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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
5%
Synopsis: 73 patients with chronic plantar heel pain were randomized to five sessions of either treatment with percutaneous needle electrolysis (PNE) or to control with placebo intervention.Patients were assessed for outcome related to first step heel pain on a visual analog scale, the Foot an Ankle Ability Measure (FAAM) Activities of Daily Living (ADL) score, and plantar fascia thickness on ultrasound over 24-week follow-up. After 24 weeks,... Read More »
Level 1 RCT
5%
Synopsis: 120 patients with a distal radius fracture and managed nonoperatively were randomized to three different modes of delivery for physical therapy: in-person physiotherapy, video, or an instructional leaflet.Patients were assessed for functional outcome after 6 weeks.The only significant function difference observed between any of the three groups was work-specific disability on the Disability of the Arm, Shoulder, and Hand score, favoured in the in-person physiotherapy group compared to the leaflet group. Nonetheless, overall DASH... Read More »
Conference Report
2%
Synopsis: 90 osteoporotic patients, that have undergone fixation for an intertrochanteric fracture, were randomized to receive oral administration of a bisphosphonate (Risedronate) starting either one week, one month, or three months after surgery.The results demonstrate that the timing of bisphosphonate administration following hip fracture surgery does not affect time to fracture healing or incidence of complications. There were no... Read More »
Level 2 RCT
2%
Synopsis: Ten ACE Reports (all randomized controlled trials) were identified from the OrthoEvidence database assessing the efficacy of platelet-rich plasma (PRP) versus control in the treatment of rotator cuff tears.Result are presented for Constant scores, University of California (UCLA) scores, American Shoulder and Elbow Surgeons (ASES) scores, Simple Shoulder Test (SST) scores, Shoulder Pain and Disability Index (SPADI), Sugaya classification, and the incidence of retear.Qualitative descriptions were provided for Visual Analog Scale (VAS) pain scores and range of motion (ROM).The results indicated that PRP treatment provided favourable Constant scores and Simple Shoulder test at 12 months.Otherwise, the remaining poolable outcomes displayed similar results amongst treatment and control groups.Evaluations of ROM proposed a potential benefit of PRP in the short-term, although effects were primarily lost at longer follow-up (6-12 months).Tendon integrity and retear risk also did not appear to be improved with PRP. This review exhibited... Read More »
ACE Review
2%
Synopsis: 62 patients with unstable distal radial fractures were randomized to undergo either closed reduction and internal fixation with an intramedullary nail (MICRONAIL) or open reduction and internal fixation with a volar locking plate, to compare the functional, clinical and radiographic outcomes associated with these two treatments methods.Results indicated that the intramedullary MICRONAIL system yielded significantly improved functional outcomes and wrist range of motion, when compared to the volar locking plate method early postoperatively (6 weeks post-operation), but not at the 3- and 12-month follow-ups. The two treatment... Read More »
Author verified Level 2 RCT
2%
Synopsis: 59 patients (>18 years of age) who were diagnosed with mallet finger (with or without fracture) and who had undergone continuous splint/cast immobilization and hyper-extension intervention (6-8 weeks), were randomly assigned into 1 of 2 treatment groups to determine the effect of an additional one month of night splinting on extensor lag.Participants either received an additional one month intervention with a night splint following their continuous splinting period or received no additional intervention (control). Results from the... Read More »
Author verified Level 2 RCT
2%
Synopsis: 5 studies with a total of 222 patients (231 fractures) were included in this meta-analysis which aimed to evaluate two surgical treatment options for metacarpal fractures.Percutaneous pinning and open reduction-internal fixation with plate and screws were compared to evaluate which surgical intervention improved rate of complications, functional and radiological outcomes. The study determined... Read More »
Conference Report
2%
Synopsis: 25 randomized controlled trials were included in this systematic review.The purpose of this study was to evaluate the efficacy of non-surgical treatments currently available for thumb base osteoarthritis.Treatments were assessed for impact on outcomes including thumb pain and function.The results of the included studies indicated that intra-articular hyaluronate injections reduced pain over long periods of time (1 year), whereas steroid intra-articular injections and leech therapy reduced pain over shorter periods of time. Orthoses were found... Read More »
Author verified Level 2 Meta Analysis
2%
Synopsis: 29 patients with displaced distal radius fracture were randomized in this cross-over trial comparing a vacuum-fitted orthosis and a plaster splint in postoperative rehabilitation.Following volar locking plate fixation, patients were randomized to one week orthosis wear followed by 3 weeks splint wear, or to one week splint wear followed by 3 weeks orthosis wear.Patient satisfaction and SF-36 scores were examined at 1 and 2 weeks after surgery, and range of motion and DASH scores were reported at 4 and 12 weeks after surgery. Aesthetics, handling, and... Read More »
Level 2 RCT