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23%
15%
14%
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9%
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7%
4%
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100%
5%
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
3%
Synopsis: 67 patients scheduled for total hip arthroplasty were randomized to receive either a vitamin E-diffused highly-crosslinked polyethylene liner or moderately-crosslinked polyethylene liner.Patients were assessed for total wear and steady state wear over 7 years using radiostereometric analysis.Results demonstrated a non-significant difference between groups in total wear after 7 years, though steady state wear (ie.wear occurring beyond 1-year follow-up to control for bedding-in) was significantly lower in the VEPE group. Patient-reported measures of... Read More »
Conference Report
2%
Synopsis: 329 patients with an operative extremity fracture, or pelvic and/or acetabular fracture and required thromboprophylaxis were randomized to either low molecular weight heparin 30mg twice daily or aspirin 81mg twice daily for 90 days.Patients were followed up for bleeding events and venous thromboembolic complications.Results demonstrated no significant differences between groups in rates of either bleeding events, pulmonary embolism, or deep vein thrombosis. However, in subgroup... Read More »
Conference Report
2%
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
2%
Synopsis: 75 patients with a 3- or 4-part humerus fracture were randomized to fixation with either a locking intramedullary nail or locking compression plate.Patients were assessed over a minimum of 24 months after surgery for clinical scores, radiographic outcome, and incidence of complications and reoperation.Clinical scores, including visual analog pain scores, the Constant Score, and the American Shoulder and Elbow Surgeons (ASES) score, demonstrated no significant differences between the two groups.Rates of malunion/nonunion and avascular necrosis development were also similar between groups. A lower rate... Read More »
Conference Report
1%
Synopsis: 620 patients with a Gustilo-Anderson type II-III open fracture of the lower limb were randomized to postoperative wound management with either negative pressure wound therapy or standard dressings.Patients were followed up for patient-reported disability and quality of life measures over 12 months, as well as incidences of infection and wound complications over 30 days. Results demonstrated no... Read More »
Level 2 RCT
1%
Synopsis: 40 patients scheduled for arthroscopic repair due to shoulder instability were randomized to a postoperative analgesia regimen which featured either ibuprofen 600mg plus 10 tablets of oxycodone hydrochloride 5/325mg for rescue analgesia, or to only oxycodone hydrochloride 5/325mg.Patients were assessed primarily for pain scores and number of oxycodone hydrochloride 5/325mg tablets consumed over the first postoperative week. Results demonstrated no... Read More »
Conference Report
1%
Synopsis: 40 patients with vitamin D deficiency and scheduled for lumbar spinal stenosis surgery were randomized to receive vitamin D supplementation (100,000 IU intramuscular injections of Vitamin D3) or no supplementation.Outcomes of interest included the Oswestry Disability index (ODI), Rolland-Morris Disability Questionnaire (RMDQ), and the Short Form 36 (SF-36) quality of life test.Follow up was performed up to 12 months post-operation.At 6 and 12 months, significantly favourable ODI, SF-36 Mental and SF-36 Physical scores were observed in the supplementation group compared to the control group. No significant differences... Read More »
Conference Report
1%
Synopsis: 8 ACE Reports (all randomized controlled trials) from the OrthoEvidence database were included in this review/meta-analysis examining the effect of arthroscopic surgery and physical therapy in the treatment of degenerative tears of the meniscus and knee osteoarthritis.The purpose of this review was to determine if any differences in outcome were demonstrated between arthroscopy followed by physical therapy versus physical therapy alone, regarding pain, function, satisfaction, adverse events, or osteoarthritis progression.Pain results were pooled at 3 different time point: 2-3 months, 6 months, and 12-24 months postintervention.At short-term (2-3 months) and long-term (12-24 months) follow-up, pain was similar between groups, with no significant difference observed.There tended to be less pain experienced at 6 months following arthroscopy, however this only reached significance in the KOOS pain outcome and the clinical importance of this observation is unknown.Assessments of functional outcome, either pooled or qualitative, suggested no significant difference between groups as well. The rate of... Read More »
ACE Review
1%
Synopsis: 80 patients with lateral epicondylitis were randomized to injection treatment with either platelet-rich plasma or corticosteroid (triamcinolone).Patients were assessed for outcome on a visual analog scale for pain, the Disabilities of the Arm, Shoulder and Hand score, the Mayo Elbow Performance score, and grip strength after 6 weeks and 3 months. Findings demonstrated significantly... Read More »
Conference Report