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Synopsis: 220 patients with isolated pertrochanteric femoral fractures were randomized to receive surgical intervention with a short or long cephalomedullary nail.Primary outcomes of interest included the Short Form 36 (SF-36) questionnaire and the Harris Hip Score.Secondary outcomes of interest included implant failure, peri-implant failure, mortality, operative time, estimated blood loss and the incidence of re-operation.Outcomes were assessed up to 12 months post-operation.Results revealed significantly favourable 3 month Harris Hip scores, lower operative time and lower estimated blood loss in the short nail group compared to the long nail group. No significant differences... Read More »
Level 2 RCT
1%
Synopsis: 161 patients undergoing shoulder arthroplasty for primary shoulder osteoarthritis were randomized to either cemented fixation (control) of the humeral component or uncemented fixation in order to determine the potential of uncemented fixation to decrease operative time, while still providing stable fixation. Assessment, at follow-up to 24 months, demonstrated that the cemented arthroplasty group had superior clinical outcomes in the form of strength and function. Read More »
Author verified Level 2 RCT
1%
Synopsis: 210 patients admitted to the hospital with an AO/OTA 31-A2 fracture of the proximal part of the femur were randomized to be fixed with either a dynamic hip screw or a long gamma nail. At 1 year follow up, no differences in the clinical outcomes between the sliding hip screw and the long gamma nails for the fixation of AO/OTA 31-A2 fractures of the proximal femur were observed. Read More »
Level 2 RCT
1%
Synopsis: 41 patients, under the age of 60, undergoing NexGen cruciate-retaining total knee arthoplasty (TKA), were randomized to receive either a femoral aspect, which was cemented in place, or a non-cemented aspect.Participants were followed-up for 2 years postoperatively. The results of... Read More »
Author verified Level 1 RCT
1%
Synopsis: 190 patients with extracapsular intertrochanteric femoral neck fractures were randomized to receive treatment with the long intramedullary holland nail or the dynamic hip screw (DHS).The 1 year results of the study indicated that the Holland group demonstrated a significantly shorter time to mobilisation experienced no revisions; however, this group also indicated a higher mean radiation time. In addition, it... Read More »
Level 2 RCT
1%
Synopsis: 66 patients with post-traumatic elbow stiffness were randomized to receive either static progressive or dynamic splinting.The results from a 12 month follow-up indicated that there were no significant differences in flexion arc or DASH scores. Thus, the results... Read More »
Author verified Level 2 RCT
1%
Synopsis: 317 children with distal forearm torus, minimally angulated greenstick, or nondisplaced stable epiphyseal fractures were randomized to receive a flexible below-elbow cast with home removal or a fiberglass below-elbow cast with hospital removal. The study determined that flexible below-elbow casts with home removal are safe and cost-effective alternatives to the traditional fiberglass casts with hospital removal. Read More »
Conference Report
1%
Synopsis: 33 patients (42 knees) with osteoarthritis or rheumatoid arthritis were randomized to receive a mobile bearing (MB) or a fixed bearing (FB) total knee replacement (TKR).Over 10 to 12 years, radiostereometric analysis (RSA) indicated that there was greater lateral translation, subsidence and posterior tilt in the FB prosthesis.However, there was greater internal rotation in the MB prosthesis. There were no... Read More »
Author verified Level 2 RCT
1%
Synopsis: 108 patients with a pertrochanteric femoral fracture were randomized to receive treatment with the dynamic hip screw (DHS) or the proximal femoral nail (PFN).At 4 months, a greater proportion of the PFN patients had regained their pre-operative level of walking ability than the DHS patients.However, the median operation time was significantly shorter in the DHS group than the PFN group. There were no... Read More »
Level 2 RCT
1%
Synopsis: 120 patients were randomized to compare the clinical response of two different treatments for gonarthrosis.Patients received either platelet-rich plasma (PRP) - more specifically - autologous conditioned plasma (ACP), or hyaluronic acid (HA). 24 weeks after... Read More »
Level 2 RCT