Archive

SUMMARY: Opinion piece on threats to research integrity from AI misuse, mega-journals, and impact-factor gaming, proposing transparency standards and reformed metrics to safeguard publishing quality.

SUMMARY: This expert opinion piece argues that AI can enhance every phase of orthopaedic care—from training and surgical planning to intraoperative guidance and personalized postoperative recovery.

SUMMARY: This narrative review discusses how robotic platforms are being adopted in spine surgery and outlines training tools and ethical considerations needed to ensure surgeon proficiency.

SUMMARY: This article reviews the column model and specific fixation techniques for achieving anatomic reduction of comminuted high-energy distal radius fractures.

SUMMARY: This review outlines surgical uses of bone marrow aspirate concentrate as an adjuvant orthobiologic for cartilage repair, though robust randomized trial evidence remains lacking.

SUMMARY: This review covers evolving surgical techniques—physeal-sparing, partial transphyseal, and transphyseal ACL reconstruction—for skeletally immature patients with ACL injuries.

SUMMARY: Traditional regression-based risk scores remain competitive and trusted versus AI/ML models for spine surgery risk prediction, which still face validation and workflow integration barriers.

SUMMARY: Reviews pediatric osteomyelitis diagnosis and management, emphasizing MRI as the best imaging modality and favoring short IV-to-oral antibiotic courses with surgery reserved for abscess or treatment failure.

SUMMARY: This narrative review proposes that developmental anatomical anomalies of the neonatal brachial plexus create a 'neurologic vulnerability' predisposing certain infants to Erb's palsy during delivery, suggesting decompression may complement nerve grafting.

SUMMARY: This article offers hand surgeons a practical framework and pearls for antiracist education and advocacy to reduce racial health care inequities in the field.

SUMMARY: AI-powered EMR tools like ambient scribes can reduce orthopaedic clinician workload and improve efficiency, though privacy, cost, and integration concerns remain unresolved.

SUMMARY: This review outlines various open reduction and internal fixation approaches for proximal interphalangeal joint fractures, emphasizing fracture pattern/stability-guided treatment and setting realistic expectations for post-injury stiffness.

SUMMARY: This narrative review outlines neck anatomy at risk, on-ice management, and evidence supporting mandatory neck laceration protectors to prevent potentially fatal skate-related neck injuries in ice hockey.

SUMMARY: This review concludes that structured exercise remains a reasonable first-line treatment for degenerative meniscal tears, with arthroscopic partial meniscectomy reserved for patients failing nonoperative therapy.

SUMMARY: This review outlines an evidence-based, size- and location-driven approach to knee chondral defects, favoring osteochondral autograft for small lesions and allograft or matrix-associated chondrocyte implantation for larger ones.

SUMMARY: Analysis of 221 SEER cases shows bladder carcinosarcoma is rare, aggressive, and often high-grade with advanced stage as the only independent predictor of poor survival.

SUMMARY: In 405 patients with thoracic idiopathic scoliosis, selective thoracic fusion works safely for curves under 80 degrees if fusion levels are chosen carefully, otherwise fusion should extend to the sacrum for balance.

SUMMARY: US emergency department data show ankle sprains peak in adolescents/young adults, with young males and older females at higher risk and half occurring during sports like basketball.

SUMMARY: Large Medicare database analysis identified rheumatologic disease, obesity, coagulopathy, and anemia as key risk factors for PJI after THA, while heart failure, cancer, and dementia most strongly predicted 90-day mortality.

SUMMARY: Long-term follow-up (5–27 years) of 109 surgically treated tibial plateau fractures showed excellent functional outcomes overall, though malalignment over 5 degrees significantly increased osteoarthritis risk.

SUMMARY: This meta-analysis found female athletes have roughly 3 times higher ACL tear rates than males in soccer and basketball, with injury-reduction training helping in soccer but not basketball.

SUMMARY: This classic paper addresses the mechanisms and clinical implications of corrosion in metal orthopaedic implants.

SUMMARY: The newly developed Functional Mobility Scale reliably and validly measures functional mobility across home, school, and community settings in children with cerebral palsy.

SUMMARY: Arthroscopic double-row rotator cuff repair improves repair integrity over open/mini-open techniques, but large/massive tears still have a 40% retear rate with worse outcomes when repair fails structurally.

SUMMARY: In 89 necrotizing fasciitis patients, delayed surgical debridement beyond 24 hours was the strongest independent predictor of mortality, underscoring the need for early operative intervention despite subtle early skin findings.

SUMMARY: In cell and mouse models, pulsed electromagnetic fields killed osteosarcoma cells via ferroptosis while promoting normal bone healing, suggesting a noninvasive adjuvant therapy after tumor resection.

SUMMARY: A new 8-point scoring system (FNF-ON8) using five preoperative variables better predicted osteonecrosis risk after femoral neck fracture fixation in patients under 65 than the Garden classification.

SUMMARY: In this 60-patient cohort, a conservative-first approach for giant extruded/sequestered lumbar disc herniation avoided surgery in 88% at 24 months, with rim enhancement on MRI showing potential (but not definitive) prognostic value.

SUMMARY: Knee arthroscopy in pediatric OI patients restores function in most cases but carries notably higher complication (48%) and revision (35%) rates than the general population.

SUMMARY: Standard screening criteria (abnormal exam, left-sided curve, hyperkyphosis) missed 34% of Chiari malformation/syrinx cases in operative pediatric scoliosis, arguing for broader preoperative MRI use.