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18%
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100%
6%
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: 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: 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: 80 patients with a supraspinatus tear less than 3cm and scheduled for arthroscopic repair were randomized to either 4-week sling immobilization or no sling use after surgery.Patients were assessed for shoulder range of motion, pain, and functional scores, as well as repair integrity and tendon healing on 6-month ultrasound.Clinical measures demonstrated significantly better results for the no sling group for range of elevation at 6 weeks and 3 months, range of external rotation at 6 weeks, and range of internal rotation at 3 months.Visual analog pain scores at 6 months also significantly favoured the no sling group, while the American Shoulder and Elbow Surgeons (ASES) score demonstrated no significant difference between groups. Ultrasound results of... Read More »
Conference Report
2%
Synopsis: 60 patients scheduled for double-bundle anterior cruciate ligament reconstruction were randomized to either bioabsorbable interference screw fixation or cortical button fixation.Primary interest was tunnel enlargement after a minimum of 2 years after surgery.Clinical scores and knee laxity tests were also assessed.Results demonstrated significantly greater enlargement in the anteromedial tunnels on both the femoral and tibial side in the bioabsorbable screw group, while enlargement in the posterolateral tunnel on the tibial side was significantly greater in the cortical button group. Nonetheless, IKDC scores,... Read More »
Level 2 RCT
2%
Synopsis: 12 studies were included in this meta-analysis, comparing pulsed electromagnetic field (PEMF) therapy to sham therapy for the treatment of osteoarthritis (OA).The outcomes of interest in included pain, function, and adverse events.The pooled results found significantly improved pain and function among PEMF groups compared to sham groups.More specifically, the improvement in pain and function was observed in the treatment of knee and hand OA; no significant differences were observed between PEMF and sham groups for the treatment of cervical OA. There were no... Read More »
Level 1 Meta Analysis
2%
Synopsis: 7 studies were included in this meta-analysis comparing supervised and non-supervised post-operative rehabilitation in patients scheduled for total hip replacement (THR).Primary outcomes of interest included patient reported function at end of treatment and 6-12 months follow-up, hip related pain, health related quality of life, and performance-based function. No significant differences... Read More »
Level 1 Meta Analysis
2%
Synopsis: 45 patients scheduled for anterior cruciate ligament reconstruction were randomized to receive tranexamic acid (TXA), epsilon aminocaproic acid (EACA) or no intervention.Outcomes of interest included pain on a visual analog scale, Lysholm score, knee range of motion, and degree of hemarthrosis.The results from this study found significantly favourable pain scores in the TXA group compared to the control group at 7 days.Furthermore, Lysholm scores were significantly favourable in the TXA group compared to both the EACA and control groups at 14 days. Otherwise, no significant... Read More »
Conference Report
2%
Synopsis: 192 patients with knee osteoarthritis were randomized to three weekly intraarticular injections with either platelet-rich plasma or hyaluronic acid.The focuse of the current study was outcome after 2 and 5 years following treatment.Results for clinical outcome on the International Knee Documentation Committee (IKDC) subjective score, the EuroQoL 5-dimensions (EQ-5D) and the Tegner activity scale demonstrated no significant differences between the PRP group and HA group at 2 or 5 years.Within the first 2 years of treatment, rate of reintervention, including either repeat injection therapy or surgery, was significantly lower in the PRP group compared to the HA group. However, at 5... Read More »
Level 1 RCT
2%
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