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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: 107 patients scheduled for two-stage revision hip or knee arthroplasty due to periprosthetic infection have been included in this randomized controlled trial to evaluate the efficacy of a 3-month course of oral antibiotics in reducing the rate of reinfection.The results reported in this summary are from a planned interim analysis conducted when the trial reached half of its planned sample size.Patients were randomized to a receive an additional 3-month course of oral antibiotics tailored to the original infecting organism or no additional antibiotic treatment.The incidence of reinfection was significantly lower in the oral antibiotics group compared to the control group (p=0.0162), suggesting that a course of oral antibiotics following two-stage revision hip and knee arthroplasty may reduce the risk of recurrent periprosthetic infection. However, given that... Read More »
Author verified RCT
3%
Synopsis: 111 patients with Kellgren-Lawrence grade I-IV symptomatic knee osteoarthritis were randomized to three weekly intraarticular injections of either leukocyte-poor platelet-rich plasma (LP-PRP) or hyaluronic acid.Patients were assessed for pain and function over a 52-week follow-up.The primary outcome measure, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score, demonstrated no significant difference between groups at any time point.In contrast, pain scores on a visual analog scale (VAS) demonstrated significantly lower pain in the LP-PRP group compared to the HA group at 24- and 52-week follow-up. Similarly International Knee... Read More »
Author verified Level 2 RCT
2%
Synopsis: Ten randomized controlled trials were included in this meta-analysis comparing blood loss and range of motion following total knee arthroplasty between knee positioning in flexion versus extension.Results demonstrated significantly lower calculated total blood loss and hidden blood loss with flexion protocols, but no significant difference in postoperative blood drainage volume. Transfusion rate was... Read More »
Level 1 Meta Analysis
2%
Synopsis: Five randomized controlled trials were included in this meta-analysis investigating the efficacy and safety of combined intravenous-intraarticular tranexamic acid administration to that of intravenous tranexamic acid alone.Pooled results demonstrated significantly lower total blood loss, smaller postoperative hemoglobin drop, and lower incidence of transfusion in combined intravenous-intraarticular TXA groups compared to intravenous TXA alone groups. Incidence of thromboembolic... Read More »
Level 1 Meta Analysis
2%
Synopsis: 110 patients with a humeral shaft fracture were randomized to either operative treatment through minimally invasive plate osteosynthesis or nonoperative treatment through functional bracing.The purpose of this study was to compare functional, clinical, and radiographic outcomes between groups, as well as the incidence of severe and minor complications.The primary outcome was the Disabilities of the Arm, Shoulder, and Hand (DASH), questionnaire.The only significant difference in DASH scores between groups was observed at 6 months favoring the MIPO group.The MIPO group also has a lower incidence of nonunion and lower anteroposterior angular displacement compared to the functional brace group. Other clinical/functional outcomes,... Read More »
Level 2 RCT
2%
Synopsis: 53 patients scheduled for medial patellofemoral ligament reconstruction were randomized to a self-balancing technique for graft tensioning, or to graft tensioning under a direct arthroscopic view.Patients were assessed over a 2-year follow-up for patellar stability on clinical examination and patient-reported functional measures. The results of... Read More »
Level 2 RCT
2%
Synopsis: 105 patients scheduled to undergo total knee arthroplasty were randomized to receive either liposomal bupivacaine or modified Ranawat suspension periarticular injection, for the purpose of determining if either injection treatment was associated with significantly improved postoperative pain, narcotic requirement and functional restoration/improvement. Results demonstrated comparable pain and clinical outcomes at all follow-up intervals up to 6 postoperative weeks, which suggests that both injection treatments were sufficient in postoperative management. Read More »
Level 2 RCT
2%
Synopsis: 80 patients with a rotator cuff tear and concomitant lesion of the biceps tendon were randomized to tenodesis fixation with either an interference screw or suture anchor.Patients were followed up for a minimum of 2 years for pain, function, range of motion, and incidence of anatomic failure on MRI or ultrasonography. Results demonstrated no... Read More »
RCT
2%
Synopsis: 109 patients with a moderate, dorsally displaced distal radius fracture (Colles') were randomized to two different conservative management protocols after closed reduction.One group was treated with plaster cast immobilization for 10 days followed by elastic bandaging, while the other group was treated with 1 month (range 4-5 weeks) of plaster cast immobilization. Radiographic results found... Read More »
Author verified Level 2 RCT
2%
Synopsis: 75 patients with Robinson type 2B1-2 displaced midshaft clavicle fractures were included in this trial to compare outcomes using a minimally invasive intramedullary nail technique or a standard locking compression plate.Patients were evaluated over a minimum 12-month follow-up period and outcomes included operative time, fluoroscopy time, length of surgical incision, amount of clavicle shortening, length of hospital stay, time to union, disability, function, and cosmetic dissatisfaction.There were no differences in operative time, length of stay, or clavicle shortening between the two groups, however, fluoroscopy time was significantly longer in the intramedullary nail group.Constant scores were similar between groups but Quick DASH was significantly better in the intramedullary nail group, however, this difference did not appear to be clinically relevant. Time to union... Read More »
Level 2 RCT