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You are viewing the most viewed ACE Reports by Sports Medicine Specialists over the last 30 days in all specialties.
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9%
①
Synopsis:
28 elderly patients with acute distal femur fractures or periprosthetic fractures of the hip or knee were randomized to receive either far cortical locking (FCL; n=16) or standard locking plate fixation (LPF; n=12).Outcomes of interest included the radiographic union scale (RUS) and time to union. RUS scores at...
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Level 1 RCT
9%
①
Synopsis:
Six studies involving 517 patients with neck pain were included in this systematic review and meta-analysis, comparing cervical manipulations to thoracic or cervicothoracic manipulations.Pooled outcomes of interest included pain intensity, neck disability, and cervical range of motion.The analysis revealed no significant differences in pain reduction, disability improvement, or cervical range of motion between the intervention groups. Moderate to very...
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Level 1 Meta Analysis
8%
①
Synopsis:
Five randomized controlled trials (189 patients) comparing platelet-rich plasma (PRP) against conservative treatment for chronic Achilles tendinopathy were included in this systematic review and meta-analysis.Outcomes of interest included the Victorian Insitute of Sport Assessment (VISA-A) score, pain during activity on a Visual Analog Scale (VAS), and Achilles tendon thickness.VISA-A scores at 6 weeks favored the PRP group.Tendon thickness also favored the PRP group. All other outcomes...
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Level 1 Meta Analysis
8%
①
Synopsis:
Forty-seven patients with single-level cervical radiculopathy were randomized to receive either BRYAN CDA (cervical disk arthroplasty; n=22) or ACDF (anterior cervical discectomy and fusion; n=25) in a prospective, randomized, controlled trial conducted as a Food and Drug Administration Investigational Device Exemption trial.The primary outcomes of interest included visual analog scales (VAS) for neck and arm pain, neck disability index (NDI), and reoperation rates.The follow-up rate was 91.3%.Both groups demonstrated significantly improved NDI, VAS arm pain, and VAS neck pain scores at 20 years compared to preoperative scores.However, there were no significant differences between CDA and ACDF groups at 20 years for NDI, VAS arm pain, and VAS neck pain scores.Reoperations were reported in 41.7% of ACDF patients and 10.0% of CDA patients. Both CDA and...
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Level 1 RCT
8%
①
Synopsis:
Ninety-six patients with rotator cuff tears smaller than 3 cm were randomized to receive either arthroscopic rotator cuff repair (ARCR) with leukocyte-poor platelet-rich plasma (LP-PRP) injection (n=48) or ARCR without PRP (n=48).The primary outcome was the retear rate, assessed via MRI at six months.Secondary outcomes included pain (VAS), functional scores (ASES, SANE), and sleep quality (PSQI), evaluated at six and twelve months postoperatively.Overall, the study found that the retear rate in the PRP group was significantly lower than in the control group (15.2% vs.34.1%, p = 0.037).However, there were no significant differences in functional outcomes between groups. The findings suggest...
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Level 1 RCT
8%
①
Synopsis:
One hundred seventy-two patients undergoing total knee arthroplasty for osteoarthritis were randomized to receive either 5 mg melatonin (n=86) or 125 mg vitamin C placebo (n=86).The primary outcome was the Pittsburgh Sleep Quality Index (PSQI).Secondary outcomes included patient-reported measures of pain and physical function, opioid prescriptions, medication compliance, and adverse events.Outcomes were assessed at both 6 weeks and 90 days.Overall, the results showed no significant differences in PSQI or secondary outcomes between the melatonin and placebo groups at either time point. The findings suggest...
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Level 1 RCT
8%
①
Synopsis:
Two thousand twenty-six postmenopausal women with osteoporosis at highest fracture risk were randomized to receive either abaloparatide (n=664), teriparatide (n=685), or placebo (n=677) for 18 months.The primary outcome was incidence of new vertebral fractures.Secondary outcomes included incidence of nonvertebral, clinical, major osteoporotic, and wrist fractures, as well as change in bone mineral density (BMD) at the lumbar spine, total hip, and femoral neck.Outcomes were assessed over 19 months (including 1 month post-treatment).Overall, the results of the study revealed significantly lower vertebral fracture rates in the abaloparatide and teriparatide groups compared to placebo, with significant gains in BMD across all measured sites. These findings suggest...
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Level 1 RCT
7%
①
Synopsis:
Eight randomized controlled trials, including 689 patients with chronic neck pain, were included in this systematic review and meta-analysis comparing telerehabilitation versus control interventions.Pooled outcomes of interest included pain intensity, disability, fear-avoidance beliefs, and quality of life.The meta-analysis showed a significant reduction in pain and a significant reduction in disability in the telerehabilitation group compared to the control. The findings suggest...
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Level 1 Meta Analysis
3%
①
Synopsis:
One hundred thirty-five patients with ankle osteoarthritis were randomized to receive either a single corticosteroid injection (n = 61) or a dual injection protocol of corticosteroid plus hyaluronic acid (n = 74).The corticosteroid-only group received one intra-articular injection consisting of corticosteroid, bupivacaine, and saline.The dual group received an initial injection of corticosteroid, hyaluronic acid, bupivacaine, and saline, followed by two additional weekly injections of hyaluronic acid alone.The primary outcome was change in the Ankle Osteoarthritis Scale (AOS).Secondary outcomes included Visual Analogue Scale (VAS), SF-36 scores, and complication rates.Assessments were conducted at baseline, 6 weeks, and 12 weeks.Overall, the results revealed significantly greater improvement in AOS scores in the dual injection group at both 6 and 12 weeks, while VAS scores showed a greater early reduction in the corticosteroid-only group at 6 weeks, with no difference at 12 weeks.No significant group differences were found for SF-36. The study concludes...
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Level 1 RCT
3%
Functional brace improves early function and is more cost-effective than casting in Achilles rupture
①
Synopsis:
High quality evidence has revealed that non-operative management of acute Achilles tendon rupture achieves optimal outcomes in most patients.Among non-operative treatment options, the most commonly used are functional bracing (walking boot with heel wedges) and casting in equinus position.There has been a recent move towards early mobilization and more use of functional bracing over casts in a number of different areas, and it is unclear if there is a benefit in favour of either strategy in the context of Achilles tendon ruptures.In this study, the authors randomized patients to plaster cast versus functional bracing, and performed an accompanying economic evaluation.They found that patients treated with functional brace had significantly better functional scores at eight weeks, and that bracing was dominant from a cost-effectiveness perspective, with modest savings and slightly better utility. There was no...
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Level 1 RCT