Showing 1 - 12 of 31 reports matching: Fracture_Healing
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Synopsis: 9 studies (2 randomized controlled trials, 7 controlled clinical trials) comparing prosthetic replacement (PR) to open reduction and internal fixation (ORIF) for treatment of Mason III classified radial head fractures were included in this meta-analysis. The purpose of the study was to compare clinical outcomes between the two surgical methods. Pooled analysis found Read More »
Level 2 Meta Analysis
Synopsis: 8 RCTs (1113 patients) comparing the use of bone morphogenetic proteins (BMPs) to conventional treatment methods for acute tibial fractures or tibial non-unions were included in this meta-analysis. The purpose of the study was to determine if BMPs improved the rate of union or decreased surgical revision rate compared to various standard practices. BMPs were found Read More »
Level 1 Meta Analysis
Synopsis: 4 studies (2 randomized control trials [RCTs] and 2 case series) comparing intramedullary nail and extramedullary plate fixation for treatment of lateral malleolus fracture were included in this systematic review and meta-analysis. The purpose of the study was to analyze all available data comparing the fixation methods to determine if one method provided better outcomes. Intramedullary nailing was Read More »
Author verified Level 3 Meta Analysis
Synopsis: 284 frail, elderly patients who sustained a hip fracture and experienced post-operative anemia following either internal fixation or total hip arthroplasty were randomly assigned to receive either a restrictive (Hb <9.7 g/dL) or liberal (Hb <11.3 g/dL) blood transfusion protocol. The purpose of this study was to compare overall quality of life (OQoL) and ability to perform activities of daily life (ADL) at follow-up points of 30 days and 1 year, to determine if transfusion protocol and hemoglobin levels had a significant impact on rehabilitation and recovery outcomes. Results indicated that Read More »
Level 2 RCT
Synopsis: Fifty-eight adult patients with extra-articular proximal tibial fractures were randomized to receive fixation with either an intramedullary nail (IMN) or proximal tibial plate (PTP) technique in order to compare the clinical efficacy of the two techniques. Intramedullary nailing resulted in shorter hospital stay and time until union when compared to the use of a proximal tibial plate. No significant differences Read More »
Level 2 RCT
Synopsis: 11 randomized control trials, with a minimum of 4 years follow-up, comparing arthroplasty (either total hip arthroplasty or hemiarthroplasty) to internal fixation for the treatment of displaced femoral neck fractures were included for analysis. The primary purpose of the study was to determine whether treatment with arthroplasty resulted in long-term differences in mortality and/or re-operation risk compared to internal fixation. Secondary outcomes included Read More »
Level 1 Meta Analysis
Synopsis: 5 randomized control trials (RCTs) comparing surgical and non-surgical treatment of displaced 3 or 4-part fractures of the proximal humerus were included in this meta-analysis. The purpose of this study was to determine how patient outcome differed depending on whether a surgical or non-surgical method was used for the treatment of a fracture. Functional outcome was Read More »
Level 2 Meta Analysis
Synopsis: 25 patients were randomized to receive either minimally invasive plate osteosynthesis (MIPO) or intramedullary nailing (IMN) for an extra-articular distal tibial fracture. The purpose of the study was to compare the two treatment methods and assess whether one was superior to the other in treating extra-articular distal tibial fractures. The results of Read More »
Author verified Level 2 RCT
Synopsis: 85 patients with fifth metacarpal neck fractures and palmar angulation >30 deg were randomized to receive either conservative treatment (plaster-of-Paris cast and buddy strapping) or operative treatment through closed reduction and internal fixation by antegrade intramedullary bouquet pinning. This study aimed to determine if conservative treatment was non-inferior to operative treatment with respect to function, pain, satisfaction, and quality of life over 1 year following treatment. The results of Read More »
Author verified Level 2 RCT
Synopsis: 51 adult patients with unilateral undisplaced fracture of the scaphoid were randomly assigned to receive either pulsed electromagnetic field (PEMF) bone growth stimulation in addition to conservative treatment or conservative treatment alone (placebo). Findings suggested significantly improved grip strength in the PEMF group compared to placebo in scaphoid fracture between PEMF and placebo groups, however no other significant differences between groups were found. As a result, Read More »
Author verified Level 1 RCT
Synopsis: The role of pulsed electromagnetic fields (PEMF) and low-intensity pulsed ultrasound (LIPUS) on healing in acute ankle fractures has been the subject of various studies. Thirteen randomized controlled trials with a total of 355 participants treated with (PEMF) (n=146) or low-intensity pulsed ultrasound (LIPUS) (n=209) bone growth stimulation and 382 participants treated with a placebo device were considered. The data was Read More »
Author verified Level 1 Meta Analysis
Synopsis: A systematic review and network meta-analysis containing 27 RCTs that focused on low-intensity pulsed ultrasonography (LIPUS) or electrical stimulators (ESTIM) was conducted to examine the effect of either treatment on fracture healing. Results from the systematic review and network analysis indicated that low-intensity pulsed ultrasonography (LIPUS) and electrical stimulators (ESTIM) result in comparable fracture union rates to standard care, but that there may be a potential benefit to using LIPUS at 6 months for fresh fractures and ESTIM for nonunion populations at 3 months. Further high quality Read More »
Author verified Level 1 Meta Analysis