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27%
14%
13%
13%
11%
8%
6%
5%
2%
1%
<1%
<1%
Displaying
100%
3%
Operative vs nonoperative treatment of displaced 5th metatarsal base fracture
②
Synopsis: 18 patients with a displaced (>2mm) base of the 5th metatarsal fracture were randomized to be treated with either open reduction and internal fixation (ORIF) or nonoperative management with a short leg cast.The purpose of this study was to compare clinical measures of pain and function, time to union, and restoration of injured metatarsal length between groups.Follow-up was performed for an average of 8.5 weeks.Results demonstrated no significant differences in pain or functional scores, despite a significantly shorter time to union in the operative group. Read More »
Level 2 RCT
3%
Assessment of corticosteroid injection with and without hydrodilatation for adhesive capsulitis
②
Synopsis: 6 randomized controlled trials were included in this systematic review to determine if the addition of hydrodilatation to a corticosteroid injection provides an improvement in pain-free range of motion and pain relief in patients with adhesive capsulitis.The results of this systematic review indicated that for range of motion results at 4-6 weeks, one of three studies reported a significant difference in favour of the hydrodilatation group, at 8-12 weeks, two of four studies reported a significant difference in favour of the hydrodilatation group, and at 16-24 weeks, neither of two studies reported a significant difference in favour of the hydrodilatation group. The available evidence... Read More »
Author verified Level 2 Meta Analysis
2%
COA-ACO2018: Comparison of VTE prophylaxis of aspirin vs. extended rivaroxaban after TKA/THA
Synopsis: 3424 patients scheduled for or who had undergone either total knee or hip arthroplasty with a 5-day course of rivaroxaban 10mg postoperatively were randomized to extended thromboprophylaxis with either aspirin 81mg daily or continued rivaroxaban 10mg daily.Patients were assessed for the incidence of venous thromboembolism and bleeding events over the first 90 days after surgery, Noninferiority analysis for efficacy demonstrated that extended aspirin was noninferior to extended rivaroxaban. Groups also demonstrated... Read More »
Conference Report
2%
Glucosamine and chondroitin combined therapy and monotherapy vs celecoxib and placebo for knee OA
Synopsis: 1583 patients with symptomatic knee osteoarthritis were randomized to either glucosamine monotherapy, chondroitin monotherapy, combined glucosamine and chondroitin therapy, celecoxib 200mg daily, or placebo.Patients were assessed over 24 weeks of treatment.In the primary analysis, only the celecoxib group demonstrated a significantly higher rate of patients attaining the primary efficacy endpoint - a reduction of WOMAC pain by a minimum of 20% relative to baseline - compared to placebo. However, when only... Read More »
RCT
1%
Cryotherapy device versus cold pack cryotherapy following total knee arthroplasty
②
Synopsis: 97 patients scheduled for total knee arthroplasty were randomized to postoperative cryotherapy through either a cold-compression system (cTreatment; Waegener) or standard cold packs.Patients were assessed at 2, 4, and 6 days postoperatively for primary outcomes of knee circumference and knee range of motion. Results after 6... Read More »
Level 2 RCT
1%
Assessment of efficacy and safety considerations of trigger point needling for upper extremity pain
②
Synopsis: Eleven randomized controlled trials were included in this systematic review and meta-analysis which investigated the efficacy of trigger point dry needling for shoulder and upper extremity pain associated with myofascial trigger points.Two studies compared trigger point dry needling of active and latent trigger points to trigger point dry needling of active trigger points alone; meta-analysis demonstrated a greater reduction in pain and increase in pressure pain threshold among groups administered dry needling of both active and latent trigger points.Meta-analysis of these studies demonstrated no significant difference in increase in grip strength. Among the other... Read More »
Level 2 Meta Analysis
1%
COA-ACO2018: Assessing effect of bone marrow stimulation on re-tear rate after rotator cuff repair
Synopsis: Five studies - two randomized controlled trials and three retrospective cohort studies - were included in this meta-analysis, which compared re-tear rate and functional outcome measures between groups who were treated with arthroscopic rotator cuff repair with and without additional bone marrow stimulation.Pooled result for re-tear rate demonstrated a significantly lower incidence among groups who received BMS compared to groups who did not. Functional outcome scores... Read More »
Conference Report
1%
COA-ACO2018: Function at 6 weeks favoured with early vs. late weightbearing after ankle Frx fixation
Synopsis: Ten studies were included in this meta-analysis which compared functional outcome, complication rate, and revision rate after ankle fracture fixation between early weightbearing (within 2 weeks of surgery) and late weightbearing (4-6 weeks after surgery).Function significantly favoured EWB groups at 6 weeks, while no significant difference was observed between EWB and LWB groups when function was pooled at 1 year postoperatively. Incidences of complications... Read More »
Conference Report
1%
COA-ACO2018: Long-term outcome of CoP versus CoC articulation in total hip arthroplast
Synopsis: 57 younger patients (under the age of 60) scheduled for total hip arthroplasty were randomized to either ceramic-on-polyethylene or ceramic-on-ceramic articulation.Patients were followed for 15 years after surgery.Revision rate and functional outcome were similar between groups after 15 years. Linear wear rate... Read More »
Conference Report
1%
COA-ACO2018: ORIF versus sling for displaced distal-third clavicle fractures
Synopsis: 57 patients with a displaced fracture of the distal third of the clavicle were randomized to treatment through either open reduction and internal fixation with a plate, or to conservative management through sling immobilization.Follow-up was performed at 1 year after treatment.Patient-reported disability and function scores demonstrated no significant differences between groups. Malunion and nonunion... Read More »
Conference Report