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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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AAOS 2022: INSITE Trial - Intramedullary Nailing vs Sliding Hip Screw for Trochanteric Hip Fractures
Synopsis:
850 ambulatory patients with low-energy intertrochanteric hip fractures were randomized to receive internal fixation using an intramedullary nail (n=423) or sliding hip screws (n=427).The primary outcome of interest was quality of life on the EuroQol-5D (EQ5D) at 1 year post-operation.Secondary outcomes of interest included revision and fracture healing rates (at 13 weeks), adverse events, Parker mobility scores, and Harris Hip scores, measured at 1 year post-operation. Results revealed no...
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Conference Report
14%
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...
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Conference Report
8%
②
Synopsis:
60 patients with an isolated, full-thickness supraspinatus tear were randomized to either receive two postoperative ultrasound-guided injections of platelet-rich plasma or to no adjunct postoperative intervention.Patients were evaluated over a mean of 3.5 years for MRI (Sugaya classification) and clinical outcomes (QuickDASH, Oxford Shoulder Score, and Constant Score).At a mean of 3.5 years, there were no significant differences in clinical scores between groups, with the exception of a greater score on the abduction subscale of the Constant score in the PRP group. MRI outcomes were...
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Level 2 RCT
5%
Synopsis:
86 patients randomized to receive arthroscopic rotator cuff repair with acromioplasty (n=25/41 completed follow up) or without acromioplasty (n=31/45 completed follow up) were re-assessed from a multicentered, randomized controlled trial.Outcomes of interest included the Western Ontario Rotator Cuff score (WORC) and incidence of re-operation/revision.Mean follow up was 11 years post-operation. No significant differences...
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Conference Report
5%
①
Synopsis:
One hundred and two patients undergoing hip arthroscopy were randomized to receive a transmuscular quadratus lumborum block (TQLB, n=51) with pericapsular injection or pericapsular injection alone (n=51).The primary outcomes of interest was the numerical rating scale (NRS).Secondary outcomes of interest included opioid utilization in the PACU, PACU recovery time, quadriceps strength and adverse events.There was no significant difference in initial PACU pain scores between groups.Similarly, PACU opioid consumption, total time spent in the PACU and quadriceps strength was similar between groups.No differences in adverse events were noted.
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Conference Report
2%
②
Synopsis:
74 patients with an impacted proximal humeral fracture were randomized to undergo one of two nonoperative treatments.The first group underwent an immediate mobilization therapy (within 72 hours of the fracture) while the second group underwent a conventional immobilization protocol. Results indicated that...
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Level 2 RCT
2%
Synopsis:
156 patients, aged 16-90 years of age, with A1-3 or C1 distal femur fractures were randomly assigned into 1 of 2 groups to compare the effectiveness of treatment with retrograde nailing or locked plates.Results demonstrated no significant difference between either treatment options in any of the functional results, but a trend towards better outcomes in favour of retrograde nailing was noticed. Additionally, Short Musculoskeletal...
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Conference Report
2%
①
Synopsis:
Data from 7 RCTs (n=286) was pooled to determine a superior method of fixation between nonoperative and operative interventions for complex proximal humeral fractures (3- and 4- part fracture).Pooled analysis included investigations of functional outcomes, complications, and additional surgery.The evidence presented in this trial demonstrated comparable functional outcomes between operative and nonoperative measures. While complications were...
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Author verified Level 1 Meta Analysis
2%
Synopsis:
40 patients scheduled for total shoulder arthroplasty were randomized to either a stemless implant or a standard stemmed implant.Clinical and radiographic outcomes were assessed over 5-year follow-up.After 5 years, Constant scores did not significantly differ between groups. No cases of...
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RCT
2%
Comparing knee stability, subjective function, and OA development between DB & SB ACL reconstruction
②
Synopsis:
60 patients requiring anterior cruciate ligament (ACL) reconstruction were randomized to either double-bundle reconstruction or single-bundle reconstruction.Patients were assessed for instrumented anteroposterior knee laxity (KT-2000), subjective function, objective functional performance on hop tests, and osteoarthritis development over 6-year follow-up.Results demonstrated no significant differences in any outcome measure between the two groups. One case of...
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Level 2 RCT