Showing 1 - 12 of 234
IM nailing more effective than screw plate in reverse oblique intertrochanteric fractures
IM nailing more effective than screw plate in reverse oblique intertrochanteric fractures
  • 2
Level II - Randomized Trial
Synopsis:
39 patients with AO/OTA 31-A3 intertrochanteric fractures of the femur were randomized to be treated with a 95 degree fixed-angle screw plate or an intramedullary nail.Patients were followed for 1 year and the intramedullary nailing group was found to have had shorter operative times, fewer blood transfusions, and shorter hospital stays compared with those treated with the screw-plate group. Implant failure and/or... read more
Hyaluronic acid more effective versus methylprednisolone in the long term for knee OA
Hyaluronic acid more effective versus methylprednisolone in the long term for knee OA
  • 2
Level II - Randomized Trial
Synopsis:
99 patients with knee osteoarthritis (OA) were randomized to treatment with either hyaluronic acid (HA) or methylprednisolone acetate (MP) and followed up for 180 days.The purpose of this study was to determine the clinical efficacy and the structural effects of the two intra-articular injections.MP showed lower pain scores compared to HA initially following injection up to 35 days, although the differences between groups at 180 days post-injection were not significant. Second-look arthroscopy in... read more
Hydroxyapatite-coated pins reduce complications in distraction osteogenesis
Hydroxyapatite-coated pins reduce complications in distraction osteogenesis
  • 2
Level II - Randomized Trial
Synopsis:
46 patients undergoing segmental transport or lengthening of the tibia were randomized to receive either standard titanium Schanz pins or hydroxyapatite-coated stainless-steel Schanz pins.The fixators were used for an average of 38 weeks.Patients were monitored for pin loosening and infection, digitized radiographs were assessed for bone resorption around all pins, and the torque required to extract the pins was measured. The group with... read more
Perforated cloth tape to lower prevalence of tape blisters after hip surgery
Perforated cloth tape to lower prevalence of tape blisters after hip surgery
  • 2
Level II - Randomized Trial
Synopsis:
99 patients (100 hips) were randomized to receive treatment with nonstretchable silk tape or with a perforated and stretchable cloth tape over the postoperative dressing.At the first dressing change, patients were observed for blisters (presence, number, size, and location). The risk of... read more
Intramedullary nailing with reaming in femoral shaft fractures results in less nonunion
Intramedullary nailing with reaming in femoral shaft fractures results in less nonunion
  • 1
Level I - Randomized Trial
Synopsis:
224 patients with femoral shaft fractures were randomized to undergo intramedullary nailing with or without reaming of the canal.The two groups were comparable with regard to the measured patient and injury characteristics.Patients were followed every 6 weeks until union was achieved or a diagnosis of nonunion was made. Significantly more patients... read more
Bulky dressing, but not thin adhesive dressing, hinders the effect of cryotherapy on knees
Bulky dressing, but not thin adhesive dressing, hinders the effect of cryotherapy on knees
  • 2
Level II - Randomized Trial
Synopsis:
18 healthy volunteers were randomized to receive cryotherapy with either no dressing, thin adhesive dressing, or bulky dressings.Over 2 hours, the bulky dressing group demonstrated a significantly smaller decrease in mean skin temperature than the no dressing and thin adhesive dressing groups. Study, therefore, concluded... read more
Skin staples as the preferred method of wound close following knee and hip arthroplasty
Skin staples as the preferred method of wound close following knee and hip arthroplasty
  • 2
Level II - Randomized Trial
Synopsis:
102 patients undergoing total hip arthroplasty (THA) and 85 patients undergoing total knee arthroplasty (TKA) were randomized to receive one of three different methods for wound closure.The primary outcome was the development of wound complications.Results indicated that the 3 methods had comparable outcomes. However, the authors... read more
Knee arthroscopy: local anaesthesia with propofol reduces time to home readiness
Knee arthroscopy: local anaesthesia with propofol reduces time to home readiness
  • 2
Level II - Randomized Trial
Synopsis:
32 patients undergoing knee arthroscopy were randomised to receive either a spinal anaesthesia intervention or local anaesthesia in conjunction with propofol infusion.The primary outcome was time to home readiness (Measured as time in the postoperative anaesthesia care unit (PACU)). Results indicated that... read more
Digital imaging results in lower radiation dose than conventional film imaging
Digital imaging results in lower radiation dose than conventional film imaging
  • 2
Level II - Randomized Trial
Synopsis:
150 patients with a scoliotic or kyphoscoliotic deformity were included in a study to evaluate three radiography techniques.Patients were randomized to receive a conventional standing postero-anterior full spine radiograph, X-ray using the digital storage phosphor plate system (CR), or digital pulsed fluoroscopy.After the 9 months in which all radiographs were taken, the two digital methods (X ray using the CR system and digital fluoroscopy) were found to have a lower mean dose area product than the conventional full spine radiograph. Although conventional full... read more
Perioperative beta blockade not beneficial in diabetics undergoing non-cardiac surgery
Perioperative beta blockade not beneficial in diabetics undergoing non-cardiac surgery
  • 1
Level I - Randomized Trial
Synopsis:
921 patients (>39 years) with either insulin- or non-insulin-dependent diabetes, scheduled to undergo major orthopaedic surgery were randomized to receive perioperative beta blockade (metoprolol) or a placebo.The primary purpose of this study was to determine whether the perioperative administration of metoprolol significantly improved the incidence of the following composite outcome: all-cause mortality, acute myocardial infarction, unstable angina, or congestive heart failure during hospital admission.Results indicated that the study drug did not significantly impact rates of mortality or cardiac complications in diabetic patients undergoing major non-cardiac surgery, when compared to a placebo. Older age, as... read more
Alendronate is superior to alfacalcidol in preventing glucocorticoid-induced bone loss
Alendronate is superior to alfacalcidol in preventing glucocorticoid-induced bone loss
  • 1
Level I - Randomized Trial
Synopsis:
201 patients with a rheumatic disease who were starting daily doses of glucocorticoids were randomized to receive 10 mg of alendronate and a placebo capsule of alfacalcidol daily or 1 ug of alfacalcidol and a placebo tablet of alendronate daily.At 18 months, the lumbar spine bone mineral density of patients who received alendronate had increased significantly more than that of the patients who received alfacalcidol.In addition, there were significantly fewer patients in the alendronate group who had a new morphometric vertebral deformity compared to the alfacalcidol group after 18 months. Alendronate is therefore... read more
Chaperonin 10: Short term relief for rheumatoid arthritis patients
Chaperonin 10: Short term relief for rheumatoid arthritis patients
  • 1
Level I - Randomized Trial
Synopsis:
23 patients with moderate to severe active rheumatoid arthritis were randomized to receive either 5 mg, 7.5 mg, or 10 mg of Chaperonin 10, an anti-inflammatory drug, intravenously twice weekly for 12 weeks.Disease activity score and core disease measures were assessed throughout the course of the study. By the end... read more