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0 | Prognostic factors for mortality after hip fracture: Operation within 48 hours is mandatory | Hip Fx in the Elderly 2019 | The aim of this study was to assess whether surgery delay and other variables are associated with an increased mortality rate after surgical treatment of hip fractures in the elderly. Patients treated for a proximal femoral fracture at our Orthopaedic Department between 2005 and 2012 were included in this study. A logi... |
0 | Hip fractures in elderly patients treated with bipolar hemiarthroplasty: Comparison between cemented and cementless implants | HipFx Supplemental Cost Analysis | A prospective, randomised study was conducted to evaluate the clinical and functional outcomes at 12 months of followup in two groups of patients affected by femoral neck fractures and treated with cemented or cementless bipolar hemiarthroplasty. Fifty-three cemented and 53 cementless prostheses were implanted on alter... |
0 | The effect of psychological disturbance on symptoms, self-reported disability and surgical outcome in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In a prospective study, we have evaluated the impact of psychological disturbance on symptoms, self-reported disability and the surgical outcome in a series of 110 patients with carpal tunnel syndrome. Self-reported severity of symptoms and disability were assessed using the patient evaluation measure and the Boston ca... |
1 | Effect of preoperative exercise on measures of functional status in men and women undergoing total hip and knee arthroplasty | Management of Hip Fractures in the Elderly | OBJECTIVE: To evaluate the effect of a short preoperative exercise intervention on the functional status, pain, and muscle strength of patients before and after total joint arthroplasty.METHODS: A total of 108 men and women scheduled for total hip arthroplasty (THA) or total knee arthroplasty (TKA) were randomized to a... |
0 | Group C streptococcal psoas abscess associated with a homolateral hip joint prosthesis infection: A case report | PJI DX Updated Search | An abscess in the psoas muscle is rare and frequently misdiagnosed. A delay in the diagnosis can increase its mortality rate. Some clinical signs can help the clinician but they all are not always present, and not at the same time. We describe in this paper a case report of an association between a psoas abscess and a ... |
1 | Clinical effect on knee osteoarthritis treated with Fu's subcutaneous needling therapy | OAK 3 - Non-arthroplasty tx of OAK | Objective: To observe and compare the clinical effect on knee osteoarthritis (KOA) between Fu's subcutaneous needling therapy (FSN) and convention acupuncture. Methods: A total of 80 outpatients with KOA were divided into a FSN group (40 cases) and a conventional acupuncture group (40 cases) according to random number ... |
0 | Does retrograde axonal atrophy really occur in carpal tunnel syndrome patients with normal forearm conduction velocity? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: The cause of decreased median forearm motor conduction velocity (FMCV) in carpal tunnel syndrome (CTS) is best ascribed to retrograde axonal atrophy (RAA); however, the relationships between the occurrence of RAA and electrophysiological or clinical severity remains controversial. We attempt to determine whe... |
0 | Thompson hemiarthroplasty through a trochanteric osteotomy approach | Management of Hip Fractures in the Elderly | The case histories and radiographs of 100 patients treated with a cemented Thompson prosthesis for displaced subcapital fracture were reviewed. All had been operated on through a lateral approach to the hip joint, combined with trochanteric osteotomy. Twenty patients had an unsound trochanteric reattachment at follow-u... |
0 | Ulnar neuropathies in rheumatoid arthritis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A loss of functional motor axons in the median and ulnar nerves occurred in half of thirty-three patients with rheumatoid arthritis. Weakness of small hand muscles may predispose to the development of ulnar deviation of the fingers in patients with joint disease at the radio-ulnar and metacarpophalangeal joints. There ... |
0 | Re-Evaluation of Muscle Wisdom in the Human Adductor Pollicis using Physiological Rates of Stimulation | Pediatric Supracondylar Humerus Fracture 2020 Review | Motor unit discharge rates decline by about 50 % over 60 s of a sustained maximum voluntary contraction (MVC). It has been suggested that this decline in discharge rate serves to maintain force by protecting against conduction failure and by optimizing the input to motor units as their contractile properties change. Th... |
0 | Avulsions around the knee portend instability | AMP (Acute Meniscal Pathology) | Bony avulsions about the knee are common injuries seen in the emergency room. Unawareness of characteristic radiographic patterns of injury that herald potential instability and require further workup can result in significant morbidity. We present a radiographic pictoral discussion on bony avulsions and associated sof... |
0 | Effects of the acetabular fracture index and other factors of posterior wall acetabular fracture on functional outcome | Hip Fx in the Elderly 2019 | Objective To analyze the effects of the acetabular fracture index (AFI) and other factors on the functional outcome of patients with acetabular fractures involving the posterior wall. Methods Forty-eight patients who underwent surgery in our department were reviewed. According to the AFI, which indicates the percentage... |
0 | Are Medicare's “Comprehensive Care for Joint Replacement” Bundled Payments Stratifying Risk Adequately? | MSTS 2022 - Metastatic Disease of the Humerus | Background: Bundled payments are meant to reduce costs and improve quality of care. Without adequate risk adjustment, bundling may be inequitable to providers and restrict access for certain patients. This study examines patient factors that could improve risk stratification for the Comprehensive Care for Joint Replace... |
0 | Dispositional and situational coping and mental health among Palestinian political ex-prisoners | DoD PRF (Psychosocial RF) | We examined, first, differences in dispositional and situational coping, and psychological distress between political ex-prisoners and their matched controls, and second, coping effectiveness in protecting mental health from impacts of imprisonment and military trauma. Thirdly, we tested the hypothesis that compatibili... |
0 | Treatment with denosumab reduces the incidence of new vertebral and hip fractures in postmenopausal women at high risk | Management of Hip Fractures in the Elderly | Context: The FREEDOM (Fracture REduction Evaluation of Denosumab in Osteoporosis every 6 Months) trial showed denosumab significantly reduced the risk of fractures in postmenopausal women with osteoporosis. Objective: We evaluated the effect of denosumab on the incidence of new vertebral and hip fractures in subgroups ... |
0 | Effect of various graft materials with tetracycline in localized juvenile periodontitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Ten patients with bilateral, posterior osseous defects associated with localized juvenile periodontitis (LJP) completed the study. Following the initial therapy, osseous defects were surgically debrided and grafted with a 4:1 volume ratio combination of either Synthograft/tetracycline (b-TCP/TTC), Periograf/tetracyclin... |
1 | Reoperation after combat-related major lower extremity amputations | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: Complication rates leading to reoperation after trauma-related amputations remain ill defined in the literature. We sought to identify and quantify the indications for reoperation in our combat-injured patients. DESIGN: Retrospective review of a consecutive series of patients. SETTING: Tertiary Military Medi... |
1 | Use of sonography in carpal tunnel syndrome surgery. A prospective study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The diagnosis of carpal tunnel syndrome (CTS) is mainly based on the characteristic symptoms and confirmed with nerve conduction studies. Sonography can provide measurements of the increased cross-sectional area of median nerve. The use of sonography was evaluated for the diagnosis and postoperative follow up of 48 wri... |
1 | Infection after reamed intramedullary nailing of the tibia: A case series review | DOD - Acute Comp Syndrome CPG | Objective: We reviewed those patients who developed a postoperative infection after reamed intramedullary nailing of tibial shaft fractures to investigate the possible causes of infection, its effect on union time, and the requirement for reconstructive surgery. Design: Retrospective review of patients who developed de... |
1 | A technique of arthroscopic meniscoplasty | AMP (Acute Meniscal Pathology) | Indications and technique are discussed for arthroscopic repair of meniscal tears by means of mattress sutures delivered by Kirschner wire. Short term results in eight cases are summarized. |
0 | Force during functional exercises on land and in water in older adults with and without knee osteoarthritis: Implications for rehabilitation | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Closed kinetic chain and plyometric exercises are commonly used in aquatic rehabilitation because they are believed to reduce joint loading whilst replicating functional tasks. However, the forces and relationship to land-based functional movement is unknown. This study aims to compare vertical ground react... |
0 | A randomized, prospective, double-blind study to investigate the effectiveness of adding DepoMedrol to a local anesthetic injection in postmeniscectomy patients with osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Patients with osteoarthritis of the knee are at risk for poorer outcomes after arthroscopic meniscectomy. Intraâ?articular corticosteroid injections have been shown to be efficacious both in patients with osteoarthritis and postarthroscopy patients. HYPOTHESIS: A postoperative, intraâ?articular methylpred... |
0 | Combination of measures of handgrip strength and red cell distribution width can predict in-hospital complications better than the ASA grade after hip fracture surgery in the elderly | Hip Fx in the Elderly 2019 | BACKGROUND: Early detection of a high-risk patient following hip fracture surgery is of paramount clinical importance. American Society of Anesthesiologists (ASA) grading is an easy and efficient index in predicting a worse outcome. The red cell distribution width (RDW) and handgrip strength, are gaining interest as a ... |
0 | Differential amygdala response to lower face in patients with autistic spectrum disorders: An fMRI study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Much functional neuroimaging evidence indicates that autistic spectrum disorders (ASD) demonstrate marked brain abnormalities in face processing. Most of these findings were obtained from studies using tasks related to whole faces. However, individuals with ASD tend to rely more on individual parts of the face for iden... |
0 | Dislocation of the polyethylene liner in hip arthroplasty. 6 Patients with dislocation within 3 years | Management of Hip Fractures in the Elderly | We revised 6 patients with early destruction of the liner in a cementless press-fit acetabular cup. They had no signs of infection or evidence of trauma. The failures were probably due to rotation of the liner inside the metal shell and destruction of the polyethylene by the cutting edge of the metal. This early compli... |
0 | Surgical site infection after primary hip and knee arthroplasty: A cohort study using a hospital database | DoD SSI (Surgical Site Infections) | background. Hip or knee arthroplasty infection (HKAI) leads to heavy medical consequences even if rare. objective. To assess the routine use of a hospital discharge detection algorithm of prosthetic joint infection as a novel additional tool for surveillance. methods. A historic 5-year cohort study was built using a ho... |
0 | Nipple reduction with a modified circumcision technique | Reduction Mammoplasty for Female Breast Hypertrophy | Several methods of reduction of the hypertrophic nipple have been reported. All of them have some drawbacks. We propose a technique that can be easily performed and can produce excellent aesthetic as well as good functional results. |
0 | Treatment of high dislocation of the hip in adults with total hip arthroplasty: Operative technique and long-term clinical results | Management of Hip Fractures in the Elderly | The clinical results of eighty-four total hip arthroplasties performed through a transtrochanteric approach in sixty-seven patients who had a high dislocation of the hip (the femoral head completely out of the acetabulum), from 1976 to 1994, were reviewed. The acetabular component was placed in the true acetabulum and ... |
0 | MRI of native knee cartilage delamination injuries | Osteochondritis Dissecans 2020 Review | OBJECTIVE. The purpose of this article is to describe the normal imaging appearance of cartilage and the pathophysiologic fndings, imaging appearance, and surgical management of cartilage delamination. CONCLUSION. Delamination injuries of knee cartilage signify surgical lesions that can lead to signifcant morbidity wit... |
0 | Versatility of the sural fasciocutaneous flap in coverage defects of the lower limb | DoD SSI (Surgical Site Infections) | We present in this work, our experience with the sural fasciocutaneous flap to treat coverage defects following a lower limb posttraumatic lesion. This paper is a review of these flaps carried out in different centres between 2000 and 2005. The series consists of 14 patients, 12 men and 2 women with an average age of 3... |
1 | Hip fractures in the elderly: the impact of comorbid illnesses on hospitalisation costs | HipFx Supplemental Cost Analysis | INTRODUCTION: Hip fractures in the elderly are associated with multiple comorbidities. MATERIALS AND METHODS: We prospectively surveyed and went through all relevant medical records of 70 consecutive patients admitted to Singapore General Hospital following either a cervical or intertrochanteric femoral fracture from l... |
0 | Trends in meniscus repair and meniscectomy in the United States, 2005-2011 | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Meniscus deficiency may lead to degenerative arthritis in the knee. There is a significant emphasis on meniscus preservation, particularly in the young patient, to reduce the risk of arthritis.
PURPOSE: To report on the incidence of meniscus repair and meniscectomy, with and without concomitant anterior cru... |
0 | Osteolysis in the well-fixed socket: Cup retention or revision? | PJI DX Updated Search | Osteolysis remains a common reason for revision after total hip arthroplasty (THA). For osteolysis associated with loose cups, revision is indicated. For osteolysis around a wellfixed cup, the decision is more controversial. The data available data support retention of the cupwith lesional treatment, working through sc... |
0 | Outcome of the Sauve-Kapandji procedure for distal radioulnar joint disorder with rheumatoid arthritis or osteoarthritis: Results of one-year follow-up | Glenohumeral Joint OA | OBJECTIVES: We performed the Sauve-Kapandji procedure for treating disorders of the distal radioulnar joint (DRUJ) in patients with rheumatoid arthritis (RA) or osteoarthritis (OA). This study aimed to compare and clarify the results of the SK procedure between RA and OA patients. We report the one-year follow-up resul... |
0 | Low friction arthroplasty and dual mobility cup: a new gold standard | Hip Fx in the Elderly 2019 | Introduction: Low friction arthroplasty (LFA) introduced by Sir John Charnley was the gold standard for many years. Dislocation and infection are the first causes for early revision. Late failures are polyethylene (PE) wear and loosening. Due to dislocation risk we slowly switched to the use of LFA with dual mobility c... |
0 | Selected problems in the bone union of complicated diaphyseal fractures treated with interlocking nail | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Background. This article discusses the effectiveness and technical problems encountered in the union of complications of diaphyseal fractures treated with interlocking nail. Material and methods. Between 2000-2003 we operated 35 patients for pseudoarthrosis (humerus - 6, femur - 13, tibia - 16). In a one-step procedure... |
0 | The Impact of COVID-19 on the Orthopaedic Surgery Residency Application Process | Coronavirus Disease 2019 (COVID-19) | Over recent months, coronavirus disease 2019 (COVID-19) has swept the world as a global pandemic, largely changing the practice of medicine as it was previously known. Physician trainees have not been immune to these changes - uncertainty during this time is undeniable for medical students at all levels of training. Of... |
0 | Comparison of the clinical therapeutic effects between electroacupuncture and warming needle moxibustion for knee osteoarthritis of kidney deficiency and marrow insufficiency pattern/syndrome | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To explore the actions of electroacupuncture (EA) and the warming needle moxibustion on knee osteoarthritis (KOA) of kidney deficiency and marrow insufficiency pattern/syndrome and compare the clinical effects between these two therapies. METHODS: Seventyâ?four cases of KOA were randomly divided into an ele... |
0 | Cross-cultural association between dietary animal protein and hip fracture: a hypothesis | Management of Hip Fractures in the Elderly | Age-adjusted female hip fracture incidence has been noted to be higher in industrialized countries than in nonindustrialized countries. A possible explanation that has received little attention is that elevated metabolic acid production associated with a high animal protein diet might lead to chronic bone buffering and... |
0 | Post-traumatic stress disorder and cancer | DoD PRF (Psychosocial RF) | Being diagnosed with and treated for cancer is highly stressful and potentially traumatic. An extensive literature has evaluated the prevalence, predictors, and correlates of cancer-related post-traumatic stress disorder (PTSD) symptoms and diagnoses. In this qualitative review of cancer-related PTSD literature, we hig... |
1 | Description and reproducibility assessment of a new computerised tomography scan index to measure the glenoid orientation in relation to the anterior glenoid surface | Glenohumeral Joint OA | PURPOSE: To propose and to assess the reproducibility of a new method (GO [glenoid orientation] index) for the estimation of the glenoid orientation in relation to the anterior surface of the glenoid.
METHODS: This is a retrospective study on computed tomography (CT) scan. The GO index was defined as the angle formed b... |
0 | Cognition in patients with burn injury in the inpatient rehabilitation population | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To analyze potential cognitive impairment in patients with burn injury in the inpatient rehabilitation population. DESIGN: Rehabilitation patients with burn injury were compared with the following impairment groups: spinal cord injury, amputation, polytrauma and multiple fractures, and hip replacement. Diffe... |
0 | Effects of bone-targeted agents on cancer progression and mortality | MSTS 2018 - Femur Mets and MM | Bone-targeted treatments with bisphosphonates and denosumab, which reduce bone resorption, are known to reduce the risk of skeletal complications and prevent treatment-induced bone loss in patients with malignant bone disease. Additionally, these drugs may modify the course of bone destruction via inhibitory effects on... |
1 | Skin disorders associated with bilateral lower extremity amputation | DoD LSA (Limb Salvage vs Amputation) | We conducted this study to determine the types and frequency of skin problems among war related bilateral lower limb amputees. Three hundred and thirty five cases were examined for dermatologic problems in about 20 years (20 +/- 3.89) after bilateral lower extremity amputation. The subjects were injured during the Iraq... |
0 | TUNEL assay to characterize acute histopathological injury following treatment with the active and deep FX fractional short-pulse CO2 devices | Panniculectomy & Abdominoplasty CPG | BACKGROUND: This is a report of the histopathological evaluation of the acute damage profile in human skin following treatment with two novel short-pulsed fractional carbon dioxide resurfacing devices used independently and in combination in vivo. METHODS: The panni of eight abdominoplasty patients were treated with ei... |
0 | Motor cortical potentials precede long-latency EMG adivity evoked by imposed displacements of the human wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Rapid angular displacements of the wrist evoke cerebral potentials that precede the onset of the long-latency electromyographic (EMG) activity generated in muscles stretched by the displacement. The initial segment of the long-latency EMG activity (termed the M2 response) is thought to be mediated by a transcortical re... |
0 | Effect of sagittal allograft position on coronal extrusion in lateral meniscus allograft transplantation | AMP (Acute Meniscal Pathology) | PURPOSE: This study assessed the incidence of graft extrusion on the sagittal plane on magnetic resonance imaging (MRI) and evaluated the correlation between the sagittal position of the allograft and coronal graft extrusion.
METHODS: The study involved 99 patients who underwent lateral meniscus allograft transplantati... |
0 | Surgical treatment of proximal humerus fractures using PHILOS plate | DoD SSI (Surgical Site Infections) | Objective To evaluate functional outcome and complications of open reduction and internal fixation with proximal humeral internal locking system (PHILOS) plate for proximal humerus fractures. Methods We reviewed 51 patients who underwent open reduction and internal fixation with PHILOS plate between the years 2007 to 2... |
0 | A seven weeks old baby with diabetic ketoacidosis: A case report | Patrick’s pharmacoepidemiology project | Key clinical message: Diabetes mellitus is rare during infancy, however, it should be suspected in infants presenting with features consistent with sepsis and hyperglycemia. This is crucial in initiating the treatment of diabetes ketoacidosis which if delayed may result in significant morbidity and death |
0 | The effect of sectioning the dorsal radiocarpal ligament and insertion of a pressure sensor into the radiocarpal joint on scaphoid and lunate kinematics | Distal Radius Fractures | The role of the dorsal radiocarpal wrist ligament has been the subject of several investigations. Several biomechanical studies have used sensors inserted dorsally into the wrist joint to evaluate its pressure distribution. The purpose of this study was to evaluate whether a dorsal capsulotomy that sections the dorsal ... |
0 | Symptomatic multifocal osteonecrosis. A multicenter study. Collaborative Osteonecrosis Group | AAHKS (2) Corticosteroids | Osteonecrosis of the femoral head frequently occurs in a young population (mean age, approximately 35 years) and may lead to disabling arthritis requiring hip arthroplasty surgery. This disease is compounded when it has concurrent involvement of other joints. Multifocal osteonecrosis is defined as disease involving thr... |
0 | Older men's knowledge of osteoporosis and the prevalence of risk factors | Management of Hip Fractures in the Elderly | It has been estimated that up to 45% of men in the United States have low bone density. Yet, only a few studies have examined men's knowledge of bone health and disease. Men's knowledge of sex-specific issues related to osteoporosis is especially not well understood. We surveyed 1535 community-dwelling men with a mean ... |
0 | Mortality following primary total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total joint arthroplasty is one of the most successful orthopaedic surgical procedures. However, it carries a risk of perioperative mortality. The purpose of this study was to determine the mortality rate for patients undergoing primary total knee arthroplasty in a private-practice setting involving one sur... |
0 | The role of meniscal tears and meniscectomy in the mechanical stability of the anterior cruciate ligament deficient knee | AMP (Acute Meniscal Pathology) | BACKGROUND: The role of an intact meniscus in providing mechanical stability to the knee of anterior cruciate ligament (ACL) deficient and ACL reconstructed patients has not been well studied.
METHODS: This was a prospective cohort study. A total of 205 patients undergoing ACL reconstruction were enrolled, of which 61 ... |
0 | Preanesthetic evaluation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A thorough preanesthetic evaluation is the most important function an anesthesiologist can perform to prevent anesthetic morbidity and mortality and ensure a smooth course of anesthetic administration. This evaluation is best accomplished by a thoughtful review of the patient's history, examination of the patient's air... |
1 | Are psychosocial factors associated with patient-reported outcome measures in patients with rotator cuff tears? A systematic review | DoD PRF (Psychosocial RF) | Background: Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears. However, to our knowledge, a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial fa... |
0 | Revising the troublesome stoma: combined abdominal wall recontouring and revision of stomas | Panniculectomy & Abdominoplasty CPG | PURPOSE: Despite preoperative siting and maturation of stomas, some patients may have poor stoma function because of redundant pannus, scars, creases, and parastomal or incisional hernias. In these patients, a combined abdominoplasty and stoma revision may be helpful. The object of this manuscript is to report our prel... |
0 | The management of intracapsular fractures of the proximal femur | DoD SSI (Surgical Site Infections) | The optimum choice of treatment for an intracapsular fracture cannot be based purely on the radiological appearance of the fracture and on the age of the patient. Although these are the main considerations many other factors need to be evaluated for each individual patient. Figure 1 gives a flow diagram which helps to ... |
0 | Rapid loss of hip fracture protection after estrogen cessation: evidence from the National Osteoporosis Risk Assessment | Management of Hip Fractures in the Elderly | OBJECTIVE: Since the findings from the Women's Health Initiative became available in July 2002, millions of women have discontinued postmenopausal hormone therapy (HT). The objective of this study was to evaluate the association between HT cessation and hip fracture risk. METHODS: Women who participated in the National... |
0 | SOX11 contributes to the regulation of GDF5 in joint maintenance | PJI DX Updated Search | BACKGROUND: Individual skeletal elements of the vertebrate limbs arise through a segmentation process introducing joints in specific locations. However, the molecular pathways controlling joint formation and subsequent joint maintenance are largely unknown. In this study, we focused on SOX11, and its contribution to th... |
0 | [CT-based and CT-free navigation in total knee arthroplasty--a prospective comparative study with respects to clinical and radiological results] | Management of Hip Fractures in the Elderly | AIM: Optimal component position in all planes and well-balanced soft tissues are factors for clinical outcome and survival time after total knee arthroplasty (TKA). With regard to clinical and radiological parameters, a comparative study between CT-based and CT-free navigation techniques was performed.METHOD: In this p... |
0 | Survival after trochanteric fracture. Biological factors analyzed in 270 patients | Management of Hip Fractures in the Elderly | Factors that influence mortality were analyzed in 270 patients operated on for trochanteric hip fracture. Survival was closely related to age and medical condition at the time of injury; methods of treatment had little influence on survival |
0 | Secretion of RTX leukotoxin by Actinobacillus actinomycetemcomitans | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Actinobacillus actinomycetemcomitans, the etiologic agent for localized juvenile periodontitis and certain other human infections, such as endocarditis, expresses a leukotoxin that acts on polymorphonuclear leukocytes and macrophages. Leukotoxin is a member of the highly conserved repeat toxin (RTX) family of bacterial... |
0 | Transfusion strategy for primary knee and hip arthroplasty: Impact of an algorithm to lower transfusion rates and hospital costs | AAHKS (8) Anesthetic Infiltration | Background. Blood transfusion strategies should reduce both blood transfusion and costs. Possible solutions include autologous donation for selected patients and the prescription of erythropoietin (EPO). Methods. We conducted a quality improvement program to examine the effect of a transfusion strategy algorithm in pri... |
0 | Multiple myeloma: Optimal management and long-term disease control | MSTS 2018 - Femur Mets and MM | Multiple myeloma is an incurable hematological disease previously associated with poor prognosis and survival rates. However, following the advent of the so-called novel agents, the goal of therapy has now moved to long-term disease control and potential cure. However, despite these advances, myeloma displays considera... |
0 | Risk factors for periprosthetic joint infection following primary total hip arthroplasty: a case control study | PJI DX Updated Search | The purpose of this study was to identify the specific comorbidities and demographic factors that are independently associated with an increased risk of periprosthetic joint infection (PJI) in total hip arthroplasty (THA) patients. A case-control study design was used to compare 88 patients who underwent unilateral pri... |
0 | Determining the necessity for routine pathologic examinations in uncomplicated total hip and total knee arthroplasties | Surgical Management of Osteoarthritis of the Knee CPG | Total hip and total knee arthroplasties (n = 951) were retrospectively reviewed to determine the cost-effectiveness of routine pathologic examination of surgical specimens in primary total hip and total knee replacements. Discrepancies between the postoperative diagnosis and the final pathologic diagnoses were recorded... |
0 | Clinicopathologic characteristics of laryngeal chondrosarcoma: An analysis of the National Cancer Database | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVES: Laryngeal Chondrosarcoma (LC) is a rare malignancy with limited studies documenting its clinicopathologic characteristics and treatment options. This study reports demographic and clinical determinants of outcomes for this rare tumor.
METHODS: The National Cancer Database (NCDB) was queried for cases of LC ... |
0 | Clinical significance of knee joint changes after meniscectomy | AMP (Acute Meniscal Pathology) | The incidence of Fairbank's radiologic knee joint changes after unilateral meniscectomy was investigated in 180 patients. All patients who had a fracture, cartilage disorders, and/or ligamentous instability at the time of operation or suffered from identical lesions during the follow-up period were excluded. The degree... |
0 | Evaluation of bone mineral density after renal transplantation under a tacrolimus-based immunosuppression: a pilot study | Management of Hip Fractures in the Elderly | BACKGROUND: Progressive bone loss consistently complicates renal transplantation (TP) in patients given an immunosuppression including prednisolone. The adjunction of cyclosporine in the immunosuppressive regimen does not reverse the negative impact of renal TP on the skeleton. The post-transplant effect of tacrolimus ... |
0 | Drugs affecting postural stability and other risk factors in the hip fracture epidemic--case-control study | Management of Hip Fractures in the Elderly | A parallel rise in hip fracture incidence and the rate of prescription of drugs affecting postural stability have been investigated by a case-control study. Other risk factors were also considered. One hundred and seventy-three cases and 134 hospital emergency surgical controls were interviewed and briefly examined, an... |
0 | An anesthesiologist's perspective of lipoplasty | Panniculectomy & Abdominoplasty CPG | Pulmonary edema and local anesthetic toxicity are potential complications of the use of large volumes of infiltrate during lipoplasty. In most patients, these unfavorable developments are prevented by physiologic and pharmacologic mechanisms. The latter may be inadequate in some patients, however, and it is imperative ... |
0 | Knee contact forces are not altered in early knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: This study calculated knee contact forces (KCF) and its relations with knee external knee adduction moments (KAM) and/or flexion moments (KFM) during the stance phase of gait in patients with early osteoarthritis (OA), classified based on early joint degeneration on Magnetic Resonance Imaging (MRI). We aimed... |
0 | Early experience with a novel nonmetallic cable in reconstructive hip surgery | Management of Hip Fractures in the Elderly | BACKGROUND: Metallic wires and cables are commonly used in primary and revision THA for fixation of periprosthetic fractures and osteotomies of the greater trochanter. These systems provide secure fixation and high healing rates but fraying, third-body generation, accelerated wear of the bearing surface, and injury to ... |
0 | Multimodal infiltration of local anaesthetic in total knee arthroplasty; is posterior capsular infiltration worth the risk? | OAK 3 - Non-arthroplasty tx of OAK | Aims: Multimodal infiltration of local anaesthetic provides effective control of pain in patients undergoing total knee arthroplasty (TKA). There is little information about the added benefits of posterior capsular infiltration (PCI) using different combinations of local anaesthetic agents. Our aim was to investigate t... |
0 | Are the Appropriate Use Criteria for the management of pediatric supracondylar humerus fractures useful in clinical practice? | Pediatric Supracondylar Humerus Fracture 2020 Review | The aim of this study was to evaluate our treatment modalities in pediatric supracondylar humerus fractures according to the recently published Appropriate Use Criteria (AUC) by the American Academy of Orthopaedic Surgeons. A total of 991 patients with supracondylar humerus fractures were included. After reviewing medi... |
0 | Modified Wise-pattern reduction mammaplasty, a new tool for upper quadrantectomies: a preliminary report | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Quadrantectomy is an oncological safe procedure for early breast cancer, but it often results in poor aesthetic results such as breast shape deformity, more visible if the tumor is located in the upper pole. We suggest the use of a modified Wise-pattern breast reduction in patients with moderate to severe b... |
0 | The rationale for precise management of distal radius fractures | Distal Radius Fractures | Fractures of the distal radius continue to be one of the most common skeletal injuries treated by orthopedic or trauma surgeons. These injuries account for one sixth of all fractures seen and treated in emergency rooms. The rapid expansion of knowledge regarding the functional anatomy of the hand and wrist, the recogni... |
0 | Hospital protocols for the inpatient care of older adults: results from a statewide survey | Management of Hip Fractures in the Elderly | OBJECTIVES: To assess the prevalence of protocols or guidelines for selected domains of inpatient care for older adults; to explore associations between hospital characteristics and adoption of these guidelines or protocols. DESIGN: Telephone- and Web-based questionnaire. SETTING: General acute care hospitals in Pennsy... |
0 | Little leaguers' elbow in an adolescent cricket player | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The overuse injury of medial epicondyle, the little league elbow, has been described in baseball pitchers and cricket catchers. We describe here a similar injury in a young cricket trainee, a pace bowler, for the first time. (copyright) 2008 Springer-Verlag |
1 | Intensive rehabilitation in selected hip fracture patients may optimize care efficiency: A retrospective comparison study | Hip Fx in the Elderly 2019 | OBJECTIVE: To gather preliminary data on the effectiveness of intensive rehabilitation after hip fracture surgery, as provided in the Transfer Unit (TU) in Leiden, The Netherlands, compared with the effectiveness of rehabilitation in a regular nursing home. Intensive rehabilitation in the TU consists of physical therap... |
0 | Adipocyte morphometric evaluation and angiogenesis in the omentum transposed to the breast: a preliminary study | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: The purpose of this study was to describe the probable mechanism of the volume increase of laparoscopically harvested omentum flaps used to treat breast deformities. METHODS: A histological analysis of omentum samples was performed to study the volume increase of laparoscopically harvested omentum flaps. Sam... |
0 | The incidence of hip, forearm, humeral, ankle, and vertebral fragility fractures in Italy: results from a 3-year multicenter study | Management of Hip Fractures in the Elderly | INTRODUCTION: We aimed to assess the incidence and hospitalization rate of hip and "minor" fragility fractures in the Italian population. METHODS: We carried out a 3-year survey at 10 major Italian emergency departments to evaluate the hospitalization rate of hip, forearm, humeral, ankle, and vertebral fragility fractu... |
0 | Marijuana use and car crash injury | DoD PRF (Psychosocial RF) | Aims: To investigate the relationship between marijuana use prior to driving, habitual marijuana use and car crash injury Design and setting: Population based case-control study in Auckland, New Zealand. Participants: Case vehicles were all cars involved in crashes in which at least one occupant was hospitalized or kil... |
1 | Intraarticular analgesia versus epidural plus femoral nerve block after TKA: A randomized, double-blind trial | Surgical Management of Osteoarthritis of the Knee CPG | Background: Pain management after TKA remains challenging and the efficacy of continuously infused intraarticular anesthetics remains a controversial topic. Questions/purposes: We compared the side effect profile, analgesic efficacy, and functional recovery between patients receiving a continuous intraarticular infusio... |
0 | Validity of conventional radiography in determining scaphoid waist fracture displacement | Distal Radius Fractures | Objective: This study examines interpreter accuracy and interobserver agreement in evaluating conventional radiographs for scaphoid waist fracture displacement. Methods: Six fresh-frozen cadaver arms were obtained transected above the elbow. A waist fracture was created in each scaphoid. In a random fashion, three of t... |
0 | Nurses' role in diabetic foot prevention and care; a review | DoD LSA (Limb Salvage vs Amputation) | Diabetes as one of Non-communicable diseases has allocated a large proportion of cost, time and human resources of health systems. Now, due to changes in lifestyle and industrial process, incidence of diabetes and its complications have been increased. Accordingly diabetic foot considered as a common complication of di... |
0 | Comparison of femoral morphology and bone mineral density between femoral neck fractures and trochanteric fractures | Management of Hip Fractures in the Elderly | BACKGROUND: Many studies that analyzed bone mineral density (BMD) and skeletal factors of hip fractures were based on uncalibrated radiographs or dual-energy xray absorptiometry (DXA). QUESTIONS/PURPOSES: Spatial accuracy in measuring BMD and morphologic features of the femur with DXA is limited. This study investigate... |
0 | Physical activity in an ageing population | Management of Hip Fractures in the Elderly | This review over previously published articles, describes physical activity changes during ageing from age 50-85 in the 1914-cohort in Glostrup, Denmark, and analyses the association between physical activity and mortality, myocardial infarction, hip fractures and functional ability. The 1914-cohort in Glostrup was exa... |
0 | COVID-19 in patients with lung cancer | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Patients with lung cancers may have disproportionately severe COVID-19 outcomes. Understanding the patient-specific and cancer-specific features that impact severity of COVID-19 may inform optimal cancer care during this pandemic. PATIENTS AND METHODS: We examined consecutive patients with lung cancer and c... |
0 | Positive effects of zoledronate on skeletal-related events in patients with renal cell cancer and bone metastases | MSTS 2018 - Femur Mets and MM | INTRODUCTION: Approximately 30% of patients with renal cell cancer (RCC) develop bone metastasis causing skeletal-related events (SRE): pathologic fracture, spinal cord compression, surgery to bone and radiotherapy. Zoledronic acid demonstrated significant clinical benefit in RCC patients in a retrospective analysis. P... |
0 | A Multidisciplinary Intervention in Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | The study is a multidisciplinary trial testing an intervention delivered by physiotherapists. Up to 20% of total knee arthroplasty (TKA) patients continue to experience moderate/severe pain 12 months after TKA. While physical therapy (PT) and cognitiveâ?behavior therapy (CBT) have shown promise for improving outcomes,... |
0 | Slaughtering for a living: A hermeneutic phenomenological perspective on the well-being of slaughterhouse employees | DoD PRF (Psychosocial RF) | Slaughterhouses constitute a unique work setting exposing employees to particular physical and psychological health challenges. Research that focuses on the well-being of slaughterhouse employees is limited, and the aim of this study was to explore their well-being by conducting a hermeneutic phenomenological study of ... |
0 | How do people with knee osteoarthritis use osteoarthritis pain medications and does this change over time? Data from the Osteoarthritis Initiative | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: The aim of this analysis was to describe comprehensively the cross-sectional and longitudinal patterns of analgesic and nutraceutical medication use for knee osteoarthritis (OA) in a contemporary US cohort and to investigate associated demographic and clinical factors.Methods: Baseline, 12, 24 and 36 mont... |
0 | Osteochondral Autograft Transfer Versus Microfracture in the Knee: A Meta-analysis of Prospective Comparative Studies at Midterm | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To compare microfracture (MFX) and osteochondral autograft transfer (OAT) surgical techniques to determine (1) postoperative activity level, (2) subjective patient outcomes, (3) failure rates, and (4) assess if any lesion characteristics favored one technique over the other.
METHODS: A comprehensive review of ... |
1 | Single versus repetitive injection of lignocaine in the management of carpal tunnel syndrome - a randomized controlled trial | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The aim of this study was to determine the efficacy of single versus repetitive injection of lignocaine into the carpal tunnel for the management of carpal tunnel syndrome. The 42 patients included were randomly assigned to two Groups: group 1 was injected with 4 mL of 1% lignocaine once and Group 2 was injected with 4... |
0 | Antibiotics to improve recovery following tonsillectomy: a systematic review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To determine if antibiotics improve recovery following tonsillectomy. STUDY DESIGN: Data sources: Electronic databases Medline, Embase, and Cochrane Controlled Trials Register were searched using relevant search terms. Additional trials, if any, were retrieved by searching the references from all identified ... |
0 | Viscosupplementation for Osteoarthritis of the Knee: A Systematic Review of the Evidence | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The purpose of this analysis was to determine the clinical significance of injectable hyaluronic acid (HA) in the treatment of knee osteoarthritis, and to assess which trial-level factors influence the overall treatment effect of HA on pain (as measured by a VAS [visual analog scale] or the WOMAC [Western O... |
0 | Evaluation of nerve compression with the Automated Tactile Tester | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The Automated Tactile Tester (ATT) was used to measure threshold values for trapezoidal skin indentation (light touch), low- and high-frequency vibration (50 and 150 Hz), pinprick (sharp-dull transition point), warming (temperature awareness), and two-point discrimination in 61 patients with symptoms of median nerve co... |
0 | Soft tissue balancing in total knee arthroplasty using sensor-guided assessment: is there a learning curve? | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Sensor-guided assessment for soft tissue balance in total knee arthroplasty (TKA) has been reported to improve patient satisfaction and self-reported outcome scores. As more surgeons adopt this technology in TKA, we performed this study to identify if there is a learning curve with its use. METHODS: Analysi... |
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