Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2021
Review Meta Analysis Comparative StudyComparison between intra-articular infiltrations of placebo, steroids, hyaluronic and PRP for knee osteoarthritis: a Bayesian network meta-analysis.
Regarding the efficacy of intra-articular injections of platelet-rich plasma, hyaluronic acid and corticosteroids, current evidence is controversial. The superiority of one technique over another is questioned and debates are ongoing. The purpose of the present study was to compare and investigate the efficacy of these intra-articular infiltrations in patients with knee osteoarthritis (OA). A Bayesian network meta-analysis of randomized clinical trials (RCTs) was conducted comparing patient outcomes at 3, 6 and 12-months of follow-up. ⋯ I, Bayesian network meta-analysis of RCTs.
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Arch Orthop Trauma Surg · Sep 2021
ReviewOverlengthening of the radial column in radial head replacement: a review of the literature and presentation of a classification system.
Radial head arthroplasty is a common procedure in elbow surgery. It has been shown to be of benefit for the patients, but there also are relevant complications that should be prevented if possible. One significant complication is overlengthening of the radial head prosthesis. In overlengthening, the head of the prosthesis overextends the physiological level of the native radial head and leads to overcompression in the radiohumeral joint. Rapid erosion and arthritic changes may then impede the clinical outcome. The incidence of overlengthening is not precisely known, but estimations range to up to 20% of all implanted prostheses. ⋯ The present review aimed at shedding light into overlengthening as a complication radial head replacement and to help identify and treat it.
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Arch Orthop Trauma Surg · Sep 2021
Randomized Controlled TrialApp-based rehabilitation program after total knee arthroplasty: a randomized controlled trial.
New app-based programs for postoperative rehabilitation have been developed, but no long-term study has been published to date. Thus, a prospective randomized control trial with 2-year follow-up was performed to evaluate the effectiveness of app-based rehabilitation (GenuSport) compared to a control group after total knee arthroplasty (TKA). ⋯ Level II, prospective randomized control trial.