Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · May 2024
Randomized Controlled Trial Multicenter StudyPerformance of medial pivot, posterior stabilized and rotating platform total knee arthroplasty based on anteroposterior stability and patient-reported outcome measures; a multicentre double-blinded randomized controlled trial of 210 knees.
Despite advancements in total knee arthroplasty (TKA), 10-20% of patients remain dissatisfied after surgery. Improved anteroposterior (AP) stability provided by medial pivot (MP) implants may theoretically lead to higher patient satisfaction. ⋯ MP-, PS- and RP-TKA all provide excellent and comparable results. Although MP-TKA provided better AP stability at early flexion compared to PS- and RP-TKA, this was found to be unrelated to improved PROMs in favour of MP-TKA. More studies focusing on early and mid-flexion performance based differences between MP and other TKA designs are required to confirm our findings. Other non-implant related factors may play a more important role in the performance of TKA and are potentially worthwhile examining.
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Arch Orthop Trauma Surg · May 2024
Randomized Controlled Trial Comparative StudyComparison of time-efficiency of individually wrapped screws and sterile screw racks in distal radius fracture treatment.
Time-efficiency of individually wrapped screws versus screws in a screw rack is not well established. ⋯ Level I (therapeutic, randomized controlled trial).
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Arch Orthop Trauma Surg · May 2024
Randomized Controlled TrialKnotless suture in revision total joint arthroplasty: a prospective randomized controlled trial.
The use of barbed sutures for wound closure in primary total joint arthroplasty (TJA) has been shown to be effective and safe. However, their effectiveness and safety in revision TJA procedures has not been thoroughly studied. This study aims to evaluate the efficacy and safety of using barbed suture closure in revision TJA setting. ⋯ I.
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Arch Orthop Trauma Surg · Feb 2024
Randomized Controlled TrialSynchronous and asynchronous telerehabilitation methods produce similar benefits in individuals with non-specific neck pain.
Evidence exists on clinical benefits of synchronous and asynchronous telerehabilitation for patients with non-specific neck pain (NSNP); however, limited studies are comparing synchronous and asynchronous telerehabilitation (TR) programs in this population. The aim of this study was to estimate the relative effectiveness of an 8-week synchronous or asynchronous TR in improving pain, functional disability, kinesiophobia, and mobility in patients with NSNP. ⋯ Telerehabilitation technologies are expanding at a rapid rate, and it is essential to understand the outcomes produced using these technologies in health conditions. This study showed that synchronous and asynchronous telerehabilitation produces similar results in patients with NSNP, supporting that either method can be used interchangeably.
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Arch Orthop Trauma Surg · Jan 2024
Randomized Controlled TrialA novel pulsed electromagnetic field device as an adjunct therapy to surgical treatment of distal radius fractures: a prospective, double-blind, sham-controlled, randomized pilot study.
The purpose of this study is to evaluate whether using a Fracture Healing Patch (FHP) device that generates pulsed electromagnetic fields (PEMF), applied at the fracture site immediately after open reduction and internal fixation surgery, can accelerate healing of acute distal radius fractures. ⋯ I.