Showing 1 - 12 of 389 reports matching: Sports Medicine
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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: 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: 80 patients with a unilateral tear of the ACL ligament were included in this study and randomized to either single- or double-bundle anatomic ACL reconstruction with a 6- to 8-stranded hamstring autograft. The objective of this study was to determine if there were significant differences in patient-reported outcomes and knee laxity over a minimum of 7-year follow-up. There were no Read More »
Level 2 RCT
Synopsis: Ten studies, including nine randomized controlled trials and one prospective cohort study, were included in this meta-analysis to investigate the efficacy of injury prevention programs in adolescent team sports. Pooled results demonstrated a significant injury rate reduction with the use of injury prevention programs versus control interventions overall. Subgroup differences were Read More »
Level 2 Meta Analysis
Synopsis: 84 patients scheduled for anterior cruciate ligament (ACL) reconstruction were randomized to multimodal postoperative analgesia including infiltration analgesia with liposomal bupivacaine or a femoral nerve block. The purpose of this study was to determine if liposomal bupivacaine infiltration offered noninferior analgesic efficacy compared to a femoral nerve block, assessed over the first 4 days postoperatively. In the period Read More »
Author verified Level 2 RCT
Synopsis: 22 studies (15 RCTs and 7 prospective cohorts) were included in this systematic review and meta-analysis to provide a comprehensive synthesis of evidence comparing anatomic double-bundle anterior cruciate ligament reconstruction (DB-ACLR) and anatomical single-bundle anterior cruciate ligament reconstruction (SB-ACLR) while accounting for the different drilling techniques applied. The results of this meta-analysis indicated that regardless of femroal drilling technique used (transtibial or independent) in SB-ACLR, DB-ACLR provided significantly greater rotational stability. The study also Read More »
Level 2 Meta Analysis
Synopsis: 23 studies (n = 2313, 4 randomized control trials, 18 cross-sectional/cohort observational studies and 1 cross-sectional study with a nested RCT) were included in this systematic review and meta-analysis to determine the prevalence of inadequate vitamin D in athletes and to investigate the association between vitamin D inadequacy and injury. Pooled analysis revealed that 56% of athletes were vitamin D inadequate. The prevalence of Read More »
Author verified Level 1 Meta Analysis
Synopsis: 48 patients scheduled for arthroscopic knee surgery were randomized to receive a sodium hyaluronate or bupivacaine injection immediately following the procedure. Pain, function, and health-related quality of life were evaluated over a 6-week follow-up period. The results of Read More »
Level 1 RCT
Synopsis: Six randomized controlled trials were included in this meta-analysis comparing outcomes following single-bundle ACL reconstruction with remnant preservation versus debridement. Outcomes which were pooled and compared included knee laxity through the pivot shift and Lachman tests, the functional outcome on the International Knee Documentation Committee and Lysholm scores, the incidence of cyclops lesions, and tibial tunnel enlargement postoperatively. No statistically significant Read More »
Level 1 Meta Analysis
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 Read More »
Author verified Level 2 RCT
Synopsis: 62 patients scheduled for anterior cruciate ligament (ACL) reconstruction were randomized to undergo the procedure with either an autologous semitendinosus or patellar tendon graft for the purpose of comparing long-term radiographical and clinical outcomes up to 10 years post-surgery. Similar values were Read More »
Level 2 RCT
Synopsis: 146 patients with medial meniscus tear were originally randomized to undergo either arthroscopic partial meniscectomy (APM) or sham surgery for the purpose of determining if APM was associated with significant therapeutic benefit in terms of reducing the prevalence of mechanical symptoms (knee catching or knee locking) throughout a 12-month follow-up period. Results demonstrated that APM did not provide any additional therapeutic alleviation of mechanical symptoms, as evidenced by similar risk differences and ratios in both the general study population and the subgroup of patients showing mechanical symptoms prior to surgery. Further investigation with Read More »
Level 1 RCT