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0 | Treatment of the benign lytic lesions of the proximal femur with synthetic bone graft | Hip Fx in the Elderly 2019 | BACKGROUND: Benign bone tumors and tumor-like conditions are commonly located in the proximal femur. The main indications for surgical treatment are lesions with impending or actual pathological fractures, or with aggressive or recurrent lesions. However, patients complaining of persistent pain, limping, or abnormal ga... |
0 | Italian Society for Rheumatology recommendations for the management of hand osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Hand osteoarthritis (OA) is a common and potentially disabling disease, with different features from hip and knee OA so that a specific therapeutic approach is required. Evidence based recommendations for the management of hand OA were developed by the European League Against Rheumatism (EULAR) in 2006. The Italian Soc... |
0 | Perioperative solutions for rapid recovery joint arthroplasty: Get ahead and stay ahead | PJI DX Updated Search | Rapid recovery after total joint arthroplasty requires patients to get ahead and stay ahead or the four impediments to early rehabilitation and discharge: volume depletion, blood loss, pain, and nausea. Adequate volume resuscitation starts before entering the operating room and focuses on intravenous fluids rather than... |
0 | Hip protectors for preventing hip fractures in older people | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture in older people usually results from a fall on the hip. Hip protectors have been advocated as a means to reduce the risk of hip fracture. OBJECTIVES: To determine if external hip protectors reduce the incidence of hip fractures in older people following a fall. SEARCH STRATEGY: We searched the ... |
0 | Neuroimmunophilin ligands: evaluation of their therapeutic potential for the treatment of neurological disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Neuroimmunophilin ligands are a class of compounds that hold great promise for the treatment of nerve injuries and neurological disease. In contrast to neurotrophins (e.g., nerve growth factor), these compounds readily cross the blood-brain barrier, being orally effective in a variety of animal models of ischaemia, tra... |
0 | Use of the microdebrider for treatment of fibrous gynaecomastia | Panniculectomy & Abdominoplasty CPG | BACKGROUND: In the quest for reduced scars and better aesthetic outcomes in minimally invasive surgical techniques for gynaecomastia, suction-assisted lipoplasty and ultrasound-assisted lipoplasty are now considered accepted recent advancements. Nevertheless, the fibrous glandular breast disc encountered in young, thin... |
0 | Long-term complications of total body irradiation in adults | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: To report long-term pulmonary, thyroid, and ocular complications in patients who had conditioning regimens including total body irradiation (TBI) before bone marrow transplantation (BMT).
METHODS AND MATERIALS: Between June 1986 and December 1995, 478 patients received TBI in our institution. The present study... |
0 | Radiographic assessment in the treatment of supracondylar humerus fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: Supracondylar humerus fractures are the most common fractures of the humerus at the elbow in children. The key role belongs to the age and immaturity of the humerus region. Treatment, even today represents the problem of bone and joint surgery. Gartland classification divides these fractures into four typ... |
1 | A comparative study on the effectiveness of two different devices in the management of developmental dysplasia of the hip in infants | Developmental Dysplasia of the Hip 2020 Review | AIM: The aim of this paper was to compare the results of treatment of developmental dysplasia of the hip (DDH) with two different devices. METHODS: In 118 DDH, authors employed, in a blinded randomized study, Teuffelâ?Mignon (TF) and Coxaâ?Flex (CF) devices. In this study checked 51 hips type IIC; 43 type IID; 15 typ... |
0 | Effect on Blood Loss and Cost-Effectiveness of Pain Cocktails, Platelet-Rich Plasma, or Fibrin Sealant After Total Knee Arthroplasty | AAHKS (2) Corticosteroids | This study evaluated the effect of periarticular pain cocktail, platelet-rich plasma, or fibrin sealant injections on blood loss, transfusion rate, and hospital costs after total knee arthroplasty. A retrospective review of 400 patients undergoing primary total knee arthroplasty with one of the different periarticular ... |
1 | Dermal flaps in breast reduction: prospective study in 100 breasts | Reduction Mammoplasty for Female Breast Hypertrophy | The most common complication of breast reduction with inverted T-scar technique is wound dehiscence at the junction of the vertical and horizontal sutures. In this study, a technique involving three triangular dermal flaps is presented with the results for healing in the junctional T zone. Fifty women were included in ... |
0 | Clinical outcome of endoprosthetic replacement for failed treatment of intertrochanteric fractures: A retrospective case series | Management of Hip Fractures in the Elderly | Objective: The treatment methods for the failed internal fixation in elderly patients suffering from several osteoporostic fractures are still inconclusive. We aimed to evaluate the clinical effects of endoprosthetic replacement for failure treatment of intertrochanteric fracture. Methodology: A total of 13 patients wi... |
0 | Locking compression plate in musculoskeletal oncology 'a friend in need' | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: We are presenting our experience in the use of locking compression plate (LCP) after juxta-articular oncological resections in addition to its use in pathologic fracture.
METHODS: A retrospective audit of skeletal reconstruction using LCP in 25 cases of long bone tumors was performed from 2008 to 2010. Reco... |
0 | Statins for osteoporosis in postmenopausal women | Management of Hip Fractures in the Elderly | This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the efficacy and safety of statins therapy for osteoporosis in postmenopausal women |
0 | Effects of Exergame on Patients' Balance and Upper Limb Motor Function after Stroke: A Randomized Controlled Trial | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Stroke is a major cause of motor incapacity in adults and the elderly population, requiring effective interventions capable of contributing to rehabilitation. Different interventions such as use of exergames are being adopted in the motor rehabilitation and balance area, as they act as motivating instrument... |
1 | The unreamed AO femoral intramedullary nail, advantages and disadvantages of a new modular interlocking system: A prospective study of 67 cases | MSTS 2018 - Femur Mets and MM | Compared with the Reamed Femoral Nail (RFN), the Unreamed Femoral Nail (UFN) has some theoretical advantages. It can also be used for subtrochanteric fractures and ipsilateral fractures of the femoral neck, there is less iatrogenic damage to the vascularisation of the bone, the risk of fat embolism syndrome and ARDS is... |
0 | Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle | MSTS 2022 - Metastatic Disease of the Humerus | Background: The shoulder girdle is a common site for malignant bone and soft tissue tumors. Total scapulectomy represents an attractive alternative to amputation when the whole scapula is invaded with tumor and the neurovascular bundle can be preserved during tumor resection. The purpose of this study was to investigat... |
0 | Recomendaciones prácticas para el manejo perioperatorio del paciente con sospecha o infección grave por coronavirus SARS-CoV-2 | Coronavirus Disease 2019 (COVID-19) | In December 2019, the Wuhan Municipal Health and health Commission (Hubei Province, China) reported a series of cases of pneumonia of unknown etiology. On January 7, 2020, the Chinese authorities identified as a causative agent of the outbreak a new type of virus of the Coronaviridiae family, called SARS-CoV-2. Since t... |
0 | Managing Complications in Vertical Mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | In this paper, we describe our experience with the Lejour vertical scar mammaplasty from its description throughout 25 years of practice. Our work aims to focus on reducing vertical scar mammaplasty complications by examining results, studying how to avoid unfavorable consequences, and providing new tips to improve the... |
0 | Significance of the Lateral Humeral Line for Evaluating Radiocapitellar Alignment in Children | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The radiocapitellar line (RCL) was originally described for evaluation of the alignment of the RC joint on lateral images of the elbow. Although, many authors have translated the utilization of RCL into coronal imaging, previous studies have not been performed to confirm validity. The purpose of this paper ... |
0 | Gait Patterns After Intraarticular Treatment of Patients With Osteoarthritis of the Knee | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is the most common chronic joint disease of the aging patient. The primarily affected joints are the knee and hip. The progress of the disease has an important influence on the patient´s life, including functional and social activities, body image and emotional well being. Furthermore, socioeconomi... |
0 | Perioperative myocardial infarction in elderly patients with hip fracture. Is there a role for early coronary angiography? | Hip Fx in the Elderly 2019 | OBJECTIVES: To evaluate the effects of perioperative myocardial infarction in patients with hip fracture referred to multidisciplinary unit at a tertiary teaching hospital.
METHODS: 1030 patients with hip fracture underwent troponin measurement, electrocardiogram and echocardiogram at admission, 24 and 48h after surger... |
0 | Obesity and the Relative Risk of Knee Replacement Surgery in Patients With Knee Osteoarthritis: A Prospective Cohort Study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: It is unclear what impact obesity has on the progression of knee osteoarthritis (OA) from diagnosis to knee replacement surgery. This study was undertaken to examine the relative risk of knee replacement surgery in overweight and obese patients who were newly diagnosed as having knee OA in a community settin... |
0 | Functional bracing of Colles' fractures | Distal Radius Fractures | Colles' fracture is one of the most common injuries encountered in orthopaedic practice and yet there is no optimum method for its management. Various operative treatments have been proposed because of the instability of the fracture following reduction. However, considering the epidemiology of the fracture, the majori... |
0 | Ossifying neuropathy of the median nerve at level of the distal forearm and carpal tunnel in a patient with familial history of heterotopic calcification | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We report an uncommon case of heterotopic ossification affecting the median nerve at the level of the distal forearm and carpal tunnel with some unusual features: its length, the concomitant involvement of the ulnar nerve at Guyon's canal and a positive family history of heterotopic ossification |
0 | A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture | Management of Hip Fractures in the Elderly | Copyright release for this abstract has not been granted |
0 | Histologic, Molecular, and Clinical Evaluation of Explanted Breast Prostheses, Capsules, and Acellular Dermal Matrices for Bacteria | Acellular Dermal Matrix | BACKGROUND: Subclinical infections, manifest as biofilms, are considered an important cause of capsular contracture. Acellular dermal matrices (ADMs) are frequently used in revision surgery to prevent recurrent capsular contractures. OBJECTIVE: We sought to identify an association between capsular contracture and biofi... |
0 | The role of antiresorptive therapies in improving patient care in early and metastatic breast cancer | MSTS 2018 - Femur Mets and MM | Breast cancer is the second most common cancer among American women and has a high rate of metastasis to bone. Patients regularly undergo adjuvant therapy (chemotherapy or hormonal therapy) following surgical resection of the tumor. In addition to potential direct effects on bone cells, both chemotherapy and hormonal t... |
0 | Pamidronate in bone lesions of multiple myeloma | MSTS 2018 - Femur Mets and MM | Bone lesions in multiple myeloma have been a difficult condition to treat. Some times it produces severe bone pain. We used Pamidronate in nine cases of multiple myeloma with advanced lytic bone lesion (stage III) with severe bone pain, during the last 18 months. All except one patient, received pamidronate 60 mg IV, a... |
0 | Hemi-arthroplasty for distal radius fracture in the independent elderly | Distal Radius Fractures | INTRODUCTION: The authors report their experience with hemi-arthroplasty in irreparable fresh distal radius fracture in independent elderly patients as first-line treatment (12 fractures in 11 women; mean age, 74 years) or in second line after clinically disabling primary failure (4 fractures in 4 women; mean age, 78 y... |
0 | Primary hemiarthroplasty for the elderly patient with cognitive dysfunction and a displaced femoral neck fracture: a prospective, observational cohort study | Hip Fx in the Elderly 2019 | Background: At least one-third of hip fracture patients have some degree of impaired cognitive status, which may complicate their postoperative rehabilitation. Aim: We aimed to describe the outcome for elderly patients with cognitive dysfunction operated with hemiarthroplasty (HA) for a femoral neck fracture and to stu... |
0 | Ultrasound evaluation of costochondral abnormalities in children presenting with anterior chest wall mass | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: The purpose of this article is to summarize our experience with the use of ultrasound for evaluation of costochondral cartilage deformity in patients presenting with an anterior chest wall mass. MATERIALS AND METHODS: From 2007 to 2012, we identified all patients at our tertiary care children's hospital youn... |
1 | Comparison of the reconstruction trochanteric antigrade nail (TAN) with the proximal femoral nail antirotation (PFNA) in the management of reverse oblique intertrochanteric hip fractures | Hip Fx in the Elderly 2019 | Reverse oblique intertrochanteric fractures have unique mechanical characteristics and are often treated with intramedullary implants. We compared the outcomes of the reconstruction trochanteric antegrade nail (TAN) with the proximal femoral nail antirotation (PFNA). Between July 2008 and February 2014, we reviewed all... |
0 | Neuraxial anesthesia and new anticoagulant/antiplatelet drugs: The new ESA guidelines | Surgical Management of Osteoarthritis of the Knee CPG | Spinal epidural hematomas are a rare but devastating complication after neuraxial blockade. An increased risk has been associated with the use of anticoagulants and clotting disorders. Recent case series indicate that the incidence of spinal epidural hematoma varies between 1:2700 and 1:19,505 indicating that this cont... |
0 | Non-melanoma skin cancer: United Kingdom National Multidisciplinary Guidelines | Reconstruction After Skin Cancer | This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. This paper provides consensus recommendations on the management of cutaneous basal cell carcinoma and squamous cell carcinoma in the head and neck region on the basis of current evidenc... |
0 | Safety of immediate breast reconstruction | Reduction Mammoplasty for Female Breast Hypertrophy | The benefits of immediate breast reconstructions (IBR) compared with late reconstructions are one operation instead of two and excellent aesthetic result with the skin-sparing mastectomy technique. Indications for mastectomy vary from risk reduction of healthy women to preinvasive, invasive and locally recurrent breast... |
0 | Ceramic-on-ceramic bearings in young patients: Outcomes and activity levels at minimum ten-year follow-up | AAHKS (2) Corticosteroids | We report the clinical and radiological outcomes of a series of contemporary cementless ceramic-on-ceramic total hip replacements (THRs) at ten years in patients aged â?¤ 55 years of age. Pre- and post-operative activity levels are described. A total of 120 consecutive ceramic cementless THRs were performed at a single... |
0 | Dynamic external fixation for stabilization of nonunions | DoD SSI (Surgical Site Infections) | Twenty-five long-bone nonunions were stabilized until healing with a dynamic axial fixator (DAF). Seventeen cases were culture positive and ten had open draining wounds. Five cases had segmental gaps larger than 3 cm. In addition to the DAF, infected atrophic cases received debridement, coverage, and bone graft. Cases ... |
0 | Combined mechanical and antibiotic periodontal therapy in a case of Papillon-Lefevre syndrome | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Papillon Lefevre syndrome (PLS) is a rare entity and, as such, it is almost impossible to evaluate an effective therapy in a randomized controlled study. The amount of success reported after therapy for prepubertal periodontitis (PP) in PLS is highly variable from case to case. The goal of this case report ... |
0 | Diagnosis of spontaneous cervical artery dissection may be associated with increased prevalence of posttraumatic stress disorder | DoD PRF (Psychosocial RF) | BACKGROUND: Receiving information that one has a dissected cervical artery, which can cause a stroke at any time, is obviously traumatic, but details about the psychiatric and psychosocial sequelae are not known. We investigated the prevalence of and risk factors for posttraumatic stress disorder (PTSD) in patients wit... |
0 | Cost analysis of fracture of the neck of femur | Management of Hip Fractures in the Elderly | A detailed cost analysis of fractures of the neck of femur in elderly patients has been conducted at Aberdeen Royal Infirmary. The aims of this study were as follows: (1) to show that the use of average orthopaedic bed day costs can lead to an overestimation of costs; (2) to identify the key explanatory variables of hi... |
0 | High-resolution in vivo imaging of bone and joints: a window to microarchitecture | Distal Radius Fractures | Imaging is essential to the evaluation of bone and joint diseases, and the digital era has contributed to an exponential increase in the number of publications on noninvasive analytical techniques for the quantification of changes to bone and joints that occur in health and in disease. One such technique is high-resolu... |
1 | Current approach to diagnosis and management of osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis (OA) is a common chronic degenerative joint disorder, and a major cause of pain and disability, especially in the elderly. The prevalence is steadily rising because of an increase in life expectancy and certain lifestyle factors. OA is a complex dynamic process, involving all tissues of the joint organ. ... |
0 | Kinematics of monoblock bicompartmental knee arthroplasty during weight-bearing activities | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: There is an increased interest in treating arthritis of the medial and patellofemoral compartments without using a total knee arthroplasty. The purpose of this study was to measure kinematics in knees with a monoblock bicompartmental arthroplasty to see whether maintaining the cruciate ligaments and lateral co... |
0 | Treatment Decisions for Advanced Genitourinary Cancers: From Symptoms to Risk Assessment | MSTS 2018 - Femur Mets and MM | Context: Current and emerging treatment options for advanced prostate, renal, and bladder cancer were discussed at the annual Interactive Genitourinary Cancer Conference (IGUCC) held in February 2009 in connection with the 2nd World Congress on Controversies in Urology (CURy). Objective: To provide practical clinical g... |
0 | Infectious emergencies in patients with diabetes mellitus | DoD LSA (Limb Salvage vs Amputation) | Necrotizing soft tissue infections may involve skin, subcutaneous tissues, fascia, or muscle. A disproportionate number of cases occur in patients with underlying diabetes mellitus. These infections are usually polymicrobial with both aerobes and anaerobes being represented. Most infections originate from decubitus ulc... |
0 | Cyclic sequential compression of the lower limb in prevention of deep venous thrombosis | Management of Hip Fractures in the Elderly | Patients undergoing operations on the hip for either replacement or fracture were chosen for this study. Fifty-two subjects received cyclic sequential compression as well as elevation of the lower limb while another fifty-two patients were treated with only elevation of the lower limb. No other method of prophylaxis fo... |
0 | Wear debris associated with a large lateral femoral condyle cyst following an Oxford medial unicompartmental knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | A 63-year-old gentleman presented with a history of worsening left knee pain almost 5 years following bilateral uni-compartmental knee replacements. X-Rays revealed a fracture of the medial tibial plateau and revision surgery was undertaken. A large cyst was found in the lateral femoral condyle, which extended from the... |
0 | Associations of Emotional, Physical, or Sexual Intimate Partner Violence and Depression Symptoms Among South African Women in a Prospective Cohort Study | DoD PRF (Psychosocial RF) | Violence against women remains a significant public health problem globally. The majority of longitudinal studies documenting the negative impact of intimate partner violence (IPV) on the mental health of women come from high-income countries. The aim of this study was to investigate the longitudinal association betwee... |
0 | Age-related decline of bone mass and intestinal calcium absorption in normal males | Management of Hip Fractures in the Elderly | Although about 25% of all hip fractures occur in men, little is known about the pattern of their age-related bone loss and its main determinants. The aim of this cross-sectional study was to evaluate the age-related changes of intestinal calcium absorption, bone mass, and bone turnover in normal men. In 70 normal males... |
0 | Anatomic risk factor for meniscal lesion in association with ACL rupture | AMP (Acute Meniscal Pathology) | BACKGROUND: To assess anatomic risk factors for meniscal lesions in association with acute ACL rupture. The primary hypothesis was that tibiofemoral anatomic measures will be different in those with and without concomitant meniscus tears.
METHODS: A retrospective review of patients who underwent acute ACL reconstructio... |
0 | Is aseptic loosening truly aseptic? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Surgeons who treat osteomyelitis or infected implants think that microorganisms can live on and around implanted biomaterials and necrotic bone without clinical manifestations of infection. Gristina and Costerton, in their seminal work, suggested that such bacteria persist within biofilms and that they are often overlo... |
0 | Mucormycosis in head and neck area - the emerging health problem in COVID-19 pandemic. The perspective of a dental practitioner | Dental Implant Infection | Mucormycosis is an invasive fungal disease caused by saprophytic molds and is characterized by a fulminant course and high mortality. Reported increase of disease cases and more frequent mucormycosis superinfections in COVID-19 patients are of a serious concern. Head and neck area is the most typical location of mucorm... |
0 | Robot-assisted posterior retroperitoneoscopic adrenalectomy using single-port access: technical feasibility and preliminary results | PJI DX Updated Search | BACKGROUND: Posterior retroperitoneoscopic adrenalectomy (PRA) has several benefits compared with transperitoneal adrenalectomy in that it is safe and has a short learning curve. In addition, it provides direct short access to the target organ, prevents irritation to the intraperitoneal space, and does not require retr... |
0 | Anterior Meniscal Root Repair Using a Transtibial Double-Tunnel Pullout Technique | AMP (Acute Meniscal Pathology) | The menisci are important structures within the knee and play a critical role in maintaining proper stability, load distribution, and joint lubrication. Injury to these structures can significantly alter the complex biomechanics of the knee and thus affect the health and longevity of the joint. Meniscal root tears are ... |
0 | Segmental bone deficiency after acute trauma. The role of bone transport | DoD SSI (Surgical Site Infections) | Bone transport, along with allied techniques of compression distraction, offer exciting new treatment alternatives for the difficult problem of segmental bone loss from acute trauma. Many factors must be considered before indicating these treatment methods, because it is clear that many of the problems that existed wit... |
0 | Effects of Gait Retraining on Lower Extremity Biomechanics | OAK 3 - Non-arthroplasty tx of OAK | A randomized controlled study design with a waitlist will be used to investigate the effects of a 10â?week gait retraining intervention on the knee adduction moment. Participants will be randomly assigned to either the intervention group or the control group. The intervention group will be further split into two group... |
0 | Infection risk prevention following total knee arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | INTRODUCTION: Implant infection is serious; prevention is mandatory, and requires assessment.The present study assessed the incidence of deep surgical-site infection (SSI) at 1 year following total knee arthroplasty (TKA) and adherence to skin preparation, antibiotic prophylaxis,screening and prevention in case of meth... |
0 | Motor recovery patterns in arm muscles: Coupled bilateral training and neuromuscular stimulation | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Neuromuscular stimulation coupled with bilateral movements facilitates functional motor recovery of the upper extremities post stroke. This study investigated electromyography activation patterns during training. The leading question asked: Do EMG activation patterns show rehabilitative effects of coupled b... |
0 | Ultrasound of the infant hip: manual fixation is equivalent to Graf's technique regarding image quality-a randomized trial | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: In Middle Europe ultrasonography is the standard method used to screen for developmental dysplasia of the hip in infants. Our aim was to determine whether manual fixation of the child is equivalent to Graf's technique regarding image quality. METHODS: This randomized trial was conducted at a free-standing g... |
0 | Risk factors and distribution of symptomatic venous thromboembolism in total hip and knee replacements: prospective study | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Venous thromboembolism (VTE) is a common complication of orthopaedic surgery in the industrialised world; though there may be variability between population groups. This study aims to define the incidence and risk factors for symptomatic VTE following primary elective total hip and knee arthoplasty surgery in ... |
0 | Metastatic abdominal implants of endometrial carcinoma demonstrated on 99m-Tc-methylene diphosphonate bone scan | MSTS 2018 - Femur Mets and MM | Metastatic serosal and omental implants from a primary papillary endometrial carcinoma were well demonstrated by radionuclide uptake on a bone scan utilizing 99mTc-methylene diphosphonate. Imaging of an endometrial malignancy by a 99mTc-labeled phosphate compound has not previously been reported. While the exact mechan... |
1 | Corrigendum: A pragmatic randomised controlled trial comparing the efficacy of a femoral nerve block and periarticular infiltration for early pain relief following total knee arthroplasty (Bone and Joint Journal (2017) 99-B (904-911) DOI: 10.1302/0301-620X.99B7.BJJ-2016-0767.R2) | AAHKS (8) Anesthetic Infiltration | The authors regret a discrepancy in the numbers in Figure 1. The correct version can be found online. |
0 | Survival and functional outcome after revision of a unicompartmental to a total knee replacement: The New Zealand National Joint Registry | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We reviewed the rate of revision of unicompartmental knee replacements (UKR) from the New Zealand Joint Registry between 1999 and 2008. There were 4284 UKRs, of which 236 required revision, 205 to a total knee replacement (U2T) and 31 to a further unicompartmental knee replacement (U2U). We used these data to establish... |
0 | Effects of payment changes on trends in post-acute care | Management of Hip Fractures in the Elderly | OBJECTIVE: To test how the implementation of new Medicare post-acute payment systems affected the use of inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and home health agencies. DATA SOURCES: Medicare acute hospital, IRF, and SNF claims; provider of services file; enrollment file; and Ar... |
0 | "Femoroacetabular impingement". Legg-Calve-Perthes disease: From childhood to adulthood | PJI DX Updated Search | Objectives: The objective of this study was to investigate cases of femoroacetabular impingement (FAI) and analyze the risk factors for a painful hip at skeletal maturity after Perthes disease. We hypothesized that FAI occurs as a sequela of Perthes disease and that coxa plana and triple osteotomy of the pelvis (TOP) m... |
0 | Characterizing the Saddlebag Deformity After Lower Body Lift | Panniculectomy & Abdominoplasty CPG | Background: One of the commonly cited sequelae of lower body lift is recurrence of the saddlebag deformity. However, there are currently no data that characterize the evolution of the saddlebag following lower body lift, nor is there a classification scheme to objectively quantify the severity of the deformity. Objecti... |
0 | MRI based 3D finite element modelling to investigate deep tissue injury | Panniculectomy & Abdominoplasty CPG | Pressure ulcers occur due to sustained mechanical loading. Deep tissue injury is a severe type of pressure ulcer, which is believed to originate in subcutaneous tissues adjacent to bony prominences. In previous experimental-numerical studies the relationship between internal tissue state and damage development was inve... |
0 | Hepatic artery infusion with 5-fluorouracil and mitomycin-C in metastatic colorectal carcinoma phase II study | MSTS 2018 - Femur Mets and MM | Thirty-two patients with hepatic metastases colorectal carcinoma were treated with hepatic artery infusion (HAI) employing 5-fluorouracil (5-FU) and mitomycin-C (mito-C). Catheters were placed percutaneously via the femoral artery. Two schedules were employed: (I) 5-FU 1,200 mg/m2 IA (D1-4) and mito-C 8 mg/m2 IA (D1 + ... |
0 | Optic disc imaging with spectral-domain optical coherence tomography: variability and agreement study with Heidelberg retinal tomograph | Upper Eyelid and Brow Surgery | OBJECTIVE: To evaluate the agreement of optic disc measurements obtained with the Cirrus high-density optical coherence tomography (HD-OCT) and the Heidelberg retina tomograph (HRT) and compare the intervisit, test-retest variability between the instruments. DESIGN: Prospective, cross-sectional study. PARTICIPANTS: Two... |
0 | Neuro-ophthalmologic manifestations of psychogenic disease | Upper Eyelid and Brow Surgery | From a neuro-ophthalmologic standpoint, five areas may be affected by psychogenic disease: (1) vision, including visual acuity and visual field; (2) ocular motility and alignment; (3) pupillary size and reactivity; (4) eyelid position and function; and (5) corneal and facial sensation. The physician faced with a patien... |
0 | Risk factors for major complications after surgery for neuromuscular scoliosis | DoD SSI (Surgical Site Infections) | STUDY DESIGN. Retrospective, case series. OBJECTIVE. To determine the prevalence of major complications and to identify factors that increase the risk of complications in patients undergoing surgery for neuromuscular scoliosis. SUMMARY OF BACKGROUND DATA. Complications after surgery for neuromuscular scoliosis are more... |
1 | Comparison of intraarticular bupivacaine-dexmedetomidine and bupivacaine-magnesium sulfate for postoperative analgesia in arthroscopic meniscectomy: a randomized controlled clinical trial | AMP (Acute Meniscal Pathology) | BACKGROUND: Arthroscopic meniscus surgery can lead to pain at various levels. In this study, we aimed to compare, in patients undergoing arthroscopic meniscectomy under spinal anesthesia, the efficacy of the combination of magnesium sulfate and dexmedetomidine with local anesthetics administered intraarticularly for po... |
0 | Traumatic Pediatric Orthopedic Emergencies: An Approach to Evaluation and Management | DOD - Acute Comp Syndrome CPG | Pediatric orthopedic injuries are commonly seen in emergency departments, and each injury has a unique management plan that differs from interventions in the adult population. This is largely attributed to the open physes in skeletally immature children, creating a "weak link" for fracture sites to occur. With advancem... |
1 | Closed suction surgical wound drainage after orthopaedic surgery | DoD SSI (Surgical Site Infections) | BACKGROUND: Closed suction drainage systems are frequently used to drain fluids, particularly blood, from surgical wounds. The aim of these systems is to reduce the occurrence of wound haematomas and infection.
OBJECTIVES: To evaluate the effectiveness of closed suction drainage systems for orthopaedic surgery.
SEARCH ... |
0 | Interleukin-6 and transforming growth factor-beta 1 control expression of cathepsins B and L in human lung epithelial cells | MSTS 2018 - Femur Mets and MM | Cathepsins B and L are commonly expressed cysteine proteinases that play a major role in lysosomal bulk proteolysis, protein processing, matrix degradation, and tissue remodeling. Cathepsins are also implicated in tumor progression and metastasis, tissue injury, and inflammation. Cells at sites of inflammation often sh... |
0 | Rehabilitation after falls and fractures | Management of Hip Fractures in the Elderly | Falls are one of the most common geriatric problems threatening the independence of older persons. Elderly patients tend to fall more often and have a greater tendency to fracture their bones. Fractures occur particularly in osteoporotic people due to increased bone fragility, resulting in considerable reduction of qua... |
0 | Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee reinjury after ACL reconstruction is common and increases the risk of osteoarthritis. There is sparse evidence to guide return to sport (RTS) decisions in this population. OBJECTIVES: To assess the relationship between knee reinjury after ACL reconstruction and (1) return to level I sports, (2) timing ... |
0 | Hip, thigh and calf muscle atrophy and bone loss after 5-week bedrest inactivity | Management of Hip Fractures in the Elderly | Unloaded inactivity induces atrophy and functional deconditioning of skeletal muscle, especially in the lower extremities. Information is scarce, however, regarding the effect of unloaded inactivity on muscle size and function about the hip. Regional bone loss has been demonstrated in hips and knees of elderly orthopae... |
0 | Obesity Trends Among US Adults With Doctor-Diagnosed Arthritis 2009-2014 | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Arthritis and obesity are common co-occurring conditions that can increase disability and the risk of adverse outcomes (e.g., total knee replacement).
METHODS: We estimated recent obesity trends among adults with arthritis from 2009 to 2014, overall and by various sociodemographic and health characteristics ... |
1 | Difficulties in diagnosing and managing congenital dislocation of the hip | Developmental Dysplasia of the Hip CPG | In a 10-year retrospective study of 25 921 consecutive deliveries in a neonatal unit in Newcastle upon Tyne 271 cases of congenital dislocation of the hips were identified. Of these, the outcome was unsatisfactory in 12: four diagnoses were missed at birth and eight children required further surgical treatment. Radiolo... |
0 | Incidence of periprosthetic fractures after hip hemiarthroplasty: Are uncemented prostheses unsafe? | PJI DX Updated Search | Displaced intracapsular fractures of the neck of femur are routinely treated in the elderly with either cemented or uncemented hemiarthroplasty. Recent evidence suggests a superior outcome with the use of cement, but uncemented prostheses are still employed for those with multiple co-morbidities or particular frailty. ... |
0 | Poor interobserver reliability of AO classification of fractures of the distal radius | Distal Radius Fractures | Interobserver reliability of the AO system of classification of fractures of the distal radius was assessed using plain radiographs and CT. Five observers classified 30 Colles'-type fractures using only plain radiographs; two months later they were reclassified using CT in addition. Interobserver reliability was poor i... |
0 | Opportunistic Osteoporosis Screening - Gleaning Additional Information from Diagnostic Wrist CT Scans | Distal Radius Fractures | BACKGROUND: Although screening for and treating osteoporosis can prevent subsequent fractures, the rates of such interventions are low following a distal radial fracture. One potential method for identifying metabolic bone disease is via Hounsfield unit (HU) measurements from diagnostic computed tomography (CT) scans. ... |
0 | Comparison of short-therm results of conservative versus operative treatment of distal ulna fractures associated with distal radius fracture treated by plate osteosynthesis | Distal Radius Fractures | PURPOSE OF THE STUDY The study aims to evaluate and compare the results of conservative and operative treatment of individual types of distal ulna fractures associated with distal radius fracture treated by plate osteosynthesis and to verify the conclusions of the other authors regarding the recommended therapeutic pro... |
0 | Randomized trial of oral versus intravenous acetaminophen for postoperative pain control | AAHKS (8) Anesthetic Infiltration | PURPOSE: Results of a study comparing pain control outcomes with preoperative oral versus intraoperative i.v. acetaminophen use in adults undergoing total hip or knee arthroplasty are reported.
METHODS: A single-center, randomized, placebo-controlled, equivalence trial was conducted. Patients were assigned (1:1) to rec... |
0 | Evaluation of the medial soft-tissue restraints of the extensor mechanism of the knee | DoD LSA (Limb Salvage vs Amputation) | We performed an anatomical dissection of the medial soft-tissue retinacular fibers that restrain lateral patellar displacement and found that the medial patellofemoral ligament inserts not only on the patella but also on the undersurface of the distal aspect of the quadriceps mechanism. The deep capsular layer containe... |
0 | Continuous Adductor Canal Versus Continuous Femoral Nerve Blocks: Relative Effects on Discharge Readiness Following Unicompartment Knee Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: We tested the hypothesis that, following unicompartment knee arthroplasty, a continuous adductor canal block decreases the time to reach 4 discharge criteria compared with a continuous femoral nerve block.
METHODS: Subjects were randomized to either an adductor canal or femoral perineural catheter (2-day ro... |
0 | Use of joint fluid analysis for determining cartilage damage in osteonecrosis of the knee | BMAC (Bone Marrow Aspirate Concentrate) | OBJECTIVE: To assess the value of joint fluid analysis for determining cartilage degradation and prognosis in spontaneous osteonecrosis (ON) of the knee.
METHODS: Synovial fluid was obtained from 30 knees with spontaneous ON (26 medial femoral condyles, 4 medial tibial plateaus) as well as from 50 knees with medial com... |
0 | Incidence rates of surgically treated idiopathic carpal tunnel syndrome in blue- and white-collar workers and housewives in Tuscany, Italy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: Rates of surgically treated carpal tunnel syndrome (CTS) among blue- and white-collar workers and housewives in the general population were compared. METHODS: Surgically treated cases of idiopathic CTS were investigated among 25-59-year-old residents of Tuscany, Italy, during 1997-2000, based on obligatory ... |
0 | Orthoses for athletic overuse injuries. Comparison of two component materials | DoD PRF (Psychosocial RF) | Forty recreational and professional athletes were followed in this prospective study comparing the acceptability and effectiveness of two orthotic component materials commonly used in sports medicine. TL-2100 SF (semiflexible) was compared to 4.0-mm thick polypropylene in six different subjective categories. The subjec... |
0 | Factors in pin tract infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | To determine the factors pertinent to the etiology of pin tract infections, 214 pins in 42 patients were examined prospectively at the time of pin removal. Eighty-nine (41.6%) pin tracts were inflamed, 49 (22.9%) pins had loose anchorages, and 160 (74.8%) pin tips cultured positive for bacteria. The predominant organis... |
0 | Economic consequences of operative delay for hip fractures in a non-profit institution | DoD SSI (Surgical Site Infections) | This retrospective study evaluated the economic consequences of delaying hip fracture surgery in 191 elderly patients. Data was collected regarding fracture type, surgery, timing of surgery, background diseases, postoperative hospital stay, and complications. In addition, calculation of the drugs administered to the pa... |
0 | A Comparison of Naropin and Ketorolac for Postoperative Analgesia After Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | The purpose of this study is to determine wether ketorolac is effective in the treatment of postoperative pain after total knee arthroplasty |
0 | Integrative oncology - Yoga | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A growing body of evidence suggests regular practice of yoga can help control migraine, carpal tunnel syndrome, osteoarthritis, multiple sclerosis, asthma, hypertension, chronic low back pain, and irritable bowel syndrome.[1] Given the positive effects of yoga on chronic ailments, several groups have investigated its p... |
0 | Parkinsonâ??s disease and risk of hip fracture: An 8-year follow-up study in Taiwan | DoD PRF (Psychosocial RF) | Background: Patients with Parkinsonâ??s disease (PD) are subject to posture instability and falling. However, PD was not included as one of the risk factors in commonly used fracture risk calculation tools and the fracture rate in patients with PD was rarely reported. The aim of this study was to evaluate the risk of h... |
0 | Postoperative pain and the use of ultrasound-guided regional analgesia in pediatric supracondylar humerus fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | A total of 230 children undergoing closed reduction and percutaneous pinning of supracondylar humerus fractures were analyzed retrospectively. Severe pain (score â?¥ 7/10) was reported in 10% of general anesthesia-only patients in the postanesthesia care unit and in 28% of the 130 admitted patients. The 36 patients who... |
0 | The Exeter Short Revision Stem for Cement-in-Cement Femoral Revision: A Five to Twelve Year Review | Hip Fx in the Elderly 2019 | BACKGROUND: Cement-in-cement femoral revision is a proven technique in revision total hip arthroplasty, with excellent results reported using standard-sized Exeter stems. The Exeter 44/00/125 short revision stem was introduced in 2004 to facilitate cement-in-cement revision. The stem is 25-mm shorter and has a slimmer ... |
1 | Current concepts review: Lisfranc injuries | DoD LSA (Limb Salvage vs Amputation) | Lisfranc injuries are relatively rare, approximately 0.2% of all fractures, with an incidence of one per 55,000 persons yearly. These injuries are frequently misdiagnosed or there is a delay in the diagnosis. Treatment options published in the peer-reviewed literature are mostly retrospective case series (Level IV evid... |
0 | The incidence of venous thromboembolism following total knee arthroplasty: A prospective study by using computed tomographic pulmonary angiography in combination with bilateral lower limb venography | OAK 3 - Non-arthroplasty tx of OAK | Venous thromboembolism (VTE), presenting as deep vein thrombosis (DVT) and pulmonary embolism, is one of the major complications following total knee arthroplasty (TKA). We conducted this prospective observational study to identify the prevalence of VTE among patients undergoing TKA by using computed tomographic pulmon... |
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