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1 | Surgical treatment of supracondylar humerus fractures in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | PURPOSE OF THE STUDY: Surgical techniques for the treatment of supracondylar fractures in children are repeatedly the subject of discussion. The aim of the present study was to compare experience with the technique of crossed Kirschner wires at our own hospital with current literature. PATIENTS AND METHODS: In the peri... |
0 | Near-infrared spectroscopy: a potential method for continuous, transcutaneous monitoring for compartmental syndrome in critically injured patients | DOD - Acute Comp Syndrome CPG | BACKGROUND: Near-infrared spectroscopy (NIRS) noninvasively measures tissue O2 saturation (StO2), and has been proposed as a means of monitoring for compartmental syndrome (CS). However, its specificity in hypoxemic, hypotensive patients with severely reduced systemic oxygen delivery has not been tested. We hypothesize... |
0 | Polyethylene wear particle generation in vivo in an alumina medial pivot total knee prosthesis | Surgical Management of Osteoarthritis of the Knee CPG | Polyethylene wear particle generation is one of the most important factors affecting mid- to long-term results of total knee arthroplasties. It has been reported that the medial pivot total knee prosthesis (MP) design and alumina ceramic femoral component reduce polyethylene wear. The aim of this study is to evaluate i... |
0 | Patient education for adults with rheumatoid arthritis | SR for PM on OA of All Extremities | Background: Because of the unpredictability people with arthritis face on a daily basis, patient education programmes have become an effective complement to traditional medical treatment giving people with arthritis the strategies and the tools necessary to make daily decisions to cope with the disease.Objectives: To a... |
0 | Discoid lateral meniscus - Results of arthroscopic management | AMP (Acute Meniscal Pathology) | Nine patients with symptomatic lateral discoid meniscus were treated arthroscopically between April, 1992 and September, 1994. Partial menisectomy and shaving the inner edges to mimic the normally-shaped meniscus was the preferred operative procedure. Lysholm knee score and scale of lkeuchi were used to assess treatmen... |
0 | A double-blind, placebo-controlled, randomized trial of oral sodium clodronate for metastatic prostate cancer (MRC PR05 Trial) | MSTS 2018 - Femur Mets and MM | BACKGROUND: The most frequent site of metastases from prostate cancer is bone. Bisphosphonates reduce excessive bone turnover while preserving bone structure and mineralization in patients with other tumor types. We conducted a double-blind, placebo-controlled, randomized trial to determine whether the first-generation... |
0 | Posterior fully threaded positioning screw prevents femoral neck collapse in Garden I or II femoral neck fractures | Hip Fx in the Elderly 2019 | Introduction: Osteosynthesis is recommended for Garden I and II femoral neck fracture treatment using parallel partially threaded cannulated screws. Postoperatively, excessive femoral neck shortening (FNS) and posterior tilt of the femoral neck (PTFN) are frequently encountered and are correlated with impaired quality ... |
0 | Computed tomography characteristics of the acetabulum in developmental dysplasia of the hip | Developmental Dysplasia of the Hip 2020 Review | Background: Low-dose computed tomography (CT) is the preferred method for post-reduction evaluation of hips of infants in spica casts, but the assessment of acetabular morphological features in developmental dysplasia of the hip (DDH) using CT has not be done before. Objectives: To determine CT imaging characteristics ... |
0 | Double contrast knee arthrography in the evaluation of osteochondritis dissecans | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Double contrast knee arthrography is an invaluable adjunct in the evaluation of patients with osteochondritis dissecans. The cartilage overlying the osteochondritic defect can be evaluated and unsuspected meniscal pathology accurately diagnosed. In our series, there were three unsuspected medial meniscal tears, diagnos... |
1 | Inclusion of Olecranon Osteotomy with the Posterior Approach for Fixation of Distal Humerus Fractures (OTA/AO 13) Does Not Increase Surgical Complications | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVES: To determine if inclusion of an olecranon osteotomy to the posterior paratricipital approach for operative fixation of distal humerus fractures significantly affects surgical complication rates (OTA/AO 13). DESIGN: Retrospective comparative cohort study. SETTING: Level 1 trauma center. PATIENTS/PARTICIPANTS... |
1 | Global guidance for surgical care during the COVID-19 pandemic | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Surgeons urgently need guidance on how to deliver surgical services safely and effectively during the COVID-19 pandemic. The aim was to identify the key domains that should be considered when developing pandemic preparedness plans for surgical services. METHODS: A scoping search was conducted to identify pu... |
0 | Coronary heart disease risk factors after total joint arthroplasty of the hip and knee | Surgical Management of Osteoarthritis of the Knee CPG | To describe the changes that occur in coronary heart disease (CHD) risk factors following total joint arthroplasty of the hip and/or knee, we evaluated 31 patients with end-stage arthritis immediately prior to operation and for a period of up to 2 years post-operatively. Nineteen arthritic individuals undergoing medica... |
0 | Bridging plate osteosynthesis of humeral shaft fractures | Distal Radius Fractures | This study was approved by the Ethics Committee of the Faculty of Medical Sciences and developed during November 2000 and July 2001 in the Orthopedic and Traumatology Department of UNICAMP. There were 15 patients, 11 males, age between 14 and 66 years. All fractures were unilateral. Of the 15 patients eight were polytr... |
0 | The association between delirium and the apolipoprotein E epsilon 4 allele: new study results and a meta-analysis | Management of Hip Fractures in the Elderly | OBJECTIVES: To determine a possible association between Apolipoprotein E (APOE)sigma4-allele and delirium in a large cohort and combining these current data with former studies in a meta-analysis. Design: Combination of a new prospective cohort study and meta-analysis. SETTING: Medical department and orthopedic/traumat... |
0 | Diagnosis and treatment of common knee injuries in athletes | AMP (Acute Meniscal Pathology) | Knee injuries are an all too common occurrence in athletes. Prompt diagnosis, aggressive treatment and rehabilitation is necessary to minimize time away from athletic activity and to maximize function at a competitive level. This article reviews the latest trends in diagnosing and treating common knee injuries in athle... |
0 | Systematic review of the management of chronic compartment syndrome in the lower leg | DOD - Acute Comp Syndrome CPG | Objectives: To review the literature and identify current management strategies used in the treatment of chronic compartment syndrome and discuss their effectiveness. Design: Systematic review of papers published between 1980 to 2002 which focused primarily on the conservative or surgical management of chronic compartm... |
0 | Double-blind clinical trial of S-adenosylmethionine versus ibuprofen in the treatment of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Thirtyâ?six subjects with osteoarthritis of the knee, the hip, and/or the spine were enrolled in a randomized doubleâ?blind study. Patients received a daily oral dose of 1,200 mg of Sâ?adenosylmethionine (SAMe) or 1,200 mg of ibuprofen for four weeks. Morning stiffness, pain at rest, pain on motion, crepitus, swelli... |
0 | Subchondral Calcium Phosphate is Ineffective for Bone Marrow Edema Lesions in Adults With Advanced Osteoarthritis | PJI DX Updated Search | BACKGROUND: Injury to subchondral bone is associated with knee pain and osteoarthritis (OA). A percutaneous calcium phosphate injection is a novel approach in which subchondral bone marrow edema lesions are percutaneously injected with calcium phosphate. In theory, calcium phosphate provides structural support while it... |
1 | Development of chronic pain following severe accidental injury. Results of a 3-year follow-up study | DoD PRF (Psychosocial RF) | OBJECTIVE: Motor vehicle accidents (MVA) and work-related injuries are two of the more common causes of chronic pain. Nevertheless, there is little evidence on predicting factors regarding the development of chronic pain following physical injury.
METHODS: The present study investigated temporal associations between ac... |
0 | The three-dimensional analysis of kinematic gait parameters of subjects with gonarthrosis before and after total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Background and Aims: The aim of the studies was an attempt to evaluate the variability of parameters of the lower limb joints of subjects before and after total knee replacement and its influence on ankle and hip joints. Angular values changes were studied in three planes of movement. Spatiotemporal parameters were als... |
1 | Observational studies on ultrasound screening for developmental dysplasia of the hip in newborns - a systematic review | Developmental Dysplasia of the Hip CPG | AIM: To assess whether observational studies provide evidence to support general ultrasound screening for developmental dysplasia of the hip (DDH). METHOD: Systematic Review. Following a predefined study protocol, observational studies on ultrasound screening in unselected newborns were identified by search through 23 ... |
0 | Methylmethacrylate as an adjunct in the internal fixation of intertrochanteric fractures of the femur | Management of Hip Fractures in the Elderly | Twenty-eight unstable four-part intertrochanteric fractures in 27 elderly patients with severely osteoporotic femurs were treated by means of internal fixation (commonly the 130 or 95 A.O. blade plate) in combination with methylmethacrylate. Of the 28, ten patients with eleven fractures were recalled and reexamined; 12... |
1 | The results of fresh-frozen patellar tendon allografts for chronic anterior cruciate ligament deficiency of the knee | Anterior Cruciate Ligament Injuries CPG | This prospective study was done to evaluate the clinical outcome of fresh-frozen patellar bone-tendon-bone allograft tissue used as a substitute for chronic insufficiency of the anterior cruciate ligament. Forty-one patients were followed at a mean of 27 months after surgery. The mean time from injury to reconstruction... |
0 | The nerve/tunnel index: a new diagnostic standard for carpal tunnel syndrome using sonography: a pilot study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: To define the relationship between body indices of healthy adults and cross-sectional areas of the carpal tunnel and median nerve and to obtain the nerve/tunnel index, which represents a new standard for diagnosing carpal tunnel syndrome using sonography. METHODS: Body indices (height, weight, and body mass... |
0 | Osteonecrosis of the jaw associated with pamidronate therapy | MSTS 2018 - Femur Mets and MM | Bisphosphonates are commonly used in the treatment and prevention of osteoporosis, and they are also an important therapeutic adjunct in multiple myeloma and other cancers metastatic to bone. Bisphosphonates are generally well tolerated and associated with minimal adverse effects; however, there exists a growing concer... |
0 | Cement augmentation of intertrochanteric fractures stabilised with intramedullary nailing | PJI DX Updated Search | We studied 80 patients (56 females) with an average age of 84 years (range 80-94). All patients were suffering from osteoporosis (1 or 2 Singh score) and had an unstable intertrochanteric fracture, defined as a fracture with three fragments or more. Patients were divided in group A (40 patients), treated by a cement au... |
0 | A scoping review of strategies for the prevention of hip fracture in elderly nursing home residents | Management of Hip Fractures in the Elderly | BACKGROUND: Elderly nursing home residents are at increased risk of hip fracture; however, the efficacy of fracture prevention strategies in this population is unclear. OBJECTIVE: We performed a scoping review of randomized controlled trials of interventions tested in the long-term care (LTC) setting, examining hip fra... |
1 | Systematic Review of Radiofrequency Ablation for Management of Knee Pain | OAK 3 - Non-arthroplasty tx of OAK | Purpose of Review: Chronic pain of the lower extremity remains challenging to manage. Radiofrequency ablation procedure applies heat to nerve fibers with the goal of mitigating chronic pain conditions of the knee. However, the clinical efficacy has not yet been adequately established. The goal of this review paper is t... |
0 | Topical application of tranexamic acid in primary total hip arthroplasty: A systemic review and meta-analysis | DoD SSI (Surgical Site Infections) | Objective: A systematic review of randomized controlled trials (RCTs) and non-RCTs was performed to evaluate efficacy for the reduction of postoperative blood loss and transfusion requirements of topical use of tranexamic acid in patients undergoing primary total hip arthroplasty. Method: Potential articles were identi... |
0 | Changes in Bone Marrow Lesions Following Root Repair Surgery Using Modified Mason-Allen Stitches in Medial Meniscus Posterior Root Tears | AMP (Acute Meniscal Pathology) | Root repair can prevent osteoarthritis (OA) by restoring hoop tension in medial meniscus posterior root tears (MMPRTs). This study aims to investigate bone marrow edema (BME) lesions known to be associated with OA following MMPRTs. <b>Methods</b>: Thirty patients with transtibial pull-out repair were recruited. Subchon... |
0 | Need of Revision of Lower Limb Amputations in a North Indian Tertiary Care Centre | DoD LSA (Limb Salvage vs Amputation) | INRTODUCTION: Amputation of the extremity is a big challenge to mankind. Revision rate of primary amputations stands high despite of maximum care at tertiary care centres. The purpose of this study was to establish cause for the revision, identify preventable cause and to assess outcome of revision amputation surgery. ... |
0 | KNOWLEDGE GAPS IN ORAL AND MAXILLOFACIAL SURGERY: A SYSTEMATIC MAPPING | Dental Implant Infection | OBJECTIVES: The aim of this study was to evaluate available knowledge and identify knowledge gaps within the field of oral and maxillofacial surgery, by systematically collecting and evaluating systematic reviews. Twelve specific domains were selected: surgical removal of teeth, antibiotic and corticosteroid prophylaxi... |
0 | "'Timed up and go' test and bone mineral density measurement for fracture prediction | Management of Hip Fractures in the Elderly | BACKGROUND: Two major factors associated with skeletal fracture in older persons are intrinsic bone strength and risk of falling. This study examined the role of Timed Up and Go (TUG) test performance, a validated predictor of falling, and hip areal bone mineral density (BMD), a validated predictor of bone strength in ... |
1 | The case for the metal-backed glenoid design in total anatomical shoulder arthroplasty | Glenohumeral Joint OA | After 38 years of unchallenged reign of cemented full polyethylene glenoid implants, the main problem of anatomical shoulder arthroplasty is still glenoid loosening, also the main cause of failure. A certain concern regarding uncemented metal back components in total anatomical shoulder arthroplasty has developed, due ... |
0 | Glass foreign bodies inside the knee joint following intra-articular injection | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Foreign bodies inside the knee joint are not uncommon. However, the literature has no reports of a foreign body inside the knee joint, with no history of trauma.
CASE REPORT: Glass foreign bodies were found embedded inside the knee joint during arthroscopic washout for a middle aged male patient with knee o... |
0 | Postoperative analgesia and functional recovery after total-knee replacement: comparison of a continuous posterior lumbar plexus (psoas compartment) block, a continuous femoral nerve block, and the combination of a continuous femoral and sciatic nerve block | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVES: Continuous femoral nerve block is a well-accepted technique for regional analgesia after total-knee replacement. However, many patients still experience considerable pain at the popliteal space and at the medial aspect of the knee. The goal of this study is to evaluate whether a psoas compart... |
0 | Combined Intra-Articular and Intravenous Tranexamic Acid Reduces Blood Loss in Total Knee Arthroplasty: A Randomized, Double-Blind, Placebo-Controlled Trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: In total knee arthroplasty, both intravenous (IV) and intra-articular (IA) administration of tranexamic acid (TXA) have been shown to reduce blood loss in several randomized controlled trials, although routine use of systemic TXA is considerably more common. However, to our knowledge, the additional benefit... |
0 | Convolutional neural networks for automated fracture detection and localization on wrist radiographs | Distal Radius Fractures | Purpose: To demonstrate the feasibility and performance of an object detection convolutional neural network (CNN) for fracture detection and localization on wrist radiographs. Materials and Methods: Institutional review board approval was obtained with waiver of consent for this retrospective study. A total of 7356 wri... |
0 | Operative Intervention of Supracondylar Humerus Fractures More Complicated in July: Analysis of the July Effect | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The "July Effect" involves the influx of new interns and residents early in the academic year (July and August), which may have greater potential for poorer patient outcomes. Current orthopaedic literature does not demonstrate the validity of this concept in arthroplasty, spine, hand, and arthroscopy. No st... |
0 | Hospital case volume and outcomes for proximal femoral fractures in the USA: an observational study | Hip Fx in the Elderly 2019 | OBJECTIVE: To explore whether older adults with isolated hip fractures benefit from treatment in high-volume hospitals.
DESIGN: Population-based observational study.
SETTING: All acute hospitals in California, USA.
PARTICIPANTS: All individuals aged >=65 that underwent an operation for an isolated hip fracture in Calif... |
0 | Timing, Sites, and Correlates of Lung Cancer Recurrence | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: Understanding temporal and anatomic patterns of lung cancer recurrence could guide disease management and monitoring. However, these data are not available in population-based datasets and are not routinely recorded in clinical trials. Materials and Methods: We identified cases of stage 1 to 3 lung cancer... |
0 | Prognostic impact of chronological age on efficacy of immune checkpoint inhibitors in non-small-cell lung cancer: Real-world data from 86 173 patients | MSTS 2022 - Metastatic Disease of the Humerus | Immune checkpoint inhibitors (ICIs) have become standard pharmacological therapies in patients with non-small-cell lung cancer (NSCLC). Because elderly patients with NSCLC are often excluded from clinical trials as a result of lower functional capacity or comorbidities, the prognostic impact of chronological age on the... |
0 | Effect of postoperative delirium on outcome after hip fracture | Hip Fx in the Elderly 2019 | Nine-hundred twenty-one community-dwelling patients 65 years of age or older, who sustained an operatively treated hip fracture from July 1, 1987 to June 30, 1998 were followed up for the development of postoperative delirium. The outcomes examined in the current study were postoperative complication rates, in-hospital... |
0 | Anatomic variations of the median nerve in carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is a well-known clinical entity. Release of the transverse carpal ligament is considered to be the treatment of choice. Both open and endoscopic release of the transverse carpal ligament in CTS has yielded satisfactory results. Although these procedures are very common in surgical practice,... |
1 | Explanatory style as a risk factor for traumatic mishaps | DoD PRF (Psychosocial RF) | Six studies investigated a possible link between hopeless explanatory style--that is, the habitual explanation of bad events with stable and global causes--and risk for traumatic injuries. In samples of college students, dancers, athletes, and trauma patients (total n=2,274), stable and global explanations for bad even... |
0 | Meniscal allografts: biomechanics and techniques | AMP (Acute Meniscal Pathology) | Arthroscopic partial meniscectomy is one of the most common orthopedic surgical procedures performed. Numerous clinical and biomechanical studies have shown the long-term consequences of the meniscus-deficient knee, which includes increased loading of the cartilage. This leads to chondromalacia, and ultimately pain and... |
0 | Erratum: Effect of addition of dexmedetomidine to ropivacaine 0.2% for femoral nerve block in patients undergoing unilateral total knee replacement: A randomised double blind study (Indian Journal of Anaesthesia, (2016) 60, 6,(403-408)) | AAHKS (8) Anesthetic Infiltration | In the article titled, â??Effect of addition of dexmedetomidine to ropivacaine 0.2% for femoral nerve block in patients undergoing unilateral total knee replacement: A randomised double blind study.â? published in pages 403-408, issue 6, vol. 60 of Indian Journal of Anaesthesia[1], the affiliation of the first author ... |
1 | Safety of Aesthetic Surgery in the Overweight Patient: Analysis of 127,961 Patients | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Nearly 70% of US adults are overweight or obese (body mass index, BMI >/= 25 kg/m(2)), and more such patients are seeking aesthetic surgery. Previous studies have evaluated surgical risk in obese (BMI >/= 30) or morbidly obese (BMI >/= 40) patients, with mixed results. OBJECTIVES: This study evaluates BMI 2... |
0 | Mental distress in patients with cerebral visual injury assessed with the german brief symptom inventory | Upper Eyelid and Brow Surgery | BACKGROUND: While there are reports on vision-related quality of life in patients with vision impairment caused by both ophthalmic and brain diseases, little is known about mental distress. In fact, mental distress after cerebral visual injury has been widely ignored. METHODS: Mental health symptoms were assessed in 12... |
1 | Assessment of menisci and ligamentous injuries of the knee on magnetic resonance imaging: correlation with arthroscopy | Anterior Cruciate Ligament Injuries CPG | OBJECTIVE: To evaluate the validity of MRI, in the assessment of the meniscal and cruciate ligamenteous injuries of the knee joint and comparison with arthroscopic findings. METHODS: A one year prospective cross-sectional study from January 2006 to January 2007, was performed on 50 patients (32 males & 18 females) with... |
0 | As Goes the Meniscus Goes the Knee: Early, Intermediate, and Late Evidence for the Detrimental Effect of Meniscus Tears | AMP (Acute Meniscal Pathology) | The meniscus plays an important, complex role in maintaining the homeostasis and health of the knee. Meniscal tears are a risk factor for early chondral injury and eventually knee osteoarthritis. There is a growing body of evidence about the early biological changes associated with meniscal injury that likely start the... |
0 | Differences in Abuse and Related Risk and Protective Factors by Runaway Status for Adolescents Seen at a U.S. Child Advocacy Centre | DoD PRF (Psychosocial RF) | OBJECTIVES: This study examined the abuse prevalence and characteristics, and risk and protective factors, among both runaway and non-runaway adolescents evaluated at a Child Advocacy Center (CAC) in Minnesota, which had implemented a referral program to assess runaways for potential sexual assault or sexual exploitati... |
0 | Evidence for a selected humoral immune response encoded by VH4 family genes in the synovial membrane of a patient with rheumatoid arthritis (RA) | Surgical Management of Osteoarthritis of the Knee CPG | The analysis of rearranged antibody-encoding genes from B cell foci in rheumatoid synovial tissue has characterized these cells as highly mutated memory B cells with a high proportion of members of the VH4 family. In order to characterize further the VH4 response in one patient, B cell-rich areas from different section... |
0 | Injuries and the cost of falls among older adults how pharmacists can help | Management of Hip Fractures in the Elderly | Fall-related injuries are a serious public health issue among older adults. In addition to having a significant impact on our economy, these injuries are associated with considerable morbidity. Each year, 1 out of every 3 adults aged 65 and older fall; of these adults, 10% to 20% sustain serious injuries such as fractu... |
0 | Dyslexia and fluency: parafoveal and foveal influences on rapid automatized naming | Upper Eyelid and Brow Surgery | The ability to coordinate serial processing of multiple items is crucial for fluent reading but is known to be impaired in dyslexia. To investigate this impairment, we manipulated the orthographic and phonological similarity of adjacent letters online as dyslexic and nondyslexic readers named letters in a serial naming... |
0 | Invasive group A Streptococcus infections associated with liposuction surgery at outpatient facilities not subject to state or federal regulation | Panniculectomy & Abdominoplasty CPG | IMPORTANCE: Liposuction is one of the most common cosmetic surgery procedures in the United States. Tumescent liposuction, in which crystalloid fluids, lidocaine, and epinephrine are infused subcutaneously before cannula-assisted aspiration of fat, can be performed without intravenous or general anesthesia, often at ou... |
0 | Adjunctive use of the superficial femoral vein for vascular reconstructions | DOD - Acute Comp Syndrome CPG | Objective: Although the superficial femoral vein (SFV) is an accepted treatment for aortic graft infections, this conduit also has potential uses in other areas. Herein, we evaluate our experience using the SFV for arterial and venous bypasses and the arteriovenous (AV) fistula for dialysis access. Methods: Between 199... |
1 | Ten versus five polymorphonuclear leukocytes as threshold in frozen section tests for periprosthetic infection: a meta-analysis | PJI DX Updated Search | We objectively appraised available evidence regarding the threshold for the number of polymorphonuclear leukocytes required in frozen section tests used to diagnose periprosthetic infection. Pooled summary estimates for sensitivity, specificity, positive likelihood ratio, negative likelihood ratio and diagnostic odds r... |
0 | Chemotherapy of rhabdomyosarcoma by regional perfusion: a case report | MSTS 2018 - Femur Mets and MM | A 14 month old girl was brought to the hospital with a 3 month history of swelling of the right calf. Incisional biopsy of the mass, which clinically involved all the calf muscles, revealed embryonal rhabdomyosarcoma. Clinically there was no regional lymph node involvement. The patient underwent isolated right lower ex... |
0 | Safety of rivaroxaban with neuraxial anaesthesia for total hip or knee replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | Aims: Pts receiving anticoagulants are at risk of developing spinal haematoma when neuraxial anaesthesia is used (epidural or spinal with/without an indwelling epidural catheter). Rivaroxaban - an oral, direct Factor Xa inhibitor - was compared with enoxaparin for the prevention of venous thromboembolism after total hi... |
0 | Intentional and unintentional weight loss increase bone loss and hip fracture risk in older women | Management of Hip Fractures in the Elderly | OBJECTIVES: To test the hypothesis that unintentional weight loss increases the rate of bone loss and risk of hip fracture more than intentional weight loss. DESIGN: Prospective cohort study. SETTING: Four communities within the United States. PARTICIPANTS: Six thousand seven hundred eighty-five elderly white women wit... |
0 | Smaller Radius Width in Women With Distal Radius Fractures Compared to Women Without Fractures | Distal Radius Fractures | Introduction Bone mineral density (BMD) measured using dual-energy x-ray absorptiometry (DXA) is typically used to assess fracture risk. However, other factors such as bone size and the forward momentum of a fall (a function of body size) can also potentially influence fracture risk, but are understudied. This report d... |
0 | Preemptive oral rofecoxib plus postoperative intraarticular bupivacaine for pain relief after arthroscopic knee surgery | OAK 3 - Non-arthroplasty tx of OAK | This study was designed to test the hypothesis whether preemptive administration of rofecoxib, a novel selective COXâ?2 inhibitor, can prolong intraarticular bupivacaine analgesia after arthroscopic knee surgery. Sixtyâ?two patients were randomly assigned to one of the three groups. Group 1 (n=21) was administered or... |
1 | Upper extremity complications in hemodialysis patients: Recommendations and a review of the literature | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This article presents a summary of upper extremity complications common in the hemodialysis patient population, including nerve entrapment syndromes, edema, and peripheral neuropathies. In order to preserve hand function in this susceptible population, the author emphasizes the importance of renal dialysis center staff... |
1 | Psychological Resilience Is Associated With Participation Outcomes Following Mild to Severe Traumatic Brain Injury | DoD PRF (Psychosocial RF) | Traumatic brain injury (TBI) causes physical and cognitive-behavioral impairments that reduce participation in employment, leisure, and social relationships. Demographic and injury-related factors account for a small proportion of variance in participation post-injury. Personal factors such as resilience may also impac... |
0 | Anatomic and Reverse Total Shoulder Arthroplasty in Patients Older Than 80 Years | Glenohumeral Joint OA | Anatomic total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RSA) are routinely performed in patients older than 80 years. Often unaware of the differences between the 2 procedures, patients may expect similar outcomes from these procedures. This article reports the outcomes of primary TSA and RS... |
0 | Preoperative nutritional status of the surgical patients in Jeju | Hip Fx in the Elderly 2019 | BACKGROUND: To assess the preoperative nutritional status of patients with various disorders and to provide data for pre- and postoperative patient management plans, particularly in the elderly. There is no published information on age-matched and disease-matched preoperative nutritional/immunologic status for orthoped... |
0 | Terminal branch of anterior interosseous nerve as source of wrist pain | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The terminal branch of the anterior interosseous nerve is described anatomically and demonstrated histologically. Injury to this nerve can be the source of persistent, dull aching volar wrist pain. Suitability for partial volar wrist denervation is determined by functional testing before and after a diagnostic nerve bl... |
0 | The influence of diabetes mellitus on the post-operative outcome of elective primary total knee replacement: A systematic review and meta-analysis | DoD SSI (Surgical Site Infections) | Total knee replacement (TKR) is an effective method of treating end-stage arthritis of the knee. It is not, however, a procedure without risk due to a number of factors, one of which is diabetes mellitus. The purpose of this study was to estimate the general prevalence of diabetes in patients about to undergo primary T... |
0 | Flexible intramedullary nails for unstable fractures of the tibia in children | DoD SSI (Surgical Site Infections) | Flexible intramedullary nailing is gaining popularity as an effective method of treating long-bone fractures in children. We retrospectively reviewed the records and radiographs of 56 unstable fractures of the tibia in 54 children treated between March 1997 and May 2005. All were followed up for at least two months aft... |
0 | Fat preserving by laser 1210-nm | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: The 1210-nm wavelength has absorption-affinity for Lipid-Rich Tissue and has demonstrated to stimulate adipocytes and mesenchymal cells of the subcutaneous tissue, with a new concept: Selective Photothermostimulation (SPS). The application in Liposuction of this wavelength is determined by its preservatio... |
1 | Coronal fat suppression fast spin echo images of the knee: evaluation of 202 patients with arthroscopic correlation | AMP (Acute Meniscal Pathology) | We optimized fat-suppressed fast spin echo (FS-FSE) parameters for coronal imaging of the knee and then evaluated the technique in a clinical setting. Five volunteers and 12 patients were used to evaluate various repetition (TR), echo (TE), and echo train lengths (ETL). Then, 202 patients underwent both knee MR imaging... |
1 | Time to Block: Early Regional Anesthesia Improves Pain Control in Geriatric Hip Fractures | Hip Fx in the Elderly 2019 | BACKGROUND: Fascia iliaca nerve blocks (FIBs) anesthetize the thigh and provide opioid-sparing analgesia for geriatric patients with hip fracture awaiting a surgical procedure. FIBs are recommended for preoperative pain management; yet, block administration is often delayed for hours after admission, and delays in pain... |
0 | Anatomy of a defective barrier: Sequential glove leak detection in a surgical and dental environment | Dental Implant Infection | Objectives: a) To determine the frequency of perforations in latex surgical gloves before, during, and after surgical and dental procedures; b) to evaluate the topographical distribution of perforations in latex surgical gloves after surgical and dental procedures; and c) to validate methods of testing for latex surgic... |
0 | Comparison of the efficacy of a forced-air warming system and circulating-water mattress on core temperature and post-anesthesia shivering in elderly patients undergoing total knee arthroplasty under spinal anesthesia | AAHKS (8) Anesthetic Infiltration | Background: In the present study, we compared changes in body temperature and the occurrence of shivering in elderly patients undergoing total knee arthroplasty under spinal anesthesia during warming with either a forced-air warming system or a circulating-water mattress. Methods: Forty-six patients were randomly assig... |
1 | External fixation of distal femoral fractures in adults' multicentre retrospective study of 43 patients | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: A multicenter cohort of 43 adults with distal femoral fractures (DFFs) managed with external fixation was evaluated to determine the potential of this treatment. PATIENTS AND METHODS: The patients were young adults (mean age: 39.6 years) with high-energy trauma; 12 had polytrauma and 41 multiple fractures. ... |
0 | Functional and radiographic outcome after tumor limb salvage surgery using STANMORE megaprostheses | PJI DX Updated Search | PURPOSE: To report the clinical and radiological outcome of limb salvage surgery with the STANMORE megaprostheses. METHODS: We retrospectively studied 33 patients with musculoskeletal tumor limb salvage surgery using STANMORE megaprostheses. Clinical evaluation was done using the Enneking and the Toronto Extremity Salv... |
0 | Clinical features of nonpituitary sellar lesions in a large surgical series | Upper Eyelid and Brow Surgery | CONTEXT: Pituitary adenomas are the most common lesions in the sellar region, but other pathologies need to be considered in the differential diagnosis. OBJECTIVE: To assess the prevalence of unusual sellar masses in a large series of patients and identify clinicopathological factors that may aid the pre-operative diag... |
0 | The role of radiotherapy in patients undergoing mastectomy for carcinoma of the breast | MSTS 2018 - Femur Mets and MM | Several factors, including T stage, nodal involvement, grade, the presence of lymphovascular invasion, and possibly involved or close surgical margins, have been found to affect local recurrence after mastectomy. The majority of recurrences will occur in the first 5 years and 50% of patients will have metastatic diseas... |
1 | The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The increase in the number of individuals with an unhealthy high body weight is particularly relevant in the United States. Obesity (body mass index >/= 30 kg/m2) is a well-documented risk factor for the development of osteoarthritis. Furthermore, an increased prevalence of total knee arthroplasty in obese ... |
1 | Common pain generators after total shoulder arthroplasty and their pesky relatives | Trial Systematic Review Project | Although anatomic and reverse total shoulder arthroplasty (TSA) are generally very successful procedures with predictable pain relief, a small percentage of patients experience refractory pain postoperatively. Common etiologies of pain following such surgery are infection and joint instability in the early postoperativ... |
0 | Minimally invasive techniques for pain palliation in extraspinal bone metastases: A review of cementoplasty and radiofrequency ablation | MSTS 2018 - Femur Mets and MM | Minimally invasive techniques are an effective primary or alternative modality for pain palliation in extraspinal bone metastases, particularly when conventional therapies such as localized radiation therapy leave a subset of patients with refractory pain. Cementoplasty is hypothesized to work through the stabilization... |
0 | Prospective comparison of surgery alone and chemoradiotherapy with selective surgery in resectable squamous cell carcinoma of the esophagus | Reconstruction After Skin Cancer | PURPOSE: Esophagectomy remains the mainstay treatment for esophageal cancer, although retrospective studies have suggested that chemoradiotherapy (CRT) is as effective as surgery. To determine whether CRT can substitute for surgery as the primary treatment modality, we performed a prospective direct comparison of outco... |
0 | Transfusion drains versus suction drains in total knee replacement: meta-analysis | PJI DX Updated Search | PURPOSE: The use of autologous blood transfusion drains in orthopaedic surgery has been the subject of debate for several years. The aim of this meta-analysis was to review the use of autologous blood transfusion drains in total knee replacement. METHODS: The primary outcomes were as follows: the number of patients req... |
0 | Use of a Modular Tapered Fluted Femoral Component in Revision Total Hip Arthroplasty Following Resection of a Previously Infected Total Hip: Minimum 5-year Follow-Up | AAHKS (2) Corticosteroids | Femoral reconstruction in the setting of two stage reimplantation can be difficult and substantial reoperation rates due to implant loosening have been reported. We retrospectively reviewed 28 male and 29 female patients who underwent a two-stage reimplantation using a modular, tapered femoral stem. The mean clinical f... |
0 | FNAC - Giant cell tumor of bone a study of 13 cases (Part III) | MSTS 2022 - Metastatic Disease of the Humerus | Analysis of FNAC of bone tumors over over a period of 11 1/2 years (Jan 1991 - June 2002) revealed 13 cases of Giant cell tumors. Histopathology was available for comparison in all the cases. On FNAC 12 cases were diagnosed as Giant cell tumors and one case as Aneurysmal bone cyst. The histopathology showed 11 cases of... |
0 | Assessment of the ratio of carpal contents to carpal tunnel volume in patients with carpal tunnel syndrome: a preliminary report | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An anatomic basis for carpal tunnel syndrome (CTS) has been proposed but not confirmed; both volumetric and area studies have been used to address this issue. The authors have demonstrated that the ratio of the carpal tunnel contents (CTC) to carpal tunnel volume (CTV) provides information regarding the relative free s... |
0 | Compression of the ulnar nerve at the wrist by anatomical variation anterior ulnar muscle about one case | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction.- The compression of the ulnar nerve is the second compressive neuropathy after carpal tunnel syndrome. The most common site of compression is elbow, but compressions are described all along its path in particular at the Guyon's canal. The etiology of idiopathic compressions is usually at the elbow as oppo... |
0 | Do Regional Analgesia and Peripheral Blocks Still Have a Place in Joint Arthroplasty? | AAHKS (9/10) Regional Nerve Blocks | The efficacy of regional anesthesia and peripheral nerve blocks in the management of postoperative pain has resulted in widespread use of this approach in hip and knee arthroplasty. With extensive clinical use, however, the limitations of this approach have become apparent. These limitations include delays for the surg... |
0 | The evaluation of tiodonium chloride as an antiplaque and anticaries agent. V. Effects on plaque microbiology and plaque and saliva pH | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of this study was to determine the effect of a tiodonium chloride mouthrinse on the microbial composition of plaque and the acidogenic properties of plaque and saliva after challenge with sucrose solutions. Fifty-five participants were grouped on the basis of their tendency to form plaque, then randomly ass... |
1 | Impaired weight transfer persists at least four months after hip fracture and rehabilitation | Hip Fx in the Elderly 2019 | OBJECTIVE: To determine whether choice stepping reaction time performance is impaired in people after hip fracture and whether different aspects of choice stepping performance improve with rehabilitation.
DESIGN: This study includes a secondary analysis of data obtained from participants in a randomized controlled tria... |
0 | What can we learn from a patient on dialysis for 42 years? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We performed autopsy on a 60-year-old Japanese man who had received dialysis for 42 years. He started on intermittent peritoneal dialysis in 1968, which was combined with hemodialysis in 1969. His serum calcium-phosphate balance and his blood pressure had been controlled well. Carpal tunnel syndrome occurred in 1984. T... |
0 | The morbidity associated with lost or irretrievable resected meniscal fragments | AMP (Acute Meniscal Pathology) | Between January 1984 and April 1989 pieces of already-separated meniscus were lost in the knees of 23 patients as a complication of knee arthroscopy. These patients were asked to complete a questionnaire with regard to their postoperative problems. Despite the fact that some of these pieces were up to 4 cm in length, o... |
0 | Are patients with hip fractures more osteoporotic? Review of the evidence | Management of Hip Fractures in the Elderly | This report critically reviews 15 case-control studies that disagree about whether patients who fracture their hip are significantly more osteoporotic than persons of similar age who do not. The most rigorously designed studies observed less bone mass in the hips of patients with fractures than in the hips of control s... |
0 | Abdominal-based adipocutaneous advancement flap for reconstructing inguinal defects with contraindications to standard reconstructive approaches: a simple and safe salvage reconstructive option | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Groin wounds occurring after vascular surgical site infection, oncologic resection, or occasionally orthopedic surgery and trauma may represent a surgical challenge. Reconstruction of these defects by the usual workhorse flaps may be contraindicated following previous surgery and in patients with lower limb... |
0 | Transposition of intravascular lipid in experimentally induced fat embolism: a preliminary study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Liposuction is a procedure to reduce the volume of subcutaneous fat by physical force. Intracellular storage fat is composed of triglyceride, whereas circulating fat particles exist as cholesterol or triglycerol bound to carrier proteins. It is unavoidable that the storage form of fat particles enters the c... |
0 | Effect of Extensor Muscle Strength on Meniscus Damage Progression in Subjects Without Radiologic Knee Osteoarthritis: Data From the Osteoarthritis Initiative | AMP (Acute Meniscal Pathology) | BACKGROUND: It has been demonstrated that high extensor strength decreases knee osteoarthritis symptomatic progression. However, few studies have detected a significant association between extensor strength and structural progression.
METHODS: Participants in the Osteoarthritis Initiative with both muscle strength and ... |
0 | Hinged elbow external fixation for severe elbow stiffness | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE OF THE STUDY The elbow is a highly constrained synovial hinge joint that frequently becomes stiff after injury. Grade 4 elbow stiffness (ankylosis) is a strongly limiting factor in the patient s daily activities and is difficult to treat. Hinged external fixation of the elbow provides the advantages of static f... |
0 | Effectiveness of Trauma-Focused Cognitive Behavioral Therapy Among Trauma-Affected Children in Lusaka, Zambia: a Randomized Clinical Trial | DoD PRF (Psychosocial RF) | IMPORTANCE: Orphans and vulnerable children (OVC) are at high risk for experiencing trauma and related psychosocial problems. Despite this, no randomized clinical trials have studied evidenceâ?based treatments for OVC in lowâ?resource settings. OBJECTIVE: To evaluate the effectiveness of lay counselorâ?provided trau... |
0 | Immediate effects of self-manual therapy and supervised manual therapy in individuals with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background and Objective: Knee osteoarthritis is the degenerative disease that leads to pain, impaired mobility, poor function and frequent absence from work. The self-manual therapy affects to decrease pain and improve knee motions. However, the evidence of the different of the self-manual therapy and supervised manua... |
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