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1 | Arthroscopic meniscus repair: inside-out technique vs. Biofix meniscus arrow | Anterior Cruciate Ligament Injuries CPG | A retrospective study evaluated meniscal suturing using an inside-out technique vs. an all-inside technique (Biofix meniscus Arrow). Fifty-five knees in 55 patients who underwent closed meniscus repair between 1985 and 1995 were divided in two groups: 20 managed by an inside-out technique; and 35 managed by an all-insi... |
0 | Osteoarthritis year in review: outcome of rehabilitation | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: This review highlights seminal publications of rehabilitation interventions for osteoarthritis (OA) since April 2012.
METHODS: Medline in process, Embase, CINAHL and Cochrane databases were searched from April 2012 through February 2013 for English language publications using key words osteoarthritis, rehabili... |
1 | The Sensitivity and Specificity of Preoperative History, Physical Examination, and Magnetic Resonance Imaging to Predict Articular Cartilage Injuries in Symptomatic Discoid Lateral Meniscus | AMP (Acute Meniscal Pathology) | BACKGROUND: Discoid lateral meniscus (DLM) is a morphologic variant in which concomitant articular cartilage defects lead to poor outcomes. The purpose of this study was to quantify the prognostic ability of history, physical examination, and magnetic resonance imaging (MRI) to identify arthroscopically confirmed artic... |
0 | The effect of body mass index on spinal anaesthesia for total knee replacement arthroplasty: a dose-response study | Surgical Management of Osteoarthritis of the Knee CPG | The aim of this study was to compare the duration of spinal anaesthesia in obese and non-obese subjects. We also quantified the effect of body mass index (BMI) on spinal anaesthesia by comparing the median effective dose (ED50) of intrathecal hyperbaric bupivacaine required in the two cohorts. One hundred and eight pat... |
0 | Use of knee magnetic resonance imaging by primary care physicians in patients aged 40 years and older | AMP (Acute Meniscal Pathology) | BACKGROUND: Criteria are needed for primary care providers such that they can evaluate age-related knee pain in a cost-effective manner. This study examined (1) in what percentage of patients are appropriate radiographic views of the knee ordered before magnetic resonance imaging (MRI) for knee pain, (2) specialists' r... |
0 | The VENUS Clinical Study (Verifying the Effectiveness of the NUsurface® System) | OAK 3 - Non-arthroplasty tx of OAK | The NUsurface® Meniscus Implant is intended for use in patients with medial compartment pain that have had a previous partial medial meniscectomy. Patients who meet the inclusion/exclusion criteria will be assigned by balanced randomization into one of two groups: the Meniscus Implants versus nonâ?surgical standard o... |
0 | Incidence of fractures and changes over time among the aged in a Finnish municipality: a population-based 12-year follow-up | Management of Hip Fractures in the Elderly | BACKGROUND AND AIMS: The incidence of fractures is high in older populations. The aim of this study was to describe the incidence of different fractures and to analyse the changes in age-adjusted yearly incidences among older persons. METHODS: A prospective true cohort design. Information about fractures in 482 men and... |
0 | An interesting diagnosis of cubital tunnel syndrome in a nursing mother | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Body: The patient is a 24-four-year-old female referred to Wilford Hall Pain Clinic for evaluation of left breast pain referred to her left forearm and fifth digit. She has no medical or surgical history and takes only a vitamin. She had recently given birth to a male infant via spontaneous vaginal delivery after an un... |
0 | Simulation and modeling of metamorphopsia with a deformable amsler grid | Upper Eyelid and Brow Surgery | A method to simulate and model metamorphopsia by means of a deformable Amsler grid is proposed. The interactively deformable grid is based on cubic B-splines to obtain a locally controlled deformation. By simulating metamorphopsia on normal sight volunteers, acquisition of a correction percentage is possible as a resul... |
0 | The high-superior-tension technique: evolution of lipoabdominoplasty | Panniculectomy & Abdominoplasty CPG | Because abdominoplasty is associated with complications such as seroma and necrosis as well as epigastric bulging and a suprapubic scar located too high, the demand for this procedure is not as high as it otherwise might be. However, although these negative effects were common many years ago, their incidence has decrea... |
0 | Hand and shoulder ailments among laboratory technicians using modern plunger-operated pipettes | DoD PRF (Psychosocial RF) | Laboratory technicians working with plunger-operated have a monotonous work task loading the arm. A study was performed to evaluate the prevalence of hand and shoulder ailments among laboratory technicians in relation to the 'dose' of pipetting and in relation to some psychosocial factors. A comprehensive questionnaire... |
0 | A double-blind study of motor blockade in the lower limbs. Studies during spinal anaesthesia with hyperbaric and glucose-free 0.5% bupivacaine | Surgical Management of Osteoarthritis of the Knee CPG | Sensory and motor blockade were studied double-blind during spinal anaesthesia in 20 urology patients who received 0.5% bupivacaine solution 4 ml with or without glucose. Using a new method for determining muscle strength, motor blockade during anaesthesia was recorded quantitatively for flexion of the hip, extension o... |
0 | Heberprot-P-associated metabolic control in patients with diabetic foot ulcers | DoD LSA (Limb Salvage vs Amputation) | Diabetes mellitus is a unmet medical need of significant social and economical impact. Diabetic foot is a chronic and avoidable complication, and still the source of non-traumatic amputations, with metabolic imbalance, macro- and micro-angiopathy, and ulceration or trauma contributing to its development. The introducti... |
0 | Multiple cerebral sinus thromboses complicating meningococcal meningitis: a pediatric case report | Patrick’s pharmacoepidemiology project | BACKGROUND: Cerebral venous sinus thrombosis (CVT) is a rare and potentially life-threatening condition in the pediatric population. The clinical presentation is frequently nonspecific; thus diagnosis is often delayed or missed. CASE PRESENTATION: A previously healthy 8 month-old boy was diagnosed with meningococcal me... |
1 | Clinical electromyographic feedback following meniscectomy. A multiple regression experimental analysis | AMP (Acute Meniscal Pathology) | This study was designed to evaluate the relative effectiveness of electromyographic feedback and conventional physical therapy in the recovery of quadriceps femoris muscle function following uncomplicated meniscectomy. Contributions of patient characteristics and elements related to the surgery were also evaluated, usi... |
0 | Healing of apical periodontitis through modern endodontic retreatment techniques | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The presence of apical periodontitis in teeth which have undergone initial root canal treatment is largely attributed to bacteria residing in or invading from the apical root canal space. Bacteria-associated apical periodontitis will not heal spontaneously, nor will systemic antibiotics eradicate the infection. Only en... |
0 | Temporal lobectomy for epilepsy - complicationsin 200 patients | Upper Eyelid and Brow Surgery | At the Austin Hospital, Melbourne, Australia, 200 consecutive temporal lobectomies were performed for refractorycomplex partial seizures between 1969 and 1991 as part of its Comprehensive Epilepsy Program. The complications of this retrospective series are reported. There were no 30-day postoperative deaths but there w... |
0 | Rehabilitation of the older lower limb amputee: A brief review | DoD PRF (Psychosocial RF) | Reviews the literature on outcomes, over the last 25â??30 yrs, of prosthetic rehabilitation in the older patient with a major lower limb amputation. The mean age of the populations in the studies ranges from 55 to 83 yrs. Topics discussed include comorbidity, morbidity and mortality, prosthetic issue and use, and psych... |
0 | A meta-analysis of the Gamma nail and dynamic hip screw in treating peritrochanteric fractures | DoD SSI (Surgical Site Infections) | The objective of this meta-analysis was to compare the fixation outcome of the Gamma nail and dynamic hip screw (DHS) in treating peritrochanteric fractures. Relevant randomised controlled studies were included, and the search strategy followed the requirements of the Cochrane Library Handbook. Methodological quality w... |
0 | Incidence and risk factors of delirium in the elderly general surgical patient | DoD SSI (Surgical Site Infections) | Background This study evaluates the incidence of delirium and risk factors associated with delirium in elderly patients admitted to a general surgical ward. Methods Patients aged over 60 years who were admitted with an acute or elective general surgical diagnosis were eligible for this prospective cohort study. Risk fa... |
0 | Trunk lean gait modification and knee joint load in people with medial knee osteoarthritis: the effect of varying trunk lean angles | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate whether increased lateral trunk lean toward the symptomatic lower extremity during gait in people with medial knee osteoarthritis (OA) immediately alters symptoms or medial knee load, as measured by the external knee adduction moment (KAM).
METHODS: Participants with medial knee OA (n = 22) under... |
0 | Distal Humerus Fractures Managed With Elbow Hemiarthroplasty | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Distal humerus fractures not amenable to open reduction internal fixation (ORIF) present a unique dilemma, especially for patients that weight bear through assistive devices. The one accepted operative treatment for irreparable distal humerus fractures is total elbow arthroplasty (TEA). However, TEA commonl... |
0 | Widening of the popliteal hiatus on magnetic resonance imaging leads to recurrent subluxation of the lateral meniscus | AMP (Acute Meniscal Pathology) | PURPOSE: This study was undertaken to elucidate the clinical significance of widening of the popliteal hiatus on magnetic resonance imaging (MRI), and to document the clinical results and technical aspects of arthroscopic repair of this finding.
METHODS: Included are 82 knees after arthroscopic surgery, divided accordi... |
1 | Clinical and radiological comparison of displaced extra articular distal radius fracture treated with plaster or external fixator | Distal Radius Fractures | There is no consensus regarding management and assessment of outcome in displaced fractures of distal radius. After closed reduction and casting they reangulate or redisplace. If we defined them as unstable then such a definition is only retrospective. Workers have attempted to predict instability on initial presentati... |
0 | Stabilization of chevron bunionectomy with a capsuloperiosteal flap | DoD SSI (Surgical Site Infections) | Background: Distal chevron osteotomy (DCO) for mild to moderate hallux valgus deformity is inherently more stable than the other forms of distal metatarsal osteotomy, but complications such as loss of correction, infection, joint stiffness, delayed union, malunion and nonunion can occur. In this study, we evaluated the... |
0 | Operative efficiency and accuracy of patient-specific cutting guides in total knee replacement | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Total knee replacement (TKR) outcomes depend on accurate positioning of implants and restoration of the mechanical axis of the knee. Compared with standard techniques, patient-specific cutting guides are postulated to improve accuracy of bone resections, and therefore implant placement. Furthermore, patient... |
0 | Soft tissue tension in extension in total knee arthroplasty affects postoperative knee extension and stability | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of this study was to assess correlation of soft tissue tension in extension with postoperative extension deficit and valgus/varus instability. Sixty-four osteoarthritic knees that underwent primary total knee arthroplasty were investigated. Soft tissue tension in extension was measured during operation with... |
1 | Associations with being physically active and the achievement of WHO recommendations on physical activity in people with spinal cord injury | DoD PRF (Psychosocial RF) | STUDY DESIGN: Secondary data analysis from the cross-sectional survey of the Swiss Spinal Cord Injury Cohort Study.
OBJECTIVES: To explore associations with physical activity (PA) levels in people with spinal cord injury (SCI) with the specific aim to identify aspects that potentially explain being physically active (P... |
0 | Simultaneous Use of Selective Neurectomy With Liposuction for Calf Reduction in Asians | Panniculectomy & Abdominoplasty CPG | Background: Calf contouring continues to be popular among Northeast Asians. Calf hypertrophy and distorted leg contours are stressful to many women. Several calf reduction techniques such as a selective neurectomy or calf muscle resection have been attempted, but have inconsistent results. Objectives: This study was de... |
0 | Failure of sliding nail-plate fixation in subcapital fractures of the femoral neck | Management of Hip Fractures in the Elderly | A retrospective study of 200 cases of subcapital fracture of the neck of the femur treated by sliding nail-plate fixation has been carried out. Failure of fixation within three months occurred in forty-two cases (21 per cent). These failures could, in part, be attributed to a combination of the severity of the fracture... |
0 | Medicare Part D's exclusion of benzodiazepines and fracture risk in nursing homes | HipFx Supplemental Cost Analysis | Background: Medicare Part D excludes benzodiazepine medications from coverage, and some state Medicaid programs also limit coverage. We assessed whether such policies decrease the risk of fractures in elderly individuals living in nursing homes. Methods: This is a quasi-experimental study with interrupted time-series e... |
1 | Quantifying the risk of prosthetic joint infections after invasive dental procedures and the effect of antibiotic prophylaxis | Dental Implant Infection | BACKGROUND: Dentists face the expectations of orthopedic surgeons and patients with prosthetic joints to provide antibiotic prophylaxis (AP) before invasive dental procedures (IDPs) to reduce the risk of late periprosthetic joint infections (LPJIs), despite the lack of evidence associating IDPs with LPJIs, lack of evid... |
0 | Exposed versus buried wires for fixation of lateral humeral condyle fractures in children: a comparison of safety and efficacy | DoD SSI (Surgical Site Infections) | INTRODUCTION: Displaced fractures of the lateral condyle of the humerus are usually treated with open reduction and fixation with smooth Kirschner wires. These may be passed through the skin and left exposed or buried subcutaneously. Exposed wires may be removed in the outpatient clinic, whereas buried wires require a ... |
0 | The diagnosis and management of breast problems during pregnancy and lactation | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: In addition to mastitis, lactational breast abscesses, and several other benign conditions unique to the puerperium, pregnant women may develop any of the other breast problems seen in the nonpregnant female population. This review deals with the diagnosis and management of breast problems during pregnancy ... |
0 | A novel third generation bisphosphonate, minodronate (YM529), prevented proliferation and migration of hepatocellular carcinoma cells through inhibition of mevalonate pathway | MSTS 2018 - Femur Mets and MM | AIM: Skeletal metastases and bone metasitasis are a common occurrence in patients with advanced hepatocellular carcinoma (HCC). Bisphosphonates (BPs), which are used for the treatment of osteoporosis and tumor-associated hypercalcemia, have recently been reported to decrease skeletal morbidity in patients with metastat... |
0 | Outcome studies of hip fractures. A functional viewpoint | Hip Fx: Early-Weight Bearing Search | As the success rate for repair of hip fractures continues to increase, emphasis is shifting to outcomes beyond the simple fracture repair to include restoration of function. The orthopaedist's role is critical in understanding, assessing, and determining patient prognosis with respect to functional outcome. Multiple fa... |
0 | Comparison of visual and objective quantification of elbow and shoulder movement in children with obstetric brachial plexus palsy | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: The Active Movement Scale is a frequently used outcome measure for children with obstetric brachial plexus palsy (OBPP). Clinicians observe upper limb movements while the child is playing and quantify them on an 8 point scale. This scale has acceptable reliability however it is not known whether it accurate... |
0 | Should hospital managers read the orthopedic literature before surgeons? The example of femur fracture management | Hip Fx in the Elderly 2019 | BACKGROUND: Early surgical intervention in the treatment of proximal femur fractures has been shown to significantly reduce mortality and complications. Our study intends to evaluate early surgery rates in a single-center analysis before the clinical advantages of early surgical intervention were demonstrated in the li... |
0 | Proximal migration of femoral telescopic rod in children with osteogenesis imperfecta | DoD SSI (Surgical Site Infections) | BACKGROUND: Intramedullary telescopic rod fixation has been used for stabilization of the long bones in growing children who have osteogenesis imperfecta. Proximal migration of the rod is the most common complication of telescopic rodding in the femur. The purposes of this study were to evaluate incidence and temporal ... |
0 | Arthroscopy in acute trauma of the knee joint | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Even in massive hemarthrosis, arthroscopy of the acutely injured knee joint can be performed. The procedure is indicated in all cases where clinical findings and radiography cannot establish a clear diagnosis or a clear indication for operation. Hemarthrosis of unknown origin should be investigated in every case. An ad... |
0 | Congenital smooth muscle hamartoma of the nipple: a case report | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Hamartoma is a benign developmental disorder. This focal malformation is composed of mature tissues normally observed in a given organ but randomly distributed, often in disturbed quantitative ratio, with growth rate similar to that of the surrounding tissues. Congenital smooth muscle hamartoma presents as ... |
1 | Cirrhosis patients' risk of complications after total hip or knee replacement for primary osteoarthritis-a Danish population-based cohort study | Surgical Management of Osteoarthritis of the Knee CPG | We aimed to compare the risk of complications after total hip or knee replacement for primary osteoarthritis between Danish patients with or without cirrhosis. Methods: We combined nationwide databases of total hip or knee replacements with data from healthcare registries of hospital admissions to identify all Danish c... |
0 | Combination treatment of biomechanical support and targeted intra-arterial infusion of peripheral blood stem cells mobilized by granulocyte-colony stimulating factor for the osteonecrosis of the femoral head: A randomized controlled clinical trial | PJI DX Updated Search | The objective of this study was to determine the benefits of combination treatment with mechanical support and targeted intra-arterial infusion of peripheral blood stem cells (PBSCs) mobilized by granulocyte-colony stimulating factor (G-CSF) via the medial circumflex femoral artery on the progression of osteonecrosis o... |
0 | Ultrasound guided femoral nerve catheter placement. Perivascular, long axis, in-plane approach | Surgical Management of Osteoarthritis of the Knee CPG | Continuous Femoral Block is a well known method of postoperative pain control after anterior thigh and knee surgery, including joint replacement. Usually, catheter placement is performed with the aid of either an electrical nerve stimulator (utilizing stimulating and non-stimulating catheters), or ultrasound guidance, ... |
0 | Dorsally angulated solitary metaphyseal greenstick fractures in the distal radius: Results after immobilization in pronated, neutral, and supinated position | Distal Radius Fractures | In a prospective study, angular redisplacement has been correlated with immobilization in the pronated, neutral, or supinated position (20 children in each group). Those with >20° of dorsal angulation at day 1 and after 2 weeks were manipulated. Dorsal angulation after immobilization at day 1, 2 weeks, and 6 weeks was... |
0 | Continuous Parasacral Sciatic Block: A Radiographic Study | DoD LSA (Limb Salvage vs Amputation) | Parasacral sciatic blockade results in anesthesia of the entire sacral plexus. In this study we sought to determine the spread of the local anesthetic injected through a parasacral catheter, the anatomical location of the inserted catheters, and the extent and reliability of the blockade. In this study, 87 consecutive ... |
0 | Human meniscus allograft augmentation by allogeneic mesenchymal stromal/stem cell injections | AMP (Acute Meniscal Pathology) | Meniscus allograft transplantations (MATs) represent established surgical procedures with proven outcomes. Yet, storage as frozen specimens and limited cellular repopulation may impair graft viability. This proof-of-concept study tests the feasibility of injecting allogeneic mesenchymal stromal/stem cells (MSCs) in men... |
0 | The fate of cryopreserved adipose aspirates after in vivo transplantation | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Successful long-term preservation of adipose tissues may have an important impact on future clinical application of autologous fat transplantation. Our group has recently developed an optimal cryopreservation method for possible long-term preservation of adipose aspirates. OBJECTIVE: The purpose of this stu... |
0 | Characteristics of dialysis-related amyloidosis in patients on haemodialysis therapy for more than 30 years | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Dialysis-related amyloidosis is one of the chronic the complications of haemodialysis. We conducted an investigation of dialysis-associated amyloidosis in extremely long-term survivors. METHODS: Twenty-one patients on haemodialysis for more than 30 years ('30+' group) and 13 patients on haemodialysis for 20... |
1 | The emotional Stroop task and chronic pain: What is threatening for chronic pain sufferers? | DoD PRF (Psychosocial RF) | Using a computer version of the emotional stroop task, it was investigated whether chronic pain patients display an involuntary attentional shift towards pain-related information (sensory, affective pain words and injury related words). Multiple regression analyses were used to investigate which pain and psychosocial v... |
0 | Comparison of 30-day morbidity and mortality after arthroscopic bankart, open bankart, and latarjet-bristow procedures: A review of 2864 cases | DoD SSI (Surgical Site Infections) | Background: Surgical intervention for anterior shoulder instability is commonly performed and is highly successful in reducing instances of recurrent instability. Purpose: To determine and compare the incidence of 30-day complications and patient and surgical risk factors for complications for arthroscopic Bankart, ope... |
0 | Temporary intraoperative external fixation in mandibular reconstruction | Reconstruction After Skin Cancer | OBJECTIVES: To describe the use of a temporary intraoperative external fixation device to assist in the optimal bony reconstruction of the mandible in the setting of vascularized bone grafts. STUDY DESIGN: A retrospective review of six patients who underwent composite resection of the mandible and subsequent reconstruc... |
1 | Isolated greater tuberosity fractures of the proximal humerus: anatomy, injury patterns, multimodality imaging, and approach to management | Trial Systematic Review Project | The greater tuberosity is an important anatomic structure and its integrity is important for shoulder abduction and external rotation. Isolated fractures of the greater tuberosity are often subtle and may not be detected on initial radiographs. Clinically, these patients display symptoms which mimic a full thickness ro... |
1 | Passive-dynamic ankle-foot orthosis improves medium-term clinical outcomes after severe lower extremity trauma | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: Individuals with delayed below-knee amputation have previously reported superior clinical outcomes compared with lower limb reconstruction. The UK military have since introduced a passive-dynamic ankle-foot orthosis (PDAFO) into its rehabilitation care pathway to improve limb salvage outcomes. The aims we... |
1 | Injury patterns causing isolated foot compartment syndrome | DOD - Acute Comp Syndrome CPG | BACKGROUND: The true incidence and primary predictors of foot compartment syndrome remain controversial. Our aim was to better define the overall incidence of foot compartment syndrome in relation to the frequency and location of various foot injuries. We hypothesized that (1) the incidence would increase in proportion... |
0 | Development and Validation of a Preoperative Surgical Site Infection Risk Score for Primary or Revision Knee and Hip Arthroplasty | DoD SSI (Surgical Site Infections) | BACKGROUND: Surgical site infection (SSI) is a major complication following total joint arthroplasty. Host susceptibility to infection has emerged as an important predictor of SSI. The purpose of this study was to develop and validate a preoperative SSI risk-assessment tool for primary or revision knee and hip arthropl... |
0 | Total knee prosthesis. Evolution of the principles and technique and initial results obtained with the total-condylar knee prosthesis "with posterior stability" | Surgical Management of Osteoarthritis of the Knee CPG | The principles and details of the surgical technique for the insertion of total knee prostheses are presented, in particular the methods of dealing with the soft tissues, the correction of deformities, and the sequence and details of making the bone sections. The authors deal in detail with the technical characteristic... |
0 | Clinical and functional outcome after acetabular labral repair in patients aged older than 50 years | Hip Fx in the Elderly 2019 | Purpose: To assess the clinical and functional outcome of labral repair in patients aged older than 50 years. Methods: We performed a prospective analysis of 20 patients aged older than 50 years who had undergone arthroscopic repair of a torn acetabular labrum (6 men and 14 women; mean age, 58 years). The indication fo... |
0 | Effect of ketamine on the quality of anesthesia and postoperative analgesia in epidural anesthesia | AAHKS (9/10) Regional Nerve Blocks | Purpose: To investigate the additional effects of ketamine to the epidural anesthesia over quality of intraoperative anesthesia and postoperative analgesia. Methods: Sixty adult patients, aged 20-70 years with an American Society of Anesthesiologists physical status of I-III (ASA I-III) who were scheduled for total hip... |
0 | Measurement of breast volume is a useful supplement to select candidates for surgical breast reduction | Reduction Mammoplasty for Female Breast Hypertrophy | Introduction: The indication for breast reduction in a public welfare or an insurance paid setting depends on the severity of the subjective symptoms and the clinical evalu-ation. The purpose of this study was to evaluate the use of breast volume as an objective criterion to establish the in-dication for breast reducti... |
1 | Small incision transcutaneous levator aponeurotic repair for blepharoptosis | Upper Eyelid and Brow Surgery | PURPOSE: Patients presenting with blepharoptosis due to disinsertion or thinning of the levator aponeurosis require surgical repair. A minimally invasive approach directed specifically at the levator aponeurotic anatomic defect may provide benefits to the patient. Proposed advantages of a small eyelid incision (8-13 mm... |
0 | A case of rheumatoid arthritis improved from Steinbrocker classification class IV to class II after multi-joint surgery | Surgical Management of Osteoarthritis of the Knee CPG | We report the case of a patient with rheumatoid arthritis (RA) who showed a reduction in disease severity (from class IV to class II) after multi-joint surgery. The patient was a 61-year-old man with a history of RA, type-2 diabetes, chronic obstructive pulmonary disease, and nephrotic syndrome. He had been undergoing ... |
0 | Clinical tests for differentiating between patients with and without patellofemoral pain syndrome | AMP (Acute Meniscal Pathology) | Patellofemoral pain syndrome (PFPS) is a very common knee condition with various aetiologies. Because of the nebulous factors of the syndrome, physiotherapists often find it difficult to assess and treat these patients. The aim of this study was to identify the clinical assessment tool that can differentiate PFPS patie... |
0 | Metal-on-metal hip resurfacing in patients aged 65 or older | PJI DX Updated Search | There is little information regarding the clinical performance of hip resurfacing arthroplasty (HRA) in older patients. Eighty-seven patients (99 hips) aged 65 years or older received HRA while a control group of 52 patients (64 hips) received a primary THA. The average age was 69.2 years for the HRA group and 71.9 yea... |
0 | Acetylcholinesterase inhibitors and the risk of hip fracture in Alzheimer's disease patients: a case-control study | Management of Hip Fractures in the Elderly | Recent studies have reported the presence of acetylcholine (ACh) receptor subtypes in bone tissue, and have demonstrated that inhibition of the ACh receptors has negative effects on bone mass and fracture healing capacity. However, little is known about the potential clinical effects that increased ACh signaling might ... |
0 | Clinical results of meniscus repair with the meniscus arrow: a 4- to 8-year follow-up study | AMP (Acute Meniscal Pathology) | The short-term clinical results of meniscus repair with the meniscus arrow were promising. Unfavorable outcomes were reported in two studies, with longer follow-up, raising concerns about the efficacy of this device. We retrospectively reviewed 62 patients (mean age 23.7 years; range 14-37 years) that underwent all-ins... |
0 | Digging deeper into the patello â?? femoral joint: Patello â?? femoral composite - a new dimension for overstuffing of patello â?? femoral joint | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Patelloâ??femoral complications are the most common complications in postoperative Total Knee Arthroplasty (TKA) patients especially overstuffing of Patello â?? Femoral Joint (PFJ). So, to study the effects of overstuffing of PFJ in postoperative TKA patients we put forth a new dimension - â??PATELLO - FE... |
0 | Incidence and analysis of open fractures of the midshaft and distal femur | DoD LSA (Limb Salvage vs Amputation) | Summary: Background: The purpose of this study was to determine whether different forms of stabilization for open femur fractures can be performed without influencing outcome, in particular infection and delayed unions/nonunions. Although the traditional management of these injuries is external fixation, a trend toward... |
0 | Technical pitfalls of collateral ligament surgery | AMP (Acute Meniscal Pathology) | The technical pitfalls of collateral ligament surgery include: Failure to properly diagnose and appropriately recommend surgery; posterolateral instability is the most commonly missed acute associated instability pattern Failure to correct all components of the injury (see Table 1): lateral meniscus, arcuate ligament, ... |
0 | The Four Most Common Types of Knee Cartilage Damage Encountered in Practice: How and Why Orthopaedic Surgeons Manage Them | AMP (Acute Meniscal Pathology) | Cartilage damage of the knee is common and may present in patients as a variety of symptoms. These conditions can be classified based on location, etiology, and/or pathophysiology. A systematic approach to the evaluation and classification of chondral injuries helps improve definitive management. The four most common t... |
0 | Prevention of fatal pulmonary thromboembolism by heparin prophylaxis after surgery for hip fractures | Management of Hip Fractures in the Elderly | From 1960 through 1975, 337 patients with surgically treated acute fracture of the hip received subcutaneously administered heparin to prevent thromboembolic disease according to various regimens. Four hundred and three patients received no heparin. The incidence of fatal pulmonary embolism was 3.5 per cent in the 403 ... |
0 | Quality of osteoarthritis care in family medicine - A cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Effective treatments for osteoarthritis are available, yet little is known about the quality of primary care in the Republic of Srpska for this disabling condition.
Objective: The main objective of this study was to analyze the overall quality of osteoarthritis treatment in a family medicine setting, as w... |
0 | Whole-body Vibration Training on Functional Performance of the Elderly With Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Ethical statement: This study was carried out in accordance with the recommendations of the ethical principles for research involving humans (Resolution 196â?96 of the National Health Council of the Brazilian Ministry of Health) and Federal University of Jequitinhonha and Mucuri Valleys Ethics Committee. All subjects ... |
1 | Early complications of operatively treated proximal humeral fractures | DoD SSI (Surgical Site Infections) | Minimal information exists regarding early complications after operatively treated proximal humeral fractures. Of the 82 shoulders that had osteosynthesis, 42 had a (nonmedical) complication, with 21 requiring further surgery. Of 42 shoulders with complications, 12 were related to incomplete reduction, 16 had loss of a... |
0 | In-silico insights on the prognostic potential of immune cell infiltration patterns in the breast lobular epithelium | Reduction Mammoplasty for Female Breast Hypertrophy | Scattered inflammatory cells are commonly observed in mammary gland tissue, most likely in response to normal cell turnover by proliferation and apoptosis, or as part of immunosurveillance. In contrast, lymphocytic lobulitis (LLO) is a recurrent inflammation pattern, characterized by lymphoid cells infiltrating lobular... |
0 | Delirium and cerebrospinal fluid S100B in hip fracture patients: A preliminary study | DoD PRF (Psychosocial RF) | Objectives: Delirium is associated with an increased risk of long-term cognitive decline, suggesting the possibility of concurrent central nervous system (CNS) injury. S100B is a putative biomarker of CNS injury and elevated serum levels in delirium have been reported. Here we hypothesize that delirium is associated wi... |
1 | Value systems and locus of control of people undergoing aesthetic surgery and their application in the work environment: A case study in Cyprus | Reduction Mammoplasty for Female Breast Hypertrophy | With the growth in elective aesthetic plastic surgery in recent years researchers are becoming increasingly interested in the psychological aspects of the procedure. The aim of this research in Cyprus was to describe the value systems and the locus of control of employees who have undergone aesthetic plastic surgery. A... |
0 | Bilateral total knee arthroplasty with modified primary components in the management of neuropathic arthropathy related to chronic pancreatitis: A case with 5-year follow-up | PJI DX Updated Search | Although neuropathic arthropathy of the foot and ankle joints in diabetes is well known, the involvement of the knee joint is rare. Then, the management, particularly the use of arthroplasty, is a matter of debate. We report a 51-year-old man with neuroarthropathic involvement of both knees related to the chronic pancr... |
0 | Epiphysiolysis of the femoral neck due to closed reduction of an adolescent hip dislocation with a 4-year follow-up: A case report and review of the literature | PJI DX Updated Search | This case study discusses a 13-year-old girl diagnosed with a displaced Salter Harris II fracture of the proximal femoral epiphysis post reduction of a dislocated hip. Radiographs before reduction revealed a small fracture of the inferomedial femoral head. This, however, did not induce concern before reduction. The pat... |
0 | Effects of fast walking on tibiofemoral bone water content in middle-aged adults | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Although it is believed that genu varum increases loading on the medial knee during locomotion, the acute effect of increased loading on bone stress has not been determined. This study aimed to examine the effects of locomotion and lower extremity alignment on bone water content in middle-aged adults withou... |
0 | A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Bone marrow aspirate concentrate (BMAC) is increasingly used as a regenerative therapy for musculoskeletal pathological conditions despite limited evidence-based support.
HYPOTHESIS: BMAC will prove feasible, safe, and efficacious for the treatment of pain due to mild to moderate degenerative joint disease ... |
0 | Prosthetic knee replacement after resection of a malignant tumor of the distal part of the femur. Medium to long-term results | MSTS 2022 - Metastatic Disease of the Humerus | We evaluated the medium to long-term results of treatment with a custom prosthetic knee replacement after wide resection of a primary malignant tumor of the distal part of the femur in forty consecutive patients. The duration of follow-up ranged from five to seventeen years (median, eight years). At the time of the lat... |
0 | Prognostic evaluation of nasopharyngeal carcinoma with bone-only metastasis after therapy | MSTS 2018 - Femur Mets and MM | Purpose: To evaluate the prognosis of nasopharyngeal carcinoma (NPC) patients who developed bone-only metastasis after primary treatment and the stratification of these patients into different risk groups based on independent prognostic factors. Materials and Methods: Eighty NPC patients who developed bone-only metasta... |
1 | Postoperative Reoperations and Complications in 32,307 Ankle Fractures With and Without Concurrent Ankle Arthroscopic Procedures in a 5-Year Period Based on a Large U.S. Healthcare Database | DoD SSI (Surgical Site Infections) | Residual symptoms often persist even after successful operative reduction and internal fixation (ORIF) of ankle fractures. Concurrent ankle arthroscopic procedures (CAAPs) have been proposed to improve clinical outcomes; however, a dearth of evidence is available supporting this practice. The purpose of the present stu... |
0 | Treatment of wrist and hand fractures with natural magnets: preliminary report | Distal Radius Fractures | The Authors, after having defined the phenomenon and the biological characteristics of natural magnets, evaluate their ability in accelerating the formation of bone callus in hand and wrist fractures compared to treatment with immobilization in a plaster cast. Forty patients (4 females and 37 males) between 20 and 86 y... |
0 | Repair of large osteochondral defects in a beagle model with a novel type I collagen/glycosaminoglycan-porous titanium biphasic scaffold | Osteochondritis Dissecans 2020 Review | The limited repair potential of articular cartilage, which hardly heals after injury or debilitating osteoarthritis, is a clinical challenge. The aim of this work was to develop a novel type I collagen (Col)/glycosaminoglycan (GAGs)-porous titanium biphasic scaffold (CGT) and verify its ability to repair osteochondral ... |
1 | Patient selection optimization following combined abdominal procedures: analysis of 4925 patients undergoing panniculectomy/abdominoplasty with or without concurrent hernia repair | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Massive weight loss following bariatric surgery causes unwanted excess skin and subcutaneous tissue. Intraoperative abdominal wall exposure during abdominal contouring surgery provides the possibility for concurrent ventral, umbilical, or inguinal hernia repair. The authors evaluated the incidence of postop... |
0 | Supportive care in multiple myeloma: Current practices and advances | MSTS 2022 - Metastatic Disease of the Humerus | Supportive care in multiple myeloma (MM) can have a major impact on quality of life and the survival outcomes of MM patients. In this review, we will focus on disease and treatment related toxicities experienced by MM patients and what are the best approaches to date to help mitigate the effects. We will specifically f... |
1 | Factors related to additional knee injuries after anterior cruciate ligament injury | Anterior Cruciate Ligament Injuries CPG | PURPOSE: We reviewed 1,375 consecutive patients to determine whether patient gender, age at injury, or activity level at injury were related to the risk of additional knee injuries over time following anterior cruciate ligament (ACL) injury. TYPE OF STUDY: Retrospective case series. METHODS: Survival analysis was used ... |
0 | Knee Injuries in the Elite American Football Player: A Descriptive Pictorial Imaging and Mechanism of Injury Review | AMP (Acute Meniscal Pathology) | Musculoskeletal injuries are common in American football, with an incidence ranging from approximately 10 to 35 per 1000 playing hours. Injuries occur more commonly in games than in practice. Although several studies have analyzed specific injury types in football, this review aims to describe the most common knee inju... |
1 | A 4-week randomized study of acetaminophen extended-release vs rofecoxib in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To compare the safety and efficacy of acetaminophen extendedâ?release (APAP ER) with rofecoxib for the management of pain associated with knee osteoarthritis (OA). METHODS: Four hundred and three adult patients with moderate pain secondary to knee OA were randomized to receive APAP ER 1300 mg three times da... |
0 | Aesthetic remodeling of the healthy breast in breast reconstruction using expanders and implants | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Breast reconstruction using expanders and implants still is the most common surgical procedure in many hospitals. The most important factor in obtaining a satisfactory aesthetic result for both the patient and the surgeon is to achieve the greatest symmetry possible between the healthy breast and the recons... |
0 | Total knee replacement or non-surgical therapy for osteoarthritis of the knee? | OAK 3 - Non-arthroplasty tx of OAK | Skou et al. screened 1475 patients and randomized 100 patients with â??moderate to severeâ?? osteoarthritis who were â??eligibleâ?? for unilateral knee replacement to undergo total knee replacement (TKR) followed by 12 weeks of non-surgical treatment (TKR group) or to receive only 12 weeks of non-surgical treatment (no... |
0 | Effectiveness and biocompatibility of a novel biological adhesive application for repair of meniscal tear on the avascular zone | AMP (Acute Meniscal Pathology) | We have investigated the effectiveness and safety of a newly developed biological adhesive for repair of meniscal tear. The adhesive was composed of disuccinimidyl tartrate (DST) as a crosslinker and human serum albumin (HSA) as a hardener. To determine adequate concentration, bonding strength was measured using a tens... |
0 | Treatment of proximal humeral fractures with Polarus nail fixation | DoD SSI (Surgical Site Infections) | A chart review of 20 patients who sustained acute proximal humeral fractures and who were treated by surgical stabilization with locked antegrade humeral intramedullary nails (Polarus nails) was undertaken. The clinical outcome measurements were fracture healing, infection, and neurologic injury. Radiologic outcome mea... |
0 | Ultrasound assessment of abdominal adipose panniculus in patients treated with a single session of cryolipolysis in a clinical setting | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: To assess the effectiveness and safety of cryolipolysis treatment (four-to-six cycles in one session) for reducing abdominal fat. METHODS: Retrospective study conducted on consecutive healthy women who underwent one session of cryolipolysis for abdominal fat reduction. Ultrasound images (USI) were acquired a... |
0 | Lumbar paraspinal compartment pressure in back muscle exercise | DOD - Acute Comp Syndrome CPG | A paraspinal compartment pressure measurement was taken in 20 volunteers (a) to establish the normal compartment pressure in a series of body postures at rest and (b) to determine the difference in paraspinal compartment pressure during weight-lifting (40 pounds) exercise between straight back lifting and straight knee... |
0 | In vivo kinematics of medial unicompartmental osteoarthritic knees during activities of daily living | AMP (Acute Meniscal Pathology) | Few studies exist describing unicompartmental osteoarthritic knee kinematics. Moreover, the role of the anterior cruciate ligament (ACL) in the determination of knee kinematics has not been fully described. The objective of the current study was to analyze the in vivo kinematics of knees with medial osteoarthritis (OA)... |
0 | Lumbrical-interossei motor studies localize ulnar neuropathy at the wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Ulnar nerve entrapment at the wrist (UNW) is uncommon and often difficult to localize electrophysiologically. The difference between the motor latencies to the median-innervated second lumbrical (2L) and ulnar-innervated palmar interosseous (PI) (Diff 2L-PI) has been shown to be of localizing value in patients with med... |
0 | Surgical approaches to the distal radius | Distal Radius Fractures | INTRODUCTION: Fractures of the distal radius are among the most common fractures seen. They encompass a myriad of presentations and fracture patterns that often benefit from various open reduction and internal fixation techniques-including volar plating, dorsal plating, radial plating, intramedullary nailing, and fragm... |
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