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7%
Synopsis: 80 elderly patients undergoing total knee replacement (TKR) were randomized to receive either a A-V impulse system (AVI), which is a mechanical prophylaxis in the form of a foot device, or no treatment.The 3-month follow up results indicated that there was a significant reduction in soft tissue swelling in the AVI group in comparison to the non-AVI group. Additionally, it was... Read More »
Level 2 RCT
7%
Synopsis: 45 neurologically healthy patients undergoing continuous spinal anaesthesia for hip arthroplasty were randomized to receive intravenous magnesium sulphate (MgSO4) or saline.Over 6 hours, the magnesium concentration in the serum increased in the MgSO4 group and decreased in the saline group.However, both groups demonstrated a decrease in the cerebrospinal fluid (CSF) magnesium concentration at 2 hours.This concentration returned to baseline by 6 hours. There was no... Read More »
Author verified Level 2 RCT
7%
Synopsis: 9 studies were included in this meta-analysis (5 RCTs and 4 quasi RCTs) to compare the outcomes of total hip arthroplasty with hemiarthroplasty in the treatment of displaced femoral neck fracture in elderly patients.A total of 1208 patients were identified from the 9 studies, with follow-up ranging from 12-156 months.Results of the analysis indicated that the use of total hip arthroplasty treatment had reduced pain and reoperation rates, but increased in rate of dislocation when compared to hemiarthroplasty. The two treatments... Read More »
Level 1 Meta Analysis
7%
Synopsis: 39 patients with a lesion of the supraspinatus tendon were randomized to receive either platelet-rich plasma (PRP) injections or dry needling to determine the comparative efficacy of the treatments for rotator cuff pathology.Follow-up was conducted for 6 months following the second injection, which took place 4 weeks after the first injection.Analysis at final follow-up indicated that total score on the Shoulder Pain and Disability Index was significantly better in the PRP group; however significance did not remain when pain and disability subscales were assessed individually. Improvement in range... Read More »
Author verified Level 2 RCT
7%
Synopsis: 62 patients received either a sintered bead porous surface or a titanium anatomic porous surface shell fixation method in their total hip arthroplasty to determine the radiographic results of each.The results suggest minimal translation and rotation in either group; however, significantly more translation was noticed in the low porosity sinistered bead surgery in the 'Y' axis.Pain scores assessed by the WOMAC and HHS were also higher in the low porosity treatment but these patients experienced superior physical component scores. The results from... Read More »
Level 2 RCT
7%
Synopsis: Six studies (4 randomized controlled trials and 2 prospective cohort studies) were included in this quantitative systematic review which investigated the efficacy of platelet-rich plasma (PRP) injections versus hyaluronic acid (HA) or placebo injections.Pooling was performed on outcomes reported at a 24-week follow-up.The pooled results indicated that functional outcomes were significantly better among the PRP treatment cohorts compared to control groups. However, there was... Read More »
Level 1 Meta Analysis
7%
Synopsis: One hundred and fifty one patients with a recent (<3 weeks) closed, intra-articular, displaced calcaneal fracture were randomized to either operative or nonoperative treatment.This study aimed to determine the efficacy of operative treatment after 2 years.Results indicated that there were no treatment effects for Kerr-Atkins scores, as well as for SF-36 scores, EQ-5D scores, American Orthopaedic Foot and Ankle Society scores, heel width, range of motion, walking speed, or any gait symmetry metrics. However, complications and... Read More »
Level 2 RCT
7%
Synopsis: 185 elderly patients with an intra-articular distal radius fracture were randomly allocated to either surgical treatment with volar locking plate fixation or closed reduction and 6-week cast immobilization.This study aimed to determine whether operative treatment was more effective than cast immobilization for elderly patients with an intra-articular distal radius fracture.Follow-up was performed at 3 and 12 months.Results from the intention-to-treat analysis revealed better early recovery of wrist range of motion and better radiographic outcome with volar plating, although no differences in functional or clinical outcome at 1 year between groups. Per-protocol analysis demonstrated... Read More »
Conference Report
7%
Synopsis: 250 patients with displaced proximal humerus fracture were randomized to surgical management, with either internal fixation or hemiarthroplasty, or conservative management with sling immobilization.The purpose of this study was to compare treatment methods based on outcome of the Oxford Shoulder Score, as well as the incidence of complications.Follow-up was conducted at 3, 6, 12 and 24 months. No significant differences... Read More »
Author verified Level 2 RCT
7%
Synopsis: 250 patients with displaced fractures of the proximal humerus involving the surgical neck were randomly assigned to receive either surgical or non-surgical intervention as treatment.The purpose of this study was to compare functional and clinical outcomes, as well as cost-effectiveness, between the two methods to determine if surgery offers any significant advantage over conservative treatment. The results demonstrated... Read More »
Conference Report