the Reduction
Setting the orthopaedic literature straight.
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General Orthopaedics
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The Reduction — Digest
Today, 6:00 AM
Recent
Journal of Bone and Joint Surgery (American)Sep 22 2026
Ability of Deep Learning to Predict Surgical Recommendations for Distal Radial Fractures: A Feasibility Study.
A combined CNN and random forest AI model predicted hand surgeons' operative versus nonoperative recommendations for distal radius fractures with 87% accuracy using pre-reduction radiographs and…
Clinical Orthopaedics and Related ResearchSep 22 2026
A Novel Scoring System Can Estimate the Risk of Posttraumatic Osteonecrosis After Femoral Neck Fracture Fixation in Adults Younger Than 65 Years.
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.
Journal of the American Academy of Orthopaedic SurgeonsSep 11 2026
Trends in Research Gap Years Among Orthopaedic Residency Applicants.
Over a decade, dedicated research gap years among orthopaedic residency applicants doubled and were linked to higher academic productivity and match success, especially at the host institution.
Classic
The Bone & Joint Journal2013 · Cited by 1,108
Proceedings of the International Consensus on Periprosthetic Joint Infection
International consensus on periprosthetic joint infection summarizes current prevention and management practices addressing variation in protocols across orthopedic centers worldwide.
Review
JBJS ReviewsApr 01 2026
Revisiting Intranasal Salmon Calcitonin: Historical Osteoporosis Evidence and a Potential Role in Acute Orthopaedic Pain Management.
Review concludes intranasal salmon calcitonin offers modest bone density benefits and short-term analgesic effects for osteoporotic vertebral fractures and acute orthopaedic pain, but is inferior to…
Recent
American Journal of Sports MedicineSep 22 2026
Lateral Tibial Posterior Slope Induces Anterior Tibial Translation While Lateral-Medial Slope Difference Induces Internal Rotation: A Cadaveric Biomechanical Study.
Cadaveric testing shows increased lateral tibial slope drives anterior tibial translation, while slope asymmetry between compartments drives internal rotation, informing ACL injury and correction…
Clinical Orthopaedics and Related ResearchSep 21 2026
What Factors Are Associated With Clinically Meaningful Improvements After Bernese Periacetabular Osteotomy?
Most patients achieve MCID, PASS, and SCB thresholds after Bernese PAO, but longer symptom duration and severe femoral antetorsion predict worse clinically meaningful outcomes, informing preoperative…
Knee Surgery, Sports Traumatology, ArthroscopySep 19 2026
Limited predictive value of preseason isokinetic strength testing for noncontact lower extremity injuries in elite female football players: A 5-year prospective cohort study.
In elite female footballers, preseason isokinetic strength testing had limited independent value for predicting noncontact lower extremity injuries, though a lower hamstring-to-quadriceps ratio…
Classic
Journal of Bone and Joint Surgery (American)2004 · Cited by 2,145
The Outcome and Repair Integrity of Completely Arthroscopically Repaired Large and Massive Rotator Cuff Tears
Arthroscopic repair of large-to-massive rotator cuff tears showed 94% recurrent defects by ultrasound but excellent early functional outcomes; results deteriorated by 2 years with only 50%…
Review
JBJS ReviewsMar 01 2026
Arthroscopic Meniscectomy for the Degenerative Meniscus with Mild to Moderate Osteoarthritis: A Contemporary Analysis.
This review concludes that structured exercise remains a reasonable first-line treatment for degenerative meniscal tears, with arthroscopic partial meniscectomy reserved for patients failing…
Recent
Journal of Hand Surgery (American)Sep 07 2026
Mapping Nerve Transfer Adoption in Brachial Plexus Birth Injury Reconstruction, 2005-2024.
Analysis of a national pediatric database shows nerve transfers are increasingly replacing autografting for brachial plexus birth injury, especially in older infants and among orthopaedic surgeons…
Clinical Orthopaedics and Related ResearchAug 28 2026
Does the Surgical Innovation Evidence Apply to You? How Surgeon Volume and Experience Determine Whether Adoption Helps or Harms.
A decision-analytic model shows that whether adopting a new surgical technique (e.g., direct anterior hip approach) helps or harms patients depends heavily on the individual surgeon's case volume and…
HANDSep 21 2026
Association Between Orthotic Wear Duration and Pain Reduction in Thumb Carpometacarpal Osteoarthritis.
In thumb CMC osteoarthritis, orthotic use improved pain and function at 3 months, but longer daily wear time was not independently associated with greater pain reduction.
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.
A validated carpal tunnel symptom-severity and functional-status questionnaire captures clinical improvements not detected by traditional nerve conduction measures.
Review
Journal of the American Academy of Orthopaedic SurgeonsJun 15 2026
Management of Metacarpal and Phalangeal Fracture Malunions.
This review of metacarpal and phalangeal malunions discusses corrective osteotomy techniques, emphasizing that 3D-printed cut guides and software planning are improving surgical correction of…
Recent
Journal of ArthroplastySep 21 2026
Area Deprivation Index, Institutional Practice, and Utilization of Neuraxial Anesthesia in Total Knee Arthroplasty.
In TKA patients, hospital site—not neighborhood socioeconomic deprivation—predicted use of neuraxial anesthesia, which itself was linked to fewer 90-day ED visits.
Journal of Bone and Joint Surgery (American)Sep 16 2026
A Novel Mini-Prosthesis with a Nano-Multilayer Film-Coated Surface and 3D-Printed Porous Stem for Focal Cartilage Lesions: In Vivo Performance in a Porcine Model.
In a porcine model, a novel nano-coated 3D-printed mini-prosthesis for focal cartilage lesions showed superior cartilage protection and osseointegration compared with a standard CoCr implant or…
Hip InternationalSep 15 2026
Total hip arthroplasty with dual-mobility components is associated with excellent clinical outcomes and low metal ion blood levels at 2 years.
At 2 years, dual-mobility THA using the Trinity system showed high patient satisfaction and low, clinically insignificant blood metal ion levels, supporting its safety and efficacy.
Classic
Clinical Orthopaedics and Related Research2011 · Cited by 1,929
New Definition for Periprosthetic Joint Infection: From the Workgroup of the Musculoskeletal Infection Society
The MSIS workgroup proposes standardized diagnostic criteria for periprosthetic joint infection (major criteria: sinus tract or positive cultures from two samples; minor criteria combining ESR/CRP…
Review
JBJS ReviewsApr 01 2025
Clinical Recommendations for the Perioperative Management of Biologic Medications for Nonrheumatologic Diseases in Total Joint Arthroplasty.
This review highlights the lack of clear perioperative guidelines for managing biologic medications in nonrheumatologic TJA patients and calls for evidence-based protocols to balance infection and…
Recent
Journal of Shoulder and Elbow SurgerySep 19 2026
Preoperative Sepsis Is Associated With Increased 90-Day and 2-Year Complications Following Total Shoulder Arthroplasty: A Time-Stratified and Organism-Specific Analysis.
In a large claims database study, preoperative sepsis within two years of total shoulder arthroplasty—especially within 3 months and from gram-positive/Staphylococcal organisms—significantly raised…
Journal of Bone and Joint Surgery (American)Sep 15 2026
Revision Risk Following Primary Anatomic and Reverse TSA with an Exactech Equinoxe Compared with Other Devices: A U.S.-Based Cohort Study.
Cohort study found Exactech Equinoxe anatomic TSA implants had nearly double the revision risk versus other devices, even among non-recalled bags, though no difference was seen for reverse TSA.
The Bone & Joint JournalSep 01 2026
Patient-evaluated functional outcome is systematically different from physician-evaluated outcome after proximal humerus fracture fixation.
After proximal humerus fracture fixation, physician-rated Constant-Murley scores systematically diverged from patient-rated subjective shoulder values, with pain—not motion or strength—driving poor…
Classic
Clinical Orthopaedics and Related Research1987 · Cited by 5,289
A Clinical Method of Functional Assessment of the Shoulder
A validated clinical shoulder function assessment method accurately and reproducibly measures functional changes and is sensitive to small improvements in patients.
Review
Journal of the American Academy of Orthopaedic SurgeonsJul 01 2020
The Superior Capsular Reconstruction: Lessons Learned and Future Directions.
This review critically evaluates superior capsular reconstruction for irreparable rotator cuff tears, noting promising early outcomes but insufficient long-term data, unclear mechanism, and undefined…
Recent
Journal of Orthopaedic TraumaSep 18 2026
Outcomes of early vs delayed medial malleolar fixation in the treatment of open ankle fractures.
In open ankle fractures, early medial malleolar fixation shortened hospital stay and reduced reoperations but carried a higher infection risk, especially in bi/trimalleolar injuries, urging caution…
Journal of Bone and Joint Surgery (American)Sep 15 2026
Bridging the Global Implementation Gap in Immediate Weight-Bearing After Hip Fracture Surgery: The WAIT-Free Consensus for Low-Adoption Regions.
An international 31-expert Delphi panel created the WAIT-Free Consensus, offering 13 practical recommendations to help low-adoption regions safely implement immediate weight-bearing after hip…
Archives of Orthopaedic and Trauma SurgerySep 18 2026
A comparative study on the clinical efficacy and complications of proximal femoral nail antirotation and femoral neck system in the treatment of basicervical femoral neck fracture (AO/OTA 31-B3).
In basicervical femoral neck fractures, PFNA resulted in fewer implant-related complications and better Harris Hip Scores than the femoral neck system, despite FNS having shorter surgery and less…
Classic
Clinical Orthopaedics and Related Research1986 · Cited by 1,316
The Critical Size Defect as an Experimental Model for Craniomandibulofacial Nonunions
Critical size defects in animal calvaria and mandibles model maxillofacial nonunions; hierarchy of animal models from rat to monkey calvaria to dog and monkey mandibles recommended for bone repair…
Review
Journal of the American Academy of Orthopaedic SurgeonsJan 15 2020
Management of the Floating Knee: Ipsilateral Fractures of the Femur and Tibia.
Reviews management of ipsilateral femur-tibia (floating knee) fractures, emphasizing rapid stabilization and fixation choice guided by soft-tissue and systemic injury severity, given risks of…
Recent
SpineSep 11 2026
C2 Coronal Angle (C2C): A Novel Predictor of Outcomes Following Adult Thoracolumbar Spinal Deformity Surgery.
In 328 ASD patients, postoperative C2 coronal angle ≤3.5° independently predicted better SRS-22/SF-36/NDI outcomes and outperformed C7-CSVL, suggesting it as a useful coronal alignment target.
Journal of the American Academy of Orthopaedic SurgeonsSep 11 2026
The Association of Long-Term Cardiac Issues for Adult Patients With Versus Without Scoliosis.
Large database study shows adults with idiopathic, neuromuscular, or congenital scoliosis have significantly higher odds of various cardiac comorbidities, supporting closer cardiac follow-up.
Journal of Neurosurgery: SpineSep 18 2026
Comparison of liposomal bupivacaine and modified cocktail analgesia for postoperative pain control after transforaminal lumbar interbody fusion: a prospective, double-blind, randomized controlled trial.
In a RCT of 118 TLIF patients, liposomal bupivacaine via ESPB cut opioid/PCA use more than a cheaper modified analgesic cocktail, though both controlled early pain well.
Classic
Journal of Bone and Joint Surgery (American)2001 · Cited by 1,726
Adolescent Idiopathic Scoliosis
New Lenke classification for adolescent idiopathic scoliosis provides superior reliability to King system for surgical planning.
Review
European Spine JournalMay 19 2022
3D printing applications in spine surgery: an evidence-based assessment toward personalized patient care.
This review summarizes current uses of 3D printing in spine surgery (preoperative modeling, custom implants, screw guides) while noting long-term outcome data remain scarce.
Recent
Journal of Surgical OncologySep 17 2026
Intraoperative Evaluation of Sarcoma Surgical Margins With Indocyanine Green Fluorescence Imaging: Results From an Observational Study.
In 51 sarcoma resections, ICG fluorescence with an SBR cutoff of 1.67 was highly sensitive for detecting positive margins but not specific enough to replace surgeon judgment, suggesting a combined…
Clinical Orthopaedics and Related ResearchAug 31 2026
What Is the 5-year Survival of Patients With or Without Surgery in Spinal Metastatic Disease?
In a large registry, only about 9% of spinal metastasis patients survived 5 years, with SORG and NESMS scores remaining strong predictors of long-term survival to guide surgical decision-making.
Journal of Surgical OncologySep 09 2026
Ewing's Sarcoma in Adults: A Predictive Nomogram and Survival Analysis of a Cohort of 937 Patients.
In 937 adults with Ewing sarcoma, a new nomogram incorporating age, stage, site, size, surgery, and chemotherapy predicted disease-specific survival better than stage alone, aiding individualized…
Classic
Journal of Bone and Joint Surgery (American)1987 · Cited by 1,040
Giant-cell tumor of bone.
In this large series of giant-cell tumor of bone, local recurrence rates were 27% after intralesional treatment, 8% after marginal excision, and 0% after wide/radical resection, guiding surgical…
Review
Annals of Surgical OncologyAug 30 2024
The Landmark Series: Multimodal Management of Oligometastatic Sarcoma.
This review discusses multidisciplinary use of metastasis-directed local therapies (SABR, ablation, metastasectomy) for oligometastatic sarcoma, weighing pros/cons of each modality in complex…
Recent
Foot & Ankle InternationalSep 16 2026
Radiofrequency Ablation for Interdigital Neuroma: Moderate 2-Year Outcomes and Surgical Conversion Rate.
Radiofrequency ablation for interdigital neuroma gave meaningful pain/function improvement in about two-thirds of patients at 2 years, though 27% ultimately needed surgery.
Journal of the American Academy of Orthopaedic SurgeonsSep 01 2026
Accuracy and Precision of Computer-assisted Navigation Compared With Patient-Specific Instrumentation and Conventional Methods in Total Ankle Arthroplasty.
In a cadaveric-model study, computer-assisted navigation gave the most accurate tibial cuts while patient-specific instrumentation was best for talar cuts, both outperforming conventional…
The Bone & Joint JournalSep 01 2026
Poor mental health in patients with symptomatic osteochondral lesions of the talus.
This prospective study found that most patients with symptomatic osteochondral talar lesions have mental health scores as poor as those with mood/anxiety disorders, persisting even after successful…
Classic
Journal of Bone and Joint Surgery (American)2010 · Cited by 1,034
The Epidemiology of Ankle Sprains in the United States
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.
Review
JBJS ReviewsMar 01 2025
Postoperative Foot Drop After Spinal Surgery: Etiology, Presentation, and Management Strategies.
This review outlines the causes, risk factors, and management options for postoperative foot drop after spine surgery, emphasizing prevention through surgical technique and variable outcomes with…
Recent
Journal of Pediatric OrthopaedicsOct 01 2026
The Duration of Pavlik Harness Wear Following Successful Reduction of Dislocated Hips Does Not Play a Role in Determining Radiographic Dysplasia at 2 Years.
In infants with successfully reduced DDH hips, Pavlik harness wear duration (average ~12 weeks) did not predict residual acetabular dysplasia at 2 years, nor did traditional risk factors.
Journal of the American Academy of Orthopaedic SurgeonsSep 18 2026
Research in OsteoChondritis of the Knee-ROCK Research Study Group.
Summarizes the ROCK consortium's decade of multicenter research on knee osteochondritis dissecans, including epidemiology, validated imaging classifications, outcome measures, and trials comparing…
Journal of Bone and Joint Surgery (American)Sep 15 2026
Classification of Forearm Involvement in Multiple Hereditary Exostoses: Consensus from the CoULD Study Group.
A Delphi consensus by pediatric hand surgeons produced a new 3-tier classification for forearm deformity in multiple hereditary exostoses that showed substantially better interrater reliability than…
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 ReviewsJun 2020
Diagnosis and Management of Osteomyelitis in Children: A Critical Analysis Review.
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…
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