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https://www.readbyqxmd.com/read/29713447/over-the-scope-clip-otsc%C3%A2-closure-of-a-recto-acetabular-fistula
#1
Tobias S Schiergens, Cord-Christian Becker, Patrick Weber, Alena Sint, Markus Albertsmeier, Bernhard W Renz, Maria Burian, Axel Kleespies, Angela Reichelt, Markus O Guba, Markus Rentsch, Jens Werner, Christian P Schneider
A 25-year-old male Syrian refugee presented in our hospital with recurrent hip infections after having undergone hip arthroplasty abroad following destruction of his right hip joint by shell splinters in the Syrian civil war. The patient underwent hip arthroplasty revision with implantation of a cement spacer. CT-scan with rectal contrast media filling revealed a recto-acetabular fistula. Consecutively, the patient underwent ileostomy formation. The fistula was then successfully closed by endoscopic over-the-scope clipping (OTSC® )...
April 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29703654/should-interventions-to-reduce-variation-in-care-quality-target-doctors-or-hospitals
#2
Nils Gutacker, Karen Bloor, Chris Bojke, Kieran Walshe
Interventions to reduce variation in care quality are increasingly targeted at both individual doctors and the organisations in which they work. Concerns remain about the scope and consequences for such performance management, the relative contribution of individuals and organisations to observed variation, and whether performance can be measured reliably. This study explores these issues in the context of the English National Health Service by analysing comprehensive administrative data for all patients treated for four clinical conditions (acute myocardial infarction, hip fracture, pneumonia, ischemic stroke) and two surgical procedures (coronary artery bypass, hip replacement) during April 2010-February 2013...
April 13, 2018: Health Policy
https://www.readbyqxmd.com/read/29673398/assessment-of-orthotic-needs-in-iranian-veterans-with-ankle-and-foot-disorders
#3
Kamiar Ghoseiri, Mostafa Allami, Mohammad Reza Soroush
BACKGROUND: War-related traumas can lead to orthopedic and neurological disorders in victims. However, the scope of such disorders may expand months or even years after the trauma. Orthotic treatment as a rehabilitation process aims to enable people with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels. This study aimed to investigate the rate of using orthoses among Iranian veterans with neuromuscular and skeletal disorders of the ankle and foot...
April 20, 2018: Military Medical Research
https://www.readbyqxmd.com/read/29622264/editorial-commentary-a-hip-scope-scoping-review-on-surgical-outcome-reporting-if-you-want-to-know-the-answer-you-have-to-ask-the-question
#4
EDITORIAL
Joshua D Harris
The existing literature on subjects with femoroacetabular impingement syndrome undergoing arthroscopic or open hip preservation surgery reveals that outcome reporting is heterogeneous. There is significant inconsistency in patient-reported outcome scores collected, symptoms and complaints assessed, clinical signs evaluated, and pre- and postoperative imaging metrics measured.
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29611148/what-is-the-current-evidence-of-the-impact-on-quality-of-life-whilst-waiting-for-management-treatment-of-orthopaedic-musculoskeletal-complaints-a-systematic-scoping-review
#5
Joanne Morris, Asterie Twizeyemariya, Karen Grimmer
PURPOSE: To describe quality of life (QoL) outcome measures that are reported in the literature in patients waiting for outpatient orthopaedic/musculoskeletal specialist care and how waiting impacts on QoL in these terms. METHODS: A subset of studies reporting on QoL outcome measures were extracted from literature identified in a recent scoping search of Medline, Embase, Pubmed, NHS Economic Evaluation Database (Prospero registration CRD42016047332). The systematic scoping search examined impacts on patients waiting for orthopaedic specialist care...
April 2, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29537957/beyond-the-scope-open-treatment-of-femoroacetabular-impingement
#6
Michael Ryan, Thomas Youm, Jonathan Vigdorchik
Hip arthroscopy as we know it today developed over the last 15 to 20 years, yet its true beginning is far more dated. Initially developed as a means of removing loose bodies or as a means of lavage, hip arthroscopy was not utilized to treat femoroacetabular impingement (FAI) until much later. Its usefulness as a means of treating FAI did not arise until hip impingement was understood to be causal in the development of degenerative changes of the labrum and articular surfaces. As our understanding of FAI grew, the tools for treating it developed in tandem...
March 2018: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/29529662/novel-acetabular-cup-for-revision-tha-improves-hip-center-of-rotation-a-radiographic-evaluation
#7
Anton Khlopas, Morad Chughtai, Randa K Elmallah, David Hip-Flores, Arthur L Malkani, Steven F Harwin, Michael A Mont, Michael D Ries
BACKGROUND: Bone loss in patients undergoing revision THA poses a considerable challenge for orthopaedic surgeons. Often, to achieve better fixation in remaining bone, larger diameter acetabular components and reaming superiorly may be necessary. However, this is likely to raise the hip center of rotation, which may lead to altered biomechanics, specifically, insufficiency of the abductor muscles, altered gait, and increased risk of dislocation from impingement. More recently, a newer acetabular shell has been designed to more closely replicate the native hip center of rotation in these circumstances while maintaining adequate fixation...
February 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29426794/spanish-national-hip-fracture-registry-snhfr-a-description-of-its-objectives-methodology-and-implementation
#8
P Sáez-López, J I González-Montalvo, C Ojeda-Thies, J Mora-Fernández, A Muñoz-Pascual, J M Cancio, F J Tarazona, T Pareja, P Gómez-Campelo, N Montero-Fernández, T Alarcón, P Mesa-Lampre, R Larrainzar-Gar, E Duaso, E Gil-Garay, A Diéz-Pérez, D Prieto-Alhambra, R Queipo-Matas, A Otero-Puime
OBJECTIVE: To ascertain the current situation and clinical variability of the provision of care for Hip Fracture (HF) in Spain and the factors related to it by using a National Registry (NHFR) with high patient numbers and territorial representation NHFR, and to compare results on a national and international level and propose standards and criteria to improve healthcare quality. DESIGN: Continuous registry for at least three years of a representative sample of patients admitted to Spanish hospitals due to HF using the Minimum Common Dataset - international Fragility Fracture Network (FFN) MCD, adapted for Spanish...
February 14, 2018: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/29414463/a-novel-approach-to-determine-primary-stability-of-acetabular-press-fit-cups
#9
Volker Weißmann, Christian Boss, Rainer Bader, Harald Hansmann
Today hip cups are used in a large variety of design variants and in increasing numbers of units. Their development is steadily progressing. In addition to conventional manufacturing methods for hip cups, additive methods, in particular, play an increasingly important role as development progresses. The present paper describes a modified cup model developed based on a commercially available press-fit cup (Allofit 54/JJ). The press-fit cup was designed in two variants and manufactured using selective laser melting (SLM)...
April 2018: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/29402587/prevalence-and-consistency-in-surgical-outcome-reporting-for-femoroacetabular-impingement-syndrome-a-scoping-review
#10
REVIEW
Michael P Reiman, Scott Peters, Jonathan Sylvain, Seth Hagymasi, Olufemi R Ayeni
PURPOSE: The purposes of this review were (1) to collate and synthesize research studies reporting any outcome measure on both open and arthroscopic surgical treatment of femoroacetabular impingement (FAI) syndrome and (2) to report the prevalence and consistency of outcomes across the included studies. METHODS: A computer-assisted literature search of the MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Embase databases was conducted using keywords related to FAI syndrome and both open and arthroscopic surgical outcomes, resulting in 2,614 studies, with 163 studies involving 14,824 subjects meeting the inclusion criteria...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29295638/postural-asymmetry-in-non-ambulant-adults-with-cerebral-palsy-a-scoping-review
#11
Carlee Holmes, Kim Brock, Prue Morgan
PURPOSE: Non-ambulant adults with cerebral palsy are vulnerable to development of postural asymmetry and associated complications. The primary aim of this scoping review was to identify postural deformities in non-ambulant adults with cerebral palsy. MATERIALS AND METHODS: Comprehensive searches were undertaken in EMBASE, CINAHL, AMED, Cochrane, Psych INFO, and Joanna Briggs (1986-Jan 2017), supplemented by hand searching. Two reviewers independently extracted data using a customised tool focusing on study design, participant characteristics, postural descriptors, measurement tools, and interventions...
January 2, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29278266/regional-nerve-blockade-for-early-analgesic-management-of-elderly-patients-with-hip-fracture-a-narrative-review
#12
REVIEW
A Scurrah, C T Shiner, J A Stevens, S G Faux
Elderly patients with hip fracture experience high morbidity and mortality, and are often undertreated for pain. Acute pain management in the elderly is challenging, with physiological frailty, medical comorbidities and cognitive impairment commonly compounding pain assessment and treatment. Guidelines outlining current best practice for acute pain management in the elderly now exist, but evidence suggests that practice remains variable and there continues to be scope for improvement. We conducted a narrative review of the literature to examine the challenges of acute pain management in the elderly, and to evaluate evidence for the role of regional nerve blocks for acute pain associated with hip fracture in the elderly...
December 26, 2017: Anaesthesia
https://www.readbyqxmd.com/read/29241512/development-of-post-hip-replacement-comfort-scale
#13
Hulya Saray Kilic, Sevinc Tastan
AIM: To develop and psychometrically test the Post Hip Replacement Comfort Scale (PHRCS). BACKGROUND: Evaluation of the patient comfort after hip replacement surgery is highly important in order to increase the quality of patient care. The review of the relevant literature shows that a scale that specifically measures the patient comfort after hip replacement surgery is absent. DESIGN: Methodological design was used. This study included the development of the scale and tested the psychometric properties of the scale...
December 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29186637/factors-associated-with-upper-leg-muscle-strength-in-knee-osteoarthritis-a-scoping-review
#14
Arjan H de Zwart, Joost Dekker, Willem Lems, Leo D Roorda, Martin van der Esch, Marike van der Leeden
OBJECTIVE: Muscle weakness is common and strongly related to clinical outcome in patients with knee or hip osteoarthritis. To date, there is no clear overview of the information on factors associated with muscle strength in knee and hip osteoarthritis. The aim of this paper is to provide an overview of current knowledge on factors associated with upper leg muscle strength in this population. DESIGN: The framework of a scoping review was chosen. MEDLINE database was searched systematically up to 22 April 2017...
February 13, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29175827/poor-overall-quality-of-clinical-practice-guidelines-for-musculoskeletal-pain-a-systematic-review
#15
REVIEW
Ivan Lin, Louise K Wiles, Robert Waller, Roger Goucke, Yusuf Nagree, Michael Gibberd, Leon Straker, Christopher G Maher, Peter P B O'Sullivan
OBJECTIVES: Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for common musculoskeletal (MSK) pain conditions: spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis) and shoulder. DESIGN: Systematic review of CPGs (PROSPERO number: CRD42016051653).Included CPGs were written in English, developed within the last 5 years, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment...
March 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29091591/towards-an-in-plane-methodology-to-track-breast-lesions-using-mammograms-and-patient-specific-finite-element-simulations
#16
Andrés Lapuebla-Ferri, José Cegoñino-Banzo, Antonio-José Jiménez-Mocholí, Amaya Pérez Del Palomar
In breast cancer screening or diagnosis, it is usual to combine different images in order to locate a lesion as accurately as possible. These images are generated using a single or several imaging techniques. As x-ray-based mammography is widely used, a breast lesion is located in the same plane of the image (mammogram), but tracking it across mammograms corresponding to different views is a challenging task for medical physicians. Accordingly, simulation tools and methodologies that use patient-specific numerical models can facilitate the task of fusing information from different images...
November 1, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/29068288/timing-of-surgical-intervention-for-developmental-dysplasia-of-the-hip-a-randomised-controlled-trial-hip-op
#17
Charlotte L Williams, Susie Weller, Lisa Roberts, Isabel Reading, Andrew Cook, Louisa Little, Wendy Wood, Louise Stanton, Andreas Roposch, Nicholas Mp Clarke
BACKGROUND: Developmental dysplasia of the hip (DDH) is a very common congenital disorder, and late-presenting cases often require surgical treatment. Surgical reduction of the hip may be complicated by avascular necrosis (AVN), which occurs as a result of interruption to the femoral head blood supply during treatment and can result in long-term problems. Some surgeons delay surgical treatment until the ossific nucleus (ON) has developed, whereas others believe that the earlier the reduction is performed, the better the result...
October 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29042814/attenuated-serum-adiponectin-levels-are-associated-with-disease-severity-in-patients-with-non-traumatic-osteonecrosis-of-the-femoral-head
#18
Yong-Bin Yue, Xin Liu, Biao-Fang Wei
OBJECTIVE: Decreased adiponectin (APN) levels have been detected in patients with osteonecrosis of the femoral head (ONFH). The scope of this study was aimed to explore the relationship between serum APN levels and disease severity in nontraumatic ONFH patients. PATIENTS AND METHODS: Ninety two nontraumatic ONFH patients and 92 healthy controls were enrolled for this study following the estimation of sample size. Serum APN concentrations were examined by enzyme-linked immunosorbent assay (ELISA)...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28965215/danish-national-cross-sectional-observational-study-on-the-prevalence-of-prior-major-osteoporotic-fractures-in-adults-presenting-with-hip-fracture-limitations-and-scope-for-fracture-liaison-services-in-prevention-of-hip-fracture
#19
A Frederiksen, B Abrahamsen, P B Johansen, H A Sørensen
Fracture liaison services prevent hip fractures by identifying other osteoporotic fractures that generally debut at a younger age. However, this study showed that a minority of hip fracture patients are already known to the health services through having had prior osteoporotic fractures. Identification of vertebral fractures in particular is lacking. INTRODUCTION: The purpose of this study was to examine the prevalence of prior major osteoporotic fractures (MOF) in the prior 10 years preceding hip fracture in order to provide information about the potential for prevention of hip fractures by fracture liaison services (FLS)...
January 2018: Osteoporosis International
https://www.readbyqxmd.com/read/28922141/towards-an-in-plane-methodology-to-track-breast-lesions-by-using-mammograms-and-patient-specific-finite-element-simulations
#20
Andres Lapuebla-Ferri, Jose Cegoñino-Banzo, Antonio-Jose Jimenez-Mocholi, Amaya Perez Del Palomar
In breast cancer screening or diagnosis, it is usual to combine different images in order to locate a lesion as accurately as possible. These images are generated by using a single or several imaging techniques. As X-ray based mammography is used widespread, a breast lesion is located in the same plane of the image (mammogram), but tracking of a breast lesion across mammograms corresponding to different views is a daring task for medical physicians. According to this, simulation tools and methodologies that use patient-specific numerical models can facilitate the task of fusing information from different images...
September 18, 2017: Physics in Medicine and Biology
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