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34%
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6%
Synopsis: 29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures.The primary outcome of interest was the rate of re-rupture.Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work.The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group.Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000.There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no... Read More »
Level 1 Meta Analysis
3%
Synopsis: 32 patients with a syndesmosis injury following ankle fracture and underwent syndesmotic screw fixation were randomized to either screw removal or screw retention after 3 months.Patients were assessed for functional outcome on the Foot and Ankle Outcome Score (FAOS) after 1 year.Only 16 patients were available for analysis, but results demonstrated no significant difference in FAOS score at 1 year between groups. Almost half of... Read More »
Conference Report
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
2%
Synopsis: 460 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: 478 patients scheduled for revision total hip or knee arthroplasty were randomized to receive lavage with diluted betadine or normal saline prior to wound closure.Outcomes of interest included the incidence of periprosthetic joint infection (PJI), and the incidence of wound complications excluding PJI. The results from... Read More »
Conference Report
2%
Synopsis: 12 randomized controlled trials were included in this meta-analysis comparing outcomes between surgical intervention and control groups, comprised of either nonoperative management or sham surgery, for patients with shoulder impingement.Results for pain demonstrated no significant differences between groups.Results for function in the short-term also demonstrated no significant difference between groups. Results for function... Read More »
Conference Report
1%
Synopsis: 210 patients with shoulder impingement syndrome were randomized to one of three treatment groups: arthroscopic subacromial decompression, diagnostic arthroscopy (sham surgery), or an exercise therapy program.Primary outcomes were pain at rest and pain during activity, and follow-up was performed over 24 months.Analyses demonstrated no statistically significant differences in pain scores between the arthroscopic subacromial decompression group and the diagnostic arthroscopy group. Additionally, while statistically... Read More »
Level 2 RCT
1%
Synopsis: 400 patients (older than 60 yr old) with displaced intra-capsular fracture of the proximal femur were randomized to be managed with by either cemented or uncemented hemiarthroplasty. At the 5 year follow up period, the cemented hemiarthroplasty was found superior to uncemented hemiarthroplasty, with superior reductions in pain and greater mobility with cemented prosthesis. Read More »
Author verified Level 2 RCT
1%
Synopsis: 13 ACE reports (4 reviews/ meta-analyses, 9 RCTs) were included from the OrthoEvidence database that compared operative versus nonoperative or operative versus operative treatments for displaced midshaft clavicle fractures.The findings of this review demonstrated that surgical procedures led to a lower rate of nonunion and malunion with better functional outcome when compared to nonoperative treatment. Comparisons of operative treatments indicated that an optimal surgical procedure - between plate fixation, nailing, and pin fixation - could not be determined based on union rates or functional outcome. The results of... Read More »
ACE Review
1%
Synopsis: 133 patients with a distal radius fracture scheduled for open reduction and internal fixation with a volar plate were randomized to a postoperative immobilization period for 1 week, 3 weeks, or 6 weeks.Primary outcomes included wrist function, pain, and range of motion in wrist extension and forearm supination.Follow-up was performed at 6 weeks, 12 weeks, and 26 weeks postoperatively.Results demonstrated significantly better results related to the Patient-Rated Wrist Evaluation, visual analog scales for pain, and active range of wrist extension at 6 weeks for patients allocated to immobilization for only 1 or 3 weeks as compared to patients allocated to immobilization for 6 weeks.Differences between the three groups for results at 12 and 26 weeks were not statistically significant. Loss of fracture... Read More »
Level 2 RCT