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32%
22%
15%
6%
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4%
4%
3%
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100%
16%
Synopsis: 850 ambulatory patients with low-energy intertrochanteric hip fractures were randomized to receive internal fixation using an intramedullary nail (n=423) or sliding hip screws (n=427).The primary outcome of interest was quality of life on the EuroQol-5D (EQ5D) at 1 year post-operation.Secondary outcomes of interest included revision and fracture healing rates (at 13 weeks), adverse events, Parker mobility scores, and Harris Hip scores, measured at 1 year post-operation. Results revealed no... Read More »
Conference Report
13%
Synopsis: 262 patients were assessed at the 10 year follow up of this randomized controlled trial comparing Oxidized Zirconium femoral heads with an ultra-high molecular weight polyethylene liner, Oxidized Zirconium femoral heads with a highly cross-linked polyethylene liner, and Cobalt Chrome femoral heads with a highly cross-linked polyethylene liner.Outcomes of interest included liner wear rate, incidence of osteolysis, clinical outcomes and complications. The group that... Read More »
Conference Report
6%
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
6%
Synopsis: 86 patients randomized to receive arthroscopic rotator cuff repair with acromioplasty (n=25/41 completed follow up) or without acromioplasty (n=31/45 completed follow up) were re-assessed from a multicentered, randomized controlled trial.Outcomes of interest included the Western Ontario Rotator Cuff score (WORC) and incidence of re-operation/revision.Mean follow up was 11 years post-operation. No significant differences... Read More »
Conference Report
6%
Synopsis: One hundred and two patients undergoing hip arthroscopy were randomized to receive a transmuscular quadratus lumborum block (TQLB, n=51) with pericapsular injection or pericapsular injection alone (n=51).The primary outcomes of interest was the numerical rating scale (NRS).Secondary outcomes of interest included opioid utilization in the PACU, PACU recovery time, quadriceps strength and adverse events.There was no significant difference in initial PACU pain scores between groups.Similarly, PACU opioid consumption, total time spent in the PACU and quadriceps strength was similar between groups.No differences in adverse events were noted. Read More »
Conference Report
3%
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
3%
Synopsis: 74 patients with an impacted proximal humeral fracture were randomized to undergo one of two nonoperative treatments.The first group underwent an immediate mobilization therapy (within 72 hours of the fracture) while the second group underwent a conventional immobilization protocol. Results indicated that... Read More »
Level 2 RCT
3%
Synopsis: 156 patients, aged 16-90 years of age, with A1-3 or C1 distal femur fractures were randomly assigned into 1 of 2 groups to compare the effectiveness of treatment with retrograde nailing or locked plates.Results demonstrated no significant difference between either treatment options in any of the functional results, but a trend towards better outcomes in favour of retrograde nailing was noticed. Additionally, Short Musculoskeletal... Read More »
Conference Report
3%
Synopsis: Data from 7 RCTs (n=286) was pooled to determine a superior method of fixation between nonoperative and operative interventions for complex proximal humeral fractures (3- and 4- part fracture).Pooled analysis included investigations of functional outcomes, complications, and additional surgery.The evidence presented in this trial demonstrated comparable functional outcomes between operative and nonoperative measures. While complications were... Read More »
Author verified Level 1 Meta Analysis
3%
Synopsis: 9 randomized controlled trials comparing bipolar and unipolar hemiarthroplasty in elderly patients with displaced femoral-neck fractures were included in this meta-analysis.Investigators aimed to quantitatively compare the clinical efficacy and complications of both types of hemiarthroplasty. Findings indicated that... Read More »
Level 1 Meta Analysis