Showing 1 - 12 of 363 reports matching: Trauma
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Synopsis: Seven randomized controlled trials were included in this meta-analysis investigating the effect of glucagon-like peptide (GLP)-1 receptor agonists on bone fracture incidence in patients with type 2 diabetes mellitus. The purpose was to determine if treatment with GLP-1 receptor agonists led to a significantly lower rate of bone fracture when compared to either placebo or other antidiabetic drugs. Pooled results on Read More »
Level 1 Meta Analysis
Synopsis: 6 studies which compared the use of intramedullary nail fixation and external fixation in the treatment of Gustilo grade IIIB open tibial fractures were included in this meta-analysis. Pooled outcomes included time to union, delayed union rate, malunion rate, nonunion rate, infection rate and fixation failure rate. Analyses of time Read More »
Level 2 Meta Analysis
Synopsis: Five randomized controlled trials were included in this meta-analysis to compare the efficacy of intramedullary nail fixation and external fixation in the management of Gustilo type II open tibial shaft fractures. Pooled analyses were performed on the incidences of infection, malunion and nonunion, and "other complications", such as vascular injury and soft tissue injury. Pooled results demonstrated Read More »
Level 2 Meta Analysis
Synopsis: 184 patients scheduled to undergo surgical treatment for closed fractures were randomized to receive tissue dissection performed with either one surgical scalpel or two. The purpose of this study was to determine if the use of two surgical blades (one for superficial incision and the another for deep tissue dissection) would result in a significantly decreased incidence of surgical site infection (SSI) when compared to a single-blade technique, after a 30-day observational period. Results demonstrated comparable Read More »
Level 2 RCT
Synopsis: 68 patients with femoral shaft fractures were randomized to receive either intramedullary nail (IMN) fixation with or without a fracture reduction and guidewire-aiming device. The purpose of this study was to determine if the use of a novel fracture reduction and guide wire aiming instrument was able to improve the operative efficiency of femoral fracture fixation. Findings indicated that Read More »
Level 2 RCT
Synopsis: 46 patients with a comminuted subtrochanteric femoral fracture were randomized to one of two different fixation groups. One group underwent open reduction and internal plate fixation with a limited exposure technique, "joy-stick" reduction under C-arm imaging, and submuscular plate placement ("biological fixation" group). The other group Read More »
Author verified Level 2 RCT
Synopsis: 61 patients with a distal humerus fracture and scheduled for plate fixation were randomized with either ulnar nerve decompression, or anterior transposition of the ulnar nerve during surgery. The purpose of this study was to compare elbow function measures and clinical outcomes between groups over a 2-year follow-up. Only results up Read More »
Conference Report
Synopsis: 130 patients with an infected traumatic or surgical wound were randomized following debridement to management with either mupirocin in collagen granules and metronidazole (Co-Mupimet) or Edinburgh University Solution of Lime (EUSOL). Groups were compared for wound healing outcomes over 4-week follow-up. A significant difference Read More »
Conference Report
Synopsis: 60 patients with a tibial shaft fracture were scheduled for fixation via intramedullary nailing and randomized to nail insertion through a parapatellar approach with the knee in either a semi-extended or flexed position. The purpose of this study was to compare knee pain, assessed using the Symptoms Subset of the International Knee Documentation Committee (SS-IKDC) Score, at 1-year follow-up. The results demonstrated Read More »
Conference Report
Synopsis: 19 elderly patients (75 years or older) with a displaced olecranon fracture were randomized to be managed nonoperatively through immobilization for 2 weeks, or operatively with either tension band wiring or plate fixation. The purpose of this study was to compare 1-year clinical/functional outcomes, complication rate, and cost between groups. No significant differences Read More »
Conference Report
Synopsis: 60 pediatric patients (ages 6 to 11) with femoral shaft fractures were randomized to fracture fixation with either a titanium elastic intramedullary nail or a stainless steel intramedullary nail. Clinical and radiographic data were collected over a 52-week period. Fracture union occurred Read More »
Conference Report
Synopsis: 60 children (6 months to 15 years) with a closed and Gustilo grade 1/2 isolated traumatic extra-articular middle-third and distal-third tibial shaft fracture were randomized to management with either a below the knee or above the knee plaster of Paris cast. Time to union, residual malunion, range of motion, and associated complications were evaluated over a 6-month period. The results of Read More »
Conference Report