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Child-Pugh Class B or C Liver Disease Increases the Risk of Early Mortality in Patients With Hepatitis C Undergoing Elective Total Joint Arthroplasty Regardless of Treatment Status
CONCLUSION: Patients with HCV and a Child-Pugh Class B or C at the time of elective TJA had substantially increased odds of death, regardless of liver function, cirrhosis, age, Model for End-Stage Liver Disease level, HCV treatment, and viral load status. This is similar to the risk of early mortality observed in patients with chronic liver disease undergoing abdominal and cardiac surgery. Surgeons should avoid these major elective procedures in patients with Child-Pugh Class B or C whenever possible. For patients who feel their arthritic symptoms and pain are unbearable, surgeons need to be clear that the risk of death is...
Source: Clinical Orthopaedics and Related Research - March 24, 2023 Category: Orthopaedics Authors: Kyle H Cichos Eric Jordan Kian Niknam Antonia F Chen Erik N Hansen Gerald McGwin Elie S Ghanem Source Type: research

Comparison of transcutaneous electrical stimulation and suprascapular nerve blockage for the treatment of hemiplegic shoulder pain
CONCLUSION: TENS and SSNB were beneficial in relieving pain and increasing passive shoulder ROM and ADL in all patients. The alleviating of pain was faster in patients who underwent SSNB.PMID:36565102 | DOI:10.3233/BMR-220189
Source: Journal of Back and Musculoskeletal Rehabilitation - December 24, 2022 Category: Orthopaedics Authors: Sedef Ersoy Nurdan Paker Fatma Nur Kesikta ş Derya Soy Bugdayci Ebru Karakaya Mert Çetin Source Type: research

Osteoporotic fracture admissions compared to other major medical admissions in Irish public hospitals
ConclusionOsteoporotic fractures represent a large and rapidly increasing illness burden amongst older Irish adults, with substantial care requirements and the resulting onus on our healthcare system. Urgent action is needed to address this public health issue and the services for those at risk of fracture.
Source: Archives of Osteoporosis - December 17, 2022 Category: Orthopaedics Source Type: research

Concomitant cervical spine fractures are the primary driver of disability after traumatic vertebral artery dissection: A Case series of 123 patients
Conclusion: tVADs may be associated with stroke and/or cervical fracture. Presenting symptoms predict stroke, but baseline demographic and clinical characteristics do not. Comorbid cervical fractures, not stroke, drive negative outcomes
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Michael Brendan Cloney Anastasios G Roumeliotis Hooman A Azad Nikil Prasad Nathan A Shlobin Benjamin S Hopkins Babak S Jahromi Matthew B Potts Nader S Dahdaleh Source Type: research

Immediate effects of a buffered knee orthosis on gait in stroke patients with knee hyperextension
CONCLUSION: The buffered knee orthosis can effectively prevent knee hyperextension after stroke, improve the knee and ankle sagittal motion, gait asymmetry, gait subjective feeling, and does not affect gait space-time parameters.PMID:36278338 | DOI:10.3233/BMR-220069
Source: Journal of Back and Musculoskeletal Rehabilitation - October 24, 2022 Category: Orthopaedics Authors: Zhibiao Chen Zuxin Xian Huanzhou Chen Yuan Zhong Feng Wang Source Type: research

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