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Synopsis: 108 patients with knee osteoarthritis were randomized to application of either a neoprene knee brace with a patellar hole, or a neoprene knee brace without a patellar hole.Participants were first assessed for pain and functional performance measures prior to application of the brace.Then, following application of the brace, the participants were assessed on the outcome measures again.Results reported significant within-group improvement in each VAS pain scores, TUG test times, and 8-meter walk test times in both groups. Statistical analyses on... Read More »
Level 2 RCT
3%
Synopsis: 36 randomized controlled trials were included in his meta-analysis which examined the use of platelet rich plasma (PRP) versus varying control interventions for various soft-tissue orthopaedic injuries and conditions, predominantly elbow tendinopathy and plantar fasciitis.Pooled results among patients with elbow tendinopathy demonstrated a lack of significant difference in pain or functional measures between PRP and control groups at 3 months, but significant differences in favour of PRP groups at 6 months.In patients with plantar fasciitis, pooled results demonstrated a lack of significant difference in pain scores between PRP and control at 3 months, while 6-month results significantly favoured PRP groups.When outcome on the AOFAS functional score were considered, pooled results significantly favoured PRP groups at 3 and 6 months. When effects were... Read More »
Level 1 Meta Analysis
2%
Synopsis: 120 patients with full thickness rotator cuff tears were randomized to receive either 3 weeks of post-surgery immobilization in a sling, or 6 weeks of immobilization in a brace (with an abduction pillow placing the arm in a neutral position).Follow-up was performed at the 6 week time-point, as well as at 3, 6 and 12 months post-surgery.Outcomes reported included the Western Ontario Rotator Cuff (WORC) index, Constant Murley (CM) score, range of movement (ROM), as well as MRI results and patient-reported satisfaction.Sling immobilization for a period of 3 weeks was found to be a non-inferior treatment compared to brace immobilization for a period of 6 weeks, according to primary outcome of WORC index at 12 months. Additionally, patient reported... Read More »
Level 1 RCT
2%
Synopsis: 40 patients with plantar heel pain and previously failed response to conservative treatment were randomized to a proximal medial gastrocnemius recession procedure followed by stretching exercise or to stretching exercise only.The primary outcome of interest was the American Orthopedic Foot and Ankle Society (AOFAS) ankle hindfoot score at 12 months.Secondary outcomes included the AOFAS score at 3 months, Visual Analog Scale (VAS) pain score, Short Form 36 (SF-36) health survey, and Achilles performance test.Results demonstrated significantly better AOFAS ankle-hindfoot score and VAS pain score at 3 and 12 month, as well as SF-36 scores at 12 months, among the group who underwent proximal medial gastrocnemius recession procedure when compared patients allocated to stretching alone. Achilles performance test... Read More »
Level 2 RCT
2%
Synopsis: 174 patients with an unstable ankle fracture and scheduled for open reduction and internal fixation were randomized to a perioperative protocol of either compression therapy or standard bandaging and elevation.The primary purpose of this study was to determine if there was a significant difference in the rate of infection between the two perioperative patient management strategies. Results demonstrated no... Read More »
Level 2 RCT
2%
Synopsis: 50 patients with chronic, nonspecific neck pain were randomized to an 8-week exercise program of either craniocervical flexion exercises or isometric neck exercises.Patients were assessed at 4 and 8 weeks after enrollment for outcomes of pain on a visual analog scale (VAS), the Neck Disability Index, and cervical range of motion in flexion-extension, lateral flexion, and rotation.Results demonstrated significant within-group improvement after 4 and 8 weeks in both groups for all of the above measures. The group treated... Read More »
Level 2 RCT
2%
Synopsis: 222 patients with femoroacetabular impingement were randomized to either arthroscopic surgery or to a tailored physiotherapy program.The purpose of this study was to compare functional scores, quality-of-life scores, and incidence of complications between the two groups at 8-month follow-up.Results for the primary outcome measure, the Hip Outcome Score Activities of Daily Living (HOS ADL), demonstrated significantly higher scores in the arthroscopy group compared to the PT group at 8 months.Most secondary outcomes of changes in function and QoL scores significantly favoured the arthroscopy group as well.Crossover from the PT group to arthroscopy was recorded in 6 patients. Three complications, including... Read More »
Level 2 RCT
1%
Synopsis: 80 patients with an isolated knee cartilage lesion were randomized to undergo either autologous chondrocyte implantation (ACI) or microfracture (MFx).The purpose of this study was to compare clinical outcome measures and rate of failure (defined as a need for a secondary surgery due to symptom return) between groups over a 15-year follow-up.The rate of radiographic osteoarthritis development was also assessed.The results demonstrated no significant differences between groups in Lysholm, visual analog pain scale, Short Form 36-Item Physical Component score, and the incidence of failure after 15 years, the clinical scores of survivors (non-failures) in both groups demonstrated improvement from baseline values. Among survivors (non-failures),... Read More »
Author verified Level 2 RCT
1%
Synopsis: 14 randomized controlled trials were included in this systematic review and meta-analysis to evaluate the use of corticosteroid injections in the management of rotator cuff tendinosis in comparison to a placebo.The primary outcome of interest for this meta-analysis was pain assessed at 3 months (12 weeks).A subgroup analysis was also performed to compare the efficacy of single vs multiple injections.The results of this study indicated that corticosteroid injections provided greater reductions in pain at 4 and 8 weeks compared to placebo, however, these differences were small and not clinically relevant.There were no differences observed between groups at 12 weeks.Additionally, there were no differences observed between single and multiple injections of a corticosteroid. Read More »
Author verified Meta Analysis
1%
Synopsis: 1108 patients with a hip fracture were randomized to fixation through either a sliding hip screw or cancellous screws.The outcomes of interest included reoperation rate and patient-reported outcome measures (PROMs) over a 24-month follow-up.The overall rate of reoperation for any reason did not significantly differ between groups, 20% in the sliding hip screw group and 22% for patients in the cancellous screws group. Rates of implant... Read More »
Level 1 RCT