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47%
17%
13%
10%
7%
3%
3%
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100%
6%
Long-term outcome of surgery favoured over physiotherapy alone for subacromial impingement syndrome
②
Synopsis: 87 patients with subacromial impingement were randomized to one of three treatment groups: arthroscopic acromioplasty, open acromioplasty, or to a physiotherapy program.Patients were followed-up for a minimum of 10 years after intervention, with outcomes related to subjective function (Constant score), shoulder range of motion, shoulder strength in abduction, and ultrasonic and radiographic evaluations.At final follow-up, Constant score was significant greater in the open acromioplasty compared to physical therapy alone, and range of motion in elevation was significantly greater in both the arthroscopic and open acromioplasty groups compared to the physical therapy alone. However, range of... Read More »
Level 2 RCT
6%
Similar rate of success in Dupuytren contracture treatment between collagenase and needle fasciotomy
②
Synopsis: 156 patients with Dupuytren contracture of the metacarpophalangeal joint, with or without proximal interphalangeal joint involvement, were randomized to treatment with either collagenase Clostridium histolyticum (CCH) injection or percutaneous needle fasciotomy (PNF).Patients were followed-up for 2 years following treatment.Results demonstrated no significant differences between groups over 2 years in rates of correction of contractures to within 5 degrees in either MCP joints or PIP joints, as well as in rate of recurrence in either MCP joint or PIP joints. Analyses on joint... Read More »
Author verified Level 2 RCT
6%
No difference in 6-month outcome between ESWT and wrist extensor therapy for lateral epicondylitis
②
Synopsis: 72 patients with lateral epicondylitis were randomized to treatment with either four weekly sessions of radial extracorporeal shockwave therapy or four weeks of wrist extensor splinting.Patients were assessed for outcome after 4 weeks, 12 weeks, and 24 weeks. No significant between-group... Read More »
Level 2 RCT
6%
Comparison of no orthosis, removable orthosis, and plaster cast after miniopen carpal tunnel release
②
Synopsis: 249 patients scheduled for mini-open carpal tunnel release were randomized to postoperative management with either no orthosis, a removable orthosis, or cast immobilization for 10-14 days.Patients were assessed for disability, pain, function, and the incidence of complications over a 12-month follow-up. Results demonstrated no... Read More »
Author verified Level 2 RCT
3%
Immediate active mobilization protocol from rehabilitation following tendon transfer
②
Synopsis: 50 patients with claw deformities, who underwent tendon transfer treatment, were randomized to rehabilitation with an immediate active mobilization protocol (IAMP) or immobilization. At one year follow-up, both treatments had produced similar clinical outcomes; however, the IAMP group required shorter rehabilitation stays and demonstrated a quicker reduction in total pain. Read More »
Level 2 RCT
3%
Higher risk of complications with simultaneous bilateral total knee arthroplasty
①
Synopsis: This meta-analysis identified 18 randomized prospective published studies which had a total of 27,807 patients (44,684 knees).From these studies, 16,419 simultaneous bilateral total knee replacements, 10,930 unilateral total knee replacements, and 458 staged bilateral total knee replacements (that had a minimum of 3 months between operations) were identified. Results from the... Read More »
Level 1 Meta Analysis
3%
Low-profile splinting restricts wrist motion and results in functional disability
②
Synopsis: 42 men and women, above 45 years of age, with normal wrists were randomized to wear both a partially restricted and a highly restricted splint for 24 hours each.This study aimed to compare levels of functional impairment between these splinting techniques. The application of... Read More »
Author verified Level 2 RCT
3%
Distal radial fracture: Treatment of contractures with dynamic splints is ineffective
②
Synopsis: 40 patients with contracture following distal radius fracture were randomized to receive a dynamic splint or routine care.Over 12 weeks, firm conclusions about the difference between the two groups for passive wrist extension and Patient Rated Hand Wrist Evaluation (PRHWE) scores could not be made due to the imprecision of the estimates.The two groups also did not differ with respect to active wrist extension, flexion, radial deviation, ulnar deviation, performance, and satisfaction scores. Results have, therefore,... Read More »
Level 2 RCT
3%
Treating closed mallet finger with Quickcast reduces edema & improves DIP joint extension
①
Synopsis: 60 patients with distal interphalangeal joint (DIPj) active extensor lag were randomized to determine the efficacy between cast immobilization treatment using either a Quickcast orthosis to be worn 24 hours a day or a removable, low temperature thermoplastic, lever-type orthosis.After 24-28 weeks, there were no significant differences between the two groups in regard to success rate, orthosis discomfort, satisfaction with orthotic design, DIPj flexion stiffness, incidence of complications, and grip and tip-to-tip pinch strengths. However, the Quickcast... Read More »
Author verified Level 1 RCT
3%
Minimally invasive percutaneous plate osteosynthesis vs. ORIF for distal tibia fractures
②
Synopsis: 94 patients with displaced extra-articular distal tibia fractures were randomized to receive open reduction and internal fixation (ORIF) or treatment using a minimally invasive percutaneous plate osteosynthesis (MIPPO).This one year study aimed to evaluate the clinical success of the minimally invasive operation in comparison to ORIF, assessing differences in complications and operative outcomes. The results demonstrated... Read More »
Level 2 RCT