Publications by authors named "Lauren Gyemi"
How statistically fragile are randomized controlled trials comparing quadriceps tendon autografts with hamstring or bone-patellar tendon-bone autografts in anterior cruciate ligament reconstruction?
Knee Surg Sports Traumatol Arthrosc
November 2024
Purpose: To determine the statistical fragility of randomized controlled trials (RCTs) which compare the use of quadriceps tendon (QT) autografts to either hamstring tendon (HT) or bone-patellar tendon-bone (BPTB) autografts in anterior cruciate ligament reconstruction (ACLR).
Methods: A search was conducted across PubMed, MEDLINE and EMBASE databases for RCTs comparing QT autografts to HT or BPTB autografts in ACLR from inception to 21 April 2024. Studies that reported ≥1 statistically significant continuous outcome, statistically significant dichotomous outcome and/or nonsignificant dichotomous outcome were included for analysis.
Surgical management of first-time patellar dislocations in paediatric patients may lower rates of redislocation compared to conservative management: A systematic review and meta-analysis.
Knee Surg Sports Traumatol Arthrosc
October 2024
Article Synopsis
- The study seeks to determine if early surgical intervention for first-time patellar dislocations in children is more effective than conservative management in reducing redislocation rates.
- A review of 11 studies involving 761 patients revealed a lower weighted mean redislocation rate of 25.1% for the surgical group compared to 46.4% for the conservative group, with surgery showing a relative risk of redislocation of 0.82.
- Additionally, a subgroup analysis of recent RCTs indicated even greater effectiveness for surgery, with an RR of 0.53, although Kujala scores showed slight favor towards conservative treatment.
Article Synopsis
- The study aimed to assess how long it takes for patients to bear full weight after using a calcium-sulfate-calcium phosphate bone substitute for filling bone voids after surgery for benign bone tumors.
- Researchers reviewed data from 39 patients, predominantly with giant cell tumors, and found that patients could typically return to full weight-bearing within 11 weeks for upper limb lesions and 6 weeks for lower limb lesions.
- The calcium-sulfate-calcium phosphate substitute was determined to be effective for bone reconstruction without requiring additional fixation or causing significant complications, with only a few cases of recurrence and infection reported.
Importance: The posterior cruciate ligament (PCL) is involved in almost one-third of all knee injuries. Surgical management of PCL injuries is currently controversial, and no single graft material is determined as superior in primary PCL reconstruction. A growing body of literature has demonstrated the safety and versatility of the quadriceps tendon (QT) autograft in arthroscopic knee ligament reconstruction.
View Article and Find Full Text PDFObjective: An evolved understanding of the pathophysiology of greater trochanteric pain syndrome has led to a number of proposed nonoperative management strategies. The objective of this review was to compare the efficacy of the various nonoperative treatments for greater trochanteric pain syndrome (GTPS).
Design: Systematic review and network meta-analysis.
Background: The direct anterior approach (DAA) for total hip arthroplasty (THA) is a muscle-sparing approach thought to have less post-operative pain and quicker recovery, with similar functional outcomes to other approaches. However, it is technically challenging and transitioning surgeons may experience increased complication rates. The purpose of this systematic review is to identify reported learning curves associated with the DAA.
View Article and Find Full Text PDFArticle Synopsis
- The study performed a network meta-analysis on various treatment options for distal radius fractures (DRFs) to identify which methods provided the best outcomes after one year, had the lowest complication rates, and required fewer further surgeries.
- Researchers searched ten databases for randomized controlled trials (RCTs) that focused on surgical treatments for adult patients with displaced DRFs, including 70 RCTs with nearly 4,800 patients.
- The analysis compared multiple surgical techniques and nonoperative treatments, also accounting for age and type of fractures to provide a comprehensive understanding of the effectiveness and risks associated with each treatment option.