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This article highlights and discusses the methodological difficulties and possible limitations of conducting randomized controlled clinical trials within the field of orthopedic surgery.
This article highlights the methodological difficulties and limitations of conducting randomized controlled trials in orthopedic surgery.
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Methodological barriers constrain RCT quality in orthopedics; leaves open the need for tailored trial designs before changing practice.
Randomized controlled clinical trials (RCTs) are considered to be the gold standard for evidence-based medicine nowadays, and are important for directing medical practice through consistent scientific observations. Steps such as patient selection, randomization and blinding are fundamental for conducting a RCT, but some additional difficulties are presented in trials that involve surgical procedures, as is common in orthopedics. The aim of this article was to highlight and discuss some difficulties and possible limitations on RCTs within the field of surgery.
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Malavolta et al. (2011) conducted a review in Orthopedic surgery. This article highlights and discusses the methodological difficulties and possible limitations of conducting randomized controlled clinical trials within the field of orthopedic surgery.
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