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Are extracapsular and intracapsular hip-fracture patients two distinct rehabilitation subpopulations?

Disabil Rehabil 2021 May 13:1-6. Epub 2021 May 13.

Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Purpose: To assess whether intracapsular and extracapsular hip fracture patients in a post-acute rehabilitation setting differ in their background characteristics and whether fracture type affects rehabilitation outcome.

Methods: A retrospective cohort study.

Outcome Measures: Functional Independence Measure (FIM), motor FIM (mFIM), mFIM effectiveness, length of stay (LOS), and discharge destination. Read More

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Assessment of Skeletal Maturity and Postoperative Growth Disturbance After Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: A Systematic Review.

Am J Sports Med 2021 May 13:3635465211008656. Epub 2021 May 13.

Boston Children's Hospital, Division of Sports Medicine, Department of Orthopaedics, Harvard Medical School, Boston, Massachusetts, USA.

Background: Growth disturbance is an uncommon but potentially serious complication after anterior cruciate ligament (ACL) reconstruction in skeletally immature patients.

Purpose: To describe how the pediatric ACL literature has assessed preoperative skeletal maturity and the amount of growth remaining and to comprehensively review the incidence, reporting, and monitoring of postoperative growth disturbance.

Study Design: Systematic review; Level of evidence, 4. Read More

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STRYDE versus PRECICE magnetic internal lengthening nail for femur lengthening.

Arch Orthop Trauma Surg 2021 May 13. Epub 2021 May 13.

Limb Lengthening and Complex Reconstruction Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College Cornell University, New York, NY, USA.

Introduction: Magnetic internal lengthening nails (MILNs) have been used for femoral lengthening to avoid complications associated with external fixation. The titanium version of the MILN (PRECICE) has been in use since 2011 but had limitations (50-75 lb) in post-operative weight bearing. A new stainless-steel version of the MILN (STRYDE) allows 150-250 lb of post-operative weight bearing. Read More

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Recommendations in the rehabilitation of patients undergoing hip abductor tendon repair: a systematic literature search and evidence based rehabilitation protocol.

Arch Orthop Trauma Surg 2021 May 13. Epub 2021 May 13.

Perth Orthopaedic and Sports Medicine Centre, 31 Outram Street, West Perth, WA, 6005, Australia.

Introduction: Advanced hip imaging and surgical findings have demonstrated that a common cause of greater trochanteric pain syndrome (GTPS) is hip abductor tendon (HAT) tears. Traditionally, these patients have been managed non-operatively, often with temporary pain relief. More recently, there has been an increase in published work presenting the results of surgical intervention. Read More

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A seven week observational analysis of clinical activities in a North Italian orthopaedic hospital during the second wave of SARS-CoV-2 pandemic: far from usual volumes, but different from the first wave.

Int Orthop 2021 May 13. Epub 2021 May 13.

Laboratory of Experimental Biochemistry and Molecular Biology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Purpose: We previously described the radical changes occurred in an orthopaedic hospital in Milan (Italy) during the first SARS-CoV-2 pandemic outbreak. Currently, during the second wave, the situation is still far from normality. Here we describe the changes that took place, and are still ongoing, in the clinical practice. Read More

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Tranexamic Acid Is Safe in Patients with a History of Coronary Artery Disease Undergoing Total Joint Arthroplasty.

J Bone Joint Surg Am 2021 May;103(10):900-904

Department of Orthopedic Surgery, NYU Langone Health, New York, NY.

Background: Tranexamic acid (TXA) is increasingly used to minimize blood loss during total joint arthroplasty (TJA). Although TXA has been shown to be highly effective in reducing operative blood loss, many surgeons believe that it places patients with coronary artery disease (CAD) or a history of coronary stents at an increased risk for myocardial infarction. The purpose of this study was to determine if TXA is safe to use in patients with a history of CAD or coronary stents. Read More

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Interrupting Sitting Time in Postmenopausal Women: Protocol for the Rise for Health Randomized Controlled Trial.

JMIR Res Protoc 2021 May 13;10(5):e28684. Epub 2021 May 13.

Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States.

Background: Many older adults spend the majority of their waking hours sitting, which increases their risk of chronic diseases. Given the challenges that many older adults face when engaging in moderate-to-vigorous physical activity, understanding the health benefits of decreasing sitting time and increasing the number of sit-to-stand transitions is needed to address this growing public health concern.

Objective: The aim of this 3-arm randomized controlled trial is to investigate how changes in sitting time and brief sit-to-stand transitions impact biomarkers of healthy aging and physical, emotional, and cognitive functioning compared with a healthy attention control arm. Read More

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Postoperative pain management in patients with coxarthrosis undergoing total hip arthroplasty: PENG block combined with LFCN block or wound infiltration?

Minerva Anestesiol 2021 May 13. Epub 2021 May 13.

Department of Orthopedics and Traumatology, Derince Training and Research Hospital, Kocaeli, Turkey.

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Second-Generation Highly Cross-Linked Polyethylene in Total Hip Arthroplasty.

JBJS Rev 2021 Apr;9(4):e20.00065

1Department of Orthopaedic Surgery, University of Illinois, Chicago, Illinois 2Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 3Alexandria Faculty of Medicine, Alexandria, Egypt.

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Is the Preoperative Use of Antidepressants and Benzodiazepines Associated with Opioid and Other Analgesic Use after Hip and Knee Arthroplasty?

Clin Orthop Relat Res 2021 05 10. Epub 2021 May 10.

T. J. Rajamäki, A. Hietaharju, E. Jämsen, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland T. J. Rajamäki, T. Moilanen, E. Jämsen, Coxa Hospital for Joint Replacement, Tampere, Finland P. A. Puolakka, Department of Anaesthesia, Tampere University Hospital, Tampere, Finland A. Hietaharju, Department of Neurology, Tampere University Hospital, Tampere, Finland.

Background: Mental health disorders can occur in patients with pain conditions, and there have been reports of an increased risk of persistent pain after THA and TKA among patients who have psychological distress. Persistent pain may result in the prolonged consumption of opioids and other analgesics, which may expose patients to adverse drug events and narcotic habituation or addiction. However, the degree to which preoperative use of antidepressants or benzodiazepines is associated with prolonged analgesic use after surgery is not well quantified. Read More

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The CRTAC1 protein in plasma associates with osteoarthritis and predicts progression to joint replacements: a large-scale proteomics scan in Iceland.

Arthritis Rheumatol 2021 May 13. Epub 2021 May 13.

deCODE genetics/Amgen Inc, Reykjavik, Iceland.

Objective: Biomarkers for diagnosis and progression of osteoarthritis are lacking. This study aimed to find circulating biomarkers for osteoarthritis that could predict disease manifestation and/or progression to joint replacement.

Methods: We measured 4,792 proteins in plasma from 37,278 individuals using SOMAscan® platform, of whom 12,178 had osteoarthritis, and 2,524 had undergone joint replacement. Read More

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Evaluation of the relationship between homocysteine levels and bone mineral density in postmenopausal women.

Climacteric 2021 May 13:1-7. Epub 2021 May 13.

Department of Obstetrics, Gynecology and Reproduction, Woman's Health Dexeus, Hospital Universitario Dexeus, Barcelona, Spain.

Objective: The current study aimed to evaluate the relationship between homocysteine (Hcy) levels and bone mineral density (BMD) in postmenopausal women.

Methods: The present, cross-sectional study included 760 postmenopausal women. The following variables were recorded: age, age at menopause, body mass index (BMI), BMD (measured by dual-energy X-ray absorptiometry [DXA] scanning and expressed as lumbar, femoral neck and total hip -scores), smoking status, biochemical parameters (Hcy, creatinine, calcium, phosphorus, vitamin D and parathormone levels) and vitamin D supplementation. Read More

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Pelvic tilt impacts cup orientation on CT: how accurate is the gold standard?

Acta Radiol 2021 May 13:2841851211009466. Epub 2021 May 13.

Department of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.

Background: Computed tomography (CT) is the gold standard for the accurate measurement of cup inclination and anteversion in total hip arthroplasty (THA). However, functional cup position strongly depends on the tilt of the pelvis and thus pelvic tilt in the supine position on the CT table harbors the risk of misinterpretation.

Purpose: To evaluate the influence of pelvic tilt on cup measurements in postoperative CT scans. Read More

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Review article: Paramedic pain management of femur fractures in the prehospital setting: A systematic review.

Emerg Med Australas 2021 May 12. Epub 2021 May 12.

Department of Paramedicine, Monash University, Melbourne, Victoria, Australia.

Femur shaft and neck of femur (NOF) fractures are often undertreated in the prehospital setting. These injuries can present unique clinical and logistical concerns in the prehospital setting. This systematic review aimed to investigate paramedic prehospital pain management of patients who had suffered NOF or femur fractures, and to investigate which interventions are effective. Read More

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Correlation Between Anthropometric Measurements and Non-alcoholic Fatty Liver Disease in Individuals With Obesity Undergoing Bariatric Surgery: Cross-Sectional Study.

Obes Surg 2021 May 12. Epub 2021 May 12.

Department of Surgery-Faculty of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, s/nº, Cidade Universitaria Zeferino Vaz, Campinas, SP, CEP 13085-000, Brazil.

Background: We hypothesize that non-alcoholic fatty liver disease (NAFLD) may be significantly associated with waist circumference (WC), neck circumference (NC), hip circumference (HC), and waist-to-hip ratio (WHR).

Objectives: To analyze correlations between anthropometric parameters and the occurrence and intensity of NAFLD aspects assessed by histopathological examination in individuals undergoing bariatric surgery.

Methods: This is a cross-sectional study carried out in a tertiary university hospital. Read More

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Total Joint Arthroplasty at a Tertiary Military Medical Center in Hawai'i: Does Travel Distance Influence Short Term Complications?

Hawaii J Health Soc Welf 2021 May;80(5):108-114

Evans Army Community Hospital, Fort Carson, CO (DGY).

As the health care delivery system in the United States changes, there has been an increase in the presence of specialized medical centers, translating into increased travel distance for patients. Tripler Army Medical Center in Honolulu, Hawai'i serves a unique population of local patients and those traveling from neighboring Hawaiian Islands and from across the Pacific Basin and Asia. Previous studies have examined the role of distance traveled, but no study has looked at patients routinely flying in the immediate postoperative period. Read More

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The Biomechanical Characteristics of the Strongman Yoke Walk.

Front Sports Act Living 2021 26;3:670297. Epub 2021 Apr 26.

Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia.

The yoke walk is a popular strongman exercise where athletes carry a heavily loaded frame balanced across the back of their shoulders over a set distance as quickly as possible. The aim of this study was to use ecologically realistic training loads and carry distances to (1) establish the preliminary biomechanical characteristics of the yoke walk; (2) identify any biomechanical differences between male and female athletes performing the yoke walk; and (3) determine spatiotemporal and kinematic differences between stages (intervals) of the yoke walk. Kinematic and spatiotemporal measures of hip and knee joint angle, and mean velocity, stride length, stride rate and stance duration of each 5 m interval were taken whilst 19 strongman athletes performed three sets of a 20 m yoke walk at 85% of their pre-determined 20 m yoke walk one repetition maximum. Read More

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Tuberculous septic arthritis of the hip with large abscess formation mimicking soft tissue tumors: A case report.

Heliyon 2021 Apr 17;7(4):e06815. Epub 2021 Apr 17.

Department of Radiology, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia.

Background: Tuberculous septic arthritis is an infection that occurs inside the joint or synovial fluid and joint tissues caused by . It may show wide variability of clinical symptoms and imaging appearance, ranging from asymptomatic with a normal radiographic examination to severe joint pain along with joint destruction, osteomyelitis, and abscess formation. This article presents radiographic and MR imaging appearance from a case of tuberculous septic arthritis with large abscess formation mimicking soft tissue tumor. Read More

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Real-world effects and adverse events of romosozumab in Japanese osteoporotic patients: A prospective cohort study.

Bone Rep 2021 Jun 16;14:101068. Epub 2021 Apr 16.

Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.

Real-world data on the new anti-sclerostin antibody drug, romosozumab, remain scarce. There is a strong need to accumulate and analyze data on romosozumab treatment for such conditions as osteoporosis. The purpose of this study was to investigate the therapeutic and adverse effects of romosozumab for osteoporosis treatment in clinical practice. Read More

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Excision of Heterotopic Ossification around the Hip: Arthroscopic and Open Techniques.

Arthrosc Tech 2021 Apr 22;10(4):e1179-e1186. Epub 2021 Apr 22.

Department of Orthopedic Surgery, University of Wisconsin-Madison, Madison, Wisconsin, U.S.A.

Heterotopic ossification (HO) can occur as a complication of various pathologies affecting the hip including trauma, tendon avulsions, chronic injury, spinal cord injury, and soft-tissue disruption caused by surgery. When HO is present alongside intra-articular hip pathology such as femoroacetabular impingement syndrome (FAIS) or labral pathology, consideration should be made to combine the surgical excision of the HO with the FAIS decompression or labral repair if the location and size of the HO is appropriate for arthroscopic excision. Often times, the HO is located in such a position that any central compartment work can be completed before turning to the HO excision. Read More

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Creation of a Three-Dimensional Printed Model for the Preoperative Planning of Hip Arthroscopy for Femoral Acetabular Impingement.

Arthrosc Tech 2021 Apr 22;10(4):e1143-e1147. Epub 2021 Apr 22.

Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

We describe a technique that creates a 3-dimensional (3D) printed model from a patient's own computed tomography scan. This introduces an adjunct to conventional imaging for the surgical management of femoral acetabular impingement. The creation of a tactile 1:1 scale model with patient-specific anatomy allows for free manipulation and inspection. Read More

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Technical Pearls for Arthroscopic Labral Augmentation of the Hip.

Arthrosc Tech 2021 Apr 12;10(4):e1047-e1053. Epub 2021 Mar 12.

Panorama Orthopedics and Spine Center, Denver, Colorado, U.S.A.

Our recent understanding of the importance of the acetabular labral suction seal has placed preserving labral integrity as a guiding principle in hip preservation surgery. In cases with a hypoplastic labrum and intact chondrolabral junction, labral augmentation presents as a viable alternative and an often preferred treatment option over labral reconstruction. At this time, there are few studies that have described the technical pearls of performing labral augmentation of the hip. Read More

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Incidence of postoperative complications and non- periprosthetic fractures after total hip arthroplasty: A more than 10-year follow-up retrospective cohort study.

Phys Ther Res 2021 13;24(1):77-83. Epub 2020 Nov 13.

Department of Orthopaedic Surgery, Shonan Kamakura Joint Reconstruction Center, Japan.

Objective: Postoperative complications and non-periprosthetic fractures (NPPFs), which was defined as a fracture existing non- periprosthetic implant, after total hip arthroplasty (THA) have a negative effect on the patients' ability to perform activities of daily living. Thus, investigating these incidences of patients after THA will be valuable as it lead to a more strategic physical therapy interventions and advanced research to prevent these problems. The purpose of this study was to investigate the incidence of postoperative complications related to implants and NPPFs in patients after THA, a more than 10-year follow-up. Read More

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November 2020

Effect of types of proximal femoral fractures on physical function such as lower limb function and Activities of Daily Living.

Phys Ther Res 2021 28;24(1):24-28. Epub 2020 Sep 28.

Graduate School of Medicine, Musculoskeletal Reconstructive Surgery, Nara Medical University, Japan.

Objectives: This study aimed to assess physical function such as lower limb function and Activities of Daily Living after surgery for proximal femoral fractures ( unstable medial femoral neck fracture and trochanteric fracture).

Methods: This study enrolled 68 patients with proximal femoral fractures. Isometric knee extension strength (IKES), the Japanese Orthopedic Association (JOA) hip score, and the number of days required to develop straight leg raising, transfer, and T-caneassisted gait abilities to become independent were assessed. Read More

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September 2020

The impact of preoperative vitamin administration on skeletal status following sleeve gastrectomy in young and middle-aged women: a randomized controlled trial.

Int J Obes (Lond) 2021 May 12. Epub 2021 May 12.

Department of Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Background: The appropriate strategies to minimize skeletal deterioration following bariatric surgeries are inconclusive. This randomized controlled trial evaluated the effect of preoperative vitamin supplementation on bone mineral density (BMD) and biochemical parameters in females post-sleeve gastrectomy (SG).

Methods: Participants were randomized to a 2-month preoperative treatment with a multivitamin and vitamin D 4000 IU/d (intervention arm) or 1200 IU/d (control arm). Read More

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Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses.

Sci Rep 2021 May 12;11(1):10073. Epub 2021 May 12.

Julius Wolff Institute, Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany.

Hip joint loads need careful consideration during postoperative physiotherapy after joint replacement. One factor influencing joint loads is the choice of footwear, but it remains unclear which footwear is favorable. The objective of the present study was to investigate the influence of footwear on hip joint loads in vivo. Read More

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Meta-analysis and metaregression of risk factors associated with mortality in hip fracture patients during the COVID-19 pandemic.

Sci Rep 2021 05 12;11(1):10157. Epub 2021 May 12.

The Leicester Royal Infirmary, University Hospitals of Leicester, Leicester, UK.

Incidence of hip fractures has remained unchanged during the pandemic with overlapping vulnerabilities observed in patients with hip fractures and those infected with COVID-19. We aimed to investigate the independent impact of COVID-19 infection on the mortality of these patients. Healthcare databases were systematically searched over 2-weeks from 1st-14th November 2020 to identify eligible studies assessing the impact of COVID-19 on hip fracture patients. Read More

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Symptomatic individuals with Lumbar Disc Degeneration use different anticipatory and compensatory kinematic strategies to asymptomatic controls in response to postural perturbation.

Gait Posture 2021 Apr 2. Epub 2021 Apr 2.

MSK LAB, Imperial College London, London, United Kingdom.

Background: Lumbar Disc Degeneration (LDD) is associated with recurrent low back pain (LBP) (symptomatic). However, in some instances of LDD, people do not experience LBP (asymptomatic).

Research Question: As a step towards understanding why some people with LDD experience LBP and others do not, the primary aim of this study was to examine differences in anticipatory (APA) and compensatory postural adjustments (CPA), between symptomatic LDD patients (LDD pain) and asymptomatic LDD controls (LDD no pain) during postural perturbation. Read More

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Whole-body kinematics during a simulated sprint in flat-water kayakers.

Eur J Sport Sci 2021 May 12:1-23. Epub 2021 May 12.

Department of Electronics, Information and Bioengineering (DEIB), Politecnico di Milano, Milan, Italy.

Success in sprint kayaking depends on the propulsive power generated by trunk, pelvis, shoulder and lower limb movements. However, no studies have examined whole-body kinematics over a simulated distance. We aimed to study the changes in movement patterns of kayakers performing a 500-m kayak sprint. Read More

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