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https://www.readbyqxmd.com/read/29471600/-two-cases-of-transperineal-urethral-resection-of-the-prostate
#1
Kenji Niimura, Tadashi Hatano, Akashi Ikehara, Kei Iha, Shuichi Sato, Tomotsune Toyosato, Tokiko Niimura, Shinji Niimura
Two patients who could not take normal lithotomy position, one by fixation of the right hip joint due to coxitis, and the other by cerebral palsy, underwent transurethral resection of the prostate under perineal external urethrotomy. The perineal wound was closed and urethral catheter was inserted via the external urethral meatus. Postoperative course was uneventful for both patients.
January 2018: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/29471519/higher-risk-of-abdominal-obesity-elevated-ldl-cholesterol-and-hypertriglyceridemia-but-not-of-hypertension-in-people-living-with-hiv-results-from-the-copenhagen-comorbidity-in-hiv-infection-cocomo-study
#2
Marco Gelpi, Shoaib Afzal, Jens Lundgren, Andreas Ronit, Ashley Roen, Amanda Mocroft, Jan Gerstoft, Anne-Mette Lebech, Birgitte Lindegaard, Klaus Fuglsang Kofoed, Børge G Nordestgaard, Susanne Dam Nielsen
Background: People living with HIV (PLWH) have lower life expectancy than uninfected individuals, partly explained by excess risk of cardiovascular diseases (CVD) and CVD risk factors. We investigated the association between HIV infection and abdominal obesity, elevated LDL cholesterol (LDL-C), hypertriglyceridemia and hypertension, in a large cohort of predominantly well-treated PLWH and matched controls. Methods: 1,099 PLWH from the Copenhagen Co-morbidity in HIV infection (COCOMO) study and 12,161 age and sex-matched uninfected controls from the Copenhagen General Population Study were included and underwent blood pressure, waist-, hip-, weight-, and height-measurements...
February 17, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29471157/the-effectiveness-and-safety-of-aminocaproic-acid-for-reducing-blood-loss-in-total-knee-and-hip-arthroplasty-a-meta-analysis
#3
REVIEW
Qiang Dong, Yinguang Zhang, Xiang Sun, Fangke Hu
OBJECTIVE: This meta-analysis aimed to evaluate the safety and efficacy of aminocaproic acid in total knee arthroplasty (TKA) and total hip arthroplasty (THA). METHODS: The electronic databases include PubMed, Medline, Embase, Web of Science and the Cochrane Library from inception to January 2018. Two reviewers abstracted total blood loss, hemoglobin drop, transfusion requirements, and postoperative complications. Data were using fixed-effects or random-effects models with weighted mean differences and risk difference for continuous and dichotomous variables, respectively...
February 19, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29471156/sliding-hip-screw-versus-cannulated-cancellous-screws-for-fixation-of-femoral-neck-fracture-in-adults-a-systematic-review
#4
REVIEW
Jian-Xiong Ma, Ming-Jie Kuang, Fei Xing, Yun-Long Zhao, Heng-Ting Chen, Lu-Kai Zhang, Zheng-Rui Fan, Chao Han, Xin-Long Ma
OBJECTIVE: Femoral neck fracture is considered a difficult fracture to treat and often gives rise to unsatisfactory treatment results. Cannulated cancellous screws (CCS) or a sliding hip screw (SHS) are the mainstream internal fixations used for osteosynthesis of femoral neck fractures. There is a need to integrate existing data through a meta-analysis to investigate the safety and effectiveness of CCS and SHS in the treatment of femoral neck fractures. METHOD: According to the Cochrane Handbook for Systematic Reviews of Interventions, we screened for the relevant studies by searching Google Scholar, the Cochrane Controlled Trials Register, the Cochrane Library, Web of Science, EMBASE, and PubMed...
February 19, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29470854/the-cost-effectiveness-of-screening-in-the-community-to-reduce-osteoporotic-fractures-in-older-women-in-the-uk-economic-evaluation-of-the-scoop-study
#5
David A Turner, Rebekah Fong Soe Khioe, Lee Shepstone, Elizabeth Lenaghan, Cyrus Cooper, Neil Gittoes, Nicholas C Harvey, Richard Holland, Amanda Howe, Eugene McCloskey, Terence W O'Neill, David Torgerson, Richard Fordham
The SCOOP study was a two-arm randomized controlled trial conducted in the UK in 12,483 eligible women aged 70 to 85 years. It compared a screening program using the FRAX® risk assessment tool in addition to bone mineral density (BMD) measures versus usual management. The SCOOP study found a reduction in the incidence of hip fractures in the screening arm, but there was no evidence of a reduction in the incidence of all osteoporosis-related fractures. To make decisions about whether to implement any screening program, we should also consider whether the program is likely to be a good use of health care resources, ie, is it cost-effective? The cost per gained quality adjusted life year of screening for fracture risk has not previously been demonstrated in an economic evaluation alongside a clinical trial...
February 22, 2018: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/29470841/disease-duration-and-stage-influence-bone-microstructure-in-patients-with-primary-biliary-cholangitis
#6
Tobias Schmidt, Constantin Schmidt, Felix N Schmidt, Sebastian Butscheidt, Haider Mussawy, Jan Hubert, Thelonius Hawellek, Nicola Oehler, Florian Barvencik, Ansgar W Lohse, Thorsten Schinke, Christoph Schramm, Michael Amling, Tim Rolvien
Primary biliary cholangitis (PBC) is known to be a major risk factor for osteoporosis reflected by a reduction of bone mineral density (BMD). However, both the extent of the macro- and microstructural alterations of bone as well as the causative factors are unknown. We have retrospectively analyzed a total of 96 patients with PBC and 53 healthy controls matched for age, sex and body mass index. In addition to dual-energy X-ray absorptiometry (DXA) measurements at the lumbar spine and hip, high-resolution peripheral quantitative computed tomography (HR-pQCT) was used to assess the geometric, volumetric and microstructural changes of bone at the distal radius and tibia...
February 22, 2018: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/29470739/the-association-between-osteoarthritis-and-sleep-duration-in-koreans-a-nationwide-cross-sectional-observational-study
#7
Jae Hyun Jung, Hongdeok Seok, Sung Jae Choi, Junwoo Bae, Sang Hoon Lee, Moo Hwa Lee, Jae-Hoon Kim, Gwan Gyu Song
Osteoarthritis (OA) causes chronic pain, physical disability, and mental health deterioration and reduces the quality of life of patients. Sleep is an important factor in the recovery, and adequate sleep is important for quality of life. Several features of patients with OA can affect sleep time, and sleep also affects OA. We investigated the relationship between OA and sleep duration. Data for 2010-2012 were collected from the Korea National Health and Nutrition Examination Survey. We included 11,540 participants (4915 men and 6625 women)...
February 22, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29470588/-extra-articular-impingement-of-the-hip-treatment-of-snapping-hip-by-lengthening-of-the-iliotibial-band
#8
REVIEW
S Lerch, D Stark, O Rühmann
OBJECTIVE: Snapping of the iliotibial band over the greater trochanter should be eliminated by reducing tension via lengthening, release, and incision of the iliotibial band. INDICATIONS: Positive clinical examination and painful snapping of the iliotibial band over the greater trochanter, despite extensive conservative treatments, for over 6 months. CONTRAINDICATIONS: Weakness of the abductor muscles with positive Trendelenburg sign. SURGICAL TECHNIQUE: Direct approach to the iliotibial tract...
February 22, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29470385/an-activity-recognition-framework-deploying-the-random-forest-classifier-and-a-single-optical-heart-rate-monitoring-and-triaxial-accelerometerwrist-band
#9
Saeed Mehrang, Julia Pietilä, Ilkka Korhonen
Wrist-worn sensors have better compliance for activity monitoring compared to hip, waist, ankle or chest positions. However, wrist-worn activity monitoring is challenging due to the wide degree of freedom for the hand movements, as well as similarity of hand movements in different activities such as varying intensities of cycling. To strengthen the ability of wrist-worn sensors in detecting human activities more accurately, motion signals can be complemented by physiological signals such as optical heart rate (HR) based on photoplethysmography...
February 22, 2018: Sensors
https://www.readbyqxmd.com/read/29470236/is-the-lesser-trochanter-profile-a-reliable-means-of-restoring-anatomic-rotation-after-femur-fracture-fixation
#10
Lucas S Marchand, Dane C Todd, Patrick Kellam, Temitope F Adeyemi, David L Rothberg, Travis G Maak
BACKGROUND: Restoring normal femoral rotation is an important consideration when managing femur fractures. Femoral malrotation after fixation is common and several preventive techniques have been described. Use of the lesser trochanter profile is a simple method to prevent malrotation, because the profile changes with femoral rotation, but the accuracy of this method is unclear. QUESTIONS/PURPOSES: The purposes of this study were (1) to report the rotational profiles of uninjured femora in an adult population; and (2) to determine if the lesser trochanter profile was associated with variability in femoral rotation...
February 21, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29470204/seniors-need-hip-fracture-surgery-within-24-hours
#11
Carol Potera
Early surgery found to reduce life-threatening complications.
March 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29469804/early-results-of-total-hip-arthroplasty-using-dual-mobility-cup-in-patients-with-osteonecrosis-of-the-femoral-head
#12
Chahine Assi, Nadim Kheir, Camille Samaha, Pascal Kouyoumjian, Kaissar Yammine
INTRODUCTION: Osteonecrosis of the femoral head (ONFH) remains a therapeutic challenge for patients undergoing total hip arthroplasty (THA). The majority of these patients are young with high functional demand, and show an increased risk of dislocation following surgery than patients with osteoarthritis. The use of double mobility cup (DMC) has been linked with lower rates of complications when compared to conservative cups; however, the literature is scarce over DMC results in patients with ONFH...
2018: SICOT-J
https://www.readbyqxmd.com/read/29469803/use-of-the-hemicap-partial-hip-resurfacing-technique-for-traumatic-femoral-head-osteochondral-defects-following-obturator-hip-dislocations
#13
Varun Arora, Pierre Navarre, Mathias Russ, Max Esser
Fracture of the femoral head (OTA 31-C1.3) following anterior obturator dislocations are a challenging problem as the fractures are often communited, impacted and with loose osteochondral fragments, making surgical fixation difficult. This can result in residual articular defects if the fragments cannot be internally fixed and need be excised, predisposing to secondary osteoarthritis. Treatment options for these defects are limited, have variable results and with limited literature to guide us on outcomes due to the rarity of these injuries...
2018: SICOT-J
https://www.readbyqxmd.com/read/29469599/effects-of-gait-training-with-non-paretic-knee-immobilization-on-patients-with-hemiplegia-three-single-case-studies
#14
Motoyoshi Morishita, Hidetaka Yamaguchi, Shota Yamagami, Mariko Kobayashi
Patients' with a hemiplegic gait and difficulties with activities of daily living may improve through intensive training of their paretic lower limbs. This study examined the possibility of improving their gait by immobilizing the non-paretic knee joint in extension and promoting weight shift toward the paretic side. Single-case ABABA studies were conducted, involving three patients with hemiplegia. The patients walked with their non-paretic knee joints immobilized in extension using a dial-lock knee orthosis during the intervention (B1 and B2) periods...
February 22, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29469172/segmentation-of-hip-cartilage-in-compositional-magnetic-resonance-imaging-a-fast-accurate-reproducible-and-clinically-viable-semi-automated-methodology
#15
Dr Scott Fernquest, Dr Daniel Park, Dr Marija Marcan, Mr Antony Palmer, Dr Irina Voiculescu, Prof Sion Glyn-Jones
Manual segmentation is a significant obstacle in the analysis of compositional MRI for clinical decision-making and research. Our aim was to produce a fast, accurate, reproducible, and clinically viable semi-automated method for segmentation of hip MRI. We produced a semi-automated segmentation method for cartilage segmentation of hip MRI sequences consisting of a two step process: (1) fully automated hierarchical partitioning of the data volume generated using a bespoke segmentation approach applied recursively, followed by (2) user selection of the regions of interest using a region editor...
February 22, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29468642/sensory-distribution-of-the-lateral-femoral-cutaneous-nerve-block-a-randomised-blinded-trial
#16
M Nersesjan, D Hägi-Pedersen, J H Andersen, O Mathiesen, J B Dahl, L Broeng, K H Thybo
BACKGROUND: The lateral femoral cutaneous nerve (LFCN) block may be used for post-operative pain management in patients undergoing total hip arthroplasty. The aim of this trial was to investigate the sensory coverage of the posterior and the lateral incision lines and the involvement of the femoral nerve after an LFCN block. METHODS: The study was a randomised, blinded trial in 20 healthy volunteers. All subjects received a bilateral LFCN block randomised to 8 ml ropivacaine on the right side and 8 ml isotonic saline on the left side, or vice versa...
February 21, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29468478/does-trabecular-bone-score-tbs-improve-the-predictive-ability-of-frax-%C3%A2-for-major-osteoporotic-fractures-according-to-the-japanese-population-based-osteoporosis-jpos-cohort-study
#17
Junko Tamaki, Masayuki Iki, Yuho Sato, Renaud Winzenrieth, Etsuko Kajita, Sadanobu Kagamimori
This study examined whether bone microarchitecture determined by Trabecular Bone Score (TBS) is associated with the risk of major osteoporotic fractures independent of FRAX® in Japanese women. Participants included 1541 women aged ≥ 40 at baseline. Major osteoporotic fractures during a 10-year follow-up period were documented by the Japanese Population-based Osteoporosis Cohort Study. TBS and areal bone mineral density (aBMD) were calculated for the same spinal regions at baseline. To compare the predictive ability of FRAX® model when used alone versus in combination with TBS, Akaike information criterion (AIC), the area under the receiver operating characteristic curve (AUC), net reclassification improvement (NRI), and integrated discrimination improvement (IDI) were calculated...
February 21, 2018: Journal of Bone and Mineral Metabolism
https://www.readbyqxmd.com/read/29468265/the-tridimensional-geometry-of-the-proximal-femur-should-determine-the-design-of-cementless-femoral-stem-in-total-hip-arthroplasty
#18
Julien Wegrzyn, Jean-Paul Roux, Charlotte Loriau, Nicolas Bonin, Vincent Pibarot
PURPOSE: Using a cementless femoral stem in total hip arthroplasty (THA), optimal filling of the proximal femoral metaphyseal volume (PFMV) and restoration of the extramedullary proximal femoral (PF) parameters (i.e., femoral offset (FO), neck length (FNL), and head height (FHH)) constitute key goals for optimal hip biomechanics, functional outcome, and THA survivorship. However, almost 30% of mismatch between the PF anatomy and implant geometry of the most widely implanted non-modular cementless femoral stem has been demonstrated in a computed tomography scan (CT scan) study...
February 22, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29468172/hip-arthroscopic-surgery-for-femoroacetabular-impingement-a-prospective-analysis-of-the-relationship-between-surgeon-experience-and-patient-outcomes
#19
Sergio E Flores, Kristina R Borak, Alan L Zhang
Background: Hip arthroscopic surgery is a rapidly growing procedure, but it may be associated with a steep learning curve. Few studies have used patient-reported outcome (PRO) surveys to investigate the relationship between surgeon experience and patient outcomes after the arthroscopic treatment of femoroacetabular impingement (FAI). Hypothesis: Patients undergoing hip arthroscopic surgery for the treatment of FAI in the early stages of a surgeon's career will have significantly worse outcomes and longer procedure times compared with patients treated after the surgeon has gained experience...
February 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29468091/surgical-technical-evidence-review-for-elective-total-joint-replacement-conducted-for-the-ahrq-safety-program-for-improving-surgical-care-and-recovery
#20
REVIEW
Christopher P Childers, Anaar E Siletz, Emily S Singer, Claire Faltermeier, Q Lina Hu, Clifford Y Ko, Gregory J Golladay, Stephen L Kates, Elizabeth C Wick, Melinda Maggard-Gibbons
Background: Use of enhanced recovery pathways (ERPs) can improve patient outcomes, yet national implementation of these pathways remains low. The Agency for Healthcare Research and Quality (AHRQ; funder), the American College of Surgeons, and the Johns Hopkins Medicine Armstrong Institute for Patent Safety and Quality have developed the Safety Program for Improving Surgical Care and Recovery-a national effort to catalyze implementation of practices to improve perioperative care and enhance recovery of surgical patients...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
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