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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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Synopsis:
19 trials were included in this meta-analysis comparing blood loss measures and complication rate between tourniquet use and no tourniquet use in total knee arthroplasty.For blood loss, intraoperative blood loss volume was significantly lower among tourniquet groups, though no significant differences between tourniquet and no tourniquet groups were observed in analyses of total blood loss and calculated blood loss. The incidence of...
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Conference Report
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Synopsis:
Five randomized controlled trials were included in this meta-analysis comparing the rates of venous thromboembolism and clinically-relevant venous thromboembolism after operative management of fractures in the tibia and distally between chemoprophylaxis groups and control groups. While a significant reduction in the incidence of venous thromboembolism overall was observed with chemoprophylaxis, no significant difference between groups was observed in the incidence of clinically-important venous thromboembolism.
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Conference Report
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AAOS2018: Comparing nonoperative, hemiarthroplasty, ORIF and rTSA for 3- and 4-part humerus fracture
Synopsis:
Eight randomized controlled trials were included in this meta-analysis comparing four different treatment options for 3- and 4-part humeral fractures in elderly patients: nonoperative management, open reduction and internal fixation (ORIF), hemiarthroplasty (HA), and reverse total shoulder arthroplasty (rTSA).The body of literature allowed comparison of rTSA to only HA, while nonoperative treatment, ORIF, and HA were all compared directly to each other. Pairwise comparisons identified...
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Conference Report
2%
①
Synopsis:
Three randomized controlled trials were included in this meta-analysis comparing pain and functional improvement between operative and nonoperative treatment for full-thickness rotator cuff tears.Follow-up was 12 months in each study. Results demonstrated that...
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Author verified Level 1 Meta Analysis
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Synopsis:
57 patients with a displaced fracture of the distal third of the clavicle were randomized to operative treatment with open reduction and internal fixation (ORIF), or nonoperative treatment with sling immobilization.Patients were assessed primarily for outcome on the Disabilities of the Arm, Shoulder, and Hand (DASH) score at 1 year follow-up, with secondary outcomes included the Constant score and complications. The results demonstrated...
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Conference Report
1%
Synopsis:
154 patients scheduled for sequential bilateral total knee arthroplasty were randomized to undergo surgery with or without the use of navigation.Patients were assessed perioperatively for outcomes related to blood loss, and postoperatively up to 12 months for patient-reported function and pain.Groups demonstrated no significant differences in either total blood loss, drop in hemoglobin, or transfusion rates. Groups also demonstrated...
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Conference Report
1%
Synopsis:
31 patients who had undergone open reduction and internal fixation for an extraarticular, supracondylar distal femur fracture were randomized to either immediate weight-bearing as tolerated (WBAT) or a period of touch down weight-bearing (TDWB).Patients were assessed for the incidence of either catastrophic failure within 3 months or nonuion. Results demonstrated only...
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Conference Report
1%
Synopsis:
84 patients with a high-energy fracture of the pelvis or femur and scheduled for open reduction and internal fixation were randomized to perioperative intravenous tranexamic acid (TXA) or no tranexamic acid (control).Patients were assessed for calculated total blood loss, transfusion rate, number of units transfused, postoperative drop in hematocrit, and incidence of venous thromboembolic complications.Despite a significantly smaller drop in hematocrit in the TXA group, no significant differences between groups were observed in calculated total blood loss and transfusion rate. However, there were...
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Conference Report
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②
Synopsis:
40 patients with focal full-thickness articular chondral defects of the knee were randomized to surgery through either mosaicplasty or microfracture.Patients were assessed over a minimum of 15-year follow-up for the Lyshlom score, the rate of eventual knee arthroplasty, and if they would undergo the procedure again.Findings at 15 years demonstrated significantly better results on the Lysholm score in the mosaicplasty group compared to the microfracture group. A total of...
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Level 2 RCT
1%
Patient-specific instruments yield no significant effect on radiographic and clinical results in TKA
②
Synopsis:
108 patients scheduled for total knee arthroplasty were randomized to have the procedure completed with either custom cutting blocks (VISIONAIRE; Smith & Nephew) or standard intramedullary and extramedullary guides.Patients were assessed for mean and incidence of outliers in hip-knee-ankle angle, medial distal femoral angle (MDFA), and medial proximal tibial angle (MPTA) on long-leg standing radiographs, and mean femoral flexion angle and tibial slope on lateral radiographs.Operative time was also measured as a primary outcome.Secondary outcomes related to perioperative blood loss and function after 2 years were also collected.Results demonstrated that, while there were minor, significant differences in mean MDFA and MPTA between groups, overall lower limb alignment and incidence of outliers did not significantly differ between groups.A significant difference in operative time was observed between groups, with an approximate 11-minute reduction in the CCB group compared to the standard group. No significant difference...
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Level 2 RCT
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