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34%
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7%
AAOS2018: Tourniquet versus tourniquetless total knee arthroplasty
Synopsis: 19 trials were included in this meta-analysis comparing blood loss measures and complication rate between tourniquet use and no tourniquet use in total knee arthroplasty.For blood loss, intraoperative blood loss volume was significantly lower among tourniquet groups, though no significant differences between tourniquet and no tourniquet groups were observed in analyses of total blood loss and calculated blood loss. The incidence of... Read More »
Conference Report
4%
Operative versus nonoperative treatment for full-thickness rotator cuff tears
①
Synopsis: Three randomized controlled trials were included in this meta-analysis comparing pain and functional improvement between operative and nonoperative treatment for full-thickness rotator cuff tears.Follow-up was 12 months in each study. Results demonstrated that... Read More »
Author verified Level 1 Meta Analysis
3%
AAOS2018: Assessment of outcomes after sequential bilateral TKA with and without navigation
Synopsis: 154 patients scheduled for sequential bilateral total knee arthroplasty were randomized to undergo surgery with or without the use of navigation.Patients were assessed perioperatively for outcomes related to blood loss, and postoperatively up to 12 months for patient-reported function and pain.Groups demonstrated no significant differences in either total blood loss, drop in hemoglobin, or transfusion rates. Groups also demonstrated... Read More »
Conference Report
2%
AAOS2018: Repair vs. either decompression alone or conservative treatment for rotator cuff tear
Synopsis: Five randomized controlled trials were included in this meta-analysis comparing the outcomes of surgical repair and either subacromial decompression or conservative treatment. Meta-analysis of functional outcome scores demonstrated significantly favourable results of repair compared to both subacromial decompression alone or conservative treatment. Read More »
Conference Report
2%
AAOS2018: Routine chemoprophylaxis for VTE unnecessary in fractures of tibia and distally
Synopsis: Five randomized controlled trials were included in this meta-analysis comparing the rates of venous thromboembolism and clinically-relevant venous thromboembolism after operative management of fractures in the tibia and distally between chemoprophylaxis groups and control groups. While a significant reduction in the incidence of venous thromboembolism overall was observed with chemoprophylaxis, no significant difference between groups was observed in the incidence of clinically-important venous thromboembolism. Read More »
Conference Report
2%
Analgesic and antiemetic effect of perioperative IV dexamethasone in total hip arthroplasty
①
Synopsis: 110 patients scheduled for total hip arthroplasty were randomized to two perioperative intravenous administrations of either dexamethasone 10mg or placebo saline.Patients were assessed for inflammatory markers, analgesic outcomes, and antiemetic outcomes over the first 3 days postoperatively, as well as for the length of hospital stay.Inflammatory markers of C-reactive protein and interleukin-6 levels were significantly lower in the dexamethasone group compared to the placebo group on POD1-3.Despite no significant difference in VAS pain scores between groups, with the exception of during walking on POD1, the incidence of parecoxib use and total parecoxib consumption were significantly lower in the group that received dexamethasone. Additionally, the incidence... Read More »
Level 1 RCT
2%
Steroid injection into rotator interval favoured over IA & subacromial injection for frozen shoulder
Synopsis: 97 patients with symptomatic primary adhesive capsulitis for less than 9 months were included in this trial to compare the efficacy of three sites for corticosteroid injections.Patients were randomized to receive an injection of 1mL 40mg/mL triamcinolone acetonide with 2mL 2% lidocaine within the rotator interval along the coracohumeral ligament, in the intraarticular space, or in the subacromial space.All injections were performed under ultrasound guidance. At 12 weeks,... Read More »
Author verified RCT
1%
AAOS2018: 20-year results of serum cobalt, radiographic, and clinical outcome between MoM & CoP THA
Synopsis: 100 patients scheduled for total hip arthroplasty were randomized to metal-on-metal or ceramic-on-polyethylene articulation.A total of 20 patients were available for follow-up after 20 years.Patients were assessed for serum cobalt levels, radiographic outcomes, and clinical outcome on the Harris Hip Score.Median cobalt level among patients treated with MoM articulation was 1.04ug/L, and a total of two patients required reoperation due to metallosis. HHS after 20... Read More »
Conference Report
1%
ECRB release not significantly different than sham surgery for improvement of lateral epicondylitis
②
Synopsis: 26 patients with chronic lateral epicondylitis were randomized to mini-open release of the extensor carpi radialis brevis or to sham surgery of incision and exposure of the ECRB.The trial initially planned to randomize a total of 80 patients (40 per group), but difficulties in recruitment led to an interim analysis and premature termination. Based on the... Read More »
Level 2 RCT
1%
PRP injection more effective than corticosteroid injection after 12 weeks for gluteal tendinopathy
①
Synopsis: 80 patients with grade 2-3 gluteal tendinopathy were randomized to intratendinous injection of either platelet-rich plasma or corticosteroid (betamethasone).Patients were assessed over a 12-week follow-up for results on the modified Harris Hip Score.Results at 12 weeks demonstrated significantly higher scores on the mHHS in the PRP group compared to the CS group. Additionally, the rate... Read More »
Author verified Level 1 RCT