recall
int64
0
1
article_title
stringlengths
5
500
topic
stringlengths
21
84
abstract
stringlengths
2
65.8k
0
Combined vertical and horizontal cable fixation of an extended trochanteric osteotomy site
Management of Hip Fractures in the Elderly
BACKGROUND: The use of an extended trochanteric osteotomy facilitates exposure and aids in the removal of a well-fixed femoral implant and cement during revision total hip arthroplasty. Occasionally, nonunion, fracture, and trochanteric migration have been reported following osteotomy. We evaluated the rate of healing ...
0
Neuraxial hematoma and paralysis after enoxaparin administration 3 days after attempted spinal anesthesia for total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
A 69-year-old man underwent a total knee arthroplasty. Spinal anesthesia was attempted, but when unsuccessful, a general anesthesia was given. The surgery and rehabilitation were uneventful until postoperative day 3 when a pulmonary embolism was diagnosed. He was placed on enoxaparin at a therapeutic dose that begun mo...
1
Multimodal analgesia for controlling acute postoperative pain
AAHKS (8) Anesthetic Infiltration
Purpose of review: Multimodal analgesia is needed for acute postoperative pain management due to adverse effects of opioid analgesics, which can impede recovery; a problem that is of increasing concern with the rapid increase in the number of ambulatory surgeries. Yet, the literature on multimodal analgesia often shows...
0
Incidence of Symptomatic Pulmonary Embolus and Deep Vein Thrombosis After Knee Arthroscopy in the Pediatric and Adolescent Population
Osteochondritis Dissecans 2020 Review
OBJECTIVE: The incidence of deep venous thrombosis (DVT) and pulmonary embolism (PE) after pediatric knee arthroscopy is unknown. The purpose of this study was to determine the incidence of venous thromboembolism (VTE) after knee arthroscopy in the pediatric and adolescent population in a high-volume center. DESIGN: Re...
1
Histologic findings in normal breast tissues: comparison to reduction mammaplasty and benign breast disease tissues
Reduction Mammoplasty for Female Breast Hypertrophy
Investigations of breast carcinogenesis often rely upon comparisons between cancer tissue and nonmalignant breast tissue. It is unclear how well common reference sources of nonmalignant breast tissues reflect normal breast tissue. Breast tissue samples were evaluated from three sources: (1) normal donor tissues in the ...
0
Stress Fracture of the Distal Radius
Distal Radius Fractures
In brief A 14-year-old female gymnast reported pain at the dorsum of her right wrist. Physical examination and radiographs suggested a stress fracture of the wrist physis-an injury reported most often in highly competitive, advanced gymnasts. Radiographs revealed marked widening of the growth plate and haziness within ...
0
Complications of hinged external fixators of the elbow
DoD SSI (Surgical Site Infections)
Despite the growing use of hinged external fixators of the elbow, there are no studies regarding the complications associated with their application. The purpose of this study is to report our experience with complications with this procedure. Between 1998 and 2005, we reviewed the records of 100 consecutive patients w...
0
Ultrasound-guided musculoskeletal interventional procedures around the elbow, hand and wrist excluding carpal tunnel procedures
PRPs for Lateral Epicondylitis/Elbow Tendinopathies
Ultrasound is a fast, reliable and radiation-free method for the assessment of a wide range of pathological conditions, as well as for the guidance of percutaneous interventional procedures around the elbow, hand and wrist. Intraarticular and periarticular interventional procedures can be easily performed under continu...
0
Patellofemoral arthroplasty: A review of the literature
Surgical Management of Osteoarthritis of the Knee CPG
Osteoarthritis of the knee is a common problem among the elderly worldwide. Total knee arthroplasty (TKA) is the most important treatment option with good clinical and long lasting results even in young and active patients. Nowadays, there is still debate whether or not to resurface the patella. Patellofemoral arthopla...
0
A novel technique for lower extremity limb salvage: the vastus lateralis muscle flap with concurrent use of the vacuum-assisted closure device
DoD LSA (Limb Salvage vs Amputation)
Free tissue transfer is an essential component of lower extremity limb reconstruction and has dramatically improved salvage attempts. In this report, we examine the use of the underutilized free vastus lateralis muscle flap and describe our treatment protocol that involves a novel application for the vacuum-assisted cl...
0
Strontium ranelate effect on knee osteoarthritis progression
AMP (Acute Meniscal Pathology)
Purpose: In the SEKOIA study, strontium ranelate (SrRan) has demonstrated radiographic structure-modifying activity, by lowering joint space narrowing progression compared to a placebo group. The aim of this analysis was to evaluate the effect of SrRan on knee cartilage and bone in a subset of patients that underwent M...
0
Medial Spike and Obesity Associate with Open Reduction in Type III Supracondylar Humeral Fracture
Pediatric Supracondylar Humerus Fracture 2020 Review
PURPOSE OF THE STUDY Although supracondylar humeral fractures represent a major part of the pediatric fractures, no classification system or radiological characteristics describes which supracondylar fractures require open reduction. We aim to evaluate the factors that lead us to perform open reduction during operation...
0
Medullary thyroid cancer
MSTS 2018 - Femur Mets and MM
The goal in managing patients who have MTC is to detect and surgically remove disease at an early stage. Tumor marker-based biochemical screening and DNA-based genetic screening have created the opportunity for effective prophylactic surgery in patients at risk for hereditary MTC. Complete surgical resection is critica...
0
Epidemiology of osteoporosis in women in southern Italy
Management of Hip Fractures in the Elderly
Studies on the distribution of bone mineral density (BMD) values in different age groups and in different populations are valuable for understanding the causes of the appreciable geographical variability in fracture incidence. We studied a population of southern Italy in an area where the incidence of hip fracture had ...
0
Posterior trans-septal portal for arthroscopic surgery of the knee joint
AMP (Acute Meniscal Pathology)
The authors introduce a safe arthroscopic technique of making a portal through the posterior septum of the knee joint, posterior to the posterior cruciate ligament (PCL). This posterior trans-septal portal makes it possible for the arthroscope or the working instruments inserted through the posteromedial portal to reac...
0
Electrophysiological entrapment syndromes in chronic inflammatory demyelinating polyneuropathy
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We do not know if peripheral nerves are more susceptible to entrapment syndromes in chronic inflammatory demyelinating polyneuropathy (CIDP). We studied 31 prospectively recruited patients with CIDP. We determined whether entrapment zones were more frequently affected by demyelination than adjacent segments. The median...
0
Low-velocity knee dislocation associated with sports injury
AMP (Acute Meniscal Pathology)
A knee dislocation usually involves injury to both the anterior cruciate ligament and posterior cruciate ligament, and to either the medial collateral ligament or the lateral structures of the knee. Acute surgical repair of all structures has led to a high rate of arthrofibrosis. We describe a treatment algorithm for t...
0
Prevalence and Severity of Juvenile Osteochondritis Dissecans in Patients With Juvenile Idiopathic Arthritis
Osteochondritis Dissecans 2020 Review
BACKGROUND: Juvenile idiopathic arthritis (JIA) is a heterogeneous group of chronic arthritides presenting in patients aged =16 years, with a prevalence of 16 to 150 per 100,000. Juvenile osteochondritis dissecans (OCD) is an idiopathic disease of articular cartilage and subchondral bone, has an onset age of 10 to 16 y...
0
Displaced supracondylar fractures of humerus in children treated with open reduction and cross K-wire fixation
Pediatric Supracondylar Humerus Fracture 2020 Review
To describe the outcome of open reduction and cross K-wire fixation through a triceps non disturbing posterior approach used in the treatment of type III supracondylar fractures of humerus in children. Methodology: This descriptive study was conducted at Orthopaedics Unit District Headquarter Hospital Timergara Dir Low...
1
Effects of impairment-based exercise on performance of specific self-reported functional tasks in individuals with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Little is known regarding how impairment-based exercises may improve performance of specific functional tasks in people with knee osteoarthritis (OA). OBJECTIVE: The purpose of this study was to compare the probability that participation in an impairment-based exercise program or the same impairment-based p...
0
Primary arthroplasty in healed osteoarticular allograft in patients with history of primary femoral bone tumors
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Roughly 25-35% of patients who are treated with osteoarticular allograft for primary bone sarcomas or aggressive benign bone tumors require surgery in the long-term due to degenerative changes of the articular surface of the allograft. There are three established methods of reconstruction for this complicat...
0
The classification and prognosis of epiphyseal injuries
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Because of the difficulty of assessing prognosis, a clinical and radiological review of 103 injuries of growth plates was performed. Thirteen patients showed retardation of growth and in 4 it was clinically obvious. In addition, external deformity occurred because of failure of remodelling in 1 case. In 9 cases there a...
0
Leber's hereditary optic neuropathy is associated with the T12338C mutation in mitochondrial ND5 gene in six Han Chinese families
Upper Eyelid and Brow Surgery
PURPOSE: To investigate the molecular pathogenesis of Leber's hereditary optic neuropathy (LHON) in Chinese families. DESIGN: Six Han Chinese families who seem to have maternally transmitted LHON were studied by clinical, genetic, and molecular evaluations. PARTICIPANTS: One hundred twenty-seven subjects from 6 Chinese...
0
Danger zone of radial nerve in Indian population â?? A cadaveric study
Distal Radius Fractures
Background: Identification of the radial nerve is necessary during surgery of the humerus fracture to avoid injury to it. Iatrogenic nerve injury during humerus fracture surgery is a well-known complication. Prevention of this type of injuries would be of great value. Aim of this study is to reduce the chance of iatrog...
0
Successful prophylaxis with tinidazole of infection after major head and neck surgery for malignant disease
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A prospective double-blind trial of tinidazole was carried out in a group of 8 patients, each undergoing radical surgery for the removal of a large squamous cell carcinoma (SCC) of the oropharynx. In the 4 patients given tinidazole there was no wound infection, wound healing was more rapid and the foul odour associated...
1
One-Day vs Two-Day Epidural Analgesia for Total Knee Arthroplasty (TKA): A Retrospective Cohort Study
Surgical Management of Osteoarthritis of the Knee CPG
INTRODUCTION: Over 500,000 total knee arthroplasties (TKAs) are performed annually in the US, yet postoperative pain management varies widely. In patients managed with epidural analgesia, the epidural catheter is generally removed on the second postoperative day. We compared in-hospital outcomes associated with removin...
0
Incidence of chronic knee lesions in long-distance runners based on training level: findings at MRI
AMP (Acute Meniscal Pathology)
PURPOSE: The purpose of this study was to evaluate the incidence of chronic knee changes in long-distance runners based on the training status, including distance, running frequency, training pace, and running experience. METHODS: MRI of the knee was performed in 26 non-professional runners 5 days after their last trai...
1
Meta-analysis of diagnostic studies: a comparison of random intercept, normal-normal, and binomial-normal bivariate summary ROC approaches
AMP (Acute Meniscal Pathology)
BACKGROUND: Using data from a published meta-analysis of magnetic resonance imaging of the menisci and cruciate ligaments, the authors varied the overall sensitivity and specificity, the between-studies variance, the within-study sample size, and the number of studies to evaluate the performances of the 3 methods in a ...
0
Unsuitable value of abdominal fat tissue aspirate examination for the diagnosis of amyloidosis in long-term hemodialysis patients
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Abdominal fat tissue aspiration was used in 22 long-term hemodialysis patients (5-17 years). Fourteen of these patients had carpal tunnel syndrome and amyloid deposits of beta 2-microglobulin in the synovium. One patient had a spontaneous rupture of the spleen with amyloid deposits in spleen vessels. Seven other patien...
0
The value of soft tissue signs in wrist trauma
Distal Radius Fractures
A retrospective study of the wrist radiographs of 1453 patients presenting with acute wrist trauma was undertaken in order to assess the value of soft tissue signs. A total of 773 radiographs which were judged to be normal were used to evaluate the normal pronator quadratus fat stripe. The distance of the normal pronat...
1
Posttraumatic stress disorder and psychosocial functioning after severe traumatic brain injury
DoD PRF (Psychosocial RF)
The aim of this study was to investigate the influence of posttraumatic stress disorder (PTSD) on rehabilitation after severe traumatic brain injury (TBI). Ninety-six patients with severe TBI patients were assessed 6 months after hospital discharge with the Posttraumatic Stress Disorder Interview, the Functional Assess...
1
Revision Risk After Unipolar or Bipolar Hemiarthroplasty for Femoral Neck Fractures: An Instrumental Variable Analysis of 62,875 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry
Hip Fx in the Elderly 2019
BACKGROUND: There remains much international practice variation regarding the choice of a unipolar or bipolar prosthesis design for displaced femoral neck fractures that are treated with hemiarthroplasty. The purpose of the present study was to compare revision rates following primary hemiarthroplasty for femoral neck ...
1
Bicortical K-wires for distal radius fracture fixation: how many?
Distal Radius Fractures
The aim of this study was to find out whether number and position of K-wires influence the stability of distal radius fractures treated by percutaneous wire fixation. Patients who underwent K-wire fixation for unstable fractures of the distal radius over a period of three years were included in this retrospective study...
0
Differential diagnosis of suspected deep tissue injury
DOD - Acute Comp Syndrome CPG
Deep tissue injury (DTI) can be difficult to diagnose because many other skin and wound problems can appear as purple skin or rapidly appearing eschar. The diagnosis of DTI begins with a thorough history to account for times of exposure to pressure, such as â??time downâ?? at the scene or time during which the patient ...
1
Persistent Seroma, a Threat to Implant-Based Breast Reconstruction?
Acellular Dermal Matrix
Introduction: Seroma is one of the usual postoperative complications after breast and axillary surgery. It is considered as a consequence of prolonged lymphorrhea. Its persistence means a longer healing process, increased risk of infection and in case of implant-based reconstruction, even implant loss which may result ...
0
Taylor spatial frame in the treatment of upper extremity conditions
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
BACKGROUND: Taylor spatial frame (TSF) is a modern multiplanar external fixator that combines ease of application and computer accuracy; it provides the capability of 1 to 6 axes of deformity correction sequentially or simultaneously by adjusting 6 connecting struts between 2 circular rings. Previous reports have docum...
0
Parameters of hormetic stress and resilience to trauma in rats
DoD PRF (Psychosocial RF)
Hormesis is the process by which small stresses build resilience to large stresses. We pre-exposed rats to various parameters of mild-to-moderate stress prior to traumatic stress in the present experiments to assess the potential benefits of hormetic training on resilience to traumatic, uncontrollable stress. Rats unde...
0
Ulna oblique osteotomy for radius and ulna length inequality: technique and applications
Distal Radius Fractures
An ulna that is too long or too short may be responsible for symptoms around the wrist. Several techniques are available to shorten or lengthen the ulna. We have used, among other techniques, an oblique osteotomy which allows the length of the ulna to be modified by sliding the 2 fragments over each other, taking care ...
1
Unraveling the confusion behind hyaluronic acid efficacy in the treatment of symptomatic knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Hyaluronic acid (HA) is a commonly prescribed treatment for knee pain resulting from osteoarthritis (OA). Although numerous HA products have been approved for use by the US Food and Drug Administration, the efficacy of HA injections for knee OA remains disputed with meta-analyses and societal clinical guidelines drawin...
0
Clinical responses and lymphoid infiltrates in metastatic melanoma following treatment with intralesional GM-CSF
Reconstruction After Skin Cancer
Past studies in animal models with gene-transfected tumour cells have suggested that GM-CSF may have a role in immunotherapy of tumours as a result of the effects it has on antigen-presenting cells. The present (phase I) studies were carried out to examine whether intralesional injections of GM-CSF induce regression of...
0
The accuracy of magnetic resonance imaging in determining the osteotomy plane in osteosarcoma
MSTS 2018 - Femur Mets and MM
This study evaluated the accuracy of T1-weighted magnetic resonance imaging (MRI) in determining the osteotomy plane in 21 patients with osteosarcoma undergoing limb-salvage surgery. Twelve cases involved the distal femur and nine cases involved the proximal tibia. Mean patient age was 16.3 years (range, 12-24 years). ...
0
Musculoskeletal Disorders Among Greek Physiotherapists: Traditional and Emerging Risk Factors
Pediatric Supracondylar Humerus Fracture 2020 Review
Background: Musculoskeletal disorders (MSDs) in the health industry are quite common, however, there have only been a few studies regarding physiotherapists, while in Greece, there is an apparent lack of research and data. The aim of this study is to investigate MSDs experienced by physiotherapists in Greece, their cau...
0
Semiautomatic intermittent pneumatic compression device applied to deep vein thrombosis in major orthopedic surgery
Hip Fx in the Elderly 2019
Objective: To investigate the effect of additional semiautomatic intermittent pneumatic compression device (IPCD) in the prevention of deep vein thrombosis (DVT) of lower extremity in these patients undergoing major orthopedic surgery, when compared with the conventional graduated compression stockings alone. Methods: ...
0
Platelet Rich Plasma Devices Can Be Used to Isolate Stem Cells from Synovial Fluid at the Point of Care
PRP (Platelet-Rich Plasma)
PURPOSE: The purpose of this study was to assess if point of care devices designed for collecting cellular components from blood or bone marrow could be used to isolate viable stem cells from synovial fluid. METHODS: Male and female patients greater than 18 years old with either an acute, anterior cruciate ligament (AC...
0
Operative treatment of proximal fractures of the femur in elderly patients - 20 years of development
Management of Hip Fractures in the Elderly
In a retrospective analysis the clinical course of 1707 patients (over 70 years), treated for proximal femur fractures, is evaluated. The average age is 81.3 years and the ratio of females to males is 4.6 to 1. The average hospitalization decreased from 57.4 days (1975) to 28.8 days (1994), as well as the average hospi...
0
Single Injection Adductor Canal Block vs Catheter for Total Knee Arthroplasty
AAHKS (2) Corticosteroids
This study investigates single injection adductor canal block (ACB) with or without intravenous dexamethasone and adductor canal catheter for pain management of total knee arthroplasty. This is a non�inferiority trial seeking to determine whether single injection ACB with dexamethasone is "no worse" than a continuous...
0
CLINICAL OUTCOME AFTER INFECTED TOTAL KNEE AND TOTAL HIP ARTHROPLASTY
PJI DX Updated Search
OBJECTIVE: Infection after total hip (THA) and knee arthroplasty (TKA) is a serious complication which typically leads to a long lasting and intensive surgical and medicamentous treatment. The aim of this study was to identify factors that influence outcome after revision surgery caused by prosthetic infection. METHODS...
0
Factors associated with the clinical outcomes of the osteochondral autograft transfer system in osteochondral lesions of the talus: second-look arthroscopic evaluation
Diagnosis and Treatment of Osteochondritis Dissecans AUC
BACKGROUND: Identifying factors associated with the clinical outcomes of the osteochondral autograft transfer system would be helpful for treating patients with an osteochondral lesion of the talus. PURPOSE: To investigate the clinical and second-look arthroscopic results of the osteochondral autograft transfer system ...
0
Chondrosarcoma of bone: an assessment of outcome
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: The data on 227 patients who had been managed for a chondrosarcoma at one institution were reviewed to determine the nature of the lesions, the predictors of outcome, and whether there were any ways to change the treatment approaches to improve the results. METHODS: The patients were followed for a mean dur...
0
[Osteosynthesis of per- and subtrochanteric fractures by blade plate versus gamma nail. A randomized prospective study]
Management of Hip Fractures in the Elderly
AIM: To compare clinical and radiological results in per- and subtrochanteric fractures' management with 90 degrees blade plate or Gamma nail fixation; an implant allowing early weight-bearing and fracture healing in correct position remains still difficult.METHOD: Between 1993 and 1995, 26 patients addressed to our Ce...
0
Sports-related changes of the synovial membrane
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: the aim of this study is to differentiate the behavior of the synovial membrane in the presence of various stimuli in patients who practice sports. METHODS: fifty one patients (30 males and 21 females, mean age 48 years, range 31-59 years) who actively practiced non-competitive sports underwent a biopsy of the...
1
The Ilizarov technique in ankle fusion: A preliminary report
DoD LSA (Limb Salvage vs Amputation)
Complex distal tibia fractures and failed ankle arthrodesis represent a significant challenge to today's orthopaedic surgeon. The complexity of these problems is further increased when associated with additional complications such as osteomyelitis, leg length discrepancy or concomitant foot deformity. In many instances...
1
Predictors of functional outcomes after surgical treatment of distal radius fractures
Distal Radius Fractures
PURPOSE: Identifying predictors of outcomes is important in anticipating and treating patients with underlying factors that may affect recovery. The predictors of functional outcomes after distal radius fracture (DRF) treatment have not been well defined in the past. METHODS: This was a prospective cohort study designe...
1
Correlation of psychosocial factor with functional outcome: One year after Hip fracture surgery
DoD PRF (Psychosocial RF)
Objective: This study investigated the correlation of 8 domains of psychosocial factors with functional outcome one year after hip fracture surgery. A prospective cohort study of patients who had unilateral hip fracture surgery was included. A total of 89 subjects were interviewed between 3rd to 7th day after the hip s...
0
Adenoid cystic carcinoma of the head and neck: clinicopathologic analysis of 218 cases in a Chinese population
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVE: The aim of this study was to analyze the clinicopathologic characteristics and prognostic factors of adenoid cystic carcinoma of the head and neck (ACCHN). STUDY DESIGN: This was a retrospective study of 218 patients with ACCHN. RESULTS: The cohort included 110 men and 108 women; the parotid and the palate w...
0
Cryosurgery in the treatment of basal cell carcinoma. Assessment of one and two freeze-thaw cycle schedules
Reconstruction After Skin Cancer
OBJECTIVETo compare the efficacy of one freeze-thaw cycle versus two freeze-thaw cycles in the treatment of facial basal cell carcinomas. Second, to investigate the efficacy of one freeze-thaw cycle in the treatment of superficial truncal basal cell carcinomas. This was investigated in a prospective randomized post-tre...
0
A radiographic clinic for developmental dysplasia of the hip (DDH)
Developmental Dysplasia of the Hip 2020 Review
BACKGROUND: We describe the first radiographic clinic in the literature for DDH and how this novel clinic can significantly improve the efficiency and cost-effectiveness of service in a tertiary referral centre. AIMS: A radiographic clinic for the management of developmental dysplasia of the hip was introduced in 2017 ...
0
Local infiltration analgesia combined with a standardized multimodal approach including an adductor canal block in total knee arthroplasty: a prospective randomized, placebo-controlled, double-blinded clinical trial
AAHKS (5) Gabapentinoids
PURPOSE: Total knee arthroplasty (TKA) is associated with moderate to severe postoperative pain. This study evaluates the technique of local infiltration analgesia (LIA), by comparing it to saline injections in addition to a standardized multimodal regimen including an adductor canal block. METHODS: Between September 2...
0
Long-term survival of the cemented Müller CDH stem: a minimum follow-up of 10 years
Developmental Dysplasia of the Hip 2020 Review
INTRODUCTION: Total hip arthroplasty in patients with altered anatomy of the hip and femur, such as in congenital dysplasia of the hip, is challenging and often requires specially designed stems. Müller straight stems have shown excellent long-term results; however, long-term data on the analogous cemented Müller CDH...
1
Therapeutic efficacy of intra-articular injection of platelet-rich plasma and ozone therapy in patients with primary knee osteoarthritis
PRP (Platelet-Rich Plasma)
Background: Platelet-rich plasma (PRP) and ozone therapy have been proposed as therapeutically efficient agents for the management of pain in knee osteoarthritis (KOA). Aim of the work: To reveal the efficiency of intra-articular injection of PRP and ozone therapy in the treatment of patients with primary KOA compared ...
0
A comparison of presenting characteristics of patients with intracapsular and extracapsular proximal femoral fractures
Management of Hip Fractures in the Elderly
The presenting characteristics of 1423 consecutive admissions with proximal femoral fractures were prospectively studied, to determine any differences that may exist between patients, dependent on the radiological site of the fracture. Patients with intracapsular fractures were of a lower average age, more mobile, less...
0
The treatment of femoral neck fractures: results using cephalocervical screws with sliding mechanism
Hip Fx in the Elderly 2019
BACKGROUND: A new device for the treatment of femoral neck fractures that uses 2 cephalocervical screws in a sliding mechanism allowing linear intraoperative and postoperative compression has been developed. The purpose of this retrospective study was to determine the results using this device for the treatment of stab...
1
Modeling the anesthetic effect of ropivacaine after a femoral nerve block in orthopedic patients: a population pharmacokinetic-pharmacodynamic analysis
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Even though ropivacaine is frequently used during orthopedic surgery, the relationship between plasma concentrations and degree of sensory anesthesia after a peripheral nerve block is currently unknown. The aim of this study was to characterize this relation using population pharmacokinetic-pharmacodynamic ...
0
Freeman-Burian syndrome
Pediatric Supracondylar Humerus Fracture 2020 Review
CLINICAL DESCRIPTION: Freeman-Burian syndrome (FBS) is a rare congenital myopathic craniofacial syndrome. Considerable variability in severity is seen, but diagnosis requires the following: microstomia, whistling-face appearance (pursed lips), H or V-shaped chin defect, and prominent nasolabial folds. Some patients do ...
0
Superficial liposuction
Panniculectomy & Abdominoplasty CPG
Over a period of 12 years, the authors have seen that skin retracts after the judicious treatment of deep and superficial layers of fat tissue, laying to rest what has been one of the biggest fears of this treatment of lipoaspiration, namely cutaneous flaccidity. The adequate and judicious approach to these two layers,...
0
Postoperative Epidural Analgesia After Total Knee Arthroplasty With Sufentanil 1 μg/mL Combined With Ropivacaine 0.2%, Ropivacaine 0.125%, or Levobupivacaine 0.125%: A Randomized, Double-Blind Comparison
AAHKS (8) Anesthetic Infiltration
Background and Objectives: Total knee replacement is associated with severe postoperative pain that, if treated insufficiently, interferes with early rehabilitation. The purpose of the present study is to compare the efficacy of ropivacaine (0.2% and 0.125%) and levobupivacaine (0.125%), all in combination with sufenta...
0
Median nerve compression at the wrist caused by a reversed palmaris longus muscle
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A case of median nerve compression at the wrist caused by a reversed palmaris longus muscle is described. Symptoms included paresthesias in the median nerve distribution and swelling on the flexor aspect of the wrist resembling tenosynovitis. The patient was a 13-year old girl, which we believe is the youngest recorded...
1
A study of the usefulness of a periarticular multimodal drug cocktail injection for pain management after total hip arthroplasty
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Measures for pain management after total hip arthroplasty (THA) are important for early improvement in the quality of life after operation and early postoperative rehabilitation. We investigated the analgesic effect of locally injected drugs around the total hip prosthesis. METHODS: 54 patients undergoing T...
0
Care of the Pregnant Woman with COVID-19 in Labor and Delivery: Anesthesia, Emergency cesarean delivery, Differential diagnosis in the acutely ill parturient, Care of the newborn, and Protection of the healthcare personnel
Coronavirus Disease 2019 (COVID-19)
COVID-19 in pregnancy can cause severe maternal morbidity in up to 9% of affected gravidae. Chest imaging is helpful in pregnant women who have a high pretest probability of COVID-19, but are RT-PCR negative. Vertical transmission is unlikely, but active measures are needed to prevent neonatal infection. We present an ...
0
Distal biceps tendon injuries--current treatment options
DoD SSI (Surgical Site Infections)
Three percent of all biceps tendon ruptures occur at the distal aspect, where the tendon inserts into the radial tuberosity. Distal bicep tendon ruptures typically occur in middle-aged males after an eccentric extension load is applied to the elbow. Patients usually complain of a sudden, sharp, and painful tearing sens...
0
Minimally invasive anterolateral surgical approach for total hip arthroplasty: Seven-year results
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE OF THE STUDY To evaluate the results of using the minimally invasive surgical - anterolateral approach (MIS-AL) for total hip arthroplasty at 7-year follow-up. MATERIAL A total of 188 patients operated on between January 2005 and March 2006 were invited to come for check-up. Of them, 132 had a complete follow-u...
0
Elevated serum titanium level as a marker for failure in a titanium modular fluted tapered stem
PJI DX Updated Search
Serum ion concentrations of cobalt and chromium are commonly used to monitor for the development of local metal reactions in metal-on-metal total hip arthroplasties as well as dual-modular constructs. Although rarely used in clinical practice elevated serum titanium levels have the ability to indicate a failure with co...
1
Treatment of distal tibia metaphyseal fractures; plating versus intramedullary nailing: a systematic review of recent evidence
DoD SSI (Surgical Site Infections)
INTRODUCTION: Treatment of distal tibia metaphyseal fractures is challenging. The purpose of this study was to systematically review the recent literature regarding management of extra-articular distal tibia fractures with a view to compare the outcome of intramedullary nailing with plate fixation. METHODS: Advanced li...
0
Blood transfusion requirements in intracapsular femoral neck fractures
Management of Hip Fractures in the Elderly
The blood transfusion requirements of 445 patients undergoing operation for intracapsular fractures of the femoral neck were studied. These requirements were correlated with the type of operation carried out, the existence of pre-operative anaemia, and intra-operative blood loss. A total of 127 patients (29 per cent) w...
0
Solitary plasmacytoma of bone and extramedullary plasmacytoma
MSTS 2022 - Metastatic Disease of the Humerus
A small proportion of patients with plasma cell myeloma have a solitary plasmacytoma of bone. Strict staging criteria, including normal MR imaging studies of the axial skeleton and the long bones and absence of monoclonal plasma cells detected by flow cytometry or PCR, are required for diagnosis. Radiotherapy at a dose...
0
Does the method of component fixation influence clinical outcomes after total knee replacement? A systematic literature review
OAK 3 - Non-arthroplasty tx of OAK
A systematic literature review was conducted to identify the best available evidence describing the differences in clinical outcome associated with the different methods of total knee replacement (TKR) fixation. Randomized trials published between 1980 and January 2011 comparing differences in clinical outcome scores b...
0
Activities and impairments in the early stage of rehabilitation after Colles' fracture
Distal Radius Fractures
PURPOSE: The purpose of this study was to investigate problems in performing activities after Colles' fracture, and to correlate activity limitations with impairments in the early stage of rehabilitation. METHOD: Assessments were performed 1 and 5 weeks after removing plaster casts. A client-specific instrument, The Ca...
0
Long-term outcome of conjunctival fixation sutures to the sclera for prolapsed subconjunctival orbital fat
Panniculectomy & Abdominoplasty CPG
PurposeTo report long-term outcome of new surgical technique for prolapsed subconjunctival orbital fat.Patients and methodsRetrospective study was conducted on 48 eyes of 37 patients who underwent excision of prolapsed subconjunctival orbital fat with conjunctival fixation to the sclera. Complications and recurrence we...
0
Age and sex as determinants of mortality after hip fracture: 3,895 patients followed for 2.5-18.5 years
Management of Hip Fractures in the Elderly
Between 1970 and 1985, a total of 3,895 persons > or = 40 years of age were treated for hip fracture in a Danish municipality. The female: male ratio was 2.7. The cumulative survival was estimated and compared with that of the age- and sex-matched general population. The analysis showed that (a) the mortality was incre...
0
The evolving role of biomarkers for osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis (OA) is an increasingly important public health concern as the prevalence of this disease becomes higher and higher due to the ageing population. However, in addition to the absence of disease-modifying treatments, there are no sensitive diagnostic techniques beyond classical radiography, and physicians ...
1
Effect of Methylprednisolone in Periarticular Infiltration for Primary Total Knee Arthroplasty on Pain and Rehabilitation
AAHKS (8) Anesthetic Infiltration
Background: Optimal pain management after total knee arthroplasty (TKA) is important to ensure timely rehabilitation and patient satisfaction. This study examines the efficacy of adding corticosteroid in periarticular infiltration cocktail with relation to postoperative pain management and rehabilitation in patients un...
0
Intraarticular and intravenous administration of <sup>99M</sup>Tc-HMPAO-labeled human mesenchymal stem cells (<sup>99M</sup>TC-AH-MSC<sub>S</sub>): In vivo imaging and biodistribution
BMAC (Bone Marrow Aspirate Concentrate)
INTRODUCTION: Therapeutic application of intravenous administered (IV) human bone marrow-derived mesenchymal stem cells (ahMSCs) appears to have as main drawback the massive retention of cells in the lung parenchyma, questioning the suitability of this via of administration. Intraarticular administration (IAR) could be...
0
Thalidomide in multiple myeloma
MSTS 2018 - Femur Mets and MM
Multiple myeloma is an incurable bone marrow cancer, the treatment of which is notoriously difficult. Only modest advances have been achieved using complex polychemotherapeutic regimens, transplant strategies and supportive therapy. In 1999, when new drugs for myeloma were urgently needed, thalidomide was introduced an...
1
Comparison of T2* mapping between regular echo time and ultrashort echo time with 3D cones at 3 tesla for knee meniscus
AMP (Acute Meniscal Pathology)
The objectives of this study were to compare the ultrashort T2* relaxation time with the T2* relaxation time using the 3 dimensional (3D) cones sequence in 3 groups of patients with normal, degenerated, and torn knee menisci, and to demonstrate the additional effect of the ultrashort echo time (UTE) signal intensity. F...
0
Intramedullary clavicle fixation with single large fragmentary screw
DoD SSI (Surgical Site Infections)
BACKGROUND: The treatment of clavicle fractures has historically been nonoperative, but several studies have recently shown the merits of operative management for specific fractures patterns. We developed a novel technique utilizing a 6.5-mm cannulated screw for fixation of displaced midshaft clavicle fractures. MATERI...
0
The impact of occupational injury on injured worker and family: outcomes of upper extremity cumulative trauma disorders in Maryland workers
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Surveys have identified a dramatically rising incidence of work-related upper extremity cumulative trauma disorders (UECTDs). Outcome studies have addressed time lost from work and cost of compensation; omitting other significant consequences. We assess health, functional and family outcomes. METHODS: We id...
1
Radiofrequency - An interventional method of chronic pain treatment: Mechanisms of analgesic action, indications and application in selected pain syndromes
OAK 3 - Non-arthroplasty tx of OAK
Conventional radiofrequency (CRF) is an interventional chronic pain treatment method with the use of electromagnetic waves at the frequency of radio waves (or higher) consisting in a controlled use of high temperature in order to destroy sympathetic and/or sensory fibres. Application time equals 60s and the temperature...
0
Fee-based care is important for access to prompt treatment of hip fractures among veterans
HipFx Supplemental Cost Analysis
BACKGROUND: Hip fracture is a medical emergency for which delayed treatment increases risk of disability and death. In emergencies, veterans without access to a Veterans Administration (VA) hospital may be admitted to non-VA hospitals under fee-based (NVA-FB) care paid by the VA. The affect of NVA-FB care for treatment...
0
Quantitative ultrasound of the heel and fracture risk assessment: an updated meta-analysis
Management of Hip Fractures in the Elderly
Meta-analysis of prospective studies shows that quantitative ultrasound of the heel using validated devices predicts risk of different types of fracture with similar performance across different devices and in elderly men and women. These predictions are independent of the risk estimates from hip DXA measures. INTRODUC...
0
Preoperative plasma B-type natriuretic peptide (BNP) identifies abnormal transthoracic echocardiography in elderly patients with traumatic hip fracture
Management of Hip Fractures in the Elderly
INTRODUCTION: This prospective study was designed to evaluate whether preoperative plasma brain natriuretic peptide (BNP) could identify significant preoperative cardiovascular disease in elderly hip-fractured patients. PATIENTS AND METHODS: Preoperative plasma BNP measurement and rest transthoracic echocardiography (T...
0
Human cartilage from late stage familial osteoarthritis transcribes type II collagen mRNA encoding a cysteine in position 519
Surgical Management of Osteoarthritis of the Knee CPG
A single base change resulting in the substitution of Cys for Arg at position 519 of the type II collagen triple helix is a predisposing factor in the pathogenesis of a precocious-onset form of familial osteoarthritis associated with a mild chondrodysplasia. Cartilage obtained at the time of total knee replacement in a...
1
Magnetic resonance imaging after endoscopic carpal tunnel release
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
PURPOSE: To determine with magnetic resonance imaging (MRI) the morphologic changes in the carpal tunnel and median nerve 3 months after endoscopic carpal tunnel release (ECTR). METHODS: We enrolled patients who had complete resolution of numbness and pain by 6 weeks after ECTR. Patients who met these inclusion criteri...
1
Trauma centre experience: flap reconstruction of traumatic lower limb injuries
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Decision-making in the management of combined major skeletal and soft tissue trauma to the lower limb is a complex process made more difficult by the uncertainty surrounding outcomes. The aim of this study was to review and present our experience with flap reconstruction of traumatic lower limb defects, wit...
0
Treatment of fractures of the femoral neck by replacement with the Thompson prosthesis
Management of Hip Fractures in the Elderly
The case histories of 361 subcapital fractures of the femoral neck in 354 patients treated by primary replacement with the cemented Thompson prosthesis were reviewed, and 156 survivors were seen at follow-up. The average age was eighty-one years. Three hundred and thirty fractures occurred in women and thirty-one in me...
1
Cemented Vs Uncemented modular Bipolar hemiarthroplasty treatment for femoral neck fracture in elderly patients
Hip Fx in the Elderly 2019
Objectives Femoral neck fractures in the elderly are associated with high morbidity and mortality. The optimal treatment remains controversial regarding the use of cement in hemiarthroplasty when treating a displaced femoral neck fracture in elderly patients. The primary hypothesis of this study was that the use of cem...
0
Factors influencing further acupuncture usage and a more positive outcome in patients with osteoarthritis of the knee and the hip: a 3-year follow-up of a randomized pragmatic trial
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Considering the chronicity of osteoarthritis-associated pain, we aimed to evaluate long-term outcome differences between patients who received immediate or delayed acupuncture in addition to usual care, and to identify predictors for further acupuncture usage and a better long-term outcome. MATERIALS AND MET...
0
Revision total hip replacement without trochanteric osteotomy
DoD SSI (Surgical Site Infections)
Revision total hip replacement has traditionally required a trochanteric osteotomy for successful cement removal and component reinsertion. In this study the authors have concluded that in most instances the revision total hip replacement procedure can be successfully performed without trochanteric osteotomy. The advan...
0
Chronic pain in multi-traumatized outpatients with a refugee background resettled in Norway: a cross-sectional study
DoD PRF (Psychosocial RF)
BACKGROUND: Traumatized refugees often report significant levels of chronic pain in addition to posttraumatic stress disorder symptoms, and more information is needed to understand pain in refugees exposed to traumatic events. This study aimed to assess the frequency of chronic pain among refugee psychiatric outpatient...
0
Steroids in regional analgesia
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Importance of the field: Local injections of steroids have been widely practiced to provide regional analgesia for the treatment of a wide variety of musculoskeletal pain syndromes. However, evidence regarding the effectiveness of steroid injections is not substantial. Also, there have been reports of catastrophic comp...
0
Recent advances in the treatment of hip fractures in the elderly
AAHKS (9/10) Regional Nerve Blocks
The treatment of hip fractures in the elderly represents a major public health priority and a source of ongoing debate among orthopaedic surgeons and anesthesiologists. Most of these injuries are treated with surgery in an expedient fashion. From the surgical perspective, there are certain special considerations in thi...