LOGIN
PeerView
You are viewing the most viewed ACE Reports by Orthopaedic Resident/Interns over the last 30 days in all specialties.
Displaying
100%
11%
①
Synopsis:
Twenty-nine elderly patients (≥80 years) with displaced 3- or 4-part proximal humerus fractures were randomized to receive reverse shoulder arthroplasty (RSA) (n=17) or nonoperative treatment (n=12).The primary outcome was the Constant score.Secondary outcomes included Disabilities of the Arm, Shoulder and Hand (DASH) score, range of motion (ROM), pain (VAS), SF-12, EQ-5D, and radiographic findings.Outcomes were assessed at a mean follow-up of approximately 7.5 years.Overall, the results revealed that RSA achieved significantly higher Constant scores and better ROM, with no significant differences in quality-of-life measures or pain.Radiographically, all nonoperative cases healed in malposition without revision, whereas one RSA patient required revision for dislocation. These findings suggest...
Read More »
Level 1 RCT
5%
②
Synopsis:
52 patients were randomized to receive one of two treatments for acute scaphoid fracture.One group underwent a surgical (internal fixation) procedure while the second group underwent a closed (cast treatment) procedure.The primary outcomes examined were total (indirect and direct) costs of either treatment as well as length of work absences.Results demonstrated that there was a higher total cost incurred from surgical treatment in both manual and non-manual workers. However, closed treatment...
Read More »
Level 2 RCT
5%
②
Synopsis:
79 women aged 40 years and older diagnosed with severe stage IV osteoarthritis (OA) were randomly assigned to undergo ligament reconstruction and tendon interposition (LRTI) of the basal thumb joint using either the Burton-Pellegrini (BP) or the Weilby technique.The BP technique uses a bone tunnel at the base of the thumb, while the Weilby technique does not.The purpose of this study was to compare the short- and long-term pain and physical function outcomes of both techniques.Findings suggested the BP technique prompted faster recovery than the Weilby technique, with better clinical outcome at 3 months. Outcome at 12...
Read More »
Author verified Level 2 RCT
5%
Synopsis:
40 patients scheduled for total shoulder arthroplasty were randomized to either a stemless implant or a standard stemmed implant.Clinical and radiographic outcomes were assessed over 5-year follow-up.After 5 years, Constant scores did not significantly differ between groups. No cases of...
Read More »
RCT
5%
②
Synopsis:
41 women with carpal tunnel syndrome were randomized to 8 weeks of nightly splinting with or without the addition of a single injection of platelet-rich plasma.Patients were followed up after 10 weeks from the beginning of treatment for results related to pain, outcome on the Boston Carpal Tunnel Questionnaire, and electrophysiological measures of peak latency of sensory nerve action potential (PL-SNAP) and onset latency of the compound muscle action potential (OL-CMAP). Results demonstrated no...
Read More »
Level 2 RCT
5%
①
Synopsis:
Eighty-two patients with chronic low back pain and lumbar disc herniation were randomized to receive ultrasound (n=31), short wave diathermy (n=31), or control therapy with hotpack, TENS, and exercise alone (n=20).The primary outcome was low back pain severity measured by the Visual Analog Scale (VAS).Secondary outcomes included the Modified Oswestry Disability Index (MODI) and health-related quality of life assessed with SF-36.Outcomes were measured immediately post-treatment, at one month, and at three months.Overall, the results showed significant improvements in VAS and MODI across all groups, with sustained disability reduction in the ultrasound and diathermy groups.Quality-of-life parameters such as physical and social function, vitality, and emotional well-being improved mainly in the active treatment groups. These findings suggest...
Read More »
Level 1 RCT
5%
①
Synopsis:
One hundred twenty-eight patients with knee osteoarthritis were randomized to receive prolotherapy with 5% dextrose (n=30), 10% dextrose (n=30), 20% dextrose (n=30), or exercise plus hotpack only (n=30).All prolotherapy groups received three injection sessions at weeks 0, 3, and 6, combined with a home exercise program and hotpack therapy.The primary outcome was pain assessed by VAS.Secondary outcomes included WOMAC scores, knee range of motion, timed up and go (TUG) test, and SF-36 quality of life scores.Outcomes were measured at baseline, 6 weeks, and 12 weeks.Overall, results showed that 10% and 20% dextrose groups had significantly greater pain reduction and functional improvements compared with exercise alone, while 20% dextrose also improved knee flexion. The findings suggest...
Read More »
Level 1 RCT
5%
①
Synopsis:
Eighty patients undergoing primary unilateral total hip arthroplasty for osteoarthritis, osteonecrosis of the femoral head, or developmental dysplasia of the hip were randomized to receive anterior iliopsoas muscle space block (AIMSB) combined with local infiltration analgesia (LIA) (n=40) or sham AIMSB with LIA (n=40).The primary outcome was cumulative morphine consumption within 24 hours after surgery.Secondary outcomes included pain scores at rest and during motion, time to first rescue analgesia, total morphine and intraoperative opioid use, postoperative recovery milestones, quality of recovery, quadriceps strength, and adverse effects.Outcomes were assessed up to two postoperative days.Overall, the AIMSB group had significantly lower opioid requirements, lower pain scores within the first 24 hours, faster recovery (earlier ambulation and discharge), and improved quality-of-recovery scores without motor weakness or increased complications. The findings suggest...
Read More »
Level 1 RCT
5%
Synopsis:
This abstract presents the 5-year results of the DelPhi Trial.124 elderly patients with severely displaced proximal humeral fractures were randomized to receive reverse total shoulder arthroplasty or plate fixation.65 patients completed the 5-year follow-up.The primary outcome of interest was the Constant Score.The secondary outcomes of interest included the Oxford Shoulder Score (OSS) and radiological measurements.Study findings revealed that reverse arthroplasty patients experienced significantly better Constant scores at 5 years compared to those who underwent plate fixation. This was especially...
Read More »
Conference Report
5%
①
Synopsis:
Sixty patients with knee osteoarthritis were randomized to receive either functional alignment (FA) (n=29) or adjusted mechanical alignment (aMA) (n=31) using a robotically assisted cruciate-retaining total knee arthroplasty.The primary outcome was the intraoperative kinematic pattern (medial pivot, symmetrical rollback, or lateral pivot) assessed with a pressure sensor after definitive implantation.Secondary outcomes included knee balance, range of motion, and multiple patient-reported outcome measures (PROMs) at 12 months.FA produced a medial pivot in 58.6%, symmetrical rollback in 37.9%, and lateral pivot in 3.4% of cases; aMA produced a medial pivot in 19.4%, symmetrical rollback in 45.2%, and lateral pivot in 35.5%.Medial pivot patterns were associated with higher Forgotten Joint Scores, EQ-5D VAS, and lower rest pain, whereas lateral pivot patterns were linked to lower Kujala scores.Overall, FA more consistently replicated native medial pivot kinematics, which correlated with better clinical outcomes compared to lateral pivot patterns. These findings suggest...
Read More »
Level 1 RCT