Loading...
To focus on specific sub specialties check/uncheck boxes on left
40%
17%
11%
8%
6%
6%
4%
3%
2%
1%
1%
Displaying
100%
3%
Synopsis: 103 patients with fibular fractures proximal to an associated syndesmosis injury were randomized to receive internal reduction and fixation with either a knotless TightRope device or screw fixation.Outcomes of interest included radiographic outcomes, the Foot and Ankle Disability Index (FADI), the EQ-5D quality of life questionnaire, the Olerud-Molander (OM) Ankle score, the rate of unplanned re-operation, the rate of malreduction, and the Work Productivity and Impairment (WPAI) score.Follow up was performed at 3 months post-operation for radiographic outcomes, and up to 12 months for clinical outcomes.Results revealed significantly lower rates of unplanned re-operation and lower rates of malreduction in the TightRope group compared to the screw fixation group.Additionally, patients in the TightRope group had a significantly favourable WPAI daily activity rating at 6 weeks compared to the screw fixation group, although total scores were not significantly different. No significant differences... Read More »
Level 2 RCT
2%
Synopsis: Sixty patients with hip fractures were randomized to undergo surgical treatment using either an accelerated or the standard treatment protocol, in order to assess the feasibility of a true randomized controlled trial comparing these two approaches.Overall, feasibility targets were attained, with 60 patients recruited in less than 18 months, over 70% of eligible patients undergoing randomization, and 100% rate of 30-day follow-up.Major perioperative complications occurred in 9 and 14 patients in the accelerated and standard groups, respectively. The results justified... Read More »
Author verified Level 2 RCT
2%
Synopsis: 2551 patients with an open fracture of the extremity were included in this randomized, 2 by 3 factorial design trial to investigate the effects of irrigation pressure and solution on reoperation rates.The patients were randomized to receive irrigation with either soap or saline at high, low, or very low pressure.After a 12 month follow-up period, the results indicated that the use of saline was superior to the use of soap for the irrigation of open fractures.Additionally, there were no differences between the different pressures, establishing very low pressure as a low-cost alternative in the irrigation of open fractures.The analysis indicated that there was no interaction between irrigation solution and pressure. Read More »
Author verified Level 1 RCT
2%
Synopsis: 478 patients scheduled for revision total hip or knee arthroplasty were randomized to receive lavage with diluted betadine or normal saline prior to wound closure.Outcomes of interest included the incidence of periprosthetic joint infection (PJI), and the incidence of wound complications excluding PJI. The results from... Read More »
Conference Report
2%
Synopsis: 220 patients with isolated pertrochanteric femoral fractures were randomized to receive surgical intervention with a short or long cephalomedullary nail.Primary outcomes of interest included the Short Form 36 (SF-36) questionnaire and the Harris Hip Score.Secondary outcomes of interest included implant failure, peri-implant failure, mortality, operative time, estimated blood loss and the incidence of re-operation.Outcomes were assessed up to 12 months post-operation.Results revealed significantly favourable 3 month Harris Hip scores, lower operative time and lower estimated blood loss in the short nail group compared to the long nail group. No significant differences... Read More »
Level 2 RCT
2%
Synopsis: Traditionally, patients undergoing total hip arthroplasty (THA) have been advised to avoid certain movements that would put them at risk for dislocation.This has been of particular concern with the posterolateral, which has historically been associated with the highest dislocation rates.In recent years, however, improvements in surgical technique and implants (e.g.larger heads) have dramatically reduced dislocation rates.Thus, it is unclear if hip precautions are still necessary.The authors randomized 408 patients to standard care and patients who still had hip precautions while awake, but had no restrictions on sleeping position.Primary outcome was dislocation at 8 weeks, secondary outcomes were deep infection, pulmonary embolism, deep vein thrombosis, pain, function, and health-related quality of life.There were no significant differences on any outcomes between the two groups. The trial was... Read More »
Level 1 RCT
2%
Synopsis: 9 studies were included in this meta-analysis comparing computer-navigated and conventional TKA with regards to radiological, long-term function and survivorship outcomes.Outcomes of interest included the outlier rate of coronal and sagittal alignment of the femoral and tibial components, the outlier rate of lower extremity alignment, range of motion, the Knee Society Score (KSS), the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index, revision rate and rate of aseptic loosening.Results found significantly lower outlier rates of sagittal alignment of the femoral component and coronal alignment of the tibial component in the computer-navigated TKA group compared to the conventional TKA group. No significant differences... Read More »
Level 1 Meta Analysis
2%
Synopsis: 60 elderly patients with dementia and a displaced femoral neck fracture were randomized to receive a Quattro dual mobility cup in a total hip arthroplasty procedure or a hemi-arthroplasty procedure.The primary outcome of interest was dislocation rate at 1 year post-operation.Secondary outcomes of interest included reoperation rate, time to surgery, operative time, length of stay and the incidence of mortality at 30 days and 1 year post-operation.Whilst operative time was significantly longer in the total hip arthroplasty group, the incidence of dislocation was significantly lower compared to the hemi-arthroplasty group. No significant differences... Read More »
Level 2 RCT
1%
Synopsis: 144 patients with primary complete Achilles tendon rupture were randomized to be treated with either a surgical repair and accelerated functional rehabilitation or with only the accelerated functional rehabilitation. Over the course of a two year follow up, it was observed that Achilles tendon rupture led to clinically similar results between the two treatment groups. Read More »
Level 2 RCT
1%
Synopsis: 80 patients with acute ruptures of the tendo Achillis were randomized to receive operative treatment using an open technique or non-operative treatment using a cast. The results of the 1-year study indicated that there were no significant differences in terms of re-rupture rate, flexion, and function between the two groups at the end of the study. Read More »
Author verified Level 2 RCT