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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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100%
27%
①
Synopsis:
In this meta-analysis, fifteen randomized controlled trials were included to compare operative (ORIF with locked plates, locked IMN, cemented, uncemented, nonmodular or modular hemiarthroplasty, and reverse shoulder arthroplasty) versus non-operative treatment for proximal humeral fractures.Outcomes of interest were normalized function, pain on the Visual Analog Scale (VAS), and the incidence of reoperation.In the pooled analysis comparing operative treatment with nonoperative treatment, no differences were found between all outcomes. When comparing ORIF...
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Level 1 Meta Analysis
13%
①
Synopsis:
34 geriatric patients with distal femoral fractures were randomized to receive double plating fixation (n=18) or distal femoral replacement (n=16).Outcomes of interest included functional, radiological, and safety outcomes measured up to 12 months.Range of motion at 1 month was better in the replacement group.However, KSS knee scores and range of motion at 12 months were significantly better in the double-plating group compared to the replacement group. No differences in...
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Level 1 RCT
9%
①
Synopsis:
Thirty patients with partial-thickness tears of the supraspinatus tendon were randomized to receive a platelet-rich plasma injection (n=15) or corticosteroid injection (n=15).The primary outcome of interest was tear size.The secondary outcome of interest was functional outcomes, measured with the American Shoulder and Elbow Surgeons (ASES) score and the Constant Murley (CM) score.Outcomes were measured at 6 months post-injection.The improvement from baseline in tear size at 6 months in the coronal and sagittal views was significantly greater in the platelet-rich plasma group. Similarly, ASES and...
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Level 1 RCT
9%
①
Synopsis:
50 patients with chronic biceps tendinopathy undergoing a subpectoral biceps tenodesis were randomized to receive the procedure with the elbow and forearm positioned in pronation-supination (n=25) or in a neutral position (n=25).Outcomes of interest included pain on a Visual Analog Scale (VAS), the American Shoulder and Elbow Surgeons (ASES) score, Constant scores, and flexion and supination force.Outcomes were measured up to 12 months post-operation.The results of this study found that placing the forearm in pronation-supination during the procedure significantly improved pain and functional outcomes (VAS; ASES) in the first 6 months compared to a neutral position. However, a statistically...
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Level 1 RCT
4%
②
Synopsis:
684 patients were randomized to compare clinical and functional outcomes of intra- and extramedullary implantation for trochanteric fractures over a 12 months period.Patients received either INTERTAN intramedullary nailing or extramedullary sliding hip screws, and were assessed on the basis of pain, function, fracture reduction, and complications experienced. The results indicated...
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Level 2 RCT
4%
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
4%
Synopsis:
1000 patients with an AO type A1-3 trochanteric fracture were randomized to fixation with either an intramedullary nail or a sliding hip screw.Patients were assessed for postoperative pain, mobility, and the incidence of complications over 1-year follow-up, as well as surgical outcomes during the perioperative stay.Subgroup analyses were performed for outcomes based on fracture type.No significant differences between IMN and SHS devices were found in either primary analyses or subgroup analyses when compared for the rates of implant cutout, device failure, nonunion, superficial infection, and deep infection.The only significant difference observed for clinical measures was lower pain among patients with an AO type 3 fracture treated with an IMN versus a SHS. No significant difference...
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RCT
4%
①
Synopsis:
1683 patients from 14 hospitals in Canada, Spain and the United States were included in this cluster-based randomized crossover trial comparing aqueous 10% povidone-iodine vs.4% chlorhexidine gluconate for skin antisepsis in patients undergoing open fracture surgery.The primary outcome of interest was the risk of surgical site infection.The secondary outcome of interest was the rate of unplanned re-operation within 365 days. Results revealed no...
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Level 1 RCT
4%
①
Synopsis:
Sixty patients with trigger finger were randomized to receive a single corticosteroid injection with a full-time static splint at the metacarpophalangeal joint (3 months) (n=30) or a single corticosteroid injection alone (n=30).The primary outcome of interest was the Numeric Pain Rating Scale (NPRS).Secondary outcomes of interest included Boston questionnaire scores for symptom severity and functional status, grip strength, and the stages of stenosing tenosynovitis.Outcomes were measured at 1 and 3 months follow-up.The results revealed significantly greater improvements in pain, symptom severity, and disease severity after 3 months in the splint group. Improvements in grip...
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Author verified Level 1 RCT
4%
Synopsis:
100 patients with knee osteoarthritis undergoing a total knee arthroplasty with enhanced recovery after surgery were randomized to receive limited tourniquet use (n=51) or conventional tourniquet use (n=49).Outcomes of interest included operative and lab parameters, muscle strength, and clinical outcome scores, measured up to 3 months post-operation. Despite limited tourniquet...
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