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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
4%
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
4%
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
3%
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
3%
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
3%
Synopsis: 60 patients with primary glenohumeral osteoarthritis and scheduled for a total shoulder arthroplasty (TSA) were randomized to receive sub-scapularis repair via a sub-scapularis tenotomy (ST) or a lesser tuberosity osteotomy (LTO).Outcomes of interest included range of motion and strength measurements on forward elevation, internal rotation and external rotation, pain on a Visual Analog Scale (VAS), the Simple Shoulder Test (SST), the Short-Form 36 (SF-36) questionnaire and American Shoulder and Elbow Surgeons (ASES) score.Follow up was performed up to 1 year post-operation.Results revealed no significant differences between the LTO and ST groups in range of motion or strength om forward elevation, internal rotation, or external rotation, as well as no significant differences in VAS pain scores, ASES scores and SF-36 scores.At 3 months, SST score was significantly higher in the LTO group compared to the ST group, however at 1 year no significant difference in SST score was observed between the two groups.Additionally, mean case duration and the time for sub-scapularis repair was significantly longer in the LTO group compared to the ST group. No cases of... Read More »
Level 2 RCT
3%
Synopsis: 99 patients with a partial-thickness rotator cuff tear or rotator cuff tendinopathy were randomized to injection therapy with either a platelet rich plasma injection or corticosteroid injection.Patients were assessed for outcome on a visual analog scale for pain, the Western Ontario Rotator Cuff Index, the American Shoulder and Elbow Surgeons (ASES) score, and incidence of patients who progressed to operative treatment. Results demonstrated significantly... Read More »
Conference Report
3%
Synopsis: 5 studies were included in this systematic review and meta-analysis comparing patient reported outcomes in patients with femoroacetabular impingement (FAI) receiving structured physiotherapy or unmonitored, unstructured physiotherapy.PubMed, EMBASE, and the Cochrane Library were searched for relevant articles. Pooled results revealed... Read More »
Conference Report
2%
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: 32 patients with Kellgren-Lawrence grade II-IV knee osteoarthritis were randomized to one of three injection groups: high-dose autologous bone marrow-derived mesenchymal stem cell injection and hyaluronic acid injection (high-dose MSC group), low-dose autologous bone marrow-derived mesenchymal stem cell injection and hyaluronic acid injection (low-dose MSC group), or hyaluronic acid injection alone (control group).Patients were assessed for safety and efficacy outcomes over 3, 6, and 12 month follow-up in this phase I/II study.Safety analysis reported no serious treatment-related adverse events in any group.Efficacy results demonstrated significant within-group improvement after 12 months in the high-dose MSC group for VAS pain, WOMAC pain, WOMAC stiffness, and WOMAC function, whereas within-group improvement in the low-dose MSC group was only noted for WOMAC stiffness after 6 and 12 months, and within-group improvement in the control group was only noted for WOMAC function at 3 and 6 months. Knee range of... Read More »
Level 2 RCT