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Francisco Locks, Nidhi Gupta, Pascal Madeleine, Marie Birk Jørgensen, Ana Beatriz Oliveira, Andreas Holtermann
BACKGROUND: Pain in the lower extremities is common among blue-collar workers, with prolonged static standing as a potential risk factor. However, little is known about the association between diurnal accelerometer measures of static standing and pain in the lower extremities, and the potential importance of temporal patterns of static standing for this association. RESEARCH QUESTION: We aimed to investigate the cross-sectional association between accelerometer measures of total static standing time and temporal patterns (bout duration) of static standing (short: 0-5 min; moderate: >5-10 min; and long bouts: >10 min) during total day, work and leisure and pain intensity (on a 0-10 scale) in hips, knees and feet/ankles...
October 10, 2018: Gait & Posture
Wei-Wei Wu, Min-Chao Hu, Yan-Li Yu, Bin Guo
OBJECTIVE: To explore the effect of periosteal stripper through spiral blade incision combined with lateral sight bracket prying method in the treatment of irreducible femoral trochanteric fractures with proximal upwarping of fracture. METHODS: From March 2015 to October 2017, 26 patients with refractory femoral trochanteric fractures with proximal upwarp of fracture were treated by periosteal dissection through a spiral blade incision and lateral sight bracket prying, included 9 males and 17 females with an average age of (76...
September 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Ki Hyuk Sung, Soon-Sun Kwon, Chin Youb Chung, Kyoung Min Lee, Jaeyoung Kim, Moon Seok Park
BACKGROUND: Dega pelvic osteotomy is commonly performed procedure in patients with cerebral palsy (CP) undergoing hip reconstructive surgery for hip displacement. However, there has been no study investigating the outcomes after Dega pelvic osteotomy using allograft in patients with CP. This study investigated the outcomes of Dega pelvic osteotomy using iliac crest allograft in CP with hip displacement and the factors affecting allograft incorporation. METHODS: This study included 110 patients (150 hips; mean age 8y7mo; 68 males, 42 females) who underwent hip reconstructive surgeries including Dega pelvic osteotomy using iliac crest allograft...
October 16, 2018: BMC Musculoskeletal Disorders
Hamza Boujezza, Amal Sghaier, Mohamed Ben Rejeb, Imene Gargouri, Imed Latiri, Helmi Ben Saad
AIMS: The main aim was to compare aerobic performance data, determined before «period1» and after «period2» cold water immersion in two groups of footballers (CWI and no-CWI groups). METHODS: This is an experimental study with matching and randomization. The 20 male footballers, aged 17 to 20 years, were divided into two groups (n = 10 for each) following a random draw. The two groups were age-, height- and weight matched. 1000-m race was made during the two periods...
February 2018: La Tunisie Médicale
C Kaiser, F P Tillmann, J Löchter, S Landgraeber, M Jäger
PURPOSE: Elective hip or knee replacement is an optimal, standardised orthopaedic surgical procedure. The influence of chronic kidney disease, defined as an estimated glomerular filtration rate (eGFR) of 15-45 ml/min/1.73 m2 body surface area (BSA) (KDIGO stage G3a-G4), on the duration of hospitalisation, perioperative decrease in haemoglobin (Hb) levels, and transfusion rates after orthopaedic procedures has not been fully clarified. Our study, therefore, aimed to evaluate the impact of chronic kidney disease on the previously mentioned variables...
October 15, 2018: International Urology and Nephrology
Dominic S Carreira, Matthew C Kruchten, Brendan R Emmons, Ashley N Startzman, RobRoy L Martin
Background: There is a paucity of prospectively collected data as they relate to nerve injuries after hip arthroscopic surgery. Studies describing the relationship of neurological injuries to portal placement and the duration and magnitude of traction force with regular and standardized patient follow-up protocols are limited. Purpose/Hypothesis: The purpose of this study was to characterize nerve deficits in a series of patients undergoing hip arthroscopic surgery as these deficits relate to axial traction and portal placement...
September 2018: Orthopaedic Journal of Sports Medicine
Yogita S Khade, Shrilaxmi Bagali, Manjunatha Aithala
Context: Effect of obesity and dust exposure on lung functions. Aim: To assess the pulmonary functions in asymptomatic, dust-exposed sugarcane factory workers with obesity as an added risk. Settings and Design: A cross-sectional study. Materials and Methods: The present study was conducted in one of the reputed sugarcane factories in Karnataka. One hundred and fifty asymptomatic male workers working in sugarcane factory were included in the study...
May 2018: Indian Journal of Occupational and Environmental Medicine
Tahsin Gurpinar, Yusuf Ozturkmen
Despite the fact that gunshots are a common entity, intra-articular bullets in the hip joint are rarely seen. Since retained bullets in the joints can cause both local damage and systemic toxicity, removal of the bullet is mandatory. We present the case of a 48- year-old man who came with an intra-articular bullet fragment in the hip joint which was extracted arthroscopically in February 2017.The operation was performed in the supine position and portals were placed under fluoroscopic guidance. Standard portals were established, and no additional portal was needed...
September 2018: JPMA. the Journal of the Pakistan Medical Association
Yuangang Wu, Yi Zeng, Qinsheng Hu, Mingyang Li, Xianchao Bao, Jian Zhong, Bin Shen
BACKGROUND: To assess the blood loss and cost-effectiveness of the oral and intravenous (IV) administration of tranexamic acid (TXA) for the treatment of primary total hip arthroplasty (THA). METHODS: From January 2017 to August 2017, 100 patients undergoing primary THA were enrolled and randomly divided into two groups. In the oral TXA group (N = 50), 1 g of TXA (2 tablets of 500 mg) was given 2 h before the incision, and the same dose was repeated 3 h and 6 h postoperatively...
October 6, 2018: Thrombosis Research
Keitaro Seki, Heikki Kyröläinen, Naoki Numazu, Keigo Ohyama-Byun, Yasushi Enomoto
PURPOSE: The present study was designed to investigate the effects of lower limb joint kinetics on energy cost during jumping. METHODS: Eight male middle and long-distance runners volunteered for the study. The subjects were asked to repeat vertical jumps at a frequency of 2 Hz for 3-min on a force platform in three different surface inclination conditions: Incline (+8°), Level (0°), and Decline (-8°). Sagittal plane kinematics were obtained using a high-speed video camera...
October 11, 2018: Medicine and Science in Sports and Exercise
Duncan S Buchan, Gillian McLellan
This study examined differences in physical activity (PA) estimates provided from raw and counts processing methods. One hundred and sixty-five children (87 girls) wore a hip-mounted ActiGraph GT3X+ accelerometer for 7 days. Data were available for 129 participants. Time in moderate PA (MPA), vigorous PA (VPA) and moderate-vigorous PA (MVPA) were calculated using R-package GGIR and ActiLife. Participants meeting the wear time criteria for both processing methods were included in the analysis. Time spent in MPA (-21...
October 12, 2018: Journal of Sports Sciences
T B Minasov, A A Faizullin, R A Saubanov, I B Minasov
The aim of the study was to study the effectiveness of pathogenetic correction of the metabolism with the inclusion of reamberin (1.5% sodium meglumine succinate solution) in patients with lesions of large segments of the lower limbs. In connection with the task, the efficiency pathogenetic correction of metabolism in 211 patients with diaphyseal hip and shin bones fractures had been analyzed. Patients were divided into the main and control groups. In the main group (86 patients), intravenous infusions of reamberin were administered intravenously at a rate of 1 ml/min at a rate of 10 ml/kg of body weight 1 time per day, a course of 10 days...
2018: Khirurgiia
Karani Magutah, Nilesh B Patel, Kihumbu Thairu
Background: Sedentary lifestyles and related morbidities are rising among adults despite existing exercise recommendations. Appealing exercise regimes yielding similar/better body composition should be sought. Objective: We investigated the effect of moderate-intensity exercise bouts of <10 min on body composition in previously sedentary adults. Methods: This unblinded study enrolled 53 healthy sedentary volunteers aged ≥50 years, randomised into one of two gender-balanced exercise interventions: (1) male and (2) female short-duration bouts (MS , n=14; FS , n = 13), and (3) male and (4) female long-duration bouts (ML , n=13; FL , n=13)...
2018: BMJ Open Sport & Exercise Medicine
David D Christensen, Nathaniel J Nelms
CASE: We report the case of a young man who underwent total hip arthroplasty (THA) for osteonecrosis at the age of 20 years, and subsequently competed in collegiate long-distance running. The pinnacle of his career was setting the school record time of 3:47.64 (min:sec) in the 1,500-m "metric mile" run (equivalent to 4:05.09 for the "English" mile). This is the fastest known time for any patient who has undergone THA. Excellent clinical and radiographic outcomes had been maintained at 6 years postoperatively...
October 10, 2018: JBJS Case Connector
Joanna Ratajczak, Dominika Raducha, Anita Horodnicka-Józwa, Agnieszka Kilian, Marta Demiaszkiewicz, Klaudia Bartoszewicz, Tomasz Jackowski, Justyna Szmit-Domagalska, Agnieszka Biczysko-Mokosa, Katarzyna Marcinkiewicz, Teresa Adamczyk, Irmina Gapińska, Mieczysław Walczak, Elżbieta Petriczko
INTRODUCTION: Increasing incidence of excess weight and poor physical fitness of children validates the need for preventive actions. The Szczecin municipality (gmina Szczecin) runs the "Odważna ósemka" ("The Brave Eight") program - Prevention of excess weight and obesity in 8 and 9-year-old children attending elementary school in Szczecin, Poland. AIM: The assessment of physical fitness as well as the prevalence and intensity of excess body weight and blood pressure rates among the 8 and 9-year-old children attending elementary school in Szczecin, Poland...
2018: Pediatric Endocrinology, Diabetes, and Metabolism
Katerina Neumannova, Milada Hobzova, Milan Sova, Jan Prasko
OBJECTIVE: It is well recognized that the most effective treatment for obstructive sleep apnea (OSA) is continuous positive airway pressure (CPAP). Different treatment possibilities comprise surgery, mandibular advancement, pulmonary rehabilitation, and oropharyngeal and facial exercises (PR program). However, these treatments showed inconsistent results. The purpose of the study was to compare the short-term effects of CPAP and the combination of PR program with CPAP on OSA severity, ventilatory functions, and changes in body characteristics in a newly diagnosed patient...
April 10, 2018: Sleep Medicine
Min Lu, Dayna Phillips
Posttraumatic arthritis accounts for a notable share of secondary osteoarthritis about the hip joint. Compared with total hip arthroplasty for primary osteoarthritis or inflammatory arthritis, total hip arthroplasty for posttraumatic arthritis offers greater technical challenges because of bone deformities and retained implants. Careful preoperative evaluation is necessary to prepare the approach, hardware removal strategy, and implants necessary to address bone deficiencies. Although arthroplasty is a highly successful procedure for posttraumatic arthritis, the results are less favorable than surgery for primary osteoarthritis...
October 4, 2018: Journal of the American Academy of Orthopaedic Surgeons
Paula Soukkio, Sara Suikkanen, Sanna Kääriä, Hannu Kautiainen, Sarianna Sipilä, Katriina Kukkonen-Harjula, Markku Hupli
BACKGROUND: Health concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation. We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture...
October 1, 2018: BMC Geriatrics
Resham Lal Gurung, M Yiamunaa, Sylvia Liu, Jian-Jun Liu, Si Min Chan, Mei Chung Moh, Keven Ang, Wern Ee Tang, Chee Fang Sum, Tavintharan Subramaniam, Su Chi Lim
BACKGROUND: Obesity and shorter telomeres increase the risk for diabetes complications and mortality. However, the relationship of obesity and telomere length in diverse Asian population with type 2 diabetes (T2D) is not well understood. In this study, we examine the association of the baseline and changes in obesity indices, with telomere length in multi-ethnic Asian populations with T2D. METHODS: Leukocyte telomere length (LTL) was measured by qPCR assay in SMART2D cohort (n=1431 at baseline, n= 1039 after 3...
October 3, 2018: Journal of Diabetes
Annick Moens, Karen van Hoeve, Evelien Humblet, Jean-François Rahier, Peter Bossuyt, Sophie Dewit, Denis Franchimont, Elisabeth Macken, Jochen Nijs, Annelies Posen, Beatrijs Strubbe, Anneleen Van Hootegem, Wouter Van Moerkercke, Séverine Vermeire, Marc Ferrante
Background and Aims: Vedolizumab is an IgG1 anti-α4β7 integrin antibody approved for the treatment of inflammatory bowel diseases [IBD], but without clear safety data during conception, pregnancy and nursing. Animal studies showed that mucosal vascular addressin cell adhesion molecule 1 [MAdCAM-1] is expressed by maternal vessels in the placenta and recruits α4β7-expressing cells that are considered important for maternal/fetal tolerance. Blocking this interaction by vedolizumab might affect this process...
October 3, 2018: Journal of Crohn's & Colitis
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