262,106 results match your criteria Fracture Frontal


Strength limits in mesoscaled 3Y-TZP ceramics for micro-surgical instruments.

J Mech Behav Biomed Mater 2018 Dec 4;91:99-108. Epub 2018 Dec 4.

Department of Materials Science and Engineering, The Pennsylvania State University, University Park, PA 16802, USA; Institut fuer Struktur- und Funktionskeramik, Montanuniversitaet Leoben, Leoben 8700, Austria. Electronic address:

Micro-surgical instruments are a new application for mesoscale ceramics formed using the lost mold-rapid infiltration forming (LM-RIF) process. Instrument strength and reliability are the foremost concerns for this sensitive application. It is hypothesized that increasing grain size can improve the damage tolerance of the parts associated with the transformation toughening in the 3Y-TZP material, while retaining high strength. Read More

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December 2018

Pathoanatomy of Maisonneuve fracture based on radiologic and CT examination.

Arch Orthop Trauma Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice 1200, 169 02, Prague 6, Czech Republic.

Introduction: Although Maisonneuve fracture (MF) is a well-known type of ankle fracture-dislocation, there is still a lack of information about the epidemiology and the extent of all associated injuries. The aim of study is to describe MF pathoanatomy on the basis of radiographs, CT scans and intraoperative findings.

Materials And Methods: The study comprised 54 adult patients. Read More

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December 2018

Lean mass and lower limb muscle function in relation to hip strength, geometry and fracture risk indices in community-dwelling older women.

Osteoporos Int 2018 Dec 14. Epub 2018 Dec 14.

Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

In a population-based sample of British women aged over 70 years old, lean mass and peak lower limb muscle force were both independently associated with hip strength and fracture risk indices, thereby suggesting a potential benefit of promoting leg muscle strengthening exercise for the prevention of hip fractures in postmenopausal women.

Introduction: To investigate cross-sectional associations of lean mass and physical performance, including lower limb muscle function, with hip strength, geometry and fracture risk indices (FRIs) in postmenopausal women.

Methods: Data were from the Cohort of Skeletal Health in Bristol and Avon. Read More

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December 2018

Posteromedial rotatory incongruity of the elbow: a computational kinematics study.

J Shoulder Elbow Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Orthopaedic Surgery, University of Missouri-Kansas City, Kansas City, MO, USA.

Background: Our objective was to analyze the effect of different anteromedial coronoid fracture patterns with different combinations of ligamentous repairs. We hypothesized that smaller fractures would be sufficiently treated with ligamentous repair alone but that larger fragments would require a combination of ligament and bony repair versus reconstruction.

Methods: Two multibody models were created from cadaveric specimens in the ADAMS program. Read More

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December 2018

Effect of 800 IU Versus 2000 IU Vitamin D3 With or Without a Simple Home Exercise Program on Functional Recovery After Hip Fracture: A Randomized Controlled Trial.

J Am Med Dir Assoc 2018 Dec 11. Epub 2018 Dec 11.

Department of Geriatrics and Aging Research, University Hospital Zurich and University of Zurich, Switzerland; Centre on Aging and Mobility, University Hospital Zurich and City Hospital Waid Zurich, Switzerland; University Clinic for Acute Geriatric Care, City Hospital Waid, Zurich, Switzerland. Electronic address:

Objectives: To evaluate 2 simple strategies, vitamin D and a home exercise program, in functional recovery during the first year after hip fracture.

Design: Secondary analysis of a factorial clinical trial. Patients were randomly allocated to 800 IU (standard of care) or 2000 IU vitamin D and a daily instruction of a simple home exercise program (SHEP) or standard physiotherapy alone during acute care. Read More

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December 2018

The use of cadaver models to diagnose rib fractures: A pilot study.

Am J Emerg Med 2018 Nov 16. Epub 2018 Nov 16.

Department of Emergency Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY, United States of America.

Background: In the emergency department, rib fractures are a common finding in patients who sustain chest trauma. Rib fractures may be a sign of significant, underlying pathology, especially in the elderly patients where rib fractures are associated with significant morbidity and mortality. To date, no studies have evaluated the ability of ultrasound to detect rib fractures using cadaver models and subsequently use this model as a teaching tool. Read More

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November 2018

Modified external fixator in pediatric multilevel noncontiguous cervical spinal fracture dislocation: A case report.

J Orthop Sci 2018 Dec 11. Epub 2018 Dec 11.

Orthopedics and Trauma Surgery Department of Grand-Yoff General Hospital, Cheikh Anta Diop University of Dakar, Senegal.

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December 2018

Implant-related sepsis in lower limb fractures following gunshot injuries in the civilian population: A systematic review.

Injury 2018 Dec 5. Epub 2018 Dec 5.

Division of Orthopaedics, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa; Countess of Chester Hospital, Chester, UK.

Introduction: The management of long bone lower limb fractures secondary to gunshot wounds (GSWs) in the civilian setting are complex and there is currently no consensus regarding the optimal approach to managing such fractures. This study aims to address the relationship of implant related sepsis in fractures secondary to GSWs.

Methods: A systematic review of the literature was performed on both Pubmed and Scopus databases that look at fractures caused by GSWs in the lower limb. Read More

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December 2018

Translational research on clinically failed zirconia implants.

Dent Mater 2018 Dec 11. Epub 2018 Dec 11.

HEPIA, University of Applied Sciences - Western Switzerland (HES-SO), Geneva, Switzerland. Electronic address:

Objectives: To provide fractographic analysis of clinically fractured zirconia implants recovered with their cemented crown. To calculate bending moments, corresponding stress and crack onset location on the implant's fracture surface using a mathematical model integrating spatial coordinates of the crown-implant part and occlusal loading obtained from 2D and 3D images.

Methods: 15 fractured zirconia implants parts (11 posterior and 4 anterior) with their all- ceramic crowns still cemented on it were recovered. Read More

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December 2018

Cost-effectiveness analysis of total elbow arthroplasty versus open reduction-internal fixation for distal humeral fractures.

J Shoulder Elbow Surg 2019 Jan;28(1):102-111

Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.

Background: Total elbow arthroplasty (TEA) and open reduction-internal fixation (ORIF) are 2 viable surgical treatment options for acute, intra-articular distal humeral fractures in elderly patients. Whereas recent systematic reviews and randomized trials have suggested that TEA and ORIF result in similar functional outcome scores, no previous study has assessed the comparative cost-effectiveness between TEA and distal humeral ORIF in this specific demographic.

Methods: A Markov model was created with the highest-level data available from the literature depicting transitioning health states based on treatment strategies. Read More

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January 2019

Corrective wedge ostectomy for an atypical femoral procurvatum deformity stabilised with a supracondylar bone plate.

J S Afr Vet Assoc 2018 Dec 5;89(0):e1-e6. Epub 2018 Dec 5.

Translational Research and Animal Clinical Trial Study Group (TRACTS), U-Vet Veterinary Teaching Hospital, University of Melbourne.

Physeal fractures of the distal femur are among the most commonly encountered fractures in skeletally immature dogs. These fractures respond poorly to conservative management and thus early surgical reduction and stabilisation are recommended. A 7-month-old intact male Border collie presented with a history of chronic lameness. Read More

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December 2018

Incidence, Costs and Predictors of Non-Union, Delayed Union and Mal-Union Following Long Bone Fracture.

Int J Environ Res Public Health 2018 Dec 13;15(12). Epub 2018 Dec 13.

Department of Epidemiology and Preventive Medicine, Monash University, Melbourne VIC 3004, Australia.

Fracture healing complications are common and result in significant healthcare burden. The aim of this study was to determine the rate, costs and predictors of two-year readmission for surgical management of healing complications (delayed, mal, non-union) following fracture of the humerus, tibia or femur. Humeral, tibial and femoral (excluding proximal) fractures registered by the Victorian Orthopaedic Trauma Outcomes Registry over five years ( = 3962) were linked with population-level hospital admissions data to identify two-year readmissions for delayed, mal or non-union. Read More

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December 2018
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3D Imaging of Indentation Damage in Bone.

Materials (Basel) 2018 Dec 13;11(12). Epub 2018 Dec 13.

Henry Moseley X-ray Imaging Facility, Henry Royce Institute, School of Materials, The University of Manchester, Manchester M13 9PL, UK.

Bone is a complex material comprising high stiffness, but brittle, crystalline bio-apatite combined with compliant, but tough, collagen fibres. It can accommodate significant deformation, and the bone microstructure inhibits crack propagation such that micro-cracks can be quickly repaired. Catastrophic failure (bone fracture) is a major cause of morbidity, particularly in aging populations, either through a succession of small fractures or because a traumatic event is sufficiently large to overcome the individual crack blunting/shielding mechanisms. Read More

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December 2018
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Metformin; an old antidiabetic drug with new potentials in bone disorders.

Biomed Pharmacother 2019 Jan 26;109:1593-1601. Epub 2018 Nov 26.

Cellular and Molecular Research Center, Cellular and Molecular Medicine Institute, Urmia University of Medical Sciences, Urmia, Iran. Electronic address:

The prevalence of diabetes mellitus especially type 2 diabetes mellitus is increasing all over the world. In addition to cardiomyopathy and nephropathy, diabetics are at higher risk of mortality and morbidity due to greater risk of bone fractures and skeletal abnormalities. Patients with diabetes mellitus have lower bone quality in comparison to their non-diabetic counterparts mainly because of hyperglycemia, toxic effects of advanced glycosylation end-products (AGEs) on bone tissue, and impaired bone microvascular system. Read More

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January 2019

MiR-217 promotes cell proliferation and osteogenic differentiation of BMSCs by targeting DKK1 in steroid-associated osteonecrosis.

Biomed Pharmacother 2019 Jan 6;109:1112-1119. Epub 2018 Nov 6.

Department of Orthopedics, Renmin Hospital, Wuhan University, Wuhan, Hubei, China; Department of Orthopedics, Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. Electronic address:

MicroRNAs (miRNAs) have recently been recognized to play an important role in bone-associated diseases. This study aims to explore the expression profile and biological function of miR-217, which is known to be related to tumor cell proliferation and migration, to the proliferation and osteogenic differentiation of MSCs from the patients with steroid-associated osteonecrosis (ONFH). Bone marrow was obtained from the proximal femur of 10 patients with ONFH and 10 patients with femoral neck fractures. Read More

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January 2019

Repair or Replacement of Restorations: A Prospective cohort study by dentists in The National Dental Practice-Based Research Network.

Tex Dent J 2017 Jan;134(1):20-32

Background: A prospective cohort study that included dentists in The National Dental Practice-Based Research Network was conducted to quantify 12-month failures of restorations that were repaired or replaced at baseline. The study tested the hypothesis that no significant differences exist in failure percentages between repaired and replaced restorations after 12 months. It also tested the hypothesis that certain dentist, patient, and restoration characteristics are significantly associated with the incidence of restoration failure. Read More

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January 2017

Osteocytes reflect a pro-inflammatory state following spinal cord injury in a rodent model.

Bone 2018 Dec 11. Epub 2018 Dec 11.

Department of Neuroscience and Experimental Therapeutics, Texas A&M Health Science Center, Bryan, TX, United States of America.

Profound bone loss occurs following spinal cord injury (SCI) resulting in a high incidence of fractures. While likely caused in part by loss of weight-bearing, there is greater bone loss following SCI when compared to that observed in other disuse animal models. Patients with SCI have a protracted inflammatory response, with elevated circulating levels of pro-inflammatory markers. Read More

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December 2018

Fracture of a Transcatheter Atrial Septal Defect Occluder Device Causing Mitral Valve Perforation.

Ann Thorac Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Thoracic Surgery, University Hospital Zurich, Zurich, Switzerland; Department of Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.

Transcatheter atrial septal defect (ASD) device closure has gained increasing popularity over the past decades due to shorter hospital stay and the absence of skin scars. However, concern about the seriousness of device-related complications is accumulating. We report a case of device fracture in a young asymptomatic woman almost 4 years after percutaneous secundum ASD closure, resulting in mitral valve perforation. Read More

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December 2018
2 Reads

A Rare Cause for Recurrent Implant-Related Inflammation of Orbit: Dacryocystitis.

J Craniofac Surg 2018 Dec 13. Epub 2018 Dec 13.

Plastic, Reconstructive, and Aesthetic Surgery Department of Mersin University Medical Faculty, Mersin, Turkey.

Ultra-thin porous polyethylene has been widely preferred in orbital blow out fracture repair for many years as a safe and stable material. Delayed complications related to the implant in orbital blow out fracture repair are very rare and usually begin as a periorbital inflammation. Infections and tissue reaction to the foreign body are regarded as main causes for implant-related inflammation of which symptoms may vary among the patients and may involve subacute and chronic eyelid swelling, skin redness, pain, conjunctival injection, proptosis, and acute orbital inflammation. Read More

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December 2018
1 Read

Third Molar Eruption and Hardware Fungal Infection Following Treatment of Mandibular Angle Fracture.

J Craniofac Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Plastic Surgery, University of Virginia Health System.

Appropriate management of lower 3rd molars is crucial to successful treatment of mandibular angle fractures. A unique case of a patient who presented for initial management of a left mandibular angle fracture with an unerupted lower 3rd molar was discussed in this study. After treatment with open reduction and internal fixation of the fracture, the lower 3rd molar erupted and the patient subsequently developed fungal osteomyelitis and hardware failure. Read More

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December 2018

Ruptured Extensor Pollicis Longus Tendon After a Nondisplaced Distal Radius Fracture in a Young Adult Soccer Player.

Clin J Sport Med 2018 Dec 13. Epub 2018 Dec 13.

HealthONE Family Medicine Residency, Lone Tree, Colorado.

Forearm fractures of the distal radius are one of the most common fractures seen in the upper extremity, and they represent approximately 1/6 of fractures treated in the emergency department. Forearm fractures are associated with a rare but known complication of a delayed ruptured extensor pollicis longus (EPL) tendon. This sequela is more commonly seen in adults after a nondisplaced distal radius fracture, with much variability in the incidence ranging from 0. Read More

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December 2018

[The surgical management of upper parapharyngeal regions].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(23):1804-1809

Department of Otorhinolaryngology, the First Affiliated Hospital, Bengbu Medical College, Bengbu, 233004, China.

To find proper the surgical approval and evaluate clinical efficacy to treat the tumor of upper parapharyngeal space involving the base of skull and intracranial skull. The data of 9 cases from June 2013 and June 2018 were analyzed retrospectively including schwannoma in 6 cases, pleomorphic adenoma in 2 cases and hemangioma in 1 case. All cases received preoperative high resolution CT and MRI, some cases also did the DSA examination. Read More

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December 2018
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[Application of image navigation assisted nasal endoscopic surgery in optic nerve decompression].

Authors:
L L Shi H T Zhen

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(24):1893-1896

Department of Otolaryngology Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

To explore the application and to evaluate the advantage of image navigation assisted nasal endoscopic surgery in optic nerve decompression. Sixty patients accepted the image navigation assisted nasal endoscopic surgery therapy in optic nerve decompression were included in this retrospective study and followed up for about six months to four years. The visual acuity was improved in 16 cases with visual acuity above light. Read More

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December 2018

[Cartilaginous tumours].

Rev Med Suisse 2018 Dec;14(631):2259-2263

Service d'orthopédie et traumatologie de l'appareil moteur, HUG, 1211 Genève 14.

Cartilaginous tumours are rare and often incidentally discovered on imaging. They can also be responsible for osteoarticular symptoms (pain, joint stiffness, deformity or fracture) and will require a clinical, radiological and a histopathological assessment. Depending on the lesion, the management may consist of observation or a complex surgical procedure that will take place after a multidisciplinary discussion including the radiologist, the pathologist and the orthopaedic surgeon. Read More

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December 2018

How to Best Predict Fragility Fractures: An Update and Systematic Review.

Isr Med Assoc J 2018 Dec;20(12):773-779

Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Background: Because fragility fractures have an enormous impact on the practice of medicine and global health systems, effective screening is imperative. Currently, dual-energy X-ray absorptiometry (DXA), which has limited ability to predict fractures, is being used. We evaluated the current literature for a method that may constitute a better screening method to predict fragility fractures. Read More

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December 2018

[Iatrogenic femoral head fracture during a closed reduction of posterior dislocation of hip. Case report].

Acta Ortop Mex 2018 Jul-Aug;32(4):234-239

Servicio de Cadera y Pelvis del Hospital General de Querétaro. Querétaro, México.

The fracture dislocation of the hip is a rare lesion described up to 4 to 17% of the cases and usually secondary to automobile accidents. Generally of poor prognosis and with already well documented complications such as avascular necrosis of the femoral head, osteoarthritis and heterotopic ossification. The iatrogenic fracture of the neck or head of the proximal femur is a complication even more rare and is not documented its incidence in the world literature. Read More

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December 2018

[Parathyroid carcinoma: diagnosis by a femur fracture].

Acta Ortop Mex 2018 Jul-Aug;32(4):229-233

Departamento de Anatomopatología del Hospital Ángeles León. León, Guanajuato. México.

Background: Carcinoma of the parathyroid gland (PC) described by De Quervain since 1909, it represents the least common neoplasm, with an incidence of 1,25/10,000,000 peoples. It has been reported approximately 1,000 cases of CP in world literature. There are two series in Mexico, one of eight patients and other with four cases. Read More

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December 2018
1 Read

[Tumor hip prosthesis in fibrous dysplasia of proximal femur. Case report].

Acta Ortop Mex 2018 Jul-Aug;32(4):225-228

Unidad Médica de Alta Especialidad del Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social. Puebla, México.

Background: fibrous dysplasia is characterized by the formation of fibrous tissue that generates immature malformed trabeculae. Their involvement may be monostotic or poliostotic.

Case Report: Thirty years old female with fibrous dysplasia of the left hip. Read More

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December 2018

A Mechanically Robust, Stiff, and Tough Hyperbranched Supramolecular Polymer Hydrogel.

Macromol Rapid Commun 2018 Dec 14:e1800819. Epub 2018 Dec 14.

School of Materials Science and Engineering, Tianjin Key Laboratory of Composite and Functional Materials, Tianjin University, Tianjin, 300350, China.

In this study, a simple yet versatile method is introduced to prepare a hyperbranched supramolecular polymer hydrogel by utilizing Type II photoinitiated self-condensing vinyl polymerization of N-acryloyl glycinamide, which can serve not only as an inimer providing branching sites, but also as a hydrogen-bonding cross-linker. The hyperbranched poly(N-acryloyl glycinamide) (HB-PNAGA) hydrogels demonstrate excellent mechanical performances with a tensile strength of 0.793-2. Read More

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December 2018
1 Read

Root dentinal microcracks: a post-extraction experimental phenomenon?

Int Endod J 2018 Dec 14. Epub 2018 Dec 14.

School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.

Aim: To investigate the prevalence, location, and pattern of preexisting microcracks in non-endodontically treated teeth from fresh cadavers. Micro-computed tomography (micro-CT) technology was used as the analytical tool enabling full screening of the root dentine with the teeth retained in their original alveolar socket.

Methodology: As a pilot study and to validate the present method, a series of 4 high-resolution scans were performed on one bone-block specimen with teeth collected postmortem: (i) entire bone-block including the teeth, (ii) second molar tooth extracted atraumatically from the bone-block (iii) extracted tooth dehydrated to induce dentinal defects and (iv) entire bone-block following reinsertion of the extracted tooth into its matching alveolar socket. Read More

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December 2018

Characterization of the torsional structural properties of feline femurs and surrogate bone models for mechanical testing of orthopedic implants.

Vet Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Small Animal Clinical Sciences, Michigan State University, East Lansing, Michigan.

Objective: To characterize the torsional structural properties of the feline femur and design a bone model surrogate for mechanical testing of feline orthopedic implants.

Study Design: Experimental.

Sample Population: Paired feline femurs (n = 30) and bone models (8 materials, n = 4/group). Read More

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December 2018

Activating mutations in the MAP-kinase pathway define non-ossifying fibroma of bone.

J Pathol 2018 Dec 13. Epub 2018 Dec 13.

Gerhard-Domagk-Institute of Pathology, University Hospital Münster, Münster, Germany.

Non-ossifying fibroma, which occasionally results in pathologic fracture, is considered the most common benign and self-limiting lesion of the growing skeleton. By DNA sequencing we have identified hotspot KRAS, FGFR1 and NF1 mutations in 48 of 59 patients (81.4%) with NOF, at allele frequencies ranging from 0. Read More

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December 2018

Leaflet morphology classification of the Melody Transcatheter Pulmonary Valve.

Congenit Heart Dis 2018 Dec 13. Epub 2018 Dec 13.

The Heart Center, Nationwide Children's Hospital, Columbus, Ohio.

Objective: We sought to describe the leaflet morphology variation in the Melody Transcatheter Pulmonary Valve (TPV) and evaluate associated outcomes. The Melody TPV is constructed from harvested bovine jugular venous valves which have been rigorously tested. Natural anatomic leaflet variations are seen in the Melody TPV but have not been evaluated. Read More

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December 2018

Effect of Thermomechanical and Static Loading on the Load to Fracture of Metal-Ceramic, Monolithic and Veneered Zirconia Posterior Fixed Partial Dentures.

J Prosthodont 2018 Dec 13. Epub 2018 Dec 13.

Department of Buccofacial Prostheses, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain.

Purpose: To evaluate the influence of static (not pre-loaded) and thermomechanical loading on the load to fracture of metal-ceramic, monolithic and veneered zirconia computer-aided design/computer-aided manufacturing (CAD/CAM) posterior fixed partial dentures (FPDs).

Materials And Methods: One hundred standardized specimens with 2 abutments screwed onto a platform were prepared from stainless steel to receive a posterior 3-unit FPD with an intermediate pontic. Specimens were randomly divided into 5 groups (n = 20): Metal-ceramic (control group), Lava Zirconia system, Vita In-Ceram YZ, IPS e-max ZirCAD, and Lava Plus. Read More

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December 2018

Impact of Balloon Diameter on Dilation Outcomes in a Model of Rabbit Subglottic Stenosis.

Laryngoscope 2018 Dec 13. Epub 2018 Dec 13.

the Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.

Objective: To determine the appropriate balloon size for dilation using a previously described reproducible survival animal model of subglottic stenosis.

Study Design: Prospective animal study.

Methods: We conducted a prospective study including 16 New Zealand White rabbits. Read More

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December 2018

Cracking and Fracture Properties of Potato (Solanum tuberosum L.) Tubers and Their Relation to Dry Matter, Starch, and Mineral Distribution.

J Sci Food Agric 2018 Dec 13. Epub 2018 Dec 13.

Department for Crop Sciences, Division Quality of Plant Products, Carl-Sprengel-Weg 1, 37075 Göttingen, University of Göttingen, Germany.

Background: Potato disorders lead to significant reductions in the yield and quality of marketable tubers. Thumbnail cracks are physiological tuber skin disorders that can significantly affect the tuber appearance and, hence, the overall quality. The aim of the study was to characterize fracture properties of the tuber skin. Read More

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December 2018
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3T chemical shift-encoded MRI: Detection of altered proximal femur marrow adipose tissue composition in glucocorticoid users and validation with magnetic resonance spectroscopy.

J Magn Reson Imaging 2018 Dec 12. Epub 2018 Dec 12.

New York Langone Health, Department of Radiology, New York University School of Medicine, New York, New York, USA.

Background: Osteoporosis (OP) results in weak bone and can ultimately lead to fracture. Drugs such as glucocorticoids can also induce OP (glucocorticoid-induced osteoporosis [GIO]). Bone marrow adipose tissue composition and quantity may play a role in OP pathophysiology, but has not been thoroughly studied in GIO compared to primary OP. Read More

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December 2018

Relation of postoperative serum S100A12 levels to delirium and cognitive dysfunction occurring after hip fracture surgery in elderly patients.

Brain Behav 2018 Dec 11:e01176. Epub 2018 Dec 11.

Department of Anesthesia and Pain, The Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Objective: Brain injury is implicated in pathogenesis of postoperative delirium (POD) and cognitive dysfunction (POCD). S100A12 is involved in inflammatory process and is recently known as a biomarker for brain injury. Herein, we clarified whether serum S100A12 levels are related to POD and POCD after hip fracture surgery in elderly patients. Read More

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December 2018

Epidemiology of Facial Fractures among Older Adults: A Retrospective Analysis of a Nationwide Emergency Department Database.

Dent Traumatol 2018 Dec 8. Epub 2018 Dec 8.

Department of Orthodontics, The University of Illinois in Chicago, Chicago, Illinois.

Background/aims: The prevalence of facial fractures among older adults has increased in recent years, and nationwide studies about the epidemiological profile and outcomes of hospital-based ED visits for facial fractures among older adults are scarce. The aim of this study was to provide USA-wide data of hospital-based Emergency Department (ED) visits for facial fractures among older adults, and to investigate the outcomes associated with these visits.

Material And Methods: The Nationwide Emergency Department Sample (NEDS) for the years 2008 to 2014 was used for the present study. Read More

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December 2018

Hindfoot Fusion Nail with Adjuvant Hybrid External Fixation used as Limb-Salvage Procedure after Failed Open Reduction Internal Fixation of Ankle Fracture in a Charcot Joint: A Case Report.

P R Health Sci J 2018 Dec;37(4):235-238

Department of Orthopedic Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

The failure of the internal fixation of an ankle fracture due to Charcot joint/ neuroarthropathy is rare; such occurred in the case of a 52-year-old woman with uncontrolled diabetes who sustained a right ankle fracture after falling from standing height. The patient was treated with the internal fixation of both malleoli, which procedure failed as the patient progressed, until she eventually was diagnosed with Charcot arthropathy. The post operative images were reviewed and showed a catastrophic fixation failure with a diagnosis of Charcot neuroarthropathy. Read More

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December 2018

Incidence of osteonecrosis and insufficiency fracture of the hip and knee joints based on MRI in 300 renal transplant patients.

Hip Int 2018 Nov 1:1120700018808693. Epub 2018 Nov 1.

1 Department of Orthopaedic Surgery, Tokyo Women's Medical University, Tokyo, Japan.

Introduction:: The purpose of this study was to investigate the incidence of necrosis and insufficiency fracture of the hip and knee using magnetic resonance imaging (MRI) in renal transplant patients.

Methods:: We examined 300 consecutive renal transplant patients using MRI of the hips and knees (T1-weighted coronal MRI) preoperatively and at 3 and 6 months postoperatively. Oblique axial-plane T1-weighted MRI and short-tau inversion-recovery T2-weighted MRI were performed parallel to the femoral neck when distinguishing the osteonecrosis of the femoral head (ONFH) from subchondral insufficiency fracture (SIF) of the femoral head was difficult. Read More

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November 2018

[Comprehensive approach for malnourished patients: aiming for continuity in nutritional support].

Nutr Hosp 2018 Apr 3;35(Spec no2):34-38. Epub 2018 Apr 3.

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days of hospitalization, a greater number of complementary tests, the need for artificial nutritional support and / or drugs to treat complications, which is a very important economic burden. Most patients who are malnourished, or at risk, can benefit from oral nutritional support, which includes dietary modifications (fortification, extra snacks, etc.), prescription of a personalized diet by a registered dietitian and the use of oral nutritional supplements (ONS). Read More

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A case of osteopetrosis with severe aortic stenosis treated by transcatheter aortic valve implantation.

J Cardiol Cases 2013 Sep 15;8(3):113-115. Epub 2013 Jul 15.

Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.

Osteopetrosis is a rare hereditary disease characterized by osteoclast dysfunction and consequently diminished bone resorption and disturbed bone building and remodeling, resulting in abnormally dense and brittle bones. Pathologic fractures are common in patients with osteopetrosis. We report a case of benign adult form of osteopetrosis with severe aortic stenosis (AS) and coronary artery disease (CAD). Read More

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September 2013

EXPERIENCE WITH MANAGING COMPLICATED FRACTURES USING ILIZAROV PRINCIPLE IN LAGOS, NIGERIA.

J West Afr Coll Surg 2017 Jul-Sep;7(3):24-43

Lagos State University Teaching Hospital, Ikeja, Nigeria.

Background: Management of complicated bone fractures in our environment is very challenging. The Ilizarov principle has been found to be a viable management option worldwide, but the use of this method in our environment has been sparsely reported.

Aim: To document our use of Ilizarov method to manage patients with complicated long bone fractures and the outcome. Read More

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December 2018

A runaway sternal wire: A rare case and outcome of sternal wire intravascular embolization.

J Cardiol Cases 2016 Oct 14;14(4):100-102. Epub 2016 Jun 14.

Queens Medical Center, University of Hawaii John A Burns School of Medicine, Honolulu, HI, USA.

We present a case of a 56-year-old man with history of coronary artery disease and prior two coronary bypass surgeries, who presented with chronic chest pain and was found to have a fractured sternal wire that migrated through the right ventricle and embolized to the right lower pulmonary artery without evident hemodynamic consequences. The sternal wire migration process, in part due to patient's poor medical compliance, was captured on serial computed tomography scans over a period of several years. < Recognize potential sternotomy complications on imaging. Read More

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October 2016

Rupture of pseudoaneurysm of the superficial femoral artery over four years after self-expandable nitinol stent implantation.

J Cardiol Cases 2015 Aug 18;12(2):52-56. Epub 2015 May 18.

Division of Cardiovascular Medicine and Coronary Heart Disease, Hyogo College of Medicine, Nishinomiya, Japan.

Postcatheterization pseudoaneurysm is one of the most common vascular complications of peripheral angiographic procedures. An 83-year-old male received endovascular treatment (EVT) for a total occlusion lesion of left superficial femoral artery (SFA) due to intermittent claudication. After the subintimal angioplasty procedure with implantation of three self-expandable nitinol stents, angiography revealed contrast staining outside the stent margins. Read More

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Opening-wedge osteotomies of the distal femur: minor advantages for a biplanar compared to a uniplanar technique.

Knee Surg Sports Traumatol Arthrosc 2018 Dec 13. Epub 2018 Dec 13.

Institute of Biomechanics, Paracelsus Medical University Salzburg, Strubergasse 21, 5020, Salzburg, Austria.

Purpose: Valgus malalignment of the distal femur may be treated with corrective osteotomy. The purpose of this study was to compare the primary stability of a lateral opening-wedge osteotomy (LOWO) using a uniplanar compared to a biplanar technique. A study was carried out to test both surgeries, with both an intact medial cortex and with a deliberate attached cut of the medial cortex simulating a fracture. Read More

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December 2018

Low dislocation rate of Saturne/Avantage dual-mobility THA after displaced femoral neck fracture: a cohort study of 966 hips with a minimum 1.6-year follow-up.

Arch Orthop Trauma Surg 2018 Dec 13. Epub 2018 Dec 13.

University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West, Building 8, Entrance N, 1st floor, Laegaardvej 12, 7500, Holstebro, Denmark.

Introduction: Dislocation is a serious and common complication and a great concern with the use of total hip arthroplasty (THA) when treating displaced femoral neck fracture (FNF). Dual-mobility (DM) THA might reduce the dislocation risk. We aim to report the dislocation and revision rate of primary DM THA in patients with displaced FNF. Read More

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December 2018
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Bone marrow cell homing to sites of acute tibial fracture: Zr-oxine cell labeling with positron emission tomographic imaging in a mouse model.

EJNMMI Res 2018 Dec 13;8(1):109. Epub 2018 Dec 13.

Molecular Imaging Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health, NIH, Building 10, Room B3B406, Bethesda, MD, 20892-1002, USA.

Background: Bone fracture healing is dependent upon the rapid migration and engraftment of bone marrow (BM) progenitor and stem cells to the site of injury. Stromal cell-derived factor-1 plays a crucial role in recruiting BM cells expressing its receptor CXCR4. Recently, a CXCR4 antagonist, plerixafor, has been used to mobilize BM cells into the blood in efforts to enhance cell migration to sites of injury presumably improving healing. Read More

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December 2018

Differentiating stable buckle fractures from other distal radius fractures: the 1-cm rule.

Pediatr Radiol 2018 Dec 13. Epub 2018 Dec 13.

Department of Radiology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.

Background: Treatment pathways for isolated distal radius fractures in children are becoming more tailored to specific fracture types and include different management plans for stable buckle fractures versus potentially unstable distal radius fractures.

Objective: To propose a measurement rule to aid in differentiating stable buckle fractures from other distal radius fractures in children.

Materials And Methods: A medical record search identified 203 children with closed distal radius fractures during a 14-month period. Read More

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December 2018