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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: 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
3%
Synopsis: One hundred and fifty-six patients undergoing total shoulder arthroplasty were included in this study comparing interscalene brachial plexus blockade with liposomal bupivacaine and ropivacaine or ropivacaine alone.Data was obtained from surgeries performed between June 1st 2017 and September 1st 2019.Outcomes of interest included post-operative pain scores, opioid consumption, length of hospitalization, and patient reported function.Results revealed significantly favourable post-operative pain scores from the day of surgery to post-operative day 1 in the liposomal bupivacaine group. Otherwise, no significant... Read More »
Conference Report
2%
Synopsis: Orthopaedic surgeries increased by a frequency of 28,200 from 2004 to 2016.Results revealed that the rate of 30-day adverse events increased over time for inpatient surgeries and was stable for out-patient surgeries.However, rate of in-hospital adverse events decreased by 3%.Predictors of higher odds of in-hospital and 30-day adverse events included older age, low income, living in urban areas, and having more co-morbidities.Hospitals with high surgeon volumes were associated with lower odd of in-hospital and 30-day adverse events. Being discharged home... Read More »
Conference Report
2%
Synopsis: 6 randomized controlled trials (RCTs) and 9 non-randomized controlled trials were included in the present investigation.The analysis was performed to determine if the fixation of midshaft clavicle fracture with intramedullary nailing could achieve superior surgical outcomes without compromising union rates or safety when compared to plate fixation.Significantly lower blood loss, operative time, surgical wound size, length of hospital stay, and time to union were reported in patients undergoing intramedullary fixation in comparison to plate fixation, as were significantly lower overall and major complications.Union rate, shoulder score, and secondary complications were found to be comparable between groups. However, these results... Read More »
Level 2 Meta Analysis
2%
Synopsis: 108 patients scheduled for total knee arthroplasty (TKA) were randomized to undergo either a computer-assisted minimally invasive total knee arthroplasty or conventional total knee arthroplasty.The computer-assisted minimally invasive total knee arthroplasty led to improved, early rate of functional recovery before one month. It demonstrated greater... Read More »
Level 1 RCT
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: 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
1%
Synopsis: The use of anticoagulants for lower limb outpatient procedures such as knee arthroscopy is varied, and questions remain.The authors performed a meta-analysis of nine randomized controlled trials. The interventions included low molecular weight heparin (LMWH), Rivaroxaban, and acetylsalicylic acid (ASA), and comparators included no treatment, placebo, and compression stockings.A total of 4290 patients were included.Overall, they found no significant difference between pharmacologic interventions and controls in terms of symptomatic venous thromboembolism (excluding distal deep vein thrombosis (DVT)).There were significantly fewer symptomatic distal DVTs in the treatment group. Overall, the authors... Read More »
Level 1 Meta Analysis
1%
Synopsis: Forty-nine thousand, five hundred and ninety-seven patients aged 60 years or older from Ontario who underwent either total hip arthroplasty or hemi-arthroplasty for the treatment of displaced femoral neck fractures were included in this retrospective study examining clinical outcomes and associated factors with each procedure.A matched cohort of 9,238 patients was used to compare clinical outcomes.Outcomes of interest included the risk of hip dislocation, revision surgery, and death.Results of the study found a higher risk of 1-year revision surgery and dislocation in the total hip arthroplasty group compared to the hemi-arthroplasty group. The risk of... Read More »
Conference Report