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You are viewing the most viewed ACE Reports by Orthopaedic Surgeons over the last 30 days in all specialties.
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①
Synopsis:
Ninety-six patients with rotator cuff tears smaller than 3 cm were randomized to receive either arthroscopic rotator cuff repair (ARCR) with leukocyte-poor platelet-rich plasma (LP-PRP) injection (n=48) or ARCR without PRP (n=48).The primary outcome was the retear rate, assessed via MRI at six months.Secondary outcomes included pain (VAS), functional scores (ASES, SANE), and sleep quality (PSQI), evaluated at six and twelve months postoperatively.Overall, the study found that the retear rate in the PRP group was significantly lower than in the control group (15.2% vs.34.1%, p = 0.037).However, there were no significant differences in functional outcomes between groups. The findings suggest...
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Level 1 RCT
4%
Micro-fragmented Adipose Tissue Versus Platelet-Rich Plasma for the Treatment of Knee Osteoarthritis
①
Synopsis:
One hundred and eighteen patients with symptomatic knee osteoarthritis were randomized to receive either intra-articular micro-fragmented adipose tissue injections (MF-AT; n=59) or platelet-rich plasma injections (PRP; n=59).The primary outcome of this trial was the change in International Knee Documentation Committee (IKDC) scores and pain subscale of the Knee Osteoarthritis Outcome Score (KOOS) from baseline to 6 months.Other outcomes such as KOOS subscales for functional improvement, EuroQol visual analog scale (EQ-VAS), EuroQol 5 Dimensions (EQ-5D), and Visual Analog Scale (VAS) for pain at 3, 6, 12, and 24 months.MRI findings using the Whole-Organ Magnetic Resonance Imaging (WORMS) score was also assessed.Statistically significant improvements in all clinical scores were apparent in the MF-AT group, except for EQ-VAS scores. IKDC and KOOS...
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Level 1 RCT
4%
①
Synopsis:
This systematic review and meta-analysis included 12 studies with a total of 1258 elderly patients diagnosed with knee osteoarthritis.The review compared the efficacy of minimally invasive arthroscopy combined with sodium hyaluronate (SH) against arthroscopy alone.The primary outcomes assessed were the efficiency rate, Visual Analogue Scale (VAS) scores for pain, Lysholm scores for knee function, and levels of pro-inflammatory cytokines (IL-1 and IL-6).The pooled results showed significant improvements in efficiency rate, pain reduction, knee function, and decreased inflammation for the combined treatment group. These findings suggest...
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Level 1 Meta Analysis
4%
①
Synopsis:
141 patients undergoing total knee arthroplasty were randomized to receive either a cementless implant (n=76) or a cemented implant (n=65).Outcomes of interest included Oxford Knee Score (OKS), Knee Society Function Score, Forgotten Joint Score (FJS), percentage of normal knee, patient satisfaction, incidence of revision, and the incidence of reoperation.Outcomes were assessed at 2 and 6 years post-operation.There were no differences in all outcomes at 2 and 6 years except for patient satisfaction which was significantly better in the cementless group. The rate of...
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Level 1 RCT
3%
①
Synopsis:
A total of 127 patients with primary osteoarthritis were randomized to receive either a vitamin E-diffused polyethylene acetabular liner with 32 and 36mm diameter (vE-PE; n=26 & n=30, respectively) or a cross-linked polyethylene acetabular liner with 32 and 36mm diameter (XLPE; n=33 & n=38, respectively).The primary outcome of interest was femoral head component wear measured by head penetration after 10 years.Secondary outcomes included acetabular component migration and patient-reported outcome measures (PROMs) such as the EuroQol five-dimension questionnaire (EQ-5D), 36-Item Short-Form Health Survey (SF-36), Harris Hip Score (HHS), and University of California, Los Angeles Activity Scale (UCLA).Outcomes were assessed up to ten years.Overall, the results of the study revealed that head penetration was significantly lower in the vitamin E-diffused polyethylene liner groups compared to the cross-linked polyethylene liner groups, with no significant difference between head sizes.There were no significant differences in outcomes related to head size or in most PROMs, except for the UCLA Activity Scale. This suggests that...
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Level 1 RCT
3%
①
Synopsis:
192 patients with unilateral, symptomatic knee osteoarthritis were randomized to receive 3 weekly intra-articular injections of leukocyte-rich platelet-rich plasma (n=96) or leukocyte-poor platelet-rich plasma (n=96).The primary outcome of interest was the International Knee Documentation Committee (IKDC) score at 12 months.Secondary outcomes of interest included the Knee Injury and Osteoarthritis Outcomes Score (KOOS) sub-scales, the Tegner scale for activity/sporting level, and Euro-QoL Visual Analog Scale (EQ-VAS) for quality of life. No significant differences...
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Level 1 RCT
3%
①
Synopsis:
Thirty patients with chronic non-specific neck pain were randomized to receive either exercise training (n=10), exercise combined with cervical self-mobilization training (n=10), or exercise combined with cervicothoracic self-mobilization training (n=10).The primary outcome of interest was neck pain reduction.Secondary outcomes included improvements in cervical ROM, strength, and endurance of deep neck flexor muscles, neck disability, and quality of life.Outcomes were assessed before and after 6 weeks of intervention.Overall, the results revealed that all interventions improved neck pain, cervical ROM, and quality of life, but the combination of exercise and cervicothoracic self-mobilization showed the most significant improvements, particularly in lateral flexion ROM and pain reduction. This suggests that...
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Level 1 RCT
2%
①
Synopsis:
Eight randomized controlled trials, including 689 patients with chronic neck pain, were included in this systematic review and meta-analysis comparing telerehabilitation versus control interventions.Pooled outcomes of interest included pain intensity, disability, fear-avoidance beliefs, and quality of life.The meta-analysis showed a significant reduction in pain and a significant reduction in disability in the telerehabilitation group compared to the control. The findings suggest...
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Level 1 Meta Analysis
2%
①
Synopsis:
Eighty patients undergoing arthroscopic hip surgery were randomized to receive either a fascia iliaca compartment block (FICB; n=39) or a pericapsular nerve group (PENG) block combined with a lateral femoral cutaneous nerve (LFCN) block (n=39).The primary outcome of interest was the rate of quadriceps weakness after nerve block.Secondary outcomes included muscle strength grading, static and dynamic pain scores, and quality of recovery on the second postoperative day.Outcomes were assessed over 48 hours.Overall, the results of the study revealed that the PENG block group had a significantly lower incidence of quadriceps weakness, lower pain scores, and improved postoperative recovery. The findings suggest...
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Level 1 RCT
2%
①
Synopsis:
Sixty-two patients with end-stage knee arthritis were randomized to receive either limited tourniquet application (n=31) or full tourniquet application (n=31) during primary unilateral total knee arthroplasty (TKA).The primary outcome of interest was the measurement of intraoperative, postoperative, total, and hidden blood loss.Secondary outcomes of interest included surgical field clearance, operative duration, and perioperative complications.Outcomes were assessed up to six months.Overall, the results of the study revealed no significant difference in total, hidden, or postoperative blood loss between the groups.However, mean intraoperative blood loss was significantly lower in the full-application group compared to the limited-application group. Limited tourniquet application...
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Level 1 RCT