The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · May 2015
Randomized Controlled TrialPatient-controlled epidural analgesia or multimodal pain regimen with periarticular injection after total hip arthroplasty: a randomized, double-blind, placebo-controlled study.
The optimal postoperative analgesia after primary total hip arthroplasty remains in question. This randomized, double-blind, placebo-controlled study compared the use of patient-controlled epidural analgesia (PCEA) with use of a multimodal pain regimen including periarticular injection (PAI). We hypothesized that PAI would lead to earlier readiness for discharge, decreased opioid consumption, and lower pain scores. ⋯ PAI did not decrease the time to discharge and was associated with higher pain scores and greater opioid consumption but lower ORSDS scores compared with PCEA. The choice for analgesic regimen may depend on a particular patient's threshold for pain and the potential side effects.
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J Bone Joint Surg Am · May 2015
Randomized Controlled Trial Multicenter Study Comparative StudyVolar locking-plate and Kirschner-wire fixation did not differ in terms of functional outcomes after dorsally displaced distal radial fracture.
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J Bone Joint Surg Am · May 2015
Randomized Controlled Trial Multicenter StudyClinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study.
The effectiveness of extracorporeal shock wave therapy in the treatment of plantar fasciitis is controversial. The objective of the present study was to test whether focused extracorporeal shock wave therapy is effective in relieving chronic heel pain diagnosed as plantar fasciitis. ⋯ Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.