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25%
17%
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100%
15%
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
13%
Synopsis: Forty-nine thousand, five hundred and ninety-seven patients aged 60 years or older from Ontario who underwent either total hip arthroplasty or hemi-arthroplasty for the treatment of displaced femoral neck fractures were included in this retrospective study examining clinical outcomes and associated factors with each procedure.A matched cohort of 9,238 patients was used to compare clinical outcomes.Outcomes of interest included the risk of hip dislocation, revision surgery, and death.Results of the study found a higher risk of 1-year revision surgery and dislocation in the total hip arthroplasty group compared to the hemi-arthroplasty group. The risk of... Read More »
Conference Report
10%
Synopsis: Sixty patients, over the age of 50, with acute, minimally displaced subcapital neck of femur fractures were randomly assigned into one of two groups to receive treatment with two-hole dynamic hip screws or cannulated screws.Results indicated that while both methods are effective in treating femoral neck fractures, neither one was superior. Functionality at 1... Read More »
Author verified Level 2 RCT
10%
Synopsis: 29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures.The primary outcome of interest was the rate of re-rupture.Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work.The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group.Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000.There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no... Read More »
Level 1 Meta Analysis
6%
Synopsis: Five randomized controlled trials were included in this meta-analysis which sought to investigate the efficacy of mesenchymal stem cell injections in patients with knee osteoarthritis.Included studies featured various control groups, including placebo injection, hyaluronic acid injection, and no injection, as well as various concomitant treatments, including high tibial osteotomy, microfracture, platelet rich plasma injection and hyaluronic acid injection.Accordingly, clinical heterogeneity was assumed.Data was pooled from 12-24 month time points. Analyses on visual... Read More »
Level 2 Meta Analysis
2%
Synopsis: 60 patients undergoing foot or ankle trauma surgery were randomized to receive 6 weeks of post-operative vitamin C supplementation or placebo.Outcomes of interest included pain on a Visual Analog Scale (VAS) at post-operative weeks 1, 2 and 6, total analgesic consumption in the first 6 post-operative weeks, and the Foot and Ankle Instrument (FAI) outcome at 3 months post-operation. The results of... Read More »
Level 1 RCT
2%
Synopsis: 75 patients undergoing open reduction and internal fixation procedures for ankle fractures were randomized to receive wound closure via a simple interrupted, vertical mattress, horizontal mattress, Allogwer-Donati or running sub-cuticular suturing pattern.The outcomes of interest were mean incision perfusion and mean perfusion impairment. The study results... Read More »
Conference Report
1%
Synopsis: 91 patients with primary osteoarthritis of the knee, scheduled for a cemented total knee replacement (TKR), were randomized to be treated with or without a closed suction drain. At 6 weeks after surgery, it was found that the placement of a drain after the TKR surgery led to a lower incidence of hematoma formation; however, there was no difference in the joint effusion, and moreover similar clinical outcomes were recorded with and without the drain. Read More »
Level 2 RCT
1%
Synopsis: 32 patients (25 at last follow-up) with acute tarsometatarsal joint fractures or fracture dislocations were randomized to receive primary arthrodesis (PA) or primary open reduction and internal fixation (PORIF).This study evaluated whether the PA procedure produced improved functional outcomes and fewer secondary surgeries.The results at all-time points (3, 6, 12, 24 months) indicated that there were no physical function differences reported for Short Form-36 (SF- 36) and Short Musculoskeletal Function Assessment (SMFA) scores. The PA procedure... Read More »
Level 2 RCT
1%
Synopsis: 110 patients with femoral shaft fractures were randomized to receive intramedullary nailing of the femur with the use of a trochanteric portal or a piriformis fossa entry portal.The results of the 12-month study indicated that the two studied interventions did not differ in terms of hip function, muscle strength, and analog pain scale values. It was also... Read More »
Author verified Level 1 RCT