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23%
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17%
8%
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100%
7%
Synopsis: 400 patients with a trochanteric fracture were randomized to fixation with either a newer-generation intramedullary nail (Targon PFT) or a sliding hip screw.Patients were assessed for mobility, pain, and independence at 8 weeks, 3, 6, and 9 months, and 1 year following surgery.Incidences of complications and reoperations were also documented.Results demonstrated small but statistically significant differences in mobility scores in favour of the IMN group at 8 weeks, 3 months, and 9 months; at 1 year, differences were not statistically significant for mobility scores between groups. All other outcomes... Read More »
Level 2 RCT
2%
Synopsis: 160 patients with a Robinson type 2B1-2 displaced midshaft clavicle fracture were included in this multicenter randomized controlled trial to compare outcomes between operative and nonoperative treatment methods.Patients were evaluated for nonunion, constant shoulder score, disabilities of the arm, shoulder, and hand (DASH) score, pain, secondary operations, and cosmetic result.At one year the rate of nonunion was significantly higher in the nonoperative group as was the rate of secondary plate fixation to manage nonunion.However, there was no difference in the total number of secondary procedures between groups.Additionally, there were no differences in constant and DASH scores between the groups. Read More »
Author verified Level 2 RCT
2%
Synopsis: 41 patients scheduled for volar plate fixation of a distal radius fracture were randomized to two different methods for postoperative analgesia.In one group, patients were administered a pre-incision injection of bupivacaine, and then an injection of liposomal bupivacaine at the end of the procedure.In the other group, patients were administered a pre-incision injection of bupivacaine only.Patients were assessed for pain, analgesic consumption, and adverse events over the first 5 days after surgery. The only significant... Read More »
Author verified Level 2 RCT
2%
Synopsis: 60 patients requiring anterior cruciate ligament (ACL) reconstruction were randomized to either double-bundle reconstruction or single-bundle reconstruction.Patients were assessed for instrumented anteroposterior knee laxity (KT-2000), subjective function, objective functional performance on hop tests, and osteoarthritis development over 6-year follow-up.Results demonstrated no significant differences in any outcome measure between the two groups. One case of... Read More »
Level 2 RCT
2%
Synopsis: 75 patients scheduled for total hip arthroplasty were randomized to either a direct anterior approach or a posterior approach.Primary outcomes were patient-reported outcome measures, including the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Oxford Hip Score (OHS) at 2, 6, and 12 weeks postoperatively. No significant differences... Read More »
Level 2 RCT
1%
Synopsis: 102 patients undergoing total hip arthroplasty (THA) and 85 patients undergoing total knee arthroplasty (TKA) were randomized to receive one of three different methods for wound closure.The primary outcome was the development of wound complications.Results indicated that the 3 methods had comparable outcomes. However, the authors... Read More »
Level 2 RCT
1%
Synopsis: 1543 patients undergoing knee arthroscopy (POT-KAST trial) and 1519 patients undergoing casting of the lower leg (POT-CAST trial) were randomized to receive or not anticoagulant therapy.The aim of these studies was to examine the efficacy of thromboprophylaxis in these groups of patients.The result of these trials indicated that the use of low-molecular-weight heparin did not reduce the rate of symptomatic venous thromboembolism in either patient population compared to no anticoagulant treatment. Read More »
Level 2 RCT
1%
Synopsis: 217 patients with unstable trochanteric or subtrochanteric fractures were randomized to receive internal fixation with either a standard Gamma nail or a Medoff sliding plate. The results of the study suggest that standard Gamma nails result in a reduced incidence of severe general complications, a trend towards a lower incidence of wound infections and in a need for revision surgery. Read More »
Level 2 RCT
1%
Synopsis: 120 patients undergoing total knee arthroplasty who had a BMI over 30 kg/m2 were included in this trial to determine the effectiveness of using a stemmed modular tibial implant in comparison to a standard tibial modular implant in obese patients.Randomization into the two group was stratified by the severity of obesity (moderate and severe).Patients were followed up over a two year period for pain and functional outcomes (KSS, KOOS, and VAS Pain).The results indicated that the use of a stemmed modular tibial implant was associated with significantly higher function and lower pain at 2 years postoperatively when compared to a standard modular tibial implant.No significant differences were observed for the incidence of revision or radiolucency of the tibial component within the first 2 years postoperatively.The significant differences observed in this study are not likely to be clinically important as they failed to meet minimum clinically important differences for the patient report outcomes. Read More »
Author verified Level 2 RCT
1%
Synopsis: 87 elderly (>70 years of age) patients with an unstable ankle fracture were randomized to treatment through either closed reduction and intramedullary nail fixation, or open reduction and internal fixation using a plate and screws.Patients were assessed for the incidence of complications, length of stay, postoperative mobility status, and functional outcome on the Olerud-Molander score at 1 year postoperatively.Results demonstrated a significantly lower incidence of complications and shorter length of hospital stay in the nail group compared to the ORIF group. Postoperative mobility status... Read More »
Level 2 RCT