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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
4%
Synopsis: 57 young patients (18-60 years of age) scheduled for elective, primary total hip arthroplasty were included in this study to compare long-term wear, revision, and functional outcomes between ceramic-on-ceramic and ceramic-on-conventional polyethylene bearing surfaces.This study presented the result at a minimum 15-year follow-up.Total wear, linear wear rate, and the incidence of femoral osteolysis were greater among patients who were given a ceramic-on-conventional polyethylene implant compared to patient given a ceramic-on-ceramic implant. Nonetheless, no significant... Read More »
RCT
4%
Synopsis: 76 patients with a Rockwood type III acromioclavicular joint dislocation were randomized to either TightRope fixation or clavicular hook plate fixation.Patients were assessed over 1 year postoperatively.Constant-Murley score and coracoclavicular distance did not significantly differ between groups over the first year of follow-up.Pain scores were significantly lower in the TightRope group. However, three patients... Read More »
Level 2 RCT
3%
Synopsis: 625 patients with a Gustilo-Anderson type II-III open fracture of the lower limb were randomized to postoperative wound management with either negative pressure wound therapy or standard dressings.Patients were followed up for patient-reported disability and quality of life measures over 12 months, as well as incidences of infection and wound complications over 30 days. Results demonstrated no... Read More »
Level 2 RCT
2%
Synopsis: Eight randomized controlled trials were included for meta-analysis which compared negative pressure wound therapy and conventional dressings in wound management following open fracture. Pooled analysis demonstrated a significantly lower rate of infection among groups treated with negative pressure wound therapy compared to groups treated with conventional dressings. Read More »
Level 2 Meta Analysis
2%
Synopsis: Four randomized controlled trials were included in this meta-analysis which compared the outcomes of intravenous dexamethasone and placebo/control for pain control after total knee arthroplasty. Pooled analysis of pain scores and narcotic consumption significantly favoured intravenous dexamethasone groups from 12-48 hours postoperatively. Read More »
Level 1 Meta Analysis
2%
Synopsis: 664 patients scheduled for total knee arthroplasty were randomized to either topical tranexamic acid or intravenous tranexamic acid.Patients were assessed for total blood loss, postoperative blood loss, and the incidence of transfusion. Results demonstrated that... Read More »
Level 2 RCT
2%
Synopsis: Eight randomized controlled trials were included in this meta-analysis which compared incidences of complications following fixation of a low-energy femoral neck fracture between a sliding hip screw and multiple cannulated cancellous screws.Analyses on development of avascular necrosis, nonunion, limb shortnening, and reoperation demonstrated no significant differences between SHS and multiple cannulated cancellous screw groups. When the analysis... Read More »
Conference Report
2%
Synopsis: 42 patients scheduled for total knee arthroplasty were randomized to surgery completed with either patient-specific instrumentation or conventional instrumentation.Patients were assessed after 1 year fo varus-valgus stability, lower limb and individual component alignment, and clinical scores.Results demonstrated no significant differences in knee stability and clinical scores. Additionally, lower limb... Read More »
Level 2 RCT
1%
Synopsis: Eighteen randomized controlled trials were included in this meta-analysis which compared outcomes following treatment of thoracolumbar fractures between pedicle screw fixation at fractured vertebra (AFV) and conventional pedicle screw fixation. Pooled analyses demonstrated significant differences in favour of AFV with respect to postoperative pain scores, postoperative anterior vertebral height and loss of correction over time, Cobb angle, and incidence of implant failure. Read More »
Level 1 Meta Analysis