Current Issue : January - March Volume : 2019 Issue Number : 1 Articles : 5 Articles
Objective: To explore the clinical efficacy of Zoledronic Acid Injection in the\ntreatment of postmenopausal osteoporosis with different bone turnover rates.\nMethods: A total of 63 patients diagnosed with postmenopausal osteoporosis\nwere included in this study. Each patient was administrated 5 mg/100mL Zoledronic\nAcid (Aclasta) intravenously once and then given a one-year prescription\nof 600 mg/d oral Caltrate. The bone turnover parameters ..... were measured prior to the injection of Zoledronic Acid\nwhile the bone mineral density (BMD) and the pain scores of each patient\nwere tested before treatment and after the one-year medication. On this basis,\nthe patients were divided into several groups according to their bone turnover\nrates for intergroup comparison of treatment outcomes. Results: BMD results\nand pain scores of all participants were significantly improved at different\nlevels after treatment. However, these improvements had no significant\ndifferences between the patients with high and low bone turnover rates. Conclusion:\nZoledronic Acid Injection can relieve bone pain, enhance the quality\nof life and increase the BMD in patients with postmenopausal osteoporosis,\nregardless of the bone turnover status....
While ankle arthrodesis was traditionally the gold standard method of treatment for disabling end-stage ankle arthritis, total ankle\nreplacement (TAR) has been an acceptable alternative. The satisfaction rate of patients with TAR however differs. The purpose of\nour study is to investigate whether implant survival and results with special emphasis on the satisfaction rate of patients treated\nwith a TAR implanted by a single surgeon were comparable to the literature. This was a retrospective cohort study in a teaching\nhospital. Data was collected from 52 patients who received a total ankle replacement (TAR) between 05/2002 and 06/2014. The\nmean follow-up time was 4.2 years (95% CI 3.3 â?? 5.0). Results showed a high satisfaction rate of 94% and 94% survival of the TAR\nafter 5 years.We conclude that TAR with the Salto prosthesis is, in our hands, a reliable solution for end-stage ankle arthritis, with\nresults comparable to the literature....
Complex regional pain syndrome (CRPS) complicated with septic arthritis of\nthe hand has not previously been described. We treated a patient in whom\nswelling of the wrist recurred during treatment of CRPS and septic arthritis of\nthe hand was induced by group G hemolytic streptococcus. There are case\nreports of tuberculous arthritis of the hand during treatment of CRPS; however,\nthe causal relationship of wrist joint inflammation with CRPS is unclear.\nCareful follow-up is necessary for wrist joint inflammation if a patient with\nCRPS relapses with swelling of the wrist....
Introduction. On-call orthopedic clinicians have long speculated that daily consult volume is closely correlated with weather.While\nprior studies have demonstrated a relationship betweenweather and certain fracture types, the effect ofweather on total orthopaedic\nconsult volume has not yet been examined.The aim of this study was to investigate this relationship. Methods. We retrospectively\nreviewed orthopaedic consult data from 405 consecutive days at an urban, level one trauma center.The number, mechanism of\ninjury, and type of consult were collected, along with daily weather data (temperature, wind, and precipitation). Statistical analysis\nwas then performed to determine the relationship between weather and orthopaedic trauma consults. Results. A total of 4543\nconsults were received during the study period. There was a significant difference in total number of consults between months of\nthe year (p<0.001). A post hoc analysis revealed that this was due to increased volume in the summer months relative to the winter\nmonths (i.e.,August 13.7 consults/day; January 9.3 consults/day). Average daily temperature and consult volumewere also positively\ncorrelated (p<0.001, r= 0.30).While there was no significant association between precipitation and total consult volume, when there\nwas over 0.25 inches of rain, there were less penetrating trauma (p=0.034) and motorcycle collision consults (p=0.013). Conclusion.\nWeather parameters, specifically average temperature and precipitation, were found to be associated with daily orthopedic consult\ntype and volume. Additionally, consult volume varies significantly between months of the year. Because trauma centers are often\nresource scarce, this is an important relationship to understand for proper resource allocation....
Objective: Excessive curvature of the femur has been considered to be one of\nthe factors associated with atypical femoral fracture (AFF). Although we clarified\nthat femoral curvature was markedly influenced by a low vitamin D\nlevel, very few studies have been conducted on the direct relationship between\nAFF and a serum low level of vitamin D. Therefore, we compared the\nserum vitamin D level between AFF and osteoporosis patients. Methods: A\ntotal of 48 consecutive AFFs in 36 Japanese patients were retrospectively reviewed\nusing the medical records, and 12 consecutive AFFs in 9 patients (AFF\ngroup) whose 25-hydroxyvitamin D (25(OH)D) levels were examined were\nincluded in this study. As a non-AFF control group, 45 consecutive\nage-matched female patients with osteoporosis (Osteoporosis group) were\nenrolled. We compared some laboratory examination items, the bone mineral\ndensity, and curvature of the femur. Results: When univariate logistic regression\nanalysis was performed to compare the 2 groups, Ca levels and lateral\nand anterior curvatures in the AFF group were significantly greater than in\nthe Osteoporosis group (P < 0.05, P < 0.01, and P < 0.01, respectively), and\nthe 25(OH)D level in the AFF group was significantly lower than in the Osteoporosis\ngroup (P < 0.01). We used discriminant analysis of these extracted\nitems to exclude the mutual influence of factors and identify factors closely\nassociated with AFF, and 25(OH)D, Ca and anterior curvature were identified\nas significant items to differentiate these diseases (P < 0.05, P < 0.01, and P <\n0.01, respectively). Conclusion: AFF patients showed low vitamin D levels\nand marked femoral curvatures....
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