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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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Comparison between Volar Locking Plate & Kirschner Wire Fixation for Unstable Distal Radius Fracture
①
Synopsis:
Fourteen randomized controlled trials involving 1,450 patients with unstable distal radius fractures were included in this systematic review and meta-analysis comparing volar locking plate (VLP) fixation and Kirschner wire (K-wire) fixation.Pooled outcomes of interest included DASH scores, PRWE scores, grip strength, range of motion (ROM), radiographic parameters, complication rates, and reoperation rates.The analysis showed that VLP fixation was associated with improved DASH scores, grip strength, and ROM at early follow-up points but exhibited minimal differences at 12 months.Radiographically, VLP fixation resulted in better volar tilt but did not improve other parameters. Overall, VLP fixation...
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Level 1 Meta Analysis
6%
①
Synopsis:
One hundred eighty-three patients with indications for primary uncemented total hip arthroplasty were randomized to receive Trident hemispheric components (n=91) or Trilogy components (n=92).The primary outcome was the prevalence of postoperative noises, with secondary outcomes including quality of life (EQ-5D-3L), pain (EQ-VAS), and activity levels (UCLA scale).Outcomes were assessed at 3 and 12 months postoperatively.Overall, the study found no significant differences in the prevalence of noises between the two groups.Both groups showed comparable improvements in quality of life and functional status. These findings suggest...
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Level 1 RCT
6%
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
6%
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
4%
①
Synopsis:
Eight studies, including 615 patients who underwent total hip arthroplasty (THA), were analyzed in this systematic review and meta-analysis comparing the Direct Anterior Approach (DAA; n=303) to the Postero-Lateral Approach (PLA; n=312).Pooled outcomes of interest included surgical site infection rate, duration of the operation, length of incision, and pain scores using the visual analog scale (VAS) after surgery.The meta-analysis revealed no statistically significant difference in wound infections between DAA and PLA.However, DAA was associated with a shorter incision length, longer operative times, and lower postoperative pain VAS scores within 6 weeks. Additional research is...
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Level 1 Meta Analysis
4%
①
Synopsis:
Three hundred and eleven patients with degenerative knee osteoarthritis or rheumatoid arthritis scheduled for primary total knee arthroplasty were randomized to receive either the limb occlusion pressure (LOP) method (n=154) or the systolic blood pressure (SBP) method (n=157) for determining tourniquet pressure.The primary outcome of interest was post-operative thigh pain.Secondary outcomes included knee range of motion (ROM), blood loss, wound complications, and the quality of the bloodless surgical field.Outcomes were assessed from postoperative days 1 to 3 and at six weeks.Overall, the study revealed that the LOP method required lower tourniquet pressures and resulted in significantly less post-operative thigh pain with better early postoperative knee ROM. The findings suggest...
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Level 1 RCT
4%
①
Synopsis:
1629 patients with complex lower limb fractures were randomized to receive negative pressure wound therapy (NPWT, n=813) or standard wound dressings (n=816) after surgical fixation.The primary outcome was the Disability Rating Index (DRI).Secondary outcomes included health-related quality of life (EQ-5D), pain (VAS), neuropathic pain (DN4), and complications.Outcomes were assessed annually for up to five years.Overall, the study revealed no significant differences between the groups in DRI scores, quality of life, pain levels, or complications over five years.Both groups reported persistent high disability and reduced quality of life. The findings suggest...
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Level 1 RCT
2%
②
Synopsis:
59 patients (>18 years of age) who were diagnosed with mallet finger (with or without fracture) and who had undergone continuous splint/cast immobilization and hyper-extension intervention (6-8 weeks), were randomly assigned into 1 of 2 treatment groups to determine the effect of an additional one month of night splinting on extensor lag.Participants either received an additional one month intervention with a night splint following their continuous splinting period or received no additional intervention (control). Results from the...
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Author verified Level 2 RCT
2%
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...
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Author verified Level 2 RCT
2%
①
Synopsis:
27 randomized and quasi-randomized trials that investigated safety outcomes in patients undergoing either endoscopic or open carpal tunnel release for carpal tunnel syndrome were included in this meta-analysis.The study was conducted to determine whether earlier concerns regarding the safety of endoscopic release in comparison to an open approach were still applicable presently.The study found that previous drawbacks of an endoscopic release such as high reoccurrence and reoperation rates have been gradually lessened to where they are now comparable with rates in an open approach.Total and major complications are also comparable between groups, whereas minor occurrences were significantly less frequent following endoscopic release. Return to activity...
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Author verified Level 1 Meta Analysis