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Meta-analysis of 62 randomized trials finds one injectable to provide superior pain and function over the others for knee osteoarthritis.
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Injectables are perhaps the most widely debated topic in orthopaedics.
Not only are their question marks on its efficacy, there are many different types of formulations and platelet doses, which often go unreported.
So what is truly the best option? And for PRP, can we use blood draw volume as a proxy for platelet dose?
In this meta-analysis of 62 randomized trials, it was PRP that came out on top. Compared to hyaluronic acid, corticosteroid, and saline:
Better pain.
Better function.
At both 6 and 12 months.
And volumes greater than 40mL were associated with larger improvements in clinical outcomes, suggesting it may be a useful alternative.
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Full Analysis →
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Everyone knows the orthopaedic risks during play -- but what goes under the radar is the risks and challenges associated with travel.
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All athletes struggle with injuries on the court -- but the silent risk-factor that many don't consider is the pressures of travel on the body.
Travelling isn't just transportation: it's the anxiety of the airport, cramped airplane seats, jet leg, and dehydration.
So how can high-level athletes reduce their risk of injury and maximize their athletic performance on the road?
Find out in our latest OE Original.
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Read the Article →
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In athletes, we focus a lot on getting injured players back on the pitch -- even if it requires surgery, and even if it costs a little more.
But that type of reasoning is often not applied to the average humeral shaft fracture patient.
In this episode of the OrthoJoe podcast, Mo & Marc sit down with Dr Bradley Petrisor, surgeon and professor at McMaster University, about a recent cost-effectiveness analyses which found that surgery can accelerate recovery, return to work, and early function, making it more cost-effective from a societal perspective.
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Watch Now →
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Complications of Platelet-Rich Plasma Injections for Lateral Epicondylitis Occur at Comparable Rates to Those of Corticosteroid and Saline Injections — In adults with lateral epicondylitis, do PRP injections result in different complication rates compared with corticosteroid, saline, HA, or autologous whole-blood injections?
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A Meta-Analysis of Allgöwer-Donati vs Interrupted Vertical Mattress Suturing in Preventing Postoperative Incisional Complications of Calcaneal Fracture Surgery —In adults undergoing open reduction and internal fixation for closed calcaneal fractures, does wound closure using the Allgöwer-Donati technique reduce suturing time, drainage tube duration, and postoperative incisional complications
compared with interrupted vertical mattress suturing?
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Comparative Evaluation of Peroneus Longus Tendon and Hamstring Tendon Autografts in Primary ACL Reconstruction — In adults undergoing primary ACL reconstruction, does a PLT autograft provide better early functional recovery, graft characteristics, knee stability, and donor-site outcomes than an HT autograft?
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Two ways to inform your clinical decisions |
FastTrack — what your peers are reading across the networkOE Signal — personalized weekly evidence based on your interests |
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