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1 | Preventing PTSD and Depression and Reducing Health Care Costs in the Military: A Call for Building Resilience Among Service Members | DoD PRF (Psychosocial RF) | The present study investigates the role of psychological resilience in protecting against the development of post-traumatic stress disorder (PTSD), depression, and comorbid PTSD and depression; and estimates the percent reductions in incidence of, and associated treatment cost savings for, each condition as a function ... |
1 | Interventions for treating supracondylar fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | 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 interventions for treating supracondylar fractures of the humerus in children. We intend to compare different types of conservative intervention, surgical versus conservative treatment... |
0 | Posterior stabilized knee prosthesis for total knee replacement in patients with prior patellectomy | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To determine the outcome of total knee replacement using a posterior cruciate-substituting knee prosthesis in patients who have undergone previous patellectomy. DESIGN: A cohort study, with a follow-up ranging from 2 to 9 years. SETTING: A university-affiliated institution specializing in elective orthopedic... |
0 | Non-anatomical placement adversely affects the functional performance of the meniscal implant: a finite element study | AMP (Acute Meniscal Pathology) | Non-anatomical placement may occur during the surgical implantation of the meniscal implant, and its influence on the resulting biomechanics of the knee joint has not been systematically studied. The purpose of this study was to evaluate the biomechanical effects of non-anatomical placement of the meniscal implant on t... |
0 | Novel tumortropic ester derivatives of 99mTc(V) mesodimercapto succinic acid with low affinity for bone tissue | MSTS 2018 - Femur Mets and MM | Starting from our previous finding that 99mTc(V) dimercaptosuccinic acid (99mTc(V)-DMSA), a useful agent for the localization of osteosarcoma and bone metastases, loses its bone affinity when one ester group is introduced into the complex we studied the impact of esterification in more detail. This paper reports on the... |
0 | Iliopsoas tendonitis following total hip replacement in highly dysplastic hips: a retrospective study | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: As a recognized cause of groin pain following total hip arthroplasty, iliopsoas tendonitis probably results from different factors. Given the anatomic disadvantage, dysplastic hips theoretically make acetabular component relatively retroverted or oversized, screws implanted frequently, and iliopsoas tendoni... |
0 | Occurrence and pattern of long bone fractures in growing dogs with normal and osteopenic bones | Distal Radius Fractures | A retrospective study was undertaken to record the occurrence and pattern of long bone fractures, and the efficacy of Intramedullary (IM) Steinmann pin fixing in growing dogs. All the records of growing dogs during a 10-year-period were screened to record the cause of trauma, the age and sex of the animal, the bone inv... |
0 | Risk of clinical fractures after gonadotropin-releasing hormone agonist therapy for prostate cancer | Management of Hip Fractures in the Elderly | Purpose: We assessed the relationship between GnRH agonists and the risk of clinical fractures in men with prostate cancer. Materials and Methods: Using a database of medical claims from 16 large American companies we identified a study group of 3,779 men with prostate cancer who received treatment with a GnRH agonist ... |
0 | Myelopathy associated with Maroteaux-Lamy syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Myelopathy due to compression of the cervical spinal cord by thickened dura developed in a patient with Maroteaux-Lamy syndrome. During the last trimester of pregnancy there was severe neurological deterioration with spastic quadriparesis and impairment of sphincter function. Two months after delivery ther had been no ... |
0 | Study of two intravenous schedules of clodronate (CL) in patients with bone metastases | MSTS 2018 - Femur Mets and MM | Purpose Î?Ã?Ã? Comparison of the effectiveness of two i.v. schedules of Cl as a palliative treatment of pts with painful lytic bone metastases of solid tumors. Methods Î?Ã?Ã? Randomized openÎ?Ã?Ã?label study with arm A (Cl 300 mg i.v. 2 h infusion during 5 consecutive days) and arm B (Cl 1500 mg i.v. 4 h. infusion on d... |
0 | Joint bleeding in factor VIII deficient mice causes an acute loss of trabecular bone and calcification of joint soft tissues which is prevented with aggressive factor replacement | Surgical Management of Osteoarthritis of the Knee CPG | While chronic degenerative arthropathy is the main morbidity of haemophilia, a very high prevalence of low bone density is also seen in men and boys with haemophilia. This study investigates bone degradation in the knee joint of haemophilic mice resulting from haemarthrosis and the efficacy of aggressive treatment with... |
0 | Clinical pathway after hip fracture | HipFx Supplemental Cost Analysis | PURPOSE: Hip fracture occurs frequently, resulting in considerable morbidity, mortality and utilization of healthcare resources. Technical advances in fracture fixation and surgical treatment have improved outcomes following hip fracture in the elderly. However, further improvement in outcomes of hip fracture patients ... |
0 | Human mesenchymal stem cells in synovial fluid increase in the knee with degenerated cartilage and osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | We investigated whether mesenchymal stem cells (MSCs) in synovial fluid (SF) increased in the knee with degenerated cartilage and osteoarthritis. SF was obtained from the knee joints of 22 patients with anterior cruciate ligament (ACL) injury during ACL reconstruction, and cartilage degeneration was evaluated arthrosco... |
0 | The harmonic lift: Ultrasonically assisted skin remodeling | Panniculectomy & Abdominoplasty CPG | Ultrasonic assisted liposuction (UAL) is a safe and fast procedure that the authors have added to facial rejuvenation procedures. One hundred and fifty patients had ultrasonically assisted facial rejuvenation with or without other procedures and studied for a minimum of 1 year. One hundred and twelve patients were fema... |
0 | The median nerve in the carpal tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A study of the variations of the course and branching pattern of the median nerve within the carpal tunnel were carried out on 60 wrists from 30 fresh cadavers autopsied in the Department of Forensic Medicine of Jagiellonian University Medical College. The results were compared with the literature. The study confirmed ... |
0 | Management of hereditary medullary thyroid carcinoma | MSTS 2018 - Femur Mets and MM | In this paper we have briefly outlined our views on the management of hereditary MTC. We have stressed the fact that although many patients with the usual form of disease have an indolent clinical course there exists a population of patients who may be at risk for widely disseminated virulent tumour. Also, some patient... |
0 | Clinical, Magnetic Resonance Imaging, and Arthroscopic Correlation in Anterior Cruciate Ligament and Meniscal Injuries of the Knee | AMP (Acute Meniscal Pathology) | Background The aim of this study is to compare and correlate the clinical, magnetic resonance imaging (MRI), and arthroscopy findings in anterior cruciate ligament (ACL) and meniscal injuries of the knee. Methods This was a prospective study of 30 cases of ACL and meniscal injuries of the knee admitted between Septembe... |
0 | Description and clinical treatment of an early outbreak of severe acute respiratory syndrome (SARS) in Guangzhou, PR China | Coronavirus Disease 2019 (COVID-19) | Severe acute respiratory syndrome (SARS), now known to be caused by a coronavirus, probably originated in Guangdong province in southern China in late 2002. The first major outbreak occurred in Guangzhou, the capital of Guangdong, between January and March 2003. This study reviews the clinical presentation, laboratory ... |
0 | Juxta-articular metastatic disease | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The diagnosis of cancer metastasis, even in the recent past, was the basis for doom and gloom prognoses involving significant morbidity and mortality. Metastasis to bone that precipitated pathologic fracture was often a frustrating problem for orthopedists. However, advances in cancer treatment afford the orthopedist o... |
0 | Notch signaling and the skeleton | TO: WNT2 Pathway Modulator | Notch 1 to 4 receptors are important determinants of cell fate and function, and Notch signaling plays an important role in skeletal development and bone remodeling. After direct interactions with ligands of the Jagged and Delta-like families, a series of cleavages release the Notch intracellular domain (NICD), which t... |
0 | Progressive Rehabilitation Following Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Over 500,000 total knee arthroplasties (TKAs) are performed each year in the United States to alleviate pain and disability associated with knee osteoarthritis (OA), and this number is expected to grow to 3.48 million per year by the year 2030. TKA reduces pain and improves selfâ?reported function compared to preâ?op... |
1 | One-Third of Meniscal Tears Are Repairable: An Epidemiological Study Evaluating Meniscal Tear Patterns in Stable and Unstable Knees | AMP (Acute Meniscal Pathology) | PURPOSE: To analyze, in a long series of patients with knee injuries, the meniscal tear patterns in both stable and unstable knees to ascertain the exact proportion of such injuries that could have been repaired.
METHODS: A descriptive cross-sectional study was undertaken by reviewing the clinical reports of arthroscop... |
0 | Association Between Resilience and Family Member Psychologic Symptoms in Critical Illness | DoD PRF (Psychosocial RF) | OBJECTIVES: There are increased rates of depression, anxiety, and stress disorders in families of critically ill patients. Interventions directed at family members may help their ability to cope with this stress. Specifically, resilience is a teachable psychologic construct describing a person's ability to adapt to tra... |
0 | Flexor pollicis longus tendon ruptures after palmar plate fixation of fractures of the distal radius | Distal Radius Fractures | Palmar plate fixation of distal radial fractures is becoming a standard treatment for this common injury. Ruptures of the extensor pollicis longus tendon have been reported in 8.6% of cases after this procedure. Although palmar plate fixation has also been associated with flexor pollicis longus (FPL) tendon problems, t... |
0 | Painful hand: Differential diagnosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The hands are so important for daily activities, for communication and contact. The hand is composed of multiple bones, muscles and ligaments that allow for a large amount of movement and dexterity. There are three major types of bones in the hand, including 14 phalangeal, 5 metacarpal and 8 carpa bones. Pain may have ... |
0 | Gustilo IIIC fractures in the lower limb | DoD LSA (Limb Salvage vs Amputation) | Controversy continues to surround the management of patients with an open fracture of the lower limb and an associated vascular injury (Gustilo type IIIC). This study reports our 15- year experience with these fractures and their outcome in 18 patients (15 male and three female). Their mean age was 30.7 years (8 to 54)... |
0 | Identification of fractures from computerized Medicare files | HipFx Supplemental Cost Analysis | Study of non-hip fractures, which are a serious public health problem for persons greater than or equal to 65 years of age, has been hindered by the absence of an economical method for case identification. We assessed the utility of computerized Medicare inpatient, emergency room, hospital outpatient department and phy... |
0 | Scaffold: a novel carrier for cell and drug delivery | Dental Implant Infection | Scaffolds are implants or injects, which are used to deliver cells, drugs, and genes into the body. Different forms of polymeric scaffolds for cell/drug delivery are available: (1) a typical three-dimensional porous matrix, (2) a nanofibrous matrix, (3) a thermosensitive sol-gel transition hydrogel, and (4) a porous mi... |
0 | Mennen plate fixation for the treatment of periprosthetic femoral fractures: A multicenter study of thirty-six fractures | Management of Hip Fractures in the Elderly | Background: The management of periprosthetic femoral fractures after total hip and knee replacement remains difficult and controversial. This study was performed to determine the results of Mennen plate fixation for the treatment of periprosthetic femoral fractures. Methods: This retrospective multicenter study consist... |
1 | Accelerated perioperative care and rehabilitation intervention for hip and knee replacement is effective: a randomized clinical trial involving 87 patients with 3 months of follow-up | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Approximately 12,000 hip and knee replacements were performed in Denmark in 2005. Accelerated perioperative interventions are currently implemented, but there is conflicting evidence regarding the effect. We therefore performed an efficacy study of an accelerated perioperative care and rehabilitation interv... |
1 | Does rotational acetabular osteotomy affect subsequent total hip arthroplasty? | Hip Fx in the Elderly 2019 | INTRODUCTION: Rotational acetabular osteotomy (RAO) has been used successfully in patients with developmental dysplasia of the hip (DDH). However, some patients are forced to undergo total hip arthroplasty (THA) because of the progression of osteoarthritis. We evaluated the effect of previous RAO on the outcome of THA ... |
1 | Cost-effectiveness of unicompartmental knee arthroplasty, high tibial osteotomy, and KineSpring Knee Implant System for unicompartmental osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) of the knee is a condition that causes pain and disability. Numerous non-surgical and surgical interventions are available for individuals with OA that result in good pain relief and return of function. The purpose of this economic analysis was to determine the cost-effectiveness of high tibial oste... |
0 | Water jet-assisted lipoplasty | Panniculectomy & Abdominoplasty CPG | Water jet-assisted lipoplasty channels a thin, targeted, fan-shaped jet into adipose tissue to loosen tissue structure and release adipocytes. According to the authors, water jet-assisted lipoplasty facilitates preinfiltration of modified tumescent solution to create analgesia, resulting in painless or near painless li... |
0 | Percutaneous treatment of peritrochanteric fractures using the Gamma nail | Hip Fx in the Elderly 2019 | The goal of the current study was to analyze patients treated with the Gamma nail, and to describe techniques that prevent commonly reported complications. One hundred patients with closed peritrochanteric femur fractures were treated by one surgeon using the Gamma nail. Ninety patients met the minimum 6 month followup... |
1 | Health-related quality of life and self-reported ability concerning ADL and IADL after hip fracture: a randomized trial | Hip Fx in the Elderly 2019 | BACKGROUND: It is not known whether postoperative occupational therapy is of value for hip fracture patients. In this randomized trial we evaluated the effects of an individualized, postoperative, occupational training (OT) program on the patient's self-reported health-related quality of life (HRQL) and self-reported a... |
0 | Role of nuclear factor-(kappa)B and basic fibroblast growth factor in synovial pathology of rheumatoid synovitis | Surgical Management of Osteoarthritis of the Knee CPG | Background Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease characterized by erosive synovitis. Early changes in the synovium are marked by neovascularization, synoviocyte hyperplasia, and inflammatory cell infiltration, which produce a pannus of inflammatory vascular tissue (Brenchly, 2001). Nuclea... |
1 | Autograft versus allograft anterior cruciate ligament reconstruction | Anterior Cruciate Ligament Injuries CPG | To compare the efficacy of allograft versus autograft central one third patella bone-tendon-bone reconstruction of anterior cruciate ligaments (ACL), subjective and objective criteria were compared between two groups of 30 patients with 2-year follow-up. Over a 15-month period, 60 patients underwent ACL reconstruction ... |
0 | High division of the median nerve in the carpal tunnel: anatomical observations | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Here are analysed personal observation about high duplication of median nerve at the wrist. Here are reported 18 cases on 3300 operations for carpal tunnel. The results are compared with the literary casuistry |
0 | Plate and screw design in fractures of the hand and wrist | Distal Radius Fractures | UNLABELLED: As internal fixation of fractures of the hand and wrist has evolved, so too have the implants used for the same purpose. Implants used for the first (1/2) of the 20th century were modeled on implants used to fix long bone fractures. Consequently, they were often bulky. In addition, they often were made of m... |
0 | Patellofemoral complications following total knee arthroplasty. Correlation with implant design and patient risk factors | Surgical Management of Osteoarthritis of the Knee CPG | Results of 211 total knee arthroplasty operations were retrospectively evaluated to identify patients with knees at greatest risk for the development of patellofemoral complications and to determine the incidence and type of patellofemoral complications associated with different patellar implants. Patellofemoral compli... |
0 | Minimally Invasive Knee Arthroplasty with the Subvastus Approach Allows Rapid Rehabilitation: a Prospective, Biomechanical and Observational Study | Surgical Management of Osteoarthritis of the Knee CPG | [Purpose] To study the recovery of patients treated with minimally invasive total knee arthroplasty (TKA) performed via the subvastus approach, and to develop an optimal rehabilitation program for these patients. [Methods] Twenty-two patients (17 females and 5 males; mean age 69.2 years), who received unilateral minima... |
0 | The use of LiDCO based fluid management in patients undergoing hip fracture surgery under spinal anaesthesia: Neck of femur optimisation therapy - targeted stroke volume (NOTTS): Study protocol for a randomized controlled trial | Management of Hip Fractures in the Elderly | Background: Approximately 70,000 patients/year undergo surgery for repair of a fractured hip in the United Kingdom. This is associated with 30-day mortality of 9% and survivors have a considerable length of acute hospital stay postoperatively (median 26 days). Use of oesophageal Doppler monitoring to guide intra-operat... |
0 | The Necessity of Restoration of Radiologic Parameters by Closed Reduction in Elderly Patients with Distal Radius Fractures | Distal Radius Fractures | BACKGROUND The aim of this study was to evaluate the influence of distal radius fractures (DRFs) malalignment on the treatment outcomes in patients over age 65 years. MATERIAL AND METHODS We retrospectively reviewed the records on fresh DRFs treated with closed reduction from December 2014 to January 2018. After treatm... |
0 | Samarium lexidronam (153Sm-EDTMP): Skeletal radiation for osteoblastic bone metastases and osteosarcoma | MSTS 2018 - Femur Mets and MM | Radiation therapy can be an effective means to treat bone metastases, which occur in more than 50% of cancer patients. 153 Samarium lexidronam (153SM-EDTMP; Quadramet, Cytogen) is a radiopharmaceutical designed for deposition into bone metastases. Bone scans can identify patients that may benefit from targeted radiatio... |
0 | Chronic ringworm infestation and Marjolin's ulcer, an association unknown in the literature | DoD LSA (Limb Salvage vs Amputation) | We report here a case of Marjolin's ulcer developing in a long-standing, inadequately treated, chronic ringworm infestation of the lower limb. A 35-year-old female patient with a ten-year history of a chronic ringworm infestation had developed a nonhealing ulcer in an area of infestation on the right leg. A biopsy reve... |
1 | Comparison of the clinical outcome of double-bundle, anteromedial single-bundle, and posterolateral single-bundle anterior cruciate ligament reconstruction using hamstring tendon graft with minimum 2-year follow-up | Anterior Cruciate Ligament Injuries CPG | PURPOSE: The purpose of this study was to obtain more than 2 years' follow-up after surgery to investigate the effect of the difference in rotatory stability based on our previous data on the clinical outcome among 3 groups: double-bundle (DB) reconstruction group, anteromedial (AM) single-bundle reconstruction group, ... |
0 | Management of complex tibial and femoral nonunion using the Ilizarov technique, and its cost implications | DoD SSI (Surgical Site Infections) | We reviewed 78 femoral and tibial nonunions treated between January 1992 and December 2003. Of these, we classified 41 in 40 patients as complex cases because of infection (22), bone loss (6) or failed previous surgery (13). The complex cases were all treated with Ilizarov frames. At a mean time of 14.1 months (4 to 38... |
0 | Dental health, prophylactic antibiotic measures and infective endocarditis: an analysis of the knowledge of susceptible patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A questionnaire was administered to 338 cardiac patients susceptible to infective endocarditis seen at the outpatient clinic or a cardiac ward. The questionnaire consisted of a series of questions on the educational, social, familial and professional background, the medical and dental history and the knowledge of the p... |
0 | MRI of the knee: Practical imaging techniques and abnormalities | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Magnetic resonance imaging of the structures of the knee joint can be performed rapidly with current commercially available instruments. This article outlines methods for obtaining comprehensive clinical imaging studies within a 30-min time frame and reviews the MR appearance of knee joint disorders |
0 | Failure mechanisms of total hip resurfacing: implications for the present | Management of Hip Fractures in the Elderly | In the past decade, there has been a renewed interest in hip resurfacing due to recent design improvements. It is unclear whether the recent improvements have accounted for all of the previous failure mechanisms. We determined the long-term performance of hip resurfacing, while paying special attention to the mechanism... |
0 | Infection of prosthetic joints | AAHKS (2) Corticosteroids | Infection of prosthetic joints is one of the most devastating complications following replacement surgery. The size of the problem, the diagnostic puzzle, bacteriological findings and treatment modalities are highlighted. © 2003 Elsevier Science Ltd. All rights reserved. |
1 | Meniscal Injuries in Patients Aged 40 Years or Older: A Comparative Study Between Meniscal Repair and Partial Meniscectomy | AMP (Acute Meniscal Pathology) | Introduction Meniscal tears represent one of the most frequent knee injuries and are the most common cause of knee surgery. Historically, age has been considered an independent factor contraindicating meniscal repair due to the assumption that meniscal injuries in this population are frequently chronic tears, mostly wi... |
0 | Hemiarthroplasty for the treatment of distal humerus fractures: short-term clinical results | Pediatric Supracondylar Humerus Fracture 2020 Review | Total elbow arthroplasty is the current gold standard of treatment for unreconstructable distal humerus fractures; however, longevity of the implant remains a concern in younger, more active patients. Distal humerus hemiarthroplasty offers an alternative and may allow for more durable results. The authors retrospective... |
0 | Chemokine receptors in head and neck cancer: association with metastatic spread and regulation during chemotherapy | MSTS 2018 - Femur Mets and MM | Head and neck carcinomas are histologically and clinically heterogeneous. While squamous cell carcinomas (SCC) are characterized by lymphogenous spread, adenoid cystic carcinomas (ACC) disseminate preferentially hematogenously. To study cellular and molecular mechanisms of organ-specific metastasis, we used SCC and ACC... |
0 | Recent ruling on ADA and the value of early intervention | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Early intervention in a disability case can make all the difference. Two cases of carpal tunnel syndrome in the workplace are compared. Frequent communication, good documentation and an inclusive approach that blends medical expertise with objectivity and employer policy are essential |
1 | Prophylactic penicillin for intraoral wounds | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We conducted a prospective, double-blind, placebo-controlled study in adult patients to determine whether prophylactic penicillin prevents infection in intraoral lacerations secondary to minor trauma or seizures. Uninfected full-thickness, mucosal-only, or through-and-through wounds presenting within 24 hours of injury... |
0 | The effects of elevated compartment pressure on tibial arteriovenous flow and relationship of mechanical and biochemical characteristics of fascia to genesis of chronic anterior compartment syndrome | DOD - Acute Comp Syndrome CPG | PURPOSE: The purpose of this study is to evaluate the effects of increased compartment pressure on anterior tibial arteriovenous flow patterns and to determine whether mechanical and biochemical properties of fascia are responsible for compartment pressure abnormalities.
METHODS: Twenty patients with chronic anterior c... |
0 | French adaptation of the new Knee Society Scoring System for total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: In November 2011, the Knee Society published its new KSS score to evaluate objective clinical data and also patient expectations, satisfaction and knee function during various physical activities before and after total knee arthroplasty (TKA). We undertook the French cross-cultural adaptation of this scor... |
0 | Exchangeable Femoral Neck (Dual-Modular) THA Prostheses Have Poorer Survivorship Than Other Designs: A Nationwide Cohort of 324,108 Patients | Hip Fx in the Elderly 2019 | BACKGROUND: Exchangeable neck stems, defined as those with a dual taper (that is, a modular junction between the femoral head and the femoral neck and an additional junction between the neck and the stem body), were introduced in THA to improve restoration of joint biomechanics (restoring anteversion, offset, and limb ... |
0 | Assessment of femoral component migration in total hip arthroplasty: Digital measurements compared to RSA | Management of Hip Fractures in the Elderly | The aim of this study was to determine the accuracy of the software system "Dusseldorf Migration Analysis - Femoral Component Analysis" (DMA-FCA) in measuring stem migration in total hip arthroplasty (THA) on digitised anteroposterior radiographs of the pelvis. Bony and implant landmarks on two consecutive radiographs ... |
0 | Generating Differential Ligamentotaxis Across the Radiocarpal Joint | Distal Radius Fractures | This study sought to determine if traction through the index or long finger metacarpal provided a selective distraction force through either the distal radius' radial or ulnar column. In eight specimens, the radius was cut transversely 1 cm proximal to the Lister tubercle. Index and long finger metacarpals were cut and... |
0 | Routine use of FDG-PET scans in melanoma patients with positive sentinel node biopsy | Reconstruction After Skin Cancer | METHODSThirty-three patients with cutaneous malignant melanoma and subclinical lymph node metastases diagnosed by sentinel node biopsy (SNB) were submitted to( 18)F-fluoro-2-deoxy-D: -glucose (FDG) whole-body PET scanning within 100 days after SNB and wide local excision. Before PET scanning, patients were screened con... |
0 | A radial head prosthesis appears to be unnecessary in Mason-IV fracture dislocation | Glenohumeral Joint OA | Background and purpose - Previous reports on elbow injuries with concomitant comminute radial head fracture are difficult to interpret, since they include an array of different soft-tissue and bony injuries around the elbow. We focused on Mason-IV fracture dislocations of the elbow and retrospectively reviewed 2 treatm... |
0 | Mandibular reconstruction: bone graft techniques | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Results of treatment in a series of 60 patients undergoing mandibular reconstruction by a variety of methods are reported. Delayed reconstruction was performed, using a titanium mesh tray with cancellous bone fragments and block bone grafts removed from the iliac crest, rib, and mandible in 34 patients, with an overall... |
0 | The value of reducing arthroscopic partial meniscectomy in the treatment of degenerative meniscus tears: a budget impact analysis | AMP (Acute Meniscal Pathology) | AIMS: Numerous studies have shown that arthroscopic partial meniscectomy (APM) is not (cost-) effective in patients with symptoms attributed to a degenerative meniscus tear. We aimed to assess the budget impact of reducing APM in routine clinical practice in this population.
MATERIALS AND METHODS: A patient-level state... |
1 | Multimodal pain management in total knee arthroplasty: a prospective randomized controlled trial | AAHKS (8) Anesthetic Infiltration | We analyze the effects of a multimodal analgesic regimen on postoperative pain, function, adverse effects and satisfaction compared to patient-controlled analgesia (PCA). Thirty-six patients undergoing TKA were randomized to receive either (1) periarticular injection before wound closure (30cc 0.5% bupivacaine, 10mg MS... |
0 | Autologous chondrocyte implantation for full thickness articular cartilage defects of the knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Background: Treatments for managing articular cartilage defects of the knee, including drilling and abrasion arthroplasty, are not always effective. When they are, long-term benefits may not be maintained and osteoarthritis may develop. An alternative is autologous chondrocyte implantation (ACI), the surgical implantat... |
0 | Procedure for Femoral Intertrochanteric Fractures using the "Three-Finger Method" Assisted by Proximal Femoral Nail Antirotation | Hip Fx in the Elderly 2019 | OBJECTIVE: To assess long-term follow-up evaluations for the treatment of femoral intertrochanteric fractures with the "three-finger method" assisted by proximal femoral nail antirotation (PFNA).
METHODS: From January 2010 to January 2017, 123 patients were selected and followed for the treatment of femoral intertrocha... |
0 | Unlocking the 'pivot shift' in ACL surgery: medial meniscus evaluation and treatment | AMP (Acute Meniscal Pathology) | Meniscal injury commonly occurs in conjunction with anterior cruciate ligament (ACL) disruption. Failure to recognize and treat these injuries may lead to less than ideal outcomes in ACL reconstruction. With their unique anatomical location, often at the peripheral rim of the posterior horn of the medial meniscus, the ... |
1 | The use of calcium phosphate bone cement in fracture treatment. A meta-analysis of randomized trials | Distal Radius Fractures | BACKGROUND: Available options to fill fracture voids include autogenous bone, allograft bone, and synthetic bone materials. The objective of this meta-analysis was to determine whether the use of calcium phosphate bone cement improves clinical and radiographic outcomes and reduces fracture complications as compared wit... |
0 | [An analysis of operation-correlated complications of total knee arthroplasty] | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To summarize and analyze the operation-correlated complications of total knee arthroplasty (TKA) with posterior stabilized prosthesis (PS).METHODS: From October 2000 to October 2007, 707 cases (816 knees) underwent TKA. All the TKA knees were divided equally into former and latter groups according to the ope... |
0 | Cubital tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In contrast to the many articles published on the carpal tunnel syndrome, little information is available about the cubital tunnel syndrome-ulnar nerve compression at the elbow. The factors that may play a part in causing the condition include decubitus pressure during anaesthesia, occupational pressures, sleep, bed re... |
0 | Osteochondral allograft transplantation from a living donor | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Treatment of extended and massive osteochondral defects is a real challenge for an orthopaedic practice. Osteochondral allograft transplantation is a possible solution for such lesions. Transplantation of osteochondral allografts has undergone extensive experimental and limited clinical study during recent decades. Gra... |
0 | Multi-drug resistant E.coli urosepsis in physicians following transrectal ultrasound guided prostate biopsies--three cases including one death | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Three male physicians underwent transrectal ultrasound guided prostate biopsies for elevated prostate-specific antigen levels or irregular digital rectal exam findings. All three of these patients developed urosepsis secondary to multi-drug resistant organisms despite antibiotic prophylaxis. There are increasing report... |
0 | Do alumina matrix composite bearings decrease hip noises and bearing fractures at a minimum of 5 years after THA? | Hip Fx in the Elderly 2019 | BACKGROUND: Ceramic-on-ceramic bearing couples are theoretically attractive in total hip arthroplasty (THA) because of low wear, but concerns regarding ceramic fracture and squeaking have arisen. Improved material properties of newer alumina matrix composite (AMC) materials, known as Delta ceramics, may reduce these ri... |
0 | Correlation between the Signal Intensity Alteration of Infrapatellar Fat Pad and Knee Osteoarthritis: A Retrospective, Cross-Sectional Study | AMP (Acute Meniscal Pathology) | Infrapatellar fat pad (IPFP) inflammation is a common pathological manifestation in knee osteoarthritis (OA). However, the significance of IPFP signal intensity alteration for clinical diagnosis and treatment of knee OA needs further research. We assessed IPFP signal intensity alteration (0-3), IPFP maximum cross-secti... |
0 | Oral health considerations in older women receiving oral bisphosphonate therapy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Recent reports of bisphosphonate-related osteonecrosis of the jaw (BRONJ) have increased awareness of oral health in patients receiving osteoporosis therapy. This study describes the demographic, oral health, and clinical characteristics of a contemporary population of women aged 50 and older undergoing oral bisphospho... |
1 | An investigation of BMP-7 mediated alterations to BMP signalling components in human tenocyte-like cells | Trial Systematic Review Project | The incidence of tendon re-tears post-surgery is an ever present complication. It is suggested that the application of biological factors, such as bone morphogenetic protein 7 (BMP-7), can reduce complication rates by promoting tenogenic characteristics in in vitro studies. However, there remains a dearth of informatio... |
0 | Management of osteonecrosis in children and young adults with acute lymphoblastic leukaemia | AAHKS (8) Anesthetic Infiltration | Osteonecrosis is a disabling complication in children and young adults with acute lymphoblastic leukaemia. It can affect any or multiple joints but the hip and knee are most frequently involved and a cause of long-term disability. The problem is almost exclusively that of older children and young adults of whom over 70... |
1 | Amputation of a lower extremity after severe trauma | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: Serious lower extremity injuries sometimes warrant emergency amputation. The goal of amputation in polytrauma patients is to increase chances of survival, while the goal of amputation in a single limb injury is to prevent further complications, e.g., infection, septic shock. INDICATIONS: Rescue from life-thr... |
0 | Phosphorylation of ERK1/2 mitogen-activated protein kinase is associated with poor response to anti-hormonal therapy and decreased patient survival in clinical breast cancer | Reduction Mammoplasty for Female Breast Hypertrophy | It is believed that growth factor phosphorylation cascades interact closely with oestrogen receptor (ER) signaling to regulate breast cancer growth, and that alterations in these pathways may underlie resistance to anti-hormones such as tamoxifen. There is an increasing body of experimental evidence implicating the mit... |
0 | Meniscus Sign in Patients with Anterior Circulation Large Vessel Occlusion Stroke does not Predict Outcome | AMP (Acute Meniscal Pathology) | PURPOSE: The angiographic appearance of the occlusion site was suggested to influence outcomes of stroke patients with large vessel occlusion (LVO) who undergo endovascular treatment (EVT). We aimed to study the impact of the meniscus sign (MS) on outcomes of stroke patients with anterior circulation LVO.
METHODS: Base... |
0 | Trends in hip fracture rates in Canada | Management of Hip Fractures in the Elderly | CONTEXT: Hip fractures are a public health concern because they are associated with significant morbidity, excess mortality, and the majority of the costs directly attributable to osteoporosis. OBJECTIVE: To examine trends in hip fracture rates in Canada. DESIGN, SETTING, AND PATIENTS: Ecologic trend study using nation... |
0 | Hand cortical bone mass and its associations with radiographic joint damage and fractures in 50-70 year old female patients with rheumatoid arthritis: Cross sectional Oslo-Truro-Amsterdam (OSTRA) collaborative study | Management of Hip Fractures in the Elderly | Objective: To investigate the relationship between hand bone mineral density (BMD) and radiographic joint damage, and between hand BMD and fractures in 50-70 year old women with longstanding RA. Methods: Demographic, clinical data, and imaging data on hand radiographs and Genants vertebral deformity score on spine radi... |
0 | The addition of lidocaine to bupivacaine does not shorten the duration of spinal anesthesia: a randomized, double-blinded study of patients undergoing knee arthroscopy | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The duration of spinal anesthesia with bupivacaine is often too long for day surgery. A recent study of patients presenting for transurethral surgery suggested that the addition of a small amount of lidocaine to intrathecal hyperbaric bupivacaine could shorten the duration of the sensory and motor blocks. I... |
0 | Effect of pamidronate on skeletal morbidity in myelomatosis. Part 1. The results of the first 12 months of pamidronate therapy | MSTS 2018 - Femur Mets and MM | BACKGROUND: Osteolytic bone destruction caused by increase of osteolytic activity is a major manifestation of multiple myeloma (MM). Pamidronate (3-amino-1-hydroxypropylidene)-1,1-bisphosphonate) inhibits osteoclastic activity and reduces bone resorption.
METHODS: Since October 1995 the efficacy of pamidronate is evalu... |
0 | Poor glycemic control is associated with low BMD detected in premenopausal women with type 1 diabetes | DoD SSI (Surgical Site Infections) | Summary: The etiology of bone fragility in individuals with type 1 diabetes is unknown. This study demonstrated that bone turnover favors resorption and that poor glycemic control is associated with low bone mineral density (BMD) and low bone turnover, in premenopausal women with type 1 diabetes. The results could info... |
0 | Short and mid-term outcomes and functional results in metal-on-metal hip resurfacing arthroplasty at 5 years follow-up: The Spanish experience | Hip Fx in the Elderly 2019 | Background: Hip resurfacing arthroplasty (HRA) and in particular, Birmingham hip resurfacing (BHR), is commonly employed as an alternative to total hip arthroplasty (THA) in young patients, as it allows for preservation of femoral bone stock and resumption of physical activity. The aim of our study was to investigate 5... |
0 | Articular adipose tissue from osteoarthritis patients is a source of cytokines and adipokines | Surgical Management of Osteoarthritis of the Knee CPG | Background Recently rheumatoid adipose tissue has been suggested to play an important role in chronic inflammatory joint diseases. Its ability to synthesize cytokines and adipokines has been characterized also in our Department (Kontny E, Plebanczyk M, Lisowska B, Olszewska M, Maldyk P, Maslinski W. Comparison of rheum... |
0 | Prediction of skeletal-related events in patients with non-small cell lung cancer | MSTS 2018 - Femur Mets and MM | Purpose: Advanced lung cancer frequently causes bone metastasis which can be associated with skeletal-related events (SREs) that may cause significant deterioration of the patientâ??s quality of life (QoL). The Spinal Instability Neoplastic Score (SINS) can be used to assist in standardizing evaluations of neoplastic s... |
0 | Identification of early prognostic factors for knee and hip arthroplasty; a long-term follow-up of the CHECK cohort | OAK 3 - Non-arthroplasty tx of OAK | Background: Patients with the clinical symptoms of knee or hip osteoarthritis without solid X-ray features present a therapeutic dilemma. The question arises whether the decision for a surgical treatment should be based on the clinical presentation or the X-ray. Objective: To determine prognostic patient factors for kn... |
1 | Do patient factors and prehabilitation improve outcomes after total knee arthroplasty? | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total knee arthroplasty has been a treatment option for knee osteoarthritis since 1954. Recent evidence has identified various patient factors and prehabilitation strategies that may improve postoperative outcomes. OBJECTIVE:: To evaluate the influence of patient factors and prehabilitation on postoperative... |
0 | Perioperative Outcomes and Complications After Primary Total Hip Arthroplasty in Patients With Disproportionately Short Stature: A Matched Cohort Analysis | Hip Fx in the Elderly 2019 | Background: This study compared (1) perioperative outcomes, (2) postoperative complications, and (3) reoperation rates after primary total hip arthroplasty (THA) between short stature patients and matched control patients. Methods: A review of primary THA patients from 2012 to 2017 using an institutional database was c... |
0 | Current Controversies in the Management of Myeloma Bone Disease | MSTS 2018 - Femur Mets and MM | Recent significant advances in the treatment of multiple myeloma have resulted in an improvement in median overall survival from 4.6 years, for patients diagnosed between 2001 and 2005, to 6.1 years, for those diagnosed between 2006 and 2010 (Kumar et al., 2014). However, myeloma bone lesions persist in the absence of ... |
0 | Acute femoral shortening for reconstruction of a complex lower extremity crush injury | DoD LSA (Limb Salvage vs Amputation) | Traumatic through-knee or transfemoral amputations with concomitant ipsilateral femoral fractures are extremely rare injuries. The initial goal of management is patient resuscitation and stabilization. Subsequent interventions focus on limb salvage and the creation of a residual limb that can be fitted successfully for... |
0 | Return to Play and Player Performance After Meniscal Tear Among Elite-Level European Soccer Players: A Matched Cohort Analysis of Injuries From 2006 to 2016 | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal injuries are extremely common in soccer athletes, and little is known about postrecovery performance.
PURPOSE: To (1) identify characteristics associated with return to play (RTP) to the same league level and (2) evaluate long-term effects that injury and management approach may have on player perf... |
0 | Distal plate placement for distal radius fractures limits wrist motion | Distal Radius Fractures | Purpose: To investigate the influence of distal plate placement for distal radius fractures on risk of flexor tendon complications and wrist motion by performing hardware removal. Materials and methods: Fourteen patients treated with a Synthes 2.4 mm juxta-articular LCP Distal Radius Plate underwent hardware removal at... |
0 | Resilience Following Traumatic Brain Injury: A Traumatic Brain Injury Model Systems Study | DoD PRF (Psychosocial RF) | Objective To examine resilience at 3 months after traumatic brain injury (TBI). Design Cross-sectional analysis of an ongoing observational cohort. Setting Five inpatient rehabilitation centers, with 3-month follow-up conducted primarily by telephone. Participants Persons with TBI (N=160) enrolled in the resilience mod... |
0 | Osteoarthritis: diagnosis and treatment | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis is a common degenerative disorder of the articular cartilage associated with hypertrophic bone changes. Risk factors include genetics, female sex, past trauma, advancing age, and obesity. The diagnosis is based on a history of joint pain worsened by movement, which can lead to disability in activities of... |
0 | Septic arthritis caused by Mycobacterium kansasii in a prosthetic knee joint | Surgical Management of Osteoarthritis of the Knee CPG | Mycobacterium kansasii is a relatively common cause of nontuberculous mycobacterial pulmonary infection. Septic arthritis caused by Mycobacterium kansasii, on the other hand, is rare. Reported here for the first time is the case of an 82-year-old patient with an infection of a prosthetic knee joint with Mycobacterium k... |
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