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0 | Early prognostic factors in distal radius fractures in a younger than osteoporotic age group: a multivariate analysis of trauma radiographs | Distal Radius Fractures | BACKGROUND: Treatment of distal radius fractures in patients of a younger than osteoporotic age is complex, because they often are the result of a high-energy trauma and have intra-articular fractures and associated injuries. As yet no fracture classification exists that predicts outcome. Our aim was to find the earlie... |
0 | The Effects of Fat Harvesting and Preparation, Air Exposure, Obesity, and Stem Cell Enrichment on Adipocyte Viability Prior to Graft Transplantation | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Adipocyte viability is affected by fat preparation and processing methods, but rigorous and objective studies of these relationships are lacking. OBJECTIVES: The authors conducted a comprehensive evaluation of variables affecting adipocyte viability prior to injection of fat at the recipient site. METHODS: ... |
0 | Assessment of stability in children's minimally displaced lateral humeral condyle fracture by magnetic resonance imaging | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We studied 12 children who had minimally displaced lateral humeral condyle fractures. Bony gaps at the fracture site were <2 mm on the anteroposterior view of plain radiographs. To determine the stability of the fractures, we used a magnetic resonance imaging (MRI) study of the distal humerus and elbow joint. In the re... |
0 | Long-term outcomes following lower extremity sarcoma resection and reconstruction with vascularized fibula flaps in children | DoD SSI (Surgical Site Infections) | BACKGROUND: Limb salvage operations in patients with bony oncologic defects carry technical challenges and may require long recoveries. This study aimed to evaluate functional outcomes, donor-site morbidity, and complications in lower limb bony oncologic defects reconstructed with vascularized fibula flaps in children.... |
1 | Low-dose heparin for prevention of venous thromboembolism in total hip arthroplasty and surgical repair of hip fractures | Management of Hip Fractures in the Elderly | Sixty-seven hip-arthroplasty and fifty-two hip-fracture patients participated in a placebo-controlled randomized double-blind study on the effects of low-dose heparin prophylaxis in the prevention of venous thromboembolism. In this study, a positive thromboembolic event meant a positive test by: (1) daily 125I-fibrinog... |
0 | Unicompartmental or total knee replacement: the 15-year results of a prospective randomised controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Between 1989 and 1992 we had 102 knees suitable for unicompartmental knee replacement (UKR). They were randomised to receive either a St Georg Sled UKR or a Kinematic modular total knee replacement (TKR). The early results demonstrated that the UKR group had less complications and more rapid rehabilitation than the TKR... |
0 | Early history of operative treatment of patellar fractures | DoD LSA (Limb Salvage vs Amputation) | The presented overview shows that the first efforts to address patellar fractures by operative treatment, although sporadic, emerged in the pre-antiseptic era. Introduction of Listerâ??s antiseptic method in Great Britain, Germany and the USA in 1877â??1882 contributed to a new, progressive trend in the treatment of fr... |
0 | Dynamic risk stratification for medullary thyroid cancer according to the response to initial therapy | MSTS 2018 - Femur Mets and MM | Detecting persistent/recurrent disease of medullary thyroid carcinoma (MTC) is important. The tumor-node-metastasis (TNM) staging system is useful for predicting disease-specific mortality, but is a static system and does not include postoperative serum calcitonin levels. We have focused on the clinical usefulness of d... |
0 | Methadone for chronic non-cancer pain in adults | SR for PM on OA of All Extremities | Background: Methadone belongs to a class of analgesics known as opioids, that are considered the cornerstone of therapy for moderate-to-severe pain due to life-threatening illnesses; however, their use in chronic non-cancer pain (CNCP) is controversial. Methadone has many characteristics that differentiate it from othe... |
0 | Oxidative stress and some antioxidant parameters in postmenopausal osteoporotic women with fractures: A case control study | Management of Hip Fractures in the Elderly | Introduction: Oxidative stress plays an important role in the pathogenesis of postmenopausal osteoporosis (PMO). Antioxidants have the ability to mitigate the damaging effects of reactive oxygen species (ROS). Materials and Method: This study evaluated the plasma levels of two selected antioxidant defenses: vitamin C a... |
0 | Total ankle arthroplasty: a radiographic outcome study | PJI DX Updated Search | OBJECTIVE: Total ankle arthroplasty (TAA) is becoming a popular alternative to arthrodesis for patients with end-stage ankle arthrosis. Prior outcome studies have primarily focused on surgical findings. Our purpose is to determine the radiographic outcome of TAA and to correlate it with clinical outcome. MATERIALS AND ... |
1 | Diagnostic performance of low field MRI in acute knee injuries | Anterior Cruciate Ligament Injuries CPG | The diagnostic performance of low field (0.1 T) magnetic resonance imaging (MRI) was studied prospectively and double-blindly among 33 patients with acute knee injuries. The subsequent arthroscopy was the golden standard. For lesions of the medial meniscus low field MR had a sensitivity of 88% and a specificity of 80%;... |
0 | Extraskeletal benefits and risks of calcium, vitamin D and anti-osteoporosis medications | MSTS 2018 - Femur Mets and MM | Summary: Drugs used for the prevention and the treatment of osteoporosis exert various favourable and unfavourable extra-skeletal effects whose importance is increasingly recognized notably for treatment selection. Introduction: The therapeutic armamentarium for the prevention and the treatment of osteoporosis is incre... |
1 | Acellular Dermal Matrix Versus Inferior Deepithelialized Flap Breast Reconstruction: Equivalent Outcomes, with Increased Cost | Acellular Dermal Matrix | BACKGROUND: Approximately 250,000 new cases of breast cancer are diagnosed yearly in the U.S. resulting in more postmastectomy breast reconstructions (PMBRs). The acellular dermal matrix (ADM) expander-implant method became popular in the mid-2000s, but newer techniques such as the inferior deepithelialized flap (IDF) ... |
0 | Comparative fasting bioavailability and pharmacokinetic properties of 2 formulations of glucosamine hydrochloride in healthy Chinese adult male volunteers | OAK 3 - Non-arthroplasty tx of OAK | Glucosamine (CAS 66-84-2) hydrochloride is an amino monosaccharide indicated for the treatment of arthrosis, especially osteoarthritis of the knee joint. This study was conducted to assess and compare the pharmacokinetic (PK) properties, bioavailability of a newly developed dispersible tablet formulation (test) of gluc... |
0 | Knee arthrodesis: Indications and results of treatment | Surgical Management of Osteoarthritis of the Knee CPG | Arthodesis of the knee as a treatment for primary arthritis is most often indicated for young, active patients with high functional demands, neuropathic arthropathy, and major soft tissue deficiencies. Failure of total knee arthroplasty is currently the most common indication for knee fusion. Intramedullary fixation is... |
1 | Suture repair versus arrow repair for symptomatic meniscus tears of the knee: a systematic review | AMP (Acute Meniscal Pathology) | A healthy meniscus is important for normal function of the knee. Numerous studies support that the repair of a torn meniscus is important to prevent degenerative changes in the knee. The ability to repair torn menisci is based on several factors including location, tear orientation, chronicity, and concomitant ligament... |
0 | Volumetric modulated arc therapy as an example of the advanced capability of modern radiotherapy | MSTS 2018 - Femur Mets and MM | Background: Family physicians and internal medicine specialists play an essential role in treating cancer patients. Modern technological advances in radiotherapy are not widely appreciated by primary care physicians. Bone metastases are a frequent complication of cancer. Palliative radiation therapy, as a component of ... |
0 | Long-term evaluation of posterior lateral meniscus root tears left in situ at the time of anterior cruciate ligament reconstruction | AMP (Acute Meniscal Pathology) | BACKGROUND: The long-term radiographic and subjective results of patients with posterior lateral meniscus root tears left in situ at the time of anterior cruciate ligament reconstruction has not been reported.
HYPOTHESIS: The authors hypothesized that patients who had posterior lateral meniscus root tears left in situ ... |
0 | The Anatomic Feasibility of a Functional Chimeric Flap in Complex Abdominal Wall Reconstruction | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Dynamic and functional abdominal wall reconstruction (FAWR) remains a complex challenge. The ideal flap should have a minimal donor-site morbidity and cover a large surface area with motor and sensory capabilities. The goal was to investigate the feasibility of using a free chimeric flap with anterolateral ... |
1 | Circumferential approach to contouring of the trunk | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Body contouring usually involves the lower and upper abdomen, flanks, hips, and back. Several techniques are available with which to achieve suitable simultaneous correction of all these aesthetic units. OBJECTIVE: We review the techniques available for contouring of the trunk. Excisional procedures are abd... |
0 | The application of precisely controlled functional electrical stimulation to the shoulder, elbow and wrist for upper limb stroke rehabilitation: A feasibility study | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Functional electrical stimulation (FES) during repetitive practice of everyday tasks can facilitate recovery of upper limb function following stroke. Reduction in impairment is strongly associated with how closely FES assists performance, with advanced iterative learning control (ILC) technology providing p... |
0 | Pelvis and hip joint injuries as a reconstructive factors in car-to-pedestrian accidents | Management of Hip Fractures in the Elderly | The pelvic girdles of 371 pedestrian victims of road traffic accidents were evaluated during postmortem examinations. Additionally, 144 hip joints were opened. The pelvic injuries were found in 28% of the pedestrians hit exclusively in their upright position and 52% of the victims run over by a vehicle. The side of the... |
0 | Association between Single Nucleotide Polymorphisms of SMAD3 and BMP5 with the Risk of Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: The role of genetic factors influencing osteoarthritis (OA) susceptibility is well documented and several candidate genes have been identified to be associated with it. Among these genes are Bone Morphogenetic Protein 5 (BMP5) and Smad family member 3 (SMAD3), all involved in Transforming Growth Factor (T... |
0 | Usefulness of simple biomarkers at admission as independent indicators and predictors of in-hospital mortality in older hip fracture patients | Hip Fx in the Elderly 2019 | INTRODUCTION: The data on predictive value of the routinely obtained preoperative biochemical parameters in hip fracture (HF) patients are limited. The aims of this study were to examine in older HF patients (1) the relationships between a broad set of routine laboratory parameters at admission and in-hospital mortalit... |
0 | Tendon Transfer Surgery for People With Tetraplegia: An Overview | Pediatric Supracondylar Humerus Fracture 2020 Review | After cervical spinal cord injury, the loss of upper limb function is common. This affects an individual's ability to perform activities of daily living and participate in previous life roles. There are surgical procedures that can restore some of the upper limb function lost after cervical spinal cord injury. Tendon t... |
0 | The current management of tibial fractures: are clinical guidelines effective? | DOD - Acute Comp Syndrome CPG | BACKGROUND: The production of clinical guidelines is increasing and will continue to do so with the introduction of clinical governance. In 1997, the British Orthopaedic Association (BOA) and the British Association of Plastic Surgeons (BAPS) published joint guidelines on the management of open tibial fractures. It is ... |
0 | Case 04/12 - A 44-year-old male with rheumatic valvular heart disease with multiple previous surgeries of aortic valve replacement admitted for treatment of congestive heart failure | Surgical Management of Osteoarthritis of the Knee CPG | Male, 44 years old, with a history of rheumatic attacks in childhood and adolescence and multiple aortic valve replacement surgeries, was admitted with decompensated heart failure. The present illness began with rheumatic attacks characterized by fever, arthritis of the right knee, when he was 7-11 old. At age 15, paro... |
0 | Total hip replacement after medial-displacement osteotomy of the proximal part of the femur | Management of Hip Fractures in the Elderly | Intertrochanteric osteotomy has been recommended as an alternative to total hip replacement for the treatment of osteoarthrosis of the hip in younger patients because of the higher risk of mechanical loosening after total hip replacement in this age-group. The results of 112 consecutive cemented total hip replacements ... |
0 | The spherocentric knee: a re-evaluation and modification | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of this study was to assess prospectively the initial results of total knee replacement with the standard spherocentric component and to identify retrospectively the pathogenesis of any unsatisfactory results. As a consequence of this study, the femoral component was modified. Thirty-six knees were reviewed... |
0 | Premature changes in trabecular and cortical microarchitecture result in decreased bone strength in hemophilia | Distal Radius Fractures | Low bone density is a growing concern in aging men with hemophilia and may result in high-morbidity fragility fractures. Using high-resolution peripheral quantitative computed tomography (HR-pQCT), we demonstrate low trabecular and cortical bone density contributing to lower volumetric bone mineral density (BMD) at bot... |
1 | Critical evaluation of mangled extremity severity scoring system in Indian patients | DoD LSA (Limb Salvage vs Amputation) | Amputation of a mangled extremity is repugnant to the patient and the surgeon. However, prolonged unsuccessful attempts at salvage are costly, highly morbid and sometimes lethal. Much discussion has taken place regarding which criteria predict successful salvage, and predictive indices have been proposed in an attempt ... |
0 | Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Purpose of Review: Tendinopathy describes a combination of pain, swelling, and impaired performance of the tendon and around structures. There are various treatment options for tendinopathy with unclear efficacy. Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic ... |
1 | Closure of chronic abdominal wall defects: A long-term evaluation of the components separation method | Panniculectomy & Abdominoplasty CPG | Incisional hernias and abdominal wall defects are frequently iatrogenic problems that have been found to complicate as many as 11% of all abdominal operations. Current techniques for closure of large, chronic abdominal wall defects have limitations. The use of local musculofascial flaps rather than fascial patches (i.e... |
0 | Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: There is limited literature concerning the outcomes and role of THA as a surgical option for amputee patients. The aim of this study is to determine the mid-to long-term survival and complication rates of cementless total hip arthroplasty (THA) in patients with contralateral below knee amputations. METHODS: ... |
0 | Meniscal Root Tears | OAK 3 - Non-arthroplasty tx of OAK | Meniscus root tears are a specific type of meniscal injury that have gained attention over the past 5 years and have been reported to account for 10% to 21% of all meniscal tears, affecting nearly 100,000 patients annually. Meniscal root tears either are defined as an avulsion of the insertion of the meniscus attachmen... |
1 | Clinical values in computer-assisted total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Thirty posterior stabilized total knee prostheses implanted using a computed tomography-free navigation system were compared to a control group of 30 matched total knee prostheses of the same type implanted via a classical, surgeon-controlled technique. The accuracy of the implantations in relation to the mechanical ax... |
0 | Chronic Use of Opioids Before and After Total Knee Arthroplasty: A Retrospective Cohort Study | AAHKS (4) Acetaminophen | BACKGROUND: Opioids are commonly used for the management of preoperative and postoperative pain among patients undergoing total knee arthroplasty (TKA). There is limited literature on the chronic use of opioids pre-TKA and post-TKA. The aim of this study was to characterize the use of opioids in TKA patients before and... |
0 | Hospital costs and severity of illness in three types of elective surgery | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: If patients who are more severely ill have greater hospital costs for surgery, then health-care reimbursements need to be adjusted appropriately so that providers caring for more seriously ill patients are not penalized for incurring higher costs. The authors' goal for this study was to determine if severit... |
0 | Comparing Complications and Costs of Total Hip Arthroplasty and Hemiarthroplasty for Femoral Neck Fractures: A Propensity Score-Matched, Population-Based Study | DoD SSI (Surgical Site Infections) | Background:Although the prevalence of displaced femoral neck fractures in the elderly population is increasing worldwide, there remains controversy as to whether these injuries should be managed with hemiarthroplasty or total hip arthroplasty. Although total hip arthroplasties result in better function, they are more e... |
0 | Gerontology forum: An update on the literature | MSTS 2018 - Femur Mets and MM | New treatments and treatment protocols for diseases affecting the elderly are evolving as we strive to meet the needs of an aging society. To help you keep up to date with the latest advances worldwide on all aspects of drug therapy and patient management, this section of the journal brings you information selected fro... |
0 | Effects of task precision demands on behavioral and physiological changes during a repetitive asymmetric lifting activity | DoD PRF (Psychosocial RF) | Objective: This study investigated the effects of task precision demands on behavioral and physiological changes during repetitive asymmetric lifting. Background: Repetitive lifting encountered in manual material handling leads to muscle fatigue and is a documented risk factor for low back disorder. Method: A total of ... |
0 | NC-stat as a screening tool for carpal tunnel syndrome in industrial workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: The initial purpose of this study was to establish a normal data set for median nerve studies in industrial workers using NC-stat technology. METHODS: Sixteen hundred ninety-five persons applying for employment at a single heavy industry plant without symptoms of carpal tunnel syndrome (CTS) were studied. RE... |
0 | Total knee replacement in an amputee patient: A case report | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis is the most prevalent and more disabling of the rheumatic diseases. One of the most effective forms of treatment of severe osteoarthritis is total joint arthroplasty. Although studies suggest that the incidence of osteoarthritis is higher in prosthetic users, research supporting total joint arthroplasty ... |
0 | Causes of a block to forearm rotation after distal radius fractures | Distal Radius Fractures | Three cases of a block to forearm rotation after a distal radius fracture were presented. The unique feature is that the surgeon should be diligent in seeking and rectifying causes of distal radioulnar joint (DRUJ) instability and rotation loss after fracture treatment. Copyright © 2013 by Thieme Medical Publishers, I... |
0 | Health professional consultation and use of conservative management strategies in patients with knee or hip osteoarthritis awaiting orthopaedic consultation | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to determine the extent to which patients with hip and knee osteoarthritis (OA) referred for orthopaedic consultation at a large Australian public hospital reported using conservative management strategies as recommended by current practice guidelines. A therapist-assisted questionnaire was em... |
0 | Arthritic knees with more than 10° valgus can have soft-tissue imbalance in flexion | AMP (Acute Meniscal Pathology) | PURPOSE: Valgus knees have inferior outcomes compared to varus knees. There is little data regarding soft-tissue balance in flexion which may influence outcome in valgus knees undergoing TKA. The purpose of this study was to evaluate whether there is imbalance between medial and lateral flexion gaps in valgus deformity... |
1 | COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon | Coronavirus Disease 2019 (COVID-19) | With the COVID-19 crisis, recommendations for personal protective equipment (PPE) are necessary for protection in orthopaedics and traumatology. The primary purpose of this study is to review and present current evidence and recommendations for personal protective equipment and safety recommendations for orthopaedic su... |
0 | Rituximab use in young adults diagnosed with juvenile idiopathic arthritis unresponsive to conventional treatment: Report of 6 cases | AAHKS (2) Corticosteroids | Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in childhood. Without an effective therapy, patients may progress quickly to functional disability. Recently, depletion of B cells emerged as a new approach for the treatment of autoimmune diseases, including JIA. We describe six cases of JIA pati... |
0 | Residual subluxation of the elbow after dislocation or fracture-dislocation: Treatment with active elbow exercises and avoidance of varus stress | Glenohumeral Joint OA | During a 6-year period, 2 surgeons prescribed active elbow exercises and avoidance of shoulder abduction (varus stress) for 23 patients (15 men, 8 women) with a mean age of 43 years (range, 19-74 years) who had slight residual subluxation of a dislocated elbow after either nonoperative (3 simple dislocations and 2 frac... |
1 | In with the new, out with the old? Comparison of two approaches for psoas compartment block | Surgical Management of Osteoarthritis of the Knee CPG | We compared the approaches of Winnie and Capdevila for psoas compartment block (PCB) performed by a single operator in terms of contralateral spread, lumbar plexus blockade, and postoperative analgesic efficacy. Sixty patients underwent PCB (0.4 mL/kg levobupivacaine 0.5%) and subsequent spinal anesthesia for primary j... |
0 | Effect of low-fat and/or low-energy diets on anthropometric measures in participants of the women's diet study | Management of Hip Fractures in the Elderly | OBJECTIVE: To compare the effects of low-fat, low-energy and combination low-fat/low-energy intervention on changes in six anthropometric measures in Caucasian and African-American free-living women.METHODS: The effects of dietary counseling strategies for fat and/or energy reduction were examined on anthropometric mea... |
0 | Chronic compartment syndrome | DOD - Acute Comp Syndrome CPG | Chronic compartment syndrome typically affects young people who are engaged in endurance sports. The primary clinical feature is a sensation of tightness or aching pain in a defined compartment of the affected limb, starting during activity or hours after activity ceases and lasting for varying lengths of time. The dia... |
0 | Management of Newly Diagnosed Myeloma | MSTS 2018 - Femur Mets and MM | The treatment of multiple myeloma has changed dramatically in the last decade with the introduction of thalidomide, bortezomib, and lenalidomide. Patients eligible for autologous stem cell transplantation (ASCT) are treated with non-alkylating agent-containing regimens as initial therapy; typically thalidomide-dexameth... |
0 | Hyperphosphatemic Tumoral Calcinosis after Total Knee Arthroplasty | Glenohumeral Joint OA | We report a case of hyperphosphatemic tumoral calcinosis (TC) that occurred after total knee arthroplasty. A 64-year-old Japanese man presented with painful swellings in both shoulders, the left elbow, and the right hip that developed after he underwent total knee arthroplasty (TKA). The pathology of the patient's bone... |
0 | Clinical outcomes in elective total hip arthroplasty in Parkinson’s disease: a systematic review of the literature | Hip Fx in the Elderly 2019 | Parkinson’s disease (PD) is a neurodegenerative disorder characterized by the loss of dopaminergic neurons in the substantia nigra pars compacta in the midbrain.1 The clinical manifestations can often be insidious and involve tremor, bradykinesia, rigidity contractures, dystonia and flexed posture.1,2 The burden of the... |
0 | Wnt signaling in bone formation and its therapeutic potential for bone diseases | MSTS 2018 - Femur Mets and MM | The Wnt signaling pathway plays an important role not only in embryonic development but also in the maintenance and differentiation of the stem cells in adulthood. In particular, Wnt signaling has been shown as an important regulatory pathway in the osteogenic differentiation of mesenchymal stem cells. Induction of the... |
0 | Operative technique for transconjunctival lower blepharoplasty | Panniculectomy & Abdominoplasty CPG | In the past 3 years, more than 125 patients have undergone primary and secondary lower blepharoplasty by the transconjunctival method. The ability to adequately remove fat with this approach has been impressive. Exposure of the central and medial fat compartments is excellent. The lateral fat pad area is not as easy to... |
0 | No-scar Asian epicanthoplasty: a subcutaneous approach | Upper Eyelid and Brow Surgery | PURPOSE: The epicanthal fold is a normal finding in the medial portion of the upper eyelid in many Asians. We describe a simple technique of removing the excess muscle and softening or eliminating the epicanthal fold without making incisions in the medial canthal region, thus avoiding complications such as scarring or ... |
1 | Nonpharmacological approaches to improve bone health and reduce osteoporosis | Hip Fx in the Elderly 2019 | PURPOSE OF REVIEW: With an aging population, osteoporosis has become a public health concern and an area of increased awareness among both patients and medical practitioners. Timely screening and pharmacologic treatment of low bone mass effectively reduces fracture risk. Nonpharmacologic interventions, however, deserve... |
0 | Fresh osteochondral allografts for patellofemoral arthritis: long-term followup | Surgical Management of Osteoarthritis of the Knee CPG | Treatment of patellofemoral osteoarthritis in young patients is a challenge for orthopaedic surgeons. Concern about loosening and wear in active young people render arthroplasty more suitable for older patients. Osteochondral allografts may be a good alternative, but reports of experience with such grafts in patellofem... |
0 | Personal experience with ultrasound-assisted lipoplasty: a pilot study comparing ultrasound-assisted lipoplasty with traditional lipoplasty | Panniculectomy & Abdominoplasty CPG | Body contouring with traditional suction-assisted lipoplasty is currently the most commonly performed aesthetic surgical procedure. In competent hands, traditional lipoplasty has a low complication rate, a short recovery period, and a high patient satisfaction rate. Body contouring with ultrasound-assisted lipoplasty h... |
0 | Disparities in Acute Pain Treatment by Cognitive Status in Older Adults with Hip Fracture | Hip Fx in the Elderly 2019 | BACKGROUND: We examined the disparities in emergency department (ED) pain treatment based on cognitive status in older adults with an acute hip fracture.
METHODS: Observational study in an academic ED in the Bronx, New York. 144 adults aged 65 years and older with acute hip fracture were administered the TICS (Telephon... |
0 | Hardiness and psychological distress in a cohort of police officers | DoD PRF (Psychosocial RF) | Since police officers are frequently exposed to high stress situations, individual differences in the response to stress and trauma are of interest. We examined the association of hardiness components (commitment, control and challenge) with depression, posttraumatic stress disorder (PTSD) symptoms, and symptoms of gen... |
0 | Familial carpal tunnel syndrome with onset in childhood | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Within three generations of one family four patients were found to have the carpal tunnel syndrome. In father and son, symptoms commenced in the first decade, and in both patients the median nerves were found to be constricted under the transverse carpal ligaments. The only other operative finding was considerably thic... |
1 | Factors influencing the cost of chronic low back injuries: An analysis of data from independent medical examinations | DoD PRF (Psychosocial RF) | Cost factors were examined in 157 patients with work-related spine injuries who were referred to a second opinion program between 1985 and 1991. The independent medical examination (IME) included a history, physical examination, and review of imaging and other studies. A standard measure of psychological status (Low Ba... |
0 | Tissue engineered biological augmentation for tendon healing: A systematic review | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Introduction: Tendon injuries give rise to significant morbidity. In the last few decades, several techniques have been increasingly used to optimize tendon healing. Sources of data: We performed a comprehensive search of PubMed, Medline, Cochrane, CINAHL and Embase databases using various combinations of the commercia... |
0 | Effectiveness of continuous versus pulsed short-wave diathermy in the management of knee osteoarthritis: A randomized pilot study | OAK 3 - Non-arthroplasty tx of OAK | Background: Short-wave diathermy (SWD) is an electrotherapeutic modality used in the conservative treatment of knee osteoarthritis (KOA). Electromagnetic radiation delivered in continuous (cSWD) or pulse (pSWD) mode provides a deep heating effect on tissues. There is no consensus on outcomes of treatment with cSWD vers... |
0 | A placebo-controlled study assessing the tolerability and plasma concentrations of ascending doses of fasitibant in patients with osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Product Name: Fasitibant chloride bisâ?hydrochloride Pharmaceutical Form: Solution for injection INN or Proposed INN: Fasitibant chloride (as bisâ?hydrochloride) CAS Number: 883969â?00â?4 Current Sponsor code: MEN 16132 Concentration unit: mg/ml milligram(s)/millilitre Concentration type: equal Concen... |
0 | Periosteal nerve blocks for distal radius and ulna fracture manipulation--the technique and early results | Distal Radius Fractures | BACKGROUND: We present a pilot series of patients with distal forearm fractures manipulated following a proximal periosteal nerve block with local anaesthesia. This is a novel technique which can be utilised in adults and children and is described herein.
METHODS: With a median of 40 years (range 10-81 years), 42 patie... |
0 | Open proximal & distal fractures of tibia treated with Naseer Awais external Fixator with T-clamp | DoD SSI (Surgical Site Infections) | Objective: To compare the outcome of the open proximal and distal fractures of tibia treated by Nasser Awais External Fixtator with T-clamp. Methods: The descriptive case series was conducted from August 2009 to July 2012 at Department of Orthopaedic Surgery & Traumatology, Liaquat University of Medical & Health Scienc... |
0 | Recurrence rate of basal cell carcinoma with positive histopathological margins and related risk factors | Reconstruction After Skin Cancer | Background:The best way to approach surgically removed basal cell carcinoma with positive histopathological margins is a controversial issue. Some authors believe that the more appropriate treatment is an immediate reoperation while others prefer a periodic follow up. The rates of recurrence are variable in literature,... |
0 | Low-energy distal radius fractures in middle-aged and elderly women-seasonal variations, prevalence of osteoporosis, and associates with fractures | Distal Radius Fractures | UNLABELLED: There is a lack of data on the prevalence of osteoporosis in patients with distal radius fractures occurring at the various seasons. The prevalence of osteoporosis is high, both in patients with indoor and outdoor fractures and higher than in controls. All female distal radius fracture patients >or=50 years... |
1 | Viscosupplementation with hyaluronic acid in the treatment for cartilage lesions: A review of current evidence and future directions | Glenohumeral Joint OA | Diseases involving the articular cartilage are one of the leading causes of physical impairment among the adult population. While surgical technique and advancement have allowed us effective means at treating these diseases, this is not without significant risk and morbidity. With a very solid safety profile, viscosupp... |
1 | Does the quality of preoperative closed reduction of displaced ankle fractures affect wound complications after surgical fixation? | DoD SSI (Surgical Site Infections) | BACKGROUND: Displaced ankle fractures are initially closed reduced and splinted with the goal of restoring gross ankle alignment. The benefits of an exact closed reduction are unclear and possibly detrimental and unnecessary if multiple attempts are made. The purpose of this study was to determine whether the quality o... |
1 | Qigong and Musculoskeletal Pain | OAK 3 - Non-arthroplasty tx of OAK | Purpose of Review: Musculoskeletal pain is a widespread symptom that commonly produces considerable disability, particularly in later life. This brief review strove to summarize and critically review the recent research base concerning the use of Qigong as a possible strategy for alleviating longstanding or chronic mus... |
0 | Discrimination of total body bone mineral density measured by dexa in vertebral osteoporosis | Management of Hip Fractures in the Elderly | The assessment of bone mineral density (BMD) is the usual study to detect patients at risk for developing osteoporosis. The aim of this study was to compare the discriminative ability of total body BMD and its different subregions with the more usual measurements of BMD of the lumbar spine and femoral neck in women wit... |
0 | CSF neurotransmitter changes in the perioperative period in patients undergoing total knee replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | Introduction : While total knee replacement (TKR) has been of enormous benefit to patients with knee osteoarthritis, acute postoperative pain and even persistent postoperative pain can be severe and difficult to manage (Pain 2003;106:393;Anesth Analg 2010;110:199). The role that the major spinal cord neurotransmitters ... |
1 | Treatment of limb arterial injuries caused by traffic accidents | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To analyze the features, diagnosis and treatment of limb arterial injuries caused by traffic accidents. METHODS: A total of 43 patients with limb arterial injury admitted in our department over the past 30 years (about 50% of them happened during the last 10 years) were analyzed retrospectively in this artic... |
1 | Impact of peripheral nerve block with low dose local anesthetics on analgesia and functional outcomes following total knee arthroplasty: a retrospective study | AAHKS (8) Anesthetic Infiltration | OBJECTIVE: While the safety and efficacy of peripheral nerve blocks for postoperative pain management has been established in several well controlled prospective trials, the local anesthetic (LA) concentration and volume used in these studies was associated with a significant increase muscle weakness due to motor nerve... |
0 | Denosumab: In the prevention of skeletal-related events in patients with bone metastases from solid tumours | MSTS 2018 - Femur Mets and MM | Denosumab, a fully human monoclonal antibody, binds to the receptor activator of nuclear factor-κB ligand (RANKL) and thereby inhibits RANKL-mediated bone resorption. In various individual countries, subcutaneous denosumab is indicated for the prevention of skeletal-related events in patients with bone metastases from... |
0 | Predictors of revision, prosthetic joint infection and mortality following total hip or total knee arthroplasty in patients with rheumatoid arthritis: a nationwide cohort study using Danish healthcare registers | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To investigate predictors of 10-year risk of revision and 1-year risk of prosthetic joint infection (PJI) and death following total hip/total knee arthroplasty (THA/TKA) in (1) patients with rheumatoid arthritis (RA) compared with patients with osteoarthritis (OA); and (2) patients with RA treated with biol... |
0 | Anthropometric measures as screening test for carpal tunnel syndrome: Roc curves and accuracy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Some anthropometric measures, such as high body mass index (BMI) and characteristic hand shape, were reported to be associated with carpal tunnel syndrome (CTS). The aim of this study was to check optimal cutoff values of body, wrist and hand measures to identify CTS patients using receiver-operating characteristic (RO... |
0 | MOC-PS(SM) CME article: abdominoplasty | Panniculectomy & Abdominoplasty CPG | LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Understand the reasoning behind obtaining a thorough medical history from abdominoplasty patients and determine how that information (e.g., history of massive weight loss, prior operations with abdominal scars) may affect the surgic... |
0 | Antibiotic prophylaxis for medical-risk patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The three current regimens for the prevention of infective endocarditis are discussed and compared along, with at-risk patients and dentally-induced bacteremias. The principles of antibiotic prophylaxis, and other medical conditions where antibiotic prophylaxis is controversial or inadequately documented is critically ... |
0 | Miller-Galante total knee arthroplasty: the importance of material and design on the revision rate | Surgical Management of Osteoarthritis of the Knee CPG | We have reviewed 142 Miller-Galante I (MG I) total knee arthroplasties (TKAs) with a follow-up of 56 months, and compared these with the outcome of 219 Miller-Galante II (MG II) TKAs with a follow-up of 36 months. In the MG II TKAs we found markedly lower revision rates, higher postoperative Hospital for Special Surger... |
0 | Floppy eyelid syndrome: quantifying the effect of horizontal tightening on upper eyelid position | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the change in upper eyelid position after horizontal surgical tightening in patients with floppy eyelid syndrome. DESIGN: Prospective, noncomparative, interventional case series. PARTICIPANTS: Eighteen patients with a clinical diagnosis of floppy eyelid syndrome. METHODS: Horizontal surgical tighte... |
0 | Comparison of percutaneous compression plating and short reconstruction nail for treatment of intertrochanteric fracture | Management of Hip Fractures in the Elderly | To compare percutaneous compression plating (PCCP) with Trigen short reconstruction nail (Trigen SRN) for the treatment of intertrochanteric hip fracture. Eighty-four patients with intertrochanteric hip fracture admitted to our hospital from January 2007 to June 2008 were included in this retrospective study. Thirty-si... |
0 | [Mini-Subvastus approach for total knee replacement] | Surgical Management of Osteoarthritis of the Knee CPG | Objective: Total knee replacement in minimally invasive technique without any trauma to the extensor apparatus and with soft-tissue-referenced bone resections. Only the subvastus approach preserves the integrity of the extensor apparatus and has therefore been modified to become a minimally invasive technique with a sh... |
0 | The national clinical audit of falls and bone health: the clinical management of hip fracture patients | Management of Hip Fractures in the Elderly | BACKGROUND: The standards of care for older people who present with a fractured neck of femur (#NOF) have been defined by previously published national guidelines. To assess compliance with these standards the Healthcare Commission commissioned the Clinical Effectiveness and Evaluation Unit (CEEU) for the Royal College... |
0 | Subcapital fractures complicating pertrochanteric fractures treated by internal fixation. Review of the literature and 3 case reports | Management of Hip Fractures in the Elderly | Three female patients over 70 years of age were treated surgically for a pertrochanteric fracture of the hip. In 2 of them internal fixation was achieved by way of a dynamic screw-plate assembly while intramedullary Ender nails were used in the 3rd patient. All 3 patients were readmitted a couple of months after discha... |
1 | Antimicrobial prophylaxis for surgery: An advisory statement from the National Surgical Infection Prevention Project | Diagnosis of Periprosthetic Joint Infections of the Hip and Knee CPG | In January 2003, leadership of the Medicare National Surgical Infection Prevention Project hosted the Surgical Infection Prevention Guideline Writers Workgroup meeting. The objectives were to review areas of agreement among the published guidelines for surgical antimicrobial prophylaxis, to address inconsistencies, and... |
0 | Bone impairment assessed by HR-pQCT in juvenile-onset systemic lupus erythematosus | Distal Radius Fractures | Summary: High-resolution peripheral quantitative computed tomography (HR-pQCT) analysis of female juvenile-onset systemic lupus erythematosus (JoSLE) patients revealed trabecular/cortical bone damage and reduced bone strength primarily at the distal radius compared to healthy controls. We demonstrated for the first tim... |
0 | Feasibility of the Atlas Unicompartmental Knee System Load Absorber in Improving Pain Relief and Function in Patients Needing Unloading of the Medial Compartment of the Knee: 1-Year Follow-Up of a Prospective, Multicenter, Single-Arm Pilot Study (PHANTOM High Flex Trial) | OAK 3 - Non-arthroplasty tx of OAK | In young patients with medial knee osteoarthritis (OA), surgical intervention may not be desirable due to preferences to avoid bone cutting procedures, return to high activity levels, and prolong implant survival. The Atlas Knee System was designed to fill the gap between ineffective conservative treatments and invasiv... |
0 | Medial and Lateral Meniscus Allograft Transplantation Showed No Difference With Respect to Graft Survivorship and Clinical Outcomes: A Comparative Analysis With a Minimum 2-Year Follow-Up | AMP (Acute Meniscal Pathology) | PURPOSE: To compare the differences with respect to clinical and graft survivorship and patient-reported outcomes (PROs) between lateral (LMAT) and medial (MMAT) meniscus allograft transplantation.
METHODS: Patients having a primary MAT between 1998 and 2016 were enrolled. The inclusion criteria were (1) patients who h... |
0 | Treatment with thalidomide and cyclophosphamide (TCID) is superior to vincristine (VID) and to vinorelbine (VRID) regimens in patients with refractory or recurrent multiple myeloma | MSTS 2018 - Femur Mets and MM | Treatment of relapsed or refractory multiple myeloma remains a challenge and novel treatment regimen are required. Here, a matched pair analysis was performed comparing TCID (thalidomide, cyclophosphamide, idarubicin, dexamethasone) treatment to the treatment of patients with VID (vincristine, idarubicin, dexamethasone... |
0 | Intrathecal morphine provides better postoperative analgesia than psoas compartment block after primary hip arthroplasty | AAHKS (8) Anesthetic Infiltration | PURPOSE: Intrathecal morphine and psoas compartment block represent two accepted techniques to provide postoperative analgesia after hip arthroplasty. We designed a prospective, randomized, single-blinded study to compare these two techniques.
METHODS: Patients scheduled for primary hip arthroplasty under general anest... |
0 | Cartilage Disease of the Patellofemoral Joint: Realignment, Restoration, Replacement | Osteochondritis Dissecans 2020 Review | Chondral lesions of the patellofemoral joint are common, and when symptomatic they can be difficult to manage. Not only are there various degrees of injury with multiple etiologies, but patellofemoral anatomy is complex and the patient's lower extremity alignment may contribute to the pathology. Treatment depends on th... |
0 | Visual concerns that interfere with daily activities in patients on rehabilitation units: a descriptive study | Upper Eyelid and Brow Surgery | The purpose of this study was to estimate the prevalence of patients with visual concerns that interfere with their activities of daily living (ADL) performance in physical rehabilitation units through occupational therapy assessment. Over the two-month study period, 215 adult inpatients from a physical rehabilitation ... |
0 | New technique of soft tissue reconstruction for proximal tibiofibular joint instability using iliotibial band and biceps femoris longhead autograft | AMP (Acute Meniscal Pathology) | Instability of the proximal tibiofibular joint is an uncommon problem, which may occur in multiple directions and because of multiple etiologies. Proximal tibiofibular joint instability can be divided into 3 types: acute traumatic dislocations, chronic or recurrent dislocation, and atraumatic subluxations. Instability ... |
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