Showing 1 - 12 of 1151 reports matching: Arthroplasty
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Synopsis: 80 osteoarthritic patients scheduled to undergo total hip arthroplasty were randomized to preoperative care consisting of either a 10-week explosive-type resistive training program or usual care. The objective of this trial was to determine if this type of preoperative exercise program was feasible and effective. The findings of Read More »
Level 2 RCT
Synopsis: 100 patients scheduled for total knee arthroplasty with an adductor canal block were randomized to have the block performed with bupivacaine plus buprenorphine, or bupivacaine alone. The purpose of this study was to determine if the addition of buprenorphine resulted in significantly lower opioid analgesia consumption over the first 24 hours postoperatively. Results demonstrated that Read More »
Level 1 RCT
Synopsis: Sixteen randomized controlled trials (RCTs) were included in this meta-analysis evaluating the efficacy and safety of intravenous tranexamic acid in total hip arthroplasty. All included trials were placebo controlled. Results demonstrated significantly Read More »
Author verified Level 1 Meta Analysis
Synopsis: 308 patients scheduled for total knee arthroplasty were randomized to one of two postoperative rehabilitation protocols: one group received motivational interviewing over the first 6 months after surgery as part of an enhanced management protocol in addition to usual care, whereas the second group received usual care alone, consisting of standard inpatient and outpatient physical therapy. The purpose of this study was to determine if the enhanced care protocol offered a significant benefit regarding improvement in functional outcome over the first 6 months. Results demonstrated no Read More »
Level 2 RCT
Synopsis: 126 patients who had undergone total hip arthroplasty or hip resurfacing and were deemed appropriate cases for same-day mobilization were randomized to mobilization in the afternoon following surgery (POD 0 group), or on the first postoperative day (POD 1 group). The purpose of this study was to compare time to discharge readiness and overall length of hospital stay between groups. The time to Read More »
Level 2 RCT
Synopsis: 101 patients scheduled for total knee arthroplasty due to osteoarthritis were randomized to combined femoral and sciatic nerve block with or without the addition of local infiltration analgesia as part of the multimodal postoperative analgesia regimen. Patients were assessed for pain scores and rescue analgesia consumption over 72 hours postoperatively, as well for knee range of motion and Knee Society Score over a 6-month follow-up. With the exception Read More »
Author verified Level 1 RCT
Synopsis: 39 patients scheduled for cemented total hip arthroplasty were randomized to receive either low viscosity bone cement or high viscosity bone cement. The purpose of this study was to compare femoral component migration via radiostereometric analysis (RSA) over a 10-year follow-up. The results of Read More »
Level 2 RCT
Synopsis: 109 patients scheduled for total knee arthroplasty were randomized to undergo the procedure with or without the use of a tourniquet. The purpose of this study was to compare the rate of deep vein thrombosis at 7 days postoperatively. Results demonstrated a Read More »
Level 2 RCT
Synopsis: Seven randomized controlled trials were included in this systematic review and meta-analysis to determine the effectiveness of erythropoietin in reducing the risk of exposure to allogenic blood transfusions in patients undergoing total hip and knee arthroplasty procedures. Outcomes assessed were the incidence of allogeneic blood transfusion, units of allogeneic blood transfused, the incidence of adverse events, and cost. The results of Read More »
Level 2 Meta Analysis
Synopsis: 38 randomized controlled trials and 9 observational studies were included in this systematic review and meta-analysis to compare mortality and morbidity rates between metal-on-metal total hip arthroplasty (MOM THA) and non-metal-on-metal THA (non-MOM THA). Results of the meta-analysis indicate no significant differences in mortality rate within 5 years, or from 5-10 years. However, mortality rate Read More »
Author verified Level 2 Meta Analysis
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