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26%
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14%
11%
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9%
5%
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100%
4%
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
3%
Synopsis: Eight randomized controlled trials were included in this meta-analysis comparing the efficacy and safety of topical and intravenous tranexamic acid for use in total knee arthroplasty.Total blood loss, postoperative blood loss, hemoglobin (Hb) drop, transfusion rate, and the incidence of complications were pooled.No significant differences between groups were noted, with the exception of Hb drop at 24 hours. Despite the difference... Read More »
Conference Report
2%
Synopsis: 182 patients with knee osteoarthritis (OA) were randomized to one of four groups: PRP-3 (3 injections), PRP-1 (single injection), hyaluronic acid (HA), or saline injections.All active treatment groups (PRP-3, PRP-1, HA) demonstrated significantly more favourable EQ-VAS pain scores and IKDC scores compared to saline injections.The patients treated with three injections of platelet-rich plasma (PRP) achieved significantly more favourable scores on the EQ-VAS for pain and IKDC subjective scores compared to those treated with a single injection of PRP and HA injections. Subgroup evaluations indicated... Read More »
Level 1 RCT
2%
Synopsis: 71 patients scheduled for total knee arthroplasty were randomized to postoperative analgesia through either a fascia iliaca block or periarticular injection analgesia.Patients were assessed for pain, analgesic consumption, and satisfaction over the first 24 hours postoperatively.Visual analog scale (VAS) pain scores at rest and on movement did not significantly differ between groups at any time point. Patient-controlled analgesia (PCA)... Read More »
Level 2 RCT
2%
Synopsis: Nineteen studies were included in this meta-analysis comparing outcomes following anterior cruciate ligament reconstruction between four-stranded hamstring tendon autografts and patellar tendon autografts.No significant differences in re-rupture rate, functional scores, and knee laxity were observed. Analyses on anterior... Read More »
Conference Report
1%
Synopsis: 188 young patients (<25yo) scheduled for ACL reconstruction were randomized to undergo the procedure with or without the addition of lateral extra-articular tenodesis.Patients were assessed at 6- and 12-month follow-up for limb symmetry index (LSI) (discrepancy between operated and contralateral limbs) in hop test functional performance, measures of quadriceps strength, measures of hamstring strength, patient-reported function, and pain.Results demonstrated significantly lower LSI for hop tests, quadriceps torque and power, and patient-reported function at 6 months in those who received lateral extra-articular tenodesis compared to those who did not. By 12 months,... Read More »
Conference Report
1%
Synopsis: 70 recreationally-active patients with anterior cruciate ligament (ACL) tear were randomized to either immediate reconstruction (within 8 days) or delayed reconstruction (6-10 weeks after injury).Patients were assessed for total sick leave days over the first year after injury. The mean number... Read More »
Conference Report
1%
Synopsis: 50 patients scheduled for total knee arthroplasty under spinal anaesthesia were randomized to either intrathecal morphine or intrathecal fentanyl to be added to bupivacaine for spinal anaesthesia.Regarding postoperative pain, VAS pain scores were significantly lower throughout follow-up from 2-24 hours in the morphine group compared to the fentanyl group, and the morphine group demonstrated a significantly longer time to first rescue analgesia request when compared to the fentanyl group. No significant differences... Read More »
Level 2 RCT
1%
Synopsis: Eight randomized controlled trials were included in this meta-analysis comparing the results of intra-articular steroid injection to either sham injection or no injection in the treatment of frozen shoulder.Results were pooled at 4-6 weeks, 12-16 weeks, and 24-26 weeks.Pain scores were significantly lower following IA steroid injection versus control at all three time intervals.Shoulder range of motion was also reported to be greater following IA steroid injection versus control. Results from clinical... Read More »
Conference Report
1%
Synopsis: 40 patients scheduled for total knee arthroplasty were randomized to either receive or not receive platelet-rich plasma application during surgery.Patients were assessed for hemoglobin and hematocrit levels over the first 48 hours after surgery, and functional and pain outcomes over the first 2 months after surgery.Results demonstrated no significant differences in Hb level, Hct level, knee range of motion, or scores on the Western Ontario and McMaster Universities Osteoarthritis Index between groups. Pain scores were... Read More »
Conference Report