Showing 1 - 12 of 4172 reports matching:
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Synopsis: 12 randomized controlled trials were included in this meta-analysis for the purpose of investigating potential differences in reoperation rates following anterior cervical discectomy and fusion (ACDF) and cervical disc arthroplasty (CDA) at the index level and/or adjacent levels for patients with cervical spondylosis. Results demonstrated that patients who underwent CDA required significantly fewer reoperations at the index level, the adjacent levels, or at either level type when compared to patients who received ACDF up to seven years post-surgery. However, due to Read More »
Level 1 Meta Analysis
Synopsis: 90 patients with thoracolumbar fractures were randomized to receive one of three surgical interventions: three-level percutaneous fixation, two-level percutaneous fixation, or three-level open fixation. The purpose of this study was to compare clinical and radiological outcomes of these three procedures after a mean follow-up of 17.7 months. Results demonstrated comparable Read More »
Level 2 RCT
Synopsis: 99 patients with lumbar facet joint syndrome were randomized to one of three study groups for the purpose of comparing the efficacy of pain and disability relief throughout a 12-week observational period: (1) combination of methylprednisolone injection and oral diclofenac, (2) methylprednisolone injection alone, or (3) oral diclofenac alone. Results demonstrated that Read More »
Level 2 RCT
Synopsis: 90 patients scheduled for total knee arthroplasty were randomized to one of three groups; one group was administered 1g of tranexamic acid intravenously; one group was administered 1g of tranexamic acid topically; one group underwent surgery without tranexamic acid administration. Calculated blood loss, the incidence of transfusion, and complications, which included venous thromboembolic events were assessed. Results demonstrated significantly Read More »
Author verified Level 2 RCT
Synopsis: 57 patients scheduled for total knee arthroplasty were randomized to be treated postoperatively with either a 48-hour intra-articular infusion of levobupivacaine or control. The purpose of this study was to assess if IA levobupivacaine was effective for reducing postoperative pain and narcotic consumption. Data showed lower Read More »
Level 2 RCT
Synopsis: 63 patients with a hip or knee prosthetic joint infection by either Staphylococcus aureus or coagulase-negative staphylococci were randomized to either 8 weeks of levofloxacin and rifampicin following debridement, or 3- and 6-months levofloxacin and rifampicin following debridement (3 months for hip infection and 6 months for knee infection). The purpose of this study was to compare infection cure rates between groups. Results demonstrated no Read More »
Level 2 RCT
Synopsis: 84 patients undergoing arthroscopic ACL reconstruction were included in this trial to evaluate the effect of tourniquets in ACL reconstruction. Patients were randomized to undergo the procedure without a tourniquet or with a tourniquet inflated to 350mmHg. The outcomes of Read More »
Level 2 RCT
Synopsis: 140 patients scheduled for elective total knee arthroplasty were randomized to receive, in addition to a continuous femoral nerve block, either a continuous sciatic nerve block or intermittent sciatic nerve block postoperatively. The purpose of this study was to compare analgesic efficacy between the two regimens over the first 3 days postoperatively. The results demonstrated Read More »
Level 2 RCT
Synopsis: 64 patients scheduled for total hip arthroplasty were randomized to either a computer-navigated "femur first" technique or conventional free-hand technique. The purpose of this study was to compare gait speed and hip range of motion during gait at 6 months and 1-year postoperatively. Results demonstrated no Read More »
Level 2 RCT
Synopsis: 129 patients with an anterior cruciate ligament tear scheduled for anatomic single-bundle reconstruction were randomized to receive either a six-stranded semitendinosus and gracilis (hamstring) allograft (6-strand HT) or bone-patellar-tendon-bone (BPTB) allograft. The purpose of this study was to determine if the 6-strand HT group demonstrated significantly better rotational and anterior knee stability compared to the BPTB group over a 4-year follow-up. Results over the Read More »
Level 2 RCT
Synopsis: 96 patients scheduled for total knee arthroplasty were randomized to multimodal postoperative analgesia including either a continuous adductor canal block or continuous intraarticular infiltration with bupivacaine. The purpose of this study was to compare pain, morphine equivalents consumption, knee range of motion, and patient satisfaction between groups over the first two postoperative days. With the exceptions Read More »
Level 2 RCT
Synopsis: 78 patients scheduled for total knee arthroplasty were randomized to be administered oral or intravenous tranexamic acid (TXA). The purpose of this study was to determine if oral TXA, which costs less, was noninferior to IV TXA. Outcomes included postoperative Read More »
Level 2 RCT