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Synopsis: 22 studies (15 RCTs and 7 prospective cohorts) were included in this systematic review and meta-analysis to provide a comprehensive synthesis of evidence comparing anatomic double-bundle anterior cruciate ligament reconstruction (DB-ACLR) and anatomical single-bundle anterior cruciate ligament reconstruction (SB-ACLR) while accounting for the different drilling techniques applied.The results of this meta-analysis indicated that regardless of femroal drilling technique used (transtibial or independent) in SB-ACLR, DB-ACLR provided significantly greater rotational stability. The study also... Read More »
Level 2 Meta Analysis
5%
Synopsis: Sixty-four patients undergoing arthroscopic hip surgery were randomized to receive pericapsular injection (n=32) or lumbar plexus blockade (n=32) for post-operative pain control.The primary outcome of interest was pain on a numeric rating scale (NRS).Secondary outcomes included time to discharge from the post-anesthesia care unit (PACU), morphine equivalents received in the PACU, 10mg immediate-release oxycodone equivalents taken, patient satisfaction with pain control, and the incidence of nausea. The results revealed... Read More »
Author verified Level 1 RCT
5%
Synopsis: Fifty-eight patients undergoing a total hip arthroplasty were randomized to receive a pericapsular nerve blockade (n=29) or a supra-inguinal fascia iliaca compartment block (n=29).The primary outcomes of interest were Numeric Rating Scale (NRS) pain scores at rest and during movement.Secondary outcomes of interest included opioid consumption, quadriceps muscle strength, intra-operative anesthesia-relevant data (fentanyl dose; remifentanil dose; blood loss; anesthesia time) and post-operative hospitalization outcomes (post-anesthesia care unit stay; nausea; urinary retention; time to ambulation; length of stay; patient satisfaction).Results revealed significantly lower NRS pain scores at rest at 6 and 24 hours post-operation in the pericapsular block group. Otherwise, no differences... Read More »
Level 1 RCT
5%
Synopsis: 262 patients were assessed at the 10 year follow up of this randomized controlled trial comparing Oxidized Zirconium femoral heads with an ultra-high molecular weight polyethylene liner, Oxidized Zirconium femoral heads with a highly cross-linked polyethylene liner, and Cobalt Chrome femoral heads with a highly cross-linked polyethylene liner.Outcomes of interest included liner wear rate, incidence of osteolysis, clinical outcomes and complications. The group that... Read More »
Conference Report
5%
Synopsis: Eleven patients undergoing two-staged open reduction and internal fixation (ORIF) of an isolated pilon fracture were randomized to receive either 5ml of either autogenous leukocyte-reduce platelet-rich plasma (PRP) (n=5) or sterile 0.9% saline (n=6).The primary outcomes of this trial were to assess the number of post-traumatic osteoarthritis (PTOA)-related pro-inflammatory degradative biomarkers and anabolic biomarkers during the initial post-injury time period.The results of this trial illustrated that one intra-articular injection of leukocyte-reduced PRP is associated with anti-inflammatory, anti-degradative, and anabolic responses compared with the saline control. No adverse events... Read More »
Author verified Level 1 RCT
5%
Synopsis: Ninety-nine patients with at least 1 previous hip arthroplasty dislocation were randomized to receive standard care plus 12 weeks of hip bandaging to reduce hip range of motion (n=50) or standard care alone (n=49).The primary outcome of interest was the rate of redislocation after treatment.Secondary outcomes of interest included the Oxford Hip Score, Short Form 36 (SF-36) physical and mental component scores, and patient satisfaction.Intention-to-treat analysis results revealed no significant differences between the two groups in all outcomes. However, in the... Read More »
Level 1 RCT
5%
Synopsis: A meta-analysis of 14 randomized controlled trials was conducted to compare the effect of tourniquet use versus no tourniquet on infection during total knee arthroplasty.The outcomes assessed were superficial and deep infection, skin necrosis, skin blistering, transfusion rate, post-op hemoglobin drop, hospital stay, and deep vein thrombosis. Pooled analysis for... Read More »
Author verified Level 1 Meta Analysis
5%
Synopsis: One hundred and twenty patients undergoing total hip arthroplasty using the direct anterior approach were randomized to receive either closed incisional negative pressure therapy (ciNPT; n=60) or a silver-impregnated hydrofiber dressing (n=60).The primary outcomes of this trial were wound healing and surgical site complications 90 days postoperation.Additional outcomes such as debridement, the use of antibiotics, return to OR, and aspiration of a hematoma or seroma were also assessed.No significant differences in overall surgical site complication rate were observed, however, significantly more patients in the control group had a superficial surgical site infection, and more patients in the control group required topical antibiotics vs. Read More »
Level 1 RCT
5%
Synopsis: Seventy patients undergoing primary total hip arthroplasty were randomized to receive either preoperative methylprednisolone (n=35) or placebo (n=35).Outcomes such as pain and sleep quality were assessed at 24 hours and 2 weeks postoperatively, respectively.Pain was measured using the Visual Analog Scale (VAS) and sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Pain and sleep... Read More »
Level 1 RCT
5%
Synopsis: Seventy-two patients undergoing total knee arthroplasty were randomized to receive either a semirigid extension brace (n=35) or no intervention (n=36).Outcomes of interest were range of motion (ROM), Knee Society Score (KSS) and Functional KSS, pain scores using a Visual Analog Scale (VAS), and opioid consumption measured 1 day, 9 days, 1 month, and 1 year after surgery.The brace group showed significantly better outcomes for knee function (KSS) at 30 days. Range of motion... Read More »
Author verified Level 1 RCT