LAC+USC Medical Center

About: LAC+USC Medical Center is a healthcare organization based out in Los Angeles, California, United States. It is known for research contribution in the topics: Population & Poison control. The organization has 1348 authors who have published 886 publications receiving 21927 citations. The organization is also known as: County/USC & Los Angeles County General.

Indirect Sinus Augmentation With and Without the Addition of a Biomaterial: A Randomized Controlled Clinical Trial.

Abstract: PURPOSE The aim of this study was to compare the results of indirect sinus augmentation with and without the addition of a biomaterial. MATERIALS AND METHODS Thirty patients aged 40 to 60 years participated in this randomized controlled clinical trial. After closed sinus lift operation, patients were randomly and equally divided into blood clot control and acemannan sponge graft groups. Simultaneous implant placement was then performed. Cone beam computed tomography was performed immediately and at 3 and 6 months postoperation. Bone formation was evaluated by the radiographic endo-sinus bone gain percentage around the implant. RESULTS Compared with the control group, the acemannan-treated group had a significantly greater radiographic endo-sinus bone gain percentage of approximately 2.4- and 2-fold at 3 and 6 months postsurgery, respectively (P < 0.05). CONCLUSION The addition of a biomaterial (Acemannan) with indirect sinus augmentation and simultaneous implant placement significantly enhances bone formation at 3 and 6 months postsurgery.

Gunshot femoral shaft fractures: is the current classification system reliable?

Abstract: The reliability of the AO/Orthopaedic Trauma Association classification system has not been evaluated for diaphyseal fractures or fractures attributable to gunshot injuries. Therefore, the current authors assessed its reliability for diaphyseal femur fractures and investigated the effect of a gunshot mechanism of injury. Forty-seven diaphyseal femur fractures, 23 caused by gunshots and 24 caused by blunt trauma, were classified by four observers on two occasions. The interobserver and intraobserver reliability of each level of the AO/Orthopaedic Trauma Association classification was assessed with kappa statistics. Determination of fracture type had substantial interobserver and intraobserver reliability for gunshot and blunt injuries. Reliability decreased at the subsequent levels of the classification. Fractures caused by gunshots compared with those caused by blunt trauma were characterized by significantly lower interobserver agreement on fracture group (k = 0.26 versus 0.45) and subgroup (k = 0.21 versus 0.38). The AO/Orthopaedic Trauma Association classification system has substantial interobserver and intraobserver reliability when evaluating the type of diaphyseal femur fractures. Determination of fracture group and subgroup, however, progressively reduces the reliability of the classification, especially for fractures caused by a gunshot. Diaphyseal femur fractures caused by gunshots, by means of their fracture patterns, cannot be classified reliably with the AO/Orthopaedic Trauma Association classification system.

Umbilical inflammatory conditions: case report and differential diagnosis.

Abstract: Umbilical inflammatory conditions may result from a variety of congenital and acquired abnormalities, some of which may be life threatening. An understanding of the developmental anatomy of the umbilicus provides a basis for formulating an approach to both evaluation and treatment of these conditions. A case report is presented.