Loading...
Visit our Evidence-Based Covid-19 Website and Stay Up to Date with the latest Research.

PeerView

You are viewing the most viewed ACE Reports by Physiotherapists over the last 30 days in all specialties.

To focus on specific sub specialties check/uncheck boxes on left
24%
15%
14%
13%
10%
9%
5%
4%
3%
1%
<1%
<1%
Displaying
100%
10%
Synopsis: One hundred and sixty four patients with end-stage osteoarthritis of the hip were randomized to undergo total hip arthroplasty with either a direct lateral approach or a minimally invasive direct anterior approach.The purpose of this study was to compare these two methods in terms of invasiveness, including biomarkers associated with muscle damage and inflammation, and clinical outcomes over the first four postoperative days.Results demonstrated significantly higher serum creatine kinase levels immediately after surgery and at 4 days postoperatively in the direct anterior approach group compared to the direct lateral approach group. In contrast, pain... Read More »
Level 2 RCT
4%
Synopsis: A total of 124 elderly patients with displaced displaced proximal humeral fractures (PHFs) were randomized to receive a reverse shoulder arthroplasty (RA) (n=64) or plate fixation (n=60).The primary outcome of interest was the Constant score at 2-years follow-up.The secondary outcomes of interest were the Oxford Shoulder Score and radiological outcomes.The results demonstrated that a statistically significant difference in Constant scores at 2 years, favour of the reverse shoulder arthroplasty group.Stratified by OTA/AO fracture classification, Constant scores were statistically significantly in favour of the reverse arthroplasty group in type C2 proximal humeral fractures. However in type... Read More »
Conference Report
3%
Synopsis: A total of 304 patients with isolated, unstable distal radius fractures who received either receive surgical care (n=187) or casting (n=117) were included in this study.Patients who opted for surgical treatment were randomized to receive either internal fixation with volar plate, external fixation, or percutaneous pinning.Patients who preferred conservative management received casting.The primary outcome of interest included the 24-month Michigan Hand Outcomes Questionnaire (MHQ) Summary score.Secondary outcomes of interest included MHQ domain scores.Outcomes were measured up to 24 months post-treatment.In all patients, the mean MHQ Summary score at 24 months was 86 [95%CI 83, 88] and the mean MHQ ADL score at 24 months was 88 [95%CI 80,88], representing good hand function and return to activities of daily living.No statistically significant differences in any of the MHQ domains at 24 months post-treatment.Internal fixation with volar plate had statistically significantly higher MHQ ADL and satisfaction domain scores compared to the other 3 interventions (p<0.0001) at 6 weeks post-treatment.Patients who underwent external fixation scored significantly lower in these 2 domains compared to the casting and internal fixation with volar plate groups. The external fixation... Read More »
RCT
1%
Synopsis: A total of 46 patients undergoing hip surgery were randomized into receiving pre-operative fascia iliaca compartment block (FICB) and a standard post-operative pain regimen or a standard post-operative pain regimen only.The primary outcome of interest was consumption of pain medication (acetaminophen, tramadol, morphine) post-surgery.Secondary outcomes of interest included functional recovery and patient satisfaction.All outcomes were measured up to post-operative day (POD) day 3.No significant differences in acetaminophen for mild pain or tramadol for moderate pain were observed between the FICB and control groups.Morphine consumption for severe pain was 0.4mg in the FICB group and 19.4mg in the control group (p=0.05). However, the FICB... Read More »
Conference Report
1%
Synopsis: A total of 30 adults with distal third tibia fracture and same-level or more fibula fracture patients who underwent tibial load-sharing reamed intramedullary nailing were randomized into receiving operative fibular plating or nonoperative treatment of the fibular fracture.Outcomes of interest included pain on a Visual Analogue Scale (VAS), Short Form 36 Health Survey Questionnaire (SF-36), the Ankle-Hindfoot Scale, Hospital for Special Surgery (HSS) Knee Disability Scale, incidence of fracture healing, incidence of tibial alignment, and incidence of adverse events.No statistically significant differences were found between treatment groups in VAS pain scores at any follow-up period.The rate of tibial union higher in the plating group compared to the conservative group (92.3% vs.76.9%), and a higher rate of malalignment was reported in the non-operative group.Operative time was statistically significantly longer in the plating group compared to the conservative group (p=0.002). The time to... Read More »
Conference Report
1%
Synopsis: Of a total of 1441 participants with low-energy displaced femoral neck fractures in the HEALTH trial, 117 patients who required revision surgery within 24 months of sustaining a fracture were included in this secondary analysis.This analysis investigated surgical and patient predictive factors for the need of revision.Factors of interest included age, body mass index (BMI), major comorbidities, independent ambulation, type of surgical approach, length of operation, use of femoral cement, femoral head size, and degree of femoral stem offset. The analysis demonstrated... Read More »
RCT
1%
Synopsis: 16 studies (3 RCTs, 1 quasi-RCT, and 12 controlled clinical trials) were included in this meta-analysis which compared the efficacy and safety of open versus arthroscopic Bankart repair for recurrent anterior shoulder dislocations.Range of motion, incidence of recurrence, reoperation, and complications were among the outcomes assessed.Although results indicated similar rates of complications between groups, patients who underwent arthroscopic repair experienced significantly greater rates of recurrence and reoperation.However, arthroscopic repair also led to significantly superior recovery of range of motion.These results should be interpreted with caution as lower quality evidence was included in this meta-analysis. Additional randomized controlled... Read More »
Level 3 Meta Analysis
1%
Synopsis: 56 patients undergoing total hip arthroplasty (THA) were randomized to undergo THA using either a direct anterior approach or posterior approach.The purpose of the study was to determine if the direct anterior approach resulted in improved early functional recovery compared to the posterior approach.The primary outcome of interest was time until discontinuation of an assistive ambulatory device.Results showed that patients treated with a direct anterior approach had significantly shorter use of an assistive ambulatory device, shorter hospital stay, and less post-surgical pain as compared to patients being treated with a posterior approach. No significant differences... Read More »
Level 2 RCT
1%
Synopsis: A total of 207 patients with a flail chest injury or severe chest wall deformity were randomized to receive surgical fixation (n=107) or the non-operative management (n=99).The outcomes of interest were the Short Form 36 (SF-36) Physical Component Summary (PCS) and Mental Component Summary (MCS) scores, assessed at 1 week, 2 weeks, 6 weeks, 3 months, 6 months, and 12 months follow-up.The results demonstrated that both the PCS and MCS were not statistically significantly different (p=0.25; p=0.98, respectively) between the 2 treatment arms at any of the follow-up periods.Patients who smoked demonstrated worse SF-36 MCS and PCS scores at 1 year. Patients who spent... Read More »
Conference Report
1%
Synopsis: A total of 254 patients with high-energy open tibia fractures were randomized to receive modern ring external fixation (n=122) or internal fixation (n=132).The primary outcome was rehospitalization or same day surgery for at least 1 of 6 major limb complications (infection, amputation, non-union, malunion, loss of reduction and/or hardware failure, or soft-tissue problems).The results revealed that external fixation was associated with a significantly higher risk of at least 1 major limb complication within 1 year follow-up vs internal fixation (RD=20.9% [95%CI 8.3%, 32.8%]; p=0.002). No statistically significant... Read More »
Conference Report