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30%
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12%
10%
7%
6%
5%
3%
3%
2%
<1%
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100%
5%
Synopsis: 57 young patients (18-60 years of age) scheduled for elective, primary total hip arthroplasty were included in this study to compare long-term wear, revision, and functional outcomes between ceramic-on-ceramic and ceramic-on-conventional polyethylene bearing surfaces.This study presented the result at a minimum 15-year follow-up.Total wear, linear wear rate, and the incidence of femoral osteolysis were greater among patients who were given a ceramic-on-conventional polyethylene implant compared to patient given a ceramic-on-ceramic implant. Nonetheless, no significant... Read More »
RCT
4%
Synopsis: 664 patients scheduled for total knee arthroplasty were randomized to either topical tranexamic acid or intravenous tranexamic acid.Patients were assessed for total blood loss, postoperative blood loss, and the incidence of transfusion. Results demonstrated that... Read More »
Level 2 RCT
4%
Synopsis: 133 patients with a distal radius fracture scheduled for open reduction and internal fixation with a volar plate were randomized to a postoperative immobilization period or either 1 week, 3 weeks, or 6 weeks.Primary outcomes included wrist function, pain, and range of motion in wrist extension and forearm supination.Follow-up was performed at 6 weeks, 12 weeks, and 26 weeks postoperatively.Results demonstrated significantly better results related to the Patient-Rated Wrist Evaluation, visual analog scales for pain, and active range of wrist extension at 6 weeks for patients allocated to immobilization for only 1 or 3 weeks as compared to patients allocated to immobilization for 6 weeks.Differences between the three groups for results at 12 and 26 weeks were not statistically significant. Loss of fracture... Read More »
Level 2 RCT
3%
Synopsis: 9 studies (8 RCTs, 1 controlled clinical trial) were selected for a systematic review of elderly patients with a proximal humerus fracture.The goal of this study was to determine whether surgical or nonoperative treatment is the optimal intervention in patients over the age of 60.Operative treatments identified in the included trials were the tension band technique, locking plates, pinning and hemiarthroplasty.The results of this review indicated that many studies did not find a significant difference in functional outcomes when comparing locking plates or tension bands to nonoperative treatment at 1 year.There was a significantly better health-related quality of life and Euroqol-5D in patients that received a hemiarthroplasty compared to the nonoperative group for patients with 4-part fractures.Complications were common in the operative treatment groups. This study highlights... Read More »
Level 2 Meta Analysis
3%
Synopsis: Four randomized controlled trials were included in this meta-analysis which compared the outcomes of intravenous dexamethasone and placebo/control for pain control after total knee arthroplasty. Pooled analysis of pain scores and narcotic consumption significantly favoured intravenous dexamethasone groups from 12-48 hours postoperatively. Read More »
Level 1 Meta Analysis
2%
Synopsis: 62 patients scheduled for total knee arthroplasty with an adductor canal block were randomized to either additional intraoperative local infiltration analgesia or to no additional intervention.Standardized pre- and postoperative oral and intravenous analgesia was administered between groups.The primary purpose of this study was to compared peri- and postoperative functional performance between groups on the Timed Up and Go (TUG) test up to 3 months postoperatively.Secondary outcomes included quadriceps strength, pain scores on a visual analog scale, moprhine consumption and time to first morphine request, incidence of postoperative nausea and vomiting, and the incidence of falls.For the primary outcome, no significant difference in TUG test time was observed between groups at any time point. Additionally, most secondary... Read More »
Level 1 RCT
2%
Synopsis: 82 patients with symptomatic knee osteoarthritis were randomized to either treatment with a topical flaxseed oil preparation or to placebo.Patients were to apply allocated treatment three times daily for 6 weeks.The outcome measure was the Knee Injury and Osteoarthritis Outcome Score (KOOS). Improvement in each... Read More »
Level 2 RCT
2%
Synopsis: Eight randomized controlled trials were included for meta-analysis which compared negative pressure wound therapy and conventional dressings in wound management following open fracture. Pooled analysis demonstrated a significantly lower rate of infection among groups treated with negative pressure wound therapy compared to groups treated with conventional dressings. Read More »
Level 2 Meta Analysis
2%
Synopsis: 163 patients scheduled for total knee arthroplasty were randomized to an analgesic regimen which included either an adductor canal block alone, periarticular infiltration analgesia alone, or combined adductor canal block and periarticular infiltration analgesia.Patients were assessed for pain scores and opioid consumption over the first 3 days postoperatively.For pain score, significant differences were observed between the ACB+PAI group and the ACB alone group, with significantly lower levels in the ACB+PAI group on postoperative days (POD) 1 and 3. For opioid consumption,... Read More »
Author verified Level 2 RCT
1%
Synopsis: Seven randomized controlled trials were included in this meta-analysis which compared the efficacy and safety events between low molecular weight heparin and control for thromboprophylaxis in knee arthroscopy.Among pooled efficacy analyses, the only significant difference observed was a lower incidence of asymptomatic deep vein thrombosis among those administered LMWH; incidence of symptomatic venous thromboembolism did not significantly differ between LMWH and control. The incidence of... Read More »
Level 1 Meta Analysis