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https://www.readbyqxmd.com/read/29342217/how-do-the-outcomes-of-the-deka-arm-compare-to-conventional-prostheses
#1
Linda J Resnik, Matthew L Borgia, Frantzy Acluche, Jill M Cancio, Gail Latlief, Nicole Sasson
OBJECTIVES: Objectives were to 1) compare self-reported function, dexterity, activity performance, quality of life and community integration of the DEKA Arm to conventional prostheses; and 2) examine differences in outcomes by conventional prosthesis type, terminal device type and by DEKA Arm configuration level. METHODS: This was a two-part study; Part A consisted of in-laboratory training. Part B consisted of home use. Study participants were 23 prosthesis users (mean age = 45 ± 16; 87% male) who completed Part A, and 15 (mean age = 45 ± 18; 87% male) who completed Parts A and B...
2018: PloS One
https://www.readbyqxmd.com/read/29339793/skin-inspired-highly-stretchable-and-conformable-matrix-networks-for-multifunctional-sensing
#2
Qilin Hua, Junlu Sun, Haitao Liu, Rongrong Bao, Ruomeng Yu, Junyi Zhai, Caofeng Pan, Zhong Lin Wang
Mechanosensation electronics (or Electronic skin, e-skin) consists of mechanically flexible and stretchable sensor networks that can detect and quantify various stimuli to mimic the human somatosensory system, with the sensations of touch, heat/cold, and pain in skin through various sensory receptors and neural pathways. Here we present a skin-inspired highly stretchable and conformable matrix network (SCMN) that successfully expands the e-skin sensing functionality including but not limited to temperature, in-plane strain, humidity, light, magnetic field, pressure, and proximity...
January 16, 2018: Nature Communications
https://www.readbyqxmd.com/read/29320640/syme-amputation-a-systematic-review
#3
Rudwina Braaksma, Pieter U Dijkstra, Jan H B Geertzen
BACKGROUND: In the decision-making process toward an amputation of the lower extremity, knowledge about patient-related outcomes after amputation and rehabilitation is important. We have not found a systematic review that provides this knowledge for Syme amputation. The aim of this study was to present an overview of outcomes after a Syme amputation grouped according to the International Classification of Functioning, Disability and Health (ICF) model, focusing on body structures and functions, activities, and participation...
January 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29310043/cutaneous-endometriosis-presentation-of-33-cases-and-literature-review
#4
Alvaro Lopez-Soto, Maria Isabel Sanchez-Zapata, Juan Pedro Martinez-Cendan, Sebastian Ortiz Reina, Carmen Maria Bernal Mañas, Manuel Remezal Solano
OBJECTIVE: Cutaneous endometriosis is a rare condition that usually affects the abdominal wall in women with a history of open abdominal surgery. It has a characteristic clinical picture of a mass and pain associated with menstruation. The diagnosis is difficult on being an uncommon and little known condition. Once there is suspicion, a correct anamnesis and examination is usually sufficient. The treatment is normally surgery. STUDY DESIGN: The study included all women identified with a diagnosis of cutaneous endometriosis over a period of 20 years...
December 7, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29306736/early-results-of-roto-glide-joint-arthroplasty-for-treatment-of-hallux-rigidus
#5
Prasad Karpe, Maire-Clare Killen, Amit Chauhan, Raymond Pollock, Rajiv Limaye
BACKGROUND: Traditionally severe hallux rigidus is treated with arthrodesis. Recently arthroplasty has been used in order to retain motion at the metatarsophalangeal joint. AIM: To assess the early to mid-term functional and radiological outcomes in patients undergoing first metatarsophalangeal arthroplasty using the Rotoglide implant. MATERIALS AND METHODS: A prospective review was undertaken to assess functional and radiological outcomes of all patients undergoing an un-cemented three-component first metatarsophalangeal arthroplasty for hallux rigidus...
November 14, 2017: Foot
https://www.readbyqxmd.com/read/29288377/outcomes-of-the-bryan-cervical-disc-replacement-fifteen-year-follow-up
#6
Vincent Pointillart, Jean-Etienne Castelain, Pierre Coudert, Derek Thomas Cawley, Olivier Gille, Jean-Marc Vital
BACKGROUND: The CTDR is a technique that treats cervical disc degenerative disease. Initial shorter-term studies showed good clinical and radiological results. PURPOSE: To assess the clinical and radiological results of Bryan cervical disc replacement (Medtronic Sofamor Danek Inc., Memphis, TN) at 15-year follow-up. RESULTS: This prospective study included 20 patients who underwent 22 CTDR, comprising a single-level procedure in 14 patients and two-level procedures in six patients...
December 29, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29280006/minimally-invasive-unicompartmental-knee-arthroplasty
#7
REVIEW
Jean-Yves Jenny
The exact indication for a unicompartmental knee arthroplasty (UKA) remains debated. Minimally invasive techniques have been developed to decrease the surgical trauma related to the prosthesis implantation, and this technique is well fitted to UKA. However, there are concerns about loss of accuracy with minimally invasive techniques. Furthermore, rapid recovery techniques have been developed in order to reduce the length of hospital stay. Again, UKA is well fitted to these new developments of postoperative care...
December 26, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29276121/a-randomized-seven-year-study-on-performance-of-the-stemmed-metal-m2a-magnum-and-ceramic-c2a-taper-and-the-resurfacing-recap-hip-implants
#8
Arne Borgwardt, Lotte Borgwardt, Bo Zerahn, Henrik Daugaard, Lise Borgwardt, Søren Ribel-Madsen
BACKGROUND: The large-diameter metal-on-metal hip prostheses were expected to have low wear and reduced dislocation rate compared to the traditional metal-on-polyethylene implants. We compare 2 such prostheses, the ReCap resurfacing implant and the M2a-Magnum stemmed implant, with the C2a ceramic-on-ceramic stemmed implant as to clinical performance, serum concentrations of prosthesis metals, and the durability of the implants in a randomized, controlled clinical trial at 7 years of follow-up...
December 5, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29275846/factors-associated-with-poor-active-anterior-elevation-after-reverse-total-shoulder-arthroplasty
#9
Yoon Sang Jeon, Yong Girl Rhee
BACKGROUND: Although reverse total shoulder arthroplasty (RTSA) has been shown to reduce pain and to improve function in most patients, some still suffer from functional limitations. This study aimed to investigate the incidence of poor motion recovery after RTSA and to identify factors that may cause poor outcomes. METHODS: Seventy-six patients who underwent primary RTSA with a reverse-type Aequalis prosthesis (Tornier, Montbonnot, France) were allocated to a satisfactory or unsatisfactory group on the basis of their postoperative active anterior elevation...
December 21, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29274310/is-bone-morphogenetic-protein-2-as-effective-as-alveolar-distraction-osteogenesis-for-vertical-bone-regeneration
#10
Jose M Reuss, Joan Pi-Anfruns, Peter K Moy
PURPOSE: The aim of this study was to assess the clinical effectiveness of alveolar distraction osteogenesis (ADO) versus recombinant human bone morphogenetic protein-2 (rh-BMP-2) for vertical ridge augmentation. Few data have been published on vertical bone regeneration using rh-BMP-2. MATERIALS AND METHODS: The authors implemented a retrospective cohort study and enrolled a sample composed of patients with deficient alveolar vertical bone height. The primary predictor variable was vertical augmentation with BMP-2 and a titanium mesh or ADO...
November 29, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29273898/pseudo-patella-baja-a-minor-yet-frequent-complication-of-total-knee-arthroplasty
#11
Giulia Bugelli, Francesco Ascione, Niki Cazzella, Edoardo Franceschetti, Francesco Franceschi, Giacomo Dell'Osso, Eleonor Svantesson, Kristian Samuelsson, Stefano Giannotti
PURPOSE: One of the complications in total knee arthroplasty (TKA) is pseudo-patella baja (PPB). PPB is present when there is no shortening of the patellar tendon, but the joint line is elevated. The purpose of this study is to investigate the incidence of PPB after TKA and its clinical effects. METHODS: A case series of 158 patients undergoing TKA surgery between 1999 and 2012 at the 2nd Department of Orthopaedics and Traumatology, Pisa were retrospectively reviewed...
December 23, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29258584/lymphocyte-opioid-receptors-as-innovative-biomarkers-of-osteoarthritic-pain-for-the-assessment-and-risk-management-of-opioid-tailored-therapy-before-hip-surgery-to-prevent-chronic-pain-and-opioid-tolerance-addiction-development-opmarkart-opioids-markers-arthroprosthesis
#12
Valentina Malafoglia, Monica Celi, Carolina Muscoli, Sara Ilari, Filomena Lauro, Luigino Antonio Giancotti, Chiara Morabito, Maurizio Feola, Umberto Tarantino, William Raffaeli
BACKGROUND: The incidence of post-surgical chronic pain ranges between 20% and 40% in Europe. Osteoarthritis pain after prosthesis implantation is one of the most severe secondary syndromes, depending not only on surgery but also on organic changes before and after joints replacement. No data are available about risk factors. An excessive inflammatory response plays a central role but a best therapy is not defined yet. It is not clear whether opioid administration could influence post-surgical pain and lead to tolerance or addiction...
December 19, 2017: Trials
https://www.readbyqxmd.com/read/29245099/total-bilateral-tmj-reconstruction-for-pain-and-dysfunction-case-report
#13
Carlos Vinícius Ayres Moreira, André Victor Pinto Serra, Larissa Oliveira Ramos Silva, Ana Carolina Fraga Fernandes, Roberto Almeida de Azevedo
INTRODUCTION: Temporomandibular disorders encompass a set of clinical conditions that affect the temporomandibular joint, the masticatory muscles and the associated tissues. Many therapeutic alternatives can be considered, being divided into non-invasive, minimally invasive and invasive interventions. This work aims to report a case of inflammatory joint pain and dysfunction treated with bilateral TMJ full reconstruction with alloplastic prosthesis stock. CASE REPORT: Patient D...
December 8, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29244689/trochanteric-femoral-fracture-around-a-birmingham-hip-resurfacing-prosthesis-a-case-report-and-review-of-the-literature
#14
Daud Tai Shan Chou, Ben Davis
CASE: A traumatic nondisplaced periprosthetic trochanteric fracture around a well-fixed and functioning Birmingham Hip Resurfacing prosthesis was managed with a reconstruction intramedullary nail. The surgical procedure provided excellent pain relief, and the patient was able to mobilize with crutches the day after surgery. Follow-up at 1 year confirmed excellent clinical and radiographic results. CONCLUSION: In a patient with a previously well-functioning hip resurfacing prosthesis, internal fixation rather than revision hip arthroplasty can offer good clinical and radiographic outcomes...
January 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29244672/a-short-femoral-stem-in-revision-total-hip-replacement-an-alternative-solution-for-prosthetic-fracture-a-case-report
#15
Paul Y F Lee, David J Woodnutt, David M Golding
CASE: A 65-year-old farmer re-presented 5 years after sustaining a midshaft prosthetic fracture of a previous long-stem revision hip replacement. He was treated with a proximal-loading short femoral stem, and did not require an extended trochanteric osteotomy for removal of the well-fixed distal implant. He was able to fully bear weight immediately postoperatively, and he remained pain-free without functional loss at the 42-month follow-up. CONCLUSION: This use of a modern short-stem prosthesis is a treatment option for a potentially complex prosthetic fracture in highly active patients, and it reduces intraoperative complexity...
April 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29237427/clinical-applications-and-effectiveness-of-guided-implant-surgery-a-critical-review-based-on-randomized-controlled-trials
#16
Marco Colombo, Carlo Mangano, Eitan Mijiritsky, Mischa Krebs, Uli Hauschild, Thomas Fortin
BACKGROUND: Nowadays implant placement protocols are widespread among clinicians all over the world. However, available literature, only partially analyses what can be potential benefits for the clinicians and patients, often focusing just on specific aspects, such as accuracy. The purpose of this review is to compare computer guided implant placement with conventional treatment protocols. METHODS: A search strategy according to the P-I-C-O format was developed and executed using an electronic MEDLINE plus manual search from 2000 up to December 2016...
December 13, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/29234747/flapless-vs-flapped-implant-insertion-in-patients-with-controlled-type-2-diabetes-subjected-to-delayed-loading-1-year-follow-up-results-from-a-randomised-controlled-trial
#17
Kaushal Kishor Agrawal, Jitendra Rao, Mohd Anwar, Kalpana Singh, D Himanshu
PURPOSE: To compare the outcome of dental implants placed following full-thickness flap surgery with flapless surgery in controlled type 2 diabetic patients. MATERIALS AND METHODS: A total of 92 controlled type 2 diabetic patients, who needed missing mandibular first molars to be replaced by implants, were selected for a single-centre, parallel group, double-blinded randomised controlled trial. Patients were randomly allocated into two groups: flap (46 patients) vs flapless (46 patients) implant placement...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/29226201/acute-primary-total-knee-arthroplasty-for-proximal-tibial-fractures-in-elderly
#18
Mohammad M Sarzaeem, Mohammad M Omidian, Gholamhossein Kazemian, Alireza Manafi
Background: Proximal tibial fractures in elderly patients with osteoporosis or knee osteoarthritis (OA) are challenging cases. In the current study, we present our experience with uncommon acute primary total knee arthroplasty (PTKA) in this patient population. Methods: PTKAs were performed following proximal tibial fractures in 30 consecutive patients over 60 years of age with osteoporosis or knee OA between 2005 and 2009. Three constrained condylar knees (CCK) and no hinged knee prosthesis were used...
September 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29221499/an-unusual-osteoma-in-the-mandibular-condyle-and-the-successful-replacement-of-the-temporomandibular-joint-with-a-custom-made-prosthesis-a-case-report
#19
Natalia Tavares de Souza, Renan Carlos Lopes Cavalcante, Maria Aparecida de Albuquerque Cavalcante, Wagner Hespanhol, Marcello Rodrigues de Oliveira, Dennis de Carvalho Ferreira, Thais Machado de Carvalho Coutinho, Lucio Souza Gonçalves
BACKGROUND: An osteoma is a benign tumor of bone with unknown etiology and is considered rare, mostly restricted to the craniofacial skeleton. CASE PRESENTATION: This case report describes an uncommon condylar osteoma in a 67 years old white female patient with laterognathism to the left side, limited mouth opening, aesthetic change and pain associated with the right temporomandibular joint (TMJ). The histopathological examination confirmed osteoma. The lesion was surgically excised and immediate reconstruction was carried out using a custom-made total TMJ prosthesis...
December 8, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29218068/prostheses-used-in-laparoscopic-inguinal-hernia-repair-biocompatibility-postoperative-complications-and-quality-of-life-review-of-the-literature
#20
Alexandra Florina Trandafir, Dorin Eugen Popa, Danut Vasile
INTRODUCTION: There is a continuous concern about meshes used in laparoscopic inguinal hernia repair, which mainly relates to their biocompatibility and ability to decrease postoperative complications and recurrence rate; in other words, efforts are made to find the "ideal" prosthesis. OBJECTIVES: To evaluate different prostheses used in laparoscopic inguinal hernia repair in terms of biocompatibility, postoperative complications, recurrence rate and quality of life, so that all the features could lead us to the "ideal" mesh...
September 2017: Mædica
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