Jun 29 – Jul 5, 2026 · 23 new studies, 8 reviews · Adult Reconstruction archive · All weeks
The new Adult Reconstruction research The Reduction sent the week of Jun 29 – Jul 5, 2026, with the week’s most recent reviews, each with a one-line summary.
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RCTs comparing cemented versus press-fit hemiarthroplasty are statistically fragile, with outcomes easily altered by modest event reversals.
Crowe I developmental dysplasia and primary osteoarthritis show comparable THA outcomes; preoperative function predicts MCID achievement.
Mildly elevated preoperative inflammatory markers are independently associated with increased periprosthetic joint infection, revision rates, and complications at three-year follow-up after knee arthroplasty.
Iodine-impregnated adhesive film dressing eliminates postoperative dressing changes and improves patient satisfaction after TKA without compromising outcomes.
Single-use surgical gowns are independently associated with increased periprosthetic joint infection rates compared to reusable gowns after hip and knee arthroplasty.
Minimal movement restrictions after THA did not increase early dislocation rates, suggesting restrictions may be unnecessarily limiting for patient recovery.
Worse hospital-wide safety performance correlates with higher arthroplasty complication rates, demonstrating that institutional systems influence outcomes beyond procedure-specific factors.
Segmental and circumferential hip labral reconstruction yield comparable functional improvements, but circumferential technique shows lower conversion to THA rates.
Arthroplasty after prior septic arthritis carries 2.6% PJI risk overall but 9.8% for knees; longer intervals and avoiding two-stage procedures reduce infection risk.
Only 4% of hip periprosthetic infections in US are managed by high-volume PJI surgeons at high-volume institutions, raising access concerns.
The long-term outcome of the medial pivot knee arthroplasty system with minimum 25 years follow up.
Medial pivot knee prosthesis demonstrated excellent 25-year survivorship with 89.2% survival and high patient satisfaction, confirming long-term durability.
Stacked-cone constructs for extensive tibial/femoral bone loss in revision TKA show excellent 5-year aseptic loosening rates but common reoperations.
Revision burden is shifting from hip to knee arthroplasty globally, driven by declining aseptic loosening and rising infection-related failures particularly after TKA.
Prior hip arthroscopy increased revision risk after total hip arthroplasty in middle-aged patients despite comparable short-term complications and higher healthcare costs.
Early periprosthetic femoral fracture within 30 days after THA carries alarmingly high refracture and reoperation rates at 2 years.
Single-stage exchange for periprosthetic joint infection costs markedly less than two-stage procedures while achieving comparable infection control when strict surgical criteria are met.
Preoperative bariatric surgery did not reduce complications after hip arthroplasty in obese patients, with persistent higher infection risk even at lower BMI.
30-Year Outcomes of a Cementless Total Knee Arthroplasty System in Patients Under 50 Years Old.
Cementless TKA in patients under 50 achieves 30-year 97% tibial baseplate survival with polyethylene wear as primary failure.
Blood transfusions after revision TKA increase pulmonary embolism, DVT, and periprosthetic infection risks within 90 days.
Triple-taper femoral stems in obese hip arthroplasty patients demonstrate lower aseptic revision and periprosthetic fracture risk compared to single and dual-taper designs.
The REAL classification for mediolateral imbalance in robot-assisted total knee arthroplasty was independently validated with improved imbalance following intraoperative balancing.
Aspirin prophylaxis after THA in patients with prior hematologic malignancy reduces VTE risk and complications compared to anticoagulants, supporting its use as safe option.
A clinical applicable study on lower limb segmentation from CT images for total knee arthroplasty.
Partially supervised deep learning enables accurate femur/tibia segmentation from incompletely annotated CT for TKA planning.
ARCO international evidence-based guideline provides standardized recommendations for ONFH diagnosis, staging, and management emphasizing joint-preserving interventions when feasible.
A Comprehensive Approach to Stiffness in Total Knee Arthroplasty.
Comprehensive approach to knee stiffness after arthroplasty requires optimizing modifiable risk factors preoperatively and providing early treatment when conservative measures fail.
Osteosynthesis, hemiarthroplasty, total hip arthroplasty in hip fractures: All I need to know.
Hip fracture incidence rising; total hip arthroplasty is emerging as viable primary treatment option alongside osteosynthesis and hemiarthroplasty.
Knee'd to Know Basis: Informed Consent in Total Hip and Knee Arthroplasty.
Informed consent in arthroplasty requires discussion of benefits, risks, and alternatives specific to joint type to ensure patient autonomy.
Conversion THA after cephalomedullary nail failure is complex; younger patients without joint damage are best candidates.
THA survival declines over time in young patients; aseptic loosening and wear are leading reoperation causes within 20 years.
Spinopelvic Biomechanics and Total Hip Arthroplasty: A Primer for Clinical Practice.
Abnormal spinopelvic motion from spine pathology increases hip arthroplasty instability and revision risk; identifying these patients allows surgical plan modifications for better outcomes.
Lateral approach TKA for valgus deformity achieves superior correction, shorter operative time, and less implant constraint than medial approach.
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