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European Journal of Orthopaedic Surgery & Traumatology OnlineFirst articles

Open Access 21-05-2024 | Original Article

Anterior internal versus external fixation of unstable pelvis fractures was not associated with discharge destination, critical care, length of stay, or hospital charges

The incidence of traumatic pelvic ring injuries has increased over the last three decades [ 1 – 4 ]. Concurrently, greater awareness of these injuries, advances in resuscitation and surgical techniques, and shifts in surgeon preferences and …

Authors:
Ian G. Hasegawa, Brandan Sakka, Andrew M. Duong, Li Ding, Monica D. Wong, Joshua L. Gary, Joseph T. Patterson

Open Access 21-05-2024 | Original Article

Complications and survival rates of subtrochanteric fractures are similar between short and long intramedullary nail fixation and independent of weight-bearing

Subtrochanteric femur fractures in the elderly are primarily osteoporotic fractures that result from low-energy falls [ 1 ]. These fractures are traditionally treated with a long cephalon-medullary nail [ 2 ], with restricted weight-bearing for …

Authors:
Daniel Cohen, Yaakov Tolwin, Michael Toybenshlak, Gershon Zinger, Amos Peyser, Yadin Levy

21-05-2024 | Original Article

Functional, clinical, and radiological outcomes of split anterior tibial tendon transfers in patients with sequelae of congenital talipes equinovarus

The context of functional management or the Ponseti method for congenital idiopathic talipes equinovarus (CTEV), a dynamic deformity involving adduction and supination of the foot is frequently observed [ 1 ]. This complex three-dimensional …

Authors:
Maxime Boble, Ramy Samargandi

20-05-2024 | Osteoporosis | Original Article

Educating patients on osteoporosis and bone health: Can “ChatGPT” provide high-quality content?

The widespread interest in artificial intelligence (AI) has significantly increased among the general population, largely due to the emergence of conversational AI interfaces such as ChatGPT. This language model, developed by OpenAI, utilizes 175 …

Authors:
Diane Ghanem, Henry Shu, Victoria Bergstein, Majd Marrache, Andra Love, Alice Hughes, Rachel Sotsky, Babar Shafiq

20-05-2024 | Original Article

A novel anatomical locked medial femoral condyle plate: a biomechanical study

Supracondylar femur fractures (SCFF) typically result from high-energy traumas, such as traffic accidents and falls. They account for less than 1% of all fractures and approximately 3–6% of all femur fractures [ 1 ]. These fractures may also occur …

Authors:
M. A. Ozer, S. Keser, D. Barıs, O. Yazoglu

18-05-2024 | Original Article

Larger lateral hinges increase the probability of Takeuchi type II and III fractures in high tibial osteotomy

High tibial osteotomy (HTO) is a common method used to prevent medial osteoarthritis in varus deformities. Lateral hinge fracture is the main complication of the HTO, which occurs in 14% to 25% of cases [ 1 ]. It may cause instability, malunion or …

Authors:
Zahra Saghaei, Saeed Salehipour, Ata Hashemi

Open Access 18-05-2024 | Ankle Fracture | Original Article

The outcomes of the management of complex distal tibia and ankle fractures in elderly with tibiotalocalcaneal nail in a minimum 12-month follow-up period

Ankle and distal tibia fractures account for 9% and 0.7% of all fractures in adults, respectively, with their incidence increasing proportionally with age [ 1 ]. The main treatment goal of intra-articular fractures is precise anatomical reduction …

Authors:
Georgios Kotsarinis, Emanuele Santolini, Nikolaos Kanakaris, Peter V. Giannoudis

18-05-2024 | Joint Infection | Original Article

Nanoparticle ultrasonication outperforms conventional irrigation solutions in eradicating Staphylococcus aureus biofilm from titanium surfaces: an in vitro study

Periprosthetic joint infection (PJI) is a major cause of failure of total joint arthroplasty, with incidences reported of between 1 and 2% of all cases, and is quickly becoming one of the most common indications for revision surgery [ 1 , 2 ].

Authors:
Benjamin C. Schaffler, Mark Longwell, Barbara Byers, Rachel Kreft, Roi Ramot, Yair Ramot, Ran Schwarzkopf

18-05-2024 | Meniscal Injury | Original Article

Biomechanical impact of meniscal ramp lesions on knee joint contact characteristics in ACL deficient knees: a cadaveric analysis

A meniscal ramp lesion is a longitudinal tear that occurs at the meniscocapsular junction or the meniscotibial ligament of the posterior horn of the medial meniscus [ 1 , 2 ]. The actual incidence of meniscal ramp lesions is often underestimated …

Authors:
Artit Boonrod, Khananut Jaruwanneechai, Nadhaporn Saengpetch, Sermsak Sumanont, Parichat Prachaney

18-05-2024 | Incision | Original Article

A comparative study of locking plate combined with minimally invasive plate osteosynthesis and intramedullary nail fixation in the treatment of Neer classification of two-part and three-part fractures of the proximal humerus

Proximal humerus fractures occur in 5–6% of all fractures in the human body [ 1 ]. With the acceleration of population aging, this fracture often occurs in elderly patients over 65 years old, accounting for approximately 68% of all proximal humeral …

Authors:
Xiang Zhu, Chen Ding, Ya Zhu, Shensheng Nian, Hao Tang

18-05-2024 | Perilunate Dislocation | Original Article

Surgical management and functional outcomes of perilunate dislocations and fracture dislocations through the dorsal approach

Perilunate dislocations and fractures (PLD/PLFDs) are rare injuries of the wrist, comprising only 7% of all injuries of the carpus [ 1 ]. PLFDs are more usual than PLDs, in which the scaphoid bone is mainly fractured [ 2 ]. Most of these injuries …

Authors:
Eleni Pappa, Chrysoula Argyrou, George Tetsios, Margarita-Michaela Ampadiotaki, Sophia Syngouna, Panagiotis Kanellos, Emmanouil Fandridis

17-05-2024 | Original Article

Mid-term clinical radiological results of the constrained condylar knee prosthesis in total knee revision

Total knee arthroplasty is a successful operation but there are several causes of failure, such as infection, aseptic loosening, instability of periprosthetic fractures, the number of revision knee arthroplasty (RTKA) is increasing, and the number …

Authors:
Iñigo Bidea, Xabier Foruria, Isidoro Calvo, Jesús Moreta, Jon Zabala, Rodrigo González

17-05-2024 | Hip-TEP | Original Article

Junior surgeon learning curve for performing digital planning of a first-line uncemented total hip prothesis

Total hip arthroplasty (THA) is one of the most common surgical procedures performed worldwide, with excellent results [ 1 ]. The survival rate of prosthetic implants is over 95% at 15 years in primary surgery [ 2 ]. Age of THA has decreased, and …

Authors:
S. Cypel, P.-A. Bouche, G. Heliere, G. David, L. Rony

17-05-2024 | Opioids | General Review

Perioperative non-opioid analgesia strategies after high tibial osteotomy: a systematic review of prospective studies

High tibial osteotomy (HTO) is an effective treatment for medial compartment femorotibial arthritis of the knee joint and varus deformity by producing a valgus limb alignment and shifting the load-bearing axis of the lower extremity laterally [ 1 – …5

Authors:
Anna M. Ifarraguerri, David P. Trofa, Dana P. Piasecki, James E. Fleischli, Bryan M. Saltzman

16-05-2024 | Clavicle Fracture | Original Article

Do postoperative outcomes vary between midshaft clavicle fractures of 2, 3, or more than 3 fragments?

Clavicle fractures comprise 2.6–4% of all fractures in adult patients [ 1 , 2 ]. They are usually caused by direct trauma and are very common in contact sports, horse riding, cycling, or motocross [ 2 , 3 ]. Therefore, they usually occur in young …

Authors:
Catalina Larrague, Facundo Miguel Galich, Tomas Martín Tavella, Nicolás Stramazzo, Nicolás Agustín Atala, Luciano Andrés Rossi, Ignacio Tanoira, Maximiliano Ranalletta

16-05-2024 | Vacuum Therapy | General Review

Negative pressure wound therapy in the management of postoperative spinal wound infections: a systematic review

Postoperative wound infection after spinal surgery, especially after instrumentation, represents a serious problem and a challenge for physicians [ 1 – 3 ]. Delayed wound healing leads to morbidity, pain, and discomfort and requires prolonged …

Authors:
Gaetano Pappalardo, Sascha Schneider, Andreas Kotsias, Madhan Jeyaraman, Luise Schäfer, Filippo Migliorini

Open Access 16-05-2024 | Original Article

Comparative effectiveness of peroneus longus tendon (PLT) autografts versus hamstring tendon (HT) autografts in anterior cruciate ligament reconstruction: a comprehensive systematic review and meta analysis

The hamstring tendon (HT) autograft is currently the most widely utilised autograft option for anterior cruciate ligament (ACL) reconstruction. However, recent studies endorse the peroneus longus tendon (PLT) autograft as a viable alternative. To …

Authors:
Jae Yong Park, André Fernandes, Shin Young Park, Hayeon Lim, Iqbal Farhan Sayudo, Liron Leibovitch, Elcio Machinski, Joon Ha

15-05-2024 | Hip-TEP | Original Article

Projected volume of primary total joint arthroplasty in the USA from 2019 to 2060

In the era of bundled payments, patient-reported outcomes, and quality-incentivized reimbursements, total hip arthroplasty (THA) and total knee arthroplasty (TKA) are at the forefront of cost, value, and indication discussions [ 1 – 7 ]. The global …

Authors:
Jeremy A. Dubin, Sandeep S. Bains, Daniel Hameed, Caleb Gottlich, Rodman Turpin, James Nace, Michael Mont, Ronald E. Delanois

15-05-2024 | Arthroscopy | Original Article

Characteristics of early complications in isolated primary anterior cruciate ligament reconstruction surgery

Anterior cruciate ligament reconstruction (ACLR) is a commonly performed surgical intervention for ACL injuries and is generally known to be successful in restoring patients to pre-injury activity levels [ 1 ]. The incidence of ACLR has increased …

Authors:
Jack Zhong, Nathan J. Lee, Connor Crutchfield, John Mueller, Christopher Ahmad, David Trofa, T. S. Lynch

15-05-2024 | Original Article

Displaced proximal humeral fractures in skeletally immature patients: functional outcomes of surgical treatment

Proximal humerus fractures account for 2% of all fractures in skeletally immature patients [ 1 ], and lesions in this area involving only the physis are even rarer [ 1 , 2 ]. The need for patients with proximal humeral lesions to undergo surgery is …

Authors:
Alberto Daniel Navarro Vergara, Alberto Navarro Fretes