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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
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Synopsis: 25 studies were included in this review investigating total elbow arthroplasty (TEA) and open reduction and internal fixation (ORIF) in the treatment of distal humeral fractures.Of the 25 studies included, 24 were deemed to be weak through quality assessment.The results indicated that functional outcome and range of motion appear to be similar following surgery using either TEA or ORIF.Non-progressive radiolucency was observed in 9.8% of TEA cases, and radiographic implant loosening in 4.4% of TEA cases. The two treatments... Read More »
Conference Report
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Synopsis: Forty-three patients were included in this matched, cohort study comparing knee kinematic outcomes in patients undergoing total knee arthroplasty with either an anatomically designed Journey II implant or a traditionally designed Legion implant.Study outcomes at 3 months for the anatomical implant group and 2 years for the traditional implant group were compared. Results revealed that... Read More »
Conference Report
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Synopsis: 48 patients, with intra-articular distal humeral fracture or fracture-dislocation of the elbow with proximal radius or ulna fracture, were randomized to receive a single fraction of low dose radiation (700 cGY) within 3 days of surgery or a control.The study aimed to determine the role of radiation in preventing heterotopic ossification.At the 6 month follow up, the study had to be terminated prior to the completion due to significantly high numbers of non-unions with the radiation treatment. Hence, the efficacy... Read More »
Level 1 RCT
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Synopsis: 120 patients undergoing reconstruction of the anterior cruciate ligament (ACL) were randomized to one of four groups receiving different methods of ACL fixation.This study was designed to assess and compare these new fixation methods with long term clinical follow-up. The results from... Read More »
Author verified Level 2 RCT
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Synopsis: 40 patients were randomized to undergo posterior stabilisation with pedicle screws and interbody fusion with carbon cages filled with autologous bone from iliac crest with and without the addition of PRP.Addition of PRP did not lead to a substantial improvement or deterioration in comparison to autologous bone only.However, no inhibitory effect of PRP was observed on CT-scans either. The PRP costs... Read More »
Author verified Level 1 RCT
1%
Synopsis: 40 patients who underwent hindfoot and ankle surgery where randomly assigned to one of two groups based on whether their toes were covered by a sterile glove, or left uncovered at the time of their surgery.Outcomes were determined by examining 3 cultures obtained from the patient's foot (preoperatively, perioperatively and postoperatively). Results showed that... Read More »
Level 2 RCT
1%
Synopsis: 66 patients with comminuted subtrochanteric fractures were randomly assigned to receive one of two types of fixation devices during surgical treatment.One group underwent biological plating with a dynamic condylar screw (DCS) and the other group underwent intramedullary nailing with a Russell-Taylor reconstruction nail (RTRN). Results showed that... Read More »
Level 2 RCT
1%
Synopsis: 42 elderly patients with displaced intra-articular, distal humeral fractures were managed using open reduction and internal fixation (ORIF) or with total elbow arthroplasty (TEA).Assessment 2 years post-operatively supported the use of TEA in this elderly population.MEPS scores were significantly better in the TEA group, while DASH sores were superior during early follow-ups. These findings were... Read More »
Author verified Level 1 RCT
1%
Synopsis: 320 patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA) were included in this randomized double blind clinical trial to assess the effects of different preoperative education methods on patient expectations.Patients received the usual education addressing the immediate postoperative recovery or usual education in combination with a joint specific module outlining the first 12 months of recovery. Results indicated that... Read More »
Level 2 RCT