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Total 785 results found since Jan 2013.

Effect of Heart Failure With Preserved Ejection Fraction on Perioperative Outcomes in Patients Undergoing Hip Fracture Surgery.
CONCLUSION: HFpEF confers a significant perioperative risk of MACCE in patients undergoing hip fracture surgery. PMID: 31977615 [PubMed - in process]
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 26, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Predictors of fatal and non-fatal cardiovascular events in ANCA-associated vasculitis: data from the Toronto CanVasc cohort
Conclusions: In this cohort of patients with granulomatosis with polyangiitis and eosinophilic granulomatosis with polyangiitis, both traditional and disease related risk factors were predictive of cardiovascular events. Further prospective studies should elucidate the impact of these and other modifiable risk factors on cardiovascular risk in ANCA-associated vasculitis.
Source: Joint Bone Spine - January 18, 2020 Category: Orthopaedics Source Type: research

Effects of Diabetes Mellitus on Functional Outcomes and Complications After Torsional Ankle Fracture.
CONCLUSIONS: Diabetes was associated with more complications and secondary operations. However, functional outcomes including pain and dysfunction were not markedly affected by these clinical outcomes, potentially due to diminished sensory function and less baseline physical activity among diabetic patients. LEVEL OF EVIDENCE: Prognostic level III. PMID: 31922995 [PubMed - as supplied by publisher]
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 12, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Effect of clopidogrel in bone healing-experimental study in rabbits.
CONCLUSION: Our results indicate that maintenance of perioperative clopidogrel treatment does not negatively affect bone healing but rather promotes it. Further research is needed in order to find useful applications of this finding. PMID: 31908992 [PubMed]
Source: World Journal of Orthopaedics - January 9, 2020 Category: Orthopaedics Tags: World J Orthop Source Type: research

Intraoperative Ischemic Stroke in Elective Spine Surgery: A Retrospective Study of Incidence and Risk
Conclusion. . With the increase of spinal procedures, it is important to identify patients at risk for having an ischemic stroke and to optimize their comorbidities preoperatively. Patients with intraoperative ischemic stroke carry a higher risk for morbidity and mortality during the index hospitalization. Level of Evidence: 4
Source: Spine - January 8, 2020 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Differences in coordination and timing of pre-reaching upper extremity movements may be an indicator of cerebral palsy in infants with stroke: A preliminary investigation
This study is preliminary, limiting interpretation of the results.
Source: Clinical Biomechanics - January 6, 2020 Category: Orthopaedics Authors: Julia Mazzarella, Mike McNally, Ajit M.W. Chaudhari, Xueliang Pan, Jill C. Heathcock Source Type: research

No impact of anti-Rank ligand and PTH analogs on cardiovascular risk in postmenopausal osteoporosis: a systematic literature review and meta-analysis
ConclusionsThe anti-Rank ligand and PTH analogs have no impact on cardiovascular risk and overall mortality in idiopathic osteoporosis. To better answer the question whether these treatments can reduce the long-term cardiovascular risk, further comparative studies with longer duration are required.
Source: Archives of Orthopaedic and Trauma Surgery - January 2, 2020 Category: Orthopaedics Source Type: research

Refining Risk-Adjustment of 90-Day Costs Following Surgical Fixation of Ankle Fractures: An Analysis of Medicare Beneficiaries
Publication date: January–February 2020Source: The Journal of Foot and Ankle Surgery, Volume 59, Issue 1Author(s): Azeem Tariq Malik, Carmen E. Quatman, Thuan V. Ly, Laura S. Phieffer, Safdar N. KhanAbstractAs the current healthcare model transitions from fee-for-service to value-based payments, identifying cost-drivers of 90-day payments following surgical procedures will be a key factor in risk-adjusting prospective bundled payments and ensuring success of these alternative payment models. The 5% Medicare Standard Analytical Files data set for 2005–2014 was used to identify patients undergoing open reduction and inte...
Source: The Journal of Foot and Ankle Surgery - December 25, 2019 Category: Orthopaedics Source Type: research

Current paradigms in the prehospital care of exertional heat illness: A review
Exertional heat illness, including muscle cramps, heat syncope, heat exhaustion, and heat stroke, occur each year in athletes and military soldiers. Exertional heat stroke, the most concerning type of exertional heat illness, is a life-threatening condition defined clinically by a core body temperature greater than 104° F (40°C) and central nervous system dysfunction. Heat stroke may lead to multiorgan failure and death and is one of the leading causes of nontraumatic death in athletes participating in outdoor activities. Current recommendations are discussed regarding prehospital and first responder care of exertional h...
Source: Current Orthopaedic Practice - December 24, 2019 Category: Orthopaedics Tags: Special Focus: Sports Medicine Source Type: research

Disproportionally low funding for trauma research by the National Institutes of Health: A call for a National Institute of Trauma
CONCLUSION Given the extreme burden of trauma-related disability and years of life lost, this review of extramural NIH funding definitively demonstrates that trauma is severely underfunded. The lack of a dedicated home for trauma research at NIH leads to a diffusion of grants across many institutes and makes it impossible to direct a focused and effective national research endeavor to improve outcomes. These data demonstrate the need for a National Institute of Trauma at the NIH to help set an agenda to reach the national goal of Zero Preventable Deaths.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - December 21, 2019 Category: Orthopaedics Tags: AAST 2019 PODIUM PAPERS Source Type: research

A Review on Surface Electromyography-Controlled Hand Robotic Devices Used for Rehabilitation and Assistance in Activities of Daily Living
Conclusions This article highlights the important issues about the sEMG control method and accentuates the weaknesses associated with this type of control to assist researchers in overcoming problems that impede sEMG-controlled robotic devices to be feasible and practical tools for people afflicted with hand impairment.
Source: JPO Journal of Prosthetics and Orthotics - December 21, 2019 Category: Orthopaedics Tags: CME ARTICLES Source Type: research

Does the Application of a Lycra Arm Sleeve Change Shoulder Biomechanics in Young Healthy People? A Mechanistic Study
Introduction Glenohumeral subluxation (GHS) is commonly reported in people with stroke. Lycra sleeves provide a compressive and supportive effect, influencing the neuromuscular activity in the affected body segment. A recent study reported reduction in GHS (acromion-greater tuberosity [AGT] distance) after application of Lycra arm sleeve; however, its mechanism on the shoulder region as a whole is unclear. The aim of this study was to investigate if application of a Lycra sleeve changes the AGT distance, muscle activity around the shoulder region, and scapular position. Methods Healthy participants aged older than 18 ...
Source: JPO Journal of Prosthetics and Orthotics - December 21, 2019 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLES Source Type: research

Intrathecal baclofen as emergency treatment alleviates severe intractable autonomic dysreflexia in cervical spinal cord injury.
Conclusion/Clinical Relevance: The case demonstrated that refractory AD could be managed with ITB in an emergency. PMID: 31815605 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - December 10, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Altered post-stroke propulsion is related to paretic swing phase kinematics
The present results suggest that braking forces late in stance are particularly indicative of deficits in the production of typical swing phase kinematics. This relationship suggests that therapies designed to address altered swing kinematics should also consider altered force generation in late stance, as these behaviors appear to be coupled.
Source: Clinical Biomechanics - November 28, 2019 Category: Orthopaedics Authors: Jesse C. Dean, Mark G. Bowden, Abigail L. Kelly, Steven A. Kautz Source Type: research

Shear wave elastography potential to characterize spastic muscles in stroke survivors: Literature review
Shear wave ultrasound elastography can provide useful quantitative information on the mechanical properties of the spastic muscles in post-stroke patients. Nevertheless, new studies using common terminology and parameters are needed to develop reliable methods that could help in assessing treatment efficiency.
Source: Clinical Biomechanics - November 27, 2019 Category: Orthopaedics Authors: Marie-Claude Lehoux, St éphane Sobczak, Frank Cloutier, Stéphane Charest, Antony Bertrand-Grenier Tags: Review Source Type: research