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Synopsis: 60 patients with an isolated, full-thickness supraspinatus tear were randomized to either receive two postoperative ultrasound-guided injections of platelet-rich plasma or to no adjunct postoperative intervention.Patients were evaluated over a mean of 3.5 years for MRI (Sugaya classification) and clinical outcomes (QuickDASH, Oxford Shoulder Score, and Constant Score).At a mean of 3.5 years, there were no significant differences in clinical scores between groups, with the exception of a greater score on the abduction subscale of the Constant score in the PRP group. MRI outcomes were... Read More »
Level 2 RCT
3%
Synopsis: 48 career late-career professional athletes with degenerative knee cartilage lesions were randomized to receive treatment with either intra-articular injections of either platelet-rich plasma (PRP) or high-molecular-weight hyaluronic acid (HA).The study was conducted in order to determine if there were any significant differences between injections in improving pain and function symptoms. Findings displayed that... Read More »
Conference Report
3%
Synopsis: 93 patients with mild-to-moderate knee osteoarthritis were randomized to either an 8-week neuromuscular exercise (NEMEX) program or treatment with analgesic and anti-inflammatory drugs (PHARMA).Patients were assessed after 2 and 12 months for results on the Knee Injury and Osteoarthritis Index Score (KOOS).Primary outcome was the KOOS ADL scale, which demonstrated no significant difference between groups for change from baseline after 2 or 12 months. The KOOS Symptoms... Read More »
Level 2 RCT
2%
Synopsis: This meta-analysis included 13 randomized controlled trails (1107 fractures) that assessed the effects of an extended exercise rehabilitation program on the physical functioning of patients with hip fractures. The results of the meta-analysis and systematic review indicate that an extended exercise rehabilitation program improves knee extension strength, balance, physical performance based tests, the Timed "Up and Go" test, and fast gait speed when compared with a standard rehabilitation program for patients with hip fractures. Read More »
Author verified Level 1 Meta Analysis
2%
Synopsis: Patients (180 shoulders) above 55 years of age with non-traumatic supraspinatus tears were analyzed one year post-intervention to determine if rotator cuff repair is superior to alternative treatment approaches.Patients were randomly allocated to a physiotherapy group, acromioplasty and physiotherapy group, or rotator cuff repair, acromioplasty and physiotherapy group and evaluated for outcome using the Constant score.Results revealed that rotator cuff repair did not yield superior results compared to acromioplasty and/or physiotherapy. Surgical interventions were... Read More »
Level 2 RCT
2%
Synopsis: 8 ACE Reports (all randomized controlled trials) from the OrthoEvidence database were included in this review/meta-analysis examining the effect of arthroscopic surgery and physical therapy in the treatment of degenerative tears of the meniscus and knee osteoarthritis.The purpose of this review was to determine if any differences in outcome were demonstrated between arthroscopy followed by physical therapy versus physical therapy alone, regarding pain, function, satisfaction, adverse events, or osteoarthritis progression.Pain results were pooled at 3 different time point: 2-3 months, 6 months, and 12-24 months postintervention.At short-term (2-3 months) and long-term (12-24 months) follow-up, pain was similar between groups, with no significant difference observed.There tended to be less pain experienced at 6 months following arthroscopy, however this only reached significance in the KOOS pain outcome and the clinical importance of this observation is unknown.Assessments of functional outcome, either pooled or qualitative, suggested no significant difference between groups as well. The rate of... Read More »
ACE Review
2%
Synopsis: 126 patients with a distal femur fracture were randomized to fixation through either retrograde nailing or locked plating.The purpose was to compare radiographic, functional, and clinical outcomes up to 1 year postoperatively.The results indicated a similar rate of malalignments, although plating was associated with a greater frequency of >5 degree valgus deformity.Functional outcomes did not significantly differ between groups over the one year follow-up. It was observed... Read More »
Conference Report
2%
Synopsis: 9 studies (8 RCTs, 1 controlled clinical trial) were selected for a systematic review of elderly patients with a proximal humerus fracture.The goal of this study was to determine whether surgical or nonoperative treatment is the optimal intervention in patients over the age of 60.Operative treatments identified in the included trials were the tension band technique, locking plates, pinning and hemiarthroplasty.The results of this review indicated that many studies did not find a significant difference in functional outcomes when comparing locking plates or tension bands to nonoperative treatment at 1 year.There was a significantly better health-related quality of life and Euroqol-5D in patients that received a hemiarthroplasty compared to the nonoperative group for patients with 4-part fractures.Complications were common in the operative treatment groups. This study highlights... Read More »
Level 2 Meta Analysis
2%
Synopsis: 9 studies investigating open reduction and internal fixation (ORIF) and limited internal fixation combined with and external fixator (LIFEF) for the treatment of tibial plafond fractures were included in this meta-analysis.The purpose of this analysis was to determine whether LIFEF yielded fewer postoperative complications than ORIF. The meta-analysis found... Read More »
Level 3 Meta Analysis
2%
Synopsis: 49 patients with higher grade cartilage lesions (Outerbridge grade III-IV) and mild knee osteoarthritis (Kellgren-Lawrence grade I-II) were included in this study.Patients were scheduled for arthroscopic microfracture and randomized to the procedure with or without the application of platelet-rich plasma (PRP) intraoperatively.Follow-up was conducted for 2 years postoperatively for pain and functional outcomes.Additionally, second-look arthroscopy was performed in a subset of 10 patients from each group between 4-6 months postoperatively.Results at 2 years demonstrated significantly lower pain scores in the PRP patients compared to control patients, as well as a higher rate of IKDC grade A (ie.normal) knee examination. No significant difference... Read More »
Level 2 RCT