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0 | Deep Vein Thrombosis in Elderly Patients following Surgery for Fracture of the Proximal Femur | Hip Fx in the Elderly 2019 | The incidence of Deep Vein Thrombosis (DVT) is high in orthopaedic cases, associated with morbidity and mortality. This study was done to evaluate the incidence of DVT and factors that contributed to DVT in elderly patients with proximal femur fracture who underwent surgery. Patients 60 years of age and older with prox... |
0 | Cementless fixation of megaprostheses using a conical fluted stem in the treatment of bone tumours | Management of Hip Fractures in the Elderly | We reviewed 25 patients in whom a MUTARS megaprosthesis with a conical fluted stem had been implanted. There were three types of stem: a standard stem was used in 17 cases (three in the proximal femur, nine in the distal femur and five proximal tibia), a custom-made proximal femoral stem in four cases and a custom-made... |
0 | Hip fracture: Diagnosis, treatment, and secondary prevention | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Hip fractures cause significant morbidity and are associated with increased mortality. Women experience 80% of hip fractures, and the average age of persons who have a hip fracture is 80 years. Most hip fractures are associated with a fall, although other risk factors include decreased bone mineral density, reduced lev... |
1 | Effectiveness of Radial Extracorporeal Shock Wave Therapy (rESWT) When Combined With Supervised Exercises in Patients With Subacromial Shoulder Pain: A Double-Masked, Randomized, Sham-Controlled Trial | Trial Systematic Review Project | BACKGROUND: Subacromial shoulder pain is a common complaint, and radial extracorporeal shock wave therapy (rESWT) is increasingly used to treat this condition. Although many therapists use rESWT in combination with supervised exercises, no studies have evaluated the additional effect of rESWT with supervised exercises ... |
0 | Hinged cast brace for persistent flexion contracture following total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | The reported incidence of persistent knee flexion contracture following total knee arthroplasty (TKA) has varied from 1-15 percent Various treatment modalities have been described in attempts to manage this often difficult problem. This paper describes a novel method of treatment by using a hinged cast brace (previousl... |
0 | Treatment of intra-articular distal radius fractures by the volar intrafocal Kapandji method: a case series | Distal Radius Fractures | At present, the most common treatment for intra-articular fractures with a volar fragment is open reduction and internal fixation with a volar locking plate. This manuscript describes and evaluates the safety and efficacy of a modified Kapandji technique with insertion of a volar Kirschner wire for osteosynthesis of in... |
0 | The outcome of intra-articular distal radius fractures treated with fragment-specific fixation | Distal Radius Fractures | PURPOSE: To assess the clinical, radiographic, and functional outcome of treating intra-articular distal radius fractures with fragment-specific fixation.
METHODS: A retrospective review of 81 patients with 85 intra-articular distal radius fractures who were treated with fragment-specific fixation was performed. Minimu... |
1 | Follow-up results of surgery for carpal tunnel syndrome in local anesthesia | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Of 107 patients (121 hands) operated for carpal tunnel syndrome at the University Clinic of Neurosurgery, Graz 99 patients were operated in local anesthesia. 82 patients (94 hands) came for follow-up examinations. After an average observation period of 19 months, the patients judged the postoperative results as follows... |
0 | Cutoff Values to Interpret Short-term Treatment Outcomes After Arthroscopic Meniscal Surgery, Measured With the Knee Injury and Osteoarthritis Outcome Score | AMP (Acute Meniscal Pathology) | OBJECTIVE: To determine the proportions of patients who (1) perceived their symptoms to be satisfactory, (2) perceived their treatment to have failed, or (3) perceived that they improved to an important degree at 3 months after arthroscopic meniscal surgery; and to determine Knee injury and Osteoarthritis Outcome Score... |
0 | Outpatient Shoulder Arthroplasty at an Ambulatory Surgery Center Using a Multimodal Pain Management Approach | Glenohumeral Joint OA | Introduction: Early reports of outpatient shoulder arthroplasty are promising, although a paucity of outcome data exists, particularly for the outpatient shoulder arthroplasty performed at a freestanding ambulatory surgery center (ASC). Methods: A retrospective analysis of 61 shoulder arthroplasty procedures (21 consec... |
0 | Volar locking plate versus external fixation with optional additional K-wire for treatment of AO type C2/C3 fractures: a retrospective comparative study | Distal Radius Fractures | PURPOSE: This study aimed to compare the radiographic and functional results of Arbeitsgemeinschaftfur Osteosynthesefragen (AO) type C2/C3 fracture of distal radius between volar locking plate (VLP) and external fixation (EF)., METHODS: It was a retrospective comparative study. Between January 2015 and March 2018, a to... |
1 | Reverse Phalen's maneuver as an aid in diagnosing carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A reverse Phalen's maneuver involves wrist and finger extension held for 1 minute. We showed that this maneuver results in a significantly higher intracarpal canal hydrostatic pressure as compared to a traditional Phalen's or a modified Phalen's maneuver. Additionally, 31 individuals with complaints of carpal tunnel sy... |
0 | Differential diagnosis between osteomyelitis and bone tumors | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Hematogenous osteomyelitis is often difficult to distinguish from a bone tumor because clinical findings are noncontributory and radiological features can mimic a bone tumor. Recently, the penumbra sign, a higher signal intensity feature of the thin layer of granulation tissue which lines the abscess cavity... |
0 | Advantage and limitations of a minimally-invasive approach and early weight bearing in the treatment of tibial shaft fractures with locking plates | DoD SSI (Surgical Site Infections) | Objectives: Intramedullary nailing is a common method of treating tibial shaft fractures. However, precise control of reduction at the proximal and distal quarters is difficult to achieve. The purpose of this study was to assess the results of plating using locking screws and the feasibility of a minimally-invasive app... |
0 | Liposomal Bupivacaine Versus Standard Bupivacaine Plus Dexamethasone in Quadriceps Sparing Femoral Nerve Block and Wound Infiltration for Total Knee Arthroplasty | AAHKS (2) Corticosteroids | The purpose of this study is to compare the efficacy and duration of pain relief after total knee arthroplasty provided by a single injection of liposomal bupivacaine (EXPAREL®) versus standard bupivacaine with an adjuvant, dexamethasone when administered as a quadriceps sparing femoral nerve block and periarticular i... |
1 | Recovery-related anxiety and disability following upper limb injury: the importance of context | DoD PRF (Psychosocial RF) | PURPOSE: Anxiety following traumatic upper limb injury is common and may affect rehabilitation outcomes. Most previous research has focused on psychiatric anxiety disorders among those with severe injuries. The aims of this study were to determine the prevalence of anxiety among patients with mild to moderate traumatic... |
0 | Risk factors associated with non-union after triple pelvic osteotomy (Toennis and Kalchschmidt technique): a case-control study and review of the literature | Developmental Dysplasia of the Hip 2020 Review | INTRODUCTION: Dysplasia of the hip is a well known cause of secondary osteoarthritis of the hip. The triple pelvic osteotomy (TPO), according to the technique described by Toennis and Kalchschmidt, is a well established procedure to address dysplasia of the hip joint. Non-unions after triple pelvic osteotomies are rare... |
0 | Early neurosurgical intervention of spinal cord contusion: an analysis of 30 cases | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The incidence of spinal injury with spinal cord contusion is high in developed countries and is now growing in China. Furthermore, spinal cord injury happens mostly in young people who have a long life expectance. A large number of patients thus are wheelchair bound for the rest of their lives. Therefore, s... |
1 | Autologous adipose tissue injection versus platelet-rich plasma (PRP) injection in the treatment of knee osteoarthritis: a randomized, controlled study - study protocol | PRP (Platelet-Rich Plasma) | BACKGROUND: Knee osteoarthritis (OA) is a common, chronic, progressive and degenerative disease which affects patients' quality of life and may cause disability and social isolation. OA is a huge economic burden for the patient and a large strain for the whole healthcare system. Articular cartilage has a small potentia... |
0 | Risk of neurovascular injury with limited-open carpal tunnel release: Defining the "safe-zone" | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Limited-open carpal tunnel release was performed in ten cadaver arms using the "Safeguard" system. The "Safeguard" guide was intentionally placed off of the longitudinal middle/ring finger axis, either in 15(degrees) of radial deviation or 15(degrees) of ulnar deviation. Despite the errant placement, carpal tunnel rele... |
0 | Better discrimination of hip fracture using bone density, geometry and architecture | Management of Hip Fractures in the Elderly | Bone density predicts the risk of hip fracture. Because hip strength is determined by bone geometry and architecture as well as density, we tested which variables in geometry and architecture were independent discriminators of hip fracture and, if combined with density, improved the discrimination of fracture from non-... |
0 | Temporal associations between physical activity, mental activity and fatigue dimensions in knee osteoarthritis: an exploratory intensive longitudinal study | OAK 3 - Non-arthroplasty tx of OAK | Background: Fatigue may include both physical and mental dimensions. Evidence suggests that physical and mental activity may influence fatigue in knee osteoarthritis (OA). However, how physical and mental activities relate to fatigue dimensions in knee OA is unclear. Purpose: This study estimated intra-day contribution... |
0 | Medical issues in cancer survivors - A review | MSTS 2018 - Femur Mets and MM | Cancer survivorship is an emerging area of scientific and clinical interest. Several decades ago, most people diagnosed with cancer did not live long beyond their initial diagnosis. Today the number of cancer survivors exceeds ten million, and this group may experience unique healthcare issues related to their cancer t... |
0 | Efficacy of vision restoration therapy after optic neuritis (VISION study): study protocol for a randomized controlled trial | Upper Eyelid and Brow Surgery | BACKGROUND: Optic neuritis is a frequent manifestation of multiple sclerosis. Visual deficits range from a minor impairment of visual functions through to complete loss of vision. Although many patients recover almost completely, roughly 35% of patients remain visually impaired for years, and therapeutic options for th... |
0 | Comparison of Cases with Anterior Cruciate Ligament Reconstruction Accompanied by Simultaneous Medial Meniscus Bucket Handle Tear Repair and Isolated Medial Meniscus Bucket Handle Tear Repair | AMP (Acute Meniscal Pathology) | The aim of this study was to evaluate the success of the all-inside repair technique for medial bucket-handle meniscus tear (BHMT) and the factors affecting healing. A total of 36 patients with BHMT who were operated between 2012 and 2018 and completed final follow-up examinations were included in the study. Functional... |
1 | Outcomes of extra-articular, intra-epiphyseal drilling for osteochondritis dissecans of the knee | Osteochondritis Dissecans 2020 Review | BACKGROUND: When conservative management fails to heal femoral condyle osteochondritis dissecans (OCD) lesions in a child, then drilling of the subchondral plate below the lesion to stimulate healing may be beneficial. This study reviews the outcomes of extra-articular, intraepiphyseal drilling of OCD lesions of the kn... |
0 | Health-related quality of life after hip arthroplasty with and without an extended-duration continuous posterior lumbar plexus nerve block: A prospective, 1-year follow-up of a randomized, triple-masked, placebo-controlled study | AAHKS (4) Acetaminophen | BACKGROUND: We previously reported that extending an overnight continuous posterior lumbar plexus nerve block to 4 days after hip arthroplasty provides clear benefits during the perineural infusion in the immediate postoperative period. However, it remains unknown whether the extended infusion improves subsequent healt... |
1 | Compartment syndrome of the foot after calcaneal fractures | DOD - Acute Comp Syndrome CPG | BACKGROUND: A compartment syndrome is a condition in which high pressure within a closed fascial space causes reduced blood flow with nerve and muscle ischaemia. Untreated compartment syndrome leads to ischaemia with necrosis, contractures, myofibrosis and irreversible functional impairment in the involved part of the ... |
0 | Transmetatarsal amputations | DoD LSA (Limb Salvage vs Amputation) | Transmetatarsal amputation is a viable alternative to below-knee amputation in patients with deep forefoot infection, necrosis, or unreconstructible trauma. This treatment offers the patient maintenance of a full length limb, normal shoe wear, and more efficient ambulation when compared with a more proximal amputation.... |
0 | Factors associated with meniscal tears and chondral lesions in patients undergoing anterior cruciate ligament reconstruction: a prospective study | AMP (Acute Meniscal Pathology) | BACKGROUND: Increased time from anterior cruciate ligament (ACL) injury to surgery is known to be associated with increased medial meniscal tears. Few studies have examined the predictors of meniscal tears and chondral lesions, including instability episodes.
PURPOSE: To examine the predictors of meniscal tears and cho... |
1 | Elective Caesarean section is associated with a reduction in developmental dysplasia of the hip in term breech infants | Developmental Dysplasia of the Hip CPG | We wished to establish whether delivery by Caesarean section influenced the incidence of developmental dysplasia of the hip in term breech infants compared with those delivered vaginally. We used maternal charts, singleton term breech presentation, mode of delivery and incidence of developmental dysplasia of the hip fo... |
0 | Cefuroxime prophylaxis in trochanteric hip fracture operations | Management of Hip Fractures in the Elderly | In a double-blind randomized study of antibiotic prophylaxis in trochanteric fractures operated on with a nail and plate, a 24-hour intravenous administration of cefuroxime 0.75 grams thrice daily (Group B) was compared with the previous regimen of cefuroxime for 24 hours plus 6 days of oral cephalexin (Group A). In ea... |
1 | A prospective comparison between Kapandji and percutaneous extra-focal fixation in extra articular distal radius fractures | Distal Radius Fractures | INTRODUCTION: there are multiple methods of distal radius fractures treatments. Of these percutaneous wire insertion has yielded popular acceptance. These percutaneous wire insertions can be done through many different ways with their own advantages and disadvantages. One of these methods is Kapandji method and because... |
1 | Sex Steroid Hormones and Fracture in a Multiethnic Cohort of Women: The Women's Health Initiative Study (WHI) | Hip Fx in the Elderly 2019 | Context: We hypothesize that endogenous sex steroids are associated with fracture risk independent of race/ethnicity.
Design and Setting: We performed a nested case-control study within the prospective Women's Health Initiative Observational Study. Incident nonspine fractures were identified in 381 black, 192 Hispanic,... |
0 | Surgical utility of the Lanz classification of median nerve ramification | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The authors comment on the Lanz classification of the median nerve ramification at wrist level. The authors outline the importance of having very good knowledge of this classification for hand surgeons, plastic surgeons and neurosurgeons, in order to prevent iatrogenic lesions of the median nerve branches at wrist leve... |
0 | Anatomical transverse patella double tunnel reconstruction of medial patellofemoral ligament with a hamstring tendon autograft for recurrent patellar dislocation | Osteochondritis Dissecans 2020 Review | INTRODUCTION: The purpose of this study was to describe our transverse patella double tunnel technique to reconstruct the medial patellofemoral ligament (MPFL) with a hamstring tendon autograft in patients who suffered recurrent dislocation of the patella, and to evaluate the intermediate-term outcomes of reconstructio... |
0 | Effects of eye movement desensitization and reprocessing (EMDR) on non-specific chronic back pain: a randomized controlled trial with additional exploration of the underlying mechanisms | DoD PRF (Psychosocial RF) | BACKGROUND: Non-specific chronic back pain (CBP) is often accompanied by psychological trauma, but treatment for this associated condition is often insufficient.Nevertheless, despite the common co-occurrence of pain and psychological trauma, a specific trauma-focused approach for treating CBP has been neglected to date... |
0 | Ten-year results of physical activity after high tibial osteotomy in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose was to describe physical activity with respect to leisure and working activity in patients operated on by high tibial osteotomy using the hemicallotasis technique for knee osteoarthritis (OA), preoperatively and 10 years postoperatively.
METHODS: Seventy-nine patients, median age 55 (range 35-66), ... |
0 | Multiple Extramedullary-Bone Related and/or Extramedullary Extraosseous Are Independent Poor Prognostic Factors in Patients With Newly Diagnosed Multiple Myeloma | MSTS 2022 - Metastatic Disease of the Humerus | Background: Extramedullary (EM) lesions are common in multiple myeloma (MM) and are often related to the poor prognosis of MM but are scarcely understood. Methods: In this retrospective study, the baseline characteristics of 357 newly diagnosed patients with extramedullary multiple myeloma (EMM) and their impact on the... |
0 | Gunshot wounds to the foot | DoD SSI (Surgical Site Infections) | One hundred and one patients who sustained gunshot wounds to their feet were retrospectively reviewed. All patients were treated at King/Drew Medical Center between 1982 and 1994. From the authors' experience, they believe that patients with low-velocity gunshot wounds to the foot should be hospitalized and treated wit... |
0 | A Community-Based Hip Fracture Registry: Population, Methods, and Outcomes | Hip Fx in the Elderly 2019 | Cases of hip fracture recorded from 1/2009 to 12/2011 were ascertained using the Kaiser Permanente Hip Fracture Registry. The registry collects information on patient, procedure, surgeon, facility, and surgical outcomes. The population (N = 12,562) was predominantly white, women, and older (>= 75 years), and 32% had at... |
1 | Articular resurfacing of the glenohumeral joint | Glenohumeral Joint OA | Purpose of review: The incidence of articular injuries and degenerative osteoarthritis in the young and active population is increasing. This review provides an overview of the potential treatment options available for these conditions. Recent findings: The recent literature includes several investigations of articular... |
0 | Awareness on full mouth rehabilitation among interns-a cross sectional questionnaire based study | Dental Implant Infection | Full mouth rehabilitation is defined as the restoration of functional integrity of dental arches using various dental prostheses to achieve equilibration among the maxillary and mandibular arches. It embodies the correlation and integration of all components of both arches as one functional unit to restore a dynamic an... |
0 | Factors related to the initial stroke severity of posterior circulation ischemic stroke | Upper Eyelid and Brow Surgery | BACKGROUND: Posterior circulation (PC) stroke, which was previously less well known than anterior circulation (AC) stroke, has become more identified due to the development of imaging equipment. Recently, the initial stroke severity assessed by the NIH Stroke Scale (NIHSS) was reported as a useful measure for predictin... |
0 | Myeloperoxydase and CD15 With Glycophorin C Double Staining in the Evaluation of Skin Wound Vitality in Forensic Practice | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The determination of skin wound vitality based on tissue sections is a challenge for the forensic pathologist. Histology is still the gold standard, despite its low sensitivity. Immunohistochemistry could allow to obtain a higher sensitivity. Upon the candidate markers, CD15 and myeloperoxidase (MPO) may al... |
0 | Histologic analysis of a 2,940 nm fractional device | Panniculectomy & Abdominoplasty CPG | BACKGROUND AND OBJECTIVES: An evaluation of the histological effects of a 2,940 nm fractional erbium:YAG (Er:YAG) laser device with adjustable depth and coagulation settings in a human abdominoplasty model. The goal of this study was to use light and confocal microscopy to determine the dimensions of the microthermal z... |
1 | Bone involvement in Hodgkin's disease | MSTS 2018 - Femur Mets and MM | Bone involvement in Hodgkin's disease is uncommon and seldom encountered at initial diagnosis. Seven cases with osseous involvement were identified from a series of 147 patients with Hodgkin's disease treated at Auckland Hospital from 1980 to 1988. Only one patient was found to have bone lesions at the time of initial ... |
0 | Managing 'pulled elbow' in the paediatric emergency department | Pediatric Supracondylar Humerus Fracture 2020 Review | Nurses are bound by the Nursing and Midwifery Council code of conduct (2008) to deliver care based on the best available evidence, which involves a combination of clinical expertise and incorporating research into practice (Thompson et al 2004). This article critically evaluates the evidence base of methods available t... |
0 | Benzodiazepines and related drugs for older depressed people | Management of Hip Fractures in the Elderly | This is the protocol for a review and there is no abstract. The objectives are as follows:1.To determine the effectiveness of benzodiazepines in reducing depressive symptoms in older depressed people, in comparison with no treatment.2. To determine the effectiveness of benzodiazepines in reducing depressive symptoms in... |
0 | Hip and Knee Arthroplasty in the Geriatric Population | Management of Hip Fractures in the Elderly | OA is the leading cause of hip and knee pathology in the geriatric population. Hip and knee arthroplasty are the definitive interventions to alleviate pain and restore physical functioning. Complications related to these procedures occur: the most common of these are infection, thromboembolism, dislocations, and peripr... |
0 | The state of the art in arthroscopic hip surgery | Osteochondritis Dissecans 2020 Review | Hip arthroscopy is among the most rapidly evolving arthroscopic techniques in the last decade and offers the benefits of being both a minimally invasive procedure and an excellent diagnostic tool. Improvements in instrumentation and surgical skills have advanced our ability to accurately diagnose and treat various cond... |
0 | Birth trauma-risk factors and short-term neonatal outcome | DoD PRF (Psychosocial RF) | Objective: The ability to predict birth trauma (BT) based on the currently recognized risk factors is limited and there is little information regarding the short-term neonatal outcome following BT. We aimed to identify risk factors for BT and to evaluate the effect of BT on short-term neonatal outcome. Methods: A retro... |
0 | A comparison of two regional anesthetic techniques for outpatient knee arthroscopy | Surgical Management of Osteoarthritis of the Knee CPG | IMPLICATIONS: Small dose lidocaine spinal anesthesia and 3% 2-chloroprocaine epidural anesthesia provided comparable discharge times for outpatient knee arthroscopy. The incidence of transient neurologic symptoms with small-dose lidocaine spinal anesthesia was 12% |
0 | Surgery of skeletal metastases in 306 patients with prostate cancer | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: Skeletal metastases are common in patients with prostate cancer, and they can be a source of considerable morbidity. We analyzed patient survival after surgery for skeletal metastases and identified risk factors for reoperation and complications.
PATIENTS AND METHODS: This study included 306 patients with pros... |
1 | Comparison of therapeutic duration of therapeutic ultrasound in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | [Purpose] The aim of study was to compare different durations of ultrasound in patients with knee osteoarthritis. [Subjects and |
0 | Kinematic MR imaging of the knee | AMP (Acute Meniscal Pathology) | This is an overview of the "cine magnetic resonance (MR) imaging" system and rapid (ultra-fast) MR imaging of the knee for evaluation of injury of the cruciate ligament including its function during flexion and extension. Cine MR imaging using a gating system and cine acquisition delineates alterations of the signal an... |
0 | Distal humeral nonunion | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Nonunion is one of the most common and challenging complications of distal humeral fractures. Newer internal fixation principles and techniques have improved the ability of orthopaedic surgeons to achieve stable fixation of complex distal humeral fractures. However, some fractures will fail to unite, leaving the patien... |
0 | Comparison of the effect and clinical value in general anesthesia and combined spinal-epidural anesthesia in elderly patients undergoing hip arthroplasty | AAHKS (8) Anesthetic Infiltration | Effect and clinical value in general anesthesia and combined spinal-epidural anesthesia in elderly patients undergoing hip arthroplasty were compared. One hundred and six patients with hip arthroplasty in the Affiliated Nanhua Hospital, University of South China from May 2013 to July 2015 were selected as the research ... |
0 | Transverse Anterior Approach to the Elbow for Pediatric Displaced Lateral Humeral Condyle Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The anterior approach to the elbow for pediatric lateral condyle fractures (LCF) would provide a better visualization of the articular fracture resulting in better functional results, less complications and a more cosmetically-appealing scar than usually seen with the lateral approach. METHODS: Retrospectiv... |
0 | Insulin Dependence Increases the Risk of Failure After Total Knee Arthroplasty in Morbidly Obese Patients | PJI DX Updated Search | The aims of this study were to compare the outcomes between nondiabetic (n=1284), type II diabetic (n=530), and insulin-dependent type II diabetic (n=164) morbidly obese (body mass index >/=40 kg/m(2)) patients undergoing primary total knee arthroplasty at 6-year follow-up. Patients with type II diabetes mellitus (DM) ... |
0 | Genome-Wide Analysis of Periodontal and Peri-implant Cells and Tissues | Dental Implant Infection | -Omics analyses, including the systematic cataloging of messenger RNA and microRNA sequences or DNA methylation patterns in a cell population, organ, or tissue sample, are powerful means of generating comprehensive genome-level data sets on complex diseases. We have systematically assessed the transcriptome, microbiome... |
0 | Pain threshold correlates with functional scores in osteoarthritis patients | OAK 3 - Non-arthroplasty tx of OAK | Background and purpose - Pain sensitization may be one of the reasons for persistent pain after technically successful joint replacement. We analyzed how pain sensitization, as measured by quantitative sensory testing, relates preoperatively to joint function in patients with osteoarthritis (OA) scheduled for joint rep... |
0 | Bone mineral density and osteoporosis risk in older patients with schizophrenia | DoD PRF (Psychosocial RF) | Objective: People with schizophrenia are at a higher risk for osteoporosis. The authors investigated the prevalence of low bone density and its risk factors in older Korean patients with schizophrenia. Method: In cross-sectional study, 327 inpatients with schizophrenia were screened. Among them, 229 patients older than... |
0 | Morphologic differences between the hips of Chinese women and white women: could they account for the ethnic difference in the prevalence of hip osteoarthritis? | Management of Hip Fractures in the Elderly | OBJECTIVE: Hip osteoarthritis (OA) is a common disabling disease, which has a much higher prevalence in whites than in Asians. The reasons for this ethnic difference in prevalence are unknown. Hip OA is often thought to be secondary to morphologic abnormalities. This study was undertaken to examine whether particular a... |
0 | Rapid hip bone loss in active Crohn's disease patients receiving short-term corticosteroid therapy | Management of Hip Fractures in the Elderly | BACKGROUND: Uncertainty over whether corticosteroids cause bone loss in patients with Crohn's disease may reflect their short, intermittent use.AIM: We investigated whether a 2-month course of prednisolone is associated with detectable bone loss.METHODS: Fifteen patients with active Crohn's disease and 19 controls with... |
0 | Mycobacterial tenosynovitis of the flexor tendons of the hand. A report of five cases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We present five cases of mycobacterial tenosynovitis of the flexor tendons of the fingers. These cases were observed during the last 12 years and treated by the same surgeon. This pathology is uncommon now, but it is becoming more frequent, especially in patients with diminished immunity. The diagnosis was most commonl... |
0 | Changing use of intensive care for hematological patients: the example of multiple myeloma | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVE: Intensivists generally view patients with hematological malignancies as poor candidates for intensive care. Nevertheless, hematologists have recently developed more aggressive treatment protocols capable of achieving prolonged complete remissions in many of these patients. This change mandates a reappraisal ... |
0 | Acrometastasis: a literature review | MSTS 2018 - Femur Mets and MM | OBJECTIVE: Acrometastases are a rare observation, and account for approximately 0.1% of metastases. Every age can be affected, with a male predominance. The most common primary cancer site is the lung, followed by the colo-rectal, breast and genito-urinary tract. They are most commonly seen in pre-terminal patients wit... |
0 | The association of proximal femur geometry with hip fracture risk | Management of Hip Fractures in the Elderly | We aimed to discuss the risk assessments of patients with hip fractures due to the fall-related moderate or minimal trauma and compare them with non-fractured control patients by bone mineral density (BMD) and proximal femur geometric measurements to assess whether geometric measurements of femoral dimensions were asso... |
1 | Internal neurolysis or ligament division only in carpal tunnel syndrome--results of a randomized study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In a series of patients with clinically and neurophysiologically well defined carpal tunnel syndrome a randomization has been made into two groups, one for operation with internal neurolysis and a microscopical technique, and the other group for cutting of the carpal ligament (flexor retinaculum) alone. The two groups ... |
0 | High-energy injuries of the wrist | Distal Radius Fractures | High-energy injuries to the wrist gather complex fractures of the distal radius, radiocarpal dislocations, perilunate dislocations, and other intracarpal dislocations. Depending on the energy of the injury and the position of the wrist at the time of impact, the patient, often a young male with a high functional demand... |
0 | Analysis of factors affecting development of carpal tunnel syndrome in patients with Hurler syndrome after hematopoietic cell transplantation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Children with Hurler syndrome (mucopolysaccharidosis type IH (MPSIH)) have skeletal, joint and soft tissue abnormalities that may persist or progress after hematopoietic stem cell transplantation (HSCT). We report our single center experience with development of carpal tunnel syndrome (CTS) in 43 children with MPSIH af... |
0 | Association of a -1997G-->T polymorphism of the collagen Ialpha1 gene with bone mineral density in postmenopausal Japanese women | Management of Hip Fractures in the Elderly | Genetic variants that affect collagen Ialpha1 metabolism may be important in the development of osteoporosis or osteoporotic fractures. A -1997G-->T polymorphism in the promoter of the collagen Ialpha1 gene (COL1A1) was shown to be associated with bone mineral density (BMD) for the lumbar spine in postmenopausal Spanis... |
0 | The disparate twins: a comparative study of CXCR4 and CXCR7 in SDF-1alpha-induced gene expression, invasion and chemosensitivity of colon cancer | MSTS 2018 - Femur Mets and MM | PURPOSE: In colorectal cancer, increased expression of the CXC chemokine receptor 4 (CXCR4) has been shown to provoke metastatic disease due to the interaction with its ligand stromal cell-derived factor-1 (SDF-1). Recently, a second SDF-1 receptor, CXCR7, was found to enhance tumor growth in solid tumors. Albeit signa... |
0 | Staged treatment of high energy midfoot fracture dislocations | DoD SSI (Surgical Site Infections) | BACKGROUND: Staged care with interval external fixation is a successful established treatment strategy for high energy periarticular fractures with often extensive soft tissue damage such as the tibial plateau and plafond. The aim of the current study was to determine whether staged care of high energy midfoot fracture... |
0 | Forequarter amputation for high-grade malignant tumours of the shoulder girdle | MSTS 2022 - Metastatic Disease of the Humerus | We reviewed 20 patients after forequarter amputation performed for high-grade malignant tumours of the shoulder girdle (Enneking grades IIB to III). The operations were classified as palliative or curative according to the resection margins and the presence of disseminated disease at the time of the surgery. There were... |
0 | Digital anatomical study and clinical application of screw placement for quadrilateral plate fractures in the danger zone | Hip Fx in the Elderly 2019 | Background: Direct screw placement for quadrilateral plate fractures in the danger zone of the acetabulum is very difficult. This study was performed to simulate the surgical procedure and try to obtain effective and safe screw angles through the middle window of the ilioinguinal approach in Chinese patients. Methods: ... |
0 | Ankle arthrodesis | DoD LSA (Limb Salvage vs Amputation) | As a fused ankle provides a painless ankle joint with limited functional disability, ankle arthrodesis is still the treatment of choice for most disabling ankle arthritis. From January 1987 to December 1990, 45 cases of ankle arthrodesis were performed, including 27 male and 18 female patients, aged from 18 to 70 years... |
1 | Effect of pre-operative methylprednisolone on orthostatic hypotension during early mobilization after total hip arthroplasty | AAHKS (2) Corticosteroids | Background: Orthostatic hypotension (OH) and intolerance (OI) are common after total hip arthroplasty (THA) and may delay early mobilization. The pathology of OH and OI includes a dysregulated post-operative vasopressor response, by a hitherto unknown mechanism. We hypothesized that OI could be related to the inflammat... |
1 | Oral infections and fever in immunocompromised patients with haematologic malignancies | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of the study was to determine the prevalence of acute oral infections and to estimate their role as a possible cause of fever in immunocompromised patients with haematologic malignancies. Seventy-eight febrile episodes in 46 patients were analyzed prospectively and consecutively. An association between a ri... |
1 | Rate of infection after carpal tunnel release surgery and effect of antibiotic prophylaxis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To determine the rate of postoperative wound infection and the association with prophylactic antibiotic use in uncomplicated carpal tunnel release surgery. METHODS: We performed a multicenter, retrospective review of all the carpal tunnel release procedures performed between January 1, 2005, and August 30, 200... |
0 | Strategies in the management of post-burn breast deformities | Panniculectomy & Abdominoplasty CPG | Background: Burn injuries to the chest area may end up with severe breast deformity and asymmetry. They are frequently complex and unique to each case, affecting parenchymal development, breast implantation on chest wall, nipple areola complex position, infra-mammary fold definition, and skin envelope. Furthermore, con... |
0 | Risk factors for femoral stem breakage: an analysis of the AOANJRR results | Hip Fx in the Elderly 2019 | Introduction: Breakage of the femoral stem component of a total hip replacement is now uncommon but continues to be seen with certain stem designs and in certain patient groups. Data previously published on this topic has been limited, either gathered from a single surgeon or centre, or included only a single stem desi... |
0 | Randomized, double blind, multicentre, parallel group study to compare efficacy and safety of acemetacin and indometacin in patients with activated osteoarthrosis of the knee | OAK 3 - Non-arthroplasty tx of OAK | 137 patients with active osteoarthritis of the knee joint were randomized in the ratio 2:1 to be treated with either one of the nonâ?steroidal antiâ?inflammatory drugs acemetacin (180 mg/day) or indomethacin (150 mg/day). After 4 weeks of treatment, the complaints, as assessed by the patients by means of the Lequesne... |
0 | Cost-effectiveness of preventing hip fractures in the elderly population using vitamin D and calcium | Management of Hip Fractures in the Elderly | Recent evidence suggests that vitamin D and calcium can reduce the incidence of hip fracture amongst elderly women. We estimated the costs of using either parenteral vitamin D alone, or oral vitamin D plus calcium, in a number of treatment strategies. These were: all women in a community setting; women with low body ma... |
0 | Mid-America Orthopaedic Association Physician in Training Award: Surgical technique: Pediatric supracondylar humerus fractures: a technique to aid closed reduction | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Anatomic reduction of some displaced pediatric supracondylar humerus fractures is not attainable via closed manipulation, thus necessitating open reduction. Open reduction has been associated with increased complications, including elbow stiffness, scarring, iatrogenic neurovascular injury, and longer hospi... |
0 | Silicone proximal interphalangeal joint arthroplasty for primary osteoarthritis using a volar approach | Glenohumeral Joint OA | PURPOSE: To evaluate the short-term clinical and radiographic outcome of a silicone proximal interphalangeal (PIP) joint implant using a volar approach in patients with primary osteoarthritis.
METHODS: We retrospectively reviewed 36 proximal PIP joints that were replaced with Avanta silicone implants in 26 patients. In... |
0 | Arthroscopic Medial Meniscus Posterior Root Reconstruction Using Auto-Gracilis Tendon | AMP (Acute Meniscal Pathology) | There have been several techniques to repair the medial meniscus posterior root tears (MMPRTs) with the goal of restoring the anatomic and firm fixation of the meniscal root to bone. Many anatomic studies about the menisci also have been developed, so a better understanding of the anatomy could help surgeons perform co... |
0 | Magnetic resonance imaging of the elbow. Part II: Abnormalities of the ligaments, tendons, and nerves | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Part II of this comprehensive review on magnetic resonance imaging of the elbow discusses the role of magnetic resonance imaging in evaluating patients with abnormalities of the ligaments, tendons, and nerves of the elbow. Magnetic resonance imaging can yield high-quality multiplanar images which are useful in evaluati... |
0 | Surface replacement conversion: results depend upon reason for revision | PJI DX Updated Search | Surface hip replacement (SHR) is generally used in younger, active patients as an alternative conventional total hip replacement in part because of the ability to preserve femoral bone. This major benefit of surface replacement will only hold true if revision procedures of SHRs are found to provide good clinical result... |
0 | Contribution of exercise and diet in the management of knee osteoarthritis in the obese | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Our objective was to determine whether exercise and weight loss are more effective either separately or in combination, in improving pain and physical function in obese adults with moderate knee osteoarthritis (OA). PATIENTS AND METHODS: Fortyâ?five obese adults, with a body mass index greater than 35 kg/m2... |
0 | Comparison of a focal high intensity-coil and common round-coil for standard MEP diagnostics | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Diagnostic Motor Evoked Potentials (MEPs) are commonly elicited with a round coil for cortical and spinal stimulation in combination with peripheral electric stimulation. Especially for lower extremity MEPs, the stimulator output often limits the efficacy of the examination. This raises the issue, whether... |
0 | Clinical evaluation of a modified posterior anatomical approach to performing the popliteal block | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Tibial and common peroneal nerves can be blocked by the posterior approach to the popliteal fossa. Techniques using fixed measured distances between knee skin crease and puncture point have been described. We report on an approach that is based on manual identification of the apex of the popliteal fossa. ME... |
0 | Identification of PLCL1 gene for hip bone size variation in females in a genome-wide association study | Management of Hip Fractures in the Elderly | Osteoporosis, the most prevalent metabolic bone disease among older people, increases risk for low trauma hip fractures (HF) that are associated with high morbidity and mortality. Hip bone size (BS) has been identified as one of the key measurable risk factors for HF. Although hip BS is highly genetically determined, g... |
0 | Coronal bowing of the femur and tibia in Chinese: its incidence and effects on total knee arthroplasty planning | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSES: To study the incidence of femoral or tibial bowing in the coronal plane in a Chinese population, and how it affects the accuracy of bone cuts for total knee replacement when an intramedullary alignment system is used. METHODS: Standing radiographs of the entire lower limb of each patient with end-stage primar... |
0 | Idiopathic carpal tunnel syndrome presenting with Raynaud's phenomenon: Neurophysiological evaluation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome and Raynaud's phenomena are common diseases and coexist in some patients while in others Raynaud's phenomenon may be a clinical feature of carpal tunnel syndrome. I describe an interesting case with Raynaud's phenomenon as a predominant presenting clinical feature due to an underlying mild carpal... |
0 | Effect of elevated intra-abdominal pressure on the contractile activity and reactivity of smooth muscle tissue from rat gastrointestinal tract to galantamine and drotaverine (No-Spa) | DOD - Acute Comp Syndrome CPG | The aim of the present study was to determine the nature and intensity of changes in the contractile activity and reactivity of gastrointestinal smooth muscle tissue in conditions of increased intra-abdominal pressure. A method for recording isometric contractions of isolated smooth muscle preparations from gastric cor... |
0 | Reduction mammaplasty with an L shaped suture line. Development of different techniques | Reduction Mammoplasty for Female Breast Hypertrophy | A technique for reduction mammaplasty, with emphasis on obtaining a scar free median part of the submammary fold, is reported. It produces an L shaped suture line and an elevation of the submammary fold. Different incisions and resections are adapted to the different forms and degrees of mammary hypertrophy and ptosis. |
1 | Culture-based PCR analysis of plaque samples of Japanese school children to assess the presence of six common cariogenic bacteria and its association with caries risk | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of the study was to assess the presence of six common cariogenic bacteria from Cariostat-inoculated plaque samples of Japanese elementary school children through PCR analysis and check its associations with caries risk testing the validity of Cariostat as a caries risk assessment tool. This epidemiological scho... |
0 | Lipectomizing Mice for Applications in Metabolism | Panniculectomy & Abdominoplasty CPG | The obesity epidemic is a critical public health problem closely associated with the development of metabolic disease. In obesity there is excess white adipose tissue, a dynamic tissue that has many biological functions. Specifically visceral adipose tissue (VAT) is an active endocrine organ producing hormones that con... |
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