the Reduction
Setting the orthopaedic literature straight.
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The Reduction — Digest
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Recent
Journal of Bone and Joint Surgery (American)Nov 05 2026
Technology Assistance and Fixed-Bearing Design Were Associated with Higher Revision-Free Survival at 15 Years After UKA: A Cohort Study of 2,234 Consecutive Knees.
In 2,234 UKAs, revision-free survival was 85% at 15 years, and technology assistance, fixed-bearing design, and high surgeon volume were each associated with lower revision risk.
Journal of the American Academy of Orthopaedic SurgeonsNov 03 2026
CT-Based Local Soft-Tissue Composition Does Not Predict Early Clinical Outcomes After Primary Elective Reverse Total Shoulder Arthroplasty.
In 200 primary reverse shoulder arthroplasties, CT-based adipose-to-muscle and soft tissue-to-bone ratios, like BMI, did not predict surgical time, in-hospital complications, or 90-day ED return…
Clinical Orthopaedics and Related ResearchNov 02 2026
How Much Do Horizontally Referenced and Interteardrop-referenced Acetabular Coverage Indices Differ During Standing in Adults With Hip Pain?
In 493 adults with unilateral hip pain, horizontal vs interteardrop referencing changed LCEA and acetabular index by about 2\u00b0 and reclassified coverage in 10-14%, tracking pelvic obliquity…
Classic
The Bone & Joint Journal2013 · Cited by 1,108
Proceedings of the International Consensus on Periprosthetic Joint Infection
This paper summarizes the origin, conduct, and findings of the International Consensus Meeting on surgical site and periprosthetic joint infection, addressing the wide global variation in infection…
Review
JBJS ReviewsOct 01 2026
Nontobacco Nicotine in Orthopaedic Surgery: Current Knowledge and Limitations of Database Investigations.
Nontobacco nicotine products may impair healing biologically, but database studies suffer from exposure misclassification, so nicotine-specific surgical risk is unproven; perioperative cessation of…
Recent
American Journal of Sports MedicineNov 05 2026
A Single Intra-articular Injection of Autologous Stromal Vascular Fraction for Moderate-to-Severe Knee Osteoarthritis: Results of a Multicenter Randomized Placebo-Controlled Trial With 12-Month Follow-up.
In a 114-patient randomized trial, a single injection of autologous adipose-derived stromal vascular fraction gave a higher 12-month responder rate than placebo (52% vs 29%) in moderate-to-severe…
Journal of the American Academy of Orthopaedic SurgeonsNov 01 2026
Comparison of 90-Day Medical Complications, Emergency Department Utilizations, and Readmissions for Corticosteroid Users Undergoing Hip Arthroscopy.
Preoperative corticosteroid users undergoing hip arthroscopy had nearly 5-fold higher 90-day complications plus more ED visits and readmissions, warranting careful perioperative planning.
ArthroscopyNov 05 2026
Bone-Patellar Tendon-Bone and Quadriceps Tendon Autografts Are More Cost-Effective Than Hamstring Autograft and Allograft for Anterior Cruciate Ligament Reconstruction.
In a Markov cost-effectiveness model, quadriceps tendon and BPTB autografts offered the best value for ACL reconstruction, while hamstring autograft and allograft cost more and were less effective…
Classic
Clinical Orthopaedics and Related Research1985 · Cited by 4,580
Rating Systems in the Evaluation of Knee Ligament Injuries
Compares knee ligament injury rating systems, finding symptom-based scores give more nuanced results than binary systems and proposing a new numerical activity grading scale.
Review
JBJS ReviewsFeb 01 2023
Soft Anchors for Rotator Cuff Repair: A Review.
Review finds all-suture (soft) anchors perform comparably to hard body anchors biomechanically and clinically in rotator cuff repair, with smaller footprint and easier revision; perianchor cysts…
Recent
Journal of Hand Surgery (American)Nov 02 2026
Arthroscopic-Assisted Volar Scapholunate Capsulodesis for EWAS Grade IIIA: A Prospective Case Series Study.
In a 10-patient prospective series with 27-month follow-up, arthroscopic volar scapholunate capsulodesis for EWAS IIIA injuries improved pain, grip strength, DASH, and Mayo wrist scores, though small…
Clinical Orthopaedics and Related ResearchOct 01 2026
Disruption of Intrinsic Healing Elements Does Not Alter Early Functional or Mechanical Outcomes After Zone II Flexor Tendon Repair in a Large-animal Model.
In a turkey zone II flexor tendon repair model, ablating vincular and tenocyte intrinsic healing elements did not worsen early motion, adhesions, or strength, suggesting extrinsic mechanisms dominate…
HANDNov 06 2026
Incarceration Status and Access to Care Following Hand and Wrist Fractures.
Among 1,597 hand and wrist fracture patients, incarcerated patients were first seen by specialists more often in clinic than the ED and completed fewer therapy visits, suggesting reduced access to…
Classic
Journal of Bone and Joint Surgery (American)1993 · Cited by 1,914
A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome.
Describes development of a self-administered carpal tunnel questionnaire measuring symptom severity and functional status, shown to be reproducible, internally consistent, and responsive to change…
Review
Journal of Hand Surgery (European)Sep 2023
Carpal dislocations.
Review of carpal dislocations, mostly lunate, stressing that they are often missed, that open reduction and internal fixation remains the gold standard, and that they carry significant long-term…
Recent
Journal of ArthroplastyNov 06 2026
Complications After Primary Total Joint Arthroplasty in Solid Organ Transplant Recipients.
In 103 primary hip and knee arthroplasties in solid organ transplant recipients, overall complications were 26%, but periprosthetic joint infection was low (only renal recipients affected) and…
Journal of the American Academy of Orthopaedic SurgeonsNov 01 2026
A Machine Learning Approach to Determine the Optimal Age for Total Hip Arthroplasty: When Is Risk for Adverse Outcomes Lowest?
Machine learning identified optimal age for total hip arthroplasty between 52.5-71.5 years, with lowest risk for readmission, revision, and mortality in this range.
The KneeNov 05 2026
Clinical outcome of a modern patellofemoral arthroplasty prosthesis into the second decade - a cohort study with minimum 10-year follow-up.
In a 161-knee cohort with mean 13.8-year follow-up, a modern oxinium patellofemoral arthroplasty had 81% revision-free survival at 10 years and 75% at 20, with OA progression the main reason for…
Classic
Journal of Bone and Joint Surgery (American)2007 · Cited by 6,897
Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030
Projections from national data estimate primary THA will grow 174% and primary TKA 673% by 2030, with revisions rising 137% and 601%, signaling major future surgical demand.
Review
JBJS ReviewsJul 2020
Periprosthetic Joint Infection: A Review of Antibiotic Treatment.
PJI antibiotic choice depends on organism, resistance, infection extent, and host; typical duration is 6 weeks after DAIR and 4-6 weeks after revision, with levofloxacin plus rifampin favored for…
Recent
Journal of Shoulder and Elbow SurgeryNov 06 2026
Proceedings from the 2025 International Consensus Meeting on Orthopedic Infections: Prevention of Periprosthetic Shoulder Infection.
The 2025 international consensus reached agreement on all 25 shoulder PJI prevention questions, favoring practices like avoiding recent corticosteroid injection and razor shaving, but…
Journal of Bone and Joint Surgery (American)Nov 03 2026
Pharmacological Inhibition of STING with H-151 Promotes Rotator Cuff Healing in Aged Rats.
In aged rats, blocking the STING inflammatory pathway with H-151 at the repair site reduced inflammaging and improved tendon-to-bone healing and biomechanical strength, suggesting a possible adjunct…
Clinical Orthopaedics and Related ResearchNov 01 2026
Radial Head Fractures Cluster in the Anterolateral and Anteromedial Quadrants and Do Not Correlate With Coronoid Fracture Types.
Radial head fractures in terrible triad injuries cluster anteriorly regardless of coronoid type, aiding surgical planning.
Classic
The Bone & Joint Journal2013 · Cited by 599
Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint?
The critical shoulder angle differed markedly by pathology: large angles (>35°) were associated with degenerative rotator cuff tears and small angles (<30°) with glenohumeral osteoarthritis, implying…
Review
JBJS ReviewsSep 01 2025
Kim's Lesion of the Shoulder: A Critical Analysis Review.
Kim's lesion, an incomplete posteroinferior labral-glenoid tear with intact superficial labrum, is an under-reported cause of posterior shoulder pain and instability in young athletes, confirmed…
Recent
Journal of Orthopaedic TraumaNov 01 2026
A Primer on Statistical Certainty and its Distinction from Clinical Importance.
Educational primer clarifying the distinction between statistical significance and clinical importance, helping surgeons critically interpret research findings in practice.
Clinical Orthopaedics and Related ResearchNov 01 2026
Impact Microindentation Evaluates Bone Strength, Bone Quality, and Fracture Susceptibility Across Skeletal Sites: A Cadaver Study.
Impact microindentation bone strength index correlates with bone strength across multiple sites and discriminates hip and wrist fracture susceptibility better than bone mineral density alone.
InjuryNov 05 2026
Risk factors for complications following surgical fixation of pelvic ring fractures: a retrospective cohort study.
In 126 surgically fixed pelvic ring fractures, 31% had complications; a Morel-Lavallée lesion and combined-mechanism fracture pattern independently predicted surgical site infection, while posterior…
Classic
Journal of Bone and Joint Surgery (American)1969 · Cited by 5,650
Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures
In 39 mold arthroplasties for post-traumatic hip arthritis, later cases showed significantly better outcomes with low complication rates, supporting arthroplasty as a durable option over fusion in…
Review
Journal of the American Academy of Orthopaedic SurgeonsAug 01 2024
Complex Elbow Fracture-Dislocations: An Algorithmic Approach to Treatment.
Proposes an algorithmic approach to diagnosing and treating complex elbow fracture-dislocations, emphasizing reconstruction of bony and ligamentous stabilizers, versatile fixation, and structured…
Recent
SpineNov 03 2026
Concurrent Triple-class Psychotropic Use and Postoperative Morbidity Following Single-Level Lumbar Fusion: A Propensity Score-matched Cohort Study.
In propensity-matched lumbar fusion patients with psychiatric diagnoses, triple-class psychotropic use (SSRI, benzodiazepine, antipsychotic) carried higher infection, readmission, and revision rates…
Clinical Orthopaedics and Related ResearchNov 01 2026
Do Perineural Dexamethasone and Dexmedetomidine Improve Analgesia and Inflammatory Response After Lumbar Spine Surgery?
Dexmedetomidine and dexamethasone as perineural adjuvants prolong analgesia; dexamethasone better reduces inflammation and opioid consumption after lumbar spine surgery.
European Spine JournalNov 05 2026
Early spine surgery is associated with better outcomes in patients with a thoracic spinal cord injury: national database retrospective analysis.
In a national trauma database, surgery within 24 hours of admission for thoracic spinal cord injury, isolated or polytrauma, was linked to fewer complications and better discharge disposition than…
Classic
Journal of Bone and Joint Surgery (American)1990 · Cited by 2,708
Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation.
MRI showed cervical spine abnormalities in 19% of asymptomatic volunteers (14% under age 40, 28% over 40), warning that surgical decisions must not rest on imaging findings that lack matching…
Review
Journal of the American Academy of Orthopaedic SurgeonsJan 15 2026
Current Practice and Evidence for Endoscopic Spine Surgery.
This review examines endoscopic spine surgery (transforaminal, interlaminar, biportal), comparing outcomes with open surgery and addressing patient selection, learning curve, complications, and…
Recent
Journal of Surgical OncologyNov 02 2026
Wound-Healing Complications Disrupt Early Patient-Reported Recovery After Limb-Sparing Soft Tissue Sarcoma Surgery.
In 74 limb-sparing sarcoma patients, wound-healing events occurred in 61% (22% needing reoperation) and were associated with worse patient-reported physical and mental recovery at 3 months…
The Bone & Joint JournalNov 01 2026
Marginal excision of dedifferentiated liposarcoma of the limbs without radiation may be safe in select patients.
In 137 limb dedifferentiated liposarcoma patients, those with positive margins confined to the low-grade component and no radiation had no recurrences or metastases, suggesting marginal excision…
Clinical Orthopaedics and Related ResearchOct 09 2026
What Is the Natural History and Likelihood of Progression of Indeterminate Pulmonary Nodules in Patients With Extremity Osteosarcoma?
In extremity osteosarcoma, 58% of indeterminate pulmonary nodules progressed and 25% became confirmed metastases; no nodule feature predicted progression, but these patients had worse 2-year survival…
Classic
Journal of Bone and Joint Surgery (American)1987 · Cited by 1,492
Giant-cell tumor of bone.
In 280 patients with giant-cell tumor of bone, local recurrence was far lower after wide/radical resection (0%) than marginal (8%) or intralesional (27%) surgery, supporting more aggressive excision.
Review
JBJS ReviewsMar 2020
Imaging Analyses of Bone Tumors.
Radiographs remain the key first step in bone tumor assessment, allowing accurate diagnosis in over 80% of cases, with CT and MRI adding value for typical lesions, extent, and surgical planning.
Recent
Foot & Ankle InternationalOct 09 2026
To Walk or Not? A Prospective, Randomised Controlled Trial to Evaluate the Effect of Weightbearing on Patient Outcomes Following First Metatarsophalangeal Joint Fusion.
In a 68-patient randomized trial, immediate weightbearing after first MTP fusion gave pain, function, satisfaction, and complication outcomes similar to non-weightbearing, supporting more permissive…
Journal of the American Academy of Orthopaedic SurgeonsNov 01 2026
Clinical Outcomes and Complications of Surgical and Conservative Treatment for Jones Fractures: A Systematic Review.
Surgical fixation of Jones fractures yielded fewer complications, lower nonunion, and better functional scores than conservative care, supporting operative treatment.
Journal of Bone and Joint Surgery (American)Oct 29 2026
Implant Choice Impacts Initial Tibial Component Micromotion in Total Ankle Replacement: A Biomechanical Analysis.
In a cadaveric gait simulator study, low-profile tibial total ankle components showed significantly more early micromotion than stemmed ones, supporting a mechanical explanation for early failure of…
Classic
Foot & Ankle Clinics2006 · Cited by 414
Epidemiology of Sprains of the Lateral Ankle Ligament Complex
Lateral ankle ligament sprains, most often involving the ATFL, make up 85% of ankle sprains and are frequently undertreated, leading to chronic instability and significant athletic and healthcare…
Review
JBJS ReviewsJun 2020
Conservative Surgical Options for the Treatment of Forefoot Diabetic Ulcers and Osteomyelitis: An Evidence-Based Review and a Decision-Making Tool.
Evidence review finds conservative, toe-sparing surgeries for forefoot diabetic ulcers and osteomyelitis give good to excellent outcomes and are underused alternatives to amputation; a decision tree…
Recent
Journal of Pediatric OrthopaedicsNov 05 2026
Long-Term Shoulder Outcomes Following Tendon Transfers for Brachial Plexus Birth Injuries.
In 88 young children followed about 9 years, latissimus dorsi (with or without teres major) transfer for brachial plexus birth injury durably improved shoulder abduction, external rotation, and…
Clinical Orthopaedics and Related ResearchNov 03 2026
How Does Hematopoietic Stem Cell Gene Therapy Affect Hip Dysplasia in Mucopolysaccharidosis Type I Hurler Syndrome? Radiological Outcomes at a Minimum 4-year Follow-up.
After hematopoietic stem cell gene therapy in 8 children with Hurler syndrome, acetabular index and migration percentage improved over 4 years, with more hips reaching normal ranges, suggesting…
Spine DeformityNov 2026
Characterizing risk factors for new neurological deficits in children undergoing posterior spinal fusion for idiopathic scoliosis.
Preoperative steroid use, low albumin, and prolonged PT predict neurological complications after pediatric scoliosis fusion; antifibrinolytic use is protective.
Classic
Journal of Pediatric Orthopaedics B1995 · Cited by 585
Classification of Clubfoot
This foundational paper proposes a 0-20 point clubfoot severity classification system based on equinus, varus, hindfoot derotation, and forefoot adduction to standardize assessment and compare…
Review
JBJS ReviewsMar 01 2025
Genetics and Epigenetics of Legg-Calvé-Perthes Disease.
Review proposing that Legg-Calvé-Perthes disease arises from interacting genetic (COL2A1, IL6), epigenetic, and environmental factors such as maternal smoking and low birth weight, pointing toward…
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