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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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①
Synopsis:
Ninety-three patients with severe knee or hip osteoarthritis were randomized to receive either high-intensity interval training (HIIT; n=30), passive heat therapy (Heat; n=30), or home-based exercise (Home; n=33) as prehabilitation before total hip or knee arthroplasty.The primary outcome of interest was peak oxygen consumption (peak 𝑉𝑂2).Secondary outcomes included the anaerobic threshold, physical function measures, and subjective health assessments.Outcomes were assessed over a 12-week period.Overall, the results revealed that HIIT significantly improved peak 𝑉𝑂2V and the anaerobic threshold compared to the other groups.Heat therapy also increased the anaerobic threshold but not peak 𝑉𝑂2. These findings suggest...
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Level 1 RCT
4%
①
Synopsis:
Sixty male patients with unilateral ACL rupture undergoing autologous hamstring tendon reconstruction were randomized to receive either Nordic hamstring exercises with standard rehabilitation (n=30) or conventional rehabilitation alone (n=30).The primary outcome was muscle strength recovery measured by peak torque, total work, and average peak torque at 60°/s and 120°/s.Secondary outcomes included thigh circumference, Lysholm Knee Score, and knee stability tests (Lachman, anterior drawer, KT-1000).Outcomes were assessed preoperatively, and at 12 and 24 weeks postoperatively.Overall, the study showed that the Nordic hamstring group had significantly greater improvements in thigh circumference (p<0.001), hamstring strength (p<0.05 across multiple measures), and Lysholm Knee Score (97.4±3.0 vs 88.9±7.9, p=0.041). The findings suggest...
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Level 1 RCT
4%
①
Synopsis:
Eighty patients undergoing primary unilateral total hip arthroplasty for osteoarthritis, osteonecrosis of the femoral head, or developmental dysplasia of the hip were randomized to receive anterior iliopsoas muscle space block (AIMSB) combined with local infiltration analgesia (LIA) (n=40) or sham AIMSB with LIA (n=40).The primary outcome was cumulative morphine consumption within 24 hours after surgery.Secondary outcomes included pain scores at rest and during motion, time to first rescue analgesia, total morphine and intraoperative opioid use, postoperative recovery milestones, quality of recovery, quadriceps strength, and adverse effects.Outcomes were assessed up to two postoperative days.Overall, the AIMSB group had significantly lower opioid requirements, lower pain scores within the first 24 hours, faster recovery (earlier ambulation and discharge), and improved quality-of-recovery scores without motor weakness or increased complications. The findings suggest...
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Level 1 RCT
3%
Synopsis:
Fifty patients undergoing robotic total knee arthroplasty were randomized to receive restricted kinematic alignment (rKA, n=25) or mechanical alignment (MA, n=25).The primary outcomes of interest were range of motion and functional scores (KSS, OKS) at 3 and 6 months.Secondary outcomes included quality of life measures (SF-36 and FJS-12) at one year.Outcomes were assessed at 3 months, 6 months, and 12 months.Overall, the results revealed that rKA patients had greater range of motion and higher KSS and OKS scores at 3 months, and better SF-36 and FJS-12 scores at one year (all p<0.05). These findings suggest...
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Conference Report
3%
Synopsis:
Thirty-one studies with 2,574 revision total knee arthroplasties (1,637 with cones and 937 with sleeves) were included in this systematic review and meta-analysis comparing metaphyseal cones versus sleeves.Pooled outcomes of interest included re-revision rate, re-operation risk, prosthetic joint infection, and extensor mechanism injury.Cones showed higher rates of re-revision (10.9% vs.7.4%), re-operation (17.5% vs.12.2%), and prosthetic joint infection (7.5% vs.5%) compared to sleeves.Extensor mechanism injury was rare but slightly more frequent with cones. Overall, sleeves demonstrated...
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Conference Report
3%
Perioperative Blood Flow Restriction Therapy Program After Anterior Cruciate Ligament Reconstruction
①
Synopsis:
Forty-six patients who sustained an anterior cruciate ligament (ACL) tear and were scheduled for reconstruction were randomized into a group receiving either a blood flow restriction (BFR) therapy program (n=22) or a control group without BFR (n=24).The primary outcome of interest was isometric quadriceps strength at 3 months postoperatively, measured as peak and mean torques during seated leg extension exercises and presented as a ratio of the healthy limb.Secondary outcomes included patient-reported outcomes such as pain, knee function, and physical function, knee range of motion, quadriceps circumference and adverse effects.Outcomes were assessed up to 6 months postoperatively. Overall, the study...
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Level 1 RCT
3%
Synopsis:
Fourteen studies of patients with extensor mechanism disruption after total knee arthroplasty were included in this systematic review and meta-analysis comparing mesh versus allograft reconstruction.Pooled outcomes of interest included failure rates and prosthetic joint infection.Mesh reconstruction was associated with a lower risk of failure (RR 0.79; p = 0.02), with no significant difference in infection risk (p = 0.09). These findings suggest...
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Conference Report
3%
Synopsis:
Ninety patients with large (3–5 cm) and massive (>5 cm) rotator cuff tears were randomized to undergo arthroscopic repair with SLRS (n=26), KD (n=26), or KL (n=24).The primary outcome was retear rate at one year, assessed by 3T MRI.Secondary outcomes included range of motion (ROM), ASES, Constant, UCLA, and VAS scores, measured up to a mean of 20–21 months.Overall, all three groups experienced significant postoperative improvement in functional scores and ROM, with no significant differences between groups.However, retear rates were significantly higher with SLRS (38%) compared with KD (9.5%) and KL (11.7%) (p=0.04). These findings suggest...
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Conference Report
3%
Synopsis:
Seventy patients with rotator cuff tears were randomized to receive either hyaluronic acid injection (n=35) or placebo (n=35) after arthroscopic rotator cuff repair.The primary outcome of interest was tendon integrity assessed by MRI using the Sugaya classification.Secondary outcomes included VAS pain scores, ASES, CONSTANT scores, range of motion, and strength.Outcomes were assessed at 2 weeks, 3 months, 6 months, and 12 months.Overall, the results of the study revealed that hyaluronic acid did not improve pain or functional scores compared with placebo but was associated with greater recovery of abduction, internal rotation, and external rotation at 6 and 12 months, and a lower re-tear rate on MRI (14.4% vs 26.7%). The findings suggest...
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Conference Report
2%
Synopsis:
Six studies involving 467 infants (689 feet) with idiopathic clubfoot were included in this systematic review and meta-analysis comparing Ponseti treatment initiated before 4 weeks versus after 4 weeks of age.Pooled outcomes of interest included number of casts, need for tenotomy, and recurrence rates.Results showed that starting treatment earlier (<4 weeks) was associated with a slightly higher number of casts (MD: 0.72, 95% CI [0.33, 1.10], p = 0.0002), but there were no significant differences in overall mean casts (p = 0.91), tenotomy rates, or recurrence rates between groups. The findings suggest...
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Conference Report