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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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Synopsis: 1079 patients with a femoral neck fracture were randomized to fixation using either a sliding hip screw or multiple cancellous screws.Patients were assessed over a 24-month postoperative period for rates of reoperation.Overall, no significant difference between groups was observed in reoperation rate: 19.7% following fixation with a sliding hip screw group and 21.8% following fixation with multiple cancellous screws. While the rate... Read More »
Conference Report
3%
Synopsis: 528 patients with end-stage medial compartment knee osteoarthritis were randomized to undergo either unicompartmental knee arthroplasty or total knee arthroplasty.Patients were followed for 1-year postoperatively.Results demonstrated significantly greater function on the Oxford Knee Score and satisfaction among those who underwent UKA in comparison to TKA. The rate of... Read More »
Conference Report
3%
Synopsis: 1543 patients undergoing knee arthroscopy (POT-KAST trial) and 1519 patients undergoing casting of the lower leg (POT-CAST trial) were randomized to receive or not anticoagulant therapy.The aim of these studies was to examine the efficacy of thromboprophylaxis in these groups of patients.The result of these trials indicated that the use of low-molecular-weight heparin did not reduce the rate of symptomatic venous thromboembolism in either patient population compared to no anticoagulant treatment. Read More »
Level 2 RCT
2%
Synopsis: 188 young patients (<25yo) scheduled for ACL reconstruction were randomized to undergo the procedure with or without the addition of lateral extra-articular tenodesis.Patients were assessed at 6- and 12-month follow-up for limb symmetry index (LSI) (discrepancy between operated and contralateral limbs) in hop test functional performance, measures of quadriceps strength, measures of hamstring strength, patient-reported function, and pain.Results demonstrated significantly lower LSI for hop tests, quadriceps torque and power, and patient-reported function at 6 months in those who received lateral extra-articular tenodesis compared to those who did not. By 12 months,... Read More »
Conference Report
2%
Synopsis: 142 knees, in 84 patients, with moderate severity osteoarthritis were randomized to intraarticular injection of either platelet-rich plasma or hyaluronic acid.Patients were assessed over 12- and 24-week follow-up for results on the Knee Society Score and a visual analog scale for pain. While the HA... Read More »
Conference Report
2%
Synopsis: Eight randomized controlled trials were included in this meta-analysis comparing the results of intra-articular steroid injection to either sham injection or no injection in the treatment of frozen shoulder.Results were pooled at 4-6 weeks, 12-16 weeks, and 24-26 weeks.Pain scores were significantly lower following IA steroid injection versus control at all three time intervals.Shoulder range of motion was also reported to be greater following IA steroid injection versus control. Results from clinical... Read More »
Conference Report
2%
Synopsis: 120 patients scheduled for total knee arthroplasty were randomized to one of four groups for wound closure: knee in flexion with the tourniquet deflated; knee in flexion with the tourniquet inflated; knee in extension with the tourniquet deflated, or knee in extension with the tourniquet inflated.The purpose of this study was to compare knee range of motion, pain, function, and wound complication rate at 1 week, 4 weeks, and 3 months follow-up.The knee flexion plus tourniquet deflated group demonstrated significantly greater knee ROM at 4 weeks postoperatively compared to the other three groups, and significantly lower pain scores at 1 week compared to all three groups.Results at 3 months demonstrated no significant between-group differences for either outcome measure.There were no significant differences in the incidence of wound complications or knee society scores between the 4 groups. Read More »
Level 2 RCT
2%
Synopsis: 58 patients scheduled for dual plate fixation of a displaced distal humerus fracture were randomized to ulnar nerve management with either simple decompression or anterior transposition.The primary outcome was ulnar nerve symptoms on the Ulnar Nerve Entrapment Score.Secondary outcomes included patient-reported outcome measures, the two-point discrimination test, and nerve conduction studies.Follow-up was performed over 1 year postoperatively. Results demonstrated no... Read More »
Conference Report
1%
Synopsis: 40 patients with a symptomatic partial supraspinatus tear were randomized to receive a subacromial injection of either platelet-rich plasma or corticosteroid (triamcinolone acetonide).The purpose of this study was to compare clinical, functional, and radiological outcomes at 6-week, 12-week, and 6-month follow-up between groups. Results demonstrated significantly... Read More »
Author verified Level 2 RCT
1%
Synopsis: 100 patients scheduled for arthroscopic repair of a partial-thickness rotator cuff tear were randomized to either an in situ repair or completion of the tear followed by repair.Patients were followed for a minimum of 12 months postoperatively for clinical scores of pain and function, and MRI to assess tendon integrity and retear rate.Results demonstrated no significant differences between groups in either the American Shoulder and Elbow Surgeon (ASES) Score, the Constant score, the Simple Shoulder Test, and a visual analog scale for pain over the first year after surgery. Retear rate did... Read More »
Conference Report