Archive

SUMMARY: In this randomized trial of 60 TKA patients, one preemptive 20-mg IV nefopam dose lowered 24-hour dynamic pain, morphine use, and nausea, and shortened discharge by about 8 hours, with transient tachycardia.

SUMMARY: In 55 patients aged 60+ with complex proximal humerus fractures, reverse shoulder arthroplasty gave reliable recovery: good Oxford scores, early independence, return to driving in 8-12 weeks, and a 5.5% complication rate.

SUMMARY: In 67 intra-articular distal humerus fractures, older patients had more distal transverse and more lateral longitudinal fracture lines, which may limit distal lateral fixation with a tab-equipped posterolateral plate.

SUMMARY: In a matched database cohort of over 91,000 patients, stage III-V CKD carried higher 30- and 90-day rates of skin infection, osteomyelitis, and sepsis after soft tissue hand surgery, though absolute rates stayed low.

SUMMARY: In a cadaveric Neer IIB distal clavicle fracture model, anatomical conoid-position suture button reconstruction gave better posterior stability than anterior-position drilling without sacrificing superior stability; clinical relevance of the 1.8 mm difference remains unproven.

SUMMARY: Expert Delphi consensus supports meniscal centralization with root repair or allograft transplantation when MRI extrusion exceeds 3 mm, discourages it in advanced osteoarthritis, accepts various fixation constructs, and calls for long-term outcome data.

SUMMARY: In 44 knees after medial open-wedge high tibial osteotomy, outcomes improved at 2 years, but higher preoperative trochlear bone marrow lesion scores modestly predicted worse residual KOOS symptoms, useful for counseling.

SUMMARY: Technical note describing backfilling of patellar and tibial harvest defects with autologous bone reamings and ACL remnant tissue, with paratenon preservation, during BTB ACL reconstruction to potentially reduce donor site pain.

SUMMARY: In 1,309 adults, better sit-to-stand performance and lumbar flexion/extension mobility were associated with better SF-36 scores and lower odds of chronic low back pain, supporting their use in functional spine assessment.

SUMMARY: In 748 lumbar surgery patients followed 2 years, disability scores, health status, and satisfaction (~84%) followed different trajectories, so satisfaction and MID/PASS thresholds are complementary rather than interchangeable outcome measures.

SUMMARY: In a 240-patient retrospective cohort, the RAVEN score combining opportunistic CT bone attenuation with clinical factors modestly stratified 1-3 year fragility fracture risk (C-index 0.64); external validation is needed before use.

SUMMARY: In 40 chronic TKA periprosthetic infections, a Rush Rod-reinforced articulating construct achieved 80% infection-free survival with good knee motion, working as either a first-stage spacer or a definitive 1.5-stage option.

SUMMARY: Using a large database, patients under 40 undergoing primary TKA had roughly 3-fold higher odds of infection and reoperation than those over 65, independent of comorbidities and smoking.

SUMMARY: The Slovak version of the EFAS foot and ankle score was validated, showing good internal consistency, responsiveness (effect size 1.30), and improvement in 81% of patients after treatment.

SUMMARY: Autograft remains the most effective bone grafting material, but substitutes (allograft, ceramics, demineralized bone matrix, marrow, composites) each supply only part of the needed osteoconductive, osteoinductive, and osteogenic properties, so choice depends on the clinical indication.

SUMMARY: In a small retrospective case-control study of 12 athletes, adding platelet-rich growth factor matrix to Achilles repair sped return of motion, running, and training with no wound complications, though randomized trials are needed.

SUMMARY: In 427 sciatica patients, back-specific (modified Roland) and general (SF-36 physical) quality-of-life measures were valid and most responsive to change over 3 months, supporting their use in prospective evaluation.

SUMMARY: In 83,011 Medicare TKA patients, congestive heart failure, renal disease, and peripheral vascular disease were among the independent risk factors for both 90-day mortality and periprosthetic joint infection, informing preoperative counseling and risk adjustment.

SUMMARY: A 2004 J Shoulder Elbow Surg paper reporting minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty or younger, addressing long-term durability of arthroplasty in young patients.

SUMMARY: This review covers imaging of scapholunate ligament injuries, weighing radiographs, ultrasound, CT, and MRI against emerging dynamic modalities and AI tools, and stresses pairing imaging with clinical examination.

SUMMARY: This article reviews open and arthroscopic surgical approaches to the wrist, emphasizing the anatomy needed to choose safe exposure for managing wrist arthritis in young patients.

SUMMARY: This review examines endoscopic spine surgery (transforaminal, interlaminar, biportal), comparing outcomes with open surgery and addressing patient selection, learning curve, complications, and research gaps.

SUMMARY: Nontobacco nicotine products may impair healing biologically, but database studies suffer from exposure misclassification, so nicotine-specific surgical risk is unproven; perioperative cessation of all nicotine remains a reasonable precaution.

SUMMARY: Narrative review of CFR-PEEK and photodynamic bone stabilization implants for fractures, which are niche but may reduce stress shielding and help in poor-quality bone or when radiotherapy imaging artifact matters.

SUMMARY: Review of rehabilitation after flexor tendon repair, stressing the balance between protecting the repair and early controlled motion to limit adhesions, guided by healing phase and close surgeon-therapist communication.

SUMMARY: Reviews etiology, diagnosis, and treatment of osteochondral lesions of the talus and tibial plafond: nonoperative care first, then arthroscopic bone marrow stimulation or fixation, with open techniques for larger or secondary lesions.

SUMMARY: Educational overview explaining computer vision fundamentals and applications in arthroplasty, written to make this image-analysis tool accessible to orthopaedic surgeons and musculoskeletal researchers rather than computer scientists.

SUMMARY: Capitellar OCD affects young athletes aged 10-24; MRI or CT beats radiographs for diagnosis, stable lesions with intact cartilage get non-operative care, and surgical options are chosen by patient, function, and lesion morphology.

SUMMARY: This review covers pathophysiology, risk factors, and diagnostic challenges of acute compartment syndrome, arguing it should be viewed as a continuum and favoring continuous pressure measurement and objective tissue-health markers over fixed thresholds.

SUMMARY: A narrative review of 15 studies found chronic low back pain self-management programs vary widely in content and outcome measures, underscoring the need for consensus on core components and evaluation.