keyword
https://read.qxmd.com/read/38495578/antibiotic-prophylaxis-prior-to-colonoscopy-with-biopsy-does-not-decrease-risk-of-prosthetic-joint-infection-in-total-knee-arthroplasty-recipients
#21
JOURNAL ARTICLE
Mohamed F Albana, Daniel Hameed, Sandeep S Bains, Jeremy Dubin, Michael A Mont, James Nace, Giles R Scuderi, Ronald E Delanois
INTRODUCTION: Prosthetic joint infection (PJI) risk continues to receive much attention given its associated morbidity and costs to patients and healthcare systems. It has been hypothesized that invasive colonoscopies may increase the risk of PJI. However, the decision to administer antibiotic prophylaxis lacks clinical guidance. In this study we aimed to compare PJI rates in patients undergoing colonoscopies with and without antibiotic prophylaxis against a control group, analyzing PJI occurrences at 90 days, 6 months, 9 months, and 1-year post-procedure and (2) assess the impact of antibiotic prophylaxis on PJI rates to inform clinical guidelines...
July 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38492035/postoperative-bisphosphonates-use-is-associated-with-reduced-adverse-outcomes-after-primary-total-joint-arthroplasty-of-hip-and-knee-a-nationwide-population-based-cohort-study
#22
JOURNAL ARTICLE
Jen-Ta Shih, Timothy L Tan, Pei-Hung Shen, Tsu-Te Yeh, Chia-Chun Wu, Ru-Yu Pan, Wu-Chien Chien, Chi-Hsiang Chung, Sheng-Hao Wang
Bisphosphonates have been associated with a decreased risk of revision surgery after total joint arthroplasty of the hip or knee (TJA) because of their effects on decreased periprosthetic bone loss and prosthetic migration. However, the results in the early literature are inconsistent, and the influence of bisphosphonates on associated complications and subsequent TJA remains unknown. This study investigated the association between the use of bisphosphonates and the risk of adverse outcomes after primary TJA...
March 16, 2024: Calcified Tissue International
https://read.qxmd.com/read/38489845/intuitive-control-of-additional-prosthetic-joints-via-electro-neuromuscular-constructs-improves-functional-and-disability-outcomes-during-home-use-a-case-study
#23
JOURNAL ARTICLE
Jan Zbinden, Eric J Earley, Max Ortiz-Catalan

The advent of surgical reconstruction techniques has enabled the recreation of myoelectric controls sites that were previously lost due to amputation. This advancement is particularly beneficial for individuals with higher-level arm amputations, who were previously constrained to using a single degree of freedom (DoF) myoelectric prostheses due to the limited number of available muscles from which control signals could be extracted. In this study, we explore the use of surgically created electro-neuromuscular constructs to intuitively control multiple bionic joints during daily life with a participant who was implanted with a neuromusculoskeletal prosthetic interface...
March 15, 2024: Journal of Neural Engineering
https://read.qxmd.com/read/38489397/how-comprehensive-and-efficient-are-patient-reported-outcome-measures-for-individuals-with-lower-extremity-amputation-undergoing-implantation-of-osseointegrated-bone-anchored-limbs
#24
JOURNAL ARTICLE
Mohamed E Awad, Danielle Melton, Kylie G Shaw, Guy Lev, Brecca M M Gaffney, Cory L Christiansen, Jason W Stoneback
» Patient-reported outcome measures (PROMs) are essential for measuring quality and functional outcomes after implantation of osseointegrated bone anchored limbs for patients with lower extremity amputation.» Using a novel assessment criterion with 8 domains, this study assessed all commonly used PROMs for their efficiency and comprehensiveness.» Comprehensiveness was scored according to the presence or absence of PROM questions related to these 8 domains (maximum score = 60): mobility (15 items), prosthesis (14 items), pain (10 items), psychosocial status (10 items), independence/self-care (4 items), quality of life/satisfaction (4 items), osseoperception (1 item), general information (1 item), and vitality (1 item)...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38482056/chiral-phthalimides-against-penicillin-binding-protein-2a-of-methicillin-resistant-staphylococcus-aureus-molecular-docking-and-in-vitro-analysis
#25
JOURNAL ARTICLE
Aamina Azam Khan, Momin Khan, Sher Wali Khan, Nayyer Siddique, Rimsha Abid, Shandana Zulfiqar, Sidra Rahman, Muhammad Ali
Staphylococcus aureus ( S. aureus ) is a commensal bacterium and an opportunistic pathogen causing a wide variety of infections ranging from localized skin and soft tissue infections to life-threatening severe bacteremia, osteomyelitis, endocarditis, atopic dermatitis, prosthetic joint infection, staphylococcal food poisoning, medical device-related infections, and pneumonia. It is attributed to an acquired resistant gene, mecA , encoding penicillin-binding protein 2a (PBP2a). PBP2a is an essential protein responsible for the resistivity of methicillin-resistant S...
2024: Frontiers in Pharmacology
https://read.qxmd.com/read/38481888/antibiotics-prophylaxis-practice-in-arthroplasty-surgeries
#26
JOURNAL ARTICLE
Emmanuel O Oladeji, Adedoyin M Wusu, Ahmed Lashin, Ahmed Kaddah, Oghofori Obakponovwe, Madhu Rao
Background Infection in orthopedic surgery is one of the most dreaded complications. It is associated with prolonged morbidity, disability, and increased mortality. One of the cornerstones of the prevention of infections is antibiotic prophylaxis. This study assessed the practice of antibiotic prophylaxis in arthroplasty surgeries in our local hospital. Methods One hundred and seventy-one elective joint replacement patients were retrospectively analyzed for documentation of antibiotic plan in postoperative instruction, choice of antibiotic, dose, and dosage...
February 2024: Curēus
https://read.qxmd.com/read/38475055/inertial-measuring-system-to-evaluate-gait-parameters-and-dynamic-alignments-for-lower-limb-amputation-subjects
#27
JOURNAL ARTICLE
Shao-Li Han, Meng-Lin Cai, Min-Chun Pan
The study aims to construct an inertial measuring system for the application of amputee subjects wearing a prosthesis. A new computation scheme to process inertial data by installing seven wireless inertial sensors on the lower limbs was implemented and validated by comparing it with an optical motion capture system. We applied this system to amputees to verify its performance for gait analysis. The gait parameters are evaluated to objectively assess the amputees' prosthesis-wearing status. The Madgwick algorithm was used in the study to correct the angular velocity deviation using acceleration data and convert it to quaternion...
February 26, 2024: Sensors
https://read.qxmd.com/read/38474027/is-silver-addition-to-scaffolds-based-on-polycaprolactone-blended-with-calcium-phosphates-able-to-inhibit-candida-albicans-and-candida-auris-adhesion-and-biofilm-formation
#28
JOURNAL ARTICLE
Francesca Menotti, Sara Scutera, Eleonora Maniscalco, Bartolomeo Coppola, Alessandro Bondi, Cristina Costa, Fabio Longo, Narcisa Mandras, Claudia Pagano, Lorenza Cavallo, Giuliana Banche, Mery Malandrino, Paola Palmero, Valeria Allizond
Candida spp. periprosthetic joint infections are rare but difficult-to-treat events, with a slow onset, unspecific symptoms or signs, and a significant relapse risk. Treatment with antifungals meets with little success, whereas prosthesis removal improves the outcome. In fact, Candida spp. adhere to orthopedic devices and grow forming biofilms that contribute to the persistence of this infection and relapse, and there is insufficient evidence that the use of antifungals has additional benefits for anti-biofilm activity...
February 28, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38470654/do-preoperative-corticosteroid-injections-increase-the-risk-of-infection-after-shoulder-arthroscopy-or-shoulder-arthroplasty-a-systematic-review
#29
REVIEW
Ludovico Lucenti, Flora Maria Chiara Panvini, Claudia de Cristo, Damiano Rapisarda, Marco Sapienza, Gianluca Testa, Vito Pavone
INTRODUCTION: Corticosteroid injections have demonstrated short-term benefits for shoulder pain. This symptomatic treatment method is used in various inflammatory conditions that affect the shoulder joint. Corticosteroid joint injections are not without risks and complications. Adverse effects have been documented, including damage to the articular cartilage, tendon rupture, and attenuation of the subject's immune response. The aim of this study was to examine the timing of preoperative corticosteroid injections on infectious outcomes of shoulder arthroscopies and shoulder arthroplasty...
February 24, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38470376/influence-of-walking-over-unexpected-uneven-terrain-on-joint-loading-for-individuals-with-transtibial-amputation
#30
JOURNAL ARTICLE
Kristen M Stewart, Glenn Klute, Richard Neptune
Individuals with transtibial amputation (TTA) experience asymmetric lower-limb loading which can lead to joint pain and injuries. However, it is unclear how walking over unexpected uneven terrain affects their loading patterns. This study sought to use modeling and simulation to determine how peak joint contact forces and impulses change for individuals with unilateral TTA during an uneven step and subsequent recovery step and how those patterns compare to able-bodied individuals. We expected residual limb loading during the uneven step and intact limb loading during the recovery step would increase relative to flush walking...
March 12, 2024: Journal of Biomechanical Engineering
https://read.qxmd.com/read/38467756/modular-intercalary-prosthetic-reconstruction-for-malignant-and-metastatic-tumours-of-the-proximal-femur
#31
JOURNAL ARTICLE
Lu Liu, Xiao-Qiang Deng, Yong-Jie Zhao, Rong-Xing Ma, Li Yang, Kun-Xiu Song, Jing-Yu Zhang, Yong-Cheng Hu
To illustrate the surgical technique and explore clinical outcomes of the reconstruction for the malignant and metastatic bone tumour of proximal femur with metallic modular intercalary prosthesis. Sixteen patients who underwent modular intercalary prosthetic reconstruction after tumour resection were included from April 2012 and October 2020. Prosthesis and screws parameters, resected bone length and residual bone length, clinical outcomes and survivorship were analyzed. All patients were followed up for an average of 19 months (range 1-74)...
March 11, 2024: Scientific Reports
https://read.qxmd.com/read/38466801/proximal-humerus-reconstruction-for-bone-sarcomas-a-critical-analysis
#32
JOURNAL ARTICLE
Matthew T Houdek, Mikaela H Sullivan, Samuel E Broida, Jonathan D Barlow, Mark E Morrey, Steven L Moran, Joaquin Sanchez-Sotelo
» The proximal humerus is a common location for primary bone tumors, and the goal of surgical care is to obtain a negative margin resection and subsequent reconstruction of the proximal humerus to allow for shoulder function.» The current evidence supports the use of reverse total shoulder arthroplasty over hemiarthroplasty when reconstructing the proximal humerus after resection of a bone sarcoma if the axillary nerve can be preserved.» There is a lack of high-quality data comparing allograft prosthetic composite (APC) with endoprosthetic reconstruction of the proximal humerus...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38466797/enabling-personalized-medicine-in-orthopaedic-surgery-through-artificial-intelligence-a-critical-analysis-review
#33
JOURNAL ARTICLE
Nickelas Huffman, Ignacio Pasqualini, Shujaa T Khan, Alison K Klika, Matthew E Deren, Yuxuan Jin, Kyle N Kunze, Nicolas S Piuzzi
» The application of artificial intelligence (AI) in the field of orthopaedic surgery holds potential for revolutionizing health care delivery across 3 crucial domains: (I) personalized prediction of clinical outcomes and adverse events, which may optimize patient selection, surgical planning, and enhance patient safety and outcomes; (II) diagnostic automated and semiautomated imaging analyses, which may reduce time burden and facilitate precise and timely diagnoses; and (III) forecasting of resource utilization, which may reduce health care costs and increase value for patients and institutions...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38464440/shoulder-prosthetic-joint-infections-presenting-as-atypical-sinus-tracts-a-case-series
#34
Erik S Contreras, Mandeep S Virk, Young W Kwon, Joseph D Zuckerman
No abstract text is available yet for this article.
March 2024: JSES international
https://read.qxmd.com/read/38464356/mid-term-outcomes-of-a-kinematically-designed-cruciate-retaining-total-knee-arthroplasty
#35
JOURNAL ARTICLE
Jonathan L Katzman, Akram A Habibi, Muhammad A Haider, Casey Cardillo, Ivan Fernandez-Madrid, Morteza Meftah, Ran Schwarzkopf
BACKGROUND: Advances in implant material and design have allowed for improvements in total knee arthroplasty (TKA) outcomes. A cruciate retaining (CR) TKA provides the least constraint of TKA designs by preserving the native posterior cruciate ligament. Limited research exists that has examined clinical outcomes or patient reported outcome measures (PROMs) of a large cohort of patients undergoing a CR TKA utilizing a kinematically designed implant. It was hypothesized that the studied CR Knee System would demonstrate favorable outcomes and a clinically significant improvement in pain and functional scores...
February 18, 2024: World Journal of Orthopedics
https://read.qxmd.com/read/38460189/rheumatoid-arthritis-and-risk-of-osteoarticular-infection-and-death-following-staphylococcus-aureus-bacteraemia-a-nationwide-cohort-study
#36
JOURNAL ARTICLE
Sabine S Dieperink, Mette Nørgaard, Frank Mehnert, Louise B Oestergaard, Thomas Benfield, Christian Torp-Pedersen, Andreas Petersen, Bente Glintborg, Merete L Hetland
OBJECTIVES: Osteoarticular infection (OAI) is a feared complication of Staphylococcus aureus bacteraemia (SAB) and is associated with poor outcomes. We aimed to explore risk of OAI and death following SAB in patients with and without rheumatoid arthritis (RA) and to identify risk factors for OAI in patients with RA. METHODS: Danish nationwide cohort study of all patients with microbiologically verified first-time SAB between 2006-2018. We identified RA, SAB, comorbidities, and RA-related characteristics (e...
March 9, 2024: Rheumatology
https://read.qxmd.com/read/38451274/-the-combination-of-partial-knee-arthroplasties-in-knee-osteoarthritis-with-an-intact-anterior-cruciate-ligament%C3%A2-a%C3%A2-future-model
#37
REVIEW
Tilman Calliess, Bernhard Christen, Carlo Theus-Steinmann
BACKGROUND: Preserving both cruciate ligaments in knee prosthetics enables approximately physiological joint kinematics. In this way, faster rehabilitation and a higher return-to-sports rate can be achieved. Accordingly, there are considerations to preserve both cruciate ligaments by combining two partial prostheses in the case of symptomatic bicompartmental (BiCom) knee osteoarthritis. METHODS: This article summarizes the literature on BiCom arthroplasty and describes our own experiences from 54 consecutive cases with robotic-assisted technology...
March 7, 2024: Orthopadie (Heidelb)
https://read.qxmd.com/read/38450413/global-research-output-and-highly-cited-publications-on-prosthetic-joint-infections-a-bibliometric-analysis-2003-2022
#38
JOURNAL ARTICLE
Raju Vaishya, Brij Mohan Gupta, Mallikarjun M Kappi, Ghouse Modin Nabeesab Mamdapur, Abhishek Vaish
BACKGROUNDAND AIMS: Prosthetic Joint Infection (PJI) is a serious clinical problem after Arthroplasty. The research field on PJI is emerging, but there is a paucity of information on the most impactful publications on it. This prompted us to conduct a bibliometric analysis of the global research output, from 2003 to 2022, to identify the growth of publications, the key players in this research field and to evaluate the characteristics of highly-cited publications (HCPs) on the PJI. METHODS: Publications related to PJI research were identified globally from the Scopus database, using specific keywords, covering the literature from 2003 to 2022...
March 2024: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38447560/reconstruction-after-pelvic-bone-massive-resection-evolution-and-actuality-of-3d-printing-technology
#39
JOURNAL ARTICLE
F Cosseddu, S Shytaj, E Ipponi, A D'Arienzo, R Capanna, L Andreani
PURPOSE OF THE STUDY: Pelvic reconstructions after massive bone resections are among the most challenging practices in orthopedic surgery. Whether the bone gap results after a trauma, a tumor resection, or it is due to a prosthetic revision, it is mandatory to reconstruct pelvic bone continuity and rebuild the functional thread that connects spine and hip joint. Several different approaches have been described in literature through the decades to achieve those goals. MATERIAL AND METHODS: To this date, 3D-printed implants represent one of the most promising surgical technologies in orthopedic oncology and complex reconstructive surgery...
2024: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://read.qxmd.com/read/38440023/revitalizing-recovery-unveiling-the-transformative-impact-of-physiotherapy-in-rehabilitating-a-neglected-case-of-shoulder-hemiarthroplasty
#40
Om C Wadhokar, Minal Dahiwadkar, Sakshi Rawal, Reetkaur Arora, Aakanksha Choudhari, Aishwarya Mali, Chaitanya A Kulkarni, Tushar J Palekar, Mayur Wanjari
The shoulder joint has a complex anatomy and biomechanics. It is a ball and socket joint made by the articulation surface of the humeral head (ball) and glenoidal fossa (socket) of the scapula. Shoulder arthroplasty is done when parts of the shoulder joint are severely affected and damaged beyond repair. The damaged parts are replaced with artificial parts. Prosthetic implants are typically made of metal or plastic material. Implants come in various sizes and shapes. There are three types of surgical arthroplasty: total shoulder arthroplasty, partial shoulder arthroplasty, and reverse arthroplasty...
February 2024: Curēus
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