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9%
Synopsis: 12 studies were included in this meta-analysis, comparing pulsed electromagnetic field (PEMF) therapy to sham therapy for the treatment of osteoarthritis (OA).The outcomes of interest in included pain, function, and adverse events.The pooled results found significantly improved pain and function among PEMF groups compared to sham groups.More specifically, the improvement in pain and function was observed in the treatment of knee and hand OA; no significant differences were observed between PEMF and sham groups for the treatment of cervical OA. There were no... Read More »
Level 1 Meta Analysis
6%
Synopsis: 192 patients with knee osteoarthritis were randomized to three weekly intraarticular injections with either platelet-rich plasma or hyaluronic acid.The focuse of the current study was outcome after 2 and 5 years following treatment.Results for clinical outcome on the International Knee Documentation Committee (IKDC) subjective score, the EuroQoL 5-dimensions (EQ-5D) and the Tegner activity scale demonstrated no significant differences between the PRP group and HA group at 2 or 5 years.Within the first 2 years of treatment, rate of reintervention, including either repeat injection therapy or surgery, was significantly lower in the PRP group compared to the HA group. However, at 5... Read More »
Level 1 RCT
4%
Synopsis: 72 patients with knee osteoarthritis were randomized to intraarticular injection with either 40mg methylprednisolone or 30m ketorolac.Patients were assessed for improvement over 6-week follow-up in numeric rating scale (NRS) pain scores, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Oxford Knee Score (OKS).Results demonstrated significant significant within-group improvement in both groups for NRS pain score and WOMAC scores. However, for OKS... Read More »
Conference Report
3%
Synopsis: 30 patients with patellar tendinopathy and scheduled for treatment with ultrasound-guided dry needling were randomized to treatment with or without the addition of leukocyte-poor platelet rich plasma injection.Outcomes of interest included the Victorian Institutes of Sport Assessment (VISA) patellar tendinopathy score, pain on a visual analog scale, and Lysholm knee scores over 12-week and 6-month follow-up. Results demonstrated no... Read More »
Conference Report
3%
Synopsis: 43 patients with a partial- or full-thickness rotator cuff tear were randomized to nonoperative treatment with either a suprascapular nerve block or subacromial injection.Patients were assessed for outcome on a modified Constant score at 2, 6, and 12 weeks after treatment. While no significant... Read More »
Level 2 RCT
2%
Synopsis: 29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures.The primary outcome of interest was the rate of re-rupture.Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work.The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group.Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000.There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no... Read More »
Level 1 Meta Analysis
2%
Synopsis: 74 patients scheduled for an arthroscopic hip procedure for femoroacetabular impingement were randomized to receive a fascia iliaca compartment blockade (FICB) or a matching placebo injection for the relief of pain.Outcomes of interest included pain scores, narcotic consumption, and time to discharge.The findings from this study found significantly favourable pain scores in the post-anaesthesia care unit (PACU) and maximum pain scores in the first 3 post-operative days in the FICB group compared to the control group.Furthermore, narcotic consumption was significantly lower in the PACU, as well as post-operatively. Lastly, PACU discharge... Read More »
Conference Report
2%
Synopsis: 39 patients with distal radius fractures undergoing open reduction and internal fixation (ORIF) with a volar locking plate were randomized to receive 2 weeks of post-operative immobilization with a plaster splint or no immobilization.The primary outcome of interest was pain as measured on a Visual Analog Scale.Secondary outcomes included tramadol (opioid) use, DASH score, range of motion (wrist flexion-extension; forearm rotation), patient satisfaction, wrist edema and incidence of complications.Follow up was performed up to 6 months. The results from... Read More »
Level 2 RCT
1%
Synopsis: Six ACE Reports were identified from the OrthoEvidence database which compared intra-articular injection(s) of hyaluronic acid to corticosteroid in the treatment of osteoarthritis of the knee.All of the included studies were randomized controlled trials which reported pain and/or functional outcomes within 6 months of intervention.Pooled analysis of pain on a visual analog scale indicated that pain relief was significantly better with hyaluronic acid injections at both 3 and 6 months follow-up; however, this finding was strongly influenced by two studies of lower methodological quality. No significant differences between hyaluronic acid and corticosteroid injections were observed in any functional outcome measurement.Due to incomplete or lack of reporting adverse events, an assessment of safety could not be performed along with this review. Furthermore, these findings... Read More »
ACE Review
1%
Synopsis: 7 studies were included in this meta-analysis comparing supervised and non-supervised post-operative rehabilitation in patients scheduled for total hip replacement (THR).Primary outcomes of interest included patient reported function at end of treatment and 6-12 months follow-up, hip related pain, health related quality of life, and performance-based function. No significant differences... Read More »
Level 1 Meta Analysis