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You are viewing the most viewed ACE Reports by Orthopaedic Surgeons over the last 30 days in all specialties.

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Synopsis: 582 patients scheduled for primary or revision total knee arthroplasty or total hip arthroplasty were randomized to preoperative skin preparation the night before surgery with 2% chlorhexidine gluconate-impregnated cloths or a bath with standard antibacterial soap and water.Patients were assessed for deep periprosthetic infection occurring within the first 30-90 days after surgery.Overall, the incidence of deep periprosthetic infection was significantly lower among patients who used the 2% chlorhexidine gluconate-impregnated cloths. The largest difference... Read More »
Level 2 RCT
4%
Synopsis: 40 patients with a symptomatic partial supraspinatus tear were randomized to receive a subacromial injection of either platelet-rich plasma or corticosteroid (triamcinolone acetonide).The purpose of this study was to compare clinical, functional, and radiological outcomes at 6-week, 12-week, and 6-month follow-up between groups. Results demonstrated significantly... Read More »
Author verified Level 2 RCT
4%
Synopsis: 604 patients with symptomatic knee osteoarthritis were randomized to treatment with either chondroitin sulfate, celecoxib, or placebo over a 6 month period.Patients were assessed for pain, function, perceived improvement and adverse events over the 6 months.The results from this study indicated that all three groups demonstrated a significant improvement from baseline over the 6 months.Both the chondroitin sulfate group and the celecoxib group demonstrated significantly greater improvement in pain and function compared to the placebo group after 6 months.There were no significant differences between the chondroitin sulfate group and the celecoxib group for pain or function. Incidence of adverse... Read More »
Author verified Level 2 RCT
4%
Synopsis: 120 patients over the age of 60 with an acute vertebral fracture were randomized to undergo either vertebroplasty or a sham procedure designed to simulate vertebroplasty.The purpose of this study was to compare patient-reported pain, disability and quality of life over 14-day and 6-month follow-ups. Results demonstrated significant... Read More »
Level 2 RCT
3%
Synopsis: 140 patients with symptomatic knee osteoarthritis (Kellgren-Lawrence grade II-III) and ultrasonographic evidence of synovitis were included in this trial to determine the effects of prolonged corticosteroid use on cartilage loss and pain.Patients were randomized to injections of triamcinolone acetonide or saline every 12 weeks for a period of two years.The outcomes assessed included cartilage loss and damage (MRI), pain, function, and adverse events. The results of... Read More »
Level 1 RCT
2%
Synopsis: 74 patients with plantar fasciitis were randomized to treatment with either extracorporeal shockwave therapy (ESWT) or botulinum toxin type A (BoNT-A) injections.The purpose of this study was to compare pain on a visual analog scale (VAS), Roles and Maudsley pain scores, plantar fasciitis thickness on ultrasound, and the incidence of adverse events.Patients were followed-up at 1 month.The ESWT group demonstrated a greater reduction in VAS pain at rest and on the Roles and Maudsley score compared to the BoNT-A injections. No significant difference... Read More »
Author verified Level 2 RCT
2%
Synopsis: 56 patients scheduled for total hip arthroplasty were randomized to either a 36-mm femoral head and the corresponding highly cross-linked polyethylene liner, or a 28-mm femoral head and the corresponding highly cross-linked polyethylene liner.The purpose of this study was to evaluate if the 36mm group had noninferior steady-state wear over 3-year follow-up when compared to the 28mm group. Results demonstrated noninferior... Read More »
Level 2 RCT
2%
Synopsis: 89 patients scheduled for reverse shoulder arthroplasty were randomized to receive either a 42mm glenosphere or a 38mm glenosphere.The purpose of this study was to compare the rate of scapular notching between groups on radiograph over 2-year follow-up.Four crossovers from the 42mm group to the 38mm group were required, as the implants were too big and not reducible. Results demonstrated a... Read More »
Level 2 RCT
2%
Synopsis: 222 patients with OARSI grades 1-3 knee osteoarthritis were randomized to intra-articular viscosupplementation with either an intermediate-molecular-weight hyaluronic acid plus mannitol, an antioxidant, (HAnOX-M), or high-molecular-weight hyaluronic acid (Bio-HA).The purpose of this study was to evaluate if the HAnOX-M group demonstrated non-inferior results on Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain and Function sub-scores compared to the Bio-HA group over 26-week follow-up. Results suggested non-inferiority... Read More »
Author verified Level 2 RCT
1%
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