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Synopsis: 41 patients, under the age of 60, undergoing NexGen cruciate-retaining total knee arthoplasty (TKA), were randomized to receive either a femoral aspect, which was cemented in place, or a non-cemented aspect.Participants were followed-up for 2 years postoperatively. The results of... Read More »
Author verified Level 1 RCT
2%
Synopsis: Eighty-five patients under the age of 55 and scheduled for bilateral total knee arthroplasty had one knee randomized to cementless fixation, and the other to cement fixation.The purpose was to determine if there was a difference between fixation types regarding component survival, clinical outcome, complications (ie.osteolysis) and revision.Follow-up was conducted for 16-17 years postoperatively.The results at final follow-up indicated that component survivorship was high and similar between groups. Clinical outcomes improved... Read More »
Level 2 RCT
2%
Synopsis: 220 patients with isolated pertrochanteric femoral fractures were randomized to receive surgical intervention with a short or long cephalomedullary nail.Primary outcomes of interest included the Short Form 36 (SF-36) questionnaire and the Harris Hip Score.Secondary outcomes of interest included implant failure, peri-implant failure, mortality, operative time, estimated blood loss and the incidence of re-operation.Outcomes were assessed up to 12 months post-operation.Results revealed significantly favourable 3 month Harris Hip scores, lower operative time and lower estimated blood loss in the short nail group compared to the long nail group. No significant differences... Read More »
Level 2 RCT
1%
Synopsis: 161 patients undergoing shoulder arthroplasty for primary shoulder osteoarthritis were randomized to either cemented fixation (control) of the humeral component or uncemented fixation in order to determine the potential of uncemented fixation to decrease operative time, while still providing stable fixation. Assessment, at follow-up to 24 months, demonstrated that the cemented arthroplasty group had superior clinical outcomes in the form of strength and function. Read More »
Author verified Level 2 RCT
1%
Synopsis: 210 patients admitted to the hospital with an AO/OTA 31-A2 fracture of the proximal part of the femur were randomized to be fixed with either a dynamic hip screw or a long gamma nail. At 1 year follow up, no differences in the clinical outcomes between the sliding hip screw and the long gamma nails for the fixation of AO/OTA 31-A2 fractures of the proximal femur were observed. Read More »
Level 2 RCT
1%
Synopsis: 190 patients with extracapsular intertrochanteric femoral neck fractures were randomized to receive treatment with the long intramedullary holland nail or the dynamic hip screw (DHS).The 1 year results of the study indicated that the Holland group demonstrated a significantly shorter time to mobilisation experienced no revisions; however, this group also indicated a higher mean radiation time. In addition, it... Read More »
Level 2 RCT
1%
Synopsis: 66 patients with post-traumatic elbow stiffness were randomized to receive either static progressive or dynamic splinting.The results from a 12 month follow-up indicated that there were no significant differences in flexion arc or DASH scores. Thus, the results... Read More »
Author verified Level 2 RCT
1%
Synopsis: 100 elderly patients (>65 years) with unstable ankle fractures requiring fixation were randomized to receive fibular nailing or standard open reduction and internal fixation (ORIF) using AO techniques.Over 12 months, there were significantly fewer wound infections in the fibular nail group than in the ORIF group.The cost of treatment for the fibular nail group was lower than that of the ORIF group, and the fibular nail group was also significantly happier with the condition of their scar.The results indicate that fibular nailing provides superior short term complication rates and cost-effectiveness compared to ORIF. However, the abstract... Read More »
Conference Report
1%
Synopsis: 317 children with distal forearm torus, minimally angulated greenstick, or nondisplaced stable epiphyseal fractures were randomized to receive a flexible below-elbow cast with home removal or a fiberglass below-elbow cast with hospital removal. The study determined that flexible below-elbow casts with home removal are safe and cost-effective alternatives to the traditional fiberglass casts with hospital removal. Read More »
Conference Report
1%
Synopsis: 33 patients (42 knees) with osteoarthritis or rheumatoid arthritis were randomized to receive a mobile bearing (MB) or a fixed bearing (FB) total knee replacement (TKR).Over 10 to 12 years, radiostereometric analysis (RSA) indicated that there was greater lateral translation, subsidence and posterior tilt in the FB prosthesis.However, there was greater internal rotation in the MB prosthesis. There were no... Read More »
Author verified Level 2 RCT