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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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Synopsis:
Fifty patients undergoing robotic total knee arthroplasty were randomized to receive restricted kinematic alignment (rKA, n=25) or mechanical alignment (MA, n=25).The primary outcomes of interest were range of motion and functional scores (KSS, OKS) at 3 and 6 months.Secondary outcomes included quality of life measures (SF-36 and FJS-12) at one year.Outcomes were assessed at 3 months, 6 months, and 12 months.Overall, the results revealed that rKA patients had greater range of motion and higher KSS and OKS scores at 3 months, and better SF-36 and FJS-12 scores at one year (all p<0.05). These findings suggest...
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Conference Report
4%
Synopsis:
Thirty-one studies with 2,574 revision total knee arthroplasties (1,637 with cones and 937 with sleeves) were included in this systematic review and meta-analysis comparing metaphyseal cones versus sleeves.Pooled outcomes of interest included re-revision rate, re-operation risk, prosthetic joint infection, and extensor mechanism injury.Cones showed higher rates of re-revision (10.9% vs.7.4%), re-operation (17.5% vs.12.2%), and prosthetic joint infection (7.5% vs.5%) compared to sleeves.Extensor mechanism injury was rare but slightly more frequent with cones. Overall, sleeves demonstrated...
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Conference Report
4%
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
3%
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
3%
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
3%
①
Synopsis:
One hundred sixteen patients with femoroacetabular impingement were randomized to room-temperature irrigation (n=60) or warmed irrigation at 36–38 °C (n=56).The primary outcome was intraoperative hypothermia (<36 °C) detected by either rectal probe or temporal thermometer.Secondary outcomes included monitoring modality performance (rectal vs temporal), time to hypothermia detection, and intraoperative tachycardia characteristics in patients with and without hypothermia.Outcomes were assessed throughout surgery at 15-minute intervals.Overall, the results of the study revealed no difference in hypothermia incidence between warmed and room-temperature fluids, while rectal monitoring detected nearly all events and did so markedly earlier than temporal measurement. Consequently, fluid warming...
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Level 1 RCT
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Synopsis:
Six studies involving 467 infants (689 feet) with idiopathic clubfoot were included in this systematic review and meta-analysis comparing Ponseti treatment initiated before 4 weeks versus after 4 weeks of age.Pooled outcomes of interest included number of casts, need for tenotomy, and recurrence rates.Results showed that starting treatment earlier (<4 weeks) was associated with a slightly higher number of casts (MD: 0.72, 95% CI [0.33, 1.10], p = 0.0002), but there were no significant differences in overall mean casts (p = 0.91), tenotomy rates, or recurrence rates between groups. The findings suggest...
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Conference Report
2%
①
Synopsis:
One hundred twenty-two patients with cervical spon-
dylotic myelopathy (CSM) or ossification of the posterior
longitudinal ligament (OPLL) were randomized to C3 laminectomy + C4–C6 laminoplasty (LN; n=61) or C3–C6 laminoplasty (LP; n=61); modified intention-to-treat included 109 (LN n=51; LP n=58).The primary outcomes were C2–C7 Cobb angle (CA) and Neck Disability Index (NDI).Secondary outcomes included segmental CA (C2–C3, C4–C7), cervical SVA, T1 slope and T1S–CL, C2–C3 interlaminar fusion, EQ-5D, and NRS pain.Outcomes were assessed up to 3 years.Overall, the results revealed no between-group difference in C2–C7 CA, but worse NDI and EQ-5D in the LN group, greater proximal (C2–C3) lordosis with less distal (C4–C7) lordosis, larger cSVA at 2–3 years, and a higher prevalence of an “S-curve” (proximal lordosis/distal kyphosis) pattern associated with poorer clinical outcomes. These findings suggest...
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Level 1 RCT
2%
①
Synopsis:
One hundred fifty-two patients with non-specific chronic low back pain (CLBP) were randomized to receive individualized cognitive functional therapy (CFT)(n=76) or a sham intervention (neutral talking plus detuned low-level laser; n=76).The primary outcomes were pain intensity (0–10) and Oswestry Disability Index (0–100) at 6 weeks.Secondary outcomes included pain and disability at 3 and 6 months, functioning, pain self-efficacy, global perceived effect, and analgesic use.Outcomes were assessed pre-treatment, post-treatment (6 weeks), and at 3 and 6 months.Overall, the results revealed clinically meaningful, statistically significant advantages for CFT over sham at 6 weeks that persisted through 6 months. In short, CFT...
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Level 1 RCT
2%
Synopsis:
Eighty patients undergoing unilateral open-door laminoplasty were randomized to receive thrombin-gelatin matrix plus absorbable gelatin sponge (TGM-AGS, n=40) or absorbable gelatin sponge alone (AGS, n=40).The primary outcome of interest was intraoperative blood loss (IBL).Secondary outcomes included duration of operation, duration of hemostasis, drainage volume and days, maximum hemoglobin decrease, length of hospital stay, coagulation indicators, adverse events, and patient-reported outcome measures (PROMs).Outcomes were assessed up to hospital discharge.Overall, the results revealed that the TGM-AGS group had significantly lower IBL (75.22 ±21.83 mL vs 252.43 ±57.39 mL, p<0.01), shorter hemostasis duration, less postoperative drainage, fewer drainage days, and smaller hemoglobin reduction compared with the AGS group.PROMs improved similarly in both groups. These findings suggest...
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Conference Report