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You are viewing the most viewed ACE Reports by Orthopaedic Surgeons over the last 30 days in all specialties.

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Synopsis: The present study is a meta-analysis evaluating the efficacy of autologous whole blood (AWB) therapy versus corticosteroid injections in the treatment of epicondylopathy and plantar fasciopathy (PF).The primary outcome was pain relief at 2-6, 8-13, and 24-26 weeks.The authors included a total of 9 RCTs, and found statistically significant results in favour of corticosteroids at 2-6 weeks for patients with plantar fasciopathy, and in favour of AWB as early as 8 weeks up to 24 weeks for individuals with epicondylopathy. Read More »
Author verified Level 1 Meta Analysis
6%
Synopsis: 22 randomized controlled trials were included in this network meta-analysis, that included over 10 injectable treatments, to evaluate comparative efficacy for the management of plantar faciopathy.The primary outcome of this study was pain relief.At 0-2 month follow-up, micronized dehydrated human amniotic/chorionic membrane was the most likely treatment to be effective for pain relief.At 2-6 months, botulinum toxin A was the treatment most likely to be effective for pain relief, while a treatment most likely to be effective beyond 12 months could not be identified from the limited amount of evidence available at this time point.The lack of trials available was a limiting factor of this network meta-analysis, exemplified by the lack of studies reporting data on micronized dehydrated human amniotic/chorionic membrane beyond 2 months. Further trials are... Read More »
Level 1 Meta Analysis
6%
Synopsis: Seven randomized controlled trials were included in this systematic review and meta-analysis to compare functional outcome measures between patient-specific instrumentation and conventional instrumentation in total knee arthroplasty.Pooled outcomes included the Knee Society Knee Score, Knee Society Functional Score, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, the Knee Injury and Osteoarthritis Outcome Score (KOOS), and visual analog scale (VAS) scores. Results demonstrated no... Read More »
Level 2 Meta Analysis
4%
Synopsis: 77 patients with symptomatic, Kellgren-Lawrence grade II-IV knee osteoarthritis were randomized to intraarticular hyaluronic acid (IAHA) injections with or without an additional, single periarticular lidocaine-corticosteroid injection (PALCI) at the beginning of treatment.The purpose of this study was to determine if the addition of PALCI to IAHA had a significant effect on pain after 1, 3, 6, 12, 26 and 52 weeks.Visual analog pain scores demonstrated significantly lower pain scores in the IAHA+PALCI group compared to the IAHA group at 1 and 3 weeks, while no significant differences between groups at 6, 12, 26 or 52 weeks. A significant within-group... Read More »
Level 2 RCT
2%
Synopsis: 50 patients scheduled for posterior pedicle screw fixation of a thoracolumbar fracture were randomized to surgical wound injection of methylene blue or saline.The purpose of this study was to compare postoperative pain and disability between groups at 48 hours postoperatively and at 2- and 6-month follow-up. Results demonstrated significantly... Read More »
Level 2 RCT
1%
Synopsis: 84 Kenyan patients with an open tibial fracture were randomized to a 24-hour prophylactic antibiotic administration protocol or a 5-day prophylactic antibiotic administration protocol.The purpose of this study was to compare the infection rate after 14 days between these two prophylactic antibiotic administration protocols. Results demonstrated no... Read More »
Author verified Level 2 RCT
1%
Synopsis: 56 patients scheduled for total hip arthroplasty were randomized to either a 36-mm femoral head and the corresponding highly cross-linked polyethylene liner, or a 28-mm femoral head and the corresponding highly cross-linked polyethylene liner.The purpose of this study was to evaluate if the 36mm group had noninferior steady-state wear over 3-year follow-up when compared to the 28mm group. Results demonstrated noninferior... Read More »
Level 2 RCT
1%
Synopsis: 180 elderly females with hip fractures were randomized to receive traditional care either with or without or an additional home-based exercise program to determine if the intervention can better restore function and strength.The results from this study indicate that there was a significant increase the activity level of the patients receiving the home-based exercise program in addition to traditional treatment. Bone mineral density,... Read More »
Author verified Level 2 RCT
<1%
Synopsis: 80 patients scheduled for total knee arthroplasty were randomized to undergo the surgery using either patient-specific instrumentation (PSI) or computer-assisted surgery (CAS) navigation technology for guiding bone cuts.The purpose of this study was to compare the incidence of intraoperative and postoperative outliers between groups for component alignment.Intraoperative results demonstrated a significantly higher incidence of coronal tibial alignment and tibial slope outliers in the PSI group compared to the CAS group, with the intraoperative abandonment of PSI required in 7 patients (17.5%) who were excluded from further analysis. Postoperative results at... Read More »
Level 2 RCT
<1%
Synopsis: 553 leisure-time runners were randomized to three groups that differed only in the heel-to-toe drop (10mm, 6mm, or 0mm) of their running shoes.The investigators measured the risk of injury over 6 months. Overall, there were... Read More »
Author verified Level 1 RCT