Loading...
To focus on specific sub specialties check/uncheck boxes on left
22%
18%
16%
14%
8%
6%
6%
4%
2%
2%
1%
Displaying
100%
1%
Synopsis: Seven randomized controlled trials were included in this meta-analysis which investigated the use of oral bisphosphonates (etidronate, alendronate, or risendronate) in the prevention of hip fracture in the population suffering from neurological diseases, such as amylotrophic lateral sclerosis, stroke, or Parkinson's disease.Included studies were placebo controlled with the exception of one, which featured an active control group with alfacalcidol.The studies were conducted for a minimum of one year (up to two years). Pooled analyses indicated... Read More »
Author verified Level 2 Meta Analysis
1%
Synopsis: 62 patients with a fracture of the scaphoid waist were randomized to below-elbow casting with or without immobilization of the thumb.Cast were worn for 10 weeks.The purpose was to assess the extent of union after 10 weeks with both treatment options.Computed tomography (CT) scans at 10 weeks revealed a significantly greater extent of union across the fracture line in the group without thumb immobilization (85%) in comparison to those who had their thumb cast (70%). Clinical evaluation at... Read More »
Author verified Level 2 RCT
1%
Synopsis: This meta-analysis/systematic review contained 14 randomized or quasi-randomized controlled trials investigating early ankle movement compared to immobilization after ankle fracture surgery.Pooled analysis revealed the effect of early ankle movement on short-term functional outcomes remained unclear compared to immobilization, while no observable difference existed in the longer term. Early ankle movement... Read More »
Level 1 Meta Analysis
1%
Synopsis: 19 trials were included in this meta-analysis comparing blood loss measures and complication rate between tourniquet use and no tourniquet use in total knee arthroplasty.For blood loss, intraoperative blood loss volume was significantly lower among tourniquet groups, though no significant differences between tourniquet and no tourniquet groups were observed in analyses of total blood loss and calculated blood loss. The incidence of... Read More »
Conference Report
1%
Synopsis: 29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures.The primary outcome of interest was the rate of re-rupture.Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work.The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group.Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000.There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no... Read More »
Level 1 Meta Analysis
1%
Synopsis: 76 patients with chronic ankle instability were randomized to one of four groups: joint mobilization, plantar massage, calf stretching, or control intervention with no treatment.Each group received 6 sessions over a 2-week treatment phase.Patients were assessed after 1 session and 6 sessions for data during single-leg stance on a force plate, including center-of-pressure distribution, velocity of center-of-pressure, and time-to-boundary minima. While significant differences... Read More »
Level 2 RCT
1%
Synopsis: 90 patients scheduled for total knee arthroplasty were randomized to one of three nerve block combinations for postoperative analgesia: an obturator nerve block (ONB) plus continuous adductor canal block (cACB), a tibial nerve block (TNB) plus cACB, or an ONB and TNB plus cACB.Patients were assessed primarily for patient-controlled analgesia consumption, time to first analgesia request, and pain scores postoperatively. Results for morphine... Read More »
Level 1 RCT
1%
Synopsis: 90 patients with chronic ankle instability were randomized to either 3 weeks of joint mobilization treatment, 3 weeks of sham mobilization treatment, or no intervention.Patients were assessed following the completion of one session, at the completion of the 3-week treatment phases, and at 6-month follow-up after the completion of treatment for range of motion in dorsiflexion, the Cumberland Ankle Instability Tool, and the Star Excursion Balance Test in the anterior, posteromedial, and posterolateral directions.Results significantly favoured the mobilization group compared to both sham and control groups after 3 weeks and at 6-month follow-up outcome for all measures. Additional, range of... Read More »
Level 2 RCT
1%
Synopsis: 102 patients with carpal tunnel syndrome were randomized to receive either an ultrasound-guided or landmark-based corticosteroid injection.Outcomes of interest included the Boston Carpal Tunnel Questionnaire (BCTQ) Symptom and Function scores, grip strength, rate of surgical treatment following injection, and adverse events.Follow up was performed at 4, 12 and 24 weeks.The results of the study revealed a favourable BCTQ symptom score at 4 weeks in the ultrasound-guided group compared to the landmark-based group.Furthermore, a higher proportion of patients in the landmark-based group displayed adverse events compared to the ultrasound-guided group. Otherwise, there were... Read More »
Level 2 RCT
1%
Synopsis: 171 elderly patients with knee osteoarthritis were randomized to receive home-based exercise therapy alongside health education, or health education only.The primary outcomes of interest were the WOMAC pain and stiffness scores.Secondary outcomes included the five times sit to stand test (FTSST), the timed up and go test, the 6-minute walking test (6MWT), and the arthritis impact measurement scales 2 - short form (AIMS2-SF) body, symptom, emotional, society and total scores.Follow up was performed 12 weeks after the initiation of treatment. The results of... Read More »
Level 2 RCT