitoring bone turnover markers on persistence with risedronate treatment of postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | CONTEXT: Persistence with osteoporosis treatment is poor but is important for maximum benefit.OBJECTIVE: The objective of the study was to assess the impact of physician reinforcement using bone turnover markers (BTMs) on persistence with risedronate treatment.DESIGN AND SETTING: This was a 1-yr multinational prospecti... |
0 | Are titanium-on-titanium TiAl6V4 modular necks safe in total hip arthroplasty for non-overweight patients? Results of a prospective series at a minimum follow-up of 7 years | Hip Fx in the Elderly 2019 | Using extramedullar modularity in total hip arthroplasty has been proposed as an option to optimize the restoration of hip biomechanics. To avoid the problems that were observed with cobalt-chrome modular neck, titanium modular necks have been developed. The goals of our study were to evaluate the safety of titanium-on... |
0 | Test-retest reliability and correlates of 6-minute walk test in patients with primary osteoarthritis of knees | OAK 3 - Non-arthroplasty tx of OAK | Background: In the assessment of primary osteoarthritis (OA) of knees several clinical tool including 6 minutes walk test (6 MWT) are used. The objective of this study was to to analyze the test-retest reliability of 6 MWT and its correlation with various parameters. Methods: Eighty patients (age, 56-79 years) with OA ... |
0 | An approach to differentiate between antibacterial and antiadhesive effects of mouthrinses in vivo | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | An experimental set-up allowing differentiation in vivo between antibacterial and antiadhesive properties of mouthrinses is described. The percentage of vital bacteria (= microbial vitality) and the bacterial counts were microscopically evaluated in saliva and in supragingival dental plaque both collected simultaneousl... |
0 | Complications and revisions after semi-constrained total elbow arthroplasty: a mono-centre analysis of one hundred cases | Distal Radius Fractures | BACKGROUND: The complication rate after total elbow arthroplasties is higher than for other arthroplasties.
PURPOSE: The purpose of this study was to evaluate the complications and revision rate after 100 semi-constrained total elbow arthroplasties from various types of aetiologies performed in our university hospital.... |
0 | Retropatellar Accessory Portals for Improved Access to the Patella: Anatomic Description and Evaluation of Safety | Osteochondritis Dissecans 2020 Review | Background: Standard knee arthroscopy portals are frequently used to address retropatellar chondral pathology. Alternative portals may offer a safe and simple substitute, particularly when reaching the base of deep lesions is required. Purpose: To describe and assess the safety of accessory retropatellar portals. Study... |
0 | Determining a Threshold of Medial Meniscal Extrusion for Prediction of Knee Pain and Cartilage Damage Progression Over 4 Years: Data From the Osteoarthritis Initiative | AMP (Acute Meniscal Pathology) | <b>BACKGROUND.</b> The extent of medial meniscal extrusion (MME) that is associated with structural and symptomatic progression of knee osteoarthritis has not been defined yet. <b>OBJECTIVE.</b> The purpose of our study was to investigate MRI-based thresholds of MME that are associated with structural progression of kn... |
0 | Tolerability and efficacy of L-acetylcarnitine in patients with peripheral neuropathies. A short-term, open multicentre study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A total of 1097 patients, mean age 53.8 (plus or minus) 15 years, with peripheral mono-, multi- or polyneuropathy of various aetiologies, were enrolled in a multicentre, open-label, noncomparative, prospective clinical trial to evaluate the short-term tolerability and efficacy oft. acetylcarnitine (LAC). The drug was a... |
0 | Electrophysiological characteristics and clinical significance of Martin-Gruber anastomosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Anastomosis between the median and ulnar nerve in the proximal forearm is the most common anomalous innervations, and its frequency varies between 6% and 44%. This anomaly was first described by the Swedish anatomist Martin in 1763 and later by Gruber in 1870 and is thus referred to as the Martin-Gruber anastomosis (MG... |
0 | Bactericidal effects of bioactive glasses on clinically important aerobic bacteria | Dental Implant Infection | Bioactive glasses (BAGs) have been studied for decades for clinical use, and they have found many dental and orthopedic applications. BAGs have also been shown to have an antibacterial effect e.g., on some oral microorganisms. In this extensive work we show that six powdered BAGs and two sol-gel derived materials have ... |
0 | Meniscal Suture Influence on Driving Ability 6 Weeks after Anterior Cruciate Ligament Reconstruction with Hamstring Autograft | AMP (Acute Meniscal Pathology) | The purpose of this study was to determine if driving ability 6 weeks after anterior cruciate ligament (ACL) reconstruction is affected by the addition of a meniscal suture. It was also hypothesized that no differences in the driving performance would be found between right or left knee surgery subgroups. A total of 82... |
1 | Clinical effectiveness of mud pack therapy in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: The main objective of this study was to systematically review all the scientific studies that analyse the effectiveness of mud pack therapy on patients diagnosed with knee OA. Methods: One hundred and fifteen publications were identified through an electronic and manual search and 20 of those studies were ch... |
0 | Acquired anti-FVIII inhibitors in children | DOD - Acute Comp Syndrome CPG | Acquired inhibitors to FVIII (anti-FVIII) are uncommon in children. An acquired anti-FVIII developed in a previously healthy 4-year-old boy treated with penicillin for streptococcal pharyngitis. Aspirin prophylaxis begun for suspected rheumatic fever led to compartment syndromes of all four extremities, which resolved ... |
1 | Protective factors for posttraumatic stress disorder symptoms in a prospective study of police officers | DoD PRF (Psychosocial RF) | Although police officers are frequently exposed to potentially traumatic incidents, only a minority will develop chronic posttraumatic stress disorder (PTSD). Identifying and understanding protective factors could inform the development of preventive interventions; however, few studies have examined this. In the presen... |
0 | Comparison of a digital electroneurometer and standard nerve conduction studies for the measurement of median nerve sensory latency | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The purpose of this study was to determine the validity of measuring median nerve distal sensory latency with a portable digital electroneurometer. The results from the digital electroneurometer were compared to standard nerve conduction studies in 51 subjects (40 asymptomatic hands and 12 hands with probable carpal tu... |
1 | Mortality and Function after Hip Fractures in Different Ethnic Populations in Israel | Hip Fx in the Elderly 2019 | BACKGROUND: Mortality and decrease in function after hip fracture are significantly related to patient factors including age, gender, co-morbidities, and mental status. Several studies demonstrated ethnic disparities in incidence, mortality, and functional outcome after hip fractures in the United States.
OBJECTIVES: T... |
0 | Do Moments and Strength Predict Cartilage Changes after Partial Meniscectomy? | AMP (Acute Meniscal Pathology) | PURPOSE: Higher knee load and quadriceps weakness are potential factors involved in the pathogenesis of knee osteoarthritis after arthroscopic partial meniscectomy (APM). In people following APM, this study evaluated the association between external knee joint moments and quadriceps strength and 2-yr change in indices ... |
1 | Fine-needle aspiration biopsy in the diagnosis and management of bone lesions: a study of 450 cases | MSTS 2018 - Femur Mets and MM | BACKGROUND: Fine-needle aspiration (FNA) biopsy has proved to be a cost-effective technique, with low complication risks and high diagnostic value in distinguishing neoplastic versus nonneoplastic lesions in many organs. This study was designed to determine the reliability, areas of diagnostic difficulty, and limitatio... |
0 | Complications in long fusions to the sacrum for adult scoliosis: Minimum five-year analysis of fifty patients | DoD SSI (Surgical Site Infections) | Study design.: A retrospective study of complications with minimal 5-year follow-up of 50 adults with scoliosis with fusion from T10 or higher to S1. Objectives.: To document the perioperative and long-term complications and instrumentation problems, and to attempt to determine variables which may influence these probl... |
0 | Update vitamin D | Management of Hip Fractures in the Elderly | Increasing data suggest that higher 25-hydroxyvitamin D (25(OH) D) serum concentrations are advantageous for health, and may prolong healthy life expectancy. At present, strong evidence for causality is available for fracture and fall prevention, while promising epidemiologic and mechanistic studies suggest a key role ... |
0 | TREM-1, HMGB1 and RAGE in the Shoulder Tendon: Dual Mechanisms for Inflammation Based on the Coincidence of Glenohumeral Arthritis | Glenohumeral Joint OA | Rotator cuff injury (RCI) is a major musculoskeletal disorder in the adult population where inflammation and pain are major contributing factors. Coincidence of other clinical conditions like glenohumeral arthritis aggravates inflammation and delays the healing response. The mechanism and signaling factors underlying t... |
0 | Heterotopic ossification after total knee arthroplasty. 54/615 cases after 1-6 years' follow-up | Surgical Management of Osteoarthritis of the Knee CPG | We found heterotopic ossifications in 54 (9%) of 615 cases after total knee arthroplasty. The largest ossifications were located in the anterior distal femur. In 12 cases smaller ossifications were found in other knee regions. The development of heterotopic ossification showed a positive correlation with hypertrophic a... |
0 | Inferior oblique surgery for restrictive strabismus in patients with thyroid orbitopathy | Upper Eyelid and Brow Surgery | Introduction: Thyroid orbitopathy is the most common cause of restrictive strabismus. Patients often present with vertical or horizontal double vision, or both, due to restriction involving most commonly the inferior and medial rectus muscles. Traditional muscle surgery involves release of the tight muscles. Previous l... |
0 | Final adult height in children with congenital adrenal hyperplasia treated with growth hormone | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Context: Patients with congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency typically reach a final adult height well below their mid-parental target height. Objective: The objective of this study was to examine whether GH alone or in combination with an LHRH analog (LHRHa) improved the final adult hei... |
0 | Complications in brief: Arthroscopic partial meniscectomy | AMP (Acute Meniscal Pathology) | Arthroscopic partial meniscectomy can be complicated by excessive resection, damage to articular cartilage, neurovascular injury, persistent drainage from portals, and infection; the procedure can be rendered more difficult, and the outcome less certain, if the surgeon fails to recognize concomitant injuries, malpositi... |
0 | Update in women's health: Evidence published in 2012 | Hip Fx in the Elderly 2019 | This update summarizes 10 important studies on women's health published in 2012 that are relevant to primary care. Authors screened the literature using ACP JournalWise and Journal Watch Women's Health to identify articles for inclusion. The articles focus on 1 key theme: Clinicians should recommend preventive and ther... |
0 | Soft-tissue rheumatic disorders of the neck and upper limb: prevalence and risk factors | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: To review the epidemiologic literature concerning the occurrence of and the risk factors for pain and specific soft-tissue rheumatic conditions that affect the neck and upper limbs. METHODS: An extensive search of the literature, including a search of Medline and EMBASE, authoritative recent reviews, and re... |
0 | The reliability of ultrasonography in developmental dysplasia of the hip: How reliable is it in different hands? | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Developmental dysplasia of the hip (DDH) is the most common skeletal dysplasia. Two principal methods used in early diagnosis of DDH are clinical examination and ultrasonographic investigation. Dogruel et al. found a low specificity of clinical examination in patients with DDH. Additionally, Kamath et al. s... |
0 | Bradykinin enhances cell migration in human prostate cancer cells through B2 receptor/PKCdelta/c-Src dependent signaling pathway | MSTS 2018 - Femur Mets and MM | BACKGROUND: Prostate cancer is the most commonly diagnosed malignancy in men and shows a predilection for metastasis to the bone. Bradykinin (BK) is an inflammatory mediator, and shows elevated levels in regions of severe injury and inflammatory diseases. The aim of this study was to investigate whether Bradykinin is a... |
0 | Cam Deformities and Limited Hip Range of Motion Are Associated With Early Osteoarthritic Changes in Adolescent Athletes: A Prospective Matched Cohort Study | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The natural history of femoroacetabular impingement (FAI) remains incompletely understood. In particular, there is limited documentation of joint damage in adolescent patients with limited range of motion (LROM) of the hip, which is commonly associated with FAI. PURPOSE: To evaluate changes in magnetic reso... |
0 | Incidence of bilateral symptoms in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We prospectively studied 266 hands in 133 patients with carpal tunnel syndrome (CTS) in order to evaluate: the incidence of bilateral CTS symptoms; correlation between severity, duration of symptoms and bilateral occurrence of CTS; agreement of clinical and neurophysiological findings; and the neurophysiological findin... |
0 | Catheterization of the dorsalis pedis artery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The radial artery is usually selected for arterial catheterization because puncture is easy and collateral flow is available. Often overlooked is the dorsalis pedis artery, which has the same advantages. This report reviews clinically relevant facts about catheterization of the dorsalis pedis artery. This route is espe... |
0 | Fractures around the lateral cortical hinge after a medial opening-wedge high tibial osteotomy: a new classification of lateral hinge fracture | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study was to determine the frequency of lateral hinge fractures after opening-wedge high tibial osteotomy and investigate the patterns of fracture and their clinical outcome.
METHODS: We analyzed 104 knees in 93 patients with a mean age of 68 +/- 7 years. Of the knees, 74 were diagnosed as ... |
0 | Poor outcome of revised resurfacing hip arthroplasty: 397 cases from the Australian Joint Replacement Registry | PJI DX Updated Search | Background and purpose Recent years have seen a rapid increase in the use of resurfacing hip arthroplasty despite the lack of literature on the long-term outcome. In particular, there is little evidence regarding the outcome of revisions of primary resurfacing. The purpose of this analysis was to examine the survivorsh... |
0 | Microsurgical reconstruction of wide simple and compound foot defects | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: A mutilated foot as a result of traumas or resection for tumours or ulcers, is a serious physical and social handicap for the patient, because it impairs deambulation and affects his selfgovernment. The evolution of microsurgical techniques has allowed us to utilize such methods to reconstruct wide simple a... |
0 | Rejuvenation of the aging neck. 40 years experience | Panniculectomy & Abdominoplasty CPG | This article addresses specific questions posed to the author by the editor to elucidate his 40-years experience with neck lift. Surgery of the neck has been, in the author's hands, for all practical purpose, problem free. However, one needs to understand the issues and apply the proper techniques. By far, it is best t... |
0 | Glutamate-mediated primary somatosensory cortex excitability correlated with ceruloplasmin in healthy subjects | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: The brain is chemically unique in that its natural metal levels are an order of magnitude higher than in any other part of the body and are absolutely essential to fulfil a series of important biological functions, such as nerve transmission, muscle contraction and oxygen transport. Objective: To investig... |
1 | Efficacy of erythrocyte sedimentation rate and C-reactive protein level in determining periprosthetic hip infections | PJI DX Updated Search | The diagnosis of periprosthetic hip infections is often challenging. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level blood laboratory tests are commonly used to aid in the diagnosis. We studied the sensitivity, specificity, and false-negative rates of ESR and CRP level in a prospective group of ... |
0 | Alcohol and drug screening of adolescent trauma alert patients at a level 1 pediatric trauma center | DoD PRF (Psychosocial RF) | BACKGROUND: Adolescent trauma patients are reported to have increased incidence of alcohol and other drug (AOD) use, but previous studies have included inadequate screening of the intended populations. A Level 1 Pediatric Trauma Center achieved a 94% rate of AOD screening. We hypothesized that a positive AOD screening ... |
0 | Effects of a valgus unloader brace in the medial meniscectomized knee joint: a biomechanical study | AMP (Acute Meniscal Pathology) | BACKGROUND: Patients undergoing total or partial arthroscopic meniscectomy for treating traumatic meniscal tears are at greater risk of developing knee osteoarthritis (OA) due to increased mechanical load. The purpose of this study was to evaluate the effects of a valgus unloader brace in the medial meniscectomized kne... |
0 | Continuous vs. repeated bolus of tranexamic acid for total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background and Goal of Study: Multiple studies suggest tranexamic acid (TXA) reduces blood loss and red cell transfusions in patients undergoing total knee arthroplasty (TK A). Several protocols with different dose of TXA were used. Repeated doses for longer period were more effective (1). However, many of the dosing s... |
0 | Prospective study of diabetes and risk of hip fracture: the Nurses' Health Study | Management of Hip Fractures in the Elderly | OBJECTIVE: The purpose of this study was to determine whether women with type 1 and type 2 diabetes are at higher risk of hip fractures. RESEARCH DESIGN AND METHODS: A total of 109,983 women aged 34-59 years in 1980 were followed through 2002 for the occurrence of hip fracture. At baseline and through biennial follow-u... |
0 | A transthyretin variant (alanine 49) associated with familial amyloidotic polyneuropathy in a French family | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A transthyretin mutation was discovered in a French family with familial amyloidotic polyneuropathy originally described in 1983. The syndrome is of early onset (approximate age 35 to 40) with carpal tunnel syndrome. Death is from cardiac disease. By direct genomic DNA sequencing an A-->G mutation was found in the posi... |
0 | Surgical treatment of distal radius fractures with an angle fixed bar palmar plating system: a single center study of 102 patients over a 2-year period | Distal Radius Fractures | INTRODUCTION: Most fractures of the distal radius can be treated by conservative means; however, unstable distal radius fractures (DRFs) require surgical fixation. The purpose of this study was to evaluate functional and radiographic results of DRFs treated with a palmar plating system regarding patient's quality of li... |
0 | Modular tantalum augments for acetabular defects in revision hip arthroplasty | Management of Hip Fractures in the Elderly | Large acetabular defects can be reconstructed with various methods depending on size and location of the defect. We prospectively followed our first 37 patients in whom we reconstructed the acetabulum with a trabecular metal augment combined with a trabecular metal shell. Three patients died before completing the minim... |
0 | MRI after unicondylar knee arthroplasty: the preserved compartments | PJI DX Updated Search | PURPOSE: The aim of this study was to assess the reproducibility of using magnetic resonance imaging (MRI) to analyze the preserved anatomic knee compartments following unicondylar knee arthroplasty (UKA) with zirconium femoral components. It was hypothesized that evaluation of the cartilage, ligaments, meniscus, and t... |
0 | Application time for postoperative wound dressing following breast augmentation with implants: study protocol for a randomized controlled trial | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Breast augmentation with silicone implants is one of the most frequently performed cosmetic surgeries worldwide. Surgical site infection (SSI) remains an important complication of this procedure. One of the most important risk factors for SSI is the presence of microorganisms on the skin surrounding the wou... |
0 | Comparison of simultaneous bilateral with unilateral total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The aim of this study was to compare simultaneous bilateral total knee arthroplasty (BTKA) and unilateral total knee arthroplasty (UTKA) in terms of morbidity, clinical and radiological findings and quality of life.
METHODS: The study included 48 simultaneous BTKAs (46 females, 2 males; mean age: 64.00 +/- 8... |
0 | The degree and distribution of cortical bone mineralization in the human femoral shaft change with age and sex in a microradiographic study | Management of Hip Fractures in the Elderly | BACKGROUND: The incidence of osteoporotic hip fractures increases with age, more sharply in women than in men, as a result of qualitative and quantitative bone alterations. Mineralization (a qualitative parameter) showed no differences with age or sex in cancellous bone in earlier studies. Few studies assessed such dif... |
1 | Absolute compartment pressure versus differential pressure for the diagnosis of compartment syndrome in tibial fractures | DOD - Acute Comp Syndrome CPG | We studied 39 patients with 42 diaphyseal tibial fractures in whom we suspected a high risk for the development of a compartment syndrome. We measured the anterior absolute compartment pressure (ACP) every 12 h for 72 h and also recorded the differential pressure (DeltaP=diastolic blood pressure-ACP). Fasciotomy of the... |
0 | Lyme neuroborreliosis. Peripheral nervous system manifestations | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An ever increasing number of apparently unrelated peripheral nervous system (PNS) disorders has been associated with Lyme borreliosis. To ascertain their relative frequency and significance, we studied prospectively 74 consecutive patients with late Lyme disease, with and without PNS symptoms: 53% had intermittent limb... |
0 | Ultrasound-guided anterior iliopsoas muscle space block versus posterior lumbar plexus block in hip surgery in the elderly: a randomised controlled trial | DoD SSI (Surgical Site Infections) | BACKGROUND: Ultrasound-guided posterior lumbar plexus block is widely used for hip fracture surgery but it requires a change of position, which may be painful. OBJECTIVES: Our primary objective was to describe a new technique, the anterior iliopsoas muscle space block, which can be performed in the supine position, and... |
0 | Femoral impaction bone grafting in revision hip arthroplasty: 705 cases from the originating centre | Hip Fx in the Elderly 2019 | AIMS: Femoral impaction bone grafting was first developed in 1987 using morselised cancellous bone graft impacted into the femoral canal in combination with a cemented, tapered, polished stem. We describe the evolution of this technique and instrumentation since that time.
PATIENTS AND METHODS: Between 1987 and 2005, 7... |
0 | Systemic exposure to aminoglycosides following knee and hip arthroplasty with aminoglycoside-loaded bone cement implants | PJI DX Updated Search | BACKGROUND: Aminoglycoside-loaded bone cement (ALBC) implants are frequently used in orthopedic surgery. Parenteral aminoglycosides are known to cause nephrotoxicity. Reports of acute renal failure in patients receiving ALBC implants have been reported in the literature and at our hospital. OBJECTIVE: To evaluate, as p... |
0 | Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? | DOD - Acute Comp Syndrome CPG | BACKGROUND: Tibial tuberosity fractures have been described as uncommon injuries, but their frequency appears to be increasing. Because of the relatively few cases reported in the literature, little is known regarding risk factors for complications. In a large group of adolescents with tibial tuberosity fractures, we n... |
0 | Results of intertrochanteric femur fractures treated with a 135-degree sliding screw with a two-hole side plate | Management of Hip Fractures in the Elderly | OBJECTIVE: To observe and report the clinical results of the treatment of intertrochanteric hip fractures treated with a 135-degree hip screw with a two-hole side plate. DESIGN: Prospective consecutive. SETTING: Community private practice. PATIENTS: A consecutive series of seventy primarily older patients with intertro... |
0 | To Determine the Safety, Tolerability, Pharmacokinetics and Effect on Pain of a Single Intra-articular Administration of Canakinumab in Patients With Osteoarthritis in the Knee | OAK 3 - Non-arthroplasty tx of OAK | This is a randomized, doubleâ?blind, parallel group, placebo controlled 18 weeks study, consisting of two parts: 1. Part A: an ascending single dose part in which the safety and tolerability of up to 4 different canakinumab doses are studied (starting dose 150 mg, maximum dose 600 mg). 2. Part B: a doubleâ?dummy, act... |
0 | Treatment of carpal tunnel syndrome. Comparative study with and without epineurolysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Three series of cases of Carpal Tunnel Syndrome have been studied. One series was treated a different, respected surgical team, the second series by the author by decompression alone, and the third series by additional intraneural decompression using the microscope. The authors found very little difference in the resul... |
1 | Little impact of antiplatelet agents on venous thromboembolism after hip fracture surgery | Management of Hip Fractures in the Elderly | Since the late 1980s, low dose aspirin has been used to prevent stroke and ischemic heart disease. However, prophylactic effect of antiplatelets against venous thromboembolism (VTE), in patients who undergo hip fracture surgery (HFS) is controversial. Our purpose was to determine the incidence of symptomatic VTE after ... |
0 | Efficacy of Intra-Articular Injection of Etanercept for Moderate and Severe Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Primary aim: evaluate efficacy of intraâ?articular injection of etanercept for moderate and severe knee osteoarthritis. Second aim: investigate the potentiality of serum cytokines (TNFâ?α, Interleukin 1â?α (IL1â?α), IL1â?β, matrix metalloproteinases1 (MMP1), MMP13) to predict the response of intraâ?articular ... |
0 | The versatility of the hatchet flap in soft tissue reconstruction and a proposed new classification | DoD LSA (Limb Salvage vs Amputation) | The Hatchet flap is a well-known flap used to cover round defects with primary closure of the donor sites in a V-Y fashion. This provides a stable coverage of the defect by a skin flap from the adjacent area and thus having similar color, texture, and sensation to the lost skin. Literature showed the application of the... |
0 | Sino-oral zygomycosis due to Absidia corymbifera in a patient with acute leukemia | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Fungi belonging to class Zygomycetes become pathogenic in certain predisposing conditions; principally diabetes mellitus, immunosuppression, trauma or burns. We report a case of a 31-year-old man with acute promyelocytic leukemia who developed infection of the sino-oral cavity, due to Absidia corymbifera during a neutr... |
1 | The effects of neural mobilization in addition to standard care in persons with carpal tunnel syndrome from a community hospital | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The purpose of this study was to determine whether neural mobilization in addition to standard care is more effective than standard care alone in the treatment of Carpal Tunnel Syndrome (CTS). Sixty participants were randomly assigned to one of two groups. Group 1 received standard care, and Group 2 performed a neurody... |
1 | Care related pain in rehabilitation after orthopedic trauma: An exploratory study with qualitative data | DoD PRF (Psychosocial RF) | OBJECTIVE: Care related pain (CRP) is generally under-estimated and rarely studied in rehabilitation as well as in general medecine. Beliefs about pain influence psychological distress, adjustment to pain and physical disability. In this sense, perceptions of CRP could limit recovery. This exploratory study aims to und... |
0 | Therapy and safety management | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objectives: :. To develop fact sheets about tocilizumab, in order to assist physicians in the management of patients with inflammatory joint disease. Methods: :1.selection by a committee of rheumatology experts of the main topics of interest for which fact sheets were desirable;2.identification and review of publicatio... |
0 | Association between muscle atrophy/weakness and health care costs and utilization among patients receiving total knee replacement surgery: A retrospective cohort study | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The aim of the study reported here was to examine health care resource utilization, costs, and risk of rehospitalization for total knee replacement (TKR) patients with and without muscle atrophy/weakness (MAW). Patients and methods: Individuals aged 50-64 years with commercial insurance or 65+ years with Medic... |
1 | Risk factors for detectable metastatic disease at presentation in Ewing sarcoma - An analysis of the SEER registry | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Ewing family of tumors (EFT) represents the second-most common primary bone malignancy in children and adolescents. Approximately 25% of patients have radiographically detectable metastatic disease at presentation and experience poorer five-year survival, yet risk factors for metastatic disease at presentat... |
0 | Early indicators and contributors to psychological distress in relatives during rehabilitation following severe traumatic brain injury: findings from the Brain Injury Outcomes Study | DoD PRF (Psychosocial RF) | OBJECTIVES: To develop a multivariate model of the dynamic interactions among key variables associated with relative distress and disrupted family functioning after traumatic brain injury (TBI).
PARTICIPANTS: A relative sample (parents, spouses, close others; n = 134) derived from a statewide cohort of people with TBI ... |
0 | Visfatin/nampt in osteoarthritis: Sites of production in human joints and role of its enzymatic activity | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: The role of cytokines produced by obese-derived adipose tissue, namely adipokines, in the pathophysiology of osteoarthritis (OA) is now well established. We recently suggested that one of them, visfatin, may play a role in OA by activating chondrocytes (1,2). Along with its cytokine effect, visfatin... |
1 | Lower age increases the risk of revision for stemmed and resurfacing shoulder hemi arthroplasty: A study from the Swedish shoulder arthroplasty register | Glenohumeral Joint OA | Background and purpose â?? The number of patients where shoulder hemiarthroplasty (SHA) is an option is still substantial. Descriptive analyses performed by the Swedish Shoulder Arthroplasty Registry (SSAR) showed that while patients receiving SHA designs, i.e. resurfacing hemi (RH) and stemmed hemi (SH), reported simi... |
0 | Dietary Fiber Intake in Relation to Knee Pain Trajectory | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Dietary fiber may reduce knee pain, in part by lowering body weight and reducing inflammation. In this study, we assessed whether fiber intake was associated with patterns of knee pain development.
METHODS: In a prospective, multicenter cohort of 4,796 men and women ages 45-79 years with or at risk of knee o... |
0 | Intraneural parachordoma of the arm with regional metastases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Parachordoma is a rare tumor, with fewer than 100 cases reported. We present an unusual presentation of a long tumor tracking along the median nerve, with regional metastasis to the axillary nodes in a 67-year-old woman. The tumor extended from the wrist proximally along the forearm to the elbow, coursing intraneurally... |
1 | Effect of intravenous methylprednisolone on pain after intertrochanteric femoral fracture surgery | Hip Fx in the Elderly 2019 | Background: Pain after surgery is one of the major problems in patients with intertrochanteric fracture. This study investigates administration of single-dose Methylprednisolone prior to surgery with the goal of reducing Post-operative pain. Materials and Methods: The study was a Double Blind Randomized Clinical Trial.... |
0 | A novel and effective strategy for the isolation of adipose-derived stem cells: minimally manipulated adipose-derived stem cells for more rapid and safe stem cell therapy | Panniculectomy & Abdominoplasty CPG | Adipose-derived stem cells are an ideal mesenchymal stem cell population for regenerative medical application. The isolation procedure is performed by mechanical isolation under a laminar air flow bench without using serum or animal-derived reagents; cells were characterized by flow cytometric analysis. Cell availabili... |
0 | Fresh osteochondral allografts at the knee joint: good functional results in a follow-up study of more than 15 years | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The treatment of deep chondral defects at the knee joint poses major difficulties and challenges to the orthopaedic surgeon, particularly in young patients for whom solutions like total or hemi-joint arthroplasty are not recommended, because of their limited durability. Biological resurfacing with materials such as per... |
0 | Development of a Nomogram for Predicting Blood Transfusion Risk After Hemiarthroplasty for Femoral Neck Fractures in Elderly Patients | Hip Fx in the Elderly 2019 | BACKGROUND The aim of this study was to determine the risk factors and develop a nomogram for blood transfusions after hemiarthroplasty (HA) in patients with femoral neck fractures (FNFs). MATERIAL AND METHODS We performed a retrospective study including consecutive elderly FNF patients treated by HA between January 20... |
0 | Weighted vest exercise improves indices of fall risk in older women | Management of Hip Fractures in the Elderly | BACKGROUND: Bone mass and fall propensity are two major risk factors for hip fracture. Our intent was to determine if weight-bearing exercises with added resistance from weighted vests would improve dynamic balance, muscle strength and power, and bone mass in postmenopausal women, thereby reducing risk for falls and hi... |
0 | An ancient treatment for present-day surgery: Percutaneously freezing sensory nerves for treatment of postsurgical knee pain | OAK 3 - Non-arthroplasty tx of OAK | The analgesic properties of cold therapy have been well known for many centuries. Cryoneurolysis of sensory peripheral nerves, in which the epineurium and perineurium resist freeze damage, allowing the structural scaffold to remain intact for normal axonal regeneration and remyelination to occur, has been used to treat... |
0 | OARSI-OMERACT initiative: defining thresholds for symptomatic severity and structural changes in disease modifying osteoarthritis drug (DMOAD) clinical trials | PJI DX Updated Search | OBJECTIVE: Total joint replacement has been proposed as an endpoint in disease modifying osteoarthritis drug (DMOAD) randomized clinical trials (RCTs); however, disparities have generated concerns regarding this outcome. A combined Osteoarthritis Research Society International (OARSI)/Outcome Measures in Rheumatology (... |
0 | Postoperative MR evaluation of chondral repair in the knee | Surgical Management of Osteoarthritis of the Knee CPG | Articular cartilage abnormalities of the knee are a cause of significant patient morbidity. Several surgical techniques have been developed to treat these lesions to improve patient symptoms and to delay or prevent the development of osteoarthritis. MRI has been shown to be an accurate non-invasive test for the evaluat... |
0 | Hip Fractures in Older Men | Hip Fx: Early-Weight Bearing Search | Hip fractures in elderly men present many significant challenges and are a leading cause of morbidity and mortality in this age group. A multidisciplinary team approach before surgical intervention is the most efficient way to manage this patient group and achieve the best possible outcome while attempting to return pa... |
0 | Vascular malformations | DOD - Acute Comp Syndrome CPG | LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Understand the nomenclature and classification system of vascular malformations. 2. Evaluate these patients diagnostically. 3. Outline the surgical and nonsurgical options for treating these lesions. SUMMARY: Vascular anomalies can ... |
0 | Streptococcus gordonii bacteremia in an infant following gastric surgery | Patrick’s pharmacoepidemiology project | Streptococcus gordonii is a viridans group streptococci of the S. sangius group that is normally a non-pathogenic inhabitant of the oral cavity and occasionally the gastrointestinal tract. S. gordonii is well-known for its ability to colonize damaged heart valves and cause bacterial endocarditis, but it rarely causes p... |
0 | Effect of medial meniscectomy on gait parameters | AMP (Acute Meniscal Pathology) | The aim of this study is to determine how selected gait parameters may change as a result of medial meniscectomy at constant gait speed. Gait analysis using a ZEBRIS ultrasound based three-dimensional motion analysis system was performed in 24 patients who had undergone medial meniscectomy 18 months before the gait ana... |
0 | Open Fracture Care During War: Opportunities for Research | DoD SSI (Surgical Site Infections) | Reported infection rates following severe open fractures of the lower extremity sustained in combat have varied widely, from 23% to 85%. The infection rates have been either similar to or higher than those reported in the civilian trauma literature. Deployed surgeons have increased the frequency of fasciotomy procedure... |
0 | History of knee injuries and knee osteoarthritis: a meta-analysis of observational studies | SR for PM on OA of All Extremities | OBJECTIVES: Although knee injury has been implicated as a risk factor for the development of knee osteoarthritis (OA), there is great disparity in the magnitude of quantifiable risk. Our aim was to systematically review the relationship between history of knee injuries and knee OA. METHODS: Six electronic databases wer... |
0 | Multi-center study of use of the Exeter stem in Japan: evaluation of 1000 primary THA | PJI DX Updated Search | BACKGROUND: The Exeter stem was introduced to the Japanese market in 1996. Since then, owing to excellent clinical results, the number of stems used has increased year by year and more than 2000 stems were implanted in 2009. The objective of this study was to prove the efficacy of the Exeter stem for Japanese patients ... |
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