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You are viewing the most viewed ACE Reports by Orthopaedic Surgeons over the last 30 days in all specialties.
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11%
①
Synopsis:
Thirty patients who underwent anterior cruciate ligament reconstruction were randomized to receive either an 8-week contralateral neuromuscular knee exercise program (n=15) or routine physiotherapy (n=15).The primary outcomes of interest included the Star Excursion Balance Test (SEBT), Balance Error Scoring System (BESS), Stork Balance Stand Test, and the Lysholm questionnaire.The secondary outcome was pain on a Visual Analog Scale (VAS). The neuromuscular knee...
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Author verified Level 1 RCT
11%
①
Synopsis:
A total of 40 patients with Colles fracture were enrolled in a randomized controlled trial to compare the clinical efficacy of instant 3D printed casts versus polymer orthosis.The participants were randomly assigned to an observation group (treated with instant 3D printed cast; n=20) and a control group (treated with polymer orthosis; n=20).Both groups underwent manual reduction and external fixation.Outcome measures, including visual analogue scale (VAS), immobilization effectiveness and satisfaction scores, Disability of the Arm, Shoulder, and Hand (DASH) scores, complications, and imaging data, were assessed at various time points (before immobilization, 2, 6, and 12 weeks after the fracture).The results revealed that the VAS at 2 weeks, immobilization effectiveness and satisfaction scores at 6 weeks, and DASH scores at 2 and 6 weeks were significantly favorable in the observation group compared to the control group. The study concludes...
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Level 1 RCT
10%
①
Synopsis:
Thirty-three randomized controlled trials including 1154 patients with chronic ankle instability were included in this systematic review and meta-analysis comparing strength training, balance training, and a combination of both.Pooled outcomes of interest included self-reported function scores and dynamic balance measures.The combination of strength and balance training showed greater improvements in patient-reported outcomes compared to either intervention alone, with significant improvements in dynamic balance observed only in the balance training group. The findings suggest...
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Level 1 Meta Analysis
10%
①
Synopsis:
Twenty-one randomized controlled trials including 2004 patients with intertrochanteric femoral fractures were included in this systematic review and meta-analysis comparing rapid rehabilitation care vs.routine care.Pooled outcomes of interest included postoperative complications, wound infections, wound pain, and length of hospital stay.Pooled results indicated that rapid rehabilitation care significantly reduced postoperative complications, wound infections, and wound pain, and shortened the length of hospital stay compared to routine care. The findings suggest...
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Level 1 Meta Analysis
10%
①
Synopsis:
Five randomized controlled trials including 275 patients with 283 trigger digits were included in this systematic review and meta-analysis comparing ultrasound-guided tendon release vs.open surgical release.Pooled outcomes of interest included Quick Disability of Arm, Shoulder, and Hand (QDASH) scores, grip strength, Visual Analogue Scale (VAS) scores, days to return to normal activities, and days to stopping analgesia.The pooled results showed that ultrasound-guided release significantly improved QDASH scores within the first month and reduced the days required to return to normal activities.There were no significant differences in grip strength, VAS scores, full-digit flexion, and extension between the two groups. The findings suggest...
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Level 1 Meta Analysis
2%
①
Synopsis:
28 elderly patients with acute distal femur fractures or periprosthetic fractures of the hip or knee were randomized to receive either far cortical locking (FCL; n=16) or standard locking plate fixation (LPF; n=12).Outcomes of interest included the radiographic union scale (RUS) and time to union. RUS scores at...
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Level 1 RCT
2%
①
Synopsis:
This systematic review and meta-analysis included 14 randomized controlled trials involving 698 patients with low back pain.The studies compared the effects of respiratory exercises to routine lower back pain treatments.Pooled outcomes of interest included pain intensity and physical disability.The results showed that respiratory exercises significantly reduced pain intensity (p < .00001) and improved physical disability (p < .00001). The main findings...
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Level 1 Meta Analysis
2%
①
Synopsis:
Eleven studies, encompassing 749 patients with midshaft clavicle fractures, were included in this systematic review and meta-analysis, which compared the outcomes of intramedullary fixation versus plate fixation in midshaft clavicle fractures.The outcomes of interest included the incidence of postoperative wound infection, surgical incision length, operative time, blood loss, and hospital stay.The analysis revealed that intramedullary fixation demonstrated a lower risk of postoperative wound infection (OR, 5.92; 95% CI, 2.46, 14.27 p < 0.0001), smaller surgical incisions (MD, 6.57; 95% CI, 4.90, 8.25 p < 0.0001), shorter operative time (MD, 17.09; 95% CI 10.42, 23.77 p < 0.0001), less blood loss (MD, 63.62; 95% CI, 55.84, 71.39 p < 0.0001), and a shorter hospital stay (MD, 1.05; 95% CI, 0.84, 1.25 p < 0.0001). However, no statistical...
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Level 1 Meta Analysis
1%
①
Synopsis:
Twenty-five randomized controlled trials including 2,170 patients with anterior cruciate ligament (ACL) injuries were included in this systematic review and meta-analysis comparing bone-patellar tendon-bone (BPTB) autograft versus hamstring tendon (HT) autograft, single-bundle versus double-bundle HT autograft, and metal screws versus bioabsorbable screws.Pooled outcomes of interest included revision rates, graft failure, infection, Lysholm scores, and IKDC scores.The results indicated no significant differences between BPTB and HT autografts overall.However, double-bundle HT autograft showed superior outcomes compared to single-bundle in several parameters, and bioabsorbable screws performed better than metal screws in functionality and failure rates. These findings suggest...
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Level 1 Meta Analysis
1%
①
Synopsis:
400 patients undergoing hemiarthroplasty for displaced intracapsular fractures were randomized to receive either cemented hemiarthroplasty (n=200) or uncemented hemiarthroplasty (n=200).Outcomes of interest included length of surgery, duration of anesthesia, incidence of blood transfusion, length of stay, incidence of adverse events, mortality, Parker and Palmer mobility score, and pain on a Visual Analog Scale (VAS).The mean duration of surgery and anesthesia were significantly shorter in the uncemented group, however, the length of ward and hospital stay were significantly shorter in the cemented group.All adverse events were comparable between the two groups except for the incidence of pneumonia which was higher in the uncemented group.The mean degree of residual pain was significantly lower in the cemented group at 8 weeks, 3, 6, 9 months, and 1, & 2 years.The cemented group also presented with a significant degree of mobility at 6 and 9 months, and 1 year. The results indicate...
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Level 1 RCT