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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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②
Synopsis:
18 patients with a displaced (>2mm) base of the 5th metatarsal fracture were randomized to be treated with either open reduction and internal fixation (ORIF) or nonoperative management with a short leg cast.The purpose of this study was to compare clinical measures of pain and function, time to union, and restoration of injured metatarsal length between groups.Follow-up was performed for an average of 8.5 weeks.Results demonstrated no significant differences in pain or functional scores, despite a significantly shorter time to union in the operative group.
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Level 2 RCT
3%
Synopsis:
Eight randomized controlled trials were included in this meta-analysis which compared incidences of complications following fixation of a low-energy femoral neck fracture between a sliding hip screw and multiple cannulated cancellous screws.Analyses on development of avascular necrosis, nonunion, limb shortnening, and reoperation demonstrated no significant differences between SHS and multiple cannulated cancellous screw groups. When the analysis...
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Conference Report
3%
Synopsis:
57 patients with a displaced fracture of the distal third of the clavicle were randomized to treatment through either open reduction and internal fixation with a plate, or to conservative management through sling immobilization.Follow-up was performed at 1 year after treatment.Patient-reported disability and function scores demonstrated no significant differences between groups. Malunion and nonunion...
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Conference Report
3%
Synopsis:
37 randomized and quasi-randomized controlled trials were included in this meta-analysis which compared revision rate and mobility scores between intramedullary nails and sliding hip screws for intertrochanteric fracture fixation.Outcomes were subgroup analyzed based on the the use of either an older-generation nail or newer-generation nail.For older-generation nails versus sliding hip screws, revision rates were significantly greater with similar postoperative mobility scores. For newer-generation nails...
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Conference Report
3%
Synopsis:
3424 patients scheduled for or who had undergone either total knee or hip arthroplasty with a 5-day course of rivaroxaban 10mg postoperatively were randomized to extended thromboprophylaxis with either aspirin 81mg daily or continued rivaroxaban 10mg daily.Patients were assessed for the incidence of venous thromboembolism and bleeding events over the first 90 days after surgery, Noninferiority analysis for efficacy demonstrated that extended aspirin was noninferior to extended rivaroxaban. Groups also demonstrated...
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Conference Report
2%
Synopsis:
Eight randomized controlled trials or cohort studies were selected for inclusion in this meta-analysis which compared functional outcome, hardware removal rate, and malreduction rate between dynamic fixation and static fixation of syndesmosis injuries.Functional outcomes were pooled at 3, 6 and 12 months postoperatively.Results demonstrated significant differences in favour of dynamic fixation compared to static fixation for Olerud Molander score at 6 months, and AOFAS scores at 3 and 6 months.Differences between fixation methods at 12 months were not significant for either measure. Rates of hardware...
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Conference Report
2%
②
Synopsis:
82 patients with a complete Achilles tendon rupture were randomized to either percutaneous repair or open repair.Follow-up was performed over 12 months after surgery for functional scores, range of motion, complications, and rerupture rate.Results demonstrated no significant differences between groups for any of the assessed outcome measures. No patient in...
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Author verified Level 2 RCT
2%
Synopsis:
101 patients with an unstable syndesmotic injury associated with a malleolar fracture were randomized to syndesmotic stabilization with either a Tightrope device or two cancellous screws.Malreduction was assessed on CT at 3 months.Functional outcome and reoperation rate were followed-up for 12 months postoperatively.The incidence of malreduction and reoperation were both significantly lower in the Tightrope group compared to the screw group. Functional outcomes did...
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Conference Report
2%
②
Synopsis:
69 patients with a closed, displaced clavicle fracture (Robinson type 2B) were randomized to surgery with open reduction and internal fixation with a plate, or two nonoperative treatment with an arm pouch sling.Patients were followed over 24-month follow-up for union, incidences of nonunion and malunion, complications, and function through the Constant score.Results demonstrated no significant differences in the rate of nonunion between groups, though time to union was significantly shorter in the plate group compared to sling group. Additionally, function at...
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Level 2 RCT
2%
②
Synopsis:
9 studies (8 RCTs, 1 controlled clinical trial) were selected for a systematic review of elderly patients with a proximal humerus fracture.The goal of this study was to determine whether surgical or nonoperative treatment is the optimal intervention in patients over the age of 60.Operative treatments identified in the included trials were the tension band technique, locking plates, pinning and hemiarthroplasty.The results of this review indicated that many studies did not find a significant difference in functional outcomes when comparing locking plates or tension bands to nonoperative treatment at 1 year.There was a significantly better health-related quality of life and Euroqol-5D in patients that received a hemiarthroplasty compared to the nonoperative group for patients with 4-part fractures.Complications were common in the operative treatment groups. This study highlights...
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Level 2 Meta Analysis
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