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Synopsis: Forty-three patients were included in this matched, cohort study comparing knee kinematic outcomes in patients undergoing total knee arthroplasty with either an anatomically designed Journey II implant or a traditionally designed Legion implant.Study outcomes at 3 months for the anatomical implant group and 2 years for the traditional implant group were compared. Results revealed that... Read More »
Conference Report
3%
Synopsis: A total of nine hundred and ninety-six paediatric patients who had osteomyelitis were included in the study. Sixteen percent of included patients required more than 1 surgery; factors associated with an increase in probability of needed more than 1 surgery for treatment of OM included a higher white blood cell count, peak C-reative protein, peak erythrocyte sedimentation rate and lower platelet count. Read More »
Conference Report
2%
Synopsis: 13 ACE reports (4 reviews/ meta-analyses, 9 RCTs) were included from the OrthoEvidence database that compared operative versus nonoperative or operative versus operative treatments for displaced midshaft clavicle fractures.The findings of this review demonstrated that surgical procedures led to a lower rate of nonunion and malunion with better functional outcome when compared to nonoperative treatment. Comparisons of operative treatments indicated that an optimal surgical procedure - between plate fixation, nailing, and pin fixation - could not be determined based on union rates or functional outcome. The results of... Read More »
ACE Review
2%
Synopsis: Two thousand, three hundred and nine paediatric patients presenting to the emergency department with an extremity injury requiring imaging were included in this study comparing the interpretation of radiographs by the emergency department physician and the official radiology report.The primary outcome of interest was the frequency and type of clinically significant discordant radiograph interpretations.Variables associated with the outcome of a clinically significant discordant radiograph interpretation were identified.Results revealed that 7.8% of radiographic interpretations by the emergency room physician were clinically significantly discordant with the result of the official radiology report.The odds of a discordant interpretation were significantly higher if the injury was in the region of the joint vs. another location, or... Read More »
Conference Report
2%
Synopsis: One hundred and three studies were included for analysis whereby all studies were non-randomized.The primary aim of the study was to evaluate the long-term trend in overall survival for patients with appendicular metastatic bone disease who underwent orthopaedic surgery for treatment within the last 50 years.No significant effect of mid-point study year on 1-year, 2-year, or 3-year survival were found (p=0.83; p=0.62; p=0.60, respectively).An association was not found between tumour severity score or 1-year survival. In general, no... Read More »
Conference Report
1%
Synopsis: 48 patients, with intra-articular distal humeral fracture or fracture-dislocation of the elbow with proximal radius or ulna fracture, were randomized to receive a single fraction of low dose radiation (700 cGY) within 3 days of surgery or a control.The study aimed to determine the role of radiation in preventing heterotopic ossification.At the 6 month follow up, the study had to be terminated prior to the completion due to significantly high numbers of non-unions with the radiation treatment. Hence, the efficacy... Read More »
Level 1 RCT
1%
Synopsis: 120 patients undergoing reconstruction of the anterior cruciate ligament (ACL) were randomized to one of four groups receiving different methods of ACL fixation.This study was designed to assess and compare these new fixation methods with long term clinical follow-up. The results from... Read More »
Author verified Level 2 RCT
1%
Synopsis: 40 patients were randomized to undergo posterior stabilisation with pedicle screws and interbody fusion with carbon cages filled with autologous bone from iliac crest with and without the addition of PRP.Addition of PRP did not lead to a substantial improvement or deterioration in comparison to autologous bone only.However, no inhibitory effect of PRP was observed on CT-scans either. The PRP costs... Read More »
Author verified Level 1 RCT
1%
Synopsis: 40 patients who underwent hindfoot and ankle surgery where randomly assigned to one of two groups based on whether their toes were covered by a sterile glove, or left uncovered at the time of their surgery.Outcomes were determined by examining 3 cultures obtained from the patient's foot (preoperatively, perioperatively and postoperatively). Results showed that... Read More »
Level 2 RCT
1%
Synopsis: 66 patients with comminuted subtrochanteric fractures were randomly assigned to receive one of two types of fixation devices during surgical treatment.One group underwent biological plating with a dynamic condylar screw (DCS) and the other group underwent intramedullary nailing with a Russell-Taylor reconstruction nail (RTRN). Results showed that... Read More »
Level 2 RCT