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8%
Synopsis: One hundred and seven patients with medial compartment osteoarthritis were randomized to receive unicompartmental knee arthroplasty (UKA; n=57) or total knee arthroplasty (TKA; n=50).The primary outcomes of this trial were to assess patient-reported outcomes such as Knee Injury and Osteoarthritis Outcome Score, Joint Replacement (KOOS, JR), Knee Society Score (KSS), Forgotten Joint Score (FJS), range of motion (ROM), and VR-12 global health scores at 6 weeks and 6 months follow-up.Radiographic and surgical complications were also recorded.The results of this trial showed no significant differences in KOOS, JR, KSS, and FJS at 6 weeks and 6 months follow-up. Significant differences were... Read More »
Level 1 RCT
3%
Synopsis: A meta-analysis of 13 trials and 1895 patients comparing patellar denervation to no denervation during total knee arthroplasty was performed.The primary outcomes of interest was the incidence of anterior knee pain.Secondary outcomes of interest were the American Knee Society Function Score, range of motion, patellar feller score, Oxford Knee score (OKS) and complications.The patellar denervation group demonstrated a significantly reduced incidence of anterior knee pain at all time points. No differences in... Read More »
Level 1 Meta Analysis
3%
Synopsis: Sixty patients with transverse patellar fractures undergoing operative fixation with tension band wiring technique were randomized to receive K-wire fixation (n=30) or 4.5mm cannulated screw fixation (n=30).The primary outcomes of interest were radiographic union, range of motion, function and complication rates.The cannulated screw group demonstrated significantly better postoperative range of motion at up to 12 weeks follow-up.The cannulated screw group also demonstrated earlier radiographic union.No differences in functional outcomes as measured by the Knee Society Score were noted. Hardware complications were... Read More »
Author verified Level 1 RCT
3%
Synopsis: Eighty-two patients with unstable intertrochanteric femoral fractures scheduled for femoral nailing were randomized to receive the procedure in the lateral decubitus position (n=42) or with the use of a traction table (n=40).Outcomes of interest included set-up time, surgical time, fluoroscopy exposure time, collodiaphyseal angle, tip-to-apex distance, and reduction quality.Results revealed significantly shorter setup time, surgical time, and fluoroscopy time in the lateral decubitus group.Collodiaphyseal was significantly greater in the lateral decubitus group vs.the traction table group. No significant differences... Read More »
Author verified Level 1 RCT
3%
Synopsis: 72 patients scheduled for an arthroscopic anterior cruciate ligament repair were randomized to receive semitendinosus graft harvesting using an inside-out technique (n=37) or an outside-in technique (n=35).The outcomes of interest included the incidence of area of paresthesia, the incidence of nerve injury, and adverse events, measured up to 12 months post-operation.Results revealed no significant differences between the two groups in the incidence of paresthesia or nerve injury.The area of paresthesia was significantly larger in the inside-out group at 6 months, but was not significantly different between groups at 12 months despite being twice as large in the inside-out group. The length of... Read More »
Level 1 RCT
3%
Synopsis: Five studies containing a total of 717 patients were included in this meta-analysis comparing femoral canal bone plugging (n=361) and no plugging of the femoral intramedullary canal (n=356).The pooled outcomes of interest included hemoglobin reduction, drained blood volume, and the need for blood transfusion.Studies found that patients who received femoral canal bone plugging had a significantly lower pooled hemoglobin reduction and a lower risk of blood transfusion compared to unplugged patients. No differences in... Read More »
Level 1 Meta Analysis
2%
Synopsis: Eighty-four patients with knee osteoarthritis scheduled for a primary unilateral total knee arthroplasty were randomized to receive 24 hours of continuous infusion of nefopam (n=42) or placebo (n=42).The primary outcome of interest was Visual Analog Scale (VAS) pain scores up to 48 hours post-operation.Secondary outcomes of interest included morphine consumption, adverse events, functional outcomes, sedation scores, and patient satisfaction.Other than VAS pain at rest at 6 hours post-operation, which was significantly lower in the nefopam group, no differences in pain scores were observed between the two groups in pain at rest or in motion up to 48 hours post-operation.Morphine consumption at 24-36 hours and in total was lower in the nefopam group. No differences were... Read More »
Level 1 RCT
2%
Synopsis: Ninety-nine patients with at least 1 previous hip arthroplasty dislocation were randomized to receive standard care plus 12 weeks of hip bandaging to reduce hip range of motion (n=50) or standard care alone (n=49).The primary outcome of interest was the rate of redislocation after treatment.Secondary outcomes of interest included the Oxford Hip Score, Short Form 36 (SF-36) physical and mental component scores, and patient satisfaction.Intention-to-treat analysis results revealed no significant differences between the two groups in all outcomes. However, in the... Read More »
Level 1 RCT
2%
Synopsis: Fifty elderly patients who were treated with cast immobilizers for their distal radial fractures were randomized to either stay in a cast for 4 weeks (n=26) or 6 weeks (n=24).The primary outcomes of this trial were to measure radiologic outcomes such as radial height (mm), volar tilt, union, and radial inclination (°) as well as functional outcomes such as pain and wrist condition.The results of this trial showed significantly favorable volar tilt angle in the 6-week group after 1-year follow-up when compared to the 4-week treatment group. No differences in... Read More »
Level 1 RCT
2%
Synopsis: One hundred and twenty-eight patients with isolated hip fractures were randomized to receive either comprehensive orthopedic care (n=63) or conventional orthopedic care (n=65).In addition to routine care, patients in the comprehensive orthopedic care group received preoperative psychological counseling and self-hypnosis.The primary outcomes of this trial were to assess the effects of an early intervention of risperidone, psychological counseling, and self-hypnosis on the incidence, severity, and outcomes of perioperative delirium using the Delirium Rating Scale (DRS-R-98).Post-operative outcomes such as hospital stay, infection, mortality, and lower extremity thrombosis were also recorded.The results of this trial found the duration, severity, and incidence of delirium to be significantly in favor of the comprehensive orthopedic care group vs.the conventional orthopedic care group. The hospitalization rate... Read More »
Level 1 RCT