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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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7%
①
Synopsis:
Forty-three patients with displaced Lisfranc injuries were randomized to receive open reduction and internal fixation (ORIF, n=22) or primary arthrodesis (PA, n=21).The primary outcome was the Visual Analogue Scale Foot and Ankle (VAS-FA) score at 24 months.Secondary outcomes included subscales of the VAS-FA (pain, function, and complaints) and the American Orthopaedic Foot & Ankle Society (AOFAS) Midfoot Scale, assessed at 6, 12, and 24 months.Overall, the results revealed no significant differences in VAS-FA or AOFAS scores between the two groups across all follow-up points.Both ORIF and PA appear to be viable initial surgical methods for displaced Lisfranc injuries. However, the study...
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Level 1 RCT
7%
①
Synopsis:
Eight studies including 548 patients with trigger finger were included in this systematic review and meta-analysis comparing percutaneous A1 pulley release versus open A1 pulley release.Pooled outcomes of interest included revision rates, complication rates, postoperative pain, patient satisfaction, and return to normal activity.The meta-analysis found no statistically significant differences between the two techniques in the need for revision (p = 0.27), complication rates (p = 0.84), or postoperative pain (p = 0.54). The main findings...
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Level 1 Meta Analysis
4%
①
Synopsis:
12 randomized controlled trials (788 patients) comparing the use of a minimally invasive medial midvastus approach (MMV-TKA) versus the standard medial parapatellar total knee arthroplasty (MP-TKA) were included in this systematic review and meta-analysis.Outcomes of interest included the Knee Society Score (KSS), knee pain on a Visual Analog Scale (VAS), knee function on a Normalized Function Scale, knee range of motion (ROM), time to straight leg activity, incidence of loose outboard support belt use, operative time, length of stay, blood loss, and incidence of postoperative complications.KSS scores, VAS pain scores, and knee joint flexural activity at 3 months, and days of straight leg raises were significantly better in the MMV-TKA group.Operative time was significantly shorter in the MP-TKA group. All other outcomes...
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Level 1 Meta Analysis
4%
①
Synopsis:
This systematic review and meta-analysis included 21 studies comprising 1,356 patients diagnosed with plantar fasciitis comparing platelet-rich plasma (PRP) therapy versus other conservative treatments.Pooled outcomes of interest were pain (visual analog scale, VAS), plantar fascia thickness (PFT), foot function (Foot Function Index, FFI), and functional scores (American Orthopaedic Foot and Ankle Society, AOFAS).PRP showed significantly greater reductions in pain scores compared to ESWT, CSI, and placebo, and it improved AOFAS scores more than CSI and placebo.However, no consistent superiority was observed in PFT and FFI outcomes. These findings suggest...
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Level 1 Meta Analysis
4%
①
Synopsis:
1,022 patients with primary knee osteoarthritis were randomized to receive either 2 grams of intrawound vancomycin powder (n=507) or no vancomycin (control, n=515) before arthrotomy closure.The primary outcome of interest was the incidence of periprosthetic joint infection (PJI) or surgical site infection (SSI).Secondary outcomes included rates of minor wound complications, reoperation rates, and nephrotoxicity incidence.Outcomes were assessed up to 12 months postoperatively.Overall, the study found no significant difference in PJI/SSI rates between the two groups. However, the vancomycin...
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Level 1 RCT
3%
②
Synopsis:
351 patients with a meniscus tear and knee osteoarthritis (OA) were randomized to either undergo arthroscopic partial meniscectomy (APM) followed by a physical therapy program or physical therapy alone, in order to compare clinical and functional outcomes. Following treatment over a 12 month period, all patients improved similarly in WOMAC physical-function score, KOOS pain score, and SF-36 physical-activity score.
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Author verified Level 2 RCT
3%
①
Synopsis:
One hundred twenty-six patients aged over sixty were randomized to receive preoperative oral rehydration solution (ORS; n=63) or to undergo conventional overnight fasting (n=63).The primary outcome of interest was the occurrence of transient myocardial electrocardiographic ischemic changes within 30 minutes post-spinal anesthesia induction.Secondary outcomes included hemodynamic parameters and intraoperative complications such as hypotension and tachycardia, assessed up to 30 minutes post-induction.Overall, the results of the study revealed that the ORS group had significantly fewer ischemic changes and better hemodynamic stability compared to the fasting group. These findings suggest...
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Level 1 RCT
3%
①
Synopsis:
482 patients with a first-time traumatic anterior shoulder dislocation were randomized to receive either one session of advice + supporting materials + the option to self-refer to physiotherapy (n=240) or the same advice + supporting materials plus an additional program of physiotherapy (n=242).The primary outcome of interest was the Oxford shoulder instability score (OSIS) at 6 months.Secondary outcomes of interest included the Disablities of the Arm, Shoulder, and Hand (QuickDASH) score, EuroQol-5 Dimensions (EQ-5D-5L) score, and the incidence of complications.Outcomes were assessed at 6 weeks, 3, 6, and 12 months.Overall, the results of the study revealed no significant differences in OSIS scores between the two groups at six months.All secondary outcomes were similar between the two groups at all time points. The additional program...
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Author verified Level 1 RCT
3%
①
Synopsis:
Eleven studies, encompassing 749 patients with midshaft clavicle fractures, were included in this systematic review and meta-analysis, which compared the outcomes of intramedullary fixation versus plate fixation in midshaft clavicle fractures.The outcomes of interest included the incidence of postoperative wound infection, surgical incision length, operative time, blood loss, and hospital stay.The analysis revealed that intramedullary fixation demonstrated a lower risk of postoperative wound infection (OR, 5.92; 95% CI, 2.46, 14.27 p < 0.0001), smaller surgical incisions (MD, 6.57; 95% CI, 4.90, 8.25 p < 0.0001), shorter operative time (MD, 17.09; 95% CI 10.42, 23.77 p < 0.0001), less blood loss (MD, 63.62; 95% CI, 55.84, 71.39 p < 0.0001), and a shorter hospital stay (MD, 1.05; 95% CI, 0.84, 1.25 p < 0.0001). However, no statistical...
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Level 1 Meta Analysis
3%
①
Synopsis:
One hundred twenty-four patients with full-thickness medium-to-large posterosuperior nonacute rotator cuff tears were randomized to receive transosseous-equivalent (TOE) repair alone (n=63) or TOE repair augmented with a bioinductive collagen implant (BCI) (n=61).The primary outcome was retear rates, evaluated via MRI at 12 months.Secondary outcomes included tendon thickness, structural integrity, and clinical measures such as pain and functional scores.At one year, the BCI group demonstrated a significantly lower retear rate (p=0.010) and improved tendon structural quality.Clinical outcomes improved in both groups without differences between them. Overall, the study...
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Level 1 RCT