To focus on specific sub specialties check/uncheck boxes on left
Uncheck All
27%
19%
13%
10%
9%
8%
4%
4%
3%
2%
1%
<1%
<1%
Displaying
100%
5%
Testing of noninferiority of PT vs partial meniscectomy on knee fuction in meniscal tear treatment
②
Synopsis: 321 patients with a nonobstructive mensical tear were randomized to either an 8-week physical therapy program or to arthroscopic partial meniscectomy.The primary purpose of this study was to determine if the PT group was noninferior to the APM for outcome on the International Knee Documentation Committee (IKDC) subjective score at a noninferiority margin of 8pts. When analyzed in... Read More »
Author verified Level 2 RCT
3%
Decompression of no statistical benefit over sham, and no clinical benefit over exercise for SIS
②
Synopsis: 210 patients with shoulder impingement syndrome were randomized to one of three treatment groups: arthroscopic subacromial decompression, diagnostic arthroscopy (sham surgery), or an exercise therapy program.Primary outcomes were pain at rest and pain during activity, and follow-up was performed over 24 months.Analyses demonstrated no statistically significant differences in pain scores between the arthroscopic subacromial decompression group and the diagnostic arthroscopy group. Additionally, while statistically... Read More »
Level 2 RCT
3%
Dislocation and suture failure rates lower with tendon-to-bone vs. tendon-to-tendon repair in THA
②
Synopsis: 168 patients scheduled for total hip arthroplasty through a posterolateral approach were randomized to posterior soft tissue repair through either a tendon-to-bone or tendon-to-tendon method.Patients were assessed over the first 1 year postoperatively for incidents of hip dislocation and suture failure.Cases of suture failure were assessed using No.26 metal wire placed at an interval of 1.2cm apart during surgery, and then monitored for cases of increase in width between markers of 2.5cm or more during subsequent follow-up. Both dislocation rates... Read More »
Level 2 RCT
2%
Patient-reported pain and function over 52 weeks between unloader brace vs. placebo for knee OA
②
Synopsis: 150 patients with Kellgren-Lawrence or Ahlback grade I-II knee osteosrthritis were randomized to either an active or placebo unloader brace.Patients were followed for 52 weeks for outcome related to patient-reported function on the Knee Society Score (KSS) and Knee Injury and Osteoarthritis Outcome Score (KOOS).In general, changes from baseline to 52 weeks in scores were greater in the unloader brace group compared to placebo brace group, with statistical significance demonstrated for the KOOS pain, sport/rec, and QoL subscales. However, difference between... Read More »
Level 2 RCT
2%
Post-Achilles tendon repair elongation unaffected by weightbearing protocol used after surgery
②
Synopsis: 75 patients following acute Achilles tendon rupture repair were randomized to one of three postoperative weightbearing protocols: restricted weightbearing to 7 weeks and no ankle mobilization exercises (LWB+IMMOB), restricted weightbearing to 7 weeks with ankle mobilization exercises (LWB+MOB), or complete weightbearing by 5 weeks with ankle mobilization exercises (EWB+MOB).Primary outcome was tendon elongation over 52-week follow-up. Over follow-up, no... Read More »
Level 2 RCT
2%
Long-term outcome of surgery favoured over physiotherapy alone for subacromial impingement syndrome
②
Synopsis: 87 patients with subacromial impingement were randomized to one of three treatment groups: arthroscopic acromioplasty, open acromioplasty, or to a physiotherapy program.Patients were followed-up for a minimum of 10 years after intervention, with outcomes related to subjective function (Constant score), shoulder range of motion, shoulder strength in abduction, and ultrasonic and radiographic evaluations.At final follow-up, Constant score was significant greater in the open acromioplasty compared to physical therapy alone, and range of motion in elevation was significantly greater in both the arthroscopic and open acromioplasty groups compared to the physical therapy alone. However, range of... Read More »
Level 2 RCT
2%
Short-term function better with arthroscopic release vs. hydrodilatation for primary frozen shoulder
②
Synopsis: 50 patients with idiopathic frozen shoulder were randomized to either arthroscopic capsular release or hydrodilitation under fluoroscopy.Primary outcome was function on the Oxford Shoulder Score, while secondary outcomes included health-related quality of life and shoulder range of motion.Follow-up was scheduled for 6 weeks, 3 months, and 6 months. Results demonstrated significantly... Read More »
Level 2 RCT
2%
Percent tunnel widening reduced with cartilage fragment insertion within graft in ACL reconstruction
②
Synopsis: 116 patients scheduled for anterior cruciate ligament reconstruction were randomized to an autologous hamstring tendon graft with or without supplemental augmentation with cartilage fragments sutured within the femoral side of the graft.The purpose of this study was to determine if augmentation with cartilage fragments led to reduced femoral tunnel widening after 2 years.MRI assessment of the graft, including signal intensity and signal-noise quotient, was also performed, and clinical scores were obtained. Results for the... Read More »
Level 2 RCT
2%
C. acnes decolonization with benzoyl peroxide vs chlorhexidine gluconate ahead of shoulder surgery
①
Synopsis: 80 patients scheduled for shoulder arthroscopy or arthroplasty were randomized to preoperative skin washing over the first 2 days before surgery and on the day of surgery consisting of either 5% benzoyl peroxide or 4% chlorhexidine gluconate.Patients had samples taken immediately after perioperative skin preparation from skin sites corresponding with anterior, lateral, and posterior arthroscopic portals, as well as the axilla.Samples were also taken from the nonoperative shoulder to act as a negative control.Samples were tested for Cutibacterium acnes (C.acnes) colony forming unit counts.Results demonstrated that reduction in C.acnes CFU count relative to the nonoperative shoulder was significantly greater at the anterior and posterior sites in the BPO group compared to the CHG group, while differences at the lateral and axilla sites were not significant. No case of... Read More »
Level 1 RCT
2%
No difference in 10-yr clinical outcome and survivorship between mobile- and fixed-bearing TKA
②
Synopsis: 240 patients scheduled for total knee arthroplasty were randomized to either a mobile-bearing tibial component, a modular-metal-backed fixed-bearing tibial component, or an all-polyethylene fixed-bearing tibial component.The purpose of the current study was to report 10-year survivorship, clinical scores, and range of motion between the three groups. Results at 10... Read More »
Level 2 RCT