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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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6%
②
Synopsis:
20 patients either with insertional or midportion chronic Achilles tendinopathy were randomized to receive eccentric training or conventional cryotherapy as treatment for this condition. The results indicated that following the 12 week treatment period, eccentric training resulted in reduced paratendinous blood flow, decreased pain, unchanged and preserved oxygen saturation, and reduced postcapillary venous filling pressures.
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Author verified Level 2 RCT
6%
②
Synopsis:
19 patients who underwent total hip arthroplasty were randomized to postoperative wound treatment using either the current standard of care or negative pressure wound treatment (NPWT) to determine its effects on post-operative seromas and wound healing. Results at 10 days indicated superior wound healing and a reduction in the occurrence of seromas, with only 44% of the NPWT group developing seroma compared to 90% of the standard dressing group.
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Level 2 RCT
6%
②
Synopsis:
10 studies (randomized controlled trials (RCT) or quasi-RCTs) were included in this analysis which evaluated the use of plating and intramedullary nailing as a method of fixation in humeral shaft fractures.Overall, 439 patients were assessed all together in the included studies, with data available on nonunion, delayed union, postoperative infection, and reoperation rates at a minimum of 12 months postsurgically.Pooled results indicated that similar incidence of nonunion, delayed union and infection occurred between treatment methods.While initially reoperation rates were better with the use of plating, a sensitivity analysis found no difference between methods. Postoperative shoulder complications...
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Level 2 Meta Analysis
6%
②
Synopsis:
20 patients with a clinical diagnosis of mid-substance Achilles tendinopathy were randomized to compare the efficacy of two nonoperative interventions: platelet-rich plasma (PRP) injections and an eccentric loading programme.Patients were evaluated over 6 months with the VISA-A questionnaire and the EuroQol 5-Dimension questionnaire (EQ-5D).The evidence presented in this study indicated that VISA-A score was better in the platelet-rich plasma (PRP) injection group compared to eccentric loading programme group, but this difference was not significant.Furthermore, no significant differences between groups were observed for the EQ-5D between groups, and no complications were associated with either treatment. This evidence demonstrates...
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Level 2 RCT
6%
②
Synopsis:
28 patients with Achilles tendinopathy were randomized to undergo eccentric heel-drop exercises, following either a do-as-tolerated protocol or the standard Alfredson protocol.The purpose of this study was to compare the two treatment approaches with respect to pain, function and satisfaction after 6 weeks.Results indicated that both study protocols yielded significant improvements in clinical outcomes at both 3 and 6 weeks, except for the standard group at 3 weeks, wherein Victorian Institute of Sport Assessment-Achilles (VISA-A) scores had significantly deteriorated.There were no significant differences between groups in pain intensity or functional outcomes at 6 weeks. Patient satisfaction was...
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Level 2 RCT
6%
③
Synopsis:
Fifty three articles, investigating 544,733 patients, were systematically reviewed to determine the predictive effects of preoperative characteristics on mortality after hip fracture.Data from 26 included studies was pooled to investigate the role of 13 preoperative factors. The evidence presented...
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Level 3 Meta Analysis
6%
②
Synopsis:
49 patients over the age of 50 undergoing surgical treatment for chronic insertional Achilles tendinopathy were randomly assigned to receive Achilles debridement alone or in conjunction with a flexor hallucis longus (FHL) tendon transfer.The purpose of this study was to determine whether the addition of FHL tendon transfer to the conventional Achilles debridement procedure further reduced pain and improved function up to 1 year post-operative.Outcomes were assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle/hindfoot score, a visual analogue scale (VAS) for pain, a patient satisfaction survey, and ankle and hallux plantar flexion strength.No significant difference between groups was observed for AOFAS ankle/hindfoot score, VAS for pain, or patient satisfaction. Significantly greater improvement...
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Level 2 RCT
6%
Synopsis:
82 patients scheduled for total knee arthroplasty were randomized to postoperative analgesia with either a preoperative motor-sparing block (MSB), which targeted the adductor canal and lateral femoral cutaneous nerves via a posterior injection under ultrasound or to intraoperative periarticular injection (PAI) analgesia.Patients were assessed for the time until the first request of rescue analgesia, quadriceps strength, and length of stay. Results demonstrated a...
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Conference Report
6%
Synopsis:
80 patients scheduled for primary total hip arthroplasty were randomized to surgery completed through either a lateral approach or a posterior approach.Primary outcomes were cup inclination and anteversion, as well as the number of cups placed outside of Lewinnek "target zone" (40+/-10deg inclination; 15+/-10deg anteversion). While results for...
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RCT
6%
②
Synopsis:
Eight randomized controlled trials were included in this meta-analysis which comparing negative pressure wound therapy and conventional dressings in wound management following open fracture. Pooled analysis demonstrated a significantly lower rate of infection among groups treated with negative pressure wound therapy compared to groups treated with conventional dressings.
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Level 2 Meta Analysis