Showing 1 - 12 of 420
Intra-articular methadone is ineffective in reducing pain after ACL reconstruction
Intra-articular methadone is ineffective in reducing pain after ACL reconstruction
  • 1
Level I - Randomized Trial
Synopsis:
65 patients who were undergoing primary anterior cruciate ligament (ACL) reconstruction were randomized to receive 9.5 mL of bupivacaine with 0.5 mL of 5 mg of methadone, 5 mg of morphine, or 0.5 mL saline solution.Over 7 days, there was no difference between the methadone group and the control group in pain scores or in the amount of inpatient and outpatient supplemental analgesia required.However, significantly less analgesia was needed in the morphine group than the control group. A 5 mg... read more
ACL reconstruction: no difference between hamstring and patellar tendon grafts
ACL reconstruction: no difference between hamstring and patellar tendon grafts
Evidence Summary
Synopsis:
This systematic review identified 13 randomized controlled trials, comparing patellar tendon (PT) grafts with combined semitendinosis and gracilis tendon (hamstring) (HT) grafts in ACL reconstruction.From these trials, a total of 1145 patients were included.Overall, the studies reported that there was no significant difference between the two groups for recovery of sporting ability, pain, knee stability, function, muscle strength, range of motion and complication rates. Both grafts led... read more
Betamethasone ineffective in treating rotator cuff tendinosis
Betamethasone ineffective in treating rotator cuff tendinosis
  • 1
Level I - Randomized Trial
Synopsis:
62 patients with rotator cuff tendinosis were randomized to receive either xylocaine and betamethasone or xylocaine alone.Over 6 months, there was significant no difference observed between the two groups for pain, function, quality of life, active internal rotation, active external rotation, or the Neer impingement sign.Active forward elevation was greater in the betamethasone group compared to the xylocaine only group at 2 weeks, but the difference was not significant at any other time. Significant improvement was... read more
Lower risk of issue at the graft harvest site with Bone-Hamstring Tendon-Bone autograft
Lower risk of issue at the graft harvest site with Bone-Hamstring Tendon-Bone autograft
  • 2
Level II - Randomized Trial
Synopsis:
80 patients undergoing anterior cruciate ligament (ACL) reconstruction were randomised to receive a bone-hamstring tendon-bone (BHB) autograft or a bone-patellar tendon-bone (BTB) autograft .Subjective and functional clinical factors were measured during the course of this trial.Results indicated there was a lower risk of problems at the graft harvest site with BHB autograft. However, other clinical... read more
Comparable outcomes with (non)/operative treatment of medial collateral ligament rupture
Comparable outcomes with (non)/operative treatment of medial collateral ligament rupture
  • 2
Level II - Randomized Trial
Synopsis:
47 patients with combined grade III medial collateral ligament (MCL) and anterior cruciate ligament (ACL) injuries were randomised to receive either an operative treatment or nonoperative treatment of the injured MCL.Both groups had an early reconstruction treatment for the ACL injury using bone-patellar tendon-bone graft.The primary outcomes were based on clinical and functional results. Comparable outcomes with... read more
Improved side-to-side anterior laxity with the anatomic double-bundle ACL reconstruction
Improved side-to-side anterior laxity with the anatomic double-bundle ACL reconstruction
  • 2
Level II - Randomized Trial
Synopsis:
72 patients with unilateral anterior cruciate ligament (ACL)-deficient knees were randomised to one of three groups for treatment.The patients underwent either a non-anatomic single- or double-bundle ACL reconstruction compared to anatomic double-bundle ACL reconstruction.Clinical outcomes were observed.The results indicated that the double-bundle ACL reconstruction intervention resulted in significant improvements in side-to-side anterior laxity compared to the other groups. However, no significant... read more
ACL Reconstruction: Navigation system improves tunnel placement accuracy
ACL Reconstruction: Navigation system improves tunnel placement accuracy
  • 2
Level II - Randomized Trial
Synopsis:
60 patients undergoing ACL reconstruction were randomized to receive surgery with conventional instrumentation or with an image-free navigation system.Over 24 months, patients who received surgery with the navigated system demonstrated improved accuracy in tunnel placement as well as decreased variability in radiographic measurements of laxity. Further studies are... read more
Significantly higher revision rates with acute primary repair procedure for ACL ruptures
Significantly higher revision rates with acute primary repair procedure for ACL ruptures
  • 2
Level II - Randomized Trial
Synopsis:
147 patients with ruptures of the anterior cruciate ligament were randomised to undergo one of three surgical procedures.The three procedures were acute primary repair, acute repair augmented with a synthetic ligament-augmentation device, and acute repair augmented with autologous bone-patellar tendon-bone graft.The primary outcomes were pain and function. The results indicated... read more
No significant short term effect of subacromial decompression in rotator cuff repair
No significant short term effect of subacromial decompression in rotator cuff repair
  • 2
Level II - Randomized Trial
Synopsis:
80 patients requiring arthroscopic rotator cuff repair were randomized to either receive surgical treatment with subacromial decompression or without subacromial decompression.After surgery, patients were required to have the operative limb placed in a sling for 3 weeks, followed by a 16-week rehabilitation program. Results showed that... read more
Patient controlled analgesia after arthroscopic rotator cuff repair
Patient controlled analgesia after arthroscopic rotator cuff repair
  • 2
Level II - Randomized Trial
Synopsis:
40 patients with full-thickness rotator cuff tears, undergoing arthroscopic rotator cuff surgery, were divided into two groups to examine the postoperative effects of subacromial infusion versus intravenous injection of analgesic.Patients were randomized to either receive subacromial infusion of 0.5% bupivacaine or intravenous injection of fentanyl and ketorolac tromethamine. Results according to... read more
Less Achilles tendon elongation and better clinical results following early mobilization
Less Achilles tendon elongation and better clinical results following early mobilization
  • 2
Level II - Randomized Trial
Synopsis:
50 patients who underwent surgery for acute Achilles tendon (AT) rupture were randomized to receive two types of postoperative treatments.One group received early mobilization of the ankle in a brace for 6 weeks, and the other group received immobilization in a below-knee cast in neutral position for 6 weeks.Results at 3 months and 60 weeks showed that both groups had tendon elongation, but the early mobilization group had slightly less compared to the immobilization group. Patients who had... read more
Direct approach to arthroscopic distal clavicle resection results in faster sports return
Direct approach to arthroscopic distal clavicle resection results in faster sports return
  • 2
Level II - Randomized Trial
Synopsis:
38 athletes who required arthroscopic distal clavicle resection were randomized into 2 groups.The first group received a direct superior approach in arthroscopic distal clavicle resection and the second group received an indirect subacromial approach.Outcomes were measured by the American Shoulder and Elbow Surgeons Score (ASES) and Athletic Shoulder Scoring System (ATH) scores. Results demonstrated that... read more