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Specialty: Orthopaedics

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Total 785 results found since Jan 2013.

The Effect of Anticoagulation on Outcomes After Liver and Spleen Injuries: A Research Consortium of New England Centers for Trauma (ReCONECT) Study.
Over the past several decades, following the initial description of non-operative management in the pediatric population, the management of liver and splenic injuries has transformed from a predominantly operative management to a more selective approach. Non-operative management, along with the adjunctive use of angioembolization, has been successfully utilized for the management of many adults with spleen and liver injuries. [1,2,3,4] During the same time, there has also been an increasing utilization of anticoagulation (AC) agents for a variety of cardiovascular conditions including stroke prevention in atrial fibrillation.
Source: Injury - May 13, 2020 Category: Orthopaedics Authors: Bishwajit Bhattacharya, Reza Askari, Kimberly A Davis, Jon Dorfman, Ahmed I Eid, Ahmed E Elsharkawy, George Kasotakis, Sandra Mackey, Stephen Odom, Barbara U Okafor, Michael Rosenblatt, Alexander Ruditsky, George Velmahos, Adrian A Maung Source Type: research

Heparin-Induced Thrombocytopenia after Total Knee Replacement.
Authors: Salášek M, Šlechtová J, Pavelk T Abstract Heparin-induced thrombocytopenia is a rare complication of treatment with both unfractionated heparin (UFH) and low molecular weight heparin (LMWH). Antibodies against the complex heparin-platelet factor 4 are the main cause of pathogenesis, resulting in the activation of thrombocytes, coagulation, endothelium, monocytes, neutrophils and subsequent highly prothrombotic state. The prothrombotic state can result not only in venous but also in arterial thrombosis at different locations (which is manifested apart from venous thromboembolic disease also by acute lim...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Fragility fractures in Europe: burden, management and opportunities
ConclusionsFracture-related burden is expected to increase over the coming decades. Given the substantial treatment gap and proven cost-effectiveness of fracture prevention schemes such as fracture liaison services, urgent action is needed to ensure that all individuals at high risk of fragility fracture are appropriately assessed and treated.
Source: Archives of Orthopaedic and Trauma Surgery - April 18, 2020 Category: Orthopaedics Source Type: research

Weight loss since early adulthood, later life risk of fracture hospitalizations, and bone mineral density: a prospective cohort study of 0.5 million Chinese adults
ConclusionsWeight loss from early adulthood to midlife was associated with a higher risk of hip fracture and lower BMD in later life.
Source: Archives of Orthopaedic and Trauma Surgery - April 18, 2020 Category: Orthopaedics Source Type: research

Trunk biomechanics during walking after sub-acute stroke and its relation to lower limb impairments
This study suggests that lower limb impairments should not be considered as the sole contributor of trunk impairments during walking, as intrinsic trunk deficits are present after stroke.
Source: Clinical Biomechanics - April 18, 2020 Category: Orthopaedics Authors: Van Criekinge Tamaya, Saeys Wim, Nolan Herssens, Patricia Van de Walle, De Hertogh Willem, Truijen Steven, Hallemans Ann Source Type: research

Limited fascicle shortening and fascicle rotation may be associated with impaired voluntary force-generating capacity in pennate muscles of chronic stroke survivors
This association implies that such fascicle changes could impair the force-generating capacity of the muscle in chronic stroke survivors.
Source: Clinical Biomechanics - April 18, 2020 Category: Orthopaedics Authors: Jongsang Son, William Z. Rymer, Sabrina S.M. Lee Source Type: research

Late-onset neuromyelitis optica spectrum disorder mimicking stroke in an elderly Chinese man: Case report.
Conclusion: Even in the elderly, a diagnosis of NMOSD should be considered for patients with myelitis, especially those with longitudinally extensive spinal cord involvement. Testing for aquaporin 4 antibody in this scenario is recommended for further confirmation. Once diagnosed, careful consideration of treatment options and close monitoring of side effects are important to improve prognosis in elderly patients. PMID: 32298226 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - April 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Lupus and Perioperative Complications in Elective Primary Total Hip or Knee Arthroplasty.
Conclusions: Lupus is an independent risk factor for major and minor perioperative complications in elective primary THA but not TKA. PMID: 32117536 [PubMed - in process]
Source: Clinics in Orthopedic Surgery - March 3, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Recommendations for evaluation of neurogenic bladder and bowel dysfunction after spinal cord injury and/or disease.
Conclusion: There is no one single measure that can be used to assess NBB dysfunction across all clinical research studies. Clinical and diagnostic tools are here recommended based on specific medical needs of the person with SCI/D. Following the CDE for SCI studies guidelines, we recommend both the SF-Qualiveen for bladder and the NBDS for bowel as relatively short measures with strong psychometrics. Other measures are also recommended. A combination of assessment tools (objective and subjective) to be used jointly across the spectrum of care seems critical to best capture changes related to NBB and develop better treatme...
Source: Journal of Spinal Cord Medicine - February 29, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Impact of Patent Foramen Ovale on Total Knee Arthroplasty Cerebrovascular Accident Perioperative Management.
This study was undertaken to determine whether patients with a PFO would have a significantly increased risk of cerebrovascular accident (CVA) following TKA. The Humana national database was used to identify TKA patients who were stratified by the presence of a PFO from 2007 to 2016. Ninety-day follow-up was used for the primary outcome of CVA. Potential confounding comorbidities also were investigated, including age, sex, anticoagulation, insurance type, arrhythmia, valvular disease, peripheral vascular disease, chronic kidney disease, and diabetes mellitus. Of 153,245 TKAs, a total of 2272 patients had strokes; 479 of th...
Source: Orthopedics - February 19, 2020 Category: Orthopaedics Authors: Hong CS, Politzer C, Ryan SP, Wellman SS, Jiranek WA, Bolognesi MP, Seyler TM Tags: Orthopedics Source Type: research

Dynamic imaging of the craniovertebral junction is mandatory in patients with posterior circulation strokes
ConclusionEarly diagnosis and surgical treatment of CVJ instability prevent recurrent strokes and improve outcomes in patients with PCS. Physicians and spine surgeons need to be sensitized regarding CVJ anomalies as a cause of PCS enabling early diagnosis with dynamic imaging particularly in the younger age group.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - February 18, 2020 Category: Orthopaedics Source Type: research

Architecture of the medial gastrocnemius muscle in people who have had a stroke: A diffusion tensor imaging investigation
People who have had a stroke often develop ankle contractures which may be caused by changes in architecture of calf muscles. Anatomically constrained diffusion tensor imaging has recently been used to make three-dimensional, whole muscle measurements of muscle architecture. Here, we compared the architecture of the medial gastrocnemius muscle in the paretic and non-paretic sides of people who have had a hemiparetic stroke and control participants using novel imaging techniques.
Source: Clinical Biomechanics - February 12, 2020 Category: Orthopaedics Authors: Arkiev D'Souza, Bart Bolsterlee, Rob Herbert Source Type: research

Does aerobic exercise benefit persons with tetraplegia from spinal cord injury? A systematic review.
Conclusion: Evidence gathered from this systematic review of literature is inconclusive due to the lack of research focusing on those with tetraplegia. Higher power studies (level 1-3) are needed with the focus on those with tetraplegia. PMID: 32043944 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - February 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Blood and fluid management during scoliosis surgery: a single-center retrospective analysis
ConclusionThe application of a protocol for blood and fluid management, based on goal-directed fluid therapy, cell salvage and tranexamic acid, was associated with less crystalloid fluid administration, less perioperative RBC transfusions and significantly better diuresis than patients in the no-protocol group in scoliosis surgery.Registration numberClinicalTrials.gov Identifier: NCT03814239.
Source: European Journal of Orthopaedic Surgery and Traumatology - February 2, 2020 Category: Orthopaedics Source Type: research

The influence of lateral stabilization on walking performance and balance control in neurologically-intact and post-stroke individuals
These results suggest that a reduction in pelvis motion alone, as opposed to relative motion between the pelvis and upper body, may increase HR, decrease balance control and diminish gait performance. This finding has important implications for locomotor therapies that may seek to reduce pelvis motion.
Source: Clinical Biomechanics - January 27, 2020 Category: Orthopaedics Authors: Hannah B. Frame, Christian Finetto, Jesse C. Dean, Richard R. Neptune Source Type: research