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0 | Present day controversies and consensus in curettage for giant cell tumor of bone | Distal Radius Fractures | Background: The ideal treatment for giant cell tumor of bone (GCTB) is still controversial. The purpose of this study was to evaluate whether curettage was successful in the treatment of GCTB. Intralesional curettage with adjuvant therapies, such as high-speed burring, polymethylmethacrylate, phenol, ethanol, and liqui... |
0 | Percutaneous pulsed lavage for the infected knee replacement | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The low incidence of infection in knee arthroplasty is in sharp contrast to the high morbidity associated with its occurrence. This lends urgency to the need for early diagnosis and prompt management when infection does appear. To add to the armamentarium of the existing modalities in dealing with this condition, a new... |
0 | Efficacy of etidronate and sequential monofluorophosphate in severe postmenopausal osteoporosis: A pilot study | Management of Hip Fractures in the Elderly | In a three-year pilot study on 52 women with severe postmenopausal osteoporosis, treatment with etidronate followed by calcium and vitamin D (ECaD) was compared to etidronate followed by monofluorophosphate, calcium and vitamin D (EFCaD). BMD in lumbar spine, total hip and femoral neck increased significantly more with... |
0 | Administrative Databases Used for Sports Medicine Research Demonstrate Significant Differences in Underlying Patient Demographics and Resulting Surgical Trends | AMP (Acute Meniscal Pathology) | PURPOSE: To discern differences between the PearlDiver and MarketScan databases with regards to patient demographics, costs, reoperations, and complication rates for isolated meniscectomy.
METHODS: We queried the PearlDiver Humana Patient Records Database and the IBM MarketScan Commercial Claims and Encounters database... |
0 | Femoral rotation in total knee arthroplasty: a comparison of patient individualized jigs with gap balancing in relation to anatomic landmarks | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of our study was to compare the accuracy of the rotational position of the femoral component in total knee arthroplasty aligned with patient individualized jigs (PSJ) to a gap balancing technique (GBT). METHODS: A consecutive series of 21 osteoarthritic patients were treated with 22 cruciate-retain... |
0 | Sustained nonvertebral fragility fracture risk reduction after discontinuation of teriparatide treatment | Management of Hip Fractures in the Elderly | A follow-up in 1262 women was conducted after the discontinuation of teriparatide. The hazard ratio for combined teriparatide group (20 and 40 microg) for the 50-month period after baseline was 0.57 (p = 0.002), suggesting a sustained effect in reducing the risk of nonvertebral fragility fracture. INTRODUCTION: Treatme... |
0 | Neuromuscular electrical stimulation has a global effect on corticospinal excitability for leg muscles and a focused effect for hand muscles | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The afferent volley generated during neuromuscular electrical stimulation (NMES) can increase the excitability of human corticospinal (CS) pathways to muscles of the leg and hand. Over time, such increases can strengthen CS pathways damaged by injury or disease and result in enduring improvements in function. There is ... |
0 | Structural changes in the subcutaneous compartment in morbid obesity | Panniculectomy & Abdominoplasty CPG | Most of the excess fat that accumulates in the morbidly obese is accommodated in the subcutaneous compartment (SCC), specifically in the adipose tissue lobules of the panniculus adiposus which enlarge and expand the SCC. However, the fibroelastic septa that are attached to the skin on one side of the SCC and to the dee... |
0 | Hip fracture patients. Background factors and function | Management of Hip Fractures in the Elderly | The incidence of hip fractures increased from 3.3 per 1,000 inhabitants in 1966 to 5.1 in 1986 for persons more than 50 years old. The incidence almost doubled in persons more than 80 years old, from 13.3 to 25.6 per 1,000. The proportional increase was largest in men with cervical fractures. A higher incidence was fou... |
0 | Exposing human epithelial cells to zoledronic acid can mediate osteonecrosis of jaw: an in vitro model | MSTS 2018 - Femur Mets and MM | BACKGROUND: Osteonecrosis of the jaw (ONJ) is a chronic complication of bisphosphonate therapy, mainly when intravenous, in cancer patients with bone metastases and myeloma. Its pathophysiology is not yet fully elucidated; in particular, the molecular/cellular events triggering ONJ remain unclear. This complication cou... |
1 | Maximizing chemoprophylaxis against venous thromboembolism in abdominoplasty patients with the use of preoperative heparin administration | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Abdominoplasty is one of the highest risk plastic surgery procedures for venous thromboembolism complications (VTE). Current recommendations for VTE prophylaxis are sequential compression devices (SCDs) in the OR and optional use of subcutaneous heparin after surgery. Subcutaneous heparin has been shown to ... |
0 | Total knee arthroplasty for advanced osteoarthritis in the anterior cruciate ligament deficient knee | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Little is known about intra-operative difficulties and outcomes of TKA in ACL deficient knees. METHODS: Fifty-seven osteoarthritic knees (mean age 70 years) with a history of ACL injury underwent posterior-stabilised TKA. Intra-operative findings and results were compared with a matched control group. RESULTS:... |
0 | Autologous chondrocyte implantation and osteochondral cylinder transplantation in cartilage repair of the knee joint. A prospective, comparative trial | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Current methods used to restore the joint surface in patients with localized articular cartilage defects include transplantation of an autologous osteochondral cylinder and implantation of autologous chondrocytes. The purpose of this study was to evaluate the clinical and histological outcomes of these two ... |
0 | Outcome after radical surgical treatment of multifocal infections involving the spine | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Treatment of sepsis resulting from multifocal infections involving the spinal column is a challenge. A prompt surgical intervention with radical debridement of the inflammatory focuses should be the therapeutic aim. Patients with multiple inflammatory focuses usually reveal an immunodeficiency based on an... |
0 | Limitations of preoperative PFA-200 as a predictor of postoperative blood loss in total knee arthroplasty: According to use of tranexamic acid | AAHKS (8) Anesthetic Infiltration | Background: Recently, anti-fibrinolytic agents (tranexamic acid) have been used to reduce blood loss or and the need for transfusion. We evaluated the clinical utility of PFA-200 as a predictor of postoperative blood loss in a clinical setting, where hemostasis can be affected by variables such as existing comorbiditie... |
1 | Supplemental Bone Grafting in Giant Cell Tumor of the Extremity Reduces Nononcologic Complications | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Giant cell tumors (GCTs) are treated with resection curettage and adjuvants followed by stabilization. Complications include recurrence, fracture, and joint degeneration. Studies have shown treatment with polymethylmethacrylate (PMMA) may increase the risk of joint degeneration and fracture. Other studies h... |
0 | Monteggia fractures in adults. Review of 54 cases | Distal Radius Fractures | INTRODUCTION: We present a review of Monteggia fractures treated in our hospital between 1992 and 1998.
PATIENTS AND METHODS: Fifty four patients with a Monteggia fracture were treated in our hospital with an average follow-up of 24 months (12-48 months). The average age was 41 years (18-81 years). According to the cla... |
0 | How not to pin a hip | Management of Hip Fractures in the Elderly | Errors in judgement and technique are responsible for increased failure rates in fractures around the proximal femur. The advanced age of the average patient jeopardizes even the best hip pinning. Proper understanding of mechanics, operative techniques, and the natural course of those fractures will lower the incidence... |
0 | Histologic Effects of Fractional Laser and Radiofrequency Devices on Hyaluronic Acid Filler | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Hyaluronic acid fillers (HAFs) and energy-based devices are frequently used sequentially. However, the effect of using fractional devices directly over HAF is unclear. OBJECTIVE: To evaluate histologic changes after fractional laser and radiofrequency (RF) therapies applied over preinjected HAF. MATERIALS A... |
0 | Audit of perioperative management of patients with fracture neck of femur | Hip Fx in the Elderly 2019 | Introduction Fracture neck of femur is the commonest reason for surgery in sick, elderly patients. For many of them, hip fracture is said to be the beginning of the end of their journey of life. Early surgery may lead to better outcomes. The aim of this audit was to study current practice and adherence to safety guidel... |
0 | How I developed the world's first evidence-based endoscopic management of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome has been surgically treated by release of the transverse carpal ligament (flexor retinaculum of the hand) using a blind procedure since 1930 or by an open procedure since 1946. The blind procedure has the possibility of unreliable results and ensuing complications, hence, the open procedure was d... |
0 | Muscle atrophy in chronic inflammatory demyelinating polyneuropathy: a computed tomography assessment | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND AND PURPOSE: Muscle atrophy is generally mild in patients with chronic inflammatory demyelinating polyneuropathy (CIDP) compared with the severity and duration of the muscle weakness. Muscle atrophy was evaluated using computed tomography (CT) in patients with CIDP.
METHODS: Thirty-one patients with typical ... |
1 | A comparative study of Less Invasive Stabilization System (LISS) fixation and two-incision double plating for the treatment of bicondylar tibial plateau fractures | DoD SSI (Surgical Site Infections) | The present investigation is a prospective study comparing the use of locked plates and classic double plates for the repair of bicondylar tibial plateau fractures. Eighty-four patients with bicondylar tibial plateau fractures were treated with plate fixation by either a locked plate (Less Invasive Stabilization System... |
0 | Fracture Management in Avian Species | DoD SSI (Surgical Site Infections) | In treating avian species with fractures, the clinician must be prepared to think laterally and assess each case individually, taking into account the unique characteristics of the fracture, the temperament of the species and the individual, its lifestyle, and the desired outcome. All this should be considered during t... |
0 | Progesterone and 1,25-dihydroxyvitamin D3 inhibit endometrial cancer cell growth by upregulating semaphorin 3B and semaphorin 3F | MSTS 2018 - Femur Mets and MM | Class 3 semaphorins (SEMA), SEMA3B and SEMA3F, are secreted proteins that regulate angiogenesis, tumor growth, and metastasis by binding to their transmembrane receptor complex consisting of plexins and neuropilins (NP). Expression of SEMAs and their receptors was assessed in tissue microarrays by immunohistochemistry.... |
0 | Eight-year trajectories of changes in health-related quality of life in knee osteoarthritis: Data from the Osteoarthritis Initiative (OAI) | OAK 3 - Non-arthroplasty tx of OAK | Background Knee osteoarthritis (OA) worsens health-related quality of life (HRQoL) but the symptom pathway varies from person to person. We aimed to identify groups of people with knee OA or at its increased risk whose HRQoL changed similarly. Our secondary aim was to evaluate if patient-related characteristics, incide... |
1 | Magnetic Resonance Imaging in Symptomatic Children With Hereditary Multiple Exostoses of the Hip | PJI DX Updated Search | BACKGROUND: Magnetic resonance imaging (MRI) is useful in evaluating nontraumatic hip pain. It provides information about associated injuries like labral/chondral tears or ischiofemoral impingement (IFI). However, in hereditary multiple exostoses (HME) there has been no report about MRI findings in symptomatic children... |
0 | Long-term outcome of shelf grafts in total hip arthroplasty for developmental hip dysplasia | Management of Hip Fractures in the Elderly | Primary total hip arthroplasty (THA) in patients with osteoarthrosis secondary to developmental hip dysplasia is often complex due to anterolateral acetabular bone deficiency. The use of femoral head (shelf) autograft during the index arthroplasty provides nonimmunogenic, osteoconductive support with the potential for ... |
0 | Clostridium difficile is common in patients with postoperative diarrhea after hip and knee arthroplasty | PJI DX Updated Search | Clostridium difficile is an antibiotic-associated gastrointestinal infection that has detrimental consequences. We sought to determine the incidence of C. difficile in TJA patients with postoperative diarrhea, to determine risk factors for C. difficile infection, and to establish the incidence of C. difficile-related c... |
0 | A rehabilitation tool for functional balance using altered gravity and virtual reality | Management of Hip Fractures in the Elderly | BACKGROUND: There is a need for effective and early functional rehabilitation of patients with gait and balance problems including those with spinal cord injury, neurological diseases and recovering from hip fractures, a common consequence of falls especially in the elderly population. Gait training in these patients u... |
0 | Sirolimus for the treatment of Kaposi sarcoma after renal transplantation: a series of 10 cases | Reconstruction After Skin Cancer | The incidence of Kaposi sarcoma (KS) has substantially increased among immunocompromised patients, suggesting a role for immunosuppressive drugs. The aim of this study was to evaluate the incidence, features, and outcome of KS among 307 kidney transplantation patients at our center between January 1994 and June 2010. D... |
0 | Arthroscopic collagen meniscus implant results at 6 to 8 years follow up | AMP (Acute Meniscal Pathology) | Meniscal substitution is a fundamental procedure to prevent osteoarthritis of the knee after massive meniscectomy. Stone, Steadman and Rodkey have developed a bioreadsorbable collagen matrix (CMI) which acts as a scaffold to restore the original medial meniscal. The objective of this study was to prospectively evaluate... |
0 | Should we resurface the patella in total knee replacement? Experience with the Nex Gen prothesis | Surgical Management of Osteoarthritis of the Knee CPG | Patellar resurfacing is a controversial issue in primary total knee replacement. So, we took advantage of a large study to try and answer this question. An open prospective multicentric study was conducted about the outcome of the Nex Gen Total Knee prosthesis with clinical and radiological follow-up at regular interva... |
0 | Left Hip Pain Caused by Right Hip Osteoarthritis in a Patient With an Incomplete Cervical Spinal Cord Injury: A Case Report | PJI DX Updated Search | A 70-year-old woman with a right hemisensory deficit caused by an incomplete cervical spinal cord injury presented with left hip pain. The clinical assessment suggested that her left-sided hip pain was attributable to severe right hip osteoarthritis. Her left hip pain resolved completely after she underwent a right tot... |
0 | The importance of early diagnosis in patients with hereditary medullary thyroid carcinoma | MSTS 2018 - Femur Mets and MM | Ninety-two patients from 12 kindreds with hereditary medullary thyroid carcinoma (MTC) were evaluated. We sought to determine if the stimulated plasma calcitonin (CT) level at the time of diagnosis was of prognostic significance. The patients were divided into four groups according to their preoperative stimulated plas... |
0 | One-Bone Forearm Reconstruction: A Salvage Solution for the Forearm with Massive Bone Loss | Distal Radius Fractures | BACKGROUND: Salvaging the forearm is a major challenge in cases of massive bone loss from injuries in which the extremity is severely mangled or following bone resection secondary to pathological tissue excision. The purpose of this study was to evaluate the role of one-bone forearm (OBF) reconstruction as a salvage op... |
0 | Radial side (1D) tears | Pediatric Supracondylar Humerus Fracture 2020 Review | The triangular fibrocartilage complex (TFCC) is the key structure at the wrist that facilitates the rotation of the radius and the carpus on the distal ulnar. The radial or type 1D tears of the TFCC are uncommon, but they pose a major disruption of the articular contact between the carpus and the distal ulna. The tears... |
1 | Evaluating the orthogeriatric model of care at an Australian tertiary hospital | Hip Fx in the Elderly 2019 | INTRODUCTION: The management of fragility hip fractures requires a collaborative multi-disciplinary approach to care to ensure optimal patient outcomes. It is important to rigorously evaluate the model of care and enable the delivery of evidence based optimal patient care.
AIM OF THE STUDY: The aim of this study was to... |
0 | Pulmonary embolism during the COVID-19 pandemic: Decline in diagnostic procedures and incidence at a university hospital | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: The COVID-19 pandemic has focused medical attention on treating affected patients and protecting others from infection. However, concerns have been raised regarding the pandemic´s impact and associated containment measures (eg curfew, lockdown) on non-coronavirus disease 2019 (COVID-19)-related acute medic... |
1 | Regional anesthesia or patient-controlled analgesia and compartment syndrome in orthopedic surgical procedures: A systematic review | DOD - Acute Comp Syndrome CPG | A systematic review of the literature on the use of regional anesthesia (RA) and patient-controlled analgesia (PCA) was conducted in patients who require orthopedic extremity procedures to determine whether either analgesic technique contributes to a delayed diagnosis of compartment syndrome (CS). A total of 34 relevan... |
0 | Excess mortality for operated geriatric hip fracture in Hong Kong | Hip Fx in the Elderly 2019 | INTRODUCTION: Geriatric hip fracture places an increasing burden to health care systems around the world. We studied the latest epidemiology trend of geriatric hip fracture in Hong Kong, as well as the excess mortality for patients who had undergone surgery for hip fracture.
METHODS: This descriptive epidemiology study... |
0 | Risk for onset of health conditions among community-living adults with spinal cord and traumatic brain injuries | DoD PRF (Psychosocial RF) | This research describes the onset of 13 health conditions and death among 38 adults with spinal cord injuries (SCIs) and 149 adults with traumatic brain injuries (TBIs) compared to adults without disabilities in the same primary care setting, using a retrospective cohort design. The subjects were accrued from an urban ... |
0 | Evaluation of prognostic factors in patients undergoing first-line chemotherapy for advanced biliary tract cancer: a retrospective analysis from a South American cancer centre | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: Biliary tract cancers (BTCs) are rare tumours with regional differences. Prognostic factors are poorly understood. Gemcitabine + platinum (GP) is the standard first-line chemotherapy in metastatic patients. We aimed to search for prognostic factors in patients with advanced disease in a cancer centre in S... |
0 | Intraoperative Frozen Section Histology: Matched for Musculoskeletal Infection Society Criteria | PJI DX Updated Search | BACKGROUND: The current gold standard to diagnose periprosthetic joint infection (PJI)-the Musculoskeletal Infection Society (MSIS) criteria, requires a battery of tests, the results of which may not be available at the time of decision-making. Thus, surgeons often rely on intraoperative frozen section histology. Howev... |
0 | An alternative treatment method to restore limb-length discrepancy in osteoarthritis with high congenital hip dislocation | PJI DX Updated Search | Aim: The purpose of this study was to describe the rationale and to analyse the results of uncemented total hip arthroplasty (THA) in patients with osteoarthritis and congenital dislocation of the hip (CDH) prior to iliofemoral distraction. Method: Twenty hips were followed-up for 5.8 years (1-12 years). First the THA ... |
0 | Limb salvage surgery in bone tumour with modular endoprosthesis | MSTS 2018 - Femur Mets and MM | Thirty-three patients with bone tumours were treated by resection of the growth and reconstruction with a Kotz modular endoprosthesis. The average follow-up was for 50 months, ranging from 14 to 79 months. At the last review, 12 patients (36%) had died due to the tumour and 9 others (27%) had metastases. All 4 patients... |
0 | Breast reconstruction with abdominal-based free flaps in high body mass index population: postoperative complications and impact of weight loss | Reduction Mammoplasty for Female Breast Hypertrophy | Obesity, which is becoming endemic in the United States, causes a significant challenge for reconstructive surgeons. This study evaluates postoperative complications and impact of weight loss in the high body mass index (BMI) population undergoing breast reconstruction with abdominal free flaps. A retrospective review ... |
0 | Expected Reduction of The Nipple-Areolar Complex Over Time After Treatment of Gynecomastia with Ultrasound-Assisted Liposuction Mastectomy Compared to Subcutaneous Mastectomy Alone | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The enlarged nipple-areola-complex (NAC) is a characterizing aspect of gynecomastia. OBJECTIVE: The purpose of this study was to multidimensionally quantify the reduction of the NAC after a subcutaneous mastectomy (SCM) with or without ultrasound-assisted liposuction (UAL). MATERIALS AND METHODS: A retrospe... |
0 | Acromioclavicular joint reconstruction with the LARS ligament in professional versus non-professional athletes | DoD SSI (Surgical Site Infections) | PURPOSE: To compare outcomes of acromioclavicular (AC) joint reconstruction with ligament augmentation and reconstruction system (LARS) ligament in professional and non-professional athletes at 2-year minimum follow-up.
METHODS: Forty-three patients (men; mean age 30, range 19-54 years) with Rockwood type III to V chro... |
0 | Transitions in the lives of elderly women who have sustained hip fractures | Management of Hip Fractures in the Elderly | Hip fractures represent a major health problem within the older population, especially for elderly, white women. As the older woman transitions through the recovery process following hip fracture, her ability to meet basic needs, fulfil usual roles, and maintain well-being is threatened. Despite the rehabilitation prov... |
0 | A comparative study of clinical and radiologic outcomes of unstable Colles type distal radius fractures in patients older than 70 years: Nonoperative treatment versus volar locking plating | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: To compare final functional and radiographic outcomes of closed reduction and casting (CAST) with open reduction and internal fixation (ORIF) with palmar locking plate for unstable Colles type distal radius fractures (DRFs) in low-demand patients older than 70 years. DESIGN: Retrospective, clinical study. S... |
0 | The Early Effect of COVID-19 Restrictions on an Academic Orthopedic Surgery Department | Coronavirus Disease 2019 (COVID-19) | The SARS-CoV-2 (COVID-19) pandemic has had a global influence on health care. The authors examined the early effect of hospital- and state-mandated restrictions on an orthopedic surgery department and hypothesized that the volume of ambulatory clinic encounters, office and surgical procedures, and cases would dramatica... |
0 | Symptomatic multifocal osteonecrosis: A multicenter study | Surgical Management of Osteoarthritis of the Knee CPG | Osteonecrosis of the femoral head frequently occurs in a young population (mean age, approximately 35 years) and may lead to disabling arthritis requiring hip arthroplasty surgery. This disease is compounded when it has concurrent involvement of other joints. Multifocal osteonecrosis is defined as disease involving thr... |
0 | Cementless bipolar hemiarthroplasty using a micro-arc oxidation coated stem in patients with displaced femoral neck fractures | Hip Fx in the Elderly 2019 | Femoral stem fixation for displaced femoral neck fractures in osteoporotic patients is an ongoing debate. We evaluated the outcome of 136 cementless bipolar hemiarthroplasty using a Micro-arc oxidation (MAO) coated stem. All patients survived the procedure and were discharged from the hospital. Thirty- and 90-day morta... |
0 | What Risks are Associated with Primary THA in Recipients of Hematopoietic Stem Cell Transplantation? | AAHKS (2) Corticosteroids | INTRODUCTION: As patients who receive hematopoietic stem cell transplantation are at increased risk of avascular necrosis (AVN) and subsequent degenerative arthritis, THA may be considered in some of these patients, particularly as overall patient survival improves for patients undergoing stem-cell transplants. Patient... |
0 | Lubrication of Articular Cartilage | OAK 3 - Non-arthroplasty tx of OAK | The major synovial joints such as hips and knees are uniquely efficient tribological systems, able to articulate over a wide range of shear rates with a friction coefficient between the sliding cartilage surfaces as low as 0.001 up to pressures of more than 100 atm. No human-made material can match this. The means by w... |
0 | The long Gamma nail for solving problems after complications with the standard Gamma nail | Hip Fx in the Elderly 2019 | Background: The use of the standard Gamma nail in treating (sub)trochanteric fractures is associated with complications, especially fractures distal to the nail. No literature data is available concentrating on the solution of these problems. We studied if insertion of a long Gamma nail could offer an alternative. Pati... |
0 | The response to further chemotherapy in patients with carcinoma of the breast who progressed while receiving adjuvant therapy | MSTS 2018 - Femur Mets and MM | The effect of known chemotherapeutic programs in patients with breast cancer who developed metastasis during or after adjuvant chemotherapy with L-PAM plus 5-FU (PF) were studied. Thirteen patients failed while receiving adjuvant therapy at 3-22 months from the time therapy started. Three patients failed 6-28 months af... |
1 | The rational strategies for detecting developmental dysplasia of the hip at the age of 4-6 months old infants: a prospective study | Developmental Dysplasia of the Hip CPG | Using ultrasound in evaluation of infant's hip development can reduce surgical procedures, hospitalization and late presentation of developmental dysplasia of the hip (DDH). The increasing incidence of DDH after ultrasound examination is observed and published by many authors. In a prospective study, radiograph of ever... |
0 | The role of patient expectations in predicting outcome after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: Patient's expectations are variably reported to influence self-rated outcome and satisfaction after medical treatment; this prospective study examined which of the following was the most important unique determinant of global outcome/satisfaction after total knee arthroplasty (TKA): baseline expectations;... |
1 | A comparative study on the effect of the insole materials with subtalar strapping in patients with medial compartment osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | Abstract This study was conducted to assess the symptomatic effects of the insole with an elevation of 12 mm composed of urethane (urethane insole) or of sponge rubber (rubber insole) with subtalar strapping in patients with medial compartment osteoarthritis of the knee (knee OA). The setting was an outpatient clinic. ... |
1 | A new hydrogel for the conservative treatment of meniscal lesions: a randomized controlled study | AMP (Acute Meniscal Pathology) | PURPOSE: this study aimed to investigate the efficacy of intra-articular (IA) administration of a hydrogel formulation obtained from a hyaluronic acid (HA) derivative (HYADD4( R)) in the management of meniscal tears and in meniscal tear repair.
METHODS: fifty subjects with degenerative meniscal tears were enrolled into... |
0 | Osteoid osteoma distal to a hip arthroplasty | PJI DX Updated Search | The authors report a case of osteoid osteoma distal to a hip prosthesis in a 56-year-old patient. This rare association was difficult to diagnose; at first, the pain seemed to be of mechanical origin, suggesting a delayed painful reaction to the prosthesis. The results of bone scan as well as the CT scan ones helped or... |
0 | A treatment for carpal tunnel syndrome: results of a follow-up study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: This study was a follow-up evaluation of carpal tunnel syndrome (CTS) subjects based on objective and subjective measures utilizing a conservative treatment method. It was hypothesized that the CTS individuals would maintain their improvements over the course of a 6-mo period after treatments. DESIGN: The de... |
0 | Mycobacterium goodii infection of a total knee prosthesis | Surgical Management of Osteoarthritis of the Knee CPG | Mycobacterium goodii infection is uncommon and probably occurs via disruption of skin and bone integrity or the introduction of a foreign body into viscera, namely implantation of a prosthetic device. We describe a case of nosocomial, total knee arthroplasty-associated M goodii infection that required combined antibiot... |
1 | Comparison of postdischarge physiotherapy versus usual care following primary total knee arthroplasty for osteoarthritis: an exploratory pilot randomized clinical trial | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To evaluate a pilot trial of a postdischarge physiotherapy intervention to improve patient function versus usual physiotherapy in patients undergoing total knee arthroplasty aiming to assess: recruitment rate, feasibility and acceptability of the intervention and control, suitability of outcomes, retention a... |
0 | A stepwise approach for surgical management of diabetic foot infections | DoD LSA (Limb Salvage vs Amputation) | Diabetic foot disease frequently leads to substantial long-term complications, imposing a huge socioeconomic burden on available resources and health-care systems. Peripheral neuropathy, repetitive trauma, and peripheral vascular disease are common underlying pathways that lead to skin breakdown, often setting the stag... |
0 | Successful antibiotic therapy of clostridial septic arthritis in a patient with bilateral total hip prostheses | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We report a case of clostridial bacteraemia with infection of a prosthetic hip joint. The patient was successfully treated with IV benzyl penicillin and fucidin followed by oral amoxycillin and probenecid, without surgical intervention. She had no recurrence of her infection in the 19 months before her death. This is b... |
0 | Operative findings and complications associated with adjunctive hip arthroscopy in 95 hips undergoing periacetabular osteotomy | Developmental Dysplasia of the Hip 2020 Review | Purpose: to report our initial experience with adjunctive hip arthroscopy and periacetabular osteotomy (PAO). Methods: Retrospective review of patients who underwent PAO and ipsilateral hip arthroscopy between 2003 and 2013. Indications for arthroscopy were mechanical symptoms and/or positive magnetic resonance imaging... |
0 | Abstracts Presented at the 34th Annual Meeting of the Arthroscopy Association of North America | Developmental Dysplasia of the Hip 2020 Review | The proceedings contain 68 papers. The topics discussed include: allâ?inside, allâ?epiphyseal ACL reconstruction in skeletally immature athletes: return to play, incidence of second surgery and twoâ?year clinical outcomes; are standard postâ?operative anteroposterior and lateral knee radiographs predictive of anato... |
0 | Prior abdominal surgery is associated with an increased risk of postoperative complications after anterior lumbar interbody fusion | DoD SSI (Surgical Site Infections) | STUDY DESIGN.: Retrospective medical record review. OBJECTIVE.: The purpose of this study was to determine whether a history of abdominal/pelvic surgery confers an increased risk of retroperitoneal anterior approach-related complications when undergoing anterior lumbar interbody fusion. SUMMARY OF BACKGROUND DATA.: As ... |
0 | Regional survey of femoral neck fractures | Management of Hip Fractures in the Elderly | In the South-west Thames Region 2619 patients (2105 women and 514 men) were discharged with a diagnosis of femoral neck fracture in 1974. The equivalent of a 250-bedded hospital was occupied throughout the year. The incidence, average length of stay, and mortality rate rose with increasing age and there were difference... |
0 | Health resource utilization associated with skeletal-related events: results from a retrospective European study | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Bone complications, also known as skeletal-related events (SREs), are common in patients with bone metastases secondary to advanced cancers.
OBJECTIVE: To provide a detailed estimate of the health resource utilization (HRU) burden associated with SREs across eight European countries.
METHODS: Eligible patie... |
0 | Acupuncture in Osteoarthritis of the Knee | OAK 3 - Non-arthroplasty tx of OAK | Background: Acupuncture is one of the most frequently used complementary therapeutic approaches in the treatment of osteoarthritis of the knee. Due to methodological shortcomings of previous randomized controlled studies, controversy persists whether the observed effects are specific to acupuncture or nonâ?specific co... |
0 | Convertible implants: Simplifying the revision from anatomic total shoulder arthroplasty to reverse total shoulder arthroplasty | Glenohumeral Joint OA | Modern shoulder arthroplasty techniques include hemiarthroplasty, total shoulder arthroplasty (TSA), and reverse shoulder arthroplasty (RSA). Out of all arthroplasty procedures, total shoulder arthroplasty produces more satisfactory outcomes for osteoarthritis and inflammatory arthropathy (Sanchez-Sotelo, 2011 [1]). As... |
0 | Resident Participation in Fixation of Intertrochanteric Hip Fractures: Analysis of the NSQIP Database | Hip Fx in the Elderly 2019 | BACKGROUND: Future generations of orthopaedic surgeons must continue to be trained in the surgical management of hip fractures. This study assesses the effect of resident participation on outcomes for the treatment of intertrochanteric hip fractures.
METHODS: The National Surgical Quality Improvement Program (NSQIP) da... |
0 | Cross-sectional and longitudinal associations between signal intensity alterations in infrapatellar fat pad and knee structural changes in patients with symptomatic knee OA | AMP (Acute Meniscal Pathology) | Purpose: Infrapatellar fat pad (IPFP), a local adipose tissue, may have important contributions to knee osteoarthritis (OA). IPFP signal intensity alterations on MRI may represent pathological changes such as inflammation and edema. This study aims to describe the cross-sectional and longitudinal associations between I... |
1 | The incidence of acute cardiorespiratory and vascular dysfunction following intramedullary nail fixation of femoral metastasis | MSTS 2018 - Femur Mets and MM | Intramedullary nail fixation is a common treatment for metastatic tumors of the femur with overt or impending femoral fracture. This procedure sometimes causes severe cardiorespiratory and vascular dysfunction. The clinical relevance of this is not clear. We reviewed 45 operations in 43 patients, where intramedullary n... |
0 | Occult breast cancer during reduction mammoplasty: case report | Reduction Mammoplasty for Female Breast Hypertrophy | AIM: Breast carcinoma occurring in routine reduction mammaplasty is rare. MATERIAL OF STUDY: In our Breast Unit each patient eligible for any breast surgery is routinely evaluated by preoperative breast imaging. We reported the clinical case of a woman with an infiltrating lobular breast cancer detected during surgical... |
0 | Meniscal repair and reconstruction | AMP (Acute Meniscal Pathology) | Meniscus injuries are one of the most commonly encountered problems by orthopaedic surgeons today. Surgical techniques for the treatment of meniscal tears are evolving. While many tears can only be treated with partial menisectomy, there are an increasing number of surgical techniques to repair or reconstruct the menis... |
0 | Updates in the Evaluation and Management of Breast Cancer | MSTS 2018 - Femur Mets and MM | Breast cancer is the most commonly diagnosed cancer worldwide. More than 200,000 new cases of invasive breast cancer are diagnosed annually in the United States; approximately 40,000 patients die of the disease. The etiology of most breast cancer cases is unknown, although multiple factors predisposing to the disease h... |
0 | Closure of the femoral medullary canal after retrograde nailing using an in-situ osteochondral autograft–Technical trick and a case series | AMP (Acute Meniscal Pathology) | Retrograde intramedullary nailing (RIMN) is the favored over antegrade intramedullary nailing in fractures of the distal femur. It provides a longer working length and allows for multiple distal screw insertion and therefore a more stable construct. Concerns remain regarding the violation of the knee cartilage and the ... |
1 | Surgical treatment of extra-articular or simple intra-articular distal tibial fractures: External fixation versus intramedullary nailing | DoD SSI (Surgical Site Infections) | Objective: To compare intramedullary nailing (IMN) with external fixation (EF) in the treatment of tibial shaft fractures located within 5 cm of the ankle. Setting: University teaching hospital. Design: Retrospective comparative study. Patients: Sixty-seven patients with a mean age of 48 years (range, 16-78 years; 24 w... |
0 | A comparison of patellofemoral cartilage morphology and deformation in anterior cruciate ligament deficient versus uninjured knees | OAK 3 - Non-arthroplasty tx of OAK | Anterior cruciate ligament (ACL) deficient patients have an increased rate of patellofemoral joint (PFJ) osteoarthritis (OA) as compared to the general population. Although the cause of post-injury OA is multi-factorial, alterations in joint biomechanics may predispose patients to cartilage degeneration. This study aim... |
1 | Cognitive load and performance of health care professionals in donning and doffing PPE before and after a simulation-based educational intervention and its implications during the COVID-19 pandemic for biosafety | Coronavirus Disease 2019 (COVID-19) | INTRODUCTION: The Personal Protective Equipment (PPE) is essential to avoid the COVID-19 spread to health care workers. Its use can be difficult, posing a high risk of contamination, mainly during doffing, then with the risk of becoming infected. METHODS: We conducted a prospective before-and-after design that used cli... |
0 | Neck rejuvenation with suture suspension platysmaplasty technique. A minimally invasive neck lift technique that addresses all patients' anatomic needs | Panniculectomy & Abdominoplasty CPG | The suture suspension platysmaplasty neck lift, by creating a permanent artificial "ligament" under the mandible, corrects the deformities of the aging neck with aesthetically pleasing results. In essence, this technique suspends the midline platysma muscle and displaces the lateral platysma muscle under the border of ... |
0 | Femoral nerve transfer for treatment of brachial plexus root avulsion | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Femoral nerve transfer to the muscular branches of the thenar and hypothenar muscles was performed to determine its protective effect on the hand intrinsic muscles. Seven cases of brachial plexus root avulsion treated from May of 1989 to October of 1991 were involved. The femoral nerve transfer to the muscular branches... |
0 | Intra-articular fractures of the upper extremity: new concepts in surgical treatment | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | New techniques of internal fixation, postoperative rehabilitation, and emphasis on functional as well as radiographic outcome have refined the surgical treatment of complex fractures of the glenoid, humeral head, supracondylar and intracondylar humerus, olecranon, radial head, distal radius, and distal radioulnar joint... |
0 | Gastrocnemius flap reconstruction of soft-tissue defects following infected total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | A soft-tissue defect over an infected total knee replacement (TKR) presents a difficult technical problem that can be treated with a gastrocnemius flap, which is rotated over the defect during the first-stage of a revision procedure. This facilitates wound healing and the safe introduction of a prosthesis at the second... |
0 | Autophagy in the posterior interosseous nerve of patients with type 1 and type 2 diabetes mellitus: an ultrastructural study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Aims/hypothesis: We addressed the question of whether the autophagy pathway occurs in human peripheral nerves and whether this pathway is associated with peripheral neuropathy in diabetes mellitus.Methods: By using electron microscopy, we evaluated the presence of autophagy-related structures and neuropathy in the post... |
1 | Does the gestation age of newborn babies influence the ultrasonic assessment of hip condition? | Developmental Dysplasia of the Hip CPG | INTRODUCTION: Ultrasound represents a method of examination of hips of newborn babies capable of defining hip condition and distinguishing stable and unstable hips based on morphological elements. It is accepted in a large number of countries as a method of examination of high risk newborns, or as a method of systemati... |
0 | Rehabilitation Interventions for Older Individuals With Cognitive Impairment Post-Hip Fracture: A Systematic Review | DoD PRF (Psychosocial RF) | Purpose: Currently, most rehabilitation services for individuals who sustain a hip fracture are not designed to meet the complex needs of those who also have cognitive impairment. The goal of this review was to identify current best practices for rehabilitation in long-term care settings and approaches to optimize outc... |
0 | The efficacy of negative pressure wound therapy in the management of lower extremity trauma: Review of clinical evidence | DoD LSA (Limb Salvage vs Amputation) | A large number of aids have been conceived and introduced into clinical practice (nutritional supplements, local dressings, technical innovations) aimed at facilitating and optimising wound healing in both acute and chronic wound settings. Among these advances, negative pressure wound therapy (NPWT) has been introduced... |
0 | Unmet need in osteoporosis | Distal Radius Fractures | OBJECTIVE: To audit the management of females presenting to Accident and Emergency department with a diagnosis of low impact Colles fracture.
DESIGN: Telephone questionnaire of 50 patients who attended A & E in 1998 with diagnosis of Colles fracture
SETTING: Glasgow Royal Infirmary within North Glasgow catchment area.
... |
0 | A human skin equivalent burn model to study the effect of a nanocrystalline silver dressing on wound healing | Panniculectomy & Abdominoplasty CPG | In this study, a deep burn wound model was established using a 3D human skin equivalent (HSE) model and this was compared to native skin. HSEs were constructed from dermis derived from abdominoplasty/breast surgery and this dermal template was seeded with primary keratinocytes and fibroblasts. The HSE model was structu... |
0 | Stepwise Percutaneous Leverage Technique to Avoid Posterior Interosseous Nerve Injury in Pediatric Radial Neck Fracture | DoD SSI (Surgical Site Infections) | Objectives: To introduce a stepwise percutaneous leverage technique to avoid posterior interosseous nerve (PIN) injury in pediatric patients with radial neck fractures and to evaluate the clinical outcome and the predisposing factors affecting the outcome. Design: Retrospective case series study. Setting: University le... |
0 | Population-based study of the relationship between medial meniscus radial displacement, determined by use of ultrasound screening, and knee pain | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this population-based study was to clarify the incidence of knee pain by use of ultrasound (US).
METHODS: Medical check-ups were conducted for residents of a mountain village in Japan. The subjects were 149 males and 252 females (802 knees) with a mean age of 63.5 +/- 12.5 years. US was used to ... |
1 | Characterization by pyocine typing and serotyping of oral and sputum strains of Pseudomonas aeruginosa isolated from cystic fibrosis patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Oral and sputum isolates of Pseudomonas aeruginosa in patients with cystic fibrosis were investigated. Of the 17 patients studied, 12 patients (71%) yielded both mucoid and nonmucoid variants of Pseudomonas aeruginosa from sputum and (or) various oral ecological sites, such as buccal mucosa, tongue dorsum, dental plaqu... |
1 | Comparison of three weight maintenance programs on cardiovascular risk, bone and vitamins in sedentary older adults | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Obese patients with knee osteoarthritis (OA) are encouraged to lose weight to obtain symptomatic relief. Risk of vascular events is higher in people with OA compared to people without arthritis. Our aim in this randomized trial was to compare changes in cardiovascular disease (CVD) risk-factors, nutritional ... |
0 | Local Infiltration Analgesia With Liposomal Bupivacaine Improves Early Outcomes After Total Knee Arthroplasty: 24-Hour Data From the PILLAR Study | AAHKS (4) Acetaminophen | Background: Enhanced postoperative care pathways have shifted total knee arthroplasty (TKA) to outpatient and short-stay settings, placing greater emphasis on predischarge outcomes. In this study, we report prespecified secondary and tertiary end points of the PILLAR study within 24 hours after TKA in patients receivin... |
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