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27%
13%
13%
11%
9%
7%
6%
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100%
3%
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
3%
Synopsis: 26 randomized controlled trials were included in this meta-analysis which compared efficacy and safety outcomes of glucosamine monotherapy, chondroitin monotherapy, and combined therapy to placebo.A total of 30 distinct comparison were available among the included studies, with follow-up ranging from 4 weeks to 144 weeks.Pooled estimates demonstrated significant effects of chondroitin on pain and function measures compared to placebo, while glucosamine demonstrated significant a significant effect on stiffness measures.Combined therapy failed to demonstrate a significant effect compared to placebo for any efficacy measures. No significant differences... Read More »
Level 2 Meta Analysis
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: 148 patients scheduled for total hip arthroplasty were randomized to either a direct anterior or transgluteal lateral approach.The primary outcome was the number of steps taken per day in the period leading up to 3- and 12-month follow-up.The highlighted secondary outcome measure was the Harris Hip Score, while other secondary outcome measures included the Short Musculoskeletal Functional Assessment (SMFA) function and bother scales, patient-reported activity level on a visual analog scale, and Timed 25-meter walk test. Results demonstrated a... Read More »
Level 2 RCT
2%
Synopsis: 44 patients with a stable type B malleolar fracture were randomized to postoperative immobilization using either a removable functional brace or a below-the-knee cast.Patients were assessed for function, pain, comfort, and range of motion over a 52 week follow-up.Results demonstrated no significant differences between groups at any time point on the Olerud-Molander score, VAS pain, or AAOS foot and ankle score. VAS comfort scores... Read More »
Author verified Level 2 RCT
2%
Synopsis: 22 patients with a BMI over 35 and scheduled for total knee arthroplasty were randomized to either intraosseous regional administration (IORA) vancomycin 500mg or intravenous vancomycin 15mg/kg.Intraoperative samples of subcutaneous fat and femoral bone were obtained and tested for concentrations of vancomycin. Results demonstrated significantly... Read More »
Level 2 RCT
2%
Synopsis: 91 patients scheduled for total knee arthroplasty were randomized to surgery completed using either the gap balancing technique or the measured resection technique.Outcomes of interest included final femoral component rotational alignment, and the difference between the medial and lateral compartment forces (Intercompartmental Force Difference) at full extension, 45 degrees flexion, 90 degrees flexion, and full flexion while trialing components.Mean femoral component external rotation alignment was significantly lower in the GB group compared to the MR group, though a greater degree of variation in final external rotation of the component was observed in the GB group. The intercompartmental force... Read More »
Level 2 RCT
2%
Synopsis: 139 patients scheduled for unicompartmental knee arthroplasty were randomized to either robotic-assisted or conventional surgery.Patients were assessed for patient-reported outcome measures and the incidence of revision over the first 2 years after surgery.Overall PROMs, with the exception of stiffness on a visual analog scale, did not significantly differ between the two groups at 2 years. In a subgroup... Read More »
Level 2 RCT
2%
Synopsis: 29 randomized controlled trials were selected for inclusion in this meta-analysis which compared the rates of heterotopic ossification after total hip arthroplasty between groups of patients treated with selective non-steroidal anti-inflammatory drugs (NSAIDs), groups treated with non-selective NSAIDS, and groups treated with placebo.Compared to placebo, both selective and non-selective NSAID groups demonstrated significantly lower rates of heterotopic ossification development. No significant difference... Read More »
Level 1 Meta Analysis
2%
Synopsis: 356 patients who presented to primary care with traumatic knee symptoms were randomized to either receive a referral for MRI by the general practitioner, or to usual care as per the Dutch clinical guideline with potential referral to an orthopaedic surgeon.The purpose of this study was to determine if a referral for MRI from primary care was a cost-effective treatment pathway for this patient population. Assessment of cost-utility... Read More »
Level 2 RCT