Showing 1 - 12 of 377 reports matching: Trauma
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Synopsis: 90 patients presenting to the emergency department with moderate to severe pain due to mild or moderate blunt trauma were randomized to be managed with either intranasal (IN) ketamine, intravenous (IV) morphine, or intramuscular (IM) morphine. Patients were assessed for pain every 5 minutes for the first 60 minutes after administration. Results demonstrated significantly Read More »
Author verified Level 2 RCT
Synopsis: 37 patients, over the age of 65 years, with a femoral neck fracture who were scheduled for operative fixation, were randomized to a preoperative IV dose of either dexamethasone 0.1mh/kg or placebo. The purpose of this study was to determine if preoperative dexamethasone led to a significant reduction in pain and opioid consumption over the first 3 days and 1 week after surgery. Scores for pain Read More »
Author verified Level 2 RCT
Synopsis: 573 patients included a randomized trial to compare two methods of surgical fixation for femoral neck fractures in the elderly were also included in this observational study to determine the proportion of patients taking vitamin D supplementation and its effects on physical function and reoperation rate. Patients were categorized into 3 cohorts; non-users (did not take vitamin D supplementation), inconsistent vitamin D supplementation users (1-2 visits), and consistent vitamin D supplementation users (3-4 visits). Results indicated that Read More »
Conference Report
Synopsis: 240 patients undergoing intramedullary nail fixation of stable intertrochanteric femoral fractures were randomized to three groups; static locking, dynamic locking, or no locking. Patients were assessed for intraoperative outcomes, and clinical outcome measure over 12-month follow-up. Patients in the Read More »
Conference Report
Synopsis: 2,447 patients with an open wound fracture were originally included in this randomized 2x3 factorial design trial evaluating the use of different irrigation solutions (soap or saline) and pressures (very low, low, high) on the rate of reoperation and clinical outcomes. This was a secondary analysis of this trial conducted to determine the effect of these interventions on health-related quality-of-life (HR-QoL) and function at a follow-up of 12-months, and to describe the progression of HR-QoL and function of this patient population, in general. The results indicated Read More »
Conference Report
Synopsis: 30 patients with ankle fractures undergoing open reduction and internal fixation were randomized to wound closure using either an Allgöwer-Donati technique or a vertical mattress suture technique. The purpose of this study was to compared wound perfusion between these two closure techniques. Wound perfusion was Read More »
Conference Report
Synopsis: 90 patients with either an ankle fracture (n=50) or distal radius fracture (n=40) undergoing surgical fixation were randomized to either a continuous block or single-shot block for analgesia. Cases of ankle fracture received a combined popliteal-sciatic nerve block, and cases of distal radius fracture received an infraclavicular block. Results demonstrated significant Read More »
Conference Report
Synopsis: 252 elderly patients with a femoral neck fracture were randomized to treatment with either hemiarthroplasty or total hip arthroplasty. Patients were followed for 12 years postoperatively. Only 50 patients Read More »
Conference Report
Synopsis: 102 patients with an acute femoral fracture undergoing either fixation or arthroplasty were randomized to the procedure with or without intraoperative peri-incisional injection analgesia. Patients were assessed for pain scores, on a visual analog scale, and narcotic consumption over the first 48 hours postoperatively. Results demonstrated significantly Read More »
Conference Report
Synopsis: Nine studies (randomized controlled trials/cohort studies) were included in this meta-analysis evaluating the efficacy and safety of tranexamic acid in patients undergoing fracture surgery. Total blood loss, transfusion rate, hemoglobin drop, and the incidence of venous thromboembolic complications were analyzed in this meta-analysis. Results demonstrated significantly Read More »
Conference Report
Synopsis: Eight randomized controlled trials were included in this meta-analysis comparing minimally invasive plate osteosynthesis (MIPO) and open reduction and internal fixation (ORIF) with plates or intramedullary nails in the treatment of mid-shaft or distal-third diaphyseal humerus fractures. Results demonstrated significant differences between methods in operative time, functional outcome, and incidence of nerve injury, all in favour of MIPO fixation. No significant differences Read More »
Level 2 Meta Analysis
Synopsis: Five randomized controlled trials were included in this meta-analysis comparing cannulated screw fixation and plate fixation of displaced intra-articular calcaneal fractures. Clinical outcomes, radiographic outcomes, operative time, and complication rates were compared. Results demonstrated no Read More »
Level 1 Meta Analysis