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30%
14%
14%
10%
9%
8%
6%
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2%
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100%
13%
Synopsis: 1079 patients with a femoral neck fracture were randomized to fixation using either a sliding hip screw or multiple cancellous screws.Patients were assessed over a 24-month postoperative period for rates of reoperation.Overall, no significant difference between groups was observed in reoperation rate: 19.7% following fixation with a sliding hip screw group and 21.8% following fixation with multiple cancellous screws. While the rate... Read More »
Conference Report
4%
Synopsis: 58 patients scheduled for dual plate fixation of a displaced distal humerus fracture were randomized to ulnar nerve management with either simple decompression or anterior transposition.The primary outcome was ulnar nerve symptoms on the Ulnar Nerve Entrapment Score.Secondary outcomes included patient-reported outcome measures, the two-point discrimination test, and nerve conduction studies.Follow-up was performed over 1 year postoperatively. Results demonstrated no... Read More »
Conference Report
4%
Synopsis: 1543 patients undergoing knee arthroscopy (POT-KAST trial) and 1519 patients undergoing casting of the lower leg (POT-CAST trial) were randomized to receive or not anticoagulant therapy.The aim of these studies was to examine the efficacy of thromboprophylaxis in these groups of patients.The result of these trials indicated that the use of low-molecular-weight heparin did not reduce the rate of symptomatic venous thromboembolism in either patient population compared to no anticoagulant treatment. Read More »
Level 2 RCT
3%
Synopsis: Five randomized controlled trials were included in this meta-analysis comparing the results of operative repair to both conservative treatment and subacromial decompression in the treatment of degenerative rotator cuff tears. Pooled Constant-Murley scores demonstrated significantly greater functional outcome at 1-year follow-up with operative repair compared to either conservative management or subacromial decompression alone. Read More »
Conference Report
3%
Synopsis: 36 patients who had previously been randomized in a trial comparing the use of a thoracolumbosacral orthosis to the absence of a thoracolumbosacral orthosis in management of a thoracolumbar burst fracture were evaluated at 5- to 10-year follow-up.Patients were assessed primarily for outcome on the Roland-Morris Disability Questionnaire. Results demonstrated no... Read More »
Conference Report
3%
Synopsis: 528 patients with end-stage medial compartment knee osteoarthritis were randomized to undergo either unicompartmental knee arthroplasty or total knee arthroplasty.Patients were followed for 1-year postoperatively.Results demonstrated significantly greater function on the Oxford Knee Score and satisfaction among those who underwent UKA in comparison to TKA. The rate of... Read More »
Conference Report
2%
Synopsis: 120 patients scheduled for total knee arthroplasty were randomized to one of four groups for wound closure: knee in flexion with the tourniquet deflated; knee in flexion with the tourniquet inflated; knee in extension with the tourniquet deflated, or knee in extension with the tourniquet inflated.The purpose of this study was to compare knee range of motion, pain, function, and wound complication rate at 1 week, 4 weeks, and 3 months follow-up.The knee flexion plus tourniquet deflated group demonstrated significantly greater knee ROM at 4 weeks postoperatively compared to the other three groups, and significantly lower pain scores at 1 week compared to all three groups.Results at 3 months demonstrated no significant between-group differences for either outcome measure.There were no significant differences in the incidence of wound complications or knee society scores between the 4 groups. Read More »
Level 2 RCT
2%
Synopsis: 72 patients with Kellgren-Lawrence grade II-III knee osteoarthritis were randomized to daily sessions of high-intensity laser therapy (HILT) for 1 week, or to a sham intervention.Patients were followed up for pain at rest, on palpation, and on movement, pressure-pain threshold, the maximum pressure under the heel during static stance, the maximum pressure under the heel during dynamic walking, and the total plantar surface of each leg. Percent changes from... Read More »
Level 2 RCT
1%
Synopsis: 29 patients undergoing primary unilateral total knee arthroplasty (TKA) were randomised to receive intravenous tranexamic acid or normal saline.The primary outcomes were early post-opeartive blood loss, and risk of thromboembolic complications.The results indicated that the tranexamic acid intervention significantly reduced blood loss during the early post-opeartive period. This intervention also... Read More »
Level 1 RCT
1%
Synopsis: 102 patients scheduled for single-bundle anterior cruciate ligament (ACL) reconstruction were randomized to receive either a two-stranded tibialis anterior allograft or four-stranded hamstring tendon allograft.Patients were assessed for graft failure/re-rupture, anterior knee laxity on the KT-1000 arthrometer, and clinical scores over a 2-year follow-up. No significant differences... Read More »
Level 2 RCT