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You are viewing the most viewed ACE Reports by Orthopaedic Resident/Interns over the last 30 days in all specialties.
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Comparing immediate effect of a neoprene brace with vs without patellar hole for knee osteoarthritis
②
Synopsis:
108 patients with knee osteoarthritis were randomized to application of either a neoprene knee brace with a patellar hole, or a neoprene knee brace without a patellar hole.Participants were first assessed for pain and functional performance measures prior to application of the brace.Then, following application of the brace, the participants were assessed on the outcome measures again.Results reported significant within-group improvement in each VAS pain scores, TUG test times, and 8-meter walk test times in both groups. Statistical analyses on...
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Level 2 RCT
1%
Comparing gastrocnemius recession plus stretching vs. stretching alone for chronic plantar heel pain
②
Synopsis:
40 patients with plantar heel pain and previously failed response to conservative treatment were randomized to a proximal medial gastrocnemius recession procedure followed by stretching exercise or to stretching exercise only.The primary outcome of interest was the American Orthopedic Foot and Ankle Society (AOFAS) ankle hindfoot score at 12 months.Secondary outcomes included the AOFAS score at 3 months, Visual Analog Scale (VAS) pain score, Short Form 36 (SF-36) health survey, and Achilles performance test.Results demonstrated significantly better AOFAS ankle-hindfoot score and VAS pain score at 3 and 12 month, as well as SF-36 scores at 12 months, among the group who underwent proximal medial gastrocnemius recession procedure when compared patients allocated to stretching alone. Achilles performance test...
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Level 2 RCT
1%
②
Synopsis:
100 patients scheduled for total knee arthroplasty and had the knee placed in 60 degrees flexion for the first 24 hours after surgery were randomized to surgery with or without intraoperative use of a tourniquet.Patients were assessed for outcomes related to blood loss, pain scores on a visual analog scale, knee range of motion, knee circumference, and incidence of complications.For blood loss outcomes, intraoperative blood loss was significantly lower in the tourniquet group, while postoperative blood loss to drainage and hidden blood loss were significantly lower in the non-tourniquet group.Total blood loss and transfusion rate did not significantly differ between groups. Pain scores and...
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Level 2 RCT
1%
②
Synopsis:
140 patients with a distal radius fracture with dorsal displacement were randomized to fixation using either a volar locking plate or an external fixator.Patients were followed-up in the current study at 3 years postoperatively, and reported clinical scores, grip strength, and wrist range of motion. Results demonstrated no...
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Level 2 RCT
1%
②
Synopsis:
174 patients with an unstable ankle fracture and scheduled for open reduction and internal fixation were randomized to a perioperative protocol of either compression therapy or standard bandaging and elevation.The primary purpose of this study was to determine if there was a significant difference in the rate of infection between the two perioperative patient management strategies. Results demonstrated no...
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Level 2 RCT
1%
②
Synopsis:
133 patients with a distal radius fracture scheduled for open reduction and internal fixation with a volar plate were randomized to a postoperative immobilization period for 1 week, 3 weeks, or 6 weeks.Primary outcomes included wrist function, pain, and range of motion in wrist extension and forearm supination.Follow-up was performed at 6 weeks, 12 weeks, and 26 weeks postoperatively.Results demonstrated significantly better results related to the Patient-Rated Wrist Evaluation, visual analog scales for pain, and active range of wrist extension at 6 weeks for patients allocated to immobilization for only 1 or 3 weeks as compared to patients allocated to immobilization for 6 weeks.Differences between the three groups for results at 12 and 26 weeks were not statistically significant. Loss of fracture...
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Level 2 RCT
1%
②
Synopsis:
321 patients with a nonobstructive mensical tear were randomized to either an 8-week physical therapy program or to arthroscopic partial meniscectomy.The primary purpose of this study was to determine if the PT group was noninferior to the APM for outcome on the International Knee Documentation Committee (IKDC) subjective score at a noninferiority margin of 8pts. When analyzed in...
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Author verified Level 2 RCT
1%
②
Synopsis:
69 young, active patients with an anterior cruciate ligament (ACL) injury and required arthroscopic reconstruction were randomized to undergo either acute ACL reconstruction (within 8 days of injury) or delayed ACL reconstruction (within 6-10 weeks).Postoperative testing results indicated that there was no significant differences in range of motion (ROM) deficit at 3 or 6 months, or knee function to 12 months, between the acute and delayed ACL reconstruction groups.
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Level 2 RCT
1%
①
Synopsis:
7 randomized controlled trials were selected for inclusion in this meta-analysis which sought to compare outcomes of anterior cruciate ligament remnant preservation and resection in ACL reconstruction.Outcomes included clinical scores, knee stability measures, and incidence of complications.For clinical measures, no significant difference in IKDC subjective score was observed between techniques, though Lysholm scores significantly favoured remnant preservation.For knee stability, no significant differences between techniques were noted in the rates of negative pivot-shift and Lachman tests, while KT-1000/2000 arthrometer results significantly favoured remnant preservation. No significant difference...
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Level 1 Meta Analysis
1%
②
Synopsis:
313 patients with subacromial impingement were randomized to either arthroscopic subacromial decompression, arthroscopic irrigation alone, or no treatment.The purpose of this study was to explore cost-effectiveness of arthroscopic subacromial decompression compared to no treatment and arthroscopic irrigation alone, assessed after 6- and 12-month follow-up.Quality-adjusted life-years gained significantly favoured decompression compared to no treatment, and demonstrated no significant difference between decompression and arthroscopic irrigation alone.Total operative cost was significantly higher in the decompression group compared to the two other groups, while follow-up health service use cost was significantly higher with decompression versus no treatment and not significantly different between decompression and arthroscopic irrigation.Resulting incremental cost-effectiveness ratios demonstrated 0% probability and 50% probability of decompression being considered cost-effective compared to no treatment after 6 and 12 months, respectively, at a willingness-to-pay threshold of £20,000. Relative to arthroscopic...
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Level 2 RCT