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1 | Early complications following abdominoplasty: Towards better patient selection | Panniculectomy & Abdominoplasty CPG | A retrospective review of 76 abdominoplasty procedures, carried out over a period of 32 months, using the Regnault 'W' technique, is presented. Early postoperative complications and possible predisposing factors were evaluated. The overall complication rate was 11%. Skin necrosis occurred in 8% of cases and was the mos... |
0 | Development of fever following first administration of zoledronate as a prognostic factor in advanced non-small cell lung cancer patients with bone metastases | MSTS 2018 - Femur Mets and MM | Nitrogen-containing bisphosphonates (N-BPs), which are usually used for the treatment of advanced cancer with bone metastasis, occasionally cause fever following the first administration. However, it is unclear as to how the development of fever following the first administration of N-BP is associated with clinical out... |
0 | Results of combined vascular reconstruction and free flap transfer for limb salvage in patients with critical limb ischemia | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: Combined vascular reconstruction and free flap transfer has been established in centers as a feasible therapeutic option in cases with critical limb ischemia (CLI) and large tissue defects otherwise destined for major amputation. However, the number of patients treated with this combined approach is limited,... |
0 | Tibial tubercle osteotomy with screw fixation for total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | This study investigated the efficacy of tibial tubercle osteotomy (TTO) with screw fixation as part of the surgical treatment of primary complicated total knee arthroplasty (TKA) and revision TKA. From January 2000 to April 2011, 15 patients (15 knees) underwent revision TKA and 20 patients (21 knees) underwent primary... |
0 | Ketamine-should everyone have a little?! | Surgical Management of Osteoarthritis of the Knee CPG | Since its introduction in clinical practice in the early 1960s as an intravenous anesthetic agent, the interest in ketamine has continued to grow, specifically with the use of low doses as antihyperalgesic agent [1]. The recent developments regarding the anti-inflammatory properties of ketamine have also contributed to... |
0 | The tibialis posterior muscle compartment. An unrecognized cause of exertional compartment syndrome | DOD - Acute Comp Syndrome CPG | Exertional compartment syndrome in the deep posterior compartment of the leg is well recognized. This paper reports investigations which were performed to prove that the tibialis posterior muscle is contained in its own osseofascial compartment, separate from the rest of the deep posterior compartment. Radiographs foll... |
0 | Proteomic analysis of synovial fluid: insight into the pathogenesis of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: We conducted a proteomic analysis of synovial fluid (SF) to identify differentially expressed proteins and analyse their correlation with osteoarthritis (OA) severity. Our primary purpose was to gain insight into the pathogenesis of OA.
METHODS: SF samples were acquired from 12 knee OA patients and 12 non-OA c... |
0 | Limb salvage or amputation? The use of a gentamicin coated nail in a severe, grade IIIc tibia fracture | DoD SSI (Surgical Site Infections) | INTRODUCTION: Severe grade IIIc tibial fractures have limited treatment options. The decision between limb salvage or amputation depends on many factors, including the age and health status of the patient, as well as the soft tissue status and associated injuries. Until recently, intramedullary nailing was not a favour... |
0 | Correlation of pre-operative planning to surgical correction of opening wedge HTO: a radiographic study utilizing a manual measurement method | OAK 3 - Non-arthroplasty tx of OAK | High tibial osteotomy (HTO) utilizing a medial opening wedge has become a common and effective surgical technique for treatment of isolated medial compartment knee osteoarthritis secondary to varus malalignment. To reduce the risk of under- or overcorrection, accurate preoperative planning is important. This is a radio... |
0 | Altered medial versus lateral hamstring muscle activity during hop testing in female athletes 1-6 years after anterior cruciate ligament reconstruction | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study was to assess activation patterns of medial (MH) versus lateral (LH) hamstrings in female athletes who had undergone ACL reconstruction (ACLR) using a hamstrings-graft during single-limb functional testing.
METHODS: Eighteen athletes (1-6 years since ACLR) and 18 healthy controls were... |
0 | Horizontal platform supported hip replacement | Management of Hip Fractures in the Elderly | The cementless horizontal platform supported femoral component for hip replacement was designed to provide physiologic stress loading of the proximal femur after hip replacement. The goal is to extend pain-free implant survival by reducing periprosthetic bone resorption and to provide improved hip function and many yea... |
0 | Application of Kuntscher Y nailing for fractures involving upper end of femur | Management of Hip Fractures in the Elderly | Kuntscher Y nail is biomechanically a stable assembly and is useful in the management of unstable intertrochanteric, subtrochanteric and pathological fractures involving the upper end of the femur. In addition, it was ideal in special situations with fracture of the upper end of the femur; in a mentally ill patient wit... |
0 | Safety and efficacy of shoulder arthroplasty following lower extremity periprosthetic joint infection | PJI DX Updated Search | BACKGROUND: The safety of arthroplasty in patients with a previous periprosthetic joint infection (PJI) remains unclear. The objective of this study was to determine whether patients with a history of a properly treated PJI complicating lower extremity arthroplasty can safely undergo shoulder arthroplasty without an in... |
0 | Do young patients with malunited fractures of the distal radius inevitably develop symptomatic post-traumatic osteoarthritis? | Distal Radius Fractures | Fractures of the distal radius occurring in young adults are treated increasingly by open surgical techniques, partly because of concern that failure to restore the alignment of the fracture accurately may cause symptomatic post-traumatic osteoarthritis in future years. We reviewed 106 adults who had sustained a fractu... |
0 | Medial antebrachial cutaneous nerve conduction study, a new tool to demonstrate mild lower brachial plexus lesions. A report of 16 cases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: This was to demonstrate the ability to electrodiagnosed mild lower brachial plexus lesion only through abnormal medial antebrachial cutaneous nerve (MABCN) conduction study. METHODS: We report 16 cases of unilateral, atypical pains and paresthesias of the upper limbs without motor deficit or atrophy. Patient... |
0 | Efficacy of an intervention programme for rehabilitation of awareness of deficit after acquired brain injury: A pilot study | DoD PRF (Psychosocial RF) | Background: Impaired Awareness of Deficit (AD) is a frequent symptom after suffering acquired brain injury (ABI) that severely influences patientsâ?? daily lives. Primary Objective: Pilot study to assess the effectiveness of a structured intervention programme which was developed from a biopsychosocial approach, and re... |
0 | Intra-articular patterns of bucket handle meniscal tears and its relation to reducibility | AMP (Acute Meniscal Pathology) | BACKGROUND: The purpose of this study was to assess the intra-articular patterns in the rotational deformities of bucket handle meniscal tears (BHMTs) based on arthroscopic findings and their clinical relevance.
METHODS: From 2004 to 2009, 42 patients with a BHMT diagnosed by magnetic resonance imaging underwent arthro... |
0 | Statins may decrease skeletal-related events in breast cancer patients with bone metastases | MSTS 2018 - Femur Mets and MM | Metastasis to the skeleton frequently occurs in breast carcinoma patients resulting in different skeletal-related events including pain, hypercalcemia, pathological fracture, and spinal cord or nerve root compression. Bisphosphonates are class of agents most frequently used to reduce skeletal-related events in patients... |
0 | Horizontal eyelid movement on eyelid closure | Upper Eyelid and Brow Surgery | PURPOSE: When performing ptosis surgery, a suture is placed between the levator and the tarsal plate at the point of the desired peak. This placement is done while the patient's eye is closed, but its effects are observed with the patient's eye open. Unaccounted-for horizontal eyelid movement on eyelid closing may ther... |
0 | Use of strong opioid analgesia in older adults following lower limb arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Introduction.- As our populations age, an increasing amount of lower limb arthroplasties are being performed for the treatment of arthritis. Adequate analgesia optimises post-operative rehabilitation, however, in the older patient, this may be associated with increased side effects. We undertook a retrospective cohort ... |
1 | Enhancement of fracture healing by electrical stimulation in the comminuted intraarticular fracture of distal radius | Distal Radius Fractures | Effectiveness of an alternating electric current (AC) stimulation in prevention of bone deformity for comminuted intraarticular fracture of distal radius were verified by comparing postoperative results treated with a wrist-bridging external fixator combined with or without an AC stimulator (EF and NEF, respectively), ... |
0 | Magnetic resonance imaging of hemochromatosis arthropathy | AMP (Acute Meniscal Pathology) | This study was undertaken to compare plain film radiography and magnetic resonance imaging in the assessment of hemochromatosis arthropathy of the knees of ten patients with a biopsy-proven diagnosis. Both modalities enabled visualisation of bony degenerative changes; magnetic resonance imaging enabled additional visua... |
0 | Soft tissue complications of distal radius fractures | DoD - ACS - Interrater Reliability | Distal radius fractures account for approximately 15% of all fractures in adults. Care of these fractures is associated with a myriad of complications. This review focuses on the soft tissue complications encountered during the management of distal radius fractures, including tendon injury, nerve dysfunction, vascular ... |
0 | Histologic and molecular features in pathologic human menisci from knees with and without osteoarthritis | AMP (Acute Meniscal Pathology) | The objective of this study was to evaluate histologic and molecular features of meniscus degeneration in cohorts of patients with and without osteoarthritis (OA) of the knee. Menisci were obtained from patients undergoing total knee arthroplasty for OA (TKA) or arthroscopic partial meniscectomy (APM) for a torn knee m... |
0 | Face Validity and Content Validity of a Game for Distal Radius Fracture Rehabilitation | Distal Radius Fractures | Background Patients recovering from a variety of wrist injuries are frequently advised to exercise to regain lost wrist and hand function. Treatment regimens to regain motion in the wrist are highly variable, and adherence to exercise protocols is known to be low. A serious game ReValidate! incorporating standardized e... |
0 | Lenalidomide inhibits osteoclastogenesis, survival factors and bone-remodeling markers in multiple myeloma.[Erratum appears in Leukemia. 2008 Oct;22(10):1973] | MSTS 2018 - Femur Mets and MM | Osteolytic bone disease in multiple myeloma (MM) is caused by enhanced osteoclast (OCL) activation and inhibition of osteoblast function. Lenalidomide and bortezomib have shown promising response rates in relapsed and newly diagnosed MM, and bortezomib has recently been reported to inhibit OCLs. We here investigated th... |
0 | What is the terrible triad? | AMP (Acute Meniscal Pathology) | In 1936 Campbell asserted that "impairment of the anterior crucial and mesial ligaments is associated with injuries of the internal cartilage." O'Donoghue in 1950 called attention to "that unhappy triad (1) rupture of the medial collateral ligament, (2) damage to the medial meniscus, and (3) rupture of the anterior cru... |
0 | Does use of a quadrilateral surface plate improve outcome in elderly acetabular fractures? | Hip Fx in the Elderly 2019 | Background: Acetabular fractures in the elderly frequently involve segmental quadrilateral plate injury, yet no consensus exists on how to best control the femoral head medial displacement. Quadrilateral surface plates (QSP) were developed to help buttress these challenging fractures. The study aims to 1) Determine the... |
0 | Autologous Minced Cartilage Implantation for Treatment of Chondral and Osteochondral Lesions in the Knee Joint: An Overview | Osteochondritis Dissecans 2020 Review | Cartilage defects in the knee are being diagnosed with increased frequency and are treated with a variety of techniques. The aim of any cartilage repair procedure is to generate the highest tissue quality, which might correlate with improved clinical outcomes, return-to-sport, and long-term durability. Minced cartilage... |
0 | Morphological changes in the superficial medial collateral ligament on knee MR imaging: association with medial meniscal extrusion and posterior root medial meniscus abnormality | AMP (Acute Meniscal Pathology) | OBJECTIVE: To assess the association between morphological changes in the superficial medial collateral ligament and meniscal extrusion with medial meniscus posterior root tear.
MATERIALS AND METHODS: From January 1, 2018, to December 31, 2019, 124 patients who underwent knee MRI within 90 days prior to knee surgery an... |
0 | Comparison of A Mobile-Bearing Total Knee System With A Fixed-Bearing Total Knee System In Cemented Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | This prospective, randomized, singleâ?blinded clinical trial compared a mobileâ?bearing total knee system with two types of fixedâ?bearing total knee systems in patients undergoing cemented total knee arthroplasty. The devices to be used are FDA approved: the Sigma Knee System (mobileâ?bearing), the Sigma, Pressfit... |
0 | Improving psychology students' attitudes toward people with schizophrenia: A quasi-randomized controlled study | DoD PRF (Psychosocial RF) | Despite scientific evidence that the majority of people with schizophrenia (PWS) have personal histories of traumatic life events and adversities, their needs for psychological support often remain unmet. Poor availability of nonpharmacological therapies in schizophrenia may be partly because of professionals' attitude... |
0 | Biplane double-supported screw fixation (F-technique): A method of screw fixation at osteoporotic fractures of the femoral neck | Management of Hip Fractures in the Elderly | The present work introduces a method of screw fixation of femoral neck fractures in the presence of osteoporosis, according to an original concept of the establishment of two supporting points for the implants and their biplane positioning in the femoral neck and head. The provision of two steady supporting points for ... |
0 | Blood transfusion and drainage catheter clamping are associated with ecchymosis formation at the surgical site after total knee arthroplasty: an analysis of 102 unilateral cases | DoD SSI (Surgical Site Infections) | BACKGROUND: Many previous studies have focused on the postoperative complication of postoperative knee pain, infection, knee prosthesis loosening, periprosthetic fractures, and so on. There have been few studies focused on postoperative ecchymosis formation surrounding the wound of the TKA site. A certain degree of eff... |
0 | FRAX 10-yr Fracture Risk in Rheumatoid Arthritisâ??Assessments With and Without Bone Mineral Density May Lead to Very Different Results in the Individual Patient | Hip Fx in the Elderly 2019 | Objectives: FRAX is a computer-based algorithm developed by the World Health Organisation for estimation of the 10-yr risk of a hip or major osteoporotic fracture. Inclusion of femoral neck bone mineral density (BMD) in the estimation is optional. The study aimed to investigate the intra-individual agreement between FR... |
0 | Distal lengthening of ilio-tibial band by Z-plasty for treating refractory greater trochanteric pain after total hip arthroplasty (Pedersen-Noor operation) | AAHKS (2) Corticosteroids | Introduction: The development of greater trochanteric pain (GTP) after total hip arthroplasty (THA) represents a special category. Despite that treatment is mainly conservative, some patients show poor response and surgical intervention should be considered. We propose a new method consisting of distal lengthening of i... |
0 | Evaluation of psychometric properties of Walking Impairment Questionnaire in overweight patients with osteoarthritis of knee | OAK 3 - Non-arthroplasty tx of OAK | This study tested the psychometric properties of the Walking Impairment Questionnaire (WIQ) in overweight patients with osteoarthritis (OA) of the knee. Internal consistency, testâ?retest reliability, and concurrent validity of the WIQ were measured. Used in a randomized clinical trial, the WIQ was one of the instrume... |
1 | Long term results of Philos plating and percutaneous K-wire fixation in proximal Humerus fractures in the elderly | DoD SSI (Surgical Site Infections) | This is a report of a study on the long term results of PHILOS plating and percutaneous K-wire fixation in a prospective series of proximal humerus fractures in elderly patients. We reviewed a total of 60 patients with proximal humerus fractures in 30 patients (Group 1), who were treated by open reduction and internal ... |
0 | The Bateman bipolar prosthesis in osteoarthritis and rheumatoid arthritis. A review of 400 cases | Management of Hip Fractures in the Elderly | Four hundred arthroplasties with the Bateman (or universal) prosthesis were performed from June 1974 to January 1985, including 286 cases with osteoarthritis (OA) and 114 with rheumatoid arthritis (RA). Evaluation was made according to the d'Aubigne-Postel method. The follow-up period was from three to 14 years, with a... |
0 | Does Prior Bariatric Surgery Improve Outcomes Following Total Joint Arthroplasty in the Morbidly Obese? A Meta-Analysis | DoD SSI (Surgical Site Infections) | BACKGROUND: There remains a controversy regarding the risks in subsequent total joint arthroplasty (TJA) with and without previous bariatric surgery (BS). We performed a meta-analysis based on the current evidence-based study to determine the influences of prior BS on the short-term and long-term outcomes following TJA... |
0 | Transarticular application of external skeletal fixation | Distal Radius Fractures | External skeletal fixators provide a useful alternative to external coaptation techniques for immobilization of joints in selected patients. This is especially true when the orthopedic injury involves an open wound requiring daily treatment. Devices such as the K-E splint, the Rudy external fixator boot, and acrylic fr... |
0 | The significance of peak expiratory flow rate in assessing prognosis of elderly patients undergoing operations on the hip | Management of Hip Fractures in the Elderly | Peak expiratory flow rate (PEFR) was measured using a Wright peak flow meter in 190 patients with fracture of the proximal part of the femur, and in 110 patients who underwent elective total hip replacement. PEFR was significantly lower in the fracture group than in the elective group when similar age ranges were compa... |
0 | Proximal femoral physeal fractures in children: a rare abusive injury | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Proximal femoral physeal fractures are rare in abused children. Recognition may be hampered due to their rarity and lack of an ossified femoral head. Prompt diagnosis and treatment are essential to preventing coxa vara. Objective: To demonstrate the radiographic features of proximal femoral physeal fracture... |
1 | Laterally elevated wedged insoles in the treatment of medial knee osteoarthritis. A two-year prospective randomized controlled study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To compare the clinical effects of laterally wedged insoles and neutrally wedged insoles (used as control) in patients with medial femoro-tibial knee osteoarthritis. METHODS: STUDY DESIGN: 24-month prospective randomized controlled study. PATIENTS: Outpatients with painful medial femoro-tibial knee osteoarth... |
0 | A systematic review and meta-analysis comparing complications following total joint arthroplasty for rheumatoid arthritis versus for osteoarthritis | PJI DX Updated Search | OBJECTIVE: Most of the evidence regarding complications following total hip arthroplasty (THA) and total knee arthroplasty (TKA) is based on studies of patients with osteoarthritis (OA), with little being known about outcomes in patients with rheumatoid arthritis (RA). The objective of the present study was to review t... |
0 | The high variability in sizing knee cartilage defects | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Articular cartilage defects of the knee are commonly encountered during arthroscopic examination and are believed to be a precursor to osteoarthritis. While a variety of surgical treatments exist, the defect size, specifically the cross-sectional area, has historically been used as a critical element in cho... |
0 | Ankle plantarflexor spasticity is not differentially disabling for those who are weak following traumatic brain injury | Pediatric Supracondylar Humerus Fracture 2020 Review | PRIMARY OBJECTIVES: The main aim of this study was to determine whether the presence of distal lower-limb spasticity had a greater impact on mobility for those who had greater levels of muscle paresis following traumatic brain injury (TBI). RESEARCH DESIGN: This was a cross-sectional cohort study of convenience. Sevent... |
0 | Patient rehabilitation following lower limb amputation | DoD LSA (Limb Salvage vs Amputation) | Patient rehabilitation following lower limb amputation is essential to provide optimum patient outcomes and to improve the amputee's quality of life. The age of the patient and the stump length or level of amputation emerge as dominant factors affecting the outcome of rehabilitation. A variety of outcome measures are a... |
0 | Bone loss at subchondral plate in knee osteoarthritis patients with hypertension and type 2 diabetes mellitus | OAK 3 - Non-arthroplasty tx of OAK | Objectives: This study aimed to characterize subchondral bone damages of knee osteoarthritis (OA) patients in presence of the comorbidities, i.e., hypertension and type 2 diabetes mellitus (T2DM). Methods: A total of 43 patients with advanced stage of primary knee OA were recruited, and tibial plateau specimens were co... |
0 | Surgical treatment for hemophilic pseudotumor | DoD SSI (Surgical Site Infections) | Background: Hemophilic pseudotumor (HPT) is a rare disease with many challenges. Only a few reports on surgical treatment for HPT have been published. Methods: The cases of 23 patients with HPT who had surgical treatment from July 1996 to December 2014 were retrospectively reviewed. Demographic data, blood loss and tra... |
0 | Ambulatory surgery utilization by age level | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We compared ambulatory and inpatient surgery utilization by age level for procedures known to be frequently performed on an ambulatory basis. Our scope of data was the Crouse Irving Memorial Hospital in Syracuse, New York during 1984. The hospital operates one of the largest freestanding ambulatory surgery programs in ... |
1 | Ethanol intoxication is associated with a lower incidence of admission coagulopathy in severe traumatic brain injury patients | DoD PRF (Psychosocial RF) | The aim of this study was to determine the impact of ethanol (ETOH) on the incidence of severe traumatic brain injury (sTBI)-associated coagulopathy and to examine the effect of ETOH on in-hospital outcomes in patients sustaining sTBI. Patients admitted to the surgical intensive care unit from June 2005 through Decembe... |
0 | Clinical manifestations and therapy of Lactobacillus endocarditis: report of a case and review of the literature | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A case of Lactobacillus casei endocarditis that occurred on a Carpentier-Edwards porcine valve is reported. A review of the literature, which yielded 23 other reports of endocarditis due to this organism, suggests that Lactobacillus is a rare cause of endocarditis. Typically, it occurs in a patient with preexisting str... |
1 | Management of fasciotomy wounds--does the dressing matter? | DOD - Acute Comp Syndrome CPG | Fasciotomy is a limb-saving procedure in the management of ischemic extremities. Little evidence exists as to the best method of fasciotomy wound management. We hypothesized that the use of vacuum dressing (VAC) or creation of dynamic tension (DYN) would increase rates of primary closure, reducing the need for split th... |
0 | Paleopathology and nutritional analysis of a south German monastery population | Glenohumeral Joint OA | The monastery of Attel, Upper Bavaria, which was founded in AD 1030, harbours a series of crypt burials from the time period between AD 1700 and 1750. Due to a restoration of the church, 16 crypts had to be removed and were subjected to an extensive anthropological-paleopathological and isotope analysis. The 16 crypts ... |
0 | Radiofrequency ablation in combination with osteoplasty in the treatment of painful metastatic bone disease | MSTS 2018 - Femur Mets and MM | PURPOSE: To evaluate the feasibility and effectiveness of combining radiofrequency (RF) ablation and osteoplasty for pain reduction in the treatment of painful osteolytic metastases.
MATERIALS AND METHODS: Within 5 years, 22 patients (15 men and seven women; median age, 64 years) with 28 lesions located in the thoracic... |
0 | Motor unit number estimate (MUNE) testing in male patients with mild to moderate carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome is a frequent clinical entity with an excellent prognosis if adequately treated. However, in rare cases of treatment failure, patients may suffer significant impairment of hand function with various degrees of disability. Loss of motor units in the hand muscles is the pathophysiological basis for... |
0 | Aesthetic body contouring: Ultrasound-assisted liposuction | Panniculectomy & Abdominoplasty CPG | Ultrasound assisted liposuction (UAL) has become an important tool for the body contouring surgeon. Its use has become refined and now facilitates optimizing circumferential liposuction. This paper will discuss aesthetic body contouring in its entirety as it is related to ultrasound assisted liposuction. It will review... |
0 | Mass spectrometry assays of plasma biomarkers to predict radiographic progression of knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | IntroductionBiomarkers to identify osteoarthritis (OA) patients at risk for disease progression are needed. As part of a proteomic analysis of knee synovial fluid from normal and OA patients, differentially expressed proteins were identified that could represent potential biomarkers for OA. This study aimed to use mass... |
0 | Proteomic analysis of osteoarthritic chondrocyte reveals the hyaluronic acid-regulated proteins involved in chondroprotective effect under oxidative stress | OAK 3 - Non-arthroplasty tx of OAK | UNLABELLED: Osteoarthritis (OA), the most common type of arthritis, is a degenerative joint disease. Oxidative stress is well known to play important roles in cartilage degradation and pathogenesis of OA. The intra-articular injection of hyaluronic acid (IAHA) is accepted as an effective clinical therapy for OA, but we... |
0 | Experience in the first four years of Rapid Recovery; is it safe? | DoD SSI (Surgical Site Infections) | The average length of hospital stay after Total Hip Replacement (THR) has been decreasing over time. Recently, many hospitals have commenced rapid recovery programs such as Joint Care®. In Joint Care® the patients are usually discharged on the fifth post-operative day with relatively fresh surgical wounds. The aim of t... |
0 | Study protocol for a randomised controlled trial of a care partner assisted intervention to improve oral health of individuals with mild dementia | Dental Implant Infection | Introduction Individuals with mild dementia are at high risk of poor oral health outcomes. To address this issue, we describe an intervention to teach care partners skills to guide individuals with mild dementia in proper oral hygiene techniques and provide reminders to practice oral hygiene care. By providing support ... |
0 | Surgical management of persistent intoeing gait due to increased internal tibial torsion in children | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Intoeing gait is frequently seen in developing children, and in most cases it resolves with growth. However, persistent, extreme intoeing gait, due to increased internal tibial torsion, may disrupt gait function. At our institution, children with symptomatic intoeing gait are evaluated per a standardized pr... |
0 | The 2015 Frank Stinchfield Award: Radiographic Abnormalities Common in Senior Athletes With Well-functioning Hips but Not Associated With Osteoarthritis | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: It is not known whether morphological abnormalities of the hip are compatible with lifelong hip function and avoidance of osteoarthritis (OA). Our purpose was to investigate the prevalence of radiographic findings consistent with femoroacetabular impingement (FAI) and dysplasia (DDH) in senior athletes with... |
1 | Carpal tunnel release in patients with diabetes: a 5-year follow-up with matched controls | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To compare clinical outcomes 5 years after carpal tunnel release among patients with and without diabetes. METHODS: In a prospective consecutive series, 35 patients with diabetes (median age, 54 y; 15 type 1 and 20 type 2 diabetes) with carpal tunnel syndrome were age- and sex-matched with 31 control patients ... |
0 | Reverse shoulder arthroplasty with glenoid bone grafting for anterior glenoid rim fracture associated with glenohumeral dislocation and proximal humerus fracture | Glenohumeral Joint OA | BACKGROUND: Large fractures of the anterior glenoid rim can result in persisting instability and osteoarthritis of the glenohumeral joint When this fracture is associated with a glenohumeral dislocation and proximal humerus fracture could be a concern. The goal of this paper was to evaluate the clinical and radiologica... |
0 | TIEG1 Inhibits Angiotensin II-induced Cardiomyocyte Hypertrophy by Inhibiting Transcription Factor GATA4 | Reduction Mammoplasty for Female Breast Hypertrophy | The transforming growth factor (TGF-beta)-inducible early gene (TIEG1), a member of the Sp1/Kruppel-like family of transcription factors, plays an important role in regulating cell growth, differentiation, and apoptosis in many human diseases, including breast cancer, osteoporosis, and atherosclerosis. However, little ... |
0 | Rejuvenation of the aging mouth | Upper Eyelid and Brow Surgery | Viewing the face as a series of three concentric rings, we can successfully rejuvenate the outer ring with the usual face lift, blepharoplasty, and brow lift. Insufficient attention has been paid to the middle and inner rings. The middle ring can be made to look more youthful by correcting the long upper lip with a lip... |
0 | The effect of diabetes combined with stroke on disability, self-rated health, and mortality in older Mexican Americans: results from the Hispanic EPESE | Management of Hip Fractures in the Elderly | OBJECTIVE: To examine how diabetes in combination with stroke affects functional activities of daily living (ADLs) and instrumental activities of daily living (IADLs), self-rated health, and 5-year mortality in elderly Mexican Americans with or without other comorbid conditions. DESIGN: Longitudinal study. SETTING: Fiv... |
0 | A Mechanism-Based Approach to the Management of Osteoarthritis Pain | PRP (Platelet-Rich Plasma) | Pain from osteoarthritis (OA) affects millions of people worldwide, yet treatments are limited to acetaminophen, NSAIDs, physical therapy, and ultimately, surgery when there is significant disability. In recent years, our understanding of pain pathways in OA has developed considerably. Though joint damage and inflammat... |
0 | Endocarditis caused by Propionibacterium species: a report of three cases and a review of clinical features and diagnostic difficulties | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Propionibacterium species are members of the normal flora of skin and the mouth but their pathogenic potential is often overlooked. Three fatal cases of endocarditis caused by Propionibacterium species over an 8-year period are reported, and a review is presented of a further 33 cases from the world literature. In most... |
0 | Immediate and short-term effects of gait retraining on the knee joint moments and symptoms in patients with early tibiofemoral joint osteoarthritis: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the effectiveness of a knee adduction moment (KAM) gait retraining in patients with early knee osteoarthritis up to 6 months post-training.
METHOD: We conducted a single blinded randomized controlled trial on a total of 23 patients with early knee osteoarthritis who were randomly allocated to the... |
0 | Clinical Outcomes of Transcatheter Arterial Embolisation for Chronic Knee Pain: Mild-to-Moderate Versus Severe Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Purpose: This retrospective study was conducted to compare the clinical outcomes of transcatheter arterial embolisation for chronic knee pain in patients with mild-to-moderate versus severe knee osteoarthritis. Materials and Methods: This study included patients (n = 41) who were refractory to conservative treatments a... |
0 | Surgical correction of blepharoptosis using the levator aponeurosis-Müller's muscle complex readaptation technique: A 15-year experience | Upper Eyelid and Brow Surgery | BACKGROUND: Palpebral ptosis is defined as abnormal drooping of the upper lid, caused by partial or total reduction in levator muscle function. It may be caused by various abnormalities, both congenital and acquired. The aim of this article is to report the long-term follow-up of results obtained with the levator apone... |
0 | New therapeutic agents for the treatment of bone diseases | MSTS 2018 - Femur Mets and MM | Bisphosphonates have demonstrated important clinical benefits for patients with malignant bone disease, metabolic bone diseases, such as Paget's disease, and postmenopausal osteoporosis. The introduction of nitrogen-containing bisphosphonates with high affinity for hydroxyapatite in bone represents an important advance... |
0 | Postoperative analgesia after total hip arthroplasty: i.v. PCA with morphine, patient-controlled epidural analgesia, or continuous "3-in-1" block?: a prospective evaluation by our acute pain service in more than 1,300 patients | AAHKS (4) Acetaminophen | STUDY OBJECTIVE: To assess the most appropriate postoperative analgesic technique after hip surgery.
DESIGN: Prospective, nonrandomized study.
SETTING: University hospital.
PATIENTS: 1,338 ASA physical status I, II, and III patients scheduled for elective unilateral total hip arthroplasty (THA).
INTERVENTIONS: During t... |
0 | Localization of cathepsin B in two human lung cancer cell lines | MSTS 2018 - Femur Mets and MM | We demonstrated the cysteine proteinase cathepsin B in two human lung tumor cell lines by cytochemical and immunocytochemical methods. The cell lines were derived from a squamous cell carcinoma of the lung (HS-24) and a metastasis to the adrenal gland from an adenocarcinoma of the lung (SB-3). For comparison and contro... |
0 | Ergonomic handle for an arthroscopic cutter | AMP (Acute Meniscal Pathology) | From an analysis of the routinely performed meniscectomy procedures, it was concluded that a punch with a side-ways steerable tip would improve the reachability of meniscal tissue. This potentially leads to a safer and more efficient meniscectomy. Furthermore, the current scissors handles of arthroscopic punches are er... |
0 | Results of reconstructive mastoidectomy with homograft knee cartilage | AMP (Acute Meniscal Pathology) | The technique of reconstructing the posterior canal wall with homograft knee cartilage originally described in 1972 is reviewed and refinements are presented along with additional cases. The homograft knee cartilage is used in conjunction with the homograft tympanic membrane and ossicles to rebuild the middle ear and m... |
0 | Tangential View and Intraoperative Three-Dimensional Fluoroscopy for the Detection of Screw-Misplacements in Volar Plating of Distal Radius Fractures | Distal Radius Fractures | BACKGROUND: Volar locking plate fixation has become the gold standard in the treatment of unstable distal radius fractures. Juxta-articular screws should be placed as close as possible to the subchondral zone, in an optimized length to buttress the articular surface and address the contralateral cortical bone. On the o... |
0 | The relationship between knee adduction moment and cartilage and meniscus morphology in women with osteoarthritis | AMP (Acute Meniscal Pathology) | OBJECTIVE: The aim of this cross-sectional study is to investigate the relationship between knee adduction moment and knee adduction angular impulse and meniscus, cartilage and bone morphology in women with knee osteoarthritis (OA).
METHOD: Forty-five women aged >40 years with OA in at least one knee, according to Amer... |
0 | Efficacy of a multiple diode laser system for body contouring | Panniculectomy & Abdominoplasty CPG | Background and Objectives Low-level laser therapy (LLLT) has been shown to induce cellular reactions in nonphotosynthetic cells however skepticism remains regarding efficacy at the clinical level. The purpose of this study was to evaluate the efficacy of LLLT independent of liposuction. Additionally, a weight loss supp... |
0 | Increased risk for extended acetabular reconstruction in failed hip resurfacing as compared to failed total hip arthroplasty | Hip Fx in the Elderly 2019 | Introduction: Hip resurfacing (HR) is intended to preserve the femoral bone stock during primary arthroplasty. On the other hand, little has been reported regarding the intraoperative need of bone reconstruction for extended acetabular defects during hip resurfacing revision. Thus, the aim of the presented study was to... |
0 | One-stage bilateral open reduction using the anterior iliofemoral approach in developmental dysplasia of the hip | Developmental Dysplasia of the Hip 2020 Review | The aim of this study was to investigate the safety of one-stage bilateral open reduction using the anterior approach in the treatment of patients with bilateral Tönnis Type III and IV Developmental Dysplasia of the Hip (DDH). Forty-six patients were retrospectively evaluated. Thirty-eight were female, eight were male... |
0 | Postgraduate education to increase adherence to a Dutch physiotherapy practice guideline for hip and knee OA: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To compare the effectiveness of two educational courses aiming to improve adherence to recommendations in a Dutch physiotherapy practice guideline for hip and knee OA.
METHODS: Physiotherapists (PTs) from three regions in The Netherlands were invited to participate in a study comparing an interactive worksho... |
0 | Distal femoral varus osteotomy for painful genu valgum. A five-to-11-year follow-up study | Surgical Management of Osteoarthritis of the Knee CPG | From 1978 until 1984, 23 patients (24 knees) were treated with varus producing distal femoral osteotomy for painful, lateral compartment osteoarthrosis. Evaluation at five to 11 years (average, 8.3 years) included orthopedic examination, calculation of the Hospital for Special Surgery (HSS) knee score, and standing kne... |
0 | Suture anchor repair for ruptured deltoid ligament in pronation ankle fractures | DoD SSI (Surgical Site Infections) | Background: The deltoid ligament is the main medial stabilizer of the ankle joint. Rupture of this ligament is not uncommon in pronation ankle injuries and should be suspected in the absence of medial malleolar fractures. The purpose of this study was to evaluate the effectiveness of deltoid ligament reconstruction usi... |
0 | Intercostal nerve block for breast surgery | Reduction Mammoplasty for Female Breast Hypertrophy | The authors present a study of 716 cases of intercostal nerve block for mammaplasties. They describe the technique used, a midline axillary nerve block. Casuistics is reported (694 reduction mammaplasties and mastopexies and 22 augmentation mammaplasties) and the progressive and extensive indication of intercostal nerv... |
0 | Postural hypotension and postural dizziness in elderly women. The study of osteoporotic fractures. The Study of Osteoporotic Fractures Research Group | Management of Hip Fractures in the Elderly | BACKGROUND: Postural hypotension and dizziness are common findings in elderly individuals. Although postural hypotension and postural dizziness are often perceived to be strongly associated entities, evidence to support this view in sparse. In addition, there is a lack of knowledge regarding the relationship of postura... |
0 | PFC Modular Total Knee Replacement System - Middle Term Results | Surgical Management of Osteoarthritis of the Knee CPG | Background. Total knee replacement, which is now the preferred solution for severe primary osteoarthritis, rheumatoid arthritis or posttraumatic osteoarthritis, is indicated in patients of various pathological changes and deformities. Every joint requires an individual treatment.<br /> Material and method. We performed... |
1 | The stability of repaired meniscal root can affect postoperative cartilage status following medial meniscus posterior root repair | AMP (Acute Meniscal Pathology) | BACKGROUND: Transtibial pullout repair yields beneficial clinical outcomes in patients with medial meniscus (MM) posterior root tear. However, the relationship between repaired meniscal root healing status and postoperative clinical outcomes remains unclear. We aimed to evaluate changes in articular cartilage damage an... |
0 | Evaluation of shoulder disorders by 2-[F-18]-fluoro-2-deoxy-D-glucose positron emission tomography and computed tomography | Glenohumeral Joint OA | BACKGROUND: Although fluorine-18-fluorodeoxyglucose (FDG) positron emission tomography (PET) has a limitation for localizing anatomical structures, combining it with computed tomography (CT) has made it more efficient for overcoming such limitations. This study aims to evaluate the efficacy of PET/CT for evaluating dis... |
0 | A comparative study of flurbiprofen and piroxicam in osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | In this singleâ?blind, multipleâ?dose study the efficacy and tolerability of flurbiprofen was compared with that of piroxicam in 60 adult patients suffering from osteoarthritis of the knee. The patients were randomly allocated to receive either flurbiprofen 100 mg twice daily or piroxicam 20 mg once daily for a perio... |
0 | Intraarticular injection of bone marrow-derived mesenchymal stem cells enhances regeneration in knee osteoarthritis | BMAC (Bone Marrow Aspirate Concentrate) | PURPOSE: This review aimed to evaluate the efficacy of intra-articular injections of bone marrow derived mesenchymal stem cells (BM-MSCs) for the treatment of knee osteoarthritis (KOA).
METHODS: This narrative review evaluates recent English language clinical data and published research articles between 2014 and 2019. ... |
0 | Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study | PJI DX Updated Search | PURPOSE: The aim of this prospective study was to present a 10-year experience with the use of prosthetic mesh repair in the management of the acutely incarcerated and/or strangulated groin hernias. METHODS: Patients with acutely incarcerated and/or strangulated groin hernias were treated by emergency repair of the her... |
0 | Tai chi for treating rheumatoid arthritis | SR for PM on OA of All Extremities | Background: Rheumatoid arthritis (RA) is a chronic, systemic inflammatory autoimmune disease that results in the destruction of the musculoskeletal system. The major goals of treatment are to relieve pain, reduce inflammation, slow down or stop joint damage, prevent disability, and preserve or improve the person's sens... |
0 | Immediate reconstruction using free medial circumflex femoral artery perforator flaps after breast-conserving surgery | PJI DX Updated Search | Recent advances in perforator flap surgical techniques have allowed for safe and reliable autologous tissue transfer with minimal donor-site morbidity. Between April 2012 and January 2013, we performed immediate breast reconstruction using free medial circumflex femoral artery perforator (MCFAP) flaps in 15 patients af... |
0 | Selenomonas sputigena septicemia | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Selenomonas sputigena is a curved motile anaerobic gram-negative rod that is a part of the normal upper respiratory tract of man. We present a case of speticemia associated with this organism and believe it to be the first such report describing systemic disease |
0 | Single dose oral celecoxib for acute postoperative pain in adults | SR for PM on OA of All Extremities | BACKGROUND: This is an update of a review first published in The Cochrane Library in Issue 4, 2008, and updated in Issue 3, 2012. Celecoxib is a selective cyclo-oxygenase-2 (COX-2) inhibitor usually prescribed for the relief of chronic pain in osteoarthritis and rheumatoid arthritis. Celecoxib is believed to be associa... |
0 | Reporting of harm in randomized, controlled trials of nonpharmacologic treatment for rheumatic disease | SR for PM on OA of All Extremities | BACKGROUND: Reports of clinical trials usually emphasize benefits and give less attention to harms. PURPOSE: To compare the reporting of harm in trials of pharmacologic and nonpharmacologic treatment. DATA SOURCES: MEDLINE and the Cochrane Central Register of Controlled Trials. STUDY SELECTION: Reports of randomized, c... |
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