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Synopsis: 60 patients with primary arthritis of the knee were enrolled in this study to examine the effectiveness of a computer assisted total knee arthroplasty as compared to a conventional surgical method, in regards to component alignment and the precision of implantation.The results at 6 months indicated that computer-assisted implantation during total knee replacement improved the frontal and sagittal alignment of the femoral component. These improvements, however,... Read More »
Level 2 RCT
10%
Synopsis: 37 patients, over the age of 65 years, with a femoral neck fracture who were scheduled for operative fixation, were randomized to a preoperative IV dose of either dexamethasone 0.1mh/kg or placebo.The purpose of this study was to determine if preoperative dexamethasone led to a significant reduction in pain and opioid consumption over the first 3 days and 1 week after surgery.Scores for pain at rest were significantly lower in the dexamethasone group compared to the placebo group at 6 hours, and morphine consumption within the first 24 hours was significantly lower in the dexamethasone group compared to the placebo group. The difference between... Read More »
Author verified Level 2 RCT
5%
Synopsis: 55 patients, scheduled to undergo total knee replacement, were randomized to receive either fixed or mobile-bearings.The results from a 5 year follow-up indicated that elderly patients (>70 years of age) with fixed bearings had better improvements in gait parameters in comparison to those with mobile bearings. These results was... Read More »
Author verified Level 1 RCT
5%
Synopsis: 42 patients undergoing cruciate-retaining cemented total knee replacement were randomized to compare the feasibility, patient satisfaction and functional outcomes between the OtisMed system of custom cutting blocks 3D reconstruction and standard computer navigation.6 month results, measured by EQ-5D scores, Oxford Knee scores, satisfaction, pain, and range of motion, indicated no differences between the two procedures.The custom cutting system resulted in fewer ligament releases. On-site inter-departmental collaboration,... Read More »
Conference Report
5%
Synopsis: 24 children, age 16 or younger, with displaced unstable diaphyseal both-bone forearm fractures were randomized into one of two treatment groups to compare the effectiveness of single bone or both-bone intramedullary fixation. The results demonstrated no difference in median limitation of pronation/supination between the groups, but did show an increased chance of fracture re-displacement and post-operative complications in children undergoing single-bone fixation (9 months after treatment). Read More »
Author verified Level 2 RCT
5%
Synopsis: One hundred and ninety-nine children, under 18 years of age, with a displaced forearm fracture of the radius, ulna, or both, who required closed reduction and immobilization were randomly assigned into 1 of 2 postoperative treatment groups to receive either a plaster of Paris or synthetic cast to test the efficacy and safety of each treatment.Results indicated that patients who received synthetic casts were less likely to experience complications following cast application. Patients in the... Read More »
Level 2 RCT
5%
Synopsis: 47 children (16 years or younger) who sustained a diaphyseal both-bone forearm fracture without need for reduction were randomized to evaluate the safety of early conversion to below-elbow cast (BEC) during regular above-elbow cast (AEC) treatment.Patients were administered casts for 6 weeks but those in the BEC group were administered a BEC after 3 weeks with an AEC.Patients were evaluated for limitation of pronation and supination over 6 months, along with several secondary outcomes.The evidence presented in this study demonstrated that early conversion BEC from AEC did not result in more re-displacement of the fracture compared to 6 weeks of AEC only. No significant differences... Read More »
Level 2 RCT
5%
Synopsis: Seventy-one patients (79 knees) undergoing total knee arthroplasty (TKA) were randomized to either have the tourniquet inflated throughout the procedure or during the cementation phase only.The purpose of this study was to compare the two protocols with respect to operative time, blood loss, as well as postoperative clinical and functional outcomes.Results indicated that there were no statistically significant differences in postoperative pain, blood loss, range of motion, or operative time between groups. Patients in the... Read More »
Author verified Level 1 RCT
5%
Synopsis: 100 children under 16 years of age with a closed fracture of the forearm were randomly assigned into 1 of 2 treatment groups to compare the safety and fracture stability of split circumferential synthetic semi-rigid casting to closed casting 4-6 weeks after intervention.No compartment syndrome occurrences were observed in either treatment group at final follow up, but moderate skin breakdown occurred in two patients (one in each group). Secondary displacement of... Read More »
Author verified Level 2 RCT
5%
Synopsis: 9 level one randomized controlled trials (RCTs) with a total of 521 patients were included in this systematic review and meta-analysis to determine the efficacy of operative management as compared to nonoperative management of distal radius fractures in patients older than 50. Results indicated that operative management may improve radiographic outcomes; however, the majority of functional outcomes were comparable between operative and nonoperative management types. Read More »
Conference Report