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0 | Osteochondritis dissecans in a patient with hyperimmumoglobulin E syndrome | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Hyperimmunoglobulin E syndrome (hyper-IgE) is a rare immunodeficiency disease associated with recurrent pyogenic infections, chronic eczematoid dermatitis and osteopenia. We present here a 13-year-old girl with hyperimmunoglobulin E syndrome, who developed osteochondritis dissecans (OCD) of the lateral femoral condyle,... |
0 | The Effect of an Interdisciplinary QI Project to Reduce OR Foot Traffic | PJI DX Updated Search | We instituted a multidisciplinary educational and operational quality improvement initiative to assess the effect of process interventions on reducing OR door openings and, by extension, surgical site infections. From 2009 to 2012, we conducted an initial trial to gather information and identify reasons for door openin... |
0 | Carpal Tunnel Syndrome: US Strain Imaging for Diagnosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose To determine the feasibility of two-dimensional (2D) ultrasonographic (US) strain imaging for quantifying and mapping mechanical behaviors of the median nerve, flexor retinaculum, and flexor tendons within the carpal tunnel in normal and carpal tunnel syndrome (CTS) disease states during active finger motion. M... |
0 | A randomized, double-blind, crossover clinical trial of diclofenac plus misoprostol versus acetaminophen in patients with osteoarthritis of the hip or knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To perform a randomized, doubleâ?blind, crossover clinical trial of diclofenac + misoprostol versus acetaminophen in ambulatory patients with osteoarthritis of the hip or knee. METHODS: Patients in 12 ambulatory care settings were eligible if they were age >40 years and if they had Kellgren/Lawrence radiogr... |
0 | MRI injury patterns in surgically confirmed and reconstructed posterolateral corner knee injuries | Surgical Management of Osteoarthritis of the Knee CPG | Background Information: The posterolateral corner (PLC) of the knee is a complex functional unit with similarly complex imaging findings. Injury to the PLC is frequently associated with other knee injuries, in particular anterior or posterior cruciate ligament tears. In the setting of such internally deranged knees, th... |
0 | Early mobilisation for elbow fractures in adults | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Background: A fall on the outstretched arm can result in an elbow fracture. Loss of elbow function is a common problem with these fractures and can have major implications for functional capabilities. It is unknown whether early mobilisation can improve functional outcome without increasing complications.Objectives: To... |
0 | Treatment of displaced supracondylar fractures of the humerus in children by a pin leverage technique | DoD SSI (Surgical Site Infections) | This study aimed to evaluate the use of pin leverage in the reduction of Gartland type III supracondylar fractures of the humerus in children. The study comprised 95 children, who were split into three groups according to the type of method of reduction used. Group 1, had an open reduction, group 2, had closed reductio... |
0 | Concurrent fractures of the hip and wrist: A matched analysis of elderly patients | Hip Fx in the Elderly 2019 | Introduction: Osteoporotic fractures involving the hip and wrist are common in the elderly. The incidence of coincident hip and wrist fractures in the same patient is small but may represent a unique subpopulation of elderly with osteoporotic fragility fractures and little information has been published about these pat... |
0 | Psychophysical evidence for contraction of the range of spatial integration as a mechanism for filtering out spatial noise in a random dot motion display | Upper Eyelid and Brow Surgery | Human judgment is frequently impaired by distracters extending across our field of view. How we extract relevant information from a spatially restricted region in a complex scene in spite of this impairment is an important issue in vision. Recently, it has been shown that this impairment can be reduced by increasing th... |
0 | Arthrometric aspects of anterior cruciate ligament surgery before and after reconstruction with patellar tendon grafts | Surgical Management of Osteoarthritis of the Knee CPG | Instrumented arthrometry is an important treatment adjunct for anterior cruciate ligament (ACL)-deficient patients before and after patellar tendon reconstruction, which provides objectivity to other subjective outcome measures and allows for accurate comparison between studies. Increasing numbers of clinical reports a... |
0 | Symptomatic discoid lateral meniscus shows a relationship between types and tear patterns, and between causes of clinical symptom onset and the age distribution | AMP (Acute Meniscal Pathology) | PURPOSE: Discoid meniscus is a congenital abnormality of the lateral meniscus and is seen more frequently in East Asia. The purpose of this study was to retrospectively assess the relationship between discoid lateral meniscus (DLM) types and tear patterns and causes of age-specific clinical symptom onset.
METHODS: Of 1... |
1 | Complications After Continuous Posterior Lumbar Plexus Blockade for Total Hip Arthroplasty: A Retrospective Cohort Study | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVES: While benefits of regional anesthesia in total hip arthroplasty (THA) are well documented, data describing the incidence of complications related to the use of posterior lumbar plexus blockade for THA remain limited. Our primary aim was to evaluate the incidence of infectious, bleeding, and n... |
0 | Osteosynthesis of subtrochanteric fractures. A review of different methods | Management of Hip Fractures in the Elderly | The authors analysed the long-term results of 72 subtrochanteric fractures treated surgically over a period of 13 years. The case material was subdivided according to type of fracture and method of osteosynthesis and the results were evaluated with a view to ascertaining the best method of treatment in each type of fra... |
0 | Does circumpatellar electrocautery improve the outcome after total knee replacement?: a prospective, randomised, blinded controlled trial | OAK 3 - Non-arthroplasty tx of OAK | The incidence of anterior knee pain following total knee replacement (TKR) is reported to be as high as 49%. The source of the pain is poorly understood but the soft tissues around the patella have been implicated. In theory circumferential electrocautery denervates the patella thereby reducing efferent pain signals. H... |
0 | Chondroblastoma in pelvis and extremities- a signle centre study of 177 cases | Pediatric Supracondylar Humerus Fracture 2020 Review | Introduction: Chondroblastoma is a rare benign bone tumour that usually occurs in children and young adults. They are cartilaginous tumours arising in the epiphysis or apophysis of a long bone. The tumour is classified as benign, although rare cases of pulmonary metastases have been reported. The aims of this study wer... |
1 | Using a Combined All-Inside, Inside-Out, and Outside-In Technique to Repair Bucket-Handle Medial Meniscal Tears Without a Safety Incision | AMP (Acute Meniscal Pathology) | We describe a combined all-inside, inside-out, and outside-in technique for the repair of unstable bucket-handle medial meniscal tears. Notably, a greater incidence of neurovascular complications has been associated with meniscal repair techniques that employ an accessory skin incision, especially when damage involves ... |
0 | Radionuclide scintimetry for diagnosis of complications following femoral neck fracture | Management of Hip Fractures in the Elderly | A scintimetric study using Tc-99m MDP was made of 54 patients with delayed union, nonunion, or late segmental collapse of the femoral head, 4-92 months after femoral neck fracture. In radiographically verified collapse, the radionuclide uptake ratio between the femoral head on the fractured and on the intact side (HHR)... |
0 | Variability in management of blunt liver trauma and contribution of level of American College of Surgeons Committee on Trauma verification status on mortality | DOD - Acute Comp Syndrome CPG | BACKGROUND Patients who sustain blunt liver trauma and are treated at an American College of Surgeons Committee on Trauma-verified Level I trauma center have an overall lower risk of mortality compared with patients admitted to a level II trauma center. However, elements contributing to these differences are unknown. W... |
0 | Epidemiology of primary malignant non-osseous spinal tumors in the United States | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND CONTEXT: Primary malignant non-osseous spinal tumors are relatively rare and this has led to a paucity of studies specifically examining the epidemiology of malignant spinal tumors. PURPOSE: To provide an updated and more comprehensive study examining the epidemiology and relative survival of these rare tumo... |
0 | Wavelet based correlation and coherence analysis reveals frequency dependent motor unit conduction velocity of the abductor pollicis brevis muscle | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The purpose of this study was to investigate the motorunit conduction velocity (CV) as a function of frequency. A wavelet based correlation and coherence analysis was introduced to measure CV as a function of frequency. Based on the most simple assumption that the power spectra of the motor unit action potential is shi... |
0 | Outcome of patellofemoral arthroplasty, determinants for success | OAK 3 - Non-arthroplasty tx of OAK | The primary aim of this study is to document whether patellofemoral arthroplasty is a good treatment option for patellofemoral osteoarthritis and to identify prognostic outcome factors. Secondary aim is to investigate the influence of preoperative tibiofemoral osteoarthritis on the clinical outcome. From 2004 to 2010, ... |
0 | Minor complications after blepharoplasty: dry eyes, chemosis, granulomas, ptosis, and scleral show | Upper Eyelid and Brow Surgery | SUMMARY: Blepharoplasty remains one of the most popular operations in facial aesthetic surgery. Serious complications, which include blindness, retrobulbar hematoma, and ectropion, although relatively rare, are well reported in the literature. As techniques evolve in aesthetic eyelid surgery, minor complications contin... |
0 | Single nucleotide polymorphisms in new candidate genes are associated with bone mineral density and fracture risk | Distal Radius Fractures | OBJECTIVE: Osteoporosis (OP) is a multifactorial disease with high heritability but its exact genetic background is still poorly understood. We examined the effect of 24 single nucleotide polymorphisms (SNPs) located in five genes--alkaline phosphatase, matrix metalloproteinase-2, tissue inhibitor of metalloproteases-2... |
0 | Total elbow arthroplasty: What are the options? | Surgical Management of Osteoarthritis of the Knee CPG | Total elbow arthroplasty is a reliable and durable treatment option for patients with end-stage rheumatoid disease. Unfortunately, the performance of elbow replacements in younger patients with osteoarthritis and post-traumatic arthritis is less consistent, with higher rates of aseptic loosening and need for revision s... |
0 | Long-stem versus short-stem preformed antibiotic-loaded cement spacers for two-stage revision of infected total hip arthroplasty | PJI DX Updated Search | Two-stage revision is the most widely accepted and performed intervention for chronically infected hip prostheses. In recent years short and long stem antibiotic-loaded preformed spacers have become available on the market. The aim of this prospective, comparative study was to assess the safety and efficacy of long ste... |
0 | Can patient injury claims be utilised as a quality indicator? | PJI DX Updated Search | Objectives: To examine the association between patient injury claims and well-known quality indicators and to assess whether claims can be utilised in performance measurement. Methods: Data were derived from administrative registers and comprised hip and knee replacement patients (n= 34. 181) in Finland from 1998 to 20... |
0 | Do new therapeutic approaches (autotransplants, thalidomide, dexamethasone) improve the survival of patients with multiple myeloma followed in a rheumatology department? | MSTS 2018 - Femur Mets and MM | Survival of patients with multiple myeloma (MM) showed no improvement between the 1960s and 1990s. During the last decade, new therapeutic approaches seemed likely to offer hope of prolonging survival. The aim of this study was to examine if this survival increased with the usage of new treatments. The method involves ... |
0 | Dorsal plating of unstable distal radius fractures using a bio-absorbable plating system and bone substitute | Distal Radius Fractures | This study reports the results of open reduction and internal fixation of 26 unstable, intraarticular, dorsally displaced fractures of the distal radius using a bio-absorbable dorsal distal radius (Reunite) plate and calcium phosphate (Biobon) bone substitute. The bio-absorbable plate has the advantage of being low pro... |
1 | Orbital exenteration: One size does not fit all | Reconstruction After Skin Cancer | To evaluate the clinical indications for orbital exenteration in a tertiary referral center and to compare clinicopathologic correlation and cosmetic outcome with previously reported data. Retrospective, nonrandomized, consecutive case series. Review of Electronic Medical Record system, Orbital Clinic, Jules Stein Eye ... |
0 | Fixation of osteoporotic fractures in the upper limb with a locking compression plate | Pediatric Supracondylar Humerus Fracture 2020 Review | Locking Compression Plate (LCP) has the advantageous feature that screws can be locked in the plate leaving an angular stable construct. There is no need to have contact between the plate and the bone to achieve stability resulting from friction of the plate-bone-construct. Therefore the plate does not need to be conto... |
0 | Is routine preoperative hemodynamic evaluation of nonagenarians necessary? | Management of Hip Fractures in the Elderly | An incidence of co-morbid cardiac disease in the elderly surgical patient as high as 66% has been previously reported. Even in the absence of clinically significant cardiac disease, advanced age alone is often considered sufficient indication for Swan-Ganz placement, hemodynamic evaluation, adjustment of fluid states, ... |
0 | Knee arthrodesis with a long intramedullary nail as limb salvage for complex periprosthetic infections | PJI DX Updated Search | BACKGROUND: Periprosthetic infection following total knee arthroplasty is a devastating complication, which is not always satisfactorily resolved by revision surgery. Arthrodesis is a salvage alternative to above-knee amputation or permanent resection arthroplasty. Fixation options include internal compression plating,... |
0 | Meniscus repair: the role of accelerated rehabilitation in return to sport | AMP (Acute Meniscal Pathology) | With increasing understanding of the detrimental effects of the meniscectomized knee on outcomes and long-term durability, there is an ever increasing emphasis on meniscal preservation through repair. Repair in the young athlete is particularly challenging given the goals of returning to high-level sports. A healed men... |
0 | Periadventitial adipose tissue modulates the effect of PROLI/NO on neointimal hyperplasia | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Periadventitial delivery of nitric oxide (NO) inhibits neointimal hyperplasia; however, the effect of periadventitial adipose tissue on the efficacy of NO at inhibiting neointimal hyperplasia has not been studied. The aim of our study was to assess the effect of NO in the presence and absence of periadventi... |
0 | Myeloma - The therapeutic challenge | MSTS 2018 - Femur Mets and MM | Background: Bone loss â? the major clinical manifestation of multiple myeloma â? often leads to pathologic fractures, spinal cord compression, hypercalcemia and bone pain. Therapy and Results: Analgesics, surgery and radiotherapy may effectively palliate patients with complications from myeloma bone disease, but cann... |
0 | Lateral meniscal variant with absence of the posterior coronary ligament | AMP (Acute Meniscal Pathology) | We reviewed the cases of 3468 patients who had had arthroscopy of the knee between January 1976 and December 1988. Twenty-six patients (0.8 per cent) had a partial or a complete discoid lateral meniscus, and seven (0.2 per cent) had the Wrisberg-variant-type lateral meniscus. Of the seven patients, six had operative st... |
0 | The role of hip arthroscopy in the diagnosis and treatment of hip disease | Management of Hip Fractures in the Elderly | OBJECTIVE: To report the results of arthroscopy performed on adults with hip disease who did not respond to extended conservative treatment and to evaluate the relationship between clinical findings, radiologic tests and surgical abnormalities. DESIGN: A case study. SETTING: New England Baptist Hospital, Boston, Mass. ... |
0 | Fronto-orbitozygomatic approach: Functional and cosmetic outcomes in a series of 169 patients | Upper Eyelid and Brow Surgery | OBJECTIVE: Advantages of the fronto-orbitozygomatic (FOZ) approach have been reported extensively in the literature; nevertheless, restoration of normal anatomy and the esthetic impact of surgery are increasingly important issues for patients and neurosurgeons. The aim of this study was to analyze functional and cosmet... |
0 | Knee and ankle biomechanics with lateral wedges with and without a custom arch support in those with medial knee osteoarthritis and flat feet | OAK 3 - Non-arthroplasty tx of OAK | UNLABELLED: This study compared immediate changes in knee and ankle/subtalar biomechanics with lateral wedge orthotics with and without custom arch support in people with knee osteoarthritis and flat feet. Twenty-six participants with radiographic evidence of medial knee osteoarthritis (22 females; age 64.0 years [SD 8... |
1 | Rehabilitation for distal radial fractures in adults | Distal Radius Fractures | BACKGROUND: Fracture of the distal radius is a common clinical problem, particularly in older people with osteoporosis. There is considerable variation in the management, including rehabilitation, of these fractures. This is an update of a Cochrane review first published in 2002 and last updated in 2006.
OBJECTIVES: To... |
0 | Fracture risk assessment and clinical decision making for patients with metastatic bone disease | MSTS 2022 - Metastatic Disease of the Humerus | Metastatic breast, prostate, lung, and other cancers often affect bone, causing pain, increasing fracture risk, and decreasing function. Management of metastatic bone disease (MBD) is clinically challenging when there is potential but uncertain risk of pathological fracture. Management of MBD has become a major focus w... |
0 | Arthroscopic removal of entrapped debris following dislocation of a total hip arthroplasty | Management of Hip Fractures in the Elderly | The entrapment of a foreign body within a dislocated hip prosthesis is an unusual occurrence. Dislodgement of the fragments by closed reduction should be attempted to try to extricate the fragment from the femoral head and acetabular cup interface. If closed techniques prove unsuccessful, arthroscopy can be used to gui... |
0 | Meniscal suturing versus screw fixation for treatment of osteochondritis dissecans: clinical and magnetic resonance imaging results | PJI DX Updated Search | PURPOSE: The purpose of this study was to compare meniscal stabilization alone with screw fixation in restoring subjective and objective knee function and structural cartilage integrity in skeletally immature patients with osteochondritis dissecans (OCD) of the knee. METHODS: This study comprised 28 patients (32 knees)... |
0 | Autologous protein solution inhibits MMP-13 production by IL-1beta and TNFalpha-stimulated human articular chondrocytes | PRP (Platelet-Rich Plasma) | Catabolic inflammatory cytokines are prevalent in osteoarthritis (OA). The purpose of this study was to evaluate an autologous protein solution (APS) as a potential chondroprotective agent for OA therapy. APS was prepared from platelet-rich plasma (PRP). The APS solution contained both anabolic (bFGF, TGF-beta1, TGF-be... |
1 | Diagnostic utility of waveform analysis of compound muscle action potentials for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To determine the diagnostic utility of waveform analysis of compound muscle action potentials (CMAP) for carpal tunnel syndrome (CTS). METHODS: A total of 131 hands in 71 patients diagnosed with CTS (grouped according to severity) and 80 hands in 44 normal subjects were evaluated using nerve conduction test th... |
1 | Function of thick and thin nerve fibers in carpal tunnel syndrome before and after surgical treatment | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Present studies evaluated the functions of thick and thin nerve fibers in carpal tunnel syndrome (CTS) to determine whether data of thin nerve fibers can add further information to the diagnosis of CTS. Measurements were performed in 22 patients and 16 age-matched control subjects. Motor and sensory nerve conduction, v... |
0 | Severe ARDS in COVID-19-infected pregnancy: obstetric and intensive care considerations | Coronavirus Disease 2019 (COVID-19) | Since the emergence of a novel coronavirus (SARS-CoV-2) in Wuhan, China, at the end of December 2019, its infection - COVID-19 - has been associated with severe morbidity and mortality and has left world governments, healthcare systems and providers caring for vulnerable populations, such as pregnant women, wrestling w... |
0 | Total corporal contouring with megaliposuction (120 consecutive cases) | Panniculectomy & Abdominoplasty CPG | The purpose of this study is to present the authors' long-term experience with total corporal contouring with megaliposuction. The evolution of body reshaping in one operative setting including simultaneous head and neck contouring, upper and lower extremity recontouring, and creation of an aesthetic trunk and abdomina... |
1 | Intra-articular hyaluronan is without clinical effect in knee osteoarthritis: a multicentre, randomised, placebo-controlled, double- blind study of 337 patients followed for 1 year | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To examine the long-term efficacy and safety of five intra- articular injections with hyaluronan in knee osteoarthritis. METHODS: A multicentre, randomised, placebo-controlled double-blind study of 337 patients fulfilling the American College of Rheumatology (ACR) criteria for knee osteoarthritis (clinical a... |
0 | Cost-effectiveness of ACR guideline-based care and lifetime direct medical costs attributable to knee oa management in the US | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Knee OA is debilitating and affects >4.5 million US adults. ACR treatment guidelines include pain management, physical therapy (PT), |
0 | Characterization of synovial fluid cytokine profiles in chronic meniscal tear of the knee | AMP (Acute Meniscal Pathology) | Concentrations of pro- and anti-inflammatory cytokines in synovial fluid samples collected from patients with chronic meniscal tears were investigated. An acute inflammatory response is generally reported 24-48 h after knee injury, but the largest body of data available in literature concerns anterior cruciate ligament... |
0 | Contrast enhancement of ultrasound imaging of the knee joint cartilage for early detection of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Abstract Knee osteoarthritis (OA) is one of the most common diseases among the elderly people. Typically, medical attention is not sought until the disease has progressed to a point at which it is not possible to treat effectively, often due to concerns over the cost of detection at an earlier stage. Ultrasound (US) im... |
0 | Are polyaxially locked screws advantageous in the plate osteosynthesis of proximal humeral fractures in the elderly? A prospective randomized clinical observational study | Management of Hip Fractures in the Elderly | OBJECTIVES: To evaluate the results of plate osteosynthesis using either polyaxial or nonpolyaxially locked screw-plate systems in proximal humeral fractures in the elderly. DESIGN: Prospective, randomized. SETTING: Level I trauma center. METHODS: Fifty-six patients (older than 60 years) with isolated, displaced three-... |
1 | Comparison of short-term results of intraarticular platelet-rich plasma (PRP) and hyaluronic acid treatments in early-stage gonarthrosis patients | OAK 3 - Non-arthroplasty tx of OAK | The present study aimed to compare short-term clinical outcomes between intraarticular platelet-rich plasma (PRP) and hyaluronic acid (HA) treatments in early-stage gonarthrosis patients. Data of gonarthrosis patients, who were stage 1 or stage 2 according to Kellgren-Lawrence classification and underwent intraarticula... |
0 | Efficacy of magnesium as an adjuvant to bupivacaine in 3-in-1 block administered to patients undergoing arthroscopic knee ligament repair | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: Arthroscopic anterior cruciate ligament (ACL) repair is a minimally invasive procedure of the knee. ACL reconstruction is associated with significant post-operative pain requiring parenteral narcotics. Three- in- one blocks have been proven as effective modalities for postoperative analgesia. Magne... |
0 | The amelioration of cartilage degeneration by ADAMTS-5 inhibitor delivered in a hyaluronic acid hydrogel | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Degradation of proteoglycan is the key early event in the development of osteoarthritis (OA). The aggrecanase ADAMTS-5 has been identified as the major enzyme responsible for the degradation and thus is an attractive therapeutic target for OA. However, currently there is no report on using an ADAMTS-5 inhibition strate... |
0 | Preliminary experience in facial and body contouring with 1444 nm micropulsed Nd: YAG laser-assisted lipolysis: A review of 24 cases | Panniculectomy & Abdominoplasty CPG | Background and Aims: Near-infrared laser-assisted lipolysis has claimed attention recently as a fast, safe and effective way to remove unwanted fat from various areas of the body. Removal of fat from the face has however proved more difficult. A novel 1444 nm line of the micropulsed Nd:YAG has recently been developed, ... |
0 | Efficacy of symptomatic control of knee osteoarthritis with 0.0125% of capsaicin versus placebo | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee osteoarthritis (OA) is prevalent and associated with both pain and functional disability. Current treatments aim to alleviate mild to moderate symptoms by various methods. Topical capsaicin (0.075% and 0.05%) has been evaluated for the treatment of the painful joints. A burning sensation was the most c... |
0 | Effect of combination therapy with a novel bisphosphonate, minodronate (YM529), and docetaxel on a model of bone metastasis by human transitional cell carcinoma | MSTS 2018 - Femur Mets and MM | PURPOSE: Transitional cell carcinoma (TCC) of the urinary tract is a chemosensitive tumor. Most deaths from TCC of the urinary tract are caused by metastasis, which is resistant to conventional chemotherapy. Frequent sites of metastases from TCC of the urinary tract are regional lymph nodes, liver, lung, and bone. Of t... |
0 | Clinical and microbiological effects of adjunctive, locally delivered chlorhexidine on patients with chronic periodontitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: The impact of a locally delivered chlorhexidine chip (Periochip) on clinical and microbiological parameters of chronic periodontitis requires further documentation. The aim of the present study was to investigate the effects of the chip as an adjunct to mechanical treatment of chronic periodontitis. METHODS:... |
0 | An overview of autologous chondrocyte implantation | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Chondral damage to the knee is common and, if left untreated, can proceed to degenerative osteoarthritis. In symptomatic patients established methods of management rely on the formation of fibrocartilage which has poor resistance to shear forces. The formation of hyaline or hyaline-like cartilage may be induced by impl... |
1 | Kinesiophobia and Return to Sports After Anterior Cruciate Ligament Reconstruction | DoD PRF (Psychosocial RF) | Anterior cruciate ligament (ACL) reconstruction is typically recommended for patients who wish to return to aggressive athletic activity. Unfortunately, reconstructive knee surgery is not a guarantee that all patients will return to their preinjury level of function. A recent meta-analysis including 48 studies showed t... |
0 | Bone Morphogenetic Protein for the Healing of Tibial Fracture: A Meta-Analysis of Randomized Controlled Trials | PJI DX Updated Search | PURPOSE: To review the evidence from RCTs on clinical outcomes and benefit of acute tibial fracture and nonunion treated with and without BMPs. MATERIAL: We searched multiple databases (MEDLINE, EMABSE, BIOSIS and Cochrane central) as well as reference lists of articles and contacted authors. Evaluated outcomes include... |
0 | Facial resurfacing for nonmelanoma skin cancer prophylaxis | Reconstruction After Skin Cancer | Objective: To determine the effect of facial skin resurfacing for treatment of actinic keratoses (AKs) and prophylaxis against new primary basal and squamous cell carcinomas in individuals with previous nonmelanoma skin cancer (NMSC) or severe photodamage. Design: Randomized, prospective 5-year trial. Setting: Dermatol... |
0 | Robotic-assisted unicompartimental knee arthroplasty performed with Navio system: a systematic review | AMP (Acute Meniscal Pathology) | OBJECTIVE: Robotic-assisted arthroplasty is a relatively modern concept, quickly arising in its use. The aim of this systematic review is to assess, according to the existing literature, which are the functional and clinical outcomes and component positioning and implant survivorship of unicompartmental knee arthroplas... |
0 | Radial artery occlusion after percutaneous coronary interventions - An underestimated issue | DOD - Acute Comp Syndrome CPG | The femoral approach is the most common arterial access for percutaneous coronary artery interventions. Despite the convenience and simplicity of this approach, it is burdened with a high risk of arterial puncture bleeding, which worsens the prognosis of the patient. An alternative approach through the radial artery ha... |
0 | Dexamethasone in Pain Control After Total Knee Replacement | AAHKS (2) Corticosteroids | Patients will be approached at the preadmission clinic or in the general ward before operation. The analgesic methods will be explained and s/he will be recruited into the study if s/he agrees. There are standardized preoperative, intraoperative and postoperative analgesic regimes for patients undergoing total knee rep... |
0 | Postural Changes After Abdominoplasty in Morbid Obese Patients | Panniculectomy & Abdominoplasty CPG | BACKGROUND: In the multidisciplinary treatment of obesity, the role of a plastic surgeon is to remove the excess of skin after weight loss to obtain cosmetic, functional, and psychological benefits. Obesity modifies body geometry, increases the mass of different segments, and imposes functional limitations in life acti... |
0 | Abdominal compartment syndrome | DoD - ACS - Interrater Reliability | Acute renal failure frequently occurs in the intensive care unit as a primary or secondary event in association with trauma, surgery, or comorbid medical disease. An increasingly common thread linking surgical and medical disease management is the abdominal compartment syndrome. In particular, the rise of early goal-di... |
0 | Correlation of histological examination of meniscus with MR images: focused on high signal intensity of the meniscus not caused by definite meniscal tear and impact on mr diagnosis of tears | AMP (Acute Meniscal Pathology) | OBJECTIVE: To document the causes of high signal intensity of the meniscus which is not caused by definite meniscal tears on MR imaging, through correlation with histological examination.
MATERIALS AND METHODS: For the correlation between the MR image and histology, we obtained prospectively 31 meniscal specimens from ... |
0 | Posterior dislocation of meniscal bearing insert in mobile bearing unicompartmental knee arthroplasty mimicking a Baker cyst | Surgical Management of Osteoarthritis of the Knee CPG | Unicompartmental knee arthroplasty (UKA) is a well-established procedure for isolated medial compartment osteoarthritis. Meniscal dislocation is a well-recognized complication in mobile bearing UKA especially when performed for the lateral compartment. Dislocation in medial UKA is relatively uncommon and is usually ant... |
0 | RhoGDI2 suppresses lung metastasis in mice by reducing tumor versican expression and macrophage infiltration | MSTS 2018 - Femur Mets and MM | Half of patients with muscle-invasive bladder cancer develop metastatic disease, and this is responsible for most of the deaths from this cancer. Low expression of RhoGTP dissociation inhibitor 2 (RhoGDI2; also known as ARHGDIB and Ly-GDI) is associated with metastatic disease in patients with muscle-invasive bladder c... |
0 | Prevalence of patellofemoral and tibiofemoral radiographic osteoarthritis in people with chronic anterior knee pain: Data from a RCT | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Chronic anterior knee pain (AKP), or patellofemoral joint (PFJ) pain, impacts significantly on participation in a physically active lifestyle and may precede PFJ osteoarthritis (OA). However, there is a dearth of evidence regarding the relationship between them. Thus, there is a clear need for studies to ... |
0 | Growth recovery lines: a specific indicator of child abuse and neglect? | Distal Radius Fractures | BACKGROUND: Growth recovery lines are radiodense lines in long bones reported to be indicators of stress., OBJECTIVE: The purpose of this study was to understand the distribution, quantity and associations of growth recovery lines in children ages 0-24 months with high and low risk for child maltreatment., MATERIALS AN... |
0 | Surgical versus conservative interventions for treating tibial shaft fractures in adults | DoD SSI (Surgical Site Infections) | This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effects (benefits and harms) of surgical versus conservative interventions for treating tibial shaft fractures in adults. |
0 | Autogenous reconstruction with the lower extremity deep veins: an alternative treatment of prosthetic infection after reconstructive surgery for aortoiliac disease | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: This report evaluates the efficiency of use of the lower extremity deep vein as arterial conduits in the autogenous repair of prosthetic infection after reconstructive aortoiliac surgery. METHODS: We reviewed our records for the period 1990 to 1994 of all patients with prosthetic infection after reconstruction... |
0 | Evaluation of reduction of NSAID consumption after local treatment with a heparin-heparinoid combination in patients with osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The efficacy of treatment with a heparinâ?glucuronilglucosaminoglycane association for external use was tested, in a double blind design, on clinical symptomatology and consumption of analgesic drugs (FANS) in patients affected with painful osteoarthritis of the knee. In the course of a 3â?week treatment, the followi... |
1 | Effectiveness of a Blended Physical Therapist Intervention in People With Hip Osteoarthritis, Knee Osteoarthritis, or Both: A Cluster-Randomized Controlled Trial | OAK 3 - Non-arthroplasty tx of OAK | Background: Integrating physical therapy sessions and an online application (e-Exercise) might support people with hip osteoarthritis (OA), knee OA, or both (hip/knee OA) in taking an active role in the management of their chronic condition and may reduce the number of physical therapy sessions.
Objective: The objectiv... |
0 | Two-year outcomes following arthroscopic rotator cuff repair in recreational athletes over 70 years of age | Glenohumeral Joint OA | Objectives: Outcomes following arthroscopic rotator cuff repair in active individuals over 70 years old is presently unclear. The purpose of this study was to evaluate clinical outcomes and prognostic factors affecting outcomes following arthroscopic repair of full thickness rotator cuff tears in recreational athletes ... |
0 | Recurrent dislocation after total hip arthroplasty: Treatment with an achilles tendon allograft | Management of Hip Fractures in the Elderly | Surgical treatment of recurrent dislocation after total hip arthroplasty (THA) is challenging with often disappointing results. Among possible causes of dislocation, the influence of the static soft tissue restraint provided by the hip capsule is important, and restoration of its integrity and function is a major goal ... |
0 | Lipoplasty-only breast reduction | Reduction Mammoplasty for Female Breast Hypertrophy | Lipoplasty-only breast reduction can result in an average reduction of 2 cup sizes. It is as effective as traditional surgery for eliminating symptoms and significantly reduces scarring and complications. This procedure allows women to retain nipple sensation and the ability to breast feed. The author, who uses this me... |
0 | Growth hormone treatment for operated craniopharyngiomas in children | Management of Hip Fractures in the Elderly | This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the benefits and harms of administration of GH treatment in children with GHD aged nought to 18 years who have had operations for CP (with or without adjuvant radiotherapy) compared with children who have not been treate... |
1 | Substance use and mental health trends among U.S. military active duty personnel: key findings from the 2008 DoD Health Behavior Survey | DoD PRF (Psychosocial RF) | OBJECTIVE: Examine substance use and mental health issues among U.S. military personnel.
METHODS: Data were from the 2008 (and before) population-based Department of Defense Health Related Behavior Surveys. The sample size for the 2008 survey was 28,546 (70.6% response rate).
RESULTS: Analyses examined substance use, s... |
1 | Arthroscopic suture fixation of tibial eminence avulsion fractures | DoD SSI (Surgical Site Infections) | PURPOSE: This study presents the clinical results of a procedure for treating tibial eminence fractures of the anterior cruciate ligament (ACL) using arthroscopic reduction and No. 5 Ethibond sutures (Ethicon, Somerville, NJ).
METHODS: This prospective study analyzed 36 patients who underwent arthroscopic reduction and... |
0 | Predictors of mortality in older hip fracture inpatients admitted to an orthogeriatric unit in oslo, norway | Management of Hip Fractures in the Elderly | OBJECTIVE: To identify to which degree patient-related factors (age, gender, place of residence, general health condition, comorbidity) and hospital-related factors (waiting time for surgery, type of surgery, in-hospital complications, length of stay) may predict 1-year mortality in elderly hip fracture patients in an ... |
0 | Prevalence and bacteriology of bacteremia associated with cleft lip and palate surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of the study was to determine the prevalence and bacteriology of bacteremia associated with cleft lip and palate (CLP) surgery. Three venous blood samples were obtained from 90 eligible subjects who presented for CLP surgery: before surgical incision, 1 minute after placement of the last suture, and 15 minutes ... |
0 | Nonunion after trapeziometacarpal arthrodesis: comparison between K-wire and internal fixation | Glenohumeral Joint OA | We reviewed 63 trapeziometacarpal arthrodeses (57 patients) performed in our unit between April 2007 and May 2013 for osteoarthritis. K-wires, plates, headless compression screws and memory staples were used for fixation. The average age of patients was 50 (range 20-78) years and there were 36 men and 21 women with a m... |
0 | Periprosthetic humeral fractures: mechanisms of fracture and treatment options | DoD SSI (Surgical Site Infections) | In 20 patients, 21 periprosthetic humeral fractures were reviewed retrospectively. The mean follow-up time was 27.1 months. Mild osteopenia was present in 45% of the patients, whereas 30% had severe osteopenia. Five mechanisms of fracture were identified, including 3 intraoperative causes that are avoidable. Treatment ... |
0 | A retrospective observational study of risk factors for denosumab-related osteonecrosis of the jaw in patients with bone metastases from solid cancers | MSTS 2022 - Metastatic Disease of the Humerus | This single-center retrospective observational study aimed to identify risk factors for developing denosumab-related osteonecrosis of the jaw (DRONJ) in stage IV solid cancer patients with bone metastases. In total, 123 consecutive patients who had received 120 mg of denosumab every 4 weeks at least twice between July ... |
1 | Return to play after anterior cruciate ligament reconstruction in National Football League athletes | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: Rupture of the anterior cruciate ligament (ACL) is a common and potentially career-threatening injury in the National Football League (NFL). The return to play (RTP) percentage and the factors affecting RTP after ACL reconstruction in NFL players are not well defined. PURPOSE: To determine the actual rate o... |
0 | Intraabdominal pressure after full abdominoplasty in obese multiparous patients | Panniculectomy & Abdominoplasty CPG | This study measured intraabdominal pressure in morbidly obese and multiparous patients who underwent abdominoplasty with musculoaponeurotic plication. The purpose of this study was to evaluate any potential adverse effect on pulmonary function by virtue of pulmonary function tests and measurement of peak airway pressur... |
0 | Acupuncture for shoulder pain | SR for PM on OA of All Extremities | BACKGROUND: There are many commonly employed forms of treatment for shoulder disorders. This review of acupuncture is one in a series of reviews of varying interventions for shoulder disorders including adhesive capsulitis (frozen shoulder), rotator cuff disease and osteoarthritis. Acupuncture to treat musculoskeletal ... |
0 | Runx1 Activities in Superficial Zone Chondrocytes, Osteoarthritic Chondrocyte Clones and Response to Mechanical Loading | AMP (Acute Meniscal Pathology) | Runx1, the hematopoietic lineage determining transcription factor, is present in perichondrium and chondrocytes. Here we addressed Runx1 functions, by examining expression in cartilage during mouse and human osteoarthritis (OA) progression and in response to mechanical loading. Spared and diseased compartments in knees... |
0 | Ulnar Head Replacement: 21 Cases; Mean Follow-Up, 7.5 Years | Glenohumeral Joint OA | Purpose To report clinical and radiographic outcomes for the Herbert ulnar head prosthesis after a mean of 7.5 years (range, 2.0-12.5 years). Methods We performed 22 Herbert ulnar head prosthesis arthroplasties between 2000 and 2011. Five were primary procedures, and the remaining 17 were done after an average of 2 (ra... |
0 | Postoperative Day 1 Discharge Following Elective Shoulder Arthroplasty | Hip Fx in the Elderly 2019 | Background: The number of shoulder arthroplasty procedures performed has greatly increased in recent years and this trend is expected to continue. However, accelerated recoveries by way of reduced postoperative hospital stays have not been studied for this patient population as extensively as in the hip and knee arthro... |
1 | Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity | Dental Implant Infection | INTRODUCTION: Fall-related injuries are prevalent in older patients and often lead to increased morbidity, medication, and impaired functions. We studied older trauma patients with the aim to describe their oral health in comparison to morbidity and medication., MATERIAL AND METHODS: The study included 198 patients, >=... |
0 | Endermologie after external ultrasound-assisted lipoplasty (EUAL) versus EUAL alone | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Endermologie, despite its moderate success in the temporary reduction of the appearance of cellulite, has proven unsuccessful compared with lipoplasty for body contouring. OBJECTIVE: The purpose of this study was to determine whether a body contouring program combining Endermologie with lipoplasty would pro... |
0 | Dynamic external fixation for comminuted intra-articular fractures of the distal end of the radius | Distal Radius Fractures | An external fixation device that allows motion of the wrist was developed for the treatment of severely comminuted intra-articular fractures of the distal end of the radius, and in specimens from cadavera that motion was demonstrated with the device in place. Thirty patients who had thirty-two comminuted intra-articula... |
0 | Glucocorticoid Therapy in Giant Cell Arteritis: Duration and Adverse Outcomes | Management of Hip Fractures in the Elderly | Objective. To evaluate the course of glucocorticoid (GC) therapy and associated adverse events in a population-based cohort of patients with giant cell arteritis (GCA). Methods. We identified 125 Olmsted County residents with GCA diagnosed between 1950 and 1991 and obtained followup information on the 120 patients who ... |
0 | Radial Versus Focused Extracorporeal Shock Wave in the Treatment of Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background Knee Osteoarthritis (OA) is the most prevalent of the chronic rheumatic diseases and is a leading cause of pain and disability in most countries worldwide. The treatment methods for knee OA are diverse for patients with mild or moderate osteoarthritis (OA). Biomechanical intervention, physical therapy and ex... |
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