Showing 1 - 12 of 23 reports matching: Resident_Trauma_Review
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Synopsis: Two studies (one randomized controlled trial and one comparative cohort study) were included in this meta-analysis comparing radial head arthroplasty and open reduction and internal fixation (ORIF) in the treatment of Mason type III fractures of the radial head. Results indicated a lower incidence of complications and improved functional outcome among the arthroplasty cohorts compared to the ORIF groups. Despite these findings, Read More »
Level 2 Meta Analysis
Synopsis: 137 patients with a closed or open (grade I or II) distal tibial shaft fracture, were randomized to treatment with either external fixation, minimally invasive plate osteosynthesis, and intramedullary nailing. Patients were followed for 1 year postoperatively. There was no Read More »
Level 2 RCT
Synopsis: Forty one patients, who suffered a displaced humeral shaft fracture no more than 30 days before study initiation, were randomly assigned into 1 of 2 groups to compare the efficacy of intramedullary nailing, and minimally invasive plate osteosynthesis. Results from the study indicated that both treatments resulted in similar shoulder function 1 year after surgery. Additionally, no difference Read More »
Author verified Level 2 RCT
Synopsis: 58 patients, between the ages of 18 and 75, with isolated displaced tibial shaft fractures, were randomly assigned into 1 of 2 groups to compare the efficacy of circular Ilizarov external fixator to intramedullary nailing for the fixation of tibial diaphyseal fractures. Upon study completion, healing analysis indicated that fractures in both groups healed radiographically by 12 week follow up; however, four patients in the Ilizarov fixator (IL) group compared to eight in the intramedullary nailing group sustained major complications after treatment. At 1 year, Read More »
Level 2 RCT
Synopsis: 102 patients with an anterior shoulder dislocation were included in this study. Following reduction of the dislocation, patients were randomized to immobilization in either abduction and external rotation (AbER) or adduction and internal rotation (AdIR). The purpose of Read More »
Author verified Level 2 RCT
Synopsis: Data from 7 RCTs (n=286) was pooled to determine a superior method of fixation between nonoperative and operative interventions for complex proximal humeral fractures (3- and 4- part fracture). Pooled analysis included investigations of functional outcomes, complications, and additional surgery. The evidence presented Read More »
Author verified Level 1 Meta Analysis
Synopsis: 174 patients (65 years and older) with an intracapsular hip fracture (displaced or undisplaced) were randomized to fixation with either the Targon Femoral Neck hip screw or standard of care using cannulated screws. The purpose was to compare interventions with respect to risk of revision surgery at 1 year. Results indicated no Read More »
Author verified Level 1 RCT
Synopsis: Sixty patients with hip fractures were randomized to undergo surgical treatment using either an accelerated or the standard treatment protocol, in order to assess the feasibility of a true randomized controlled trial comparing these two approaches. Overall, feasibility targets were attained, with 60 patients recruited in less than 18 months, over 70% of eligible patients undergoing randomization, and 100% rate of 30-day follow-up. Major perioperative complications Read More »
Author verified Level 2 RCT
Synopsis: 62 patients with a fracture of the scaphoid waist were randomized to below-elbow casting with or without immobilization of the thumb. Cast were worn for 10 weeks. The purpose was Read More »
Author verified Level 2 RCT
Synopsis: 152 patients with extra-articular distal radius fractures were randomized to have their fracture fixated using either an intramedullary nail, or a volar plate fixation technique. The purpose of this study was to compare the two methods with respect to functional and radiological outcomes. Results at the Read More »
Author verified Level 2 RCT
Synopsis: 40 elderly patients (>65 years) with a distal radius fracture of AO type A2, A3, or C1 were randomized to undergo either palmar fixed-angle plate fixation or minimally-invasive K-wire fixation. The purpose was to compare these two treatment approaches with respect to functional, clinical and radiological outcomes. Results indicated that Read More »
Level 2 RCT
Synopsis: 60 high-risk elderly patients with an intertrochanteric fracture were randomized to receive fixation with either a dynamic hip screw or an external fixator, to compare clinical and functional outcome, in addition to length of operation and hospital stay. Results revealed that intraoperative time and hospital stay length were both significantly shorter with an external fixator. Additionally, significantly fewer Read More »
Author verified Level 2 RCT