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22%
20%
19%
15%
7%
6%
3%
3%
3%
3%
<1%
<1%
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100%
4%
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... Read More »
Conference Report
3%
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. Read More »
Level 2 RCT
2%
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... Read More »
Conference Report
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... Read More »
Conference Report
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... Read More »
Author verified Level 2 RCT
2%
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... Read More »
Conference Report
2%
Synopsis: 57 younger patients (under the age of 60) scheduled for total hip arthroplasty were randomized to either ceramic-on-polyethylene or ceramic-on-ceramic articulation.Patients were followed for 15 years after surgery.Revision rate and functional outcome were similar between groups after 15 years. Linear wear rate... Read More »
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... Read More »
Conference Report
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... Read More »
Level 2 RCT
2%
Synopsis: 76 patients with a Rockwood type III acromioclavicular joint dislocation were randomized to either TightRope fixation or clavicular hook plate fixation.Patients were assessed over 1 year postoperatively.Constant-Murley score and coracoclavicular distance did not significantly differ between groups over the first year of follow-up.Pain scores were significantly lower in the TightRope group. However, three patients... Read More »
Level 2 RCT