The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Apr 2012
Randomized Controlled TrialA prospective randomized controlled trial of dynamic versus static progressive elbow splinting for posttraumatic elbow stiffness.
Both dynamic and static progressive (turnbuckle) splints are used to help stretch a contracted elbow capsule to regain motion after elbow trauma. There are advocates of each method, but no comparative data. This prospective randomized controlled trial tested the null hypothesis that there is no difference in improvement of motion and Disabilities of the Arm, Shoulder and Hand (DASH) scores between static progressive and dynamic splinting. ⋯ Posttraumatic elbow stiffness can improve with exercises and dynamic or static splinting over a period of six to twelve months, and patience is warranted. There were no significant differences in improvement in motion between static progressive and dynamic splinting protocols, and the choice of splinting method can be determined by the patients and their physicians.
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J Bone Joint Surg Am · Apr 2012
Randomized Controlled Trial Comparative StudyHemiarthroplasty of the hip with and without cement: a randomized clinical trial.
Controversy exists regarding the use of cement for hemiarthroplasty to treat a displaced subcapital femoral neck fracture in elderly patients. The primary hypothesis of this study was that use of cement would provide better visual analog pain scores following this procedure in an elderly patient population. ⋯ Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.