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You are viewing the most viewed ACE Reports by Orthopaedic Resident/Interns over the last 30 days in all specialties.
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Platelet-Rich Plasma Injections Are Inferior to Corticosteroid Injections for Short-Term Pain Relief
①
Synopsis:
Fifty-two patients with symptomatic KL II–III knee osteoarthritis (OA) were randomized to receive platelet-rich plasma (PRP) (n=26) or corticosteroid (CS) (n=26).The primary outcome was change in VAS pain.Secondary outcomes were NPRS pain, KOOS JR, and WOMAC.Outcomes were assessed at baseline, 6 weeks, and 3 months.Overall, the results of the study revealed that CS produced significantly larger pain reductions than PRP at 6 weeks and met MCIDs for both VAS and NPRS, whereas groups were similar by 3 months and showed comparable functional gains at both time points. These findings suggest...
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Level 1 RCT
7%
Synopsis:
2945 women presenting to orthopaedic injury clinics were included in this multinational survey study to investigate the prevalence of intimate partner violence (IPV).Female patients who met eligibility criteria at one of the 12 orthopaedic fracture clinics in Canada, USA, Denmark, the Netherlands, or India anonymously answered direct questions about physical, emotional and sexual IPV.Additionally, these patients completed the Women Abuse Screening Tool (WAST) and the Partner Violence Screen (PVS) questionnaires to determine the prevalence of women suffering from IPV within the past year and over their lifetime.Results indicated that approximately 1 in 6 women presenting to an orthopaedic injury clinics have experienced IPV in the past year, and 1 in 3 women experience IPV in their life time.In addition, 1 in 50 women were presenting to the clinic as a direct result of IPV.Few of the women had ever been asked about IPV by any physician. Most patients thought...
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Author verified RCT
7%
②
Synopsis:
159 patients scheduled for total knee or total hip arthroplasty were randomized to patient education via an automated text messaging service (StreaMD; SMS bot group) or standard preoperative clinic appointment and perioperative instructions (control group).The purpose of this study was to determine if the SMS bot group demonstrated greater daily postoperative exercise compared to the control group over the first 6 weeks after surgery.Results demonstrated a statistically significant longer duration of daily exercise in the SMS bot group compared to the control group. In addition, significant...
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Level 2 RCT
7%
①
Synopsis:
One hundred fifty-eight patients with displaced fifth metacarpal neck fractures were treated with either K-wire pinning (KP; n=60), intramedullary pinning (IP; n=50), or combined intramedullary pinning with K-wire pinning (IPKP; n=48).The primary outcome was radiological correction (angulation and shortening).Secondary outcomes included range of motion (TAM), Quick-DASH scores, cosmetic scores, and complication rates.Outcomes were assessed preoperatively, postoperatively, and at 1-year follow-up.Overall, the study found that IPKP achieved significantly better angulation, less shortening, and higher cosmetic scores.Functional outcomes were similar, though stiffness occurred only in the KP and IP groups. These findings suggest...
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Level 1 RCT
7%
①
Synopsis:
Sixty patients with acute Achilles tendon rupture were randomized to treatment using CARTA (n=21), nonsurgical management (n=20), or surgical repair (n=19).Outcomes were calf muscle volume and Achilles tendon elongation, measured by MRI after 12 months.Secondary measures included limb symmetry index and subgroup comparisons of surgical vs nonsurgical treatments.Overall, the study found no statistically significant differences in calf muscle volume or tendon elongation between CARTA-guided treatment and either control group, nor between surgical and nonsurgical treatment.All groups demonstrated significant muscle atrophy (24–30%) and tendon elongation (59–76% soleus; 8–14% gastrocnemius) in the affected limb compared to the unaffected side. These findings suggest...
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Level 1 RCT
7%
①
Synopsis:
One hundred sixty patients aged 60 years and older with displaced 3- or 4-part proximal humerus fractures were randomized to receive nonoperative treatment (n=54), locking plate fixation (n=52), or hemiarthroplasty (n=54).The primary outcome of interest was the DASH score at 2 years.Secondary outcomes included Constant–Murley Score, Oxford Shoulder Score, quality-of-life measures (EQ-5D and 15D), pain (VAS), and complication rates.Outcomes were assessed at 3, 6, 12, and 24 months.Overall, the results of the study revealed no significant differences between groups in the primary or secondary outcomes.However, the locking plate group had a markedly higher complication (45%) and revision rate (22%) compared with the nonoperative group. The findings suggest...
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Level 1 RCT
7%
①
Synopsis:
Ninety patients with painful trapeziometacarpal osteoarthritis were randomized to receive a single intra-articular injection of platelet-rich plasma (n=45) or saline placebo (n=45).The primary outcome was change in pain on load (NRS 0–100) from baseline to 6 months.Secondary outcomes included change in pain on load at 3 months, pain at rest, Patient-Rated Wrist and Hand Evaluation (PRWHE) score, Disability of the Arm, Shoulder, and Hand (DASH) score, thumb range of motion, and pinch strength at 3 and 6 months.Overall, the results showed no significant difference in pain on load at 6 months between PRP and placebo, and no clinically relevant differences in secondary outcomes. The study concludes...
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Level 1 RCT
7%
Synopsis:
Fourteen studies of patients with extensor mechanism disruption after total knee arthroplasty were included in this systematic review and meta-analysis comparing mesh versus allograft reconstruction.Pooled outcomes of interest included failure rates and prosthetic joint infection.Mesh reconstruction was associated with a lower risk of failure (RR 0.79; p = 0.02), with no significant difference in infection risk (p = 0.09). These findings suggest...
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Conference Report
7%
Synopsis:
Ninety patients with large (3–5 cm) and massive (>5 cm) rotator cuff tears were randomized to undergo arthroscopic repair with SLRS (n=26), KD (n=26), or KL (n=24).The primary outcome was retear rate at one year, assessed by 3T MRI.Secondary outcomes included range of motion (ROM), ASES, Constant, UCLA, and VAS scores, measured up to a mean of 20–21 months.Overall, all three groups experienced significant postoperative improvement in functional scores and ROM, with no significant differences between groups.However, retear rates were significantly higher with SLRS (38%) compared with KD (9.5%) and KL (11.7%) (p=0.04). These findings suggest...
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Conference Report
7%
Synopsis:
Seventy patients with rotator cuff tears were randomized to receive either hyaluronic acid injection (n=35) or placebo (n=35) after arthroscopic rotator cuff repair.The primary outcome of interest was tendon integrity assessed by MRI using the Sugaya classification.Secondary outcomes included VAS pain scores, ASES, CONSTANT scores, range of motion, and strength.Outcomes were assessed at 2 weeks, 3 months, 6 months, and 12 months.Overall, the results of the study revealed that hyaluronic acid did not improve pain or functional scores compared with placebo but was associated with greater recovery of abduction, internal rotation, and external rotation at 6 and 12 months, and a lower re-tear rate on MRI (14.4% vs 26.7%). The findings suggest...
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Conference Report