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You are viewing the most viewed ACE Reports by Orthopaedic Resident/Interns over the last 30 days in all specialties.
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8%
①
Synopsis:
559 patients undergoing hemiarthroplasty for femoral neck fractures were randomized to undergo either the posterolateral approach (PLA; n=275) or the direct lateral approach (DLA; n=284).The randomized controlled trial RCT) was done alongside a natural experiment (NE), which included 288 patients (n=172 DLA; n=116 PLA).The primary outcome of interest was quality of life at 6 months, measured using the Euro-Qol 5-Dimensions (EQ-5D-5L) questionnaire.Secondary outcomes of interest included EQ-5D-5L scores at 3 months, EuroQol Visual Analog Scale (EQ-VAS) at 3 and 6 months, and the incidence of dislocation, reoperation, good mobility, ADL independence, falls, and mortality, all at 6 months.In the RCT, all outcomes were similar at all time points between the two groups, except for the incidence of dislocation which was significantly higher in the PLA group. Similar quality of...
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Level 1 RCT
8%
①
Synopsis:
One hundred nine patients with severe hip osteoarthritis were randomized to receive either total hip replacement (n=53) or supervised resistance training (n=56).The primary outcome of interest was the change in the Oxford Hip Score from baseline to six months, which evaluates pain and function.Secondary outcomes included various dimensions of quality of life, physical activity levels, and functional performance tests.Outcomes were assessed at baseline and six months.Overall, total hip replacement demonstrated significantly greater improvements in hip pain and function compared to resistance training. The findings suggest...
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Level 1 RCT
5%
①
Synopsis:
Forty-eight patients with surgically repaired Achilles tendon ruptures were randomized to receive either standard loading (n=24) or delayed loading (n=24).The primary outcome of interest was the heel-rise height difference between the injured and uninjured sides at one year.Secondary outcomes included tendon length measured with MRI, muscle fascicle length and pennation angle of the gastrocnemius medialis, Doppler activity, Achilles tendon Total Rupture Score (ATRS), and isometric muscle strength.Outcomes were assessed for up to one year.Overall, the results of the study revealed no significant difference in heel-rise height deficit between the two groups.However, the delayed group had less Doppler activity at 12 weeks and a better ATRS at 52 weeks. These findings suggest...
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Level 1 RCT
5%
①
Synopsis:
Forty patients older than 50 years with chronic Achilles tendinopathy following Haglund deformity, who did not respond to conservative treatment, were randomized to receive either debridement and ostectomy alone (control group, n=20) or debridement and ostectomy with flexor hallucis longus (FHL) tendon transfer (FHL group, n=20).The primary outcome of interest was improvement in American Orthopaedic Foot & Ankle Society (AOFAS) ankle hindfoot scores and Victorian Institute of Sports Assessment Achilles (VISA-A) scores.Secondary outcomes included surgical complications and hallux function.Outcomes were assessed preoperatively and at one-year follow-up.Overall, the results indicated that while both groups showed significant improvements in AOFAS and VISA-A scores, the FHL group demonstrated greater improvements (P < .001), though the differences did not reach the minimal clinically important difference.There were no significant differences in surgical complications or hallux function between groups. These findings suggest...
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Level 1 RCT
5%
①
Synopsis:
This systematic review and meta-analysis included 10 randomized controlled trials involving patients diagnosed with knee osteoarthritis.The study compared arthroscopic surgery to various conservative treatments such as physical therapy, pharmacologic interventions, and placebo.Pooled outcomes of interest included pain relief, functional recovery (WOMAC and SF-36), and patient satisfaction.Results showed no significant differences in pain relief, functional recovery, or patient satisfaction between arthroscopy and conservative treatments. The findings suggest...
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Level 1 Meta Analysis
5%
①
Synopsis:
One hundred thirty patients undergoing primary total knee arthroplasty (TKA) for knee osteoarthritis were randomized to receive surgery with a tourniquet (n=65) or without a tourniquet (n=65).The primary outcome was quadriceps thickness.Secondary outcomes included quadriceps stiffness, operation time, intraoperative blood loss, postoperative blood loss, total blood loss, transfusion rate, thigh circumference, pain scores (VAS), D-Dimer and CRP levels, knee function scores, patient satisfaction, and complications.Outcomes were assessed up to two years postoperatively.Overall, the results revealed that the tourniquet group had significantly less total blood loss and intraoperative blood loss but greater postoperative blood loss and a higher D-Dimer level on postoperative day 3.Other clinical parameters, including quadriceps thickness, stiffness, pain scores, function scores, and complications, showed no significant differences between groups. These findings suggest...
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Level 1 RCT
2%
②
Synopsis:
36 patients with ankle sprains were randomized to receive a treatment using an elastic compression stocking or a standard treatment with Tubigrip tubular bandage.The primary outcome measure was the difference in health-related quality of life (QoL) between the two groups. Results indicated that...
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Author verified Level 2 RCT
2%
②
Synopsis:
154 patients with Dupuytren's disease were randomized to receive hand therapy either with or without nightly splinting for 6 months following fasciectomy or dermofasciectomy, in order to determine if splinting provided a beneficial effect to patients 1 year postoperatively.Patients were primarily assessed with the Disabilities of the Arm, Hand, and Shoulder questionnaire, and secondarily through total active flexion, total active extension, and patient satisfaction.The results of the study reflected no significant differences between the primary outcome or any of the secondary outcomes, and that there was no beneficial effect of nightly splinting combined with hand therapy.
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Author verified Level 2 RCT
2%
Synopsis:
2945 women presenting to orthopaedic injury clinics were included in this multinational survey study to investigate the prevalence of intimate partner violence (IPV).Female patients who met eligibility criteria at one of the 12 orthopaedic fracture clinics in Canada, USA, Denmark, the Netherlands, or India anonymously answered direct questions about physical, emotional and sexual IPV.Additionally, these patients completed the Women Abuse Screening Tool (WAST) and the Partner Violence Screen (PVS) questionnaires to determine the prevalence of women suffering from IPV within the past year and over their lifetime.Results indicated that approximately 1 in 6 women presenting to an orthopaedic injury clinics have experienced IPV in the past year, and 1 in 3 women experience IPV in their life time.In addition, 1 in 50 women were presenting to the clinic as a direct result of IPV.Few of the women had ever been asked about IPV by any physician. Most patients thought...
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Author verified RCT
2%
Synopsis:
18 studies (level II evidence and below) investigating the use of open simple or endoscopic release of idiopathic cubital tunnel syndrome were included in this systematic review to compare the clinical outcome and complication rates between these procedures.The results of the study demonstrated that open simple decompression and endoscopic decompression are both effective treatments for cubical tunnel syndrome.Assessments of complications did show that hematoma occurred in more patients receiving endoscopic treatment, but these cases were mostly managed conservatively.Contrastingly, endoscopic treatment was found to reduce medial antebrachial cutaneous (MABC) nerve injury and scar sensitivity when compared to open treatment. Further research is...
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