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28%
16%
12%
11%
9%
8%
6%
4%
3%
2%
1%
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100%
4%
Synopsis: 321 patients with a nonobstructive mensical tear were randomized to either an 8-week physical therapy program or to arthroscopic partial meniscectomy.The primary purpose of this study was to determine if the PT group was noninferior to the APM for outcome on the International Knee Documentation Committee (IKDC) subjective score at a noninferiority margin of 8pts. When analyzed in... Read More »
Author verified Level 2 RCT
3%
Synopsis: 210 patients with shoulder impingement syndrome were randomized to one of three treatment groups: arthroscopic subacromial decompression, diagnostic arthroscopy (sham surgery), or an exercise therapy program.Primary outcomes were pain at rest and pain during activity, and follow-up was performed over 24 months.Analyses demonstrated no statistically significant differences in pain scores between the arthroscopic subacromial decompression group and the diagnostic arthroscopy group. Additionally, while statistically... Read More »
Level 2 RCT
3%
Synopsis: 249 patients scheduled for mini-open carpal tunnel release were randomized to postoperative management with either no orthosis, a removable orthosis, or cast immobilization for 10-14 days.Patients were assessed for disability, pain, function, and the incidence of complications over a 12-month follow-up. Results demonstrated no... Read More »
Author verified Level 2 RCT
2%
Synopsis: 150 patients with Kellgren-Lawrence or Ahlback grade I-II knee osteosrthritis were randomized to either an active or placebo unloader brace.Patients were followed for 52 weeks for outcome related to patient-reported function on the Knee Society Score (KSS) and Knee Injury and Osteoarthritis Outcome Score (KOOS).In general, changes from baseline to 52 weeks in scores were greater in the unloader brace group compared to placebo brace group, with statistical significance demonstrated for the KOOS pain, sport/rec, and QoL subscales. However, difference between... Read More »
Level 2 RCT
2%
Synopsis: 168 patients scheduled for total hip arthroplasty through a posterolateral approach were randomized to posterior soft tissue repair through either a tendon-to-bone or tendon-to-tendon method.Patients were assessed over the first 1 year postoperatively for incidents of hip dislocation and suture failure.Cases of suture failure were assessed using No.26 metal wire placed at an interval of 1.2cm apart during surgery, and then monitored for cases of increase in width between markers of 2.5cm or more during subsequent follow-up. Both dislocation rates... Read More »
Level 2 RCT
2%
Synopsis: 75 patients following acute Achilles tendon rupture repair were randomized to one of three postoperative weightbearing protocols: restricted weightbearing to 7 weeks and no ankle mobilization exercises (LWB+IMMOB), restricted weightbearing to 7 weeks with ankle mobilization exercises (LWB+MOB), or complete weightbearing by 5 weeks with ankle mobilization exercises (EWB+MOB).Primary outcome was tendon elongation over 52-week follow-up. Over follow-up, no... Read More »
Level 2 RCT
2%
Synopsis: 87 patients with subacromial impingement were randomized to one of three treatment groups: arthroscopic acromioplasty, open acromioplasty, or to a physiotherapy program.Patients were followed-up for a minimum of 10 years after intervention, with outcomes related to subjective function (Constant score), shoulder range of motion, shoulder strength in abduction, and ultrasonic and radiographic evaluations.At final follow-up, Constant score was significant greater in the open acromioplasty compared to physical therapy alone, and range of motion in elevation was significantly greater in both the arthroscopic and open acromioplasty groups compared to the physical therapy alone. However, range of... Read More »
Level 2 RCT
2%
Synopsis: 40 patients with a delayed union of a long bone fracture were randomized to either receive or not receive autologous platelet concentrate application at the site of the fracture.The purpose of this study was to determine if there was a significant difference in the rate of progression to union within 36 weeks of injury between groups. Results demonstrated no... Read More »
Level 2 RCT
2%
Synopsis: 116 patients scheduled for anterior cruciate ligament reconstruction were randomized to an autologous hamstring tendon graft with or without supplemental augmentation with cartilage fragments sutured within the femoral side of the graft.The purpose of this study was to determine if augmentation with cartilage fragments led to reduced femoral tunnel widening after 2 years.MRI assessment of the graft, including signal intensity and signal-noise quotient, was also performed, and clinical scores were obtained. Results for the... Read More »
Level 2 RCT
2%
Synopsis: 50 patients with idiopathic frozen shoulder were randomized to either arthroscopic capsular release or hydrodilitation under fluoroscopy.Primary outcome was function on the Oxford Shoulder Score, while secondary outcomes included health-related quality of life and shoulder range of motion.Follow-up was scheduled for 6 weeks, 3 months, and 6 months. Results demonstrated significantly... Read More »
Level 2 RCT