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Synopsis: Fifty patients with a previous longitudinal knee scar who were scheduled for a total knee arthroplasty were randomized to have the new incision placed anywhere within 8cm of the previous incision (n=25) or at least 8cm away (n=25).The primary outcome of interest was the incidence of necrosis and scar-related complications.Secondary outcomes of interest included the Knee Society Score (KSS), measured at 6 months post-surgery. The results demonstrated... Read More »
Level 1 RCT
4%
Synopsis: Seventy-two patients with end-stage knee osteoarthritis were randomized to undergo a robotic-assisted total knee arthroplasty (n=37) or a conventional manual total knee arthroplasty (n=35).Outcomes of interest included functional outcomes (Knee Society Score; WOMAC; range of motion), operative time and length of stay, the rate of lower limb vein thrombosis, and radiographic alignment and outlier rates, measured up to 90 days post-operation.The results found no difference in all functional outcomes between the two groups, with a longer operative time in the robotic group.However, alignment and the rate of outliers in the lateral tibial component was significantly better in the robotic group. No difference in... Read More »
Level 1 RCT
3%
Synopsis: Seventy-two patients undergoing orthopaedic surgery (32 completed follow-up and were included in the analysis) were randomized in this trial to receive either final wound closure using a suture (n=10), zipper (n=11), or Clozex surgical device closure (n=11).Outcomes of interest included skin closure time, surgeon satisfaction, scar evaluation on the Stony Brook Scar Evaluation Scale (SBSES) at 2 and 3 weeks post-surgery, patient satisfaction, and closure cost.Results revealed significantly faster closure and better SBSES scores in the Clozex group vs.suturing, as well as superior SBSES scores at 3 months vs.zipper closure.Zipper was significantly faster to apply than suture closure.No differences in patient satisfaction were observed between the two groups. The cost of... Read More »
Level 1 RCT
3%
Synopsis: Sixty patients with plantar fasciitis were randomized to receive an ultrasound-guided injection of platelet-rich plasma (n=30) or autologous blood product.The outcomes of interest included pain on a Visual Analog Scale (VAS) and the Foot and Ankle Disability Index (FADI), measured at 1, 3 and 6 months. Results revealed no... Read More »
Level 1 RCT
3%
Synopsis: Seventy-two patients undergoing total knee arthroplasty were randomized to receive either a semirigid extension brace (n=35) or no intervention (n=36).Outcomes of interest were range of motion (ROM), Knee Society Score (KSS) and Functional KSS, pain scores using a Visual Analog Scale (VAS), and opioid consumption measured 1 day, 9 days, 1 month, and 1 year after surgery.The brace group showed significantly better outcomes for knee function (KSS) at 30 days. Range of motion... Read More »
Author verified Level 1 RCT
3%
Synopsis: One hundred and twenty patients with adhesive capsulitis were randomized to receive up to 3 weekly corticosteroid injections into the coracohumeral ligament and inferior glenohumeral capsule (CHL + IGHC; n=60) or via the posterior glenohumeral recess (PGHR; n=60).The outcomes of interest included pain intensity on a Visual Analog Scale (VAS) and passive shoulder range of motion in abduction; external rotation; and internal rotation, assessed 2 and 4 months after the first injection.Results showed improvements in both groups over time, however, the improvement in pain scores and all range of motion outcomes were significantly better in the CHL+IGHC group vs. Read More »
Level 1 RCT
3%
Synopsis: One hundred and sixty-four patients with anterior cruciate ligament (ACL) ruptures were randomized to receive an ACL reconstruction augmented with either a lateral extracapsular tenodesis (LET) procedure or a modified iliotibial band tenodesis (MITBT) procedure.The outcomes of interest included the Tegner activity score, the ACL Quality of life (ACL QoL) Score, Knee Injury and Osteoarthritis Outcomes Scores (KOOS), and the rate of recurrence.Outcomes were assessed up to 2 years post-operation.Results revealed significantly favourable Tegner activity scores and a lower rate of medial meniscal tear and recurrent ACL tear in the MITBT group at 2 years.Moreover, ACL QoL scores, KOOS sports/rec scores, and KOOS quality of life scores were in favour of the MITBT group at 1 and 2 years. The KOOS activity... Read More »
Level 1 RCT
2%
Synopsis: Two hundred and thirty patients with a BMI >35m/kg^2 undergoing either total hip or knee arthroplasty were randomized to receive either negative pressure wound therapy (NPWT; n=115) or silver-embedded occlusive dressing (n=115).Complication rates, number of readmissions, and reoperations were assessed at 90 days. No significant differences... Read More »
Level 1 RCT
2%
Synopsis: Twenty four patients with unstable syndesmosis undergoing surgical fixation of supination-external rotation type ankle fractures were randomized to receive syndesmotic screw fixation (n=13) or no screw fixation (n=11).The primary outcome was function measured with the Olerud-Molander Ankle Outcome Score (OMAS).Secondary outcomes of interest included visual analogue scales (VAS) for pain and function as well as radiographic measurements.At long-term follow-up (mean 9.7 years), there was no significant differences in OMAS scores between groups. Similarly, there was... Read More »
Level 1 RCT
2%
Synopsis: Forty-eight patients with medial plica syndrome were randomized to receive an arthroscopic plica resection (n=24) or structured physiotherapy (n=24).Outcomes of interest included Lysholm scores, Kujala anterior knee pain scores, Visual Analog Scale (VAS) pain scores, and quality of life scores (extracted from the Knee Injury and Osteoarthritis Outcomes Score), measured at 3, 6, 12 and 24 months follow-up.Significantly better Lysholm scores, Kujala scores, and quality of life scores were observed with resection vs. physiotherapy at 2... Read More »
Author verified Level 1 RCT