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22%
17%
15%
14%
8%
6%
6%
4%
3%
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100%
7%
Synopsis: 115 patients who had undergone the surgical fixation of supination external rotation type 2, 3, or 4 ankle fractures were randomized to three different forms of postoperative management; unprotected weight bearing, protected weight-bearing, and unprotected non-weight-bearing.Functional outcomes were assessed using the Olerud Molander Ankle Score (OMAS) at 6 weeks, 12 weeks, 6 months, and 1 year.At 6 weeks, the unprotected weight-bearing group demonstrated significantly better OMAS scores compared to the other forms of postoperative management. There were no... Read More »
Conference Report
4%
Synopsis: 1108 patients with a hip fracture were randomized to fixation through either a sliding hip screw or cancellous screws.The outcomes of interest included reoperation rate and patient-reported outcome measures (PROMs) over a 24-month follow-up.The overall rate of reoperation for any reason did not significantly differ between groups, 20% in the sliding hip screw group and 22% for patients in the cancellous screws group. Rates of implant... Read More »
Level 1 RCT
3%
Synopsis: Ten randomized controlled trials were included in this meta-analysis that compared pain and functional outcomes between intraarticular platelet-rich plasma injection (PRP) and either intraarticular hyaluronic acid (HA) injections or saline injections in knee osteoarthritis treatment.Outcomes were assessed at 6 and 12 months postinjection.In comparison to HA injections, PRP injections demonstrated similar pain and functional outcomes at 6 months postinjection, and significantly better pain and functional outcomes at 12 months postinjection.The effect sizes compared to HA for pain and function at 12 months exceeded the MCID, however, these findings should be interpreted with caution as only a few studies could be pooled for these outcomes. Results from one... Read More »
Level 1 Meta Analysis
3%
Synopsis: 31 patients with a distal femur fracture scheduled for open reduction and internal fixation were randomized to either immediate weight bearing or touch-down weight bearing after surgery. Rates of union by final follow-up, failure, and mortality were not reported to differ significantly between the two groups. Read More »
Conference Report
2%
Synopsis: 140 patients with a medial malleolar fracture and required screw fixation were randomized to fixation completed with either one or two screws.Patients were assessed over 2-year follow-up for outcomes related to function, symptomatic hardware, and hardware removal. Throughout the 2-year... Read More »
Conference Report
2%
Synopsis: 103 patients with an unstable syndesmotic injury associated with a malleolar fracture were randomized to syndesmotic stabilization with either a Tightrope device or two cancellous screws.Malreduction was assessed on CT at 3 months.Functional outcome and reoperation rate were followed-up for 12 months postoperatively.The incidence of malreduction and reoperation were both significantly lower in the Tightrope group compared to the screw group. Functional outcomes did... Read More »
Conference Report
2%
Synopsis: 964 patients, over the age of 60, with an intracapsular fracture of the hip and scheduled for hemiarthroplasty, were randomized to receive either a cemented, Exeter modular stem with a Unitrax femoral head, or to receive a cemented, Thompson monoblock stem.Groups were assessed for quality of life on the EQ-5D at 4 months postoperatively. No statistically significant... Read More »
Conference Report
2%
Synopsis: 320 patients with a distal tibial fracture were randomized to fixation with either an intramedullary nail or a locking plate.Patients were assessed for disability and function after 3, 6, and 12 months follow-up.Complications were recorded, and economic analysis was performed.Clinical measures were reported to significantly favour intramedullary nail fixation after 3 months, though differences at 6 and 12 months were reported to not significantly differ between the two fixation types. The Economic evaluation... Read More »
Conference Report
2%
Synopsis: 30 patients with an ankle fracture scheduled for open reduction and internal fixation were randomized to closure using either an Allgower Donati suture or a vertical mattress suture technique.Patients were assessed for postoperative incisional perfusion using laser-assisted indocyanine green angiography.Significantly higher perfusion scores were observed in the Allgower Donati group as compared to the vertical mattress group. One wound complication... Read More »
Conference Report
2%
Synopsis: Ten randomized controlled trials and prospective cohort studies were included in this meta-analysis that compared function, complication rate, and reoperation rate between early weight-bearing (within 2 weeks) and late weight-bearing (4-6 weeks) after ankle fracture.At 6 weeks, functional scores significantly favoured early weight-bearing, while functional scores at 1 year were similar between early and late weight-bearing groups. Incidences of nonuion,... Read More »
Conference Report