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9%
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100%
3%
Synopsis: 100 patients with radiographically confirmed moderate to severe knee osteoarthritis were randomized to receive either total knee replacement (TKR) followed by nonsurgical treatment or the same nonsurgical treatment alone. The purpose of the study was to compare pain, function and quality of life between the two groups to determine if greater results can be achieved when surgery is combined with nonsurgical treatment. The results demonstrated Read More »
Author verified Level 2 RCT
2%
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
2%
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
2%
Synopsis: 1108 patients with low-energy femoral neck fractures were randomized to internal fixation with a sliding hip screw or cancellous screws. The objective of this study was to compare the rates of re-operation, complications (avascular necrosis, nonunion, implant failure, and infection), and health-related quality of life between the two methods of internal fixation over a 24-month follow-up period. The results of Read More »
Conference Report
2%
Synopsis: 49 patients over the age of 50 undergoing surgical treatment for chronic insertional Achilles tendinopathy were randomly assigned to receive Achilles debridement alone or in conjunction with a flexor hallucis longus (FHL) tendon transfer. The purpose of this study was to determine whether the addition of FHL tendon transfer to the conventional Achilles debridement procedure further reduced pain and improved function up to 1 year post-operative. Outcomes were assessed Read More »
Level 2 RCT
2%
Synopsis: 137 patients with lesions in the long head of the biceps tendon (LHBT) and small- to medium-sized rotator cuff tears were randomized to undergo either tenotomy or tenodesis. The purpose of the study was to compare the clinical and radiographic outcomes between the two treatments. Outcomes included the Read More »
Level 1 RCT
2%
Synopsis: 210 patients admitted to the hospital with an AO/OTA 31-A2 fracture of the proximal part of the femur were randomized to be fixed with either a dynamic hip screw or a long gamma nail. At 1 year Read More »
Level 2 RCT
1%
Synopsis: Six randomized controlled trials were included in this meta-analysis analyzing the efficacy of patellar denervation through circumpatellar electrocautery in reducing the incidence of anterior knee pain following total knee arthroplasty without patellar resurfacing. The results demonstrated a trend towards a reduction in the incidence of anterior knee pain in patients who underwent surgery with patellar denervation, however, the difference was not statistically significant. Additionally, there were Read More »
Level 2 Meta Analysis
1%
Synopsis: 140 patients with shoulder impingement syndrome were randomized to undergo arthroscopic acromioplasty followed by a home-based exercise therapy program, or an exercise therapy program alone. The purpose of this study was to evaluate if there were any significant differences between groups in the incidence of MRI-assessed rotator cuff tear, or muscle volume and fatty degeneration of the supraspinatus, infraspinatus, and subscapularis muscles, over a 5-year follow-up. The results demonstrated Read More »
Level 2 RCT
1%
Synopsis: 40 patients with recurring or large (>1.5 cm^2) osteochondral lesions of the talar dome (OLT) were randomized to receive either autograft or allograft osteochondral plugs following tear excision. The purpose of this study was to determine if there were any significant differences between autograft or allograft transplantation when evaluated by radiographic assessment and changes in ankle pain and function scores over a minimum of 1 year follow-up. Results demonstrated that Read More »
Author verified Level 2 RCT