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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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AAOS 2022: INSITE Trial - Intramedullary Nailing vs Sliding Hip Screw for Trochanteric Hip Fractures
Synopsis:
850 ambulatory patients with low-energy intertrochanteric hip fractures were randomized to receive internal fixation using an intramedullary nail (n=423) or sliding hip screws (n=427).The primary outcome of interest was quality of life on the EuroQol-5D (EQ5D) at 1 year post-operation.Secondary outcomes of interest included revision and fracture healing rates (at 13 weeks), adverse events, Parker mobility scores, and Harris Hip scores, measured at 1 year post-operation. Results revealed no...
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Conference Report
9%
②
Synopsis:
60 patients with an isolated, full-thickness supraspinatus tear were randomized to either receive two postoperative ultrasound-guided injections of platelet-rich plasma or to no adjunct postoperative intervention.Patients were evaluated over a mean of 3.5 years for MRI (Sugaya classification) and clinical outcomes (QuickDASH, Oxford Shoulder Score, and Constant Score).At a mean of 3.5 years, there were no significant differences in clinical scores between groups, with the exception of a greater score on the abduction subscale of the Constant score in the PRP group. MRI outcomes were...
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Level 2 RCT
8%
Synopsis:
97 patients undergoing total hip arthroplasty were randomized to receive an opioid-free pain management protocol (n=47) or a standard, opioid-based pain management protocol (n=50).The primary outcome of interest was Numeric Rating Scale (NRS) pain scores at 24 hours or discharge.Secondary outcomes of interest included satisfaction with pain control, complications, and the Hip disability and Osteoarthritis Outcome Jr Score (HOOS Jr).Median follow up was 2 months (IQR 1, 11).Pain scores were not significantly different between the two groups at 24 hours.Satisfaction with pain control, HOOS Jr scores, anti-emetic use, and the rate of falls were similar between groups.Constipation occurred more frequently in the opioid-based group. 15% of patients...
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Conference Report
8%
Synopsis:
262 patients were assessed at the 10 year follow up of this randomized controlled trial comparing Oxidized Zirconium femoral heads with an ultra-high molecular weight polyethylene liner, Oxidized Zirconium femoral heads with a highly cross-linked polyethylene liner, and Cobalt Chrome femoral heads with a highly cross-linked polyethylene liner.Outcomes of interest included liner wear rate, incidence of osteolysis, clinical outcomes and complications. The group that...
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Conference Report
4%
①
Synopsis:
Eighty patients undergoing arthroscopic Bankart repair for anterior shoulder instability were randomized to receive an opioid-sparing postoperative analgesic protocol or a standard opioid based protocol.The outcomes of interest were recurrent instability, revision surgery, pain and satisfaction.There was no significant differences for any outcomes between groups. Based on the...
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Conference Report
4%
Synopsis:
86 patients randomized to receive arthroscopic rotator cuff repair with acromioplasty (n=25/41 completed follow up) or without acromioplasty (n=31/45 completed follow up) were re-assessed from a multicentered, randomized controlled trial.Outcomes of interest included the Western Ontario Rotator Cuff score (WORC) and incidence of re-operation/revision.Mean follow up was 11 years post-operation. No significant differences...
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Conference Report
4%
Synopsis:
A total of 78 patients were included in this randomized trial comparing an opioid-sparing and opioid-based pain protocol for pain management after total shoulder arthroplasty.Outcomes of interest included pain scores, opioid consumption, patient satisfaction, range of motion, patient-reported functional outcomes, complications, readmission and reoperation.Results revealed significantly lower opioid consumption up to 12 weeks post-operation, and higher patient satisfaction with pain management up to 6 weeks post-operation, in the opioid-sparing group. No differences in...
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Conference Report
3%
Synopsis:
40 patients scheduled for total shoulder arthroplasty were randomized to either a stemless implant or a standard stemmed implant.Clinical and radiographic outcomes were assessed over 5-year follow-up.After 5 years, Constant scores did not significantly differ between groups. No cases of...
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RCT
3%
Synopsis:
70 patients undergoing total shoulder arthroplasty were randomized to receive an interscalene block (n=37) or local infiltration analgesia (n=33) for post-operative pain control.Outcomes of interest included Visual Analog Scale (VAS) pain scores and opioid consumption, assessed up to 7 days post-operation.Results revealed no significant differences in VAS pain scores between the two groups at all time-points, with the exception of 8 hours post-operation, where local infilitration analgesia had a higher VAS pain scores vs.block.No differences in post-operative opioid consumption were observed, however, intra-operative opioid consumption was significantly higher in the local infiltration analgesia group. Local infiltration analgesia...
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Conference Report
3%
Synopsis:
60 patients were included in the interim analysis of a randomized trial comparing telerehabilitation and in-person rehabilitation.Outcomes of interest included the International Knee Documentation Committee (IKDC) and Visual Analog Scale (VAS) scores, measured at 3, 6 and 12 months post-operation. Results revealed no...
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Conference Report