To focus on specific sub specialties check/uncheck boxes on left
22%
15%
13%
11%
9%
9%
7%
5%
5%
3%
1%
<1%
Displaying
100%
5%
Synopsis: 48 patients with a trimalleolar fracture featuring a posterior fragment with >25% articular involvement, >2mm displacement, and ankle instability were included in this study.Patients were randomized to the management of the posterior malleolus fragment using indirect reduction and anteroposterior fixation or direct reduction and posteroanterior fixation.The outcomes assessed over the 12-month follow-up included the quality of reduction, range of motion deficit, and complications.All fractures had healed completely by 3 months.The quality of reduction was significantly better with direct reduction and posteroanterior fixation. There was no... Read More »
Level 2 RCT
4%
Synopsis: 97 patients with an acute syndesmotic injury were randomized to surgical stabilization with either a suture button device or a syndesmotic screw.Patients were followed-up for results on function, pain, and radiological outcome over a 2-year follow-up.Results demonstrated that the suture button device was significantly favoured over a syndesmotic screw for functional outcome from 6 months to 2 years, for dynamic pain scores from 1 year to 2 years, and the rate of malreduction (ie. loss of reduction... Read More »
Author verified Level 2 RCT
2%
Synopsis: 30 blinded randomized controlled trials evaluating the use of hyaluronic acid injections in comparison to a placebo injection in patients with knee osteoarthritis were included in this systematic review and meta-analysis.The objective of this systematic review and meta-analysis was to compare the efficacy and safety of hyaluronic acid injections across different dosing regimens.At 3 months, data were available for 2-4 injection and 5+ injection groups.The 2-4 injection groups demonstrated significantly lower pain scores compared placebo (SMD -0.76 p<0.00001), while the 5+ injection groups did not demonstrate significantly lower pain compared to placebo (SMD -0.20; p=0.09).At 6 months, both the 2-4 injection group (SMD -0.36; p=0.008) and 5+ injection group demonstrated significantly lower pain compared to placebo (SMD -0.18; p=0.04).The single injection groups did not significantly reduce pain compared to placebo at 6 months (SMD -0.04; p=0.67).When looking at the incidence of adverse events, only the 5+ injection group demonstrated a significantly greater incidence compared to placebo (RR 1.67; p=0.02). Read More »
Meta Analysis
2%
Synopsis: 174 patients scheduled for primary unilateral total knee arthroplasty were randomized to postoperative intravenous acetaminophen, postoperative oral acetaminophen, or postoperative placebo, all of these treatments were given in addition to a multimodal analgesia regimen.Patients were assessed for analgesia outcomes, including pain scores and opioid consumption, within the postanaesthesia care unit and over the first 24 hours postoperatively. Results demonstrated no... Read More »
Level 2 RCT
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... Read More »
Level 2 RCT
2%
Synopsis: 70 patients scheduled for total hip arthroplasty were randomized to either the direct anterior approach or the direct lateral approach.Patients were followed up for biomarkers of muscle damage (myoglobin, creatine kinase, and lactate dehydrogenase), surgical outcomes including operative time and blood loss, pain and pain management outcomes, and complication rates.The only significant difference in biomarkers observed between groups was a smaller increase in myoglobin at 24 hours in the DDA group.Operative time for the series was on average significantly longer in the DAA group.Blood loss measures did not significantly differ between groups. Pain scores for... Read More »
Level 2 RCT
1%
Synopsis: 60 patients (84 knees) with Kellgren-Lawrence III-IV knee osteoarthritis undergoing total knee arthroplasty were included in this study to compare early postoperative outcomes between two different surgical approaches in an Asian population.Knees were randomized to undergo the procedure using a midvastus approach or a medial parapatellar approach.Patients were assessed for perioperative outcomes (tourniquet time, the number of lateral releases, postoperative blood loss volume, and time to discharge) and clinical outcomes over a 1-year follow-up (Knee Society Scores, knee pain, and function). The results of... Read More »
Level 2 RCT
1%
Synopsis: 429 patients scheduled for major orthopaedic surgery were randomized to nasal decolonization with either an off-the-shelf povidone-iodine solution, a specialized Skin and Nasal Antiseptic povidone-iodine solution (3M), or placebo saline swabs.Patients were assessed for Staphylococcus aureus (S.aureus) colonization of the nares.Nasal S.aureus colonization rate was assessed at 4 hours and 24 hours after decolonization.Similar numbers of patients in each group had positive baseline S.aureus colonization.At 4 hours, nasal colonization rate significantly differed between the three groups, and was lowest in the specialized SNA PI solution group. By 24 hours,... Read More »
Level 2 RCT
1%
Synopsis: 66 patients with plantar fasciitis were randomized to treatment with either dry needling or a corticosteroid injection.Patients were followed up for pain on a visual analog scale (VAS) from 3 weeks to 1 year after treatment.For the first 6 weeks after treatment, pain scores were significantly higher among patients treated with dry needling compared to corticosteroid injection.Pain scores at 3 and 6 months demonstrated no significant difference between groups. In contrast to... Read More »
Level 2 RCT
1%
Synopsis: 33 patients scheduled for ACL reconstruction were included in this study to compare the effects of different fixation methods on postoperative tunnel widening.Patients were randomized to reconstruction using aperture screw fixation or suspensory cortical button fixation. Tunnel volume was measured over a 6 month period using MRI and CT scans.The results at 6 months indicated no differences between the two groups for tibial tunnel volume (117.7+/-24.1% button group vs.113.9+/-10.3% screw group (p=0.565)). While the femoral... Read More »
Level 2 RCT