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9%
Synopsis: One hundred and seven patients with medial compartment osteoarthritis were randomized to receive unicompartmental knee arthroplasty (UKA; n=57) or total knee arthroplasty (TKA; n=50).The primary outcomes of this trial were to assess patient-reported outcomes such as Knee Injury and Osteoarthritis Outcome Score, Joint Replacement (KOOS, JR), Knee Society Score (KSS), Forgotten Joint Score (FJS), range of motion (ROM), and VR-12 global health scores at 6 weeks and 6 months follow-up.Radiographic and surgical complications were also recorded.The results of this trial showed no significant differences in KOOS, JR, KSS, and FJS at 6 weeks and 6 months follow-up. Significant differences were... Read More »
Level 1 RCT
4%
Synopsis: Sixty patients with transverse patellar fractures undergoing operative fixation with tension band wiring technique were randomized to receive K-wire fixation (n=30) or 4.5mm cannulated screw fixation (n=30).The primary outcomes of interest were radiographic union, range of motion, function and complication rates.The cannulated screw group demonstrated significantly better postoperative range of motion at up to 12 weeks follow-up.The cannulated screw group also demonstrated earlier radiographic union.No differences in functional outcomes as measured by the Knee Society Score were noted. Hardware complications were... Read More »
Author verified Level 1 RCT
4%
Synopsis: Ninety-nine patients with at least 1 previous hip arthroplasty dislocation were randomized to receive standard care plus 12 weeks of hip bandaging to reduce hip range of motion (n=50) or standard care alone (n=49).The primary outcome of interest was the rate of redislocation after treatment.Secondary outcomes of interest included the Oxford Hip Score, Short Form 36 (SF-36) physical and mental component scores, and patient satisfaction.Intention-to-treat analysis results revealed no significant differences between the two groups in all outcomes. However, in the... Read More »
Level 1 RCT
3%
Synopsis: 72 patients scheduled for an arthroscopic anterior cruciate ligament repair were randomized to receive semitendinosus graft harvesting using an inside-out technique (n=37) or an outside-in technique (n=35).The outcomes of interest included the incidence of area of paresthesia, the incidence of nerve injury, and adverse events, measured up to 12 months post-operation.Results revealed no significant differences between the two groups in the incidence of paresthesia or nerve injury.The area of paresthesia was significantly larger in the inside-out group at 6 months, but was not significantly different between groups at 12 months despite being twice as large in the inside-out group. The length of... Read More »
Level 1 RCT
3%
Synopsis: Five studies containing a total of 717 patients were included in this meta-analysis comparing femoral canal bone plugging (n=361) and no plugging of the femoral intramedullary canal (n=356).The pooled outcomes of interest included hemoglobin reduction, drained blood volume, and the need for blood transfusion.Studies found that patients who received femoral canal bone plugging had a significantly lower pooled hemoglobin reduction and a lower risk of blood transfusion compared to unplugged patients. No differences in... Read More »
Level 1 Meta Analysis
2%
Synopsis: Eighty-four patients with knee osteoarthritis scheduled for a primary unilateral total knee arthroplasty were randomized to receive 24 hours of continuous infusion of nefopam (n=42) or placebo (n=42).The primary outcome of interest was Visual Analog Scale (VAS) pain scores up to 48 hours post-operation.Secondary outcomes of interest included morphine consumption, adverse events, functional outcomes, sedation scores, and patient satisfaction.Other than VAS pain at rest at 6 hours post-operation, which was significantly lower in the nefopam group, no differences in pain scores were observed between the two groups in pain at rest or in motion up to 48 hours post-operation.Morphine consumption at 24-36 hours and in total was lower in the nefopam group. No differences were... Read More »
Level 1 RCT
2%
Synopsis: 5 randomized controlled trials (n=226) were included in this systematic review and meta-analysis comparing the use of adhesive drapes to control in orthopaedic surgery.The main objectives of this meta-analysis was to determine whether the use of adhesive drapes will decrease the risk of wound contamination; whether intraoperative drape peeling increases the risk of wound contamination; and if the use of an adhesive drape will decrease the risk of infection at the surgical site.Five eligible RCTs (n=2266) were identified for analysis.The results of this meta-analysis found that adhesive drapes are effective in decreasing the risk of contamination. The available evidence... Read More »
Conference Report
2%
Synopsis: One hundred and three patients with chronic lateral ankle instability and osteochondral lesions of the talus were randomized to receive an arthroscopic microfracture surgery plus a modified Brostrom-Gould procedure at the same time (single-stage; n=52) or after 4-6 months of rehabilitation training (staged; n=51).The primary outcome of interest was the Karlsson-Peterson ankle function scale.Secondary outcomes included the American Orthopaedic Foot & Ankle Society (AOFAS) score.Outcomes were assessed at a minimum 24 months post-operation.Result found Karlsson-Peterson scores single-stage group to be non-inferior to staged group. Moreover, AOFAS scores... Read More »
Level 1 RCT
2%
Synopsis: Fifty elderly patients who were treated with cast immobilizers for their distal radial fractures were randomized to either stay in a cast for 4 weeks (n=26) or 6 weeks (n=24).The primary outcomes of this trial were to measure radiologic outcomes such as radial height (mm), volar tilt, union, and radial inclination (°) as well as functional outcomes such as pain and wrist condition.The results of this trial showed significantly favorable volar tilt angle in the 6-week group after 1-year follow-up when compared to the 4-week treatment group. No differences in... Read More »
Level 1 RCT
2%
Synopsis: One hundred and twenty-eight patients with isolated hip fractures were randomized to receive either comprehensive orthopedic care (n=63) or conventional orthopedic care (n=65).In addition to routine care, patients in the comprehensive orthopedic care group received preoperative psychological counseling and self-hypnosis.The primary outcomes of this trial were to assess the effects of an early intervention of risperidone, psychological counseling, and self-hypnosis on the incidence, severity, and outcomes of perioperative delirium using the Delirium Rating Scale (DRS-R-98).Post-operative outcomes such as hospital stay, infection, mortality, and lower extremity thrombosis were also recorded.The results of this trial found the duration, severity, and incidence of delirium to be significantly in favor of the comprehensive orthopedic care group vs.the conventional orthopedic care group. The hospitalization rate... Read More »
Level 1 RCT