Showing 13 - 24 of 213 reports matching: Foot & Ankle
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Synopsis: 50 patients with chronic ankle instability and previously failed conservative treatment were randomized to undergo a modified Brostrom procedure (anterior talofibular ligament repair) arthroscopically or via open surgery. The purpose of this study was to compare clinical and radiographic outcomes between groups over the first 12 months after surgery. Results demonstrated no Read More »
Level 2 RCT
Synopsis: 68 patients with an unstable syndesmosis injury following an external rotation ankle fracture with posterior malleolus involvement were randomized to the management of the syndesmotic injury with either anterior-inferior tibiofibular ligament repair and augmentation with anchor-anchor rope construct, or standard trans-syndesmosis screw fixation. The fracture in both groups was fixed with plates and screws. Patients were followed Read More »
Level 2 RCT
Synopsis: 60 patients with a complete Achilles tendon rupture were randomized to either open repair with a Krackow stitch followed by standardized rehabilitation or nonoperative treatment with standardized rehabilitation alone. The purpose of this study was to compare results on the Leppilahti score, calf strength, health-related quality of life and re-rupture rate between groups over an 18-month follow-up. No significant differences Read More »
Level 2 RCT
Synopsis: 100 patients with an ankle sprain presenting to the emergency department within 24 hours of injury were randomized to be administered either topical ketoprofen gel or a placebo gel. The purpose of this study was to compare pain reduction between groups within the first 30 minutes after application of the gel. Results demonstrated significantly Read More »
Level 1 RCT
Synopsis: 18 randomized controlled trials (n=1407 patients, 1442 fractures) were included in this meta-analysis for the purpose of comparing percutaneous reduction and fixation with Kirschner Wires (PRFK) and open reduction and internal fixation (ORIF) in the treatment of closed calcaneal fractures. Outcomes of interest included complications related to the surgical wound, postoperative function, and the quality of reduction. Results demonstrated that Read More »
Level 1 Meta Analysis
Synopsis: 83 patients, with a total of 96 cases of hallux valgus, were randomized surgical correction using the scarf osteotomy or the chevron osteotomy. The purpose of this study was to compare recurrence rate, defined as a return of a hallux valgus angle of 15 degrees or more, between to two groups. Clinical outcome measures Read More »
Author verified Level 2 RCT
Synopsis: 24 patients with chronic, mid-portion Achilles tendinopathy were randomized to receive a single injection, under ultrasound guidance, containing either platelet-rich plasma (PRP) or placebo saline. The purpose of this study was to evaluate if an injection with PRP was associated with significantly better Victorian Institute of Sports Assessment-Achilles (VISA-A) scores, the numeric rating scale for pain scores, and ultrasonography measures of color Doppler activity and tendon thickness at 3, 6, and 12-month follow-up. Neither VISA-A scores Read More »
Level 2 RCT
Synopsis: Nine randomized controlled trials were included in this meta-analysis to investigate the effectiveness of injury prevention programs in reducing the incidence of ankle injuries among soccer (football) players. Pooled analysis demonstrated Read More »
Level 1 Meta Analysis
Synopsis: 96 patients with a displaced, intraarticular calcaneal fracture were randomized to either a percutaneous reduction and cannulated screw fixation or a minimally invasive sinus tarsi approach for plate and screw fixation. The purpose of this study was to compare functional and radiological outcomes between the two treatment options over a 24-month follow-up. American Orthopaedic Foot Read More »
Level 2 RCT
Synopsis: 57 patients surgically treated for neglected Achilles tendon rupture were randomized to receive either early physical rehabilitation or conventional postoperative cast immobilization. The purpose of this study was to compare improvements in clinical outcomes (assessed with the Leppilahti scoring system), calf nerve response, and volume regeneration of the ruptured tendon over a two-year follow-up period. Results demonstrated that Read More »
Level 2 RCT
Synopsis: 83 patients with plantar fasciitis were randomized to one of the three following physiotherapy interventions for the purpose of comparing pain, disability, and balance outcomes after 8 weeks: (1) stretching and exercise of hip and foot muscles, (2) stretching and exercises of foot muscles only, and (3) stretching of foot muscles only. Outcomes of interest included a VAS scale for pain, the Foot and Ankle Outcome Score (FAOS), the Star Excursion Balance test (SEBT). Results demonstrated that Read More »
Author verified Level 2 RCT
Synopsis: 91 patients (95 toes) with unilateral hammertoe deformity were randomized to undergo arthrodesis with either a dual-component intramedullary stainless steel (DCIMSS) implant or K-wire fixation. The purpose of this study was to determine if the use of a DCIMSS implant resulted in a significantly improved rate of successful arthrodesis (radiographic fusion), patient-reported pain, function, disability, activity level, and a lower incidence of complications when compared to K-wire fixation over a 6-month follow-up period. A significantly higher Read More »
Level 2 RCT