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You are viewing the most viewed ACE Reports by Primary Care Physicians over the last 30 days in all specialties.
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Synopsis:
53 adult patients undergoing primary total hip arthroplasty (THA) for hip osteoarthritis were randomized to receive either a modular dual-mobility bearing (n=28) or a conventional polyethylene bearing (n=25).Serum metal levels, such as Cobalt and Chromium, were assessed preoperatively and postoperatively every year for at least two years. Both serum Cobalt...
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Conference Report
14%
Synopsis:
Patients with knee osteoarthritis with comorbid type 2 diabetes mellitus were randomized to receive either intra-articular extended-release triamcinolone acetonide (IA TA-ER) or immediate-release triamcinolone acetonide (TA-IR).Blood glucose levels (BGLs), glycemic variability, percentage of time in target range, percentage of time above range, and changes from baseline in daily average BGL were assessed for 14 days postoperation. Overall, IA TA-ER...
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Conference Report
7%
Synopsis:
Six ACE Reports (5 randomized controlled trials and 1 systematic review/meta-analysis) were identified from the OrthoEvidence database which evaluated the efficacy of platelet-rich plasma in the treatment of knee osteoarthritis.All included studies were randomized controlled trials, and reported clinical and functional assessment at various time points between 1 and 6 months following treatment.Pooled analysis of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total scores suggested a possible beneficial effect with PRP injection in comparison to saline and a lower effect versus hyaluronic acid.Beneficial effects were also noted for individual subscales of the WOMAC assessment (pain, stiffness, and physical function).However, pooling of OMERACT-OARSI responders and a review of the literature indicated that there was no significant difference between PRP and comparison groups in other functional outcome measures, such as the International Knee Documentation Committee (IKDC) assessment and Knee Injury and Osteoarthritis Outcome Score (KOOS).Furthermore, contrasting results were obtained between two studies reporting function on the Lequesne Index. The discrepancy in...
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ACE Review
7%
Synopsis:
192 patients with knee osteoarthritis (OA) were randomly assigned into 1 of 2 groups, a PRP or hyaluronic acid injection group, to determine the effect each intervention had on knee OA and cartilage degeneration. The results of the study indicated that no statistical difference existed between PRP or hyaluronic acid treatment in terms of function (IKDC score), pain (IKDC score) or cartilage degeneration, 1 year after treatment completion.
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Conference Report
7%
①
Synopsis:
A meta-analysis of 35 randomized controlled trials and 8,078 patients comparing intra-articular hyaluronic acid (HA, n=4,295) to a placebo normal saline injection (n=3,783) was performed.The primary outcome of interest was the incidence of adverse events following injection.There was no significant difference in the overall rate of adverse events, the rate of serious adverse events or the rate of adverse event related study withdrawals between the two groups. The HA group...
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Level 1 Meta Analysis
7%
Synopsis:
1022 adult patients undergoing primary total knee arthroplasty (TKA) were randomized to receive either intra-wound vancomycin powder (n=507) or no vancomycin powder (n=515).The primary outcome of interest included the peri-prosthetic joint infection (PJI) rate.The secondary outcomes of interest included surgical site infection (SSI) rates, the incidence of revision for PJI/SSI, and the incidence of wound complications.Intra-wound vancomycin powder showed no differences vs. no vancomycin powder...
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Conference Report
7%
Synopsis:
133 knees (102 patients) undergoing total knee arthroplasty for knee osteoarthritis were randomized to receive either subcuticular skin closure by continuous intradermal suture using a monofilament barbed suture or a single-stitched interrupted suture using a polyfilament suture.The primary outcome of interest was the Patient and Observer Scar Assessment Scale 2.0 (POSAS) scores at 1-year follow-up.The POSAS assessment is composed of the Observer Scale (OSAS) and the Patient Scale (PSAS). The results of...
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Conference Report
7%
Synopsis:
216 patients undergoing total knee arthroplasty were randomized to receive either pre- and post-operative mindfulness meditation (full-MM; n=73), preoperative MM (preop MM; n=76), or control (n=67).The Pittsburg Sleep Quality Index (PSQI) was assessed at 2-, 6-, and 12-weeks post-operatively. No differences in...
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Conference Report
7%
Synopsis:
30 patients with mid-shaft clavicle fractures were randomized to receive either non-operative treatment (n=15) or operative treatment via open reduction and internal fixation (ORIF; n=15).Outcomes of interest included union rates, return to work, Constant-Murley scores, pain on a Visual Analog Scale (VAS), and the Shortened Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH).The ORIF group showed significantly better union rates and return to work. The results were...
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Conference Report
7%
Synopsis:
50 patients undergoing surgery for lateral malleolar fractures were randomized to receive either lag screws or a lateral plate.Outcomes of interest included quality of reduction, quality of union, Foot & Ankle Outcomes Questionnaire, and Core and Shoe Comfort Scale scores. The use of...
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Conference Report