Showing 1 - 12 of 194 reports matching: Foot & Ankle
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Synopsis: Nine randomized controlled trials were included in this meta-analysis to investigate the effectiveness of injury prevention programs in reducing the incidence of ankle injuries among soccer (football) players. Pooled analysis demonstrated Read More »
Level 1 Meta Analysis
Synopsis: 96 patients with a displaced, intraarticular calcaneal fracture were randomized to either a percutaneous reduction and cannulated screw fixation or a minimally invasive sinus tarsi approach for plate and screw fixation. The purpose of this study was to compare functional and radiological outcomes between the two treatment options over a 24-month follow-up. American Orthopaedic Foot Read More »
Level 2 RCT
Synopsis: 57 patients surgically treated for neglected Achilles tendon rupture were randomized to receive either early physical rehabilitation or conventional postoperative cast immobilization. The purpose of this study was to compare improvements in clinical outcomes (assessed with the Leppilahti scoring system), calf nerve response, and volume regeneration of the ruptured tendon over a two-year follow-up period. Results demonstrated that Read More »
Level 2 RCT
Synopsis: 83 patients with plantar fasciitis were randomized to one of the three following physiotherapy interventions for the purpose of comparing pain, disability, and balance outcomes after 8 weeks: (1) stretching and exercise of hip and foot muscles, (2) stretching and exercises of foot muscles only, and (3) stretching of foot muscles only. Outcomes of interest included a VAS scale for pain, the Foot and Ankle Outcome Score (FAOS), the Star Excursion Balance test (SEBT). Results demonstrated that Read More »
Author verified Level 2 RCT
Synopsis: 91 patients (95 toes) with unilateral hammertoe deformity were randomized to undergo arthrodesis with either a dual-component intramedullary stainless steel (DCIMSS) implant or K-wire fixation. The purpose of this study was to determine if the use of a DCIMSS implant resulted in a significantly improved rate of successful arthrodesis (radiographic fusion), patient-reported pain, function, disability, activity level, and a lower incidence of complications when compared to K-wire fixation over a 6-month follow-up period. A significantly higher Read More »
Level 2 RCT
Synopsis: 193 patients undergoing conservative functional treatment for lateral ankle ligament inversion injuries were randomized to one of the following three modes of therapy: (1) taping, (2) semi-rigid bracing, or (3) lace-up ankle support bracing. The purpose of this study was to determine if one of these treatments was associated with a greater clinical benefit in terms of ankle pain, function, daily activities, quality of life, and time to return to work/sports activity. Although patients in Read More »
Level 2 RCT
Synopsis: 39 patients with 44 closed calcaneus fractures who were scheduled for open reduction and internal fixation were included in this trial to compare the use of negative pressure wound therapy dressings and standard dressings. The outcomes of interest in this trial were wound complications, pain, and functional outcomes. The preliminary results Read More »
Conference Report
Synopsis: 97 patients with either an isolated syndesmotic injury or concomitant with an AO/OTA type 44C ankle fracture were randomized to syndesmotic stabilization with either a suture endobutton device or a syndesmotic screw. Outcomes included the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, Olerud-Molander score, ankle dorsiflexion and CT-assessed tibifibular distance of the operated versus nonoperated ankle, complications, and reoperations. Follow-up was scheduled Read More »
Conference Report
Synopsis: 90 patients who were scheduled to undergo metatarsal osteotomy underwent an ankle blockade (20ml ropivacaine 0.75%) prior to surgery and then were randomized to either a perineural dexamethasone (8mg) injection and intravenous saline 0.9%, perineural saline 0.9% injection and intravenous dexamethasone (8mg), or perinerural and intravenous saline 0.9%. The purpose of this study was to determine whether dexamethasone was beneficial for prolonging the analgesic effects of the ankle blockade and to determine whether the perineural or intervenous route of dexamethasone administration was more effective. The findings of Read More »
Level 2 RCT
Synopsis: 60 patients with a closed avulsion fracture of the base of the fifth metatarsal were randomized to nonoperative management though either double-layer elastic bandaging or immobilization with a below-knee walking cast. The purpose of this study was to assess the potential non-inferiority of elastic bandaging to cast immobilization in patient-reported clinical outcome measures over a 6-month follow-up. At 6 months, Read More »
Author verified Level 2 RCT
Synopsis: 35 patients with osteochondral lesions of the talus were randomized to receive either three intra-articular hyaluronic acid (IA-HA) injections as an adjunct to microfracture surgery, or microfracture surgery alone. The purpose of this study was to determine whether the addition of IA-HA would yield benefits when compared to microfracture surgery alone, with regards to clinical and magnetic resonance imaging (MRI) outcomes. Findings indicated higher Read More »
Level 2 RCT
Synopsis: 241 pediatric patients (aged 2-17 years), with spasticity associated with cerebral palsy and dynamic equinus foot deformity, were randomized into three groups receiving either placebo treatment, 10 or 15U/kg/leg doses of botulinum neurotoxin type-A (BoNT-A) formulation (abobotulinumtoxinA). The purpose of this study was to assess the safety and efficacy of BoNT-A injections, in the gastrocnemius and soleus, for the treatment of pediatric patients. Both doses of Read More »
Level 2 RCT