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4%
Synopsis: 115 patients who had undergone the surgical fixation of supination external rotation type 2, 3, or 4 ankle fractures were randomized to three different forms of postoperative management; unprotected weight bearing, protected weight-bearing, and unprotected non-weight-bearing.Functional outcomes were assessed using the Olerud Molander Ankle Score (OMAS) at 6 weeks, 12 weeks, 6 months, and 1 year.At 6 weeks, the unprotected weight-bearing group demonstrated significantly better OMAS scores compared to the other forms of postoperative management. There were no... Read More »
Conference Report
4%
Synopsis: Ten randomized controlled trials were included in this meta-analysis that compared pain and functional outcomes between intraarticular platelet-rich plasma injection (PRP) and either intraarticular hyaluronic acid (HA) injections or saline injections in knee osteoarthritis treatment.Outcomes were assessed at 6 and 12 months postinjection.In comparison to HA injections, PRP injections demonstrated similar pain and functional outcomes at 6 months postinjection, and significantly better pain and functional outcomes at 12 months postinjection.The effect sizes compared to HA for pain and function at 12 months exceeded the MCID, however, these findings should be interpreted with caution as only a few studies could be pooled for these outcomes. Results from one... Read More »
Level 1 Meta Analysis
3%
Synopsis: 103 patients with an unstable syndesmotic injury associated with a malleolar fracture were randomized to syndesmotic stabilization with either a Tightrope device or two cancellous screws.Malreduction was assessed on CT at 3 months.Functional outcome and reoperation rate were followed-up for 12 months postoperatively.The incidence of malreduction and reoperation were both significantly lower in the Tightrope group compared to the screw group. Functional outcomes did... Read More »
Conference Report
2%
Synopsis: 120 patients with Kellgren-Lawrence grade II-III knee osteoarthritis were randomized to one of three intra-articular injection groups: platelet rich plasma, hyaluronic acid, or ozone.The purpose of this study was to compare visual analog scores (VAS) for pain and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for pain, stiffness, and function over a 12-month follow-up.The results demonstrated a marked decrease in all outcome measures within the first month in all three groups, followed by a regression at subsequent follow-ups.Between-group differences were identified, with lower scores generally observed in the PRP and HA groups compared to the ozone group at 1, 3, and 6 months.By 12 months, scores in the ozone group had returned to baseline, while scores in the PRP and HA groups were lower, relatively. Also at 12... Read More »
Level 2 RCT
2%
Synopsis: Ten randomized controlled trials and prospective cohort studies were included in this meta-analysis that compared function, complication rate, and reoperation rate between early weight-bearing (within 2 weeks) and late weight-bearing (4-6 weeks) after ankle fracture.At 6 weeks, functional scores significantly favoured early weight-bearing, while functional scores at 1 year were similar between early and late weight-bearing groups. Incidences of nonuion,... Read More »
Conference Report
2%
Synopsis: 320 patients with a distal tibial fracture were randomized to fixation with either an intramedullary nail or a locking plate.Patients were assessed for disability and function after 3, 6, and 12 months follow-up.Complications were recorded, and economic analysis was performed.Clinical measures were reported to significantly favour intramedullary nail fixation after 3 months, though differences at 6 and 12 months were reported to not significantly differ between the two fixation types. The Economic evaluation... Read More »
Conference Report
2%
Synopsis: 1108 patients with a hip fracture were randomized to fixation through either a sliding hip screw or cancellous screws.The outcomes of interest included reoperation rate and patient-reported outcome measures (PROMs) over a 24-month follow-up.The overall rate of reoperation for any reason did not significantly differ between groups, 20% in the sliding hip screw group and 22% for patients in the cancellous screws group. Rates of implant... Read More »
Level 1 RCT
2%
Synopsis: 31 patients with a distal femur fracture scheduled for open reduction and internal fixation were randomized to either immediate weight bearing or touch-down weight bearing after surgery. Rates of union by final follow-up, failure, and mortality were not reported to differ significantly between the two groups. Read More »
Conference Report
2%
Synopsis: 120 patients undergoing total knee arthroplasty who had a BMI over 30 kg/m2 were included in this trial to determine the effectiveness of using a stemmed modular tibial implant in comparison to a standard tibial modular implant in obese patients.Randomization into the two group was stratified by the severity of obesity (moderate and severe).Patients were followed up over a two year period for pain and functional outcomes (KSS, KOOS, and VAS Pain).The results indicated that the use of a stemmed modular tibial implant was associated with significantly higher function and lower pain at 2 years postoperatively when compared to a standard modular tibial implant.No significant differences were observed for the incidence of revision or radiolucency of the tibial component within the first 2 years postoperatively.The significant differences observed in this study are not likely to be clinically important as they failed to meet minimum clinically important differences for the patient report outcomes. Read More »
Author verified Level 2 RCT
1%
Synopsis: Eight randomized controlled trials were included in this network meta-analysis comparing function, adverse events, and subsequent surgery rates between primary nonoperative treatment, open reduction and internal fixation (ORIF), hemiarthroplasty, and reverse total shoulder arthroplasty (TSA).The only significant difference observed in functional outcome favoured reverse TSA in comparison to hemiarthroplasty. ORIF was associated... Read More »
Conference Report