Showing 1 - 12 of 209 reports matching: Foot & Ankle
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Synopsis: 136 pediatric patients recommended for ankle-foot orthoses were randomized to receive a device either made with standard molding and casting or with laser scanning using computer-aided design and computer-aided manufacturing (LSCAD/CAM technology). The purpose of this study was to determine if either AFO production method was associated with significant differences in production time, orthosis length of life, patient satisfaction, and cost-effectiveness. Although results demonstrated Read More »
Author verified Level 2 RCT
Synopsis: 60 severely and morbidly obese patients scheduled for unilateral foot or ankle surgery were randomized to an ultrasound-guided popliteal sciatic nerve blockade either proximal or distal to the branching point of the sciatic nerve. The purpose of this study was to compare the two block administration sites in terms of pain scores, block onset characteristics, and complications. Outcomes were assessed Read More »
Level 2 RCT
Synopsis: 84 patients (109 feet) with hallux valgus deformity were randomized to receive either modified chevron osteotomy (with an extended plantar limb) or scarf osteotomy to determine their comparative efficacy with regards to deformity correction, functional improvement, and patient satisfaction. Outcomes were followed-up at one year postoperatively. Findings indicated a Read More »
Level 2 RCT
Synopsis: 55 patients undergoing hammertoe surgery were randomized to undergo one of the following procedures: proximal interphalangeal joint (PIPJ) resection or PIPJ fusion. The purpose of this study was to compare the effectiveness of the two techniques using the American Orthopaedic Foot & Ankle Society scale, the Foot Function Index, and the visual analogue scale pain scores up to one year postoperatively. Radiographic outcomes such Read More »
Author verified Level 2 RCT
Synopsis: 23 randomized controlled trials (RCTs) were included in this systematic review to determine the efficacy and safety of physical agents for patients with plantar fasciitis (n=13 RCTs), ankle sprains (n=4 RCTs), Achilles tendinopathy (n=3 RCTs), and patellofemoral pain syndrome (n=3 RCTs). All included trials were reported to contain low risks of bias. Qualitative analysis indicated Read More »
Level 2 Meta Analysis
Synopsis: 45 patients with severe hallux valgus deformity were randomized to undergo either open wedge osteotomy or crescentic osteotomy for the purpose of comparing radiological and clinical outcomes of both methods after 12 months post-surgery. Results demonstrated that both surgical interventions were associated with significant improvements in hallux valgus angle, intermetatarsal angle, pain and function at 4 and 12 months. Between-group comparisons for Read More »
Author verified Level 2 RCT
Synopsis: 68 patients scheduled for arthroscopic debridement and microfracture for osteochondral defects (OCD) of the talus were randomized to postoperative rehabilitation with or without the use of pulsed electromagnetic field (PEMF) therapy. The purpose of this study was to test the hypothesis that the use of PEMF therapy postoperatively in these patients would increase the rate of return to sport and also reduce the time to return to sport. Results demonstrated no Read More »
Author verified Level 1 RCT
Synopsis: 620 patients with an unstable ankle fracture were randomized to treatment with either close contact casting or internal fixation. The purpose of this study was to determine if functional outcome within the first 6 months after casting was equivalent to internal fixation. Secondary clinical and Read More »
Author verified Level 2 RCT
Synopsis: 50 patients with chronic ankle instability and previously failed conservative treatment were randomized to undergo a modified Brostrom procedure (anterior talofibular ligament repair) arthroscopically or via open surgery. The purpose of this study was to compare clinical and radiographic outcomes between groups over the first 12 months after surgery. Results demonstrated no Read More »
Level 2 RCT
Synopsis: 68 patients with an unstable syndesmosis injury following an external rotation ankle fracture with posterior malleolus involvement were randomized to the management of the syndesmotic injury with either anterior-inferior tibiofibular ligament repair and augmentation with anchor-anchor rope construct, or standard trans-syndesmosis screw fixation. The fracture in both groups was fixed with plates and screws. Patients were followed Read More »
Level 2 RCT
Synopsis: 60 patients with a complete Achilles tendon rupture were randomized to either open repair with a Krackow stitch followed by standardized rehabilitation or nonoperative treatment with standardized rehabilitation alone. The purpose of this study was to compare results on the Leppilahti score, calf strength, health-related quality of life and re-rupture rate between groups over an 18-month follow-up. No significant differences Read More »
Level 2 RCT
Synopsis: 100 patients with an ankle sprain presenting to the emergency department within 24 hours of injury were randomized to be administered either topical ketoprofen gel or a placebo gel. The purpose of this study was to compare pain reduction between groups within the first 30 minutes after application of the gel. Results demonstrated significantly Read More »
Level 1 RCT