To focus on specific sub specialties check/uncheck boxes on left
18%
16%
11%
11%
10%
10%
10%
5%
3%
3%
3%
<1%
<1%
Displaying
100%
2%
Synopsis: 115 patients who had undergone the surgical fixation of supination external rotation type 2, 3, or 4 ankle fractures were randomized to three different forms of postoperative management; unprotected weight bearing, protected weight-bearing, and unprotected non-weight-bearing.Functional outcomes were assessed using the Olerud Molander Ankle Score (OMAS) at 6 weeks, 12 weeks, 6 months, and 1 year.At 6 weeks, the unprotected weight-bearing group demonstrated significantly better OMAS scores compared to the other forms of postoperative management. There were no... Read More »
Conference Report
2%
Synopsis: Ten randomized controlled trials were included in this meta-analysis that compared pain and functional outcomes between intraarticular platelet-rich plasma injection (PRP) and either intraarticular hyaluronic acid (HA) injections or saline injections in knee osteoarthritis treatment.Outcomes were assessed at 6 and 12 months postinjection.In comparison to HA injections, PRP injections demonstrated similar pain and functional outcomes at 6 months postinjection, and significantly better pain and functional outcomes at 12 months postinjection.The effect sizes compared to HA for pain and function at 12 months exceeded the MCID, however, these findings should be interpreted with caution as only a few studies could be pooled for these outcomes. Results from one... Read More »
Level 1 Meta Analysis
2%
Synopsis: 90 patients with a displaced, extra-articular fracture of the distal radius were randomized to primary open reduction and internal volar plate fixation, or to primary plaster cast immobilization.Patients were assessed for scores on the Disabilities of the Arm, Shoulder, and Hand questionnaire over the first year after treatment. At 6 weeks,... Read More »
Conference Report
1%
Synopsis: 31 patients with a distal femur fracture scheduled for open reduction and internal fixation were randomized to either immediate weight bearing or touch-down weight bearing after surgery. Rates of union by final follow-up, failure, and mortality were not reported to differ significantly between the two groups. Read More »
Conference Report
1%
Synopsis: 61 patients with shoulder impingement syndrome were randomized to management with either thoracic spinal manipulation (TSM) or a sham-TSM technique.Patients were administered two sessions of the allocated protocol, and assessed prior to the second session, immediately after the second session, and at 3-4 day follow-up.Outcomes included pain, functional measures, scapular kinematics, and scapular muscle electromyography. For pain and... Read More »
Author verified Level 2 RCT
1%
Synopsis: Fourteen randomized controlled trials were included in this network meta-analysis on the use of six different non-operative modalities - high-energy focused extracorporeal shockwave therapy, low-energy focused extracorporeal shockwave therapy, radial extracorporeal shockwave therapy, transcutaneous electrical nerve stimulation, therapeutic ultrasound, and ultrasound-guided needling - compared to control intervention for patients with chronic calcific tendinitis of the shoulder. Network meta-analysis indicated that the modalities which demonstrated a significantly greater reduction in pain and calcific deposit resolution relative to control were ultrasound-guided needling, radial extracorporeal shockwave therapy, and high-energy focused extracorporeal shockwave therapy. Read More »
Level 1 Meta Analysis
1%
Synopsis: 50 patients with non-specific low back pain (LBP) were randomized to receive either 200mg celecoxib twice a day or 500mg acetaminophen twice a day.The purpose of this study was to compare the clinical outcomes and magnetic resonance imaging (MRI) scores of the two treatments. Findings indicated a... Read More »
Level 2 RCT
1%
Synopsis: 120 patients with Kellgren-Lawrence grade II-III knee osteoarthritis were randomized to one of three intra-articular injection groups: platelet rich plasma, hyaluronic acid, or ozone.The purpose of this study was to compare visual analog scores (VAS) for pain and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for pain, stiffness, and function over a 12-month follow-up.The results demonstrated a marked decrease in all outcome measures within the first month in all three groups, followed by a regression at subsequent follow-ups.Between-group differences were identified, with lower scores generally observed in the PRP and HA groups compared to the ozone group at 1, 3, and 6 months.By 12 months, scores in the ozone group had returned to baseline, while scores in the PRP and HA groups were lower, relatively. Also at 12... Read More »
Level 2 RCT
1%
Synopsis: 224 patients over the age of 50 with a pertrochanteric hip fracture who had undergone fixation were randomized to 26 weeks of daily subcutaneous teriparatide 20ug or weekly oral risedronate 35mg.The purpose of this study was to compare measures of functional and clinical outcome, as well as safety outcomes and fracture healing over a 26-week follow-up.Results demonstrated significantly better Timed Up-and-Go results and pain scores during the TUG test up to 12 weeks and 18 weeks, respectively, in the teriparatide group compared to the risedronate group.By 26 weeks, differences between groups were non-significant.Hyperuricemia at 6 weeks and hypercalcemia at 26 weeks was significantly more frequent in the teriparatide group compared to the risedronate group. There were no... Read More »
Level 2 RCT
1%
Synopsis: 504 patients with a grade I or II ankle sprain seeking care in an acute care setting were randomized to usual care, including protection, rest, ice, compression, and elevation (PRICE) with or without participation in a standardized physiotherapy program.The purpose of this study was to evaluate if patients who participated in the physiotherapy program demonstrated significantly better function on the Foot and Ankle Outcome Score (FAOS) over a 6-month follow-up. No significant differences... Read More »
Level 2 RCT