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26%
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3%
Synopsis: 88 patients scheduled for total knee arthroplasty were randomized to surgery with or without the application of a tourniquet.The purpose of this study was to compare functional recovery between groups, primarily though range of motion in flexion, with secondary functional outcomes of range of motion in extension, the straight leg raise test, and the timed up-and-go (TUG) test.In addition, pain at rest on a visual analog scale was assessed.Patients were followed at 1 and 3 days postoperatively, and at 3 months postoperatively.No significant differences between groups were observed in range of motion or straight leg raise test outcomes. TUG test time... Read More »
Level 1 RCT
3%
Synopsis: 42 patients with complete anterior cruciate ligament (ACL) tears were randomized to receive an ACL reconstruction with either a quadrupled hamstring tendon (QHT) graft (semitendinosus and gracilis tendon) or a bone-patellar tendon-bone (BPTB) graft.Outcomes of interest included functional outcomes measures (Lysholm, Cincinnati scores), anterior knee pain, and instability assessments (Lachman, anterior drawer and pivot shift tests).Follow up was performed at 2 weeks, 6 weeks, 3 months, 6 months and 1 year.No significant differences were observed in both Lysholm and Cincinnati scores at 2 weeks, 6 weeks, 3 months, 6 months and 1 year post-operation.However, significant differences in several Cincinnati sub-scores (pain, overall activity level, running activity) were observed between the two groups.The proportion of patients who reported anterior knee pain was similar between the two groups.Similarly, the proportion of patient who reported altered sensation over the anterolateral aspect of the proximal leg was not significantly different between groups. Lachman test, anterior... Read More »
Level 2 RCT
3%
Synopsis: 160 patients scheduled for a total joint arthroplasty (hip/knee) were randomized to receive either a closed incision negative pressure wound therapy (ciNPWT; PREVENA) device or a standard-of-care silver-impregnated occlusive wound dressing.The primary outcome of interest was the incidence of wound complications.Secondary outcomes included the rates or re-admission and re-operation.Follow up was performed at 2 weeks, 4 weeks, and 12 weeks post-surgery.Results revealed a significantly favourable rate of wound complications in the ciNPWT group compared to the control group at 2 weeks and overall.The rate of re-operation was significantly in favour of the ciNPWT group at 12 weeks and overall compared to the control group.Two cases of infection were reported in the ciNPWT group, whilst 8 cases were reported in the control group. No differences were... Read More »
Level 2 RCT
3%
Synopsis: 60 patients with primary glenohumeral osteoarthritis and scheduled for a total shoulder arthroplasty (TSA) were randomized to receive sub-scapularis repair via a sub-scapularis tenotomy (ST) or a lesser tuberosity osteotomy (LTO).Outcomes of interest included range of motion and strength measurements on forward elevation, internal rotation and external rotation, pain on a Visual Analog Scale (VAS), the Simple Shoulder Test (SST), the Short-Form 36 (SF-36) questionnaire and American Shoulder and Elbow Surgeons (ASES) score.Follow up was performed up to 1 year post-operation.Results revealed no significant differences between the LTO and ST groups in range of motion or strength om forward elevation, internal rotation, or external rotation, as well as no significant differences in VAS pain scores, ASES scores and SF-36 scores.At 3 months, SST score was significantly higher in the LTO group compared to the ST group, however at 1 year no significant difference in SST score was observed between the two groups.Additionally, mean case duration and the time for sub-scapularis repair was significantly longer in the LTO group compared to the ST group. No cases of... Read More »
Level 2 RCT
2%
Synopsis: 112 patients with trigger finger were randomized to percutaneous release of the A1 pulley with or without the addition of a steroid injection.Patients were assessed after 3 weeks and 3 months for outcome on a patient global impression of improvement scale, modified Quinnell grade, and pain on a visual analog scale. Results demonstrated significantly... Read More »
Level 2 RCT
1%
Synopsis: 90 patients scheduled for total knee arthroplasty were randomized to one of three nerve block combinations for postoperative analgesia: an obturator nerve block (ONB) plus continuous adductor canal block (cACB), a tibial nerve block (TNB) plus cACB, or an ONB and TNB plus cACB.Patients were assessed primarily for patient-controlled analgesia consumption, time to first analgesia request, and pain scores postoperatively. Results for morphine... Read More »
Level 1 RCT
1%
Synopsis: 140 patients scheduled for total knee arthroplasty with a titanium nitride-coated implant were randomized to either a mobile-bearing (MB) or fixed-bearing (FB) prosthesis.Patients were assessed for knee range of motion, clinical and functional scores, and radiographic alignment over an average of 4.1 years after surgery.Primary outcome was knee range of motion, which demonstrated no significant differences between groups throughout follow-up. In addition, Knee... Read More »
Level 2 RCT
1%
Synopsis: 161 patients with a sub-capital femoral fracture and undergoing arthroplasty were randomized to one of three groups: topical fibrin sealant application, topical tranexamic acid applications, or standard haemostasis through electrocoagulation alone.The primary outcome of this study was volume of blood loss to postoperative drainage. Results demonstrated no... Read More »
Level 2 RCT
1%
Synopsis: 80 patients with elbow tendinopathy and scheduled for needle tenotomy were randomized to adjuvant intratendinous injection or either platelet-rich plasma or lidocaine.Intratendinous injections were performed within areas of hypoechogenicity observed during ultrasound-guided tenotomy.Primary outcomes were the proportion of patients who demonstrated minimum reductions of 25% from baseline in the Disabilities of the Arm, Shoulder, and Hand (DASH) and pain on a visual analog scale (VAS). Results demonstrated no... Read More »
Level 2 RCT
1%
Synopsis: 176 patients with trochanteric fractures and scheduled for surgical treatment were randomized to receive 3 doses of intravenous tranexamic acid or placebo (normal saline).Outcomes of interest included peri-operative, obivous and hidden blood loss, post-operative hemoglobin levels, proportion of patients who received red blood cell transfusion, number of transfused red blood cell units per person, and the incidence of adverse events.The results from the trial revealed significantly lower levels of peri-operative, obvious and hidden blood loss in the tranexamic acid group.Post-operative hemoglobin levels were significantly lower in the placebo group on post-operative day 1 and 2.The number patients who received a packed red blood cell transfusion, and the number of packed red blood cell transfusions per patient, were significantly higher in the placebo group. There were no... Read More »
Level 1 RCT