Management of haematogenous bone and joint infection in developing countries
Haematogenous pyogenic bone and joint infection is rarely seen in developed countries, but in the developing world it is still a major and common problem. New forms of acute fulminating osteomyelitis are likely to appear due to immunosuppression in the wake of the worldwide spread of HIV infection, AIDS, and the increased use of steroids, antibiotics, and immune activators. Osteomyelitis due to candida and cryptococcus infection in certain regions, are occasionally observed, whilst osteomyelitis that is resistant to treatment is associated with diabetes mellitus. (Source: Orthopaedics and Trauma)
Source: Orthopaedics and Trauma - May 4, 2024 Category: Orthopaedics Authors: Myung-Sang Moon Tags: Principles of orthopaedics Source Type: research
Is There a Learning Curve for the 5-Year Implant Survival Rate of Total Hip Arthroplasty Using the Direct Anterior Approach with a Traction Table? - A Prospective Cohort Study
The direct anterior approach (DAA) for total hip arthroplasty (THA) is attracting attention as a minimally invasive surgery, but the learning curve to master this approach is a concern, and its effect on long-term results is unknown. The purpose of this prospective cohort study was to clarify how the learning curve affects the five-year results of DAA THA with a traction table. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - May 4, 2024 Category: Orthopaedics Authors: Junichi Nakamura, Shigeo Hagiwara, Yuya Kawarai, Rui Hirasawa, Tsutomu Akazawa, Seiji Ohtori Source Type: research
Latarjet Procedure: Biomechanical Evaluation of 2 Screw Coracoid Fixation
Coracoid nonunion is a relevant complication following the Latarjet procedure and is influenced by multiple factors, including the method of graft fixation. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - May 4, 2024 Category: Orthopaedics Authors: Kenny Chang, Oscar Covarrubias, Douglas Scott, David Paller, Andrew Green Tags: Original Article Source Type: research
No Difference in Revision Rates or Patient Reported Outcome Measures Between Surgical Approaches for Total Hip Arthroplasty Performed for Femoral Neck Fracture: An Analysis of 5,025 Primary Total Hip Arthroplasties from the New Zealand Joint Registry
This study compared the revision rates and patient-reported outcome measures (PROM) by surgical approach. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - May 4, 2024 Category: Orthopaedics Authors: Vikesh K. Gupta, Wayne Hoskins, Christopher M.A. Frampton, Kelly G. Vince Source Type: research
Over the Past Decade, Preoperative Anemia Has Become a Greater Predictor of Transfusions after Total Knee Arthroplasty
With advancements in perioperative blood management and the use of tranexamic acid, the rate of transfusions after total knee arthroplasty (TKA) has substantially decreased. As these principles are refined, other modifiable risk factors, such as preoperative anemia, may play an increasingly important role in transfusion risk for patients undergoing TKA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - May 4, 2024 Category: Orthopaedics Authors: Jessica Schmerler, Andrew B. Harris, Vishal Hegde, Julius K. Oni, Harpal S. Khanuja Source Type: research
Minimum 15-Year Survival Of A Biconvex Inlay Patellar Component In Primary Total Knee Arthroplasty: An Analysis Of 2,530 TKA From A Single Institution
Routine patellar resurfacing during primary total knee arthroplasty (TKA) remains controversial. To our knowledge, there are no studies reporting the long-term performance of a cemented biconvex all-polyethylene inlay component implanted at the time of primary TKA. The purpose of this study was to examine the 15-year survivorship and long-term clinical outcomes of this biconvex inlay patella used at our institution. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - May 4, 2024 Category: Orthopaedics Authors: Adit R. Maniar, T. David Luo, Lyndsay Somerville, Steven J. MacDonald, Douglas D.R. Naudie, Richard W. McCalden Tags: Proceedings of the Knee Society 2023 Source Type: research
Effects of the open Latarjet procedure on shoulder kinematics and periscapular muscle activity three months postoperatively
This study aimed to assess the short-term influence of open Latarjet procedure on scapular kinematics and periscapular muscle activity during arm raising and lowering based on comparisons between patient and healthy athletes. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - May 4, 2024 Category: Orthopaedics Authors: Matthieu Degot, Isabelle Rogowski, Yoann Blache, Lionel Neyton Tags: Original Article Source Type: research
Collaborative Model of Care between Orthopaedics and Allied Healthcare Professionals (CONNACT) in knee osteoarthritis: Effectiveness-implementation hybrid randomized controlled trial of a community-based, multidisciplinary, stratified intervention
To compare the clinical and cost effectiveness of the Collaborative Model of Care between Orthopaedics and Allied Healthcare Professionals (CONNACT), a community-based, stratified, multidisciplinary intervention consisting of exercise, education, psychological and nutrition delivered through a chronic care model to usual hospital care in adults with knee osteoarthritis (OA). (Source: Osteoarthritis and Cartilage)
Source: Osteoarthritis and Cartilage - May 4, 2024 Category: Rheumatology Authors: Bryan Yijia TAN, YANG Su-Yin, Michelle Jessica Pereira, TAN Chun Yue, LIM Chien Joo, NG Julia Poh-Hwee, LEE Keng Thiam, PUA Yong Hao, Andrew M. Briggs, David J. Hunter, Soren T. Skou, Julian Thumboo, Josip Car Tags: Clinical Trial Source Type: research
Questionable firms tempt young doctors with 'easy' publications
Last year, physician Rupak Desai co-authored
more than three dozen conference abstracts
in
Circulation
, the American Heart Association’s (AHA’s) flagship journal. The works marked a modest fraction of
his publications in 2023
, which totaled 162. But Desai, scholarly productivity notwithstanding, is not employed by a hospital, university, nor any other type of scientific institution.
Based in Atlanta, Desai runs a business that offers junior doctors from around the world a chance to beef up their CVs before applying for coveted residency or fellowship positions at hospitals or physi...
Source: Science of Aging Knowledge Environment - May 3, 2024 Category: Geriatrics Source Type: research
The Jerusalem tribune collapse incident: Challenges in the management of a pediatric mass casualty incident
CONCLUSION: Pediatric MCI management presents specific challenges. The lack of consistency in triage, registry, and management highlights the need for robust pediatric MCI training programs.PMID:38698513 | DOI:10.5055/ajdm.0479 (Source: American Journal of Disaster Medicine)
Source: American Journal of Disaster Medicine - May 3, 2024 Category: International Medicine & Public Health Authors: Naama Pines Saar Hashavya Miklosh Bala Kedar Asaf Lea Ohana-Sarna-Cahan Giora Weiser Bat El Shalem David Rekthman Shaden Salameh Source Type: research
Development and validation of a machine learning model to improve precision prediction for irrational prescriptions in orthopedic perioperative patients
CONCLUSION: The RF model showcased significantly high level of proficiency in predicting irrational prescriptions among orthopedic perioperative patients, outperforming other models by a considerable margin. It effectively enhanced the efficiency of pharmacist interventions, displaying outstanding performance in assisting pharmacists to intervene with irrational prescriptions.PMID:38698685 | DOI:10.1080/14740338.2024.2348569 (Source: Expert Opinion on Drug Safety)
Source: Expert Opinion on Drug Safety - May 3, 2024 Category: Drugs & Pharmacology Authors: Weipeng Li Nan Shang Zhiqi Zhang Yun Li Xianlin Li Xiaojun Zheng Source Type: research
Technology Behind Cell Therapy Augmentation of Fracture Healing: Concentrated Bone Marrow Aspirate
J Am Acad Orthop Surg. 2024 May 15;32(10):e476-e481. doi: 10.5435/JAAOS-D-24-00020.ABSTRACTWith an aging population, and an anticipated increase in overall fracture incidence, a sound understanding of bone healing and how technology can optimize this process is crucial. Concentrated bone marrow aspirate (cBMA) is a technology that capitalizes on skeletal stem and progenitor cells (SSPCs) to enhance the regenerative capacity of bone. This overview highlights the science behind cBMA, discusses the role of SSPCs in bone homeostasis and fracture repair, and briefly details the clinical evidence supporting the use of cBMA in fr...
Source: The Journal of the American Academy of Orthopaedic Surgeons - May 3, 2024 Category: Orthopaedics Authors: Philipp Leucht Devan Mehta Source Type: research
An in silico approach to elucidate the pathways leading to primary osteoporosis: age-related vs. postmenopausal
Biomech Model Mechanobiol. 2024 May 3. doi: 10.1007/s10237-024-01846-2. Online ahead of print.ABSTRACTNumerical models of bone remodelling have traditionally been used to perform in silico tests of bone loss in postmenopausal women and also to simulate the response to different drug treatments. These models simulate the menopausal oestrogen decline by altering certain signalling pathways. However, they do not consider the simultaneous effect that ageing can have on cell function and bone remodelling, and thus on bone loss. Considering ageing and oestrogen decline together is important for designing osteoporosis treatments ...
Source: Biomechanics and Modeling in Mechanobiology - May 3, 2024 Category: Biomedical Science Authors: Roc ío Ruiz-Lozano Jos é Luis Calvo-Gallego Peter Pivonka Michelle M McDonald Javier Mart ínez-Reina Source Type: research
Computer-simulated TOUCH prosthesis cup malposition and solutions
CONCLUSION: Our computer-based measurements suggested options for intraoperative cup revision depending on cup shape and size and on type of misalignment with resulting bone defects. These suggestions, however, need to be confirmed in anatomic specimens before introducing them into clinical practice.PMID:38701947 | DOI:10.1016/j.hansur.2024.101712 (Source: Hand Surgery)
Source: Hand Surgery - May 3, 2024 Category: Surgery Authors: Kevin Knappe Mareike Schonhoff Sebastian Jaeger Berthold Bickert Leila Harhaus Benjamin Panzram Source Type: research
Incidence and management of secondary deformities after megaendoprosthetic proximal femur replacement in skeletally immature bone sarcoma patients
CONCLUSIONS: Patients aged < 10 years were prone to develop secondary hip dysplasia and genu valgum following proximal femur replacement in this study. Management of secondary deformities should depend on remaining skeletal growth. Stress shielding was observed in almost all skeletally immature patients.PMID:38700674 | DOI:10.1007/s00402-024-05334-1 (Source: Hand Surgery)
Source: Hand Surgery - May 3, 2024 Category: Surgery Authors: Wiebke K Guder Nina M Engel Arne Streitb ürger Christina Polan Marcel Dudda Lars E Podleska Markus Nottrott Jendrik Hardes Source Type: research
