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4%
Synopsis: 100 patients scheduled for total hip arthroplasty were randomized to either a direct anterior approach or a direct lateral approach.Patients were assessed for early and midterm outcomes with respect to pain, function performance, and patient-reported functional measures, as well as the incidence of complications.Results demonstrated significant advantages of the direct anterior approach relative to the direct lateral approach with respect to pain and narcotic consumption 2-3 days after surgery, functional performance at 3 days after surgery, and patient-reported function at 8 weeks after surgery. Nonetheless, midterm outcome... Read More »
Level 2 RCT
4%
Synopsis: 110 patients scheduled for a primary unilateral total knee arthroplasty (TKA) were randomized to receive an immediate or delayed physiotherapy protocol following surgery.Outcomes of interest included the Knee Injury and Osteoarthritis Outcome Score (KOOS), VR-12 scores, visual analog scale (VAS) pain scores, range of motion, number of therapy visits, the Timed Up and Go (TUG) test, and rate of manipulation.Follow up was performed at 6 weeks and 6 months. Results from the... Read More »
Conference Report
3%
Synopsis: 222 patients with femoroacetabular impingement were randomized to either arthroscopic surgery or to a tailored physiotherapy program.The purpose of this study was to compare functional scores, quality-of-life scores, and incidence of complications between the two groups at 8-month follow-up.Results for the primary outcome measure, the Hip Outcome Score Activities of Daily Living (HOS ADL), demonstrated significantly higher scores in the arthroscopy group compared to the PT group at 8 months.Most secondary outcomes of changes in function and QoL scores significantly favoured the arthroscopy group as well.Crossover from the PT group to arthroscopy was recorded in 6 patients. Three complications, including... Read More »
Level 2 RCT
3%
Synopsis: 45 patients with acute lateral epicondylitis were randomized to treatment with either a counterforce brace or a placebo brace.The purpose of this study was to compare outcomes of pain and function between the two types of braces.The primary outcome was frequency of pain on activity.Important secondary outcomes included severity of pain on activity, frequency and severity of pain at rest, and overall impression of elbow function.Follow-up was scheduled for 2 weeks, 6 weeks, 12 weeks, and 26 weeks.Final follow-up continued to an average of 3 years.For pain during activity, no significant differences between groups were reported for either frequency or severity over follow-up, though improvement from baseline was significant in both groups after 26 weeks and 3 years. For pain at... Read More »
Conference Report
3%
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
2%
Synopsis: 50 patients with subacromial pain were randomized to subacromial injection through a midlateral or posterior approach using anatomical landmarks.The primary outcome was rate of intrabursal injection, measured on radiograph using contrast medium administered with injection.Secondary outcomes included pain and shoulder function at 30 minutes after injection. Results demonstrated a... Read More »
Level 2 RCT
2%
Synopsis: 200 patients scheduled for direct anterior total hip arthroplasty were randomized to surgery with or without the use of computer assistance software (CAS group) for alignment of the acetabular cup.Target inclination angle was 40 degrees and target anteversion angle was 20 degrees.Radiographs obtained at 4 weeks postoperatively were used to measure alignment of the acetabular cup.For inclination, a significant difference in favour of the CAS group was observed in mean angle and mean error from 40 degrees, though the rate of outliers deviating >10deg from target alignment was 0% and 2% in the groups, respectively. For anteversion, no... Read More »
Level 2 RCT
2%
Synopsis: 90 patients with mild to moderate knee osteoarthritis (Kellgren-Lawrence grade I-II) were randomized to receive either a low intensity, long duration ultrasound device or a sham ultrasound device.Treatment was administered daily for 6 weeks.Outcome measures included pain on a numeric rating score (NRS pain), pain, stiffness, and function scales of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion in flexion and extension, and strength in flexion, extension, and rotation.Results after 6 weeks demonstrated significantly greater improvement from baseline in the US group compared to the sham group for NRS pain, WOMAC pain, WOMAC stiffness, and WOMAC function scales. Differences between groups... Read More »
Level 1 RCT
2%
Synopsis: 164 patients scheduled for total hip arthroplasty were randomized to surgery through either the direct anterior approach or direct lateral approach.Patients were assessed over 2-year follow-up for outcome related to the Harris Hip Score, the 6-minute walk test, the Oxford Hip Score, and the EuroQol 5-dimensions questionnaire (EQ-5D).Results for all aforementioned measures demonstrated no significant differences between the direct anterior approach group and the direct lateral approach group at 2 years. The only significant... Read More »
Level 2 RCT
1%
Synopsis: 12 studies were included in this meta-analysis, comparing pulsed electromagnetic field (PEMF) therapy to sham therapy for the treatment of osteoarthritis (OA).The outcomes of interest in included pain, function, and adverse events.The pooled results found significantly improved pain and function among PEMF groups compared to sham groups.More specifically, the improvement in pain and function was observed in the treatment of knee and hand OA; no significant differences were observed between PEMF and sham groups for the treatment of cervical OA. There were no... Read More »
Level 1 Meta Analysis