Showing 1 - 5 of 5 reports matching: Paediatric_Reconstruction_And_Trauma
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Synopsis: 36 patients, 16 years of age or younger, with acute primary patellar dislocation, were allocated to operative management or nonoperative management. The purpose of this study was to compare subjective clinical outcome measures and rate of recurrent dislocation between groups over a 6 year follow-up period. Concerning subjective clinical Read More »
Level 2 RCT
Synopsis: 96 children with a minimally angulated greenstick or transverse fracture of the wrist were randomized to receive either a wrist splint or a short arm cast for 4 weeks. The children were assessed for physical function at 6 weeks and degree of angulation at 4 weeks. Range of motion, Read More »
Level 2 RCT
Synopsis: 100 children under 16 years of age with a closed fracture of the forearm were randomly assigned into 1 of 2 treatment groups to compare the safety and fracture stability of split circumferential synthetic semi-rigid casting to closed casting 4-6 weeks after intervention. No compartment syndrome occurrences were observed in either treatment group at final follow up, but moderate skin breakdown occurred in two patients (one in each group). Secondary displacement of Read More »
Author verified Level 2 RCT
Synopsis: 240 children who had undergone closed reduction and percutaneous pinning for either a suprocondylar humeral fracture or a lateral humeral condyle fracture were randomized to receive acetaminophen, ibuprofen or a placebo tablet, one hour prior to pin removal. The purpose of this study was to compare the effects of these treatment approaches with respect to pain relief, measured both subjectively (on the Wong-Baker scale) and objectively (by recording patient heart rate). Results indicated that Read More »
Author verified Level 1 RCT
Synopsis: 59 ASA I and II children undergoing orthopedic surgery were randomized to either receive: 1) intrathecal bupivacaine and intravenous saline, 2) intrathecal bupivacaine in combination with clonidine and intravenous saline, or 3) bupivacaine and intravenous clonidine in saline, in order to compare their effects on postoperative analgesia/sedation and intraoperative propofol requirements. Following assessments over a 12 hour period, the results indicated that regardless of intrathecal or intravenous administration, clonidine was effective in extending the amount of the time until the first dose of propofol was needed following surgery, and in reducing the total amount of propofol required. However, only intrathecal Read More »
Level 2 RCT