- Pre- and postoperative 4D CT analysis of thumb CMC joint kinematics after first metacarpal extension osteotomy. [Journal Article]Arch Orthop Trauma Surg. 2026 Aug 27; 146(1).AO
- CONCLUSIONS: Wilson osteotomy with modified Brunelli ligamentoplasty did not produce the anticipated palmar unloading during functional thumb motion. The dominant postoperative effect was palmar loading with reduced dynamic variability. These findings refine the biomechanical rationale for this joint-preserving procedure and support future studies isolating the osteotomy from ligamentoplasty using load-standardized tasks.
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- Minimal kyphotic progression following pediatric vertebral fractures: implications for reduced radiographic surveillance. [Journal Article]
- CONCLUSIONS: Pediatric patients with stable compression fractures demonstrate minimal kyphotic progression regardless of treatment approach. Routine radiographic surveillance provides little clinical value and exposes children to unnecessary ionising radiation. The present study suggests that routine radiographic follow-up may not be necessary in carefully selected patients with stable vertebral compression fractures who remain clinically asymptomatic. Nevertheless, these findings should be interpreted in light of the retrospective study design and the limited sample size. Confirmation in larger prospective studies is needed before changes to routine follow-up protocols can be recommended.
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- Resident autonomy in orthopedic trauma: independent femoral IMN by senior residents yields comparable outcomes to fellowship-trained surgeons. [Journal Article]
- CONCLUSIONS: When appropriately trained and selected, orthopedic residents can independently perform femoral shaft IMN with clinical outcomes comparable to fellowship-trained trauma surgeons. Structured autonomy programs emphasizing competency-based progression allow residents to achieve operative independence in complex trauma procedures without compromising patient safety.
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- Racial and ethnic disparities in perceived health and barriers to care among adults with hip osteoarthritis: a national analysis of 16,000 + patients from the all of us program. [Journal Article]
- CONCLUSIONS: Significant racial and ethnic disparities exist in structural and perceptual barriers to care among adults with hip OA. These findings identify potentially modifiable barriers that warrant further study and may inform future efforts to improve equity in hip osteoarthritis care.
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- Postoperative periprosthetic fractures associated with compressive osseointegration: a systematic review of the Zimmer Biomet Compress[®] device. [Systematic Review]
- The Zimmer Biomet Compress[®] Compliant Pre-Stress (CPS) device uses a compressive osseointegration technique for endoprosthetic fixation and provides an alternative to stemed implants. Despite having benefits, such as bone stock retention, periprosthetic fractures continue to remain a concern. Therefore, this systematic review presents the prevalence, risk factors, and outcomes of the CPS device…
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- Hip resurfacing arthroplasty at a minimum of 14 years: revision is concentrated among female patients with dysplasia and small components. [Journal Article]
- CONCLUSIONS: HRA achieved 100% 15-year survivorship in primary OA and in non-OA diagnoses including AVN. Dysplasia may be associated with an increased risk of revision, but dysplasia, female sex and small component size were too collinear, with no revision outside the dysplastic group, for their independent contributions to be separated.
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- Elective arthroplasty on "high-risk" calendar dates: no evidence for worse outcomes in 43,000 procedures. [Journal Article]
- CONCLUSIONS: In this large registry-based study, the timing of elective total joint arthroplasty on superstition-associated calendar dates was not associated with increased complication risk, mortality, or changes in procedure volume. These findings may support evidence-based patient counselling and surgical scheduling in elective arthroplasty.
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- Evaluation of a novel strap fixation method for biomechanical testing of sheep Achilles tendons. [Journal Article]
- CONCLUSIONS: The strap fixation method provided stable fixation, no visible slippage, and the highest numerical load-to-failure values among the tested techniques. It was significantly stronger than the direct clamp and Kocher clamp methods; however, it was not statistically superior to the Krackow suture method after Bonferroni correction. The strap method may therefore be considered a practical and tissue-preserving alternative for further biomechanical tendon testing.
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- Implementation and early results of same-day hip and knee replacement in a public hospital without prior same-day surgical experience, a feasibility study. [Journal Article]
- CONCLUSIONS: Implementation of a protocolled SDS framework was feasible within 1 year despite no prior SDS experience. SDS utilisation and success remained stable the 12 following months, confirming adaptation into standard of care.
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- Relationship of foot anthropometry with Modified Pirani score during Ponseti correction of idiopathic congenital talipes equinovarus: a prospective observational study. [Journal Article]
- CONCLUSIONS: Serial anthropometric assessment demonstrates significant correlation with Modified Pirani scoring during Ponseti correction of idiopathic clubfoot. Anthropometric measurements provide objective and reproducible quantitative data that complement clinical scoring and may improve monitoring of deformity correction during treatment.
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- Union outcomes and associated factors in adolescent scaphoid fractures. [Journal Article]
- CONCLUSIONS: Healing of SF in adolescents is influenced by fracture characteristics, skeletal maturity, and scaphoid morphology. Younger age and favorable morphometric parameters are associated with improved healing outcomes. Scaphoid morphometric measurements may offer additional prognostic value in adolescents and should be further evaluated in larger prospective studies.
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- The effect of surgeon volume on outcomes after total hip arthroplasty: a systematic review and meta-analysis. [Systematic Review]
- CONCLUSIONS: The included studies demonstrated considerable variability in the definitions of surgeon volume. However, there remains a trend suggesting that higher-volume surgeons experience fewer revisions, complications, readmissions, and mortality; although these differences were largely not statistically significant. Nonetheless, surgeon volume may not be the only factor influencing outcomes, as hospital and patient characteristics may influence short- to long-term outcomes following primary THA.
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- Hexapod-assisted limb salvage after talectomy: outcomes of tibiocalcaneal arthrodesis using the TL-hex system. [Journal Article]
- CONCLUSIONS: Tibiocalcaneal arthrodesis using a TL-HEX hexapod fixator appears to be a feasible limb-salvage strategy after talectomy in selected high-risk patients, achieving satisfactory fusion, alignment, and functional improvement in our cohort.
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- Radiographic changes in midfoot alignment after hallux valgus correction with and without concomitant second tarsometatarsal arthrodesis: a comparative study. [Journal Article]
- CONCLUSIONS: Second TMT arthrodesis performed during HV correction was associated with greater changes in transverse and medial arch parameters compared with HV correction alone. Functional outcomes were generally comparable between groups, although the clinical significance of the radiographic differences remains uncertain.
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