LOGIN
PeerView
You are viewing the most viewed ACE Reports by Orthopaedic Surgeons over the last 30 days in all specialties.
Displaying
100%
4%
①
Synopsis:
Fifty patients undergoing a unilateral, primary total knee arthroplasty were randomized to receive patellar resurfacing (n=25) or no patellar resurfacing (n=25).The primary outcome of interest was isokinetic performance, as measured by knee flexion and extension torque scores, up to 12 months post-operation.Additional outcomes of interest included the Knee Society Score [KSS], range of motion, operative time and blood loss, post-operative complications, and hip-knee angle.The results revealed that patellar resurfacing resulted in superior peak knee extensor torque at 6 and 12 months post-operation compared to the no resurfacing group. No other differences...
Read More »
Level 1 RCT
4%
①
Synopsis:
One hundred and two patients with acute tibia and femur fractures were included in this Phase II screening randomized trial comparing the effect of high loading dose Vitamin D3 supplementation (n=27), high daily dose supplementation (n=24), low daily dose supplementation (n=24) and placebo (n=27) on the improvement of fracture healing.Primary outcomes of interest were clinical fracture healing (as assessed by the Function IndeX for Trauma [FIX-IT]) and radiographic fracture healing (as assessed by the Radiographic Union Score for Tibial fractures [RUST]).High dose Vitamin D3 supplementation (loading or daily) was found to provide modest benefits in clinical fracture healing compared to placebo at 3 and 12 months. However, the effectiveness...
Read More »
Level 1 RCT
4%
①
Synopsis:
Six randomized controlled trials containing a total of 446 patients with knee osteoarthritis were included in this systematic review and meta-analysis comparing intra-articular botulinum toxin A injections vs.control (placebo injection; education only).The pooled outcomes of interest were pain on a Visual Analog Scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritis index (WOMAC), assessed at early and late time intervals (<=4 and >4 weeks).Meta-analysis results demonstrated significantly better improvements in VAS pain scores and WOMAC scores with botulinum toxin A injections vs.control. Meta-regression results suggest...
Read More »
Level 1 Meta Analysis
4%
①
Synopsis:
Six hundred and forty-four patients with knee osteoarthritis (OA) were randomized to receive either platelet-rich plasma (PRP; n=322) or sham saline solution (n=322).Outcomes of interest were the Western and McMaster Universities Osteoarthritis Index (WOMAC) pain, stiffness, function subscales and an overall score, International Knee Documentation Committee (IKDC) score, Visual Analog Scale pain, and levels of tumor necrosis factor-alpha (TNF-a), interleukin-1B (IL-1B), and cartilage volume. The PRP group...
Read More »
Level 1 RCT
3%
Synopsis:
100 patients with knee osteoarthritis undergoing a total knee arthroplasty with enhanced recovery after surgery were randomized to receive limited tourniquet use (n=51) or conventional tourniquet use (n=49).Outcomes of interest included operative and lab parameters, muscle strength, and clinical outcome scores, measured up to 3 months post-operation. Despite limited tourniquet...
Read More »
Conference Report
3%
Synopsis:
90 patients with primary frozen shoulder were randomized to receive an intra-articular glenohumeral corticosteroid injection via a rotator interval approach (n=45) or a posterior approach (n=45).The outcomes of interest included pain on a Visual Analog Scale (VAS), the American Shoulder and Elbow Surgeons (ASES) score, the subjective shoulder value (SSV), and range of motion (ROM).Outcomes were assessed at 3, 6 and 12 weeks post-injection.Improvements in all clinical outcomes were observed between the two groups.No differences were observed between the rotator interval and posterior approach groups, with the exception of the improvement in range of motion in forward flexion and abduction, which was superior in the rotator interval group. The rate of...
Read More »
Conference Report
2%
Synopsis:
In this interim analysis, 146 patients undergoing revision total hip arthroplasty were randomized to receive a dual mobility bearing (n=76) or a conventional large femoral head bearing (n=70).The primary outcome of interest was dislocation rate.Secondary outcomes of interest included revision rate and 90-day readmission rate.Mean follow-up was 18.2 months.No differences in dislocation rate, revision rate or 90-day readmission rate were observed between the two groups. Full enrollment and...
Read More »
Conference Report
2%
①
Synopsis:
Sixty patients with trigger finger were randomized to receive a single corticosteroid injection with a full-time static splint at the metacarpophalangeal joint (3 months) (n=30) or a single corticosteroid injection alone (n=30).The primary outcome of interest was the Numeric Pain Rating Scale (NPRS).Secondary outcomes of interest included Boston questionnaire scores for symptom severity and functional status, grip strength, and the stages of stenosing tenosynovitis.Outcomes were measured at 1 and 3 months follow-up.The results revealed significantly greater improvements in pain, symptom severity, and disease severity after 3 months in the splint group. Improvements in grip...
Read More »
Author verified Level 1 RCT
2%
Synopsis:
104 patients undergoing open carpal tunnel release were randomized to receive wound closure using Monocryl absorbable sutures or traditional nylon sutures.The outcome of interest was the Patient and Observer Scar Assessment Scale (POSAS), measured at 2 and 6 weeks post-operation.At 2 weeks, superior patient assessment (in thickness and irregularity) and observer assessment (in every category) was reported in favour of the Monocryl group. At 6 weeks,...
Read More »
Conference Report
2%
Synopsis:
120 patients undergoing total knee arthroplasty were randomized to receive either oral dexamethasone (DEX-8 or DEX-16) or a placebo following surgery.The primary outcome of this trial was to assess pain scores using the Visual Analog Scale (VAS) at rest and during motion for 2 weeks.The secondary outcomes of interest were incidence of postoperative nausea and vomiting (PONV), fasting blood sugar (FBS), serum C-reactive protein (CRP) level, opioid consumption, range of motion (ROM), and function assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).Both DEX-16 and DEX-8 groups had lower VAS scores between 18 hours and 6 days follow-up at rest and with movement when compared to the placebo group. Pain scores were...
Read More »
Conference Report