Loading...
Visit our Evidence-Based Covid-19 Website and Stay Up to Date with the latest Research.
To focus on specific sub specialties check/uncheck boxes on left
30%
16%
12%
11%
8%
8%
7%
5%
3%
Displaying
100%
10%
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
10%
Synopsis: A total of 100 patients presenting to the emergency room with an isolated, closed, distal radius fractures were randomized to receive a clamshell (n=50) or sugartong splint (n=50).The outcomes of interest included radiographic measures of tilt, inclination, and height, as well as the the Disabilities of the Arm, Shoulder and Hand (DASH) score for functional assessment.A marginally higher DASH score was observed in the sugartong group (mean 109; SD 16) compared to the clamshell splint group (mean 106, SD 24).The average change in radiographic tilt, inclination, and height in the clamshell splint group was 1.1 degrees (SD 1.1), 1.8 degrees (SD 2.1), and 1.5 degrees (SD 0.97), respectively. The average change... Read More »
RCT
7%
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
3%
Synopsis: 20 patients either with insertional or midportion chronic Achilles tendinopathy were randomized to receive eccentric training or conventional cryotherapy as treatment for this condition. The results indicated that following the 12 week treatment period, eccentric training resulted in reduced paratendinous blood flow, decreased pain, unchanged and preserved oxygen saturation, and reduced postcapillary venous filling pressures. Read More »
Author verified Level 2 RCT
3%
Synopsis: 150 patients after undergoing primary ACL reconstruction with hamstring autograft were randomized to receive a functional brace or neoprene sleeve at their 6-week postoperative visit, which were instructed to be worn during physical activities for 12 months.During follow-up, patients were assessed using the Anterior Cruciate Ligament-Quality of Life (ACL-QOL) questionnaire, KT-1000 arthrometer for anterior tibial translation, the single-limb forward hop test, and the Tegner Activity Scale. The use of... Read More »
Author verified Level 1 RCT
3%
Synopsis: Five studies (3 RCTs, 1 Cohort, 1 Case-control) were included in this analysis comparing fixation with and without screws in cementless acetabular component in total hip arthroplasty.Studies were included if they provided data on reoperation rates, component migration, or the incidence of osteolysis, as these were the primary outcomes of concern.The studies conducted follow-ups between 2 and 5 years postoperatively. Pooled results indicated... Read More »
Level 2 Meta Analysis
3%
Synopsis: 100 patients scheduled for primary total knee arthroplasty were randomized to intraoperative placement of the tibial component using either a portable, accelerometer-based navigation device (KneeAlign, OrthoAlign, CA) or using conventional extramedullary guides.Radiographic outcome in patients was assessed at approximately 6 weeks post-surgery.The results indicated that the number of outliers and absolute deviation in tibial component alignment and posterior tibial slope were significantly reduced in the group treated with the KneeAlign device relative to patients who received placement with an extramedullary guide. No difference between... Read More »
Level 1 RCT
3%
Synopsis: 21 patients diagnosed with chronic recalcitrant plantar fasciitis were randomized to receive either dextrose prolotherapy (DP) or autologous platelet-rich plasma (PRP) injection therapy.The purpose was to evaluate the efficacies of these treatments and additionally, to assess whether one is more effective.Results at 28 weeks indicated that both treatments significantly improved total Foot Function Index scores versus baseline but no between-group differences were found. Nevertheless, PRP provided... Read More »
Author verified Level 2 RCT
3%
Synopsis: Data from 7 studies (RCTs and Quasi-RCTs), examining 550 patients with chronic recalcitrant plantar fasciitis, was pooled to investigate the safety and efficacy of extracorporeal shockwave therapy (ESWT).The evidence presented in this meta-analysis and systematic review indicated that low intensity ESWT delivered higher success rates than control treatments. Pain relief was... Read More »
Level 2 Meta Analysis
3%
Synopsis: 60 patients suffering from osteoarthritis of the first carpometacarpal joint were randomly allocated to receive 3 monthly injections of dextrose or a single corticosteroid injection after 2 monthly placebo injections.The purpose of this study was to determine which treatment improves symptoms and restores function more effectively up to 6 months post-intervention. Dextrose achieved greater... Read More »
Author verified Level 1 RCT