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22%
14%
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12%
11%
9%
7%
5%
2%
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100%
5%
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
3%
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
3%
Synopsis: 132 patients with mild-to-moderate, symptomatic knee osteoarthritis were randomized to a single injection of either HYA-JOINT Plus (SciVision Biotech) or Synvisc-One (Sanofi-Aventis).Patients were assessed over a 6-month follow-up for patient-reported outcome measures, functional performance measures, patient satisfaction, and rate of adverse events.Pain assessed using a visual analog scale was significantly lower in the HYA-JOINT Plus group compared to the Synvisc-One group at 1, 3, and 6 months, but pain assessed on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) did not significantly differ between groups at any point.WOMAC Stiffness score at 6 months was also significantly lower in the HYA-JOINT Plus group compared to the Synvisc-One group. All other outcomes... Read More »
Level 1 RCT
3%
Synopsis: 48 patients with calcific tendinitis of the rotator cuff were randomized to an ultrasound-guided subacromial corticosteroid injection (SAIC) injection with or without additional ultrasound-guided barbotage.Patients were assessed for functional scores and rate of secondary intervention (barbotage or surgery) over 5-year follow-up. Results demonstrated a... Read More »
Level 1 RCT
3%
Synopsis: 91 patients scheduled for ACL reconstruction and with a concurrent stable ramp lesion of the meniscus were randomized to repair or abrasion/trephination of the ramp lesion.Patients were followed for a minimum of 2 years for functional outcome, including Lysholm score and International Knee Documentation Committee (IKDC) subjective score, knee stability results, and lesion healing assessed on MRI. Results demonstrated no... Read More »
Author verified Level 2 RCT
3%
Synopsis: Six studies were included in this meta-analysis comparing mid-term outcomes of cementless porous tantalum monoblock tibial components and cemented modular tibial components in total knee arthroplasty.Radiological results demonstrated a significantly lower incidence of radiolucency among cementless porous tantalum monoblock tibial components compared to cemented modular tibial components, but no significant differences were observed in the incidence of component loosening. Despite statistically significant... Read More »
Level 2 Meta Analysis
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: 165 patients with trigger finger were randomized to open release of the A1 pulley or to treatment with a corticosteroid injection.Patients were assessed for reduction in Trigger Finger Score grade to either I or IIa, representing normal movement of the finger.Follow-up was performed at 3 and 12 months after treatment.At both 3 and 12 months, the open release group demonstrated a higher percentage of patients with a Trigger Finger Score of I or IIa when compared to the corticosteroid injection group. Within the corticosteroid... Read More »
Author verified Level 2 RCT
1%
Synopsis: 50 patients scheduled for total knee arthroplasty were randomized to postoperative cryotherapy through either a continuous cold flow device or bags of crushed ice.Patients were assessed for knee edema, pain, and range of motion over the first 7 days after surgery, as well as blood loss on postoperative day 1. Results demonstrated no... Read More »
Level 2 RCT
1%
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