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Synopsis: 5 randomized controlled trials (n=226) were included in this systematic review and meta-analysis comparing the use of adhesive drapes to control in orthopaedic surgery.The main objectives of this meta-analysis was to determine whether the use of adhesive drapes will decrease the risk of wound contamination; whether intraoperative drape peeling increases the risk of wound contamination; and if the use of an adhesive drape will decrease the risk of infection at the surgical site.Five eligible RCTs (n=2266) were identified for analysis.The results of this meta-analysis found that adhesive drapes are effective in decreasing the risk of contamination. The available evidence... Read More »
Conference Report
3%
Synopsis: 90 patients with calcific tendinitis of the shoulder were randomised to receive a radial shock-wave therapy or a controlled treatment.The outcomes examined were pain, function, and calcification removal. Results indicated that... Read More »
Author verified Level 1 RCT
3%
Synopsis: 18 patients with unilateral femoral shaft fractures were randomized to receive reamed or unreamed intramedullary nailing to determine if there are acute differences in cardiopulmonary variables between these techniques.Patients were monitored pre-operatively, peri-operatively and 16-20 hours post-operatively with radial artery and pulmonary artery catheters.Prior to the operation, both groups demonstrated higher than normal pulmonary shunt fractions.16-20 hours after the operation, the mixed venous oxygen saturation was lower in the unreamed group than in the reamed group, while the oxygen consumption index was higher in the unreamed group than in the reamed group. The two groups... Read More »
Level 2 RCT
3%
Synopsis: 100 elderly patients (>65 years) with unstable ankle fractures requiring fixation were randomized to receive fibular nailing or standard open reduction and internal fixation (ORIF) using AO techniques.Over 12 months, there were significantly fewer wound infections in the fibular nail group than in the ORIF group.The cost of treatment for the fibular nail group was lower than that of the ORIF group, and the fibular nail group was also significantly happier with the condition of their scar.The results indicate that fibular nailing provides superior short term complication rates and cost-effectiveness compared to ORIF. However, the abstract... Read More »
Conference Report
3%
Synopsis: This trial randomized patients with calcific tendonitis to receive ultrasound-guided needling followed by high-energy shockwave therapy (Group I, n=40) or shock-wave therapy alone (Group II, n=40).After mean follow-up of 4.1 months, those in the Group I had better clinical results as measured by Shoulder Constant scores as well as radiographs showing a significant decrease in calcific deposits when compared to Group II.In addition, arthroscopic removal of deposits was avoided in 80% of those in Group I compared to 55% in Group II. There were no... Read More »
Level 2 RCT
3%
Synopsis: 35 patients with calcifying tendinitis in the shoulder were randomized to undergo extracorporeal shock wave therapy using either the neutral position technique, or the hyperextended internal rotation technique, to determine whether shoulder position influenced the outcomes. Following assessments over a 3 month period, the results displayed that patients who underwent extracorporeal shock wave therapy using the hyperextended internal rotation technique were more likely to experience resorption of the calcific deposit. Read More »
Level 2 RCT
3%
Synopsis: 9 RCTs (431 patients) were selected for a systematic review to evaluate the midterm efficacy of 6 months follow-up of extracorporeal shockwave therapy (ESWT) in reducing pain and improving shoulder function for patients with calcific rotator cuff tendinitis.Moderate (Level B) evidence indicated that the therapy was effective in reducing symptoms; however, the data was heterogeneous, not allowing the study of dosage response of the therapy. Read More »
Author verified Meta Analysis
3%
Synopsis: Forty-eight patients with calcific tendinitis of the rotator cuff (RCCT), for whom conservative treatment was unsuccessful, were randomized to receive either ultrasound-guided needling and lavage (barbotage), as well as a subacromial bursa corticosteroid injection (SAI) or SAI alone to compare the effects of these two treatment approaches. Results at 1 year indicated that, although both barbotage + SAI and SAI-alone injections improved clinical outcomes, the barbotage + SAI group displayed significantly greater improvements, especially in Gartner type 3 patients, accompanied by a low risk for complications. Read More »
Author verified Level 1 RCT
3%
Synopsis: Six randomized control trials involving 460 patients were included in this meta-analysis and systematic review to determine the effectiveness of shock wave therapy on calcific tendinitis of the shoulder.Pain, disability and calcium reabsorption can be improved with shock wave therapy in patients suffering from calcific tendonitis of the shoulder according to the findings of this meta-analysis and systematic review. This study also... Read More »
Author verified Level 2 Meta Analysis
3%
Synopsis: 28 RCTs (n=1745) were included in this systematic review to compare the benefits and harms of low- and high-energy extracorporeal shockwave therapy (ESWT), and to compare ESWT to placebo and other treatments, for the treatment of calcific and noncalcific tendinitis.Additionally, treatment effects between calcific and noncalcific conditions were compared.Results indicated statistically significant improvements in shoulder pain, function and calcification resolution for high-energy ESWT over placebo but only significant benefits in function for low-energy ESWT over placebo.Shoulder function was significantly better with high-energy ESWT versus low-energy ESWT while pain outcomes were similar.ESWT did not appear to affect outcomes in noncalcific tendinitis. Comparisons between ESWT... Read More »
Author verified Level 1 Meta Analysis