Orthopaedic Trauma Archive

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 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: 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: 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 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 blood loss.

SUMMARY: In 427 ankle fractures, posterolateral and lateral approaches showed similar fracture-related infection rates, so approach choice should be based on fracture morphology, not infection risk.

SUMMARY: In nonagenarians undergoing distal radius fracture surgery, radiographic alignment was well maintained with acceptable complications (15%), though correlation between radiographic parameters and functional outcome was weak, supporting surgery as a safe option in selected elderly patients.

SUMMARY: 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 data, showing feasibility for point-of-care decision support.

SUMMARY: This review offers practical, cost-conscious strategies for diagnosing and managing knee dislocations in low-resource settings, including simplified imaging, implantless fixation, and adapted rehabilitation protocols.

SUMMARY: 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 infection, nonunion, and posttraumatic arthrosis.

SUMMARY: In stability-indeterminate LC1 pelvic fractures with 12-16mm stress displacement, surgery reduced early adverse outcomes, but the finding was statistically fragile and needs prospective confirmation before changing practice.

SUMMARY: Cadaveric biomechanical testing showed dorsal angulation of malunited distal radius fractures shifts load onto the ulna, up to 67% with 45° tilt, explaining wrist disability.

SUMMARY: Title indicates this is an early J Orthop Trauma paper on intra-articular calcaneal fractures, likely addressing diagnosis and surgical management, but no abstract content is provided.

SUMMARY: This review outlines evaluation, classification, surgical approaches, and fixation principles for posterior tibial plateau fractures to guide management of these complex injuries.

SUMMARY: This scoping review of 37 studies found BMX injury surveillance is inconsistent and mostly limited to elite competitions, highlighting a need for rigorous community-based studies to guide prevention strategies.

SUMMARY: This review argues that locked intramedullary nailing is a viable alternative to plating for select forearm fractures, especially with comminution or soft tissue compromise, minimizing further tissue injury.

SUMMARY: This review discusses strategies, including incisional negative pressure wound therapy, for reducing wound and infection complications after operative treatment of lower extremity periarticular fractures.

SUMMARY: Staged treatment of high-energy proximal tibia fractures with temporary spanning external fixation followed by delayed definitive fixation yielded low infection rates and acceptable functional outcomes, supporting this approach.

SUMMARY: In geriatric sacral fractures, spondylosis/spondylolisthesis, prior independent ambulation, and atraumatic mechanism independently predicted U-type (spinopelvic dissociation) morphology, identifying a distinct at-risk profile.

SUMMARY: In fibular hemimelia patients undergoing tibial lengthening, prophylactic intramedullary nailing at fixator removal eliminated regenerate fractures (0% vs 25% with cast alone) without added infection risk.

SUMMARY: In 146 adolescents, prone hip rotation only moderately correlated with CT/MRI-measured femoral version, so exam alone shouldn't substitute for imaging when precise version matters.

SUMMARY: This review outlines reconstructive (osteochondral graft-based) and salvage surgical options for proximal interphalangeal joint fracture dislocations and proposes an algorithm to guide surgeons in choosing between them.

SUMMARY: This review covers current evidence on arthroplasty implant choice, cemented versus uncemented fixation, and perioperative care advances for treating hip fractures.

SUMMARY: This narrative review covers diagnosis (MRI over radiographs), high rate of associated meniscal pathology, and management gaps for subchondral insufficiency fractures of the knee, calling for better-quality outcome studies.

SUMMARY: Cadaveric biomechanical testing shows the Femoral Neck System performs comparably to DHS constructs and superior to cannulated screws for fixing unstable Pauwels III femoral neck fractures.

SUMMARY: A horizontal plate fixation technique for isolated greater tuberosity fractures achieved reliable union and good UCLA shoulder scores in 11 patients.

SUMMARY: This review discusses indications for wrist arthroscopy in distal radius fractures to refine articular reduction and address associated soft tissue injuries, noting a need for Level I evidence on clinical benefit.

SUMMARY: This review covers current surgical management trends for distal femur fractures, including locked plating, retrograde nailing, and newer nail-plate/double-plate constructs to reduce nonunion risk.

SUMMARY: In infected segmental bone defects treated with the Masquelet technique, antibiotic-impregnated bone grafts reduced infection recurrence and improved union compared to standard autograft, especially in culture-positive patients.

SUMMARY: This technical review outlines mechanisms, risk factors, and prevention strategies for complications of anterior closing-wedge high tibial osteotomy performed alongside ACL reconstruction, without pooling complication rates due to heterogeneous data.