Improving the treatment of musculoskeletal infections with molecular diagnostics.

Abstract:

:Molecular diagnostic strategies have been implemented to enhance the treatment of musculoskeletal infections. Once primarily a research tool, molecular-based assays, have become accepted clinical tests for the genomic detection of certain pathogens involved in bone and joint infections. Currently, culture remains the gold standard for identifying most organisms causing infection. However, molecular assays are beneficial in clinical cases in which standard culture-based tests are unreliable or untimely. We will review current clinical utility of this emerging technology and roles for assays in the future.

journal_name

Clin Orthop Relat Res

authors

Tarkin IS,Dunman PM,Garvin KL

doi

10.1097/01.blo.0000175126.37343.44

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

83-8

issue

437

eissn

0009-921X

issn

1528-1132

pii

00003086-200508000-00014

pub_type

杂志文章,评审
  • Bony entrapment of the superficial peroneal nerve.

    abstract::Peripheral nerve injury occasionally results from long bone fractures, but bony entrapment of a peripheral nerve occurs infrequently. Bony entrapment of a peripheral nerve is usually associated with upper extremity fractures. In a 34-year-old man bony entrapment of the superficial peroneal nerve occurred in a healed m...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Mino DE,Hughes EC Jr

    更新日期:1984-05-01 00:00:00

  • Does osteoarthrosis depend on growth of the mineralized layer of cartilage?

    abstract::Osteoarthrosis (OA) cannot be adequately studied in exclusively biologic-biochemical terms or exclusively mechanical terms. A common but unproven theory states that OA is primarily a degenerative disease of the cartilage with secondary bone changes. However, there are reasons to believe that primary OA is actually a d...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Hulth A

    更新日期:1993-02-01 00:00:00

  • Effects of bisphosphate treatment and mechanical loading on bone modeling in the rat tibia.

    abstract::Bisphosphonate treatment has been shown to decrease endosteal bone formation and increase periosteal bone apposition in the rat tibial diaphysis. This study tested the hypothesis that the increase in periosteal apposition is a compensatory attempt to maintain skeletal mass appropriate for the mechanical load. Twenty-f...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Shellhart WC,Hardt AB,Moore RN,Erickson LC

    更新日期:1992-05-01 00:00:00

  • Comparison of two methods of screw fixation in periacetabular osteotomy.

    abstract::The optimal method of fixation during periacetabular osteotomy is unknown. Periacetabular osteotomies were created on both sides of six whole pelves from fresh cadavers and were fixed randomly either with three long 4.5-mm cortical screws from the iliac crest to the osteotomized fragment (iliac fixation) or with two s...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200210000-00032

    authors: Babis GC,Trousdale RT,Jenkyn TR,Kaufman K

    更新日期:2002-10-01 00:00:00

  • Nonunion of intertrochanteric fractures of the femur following open reduction and internal fixation. Results of second attempts to gain union.

    abstract::A retrospective review was performed on 20 patients treated at the authors' hospital between 1961 and 1981 with noninfected nonunions following primary open reduction and internal fixation (ORIF) of intertrochanteric femoral fractures. All patients were available for follow-up examination. Each patient was interviewed...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Mariani EM,Rand JA

    更新日期:1987-05-01 00:00:00

  • Does PEEK/HA Enhance Bone Formation Compared With PEEK in a Sheep Cervical Fusion Model?

    abstract:BACKGROUND:Polyetheretherketone (PEEK) has a wide range of clinical applications but does not directly bond to bone. Bulk incorporation of osteoconductive materials including hydroxyapatite (HA) into the PEEK matrix is a potential solution to address the formation of a fibrous tissue layer between PEEK and bone and has...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-016-4994-x

    authors: Walsh WR,Pelletier MH,Bertollo N,Christou C,Tan C

    更新日期:2016-11-01 00:00:00

  • Operative neurological complications resulting from thoracic and lumbar spine internal fixation.

    abstract::Of 2023 patients treated for acute spinal injuries, 729 sustained acute injuries in thoracic and lumbar regions; 295 surgically treated patients were reviewed for evidence of postoperative neurological complications. Of the 295 patients, 150 were intraoperatively monitored using somatosensory-evoked potentials (SSEP)....

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Meyer PR Jr,Cotler HB,Gireesan GT

    更新日期:1988-12-01 00:00:00

  • Weber rotation total hip replacement: a prospective 5- to 20-year followup study.

    abstract::Between 1974 and 1989, 315 primary total hip replacements (274 patients) were done using the cemented Weber Rotation prosthesis and standardized operative technique, which was modified for the stem in 1978. After the first postoperative year, all patients had routine clinical and radiologic examinations at 2-year inte...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: de Jong PT,van der Vis HM,de Man FH,Marti RK

    更新日期:2004-02-01 00:00:00

  • Moiré topography in scoliosis screening.

    abstract::Moiré topography, a simple technique for three-dimensional quantitation, was used to provide interference fringe photographs of the human back with sufficient accuracy to be used for detecting children with asymmetry due to scoliosis. Experimental equipment, built and tested at the National Research Council of Canada,...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197711000-00019

    authors: Adair IV,Van Wijk MC,Armstrong GW

    更新日期:1977-11-01 00:00:00

  • Upper extremity surgery in stroke patients.

    abstract::Surgical procedures are performed on the nonfunctional upper extremity following stroke to correct spastic flexion contractures that cause pain or prevent adequate hygiene. In the upper extremity surgical procedures are most commonly performed to improve extension at the wrist, fingers or thumb. If the deformity is pr...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Waters RL

    更新日期:1978-03-01 00:00:00

  • Classification and evaluation of recurrent instability of the elbow.

    abstract::The clinical presentation, diagnosis, radiographic features, mechanism, pathologic changes, and treatment of elbow instability are understood better now. Elbow instability can be classified according to five criteria: (1) the timing (acute, chronic or recurrent); (2) the articulation(s) involved (elbow versus radial h...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/00003086-200001000-00005

    authors: O'Driscoll SW

    更新日期:2000-01-01 00:00:00

  • Remelting of highly cross-linked polyethylene worn under laboratory conditions.

    abstract::It has been suggested that apparent wear damage in highly cross-linked polyethylene acetabular liners can be removed with subsequent remelting of retrieved liners. To test this hypothesis, we remelted liners that had been previously tested under controlled laboratory conditions and that had experienced nonzero wear ra...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/BLO.0b013e318157601c

    authors: Lazzarini AM,Cottrell JM,Padgett DE,Wright TM

    更新日期:2007-12-01 00:00:00

  • Roentgenographic findings in pigmented villonodular synovitis of the knee.

    abstract::Twenty-nine cases of pigmented villonodular synovitis (PVS) of the knee in 27 patients were reviewed to determine characteristic roentgenographic findings. All cases met strict histologic criteria for diagnosis. Four cases were localized PVS (LPVS), and 25 cases were diffuse PVS (DPVS). Roentgenographic findings were ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Flandry F,McCann SB,Hughston JC,Kurtz DM

    更新日期:1989-10-01 00:00:00

  • Fibroblast growth factor and epidermal growth factor receptors in ligament healing.

    abstract::Although recent in vivo studies indicate that basic fibroblast growth factor hastens the healing and strength of the medical collateral ligament after injury, in vitro studies with epidermal growth factor and basic fibroblast growth factor have shown increased fibroblast proliferation with the exogenous administration...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Panossian V,Liu SH,Lane JM,Finerman GA

    更新日期:1997-09-01 00:00:00

  • The effect of movement on the holding power of screws in bone.

    abstract::Movement between screw threads and bone inhibits bone formation, revascularization and remodeling of dead bone. Movement causes the screw to become enveloped by fibrous tissue in response to necrosis and resorption of adjacent dead cortical bone. This results in a radiologically discernible radiolucent "halo" about th...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197509000-00032

    authors: Schatzker J,Horne JG,Sumner-Smith G

    更新日期:1975-09-01 00:00:00

  • Intervertebral disc nutrition. Diffusion versus convection.

    abstract::Nutrient diffusion across the vertebral endplate can occur by convection (bulk flow) or diffusion. Previous studies, using animal models, suggested diffusion as the primary mechanism of small-solute transport but did not adequately determine the contribution of bulk flow to total nutrient transport. This study was des...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Katz MM,Hargens AR,Garfin SR

    更新日期:1986-09-01 00:00:00

  • Innovations in design and technology. The story of hip arthroplasty.

    abstract::The current study reviews the early history of surgeon-initiated trial and error development in hip joint arthroplasty and the subsequent methodological evolution to proper criteria for hypothesis testing using bioengineers and other research scientists. The interplay and relationships to industry, universities, scien...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Amstutz HC

    更新日期:2000-09-01 00:00:00

  • Wound problems in total knee arthroplasty.

    abstract::Wound problems can often be prevented with careful planning. When transverse incisions are used for knee surgery many years prior to any anticipated knee arthroplasty, no major problems are typically encountered with a conventional, anterior longitudinal incision. We recommend lateral incisions (eg, after a previous l...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000238821.71271.cc

    authors: Vince KG,Abdeen A

    更新日期:2006-11-01 00:00:00

  • Development of a method to analyze orthopaedic practice expenses.

    abstract::The purpose of the current investigation was to present a standard method by which an orthopaedic practice can analyze its practice expenses. To accomplish this, a five-step process was developed to analyze practice expenses using a modified version of activity-based costing. In this method, general ledger expenses we...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200003000-00033

    authors: Brinker MR,Pierce P,Siegel G

    更新日期:2000-03-01 00:00:00

  • Rate of wear in total hip replacement.

    abstract::The wear of high molecular weight polyethylene sockets was measured on radiographs, over a period of 9 to 10 years, in a group of patients whose ages averaged 73.3 years at the end of the period. The average rate of wear was 0.15 mm/year and 68 per cent of patients followed this pattern. Wear more than 2.5 mm in 10 ye...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Charnley J,Halley DK

    更新日期:1975-10-01 00:00:00

  • Design and fabrication of cementless hip stems.

    abstract::Theoretical and experimental studies before and after stem insertion demonstrated that stresses and strains were closer to normal for uncemented stems than for cemented stems. The values were affected by relative tightness of fit in the proximal and distal regions and by the presence or absence of a collar. For design...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Walker PS,Robertson DD

    更新日期:1988-10-01 00:00:00

  • Comparison of over-the-top and tunnel techniques for anterior cruciate ligament replacement.

    abstract::The osseous tunnel technique of anterior cruciate ligament (ACL) reconstruction was compared to the over-the-top (OTT) technique in vivo. A prosthesis replaced the ACL in 35 dogs by one of three methods: double osseous tunnels, OTT, or a combined method utilizing the unique Y shape of the prosthesis by placing one for...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Montgomery RD,Milton JL,Terry GC,McLeod WD,Madsen N

    更新日期:1988-06-01 00:00:00

  • Acetabular component migration following traumatic total hip dislocation. A case report.

    abstract::A 40-year-old man with a total hip arthroplasty was injured in an auto accident. The injury was a posterior fracture-dislocation of the total hip and produced migration of a dislocated acetabular prosthesis. A large hematoma extended from the hip to the medial aspect of the thigh. This unusual case illustrates the imp...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Woolson ST

    更新日期:1984-06-01 00:00:00

  • Convergence of outcomes for hip fracture fixation by nails and plates.

    abstract:BACKGROUND:Recent popularity of intramedullary nails over sliding hip screws for treatment of intertrochanteric fractures is concerning given the absence of evidence for clinical superiority for nailing yet the presence of reimbursement differences. QUESTIONS/PURPOSES:We describe the change in outcomes of both procedu...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2694-8

    authors: Chen F,Wang Z,Bhattacharyya T

    更新日期:2013-04-01 00:00:00

  • New universal instrumentation in spinal surgery.

    abstract::A new instrumentation for posterior spinal surgery consists of metallic rods carved with diamond-shaped asperities on which vertebral hooks or screws can be screwed in any position, level, or degree of rotation. The rods are interlocked by means of devices for transverse traction (DTTs), rectangular constructs with mu...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Cotrel Y,Dubousset J,Guillaumat M

    更新日期:1988-02-01 00:00:00

  • Functional anatomy of the deep motor branch of the ulnar nerve.

    abstract::Our presently inadequate knowledge of the functional anatomy of the deep branch of the ulnar nerve handicaps our management of ulnar nerve lesions. The extensive anatomical variations in the distribution of this nerve preclude adherence to a textbook pattern of innervation. Electrophysiological recordings of single se...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Dykes RW,Terzis JK

    更新日期:1977-10-01 00:00:00

  • In vivo chondroprotection and metabolic synergy of glucosamine and chondroitin sulfate.

    abstract::Supplements of glucosamine hydrochloride, low molecular weight chondroitin sulfate, and manganese ascorbate were tested separately and in combination for their ability to retard progression of cartilage degeneration in a rabbit instability model of osteoarthrosis. Computerized quantitative histologic evaluation of saf...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200012000-00027

    authors: Lippiello L,Woodward J,Karpman R,Hammad TA

    更新日期:2000-12-01 00:00:00

  • Hackethal stacked nailing of humeral shaft fractures. Experience with 30 patients.

    abstract::The Hackethal technique of using stacked medullary pins for fixation of humeral shaft fractures is usually associated with relatively little blood loss; in addition, exposure of the fracture site and possible associated muscular trauma are avoided, and the risk of contusion of the radial nerve that may occur in fixati...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Durbin RA,Gottesman MJ,Saunders KC

    更新日期:1983-10-01 00:00:00

  • Does radiographic beam angle affect the radiocapitellar ratio measurement of subluxation in the elbow?

    abstract:BACKGROUND:Radial head alignment is the key to determine elbow reduction after treatment of subluxations or Monteggia fractures. The radiocapitellar ratio (RCR) quantifies the degree of subluxation, by evaluating radial head alignment with the capitellum of the humerus; this ratio is reproducible when measured on true ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-013-3027-2

    authors: McCann F,Canet F,Sandman E,Petit Y,Rouleau DM

    更新日期:2013-08-01 00:00:00

  • Perineal Pressure During Hip Arthroscopy Is Reduced by Use of Trendelenburg: A Prospective Study With Randomized Order of Positioning.

    abstract:BACKGROUND:The use of traction during hip arthroscopy is commonly used to provide safe joint access and to improve visualization. However, traction during hip arthroscopy has been associated with complications ranging from transient neuropraxias to devastating soft-tissue necrosis. Trendelenburg positioning may be help...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/CORR.0000000000000804

    authors: Lall AC,Saadat AA,Battaglia MR,Maldonado DR,Perets I,Domb BG

    更新日期:2019-08-01 00:00:00