Jul 6–12, 2026 · 2 randomized trials, 13 new studies, 9 reviews · Adult Reconstruction archive · All weeks
The new Adult Reconstruction research The Reduction sent the week of Jul 6–12, 2026, with the week’s most recent reviews, each with a one-line summary.
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Liposomal bupivacaine in fascia iliaca block for total hip arthroplasty reduced postoperative opioid consumption by 50% with longer sensory block duration without increased motor weakness.
Robotic bi-unicompartmental knee arthroplasty achieves comparable five-year outcomes to total knee arthroplasty for medial-lateral arthritis, offering viable patient-specific alternative.
Osteochondral autograft transfer offers durable joint-preserving outcomes for focal articular cartilage defects in young patients with high return-to-sport rates exceeding 85%.
MSIS infection criteria cannot be reliably applied to osseointegrated implants; elevated PMN percentage showed promise but larger studies needed for infection diagnosis standardization.
Aspirin for thromboprophylaxis after total knee arthroplasty reduced manipulation under anesthesia rates by 26-38% and hematoma formation by 26-69% compared to potent anticoagulants without increasing clotting risk.
Total hip arthroplasty with subtrochanteric osteotomy for Crowe IV hip dislocation improved function at 11 years with acceptable implant survivorship despite substantial complication rates.
Displaced femoral neck fractures in young patients (18-60 years) achieved 30% overall failure rate; increased displacement, cannulated screws, and suboptimal reduction independently increased nonunion risk.
Cementless robotic-assisted total knee arthroplasty reduces septic revision risk compared to cemented fixation at five-year follow-up.
Revision THA for instability carries 14.9% recurrent dislocation risk; prior spinal fusion increases failure while hip-spine workflow assessment reduces redislocation and re-revision rates.
Risk Factors for Increased Hospital Cost for Primary Total Knee Arthroplasty.
BMI ≥35, ASA 3-4, diabetes, congestive heart failure, and liver disease independently increase primary total knee arthroplasty costs during index hospitalization.
Total knee arthroplasty utilization shows inverse correlation with patient cost-sharing; high out-of-pocket costs decrease first-quarter demand.
Substantial clinical benefit thresholds for KOOS after primary TKA are 33 for pain, 16 for physical function, and 23 for joint replacement, with older and non-White patients at higher risk of nonattainment.
Maximizing bearing diameter in primary fixed-bearing total hip arthroplasty markedly reduces dislocation risk, with no dislocations occurring in patients receiving fully maximized bearings.
Liposomal bupivacaine incisional infiltration did not reduce resting pain at 48 hours in geriatric hip fracture surgery, not supporting routine use over multimodal analgesia alone.
Robotic total hip arthroplasty achieves high accuracy in complex hip anatomy with excellent short-term survivorship, functional outcomes, and patient satisfaction.
Condylar-stabilized total knee arthroplasty designs demonstrate favorable outcomes across five distinct categories with at least 90% survivorship, though comparative data remain limited.
Value-Based Care in Orthopaedic Surgery: Outcomes, Costing, and Policy Updates.
Value-based care requires measuring outcomes against costs to redirect resources; machine learning advances help identify high-value interventions and exemplary surgeons.
Registry data shows cementless fixation has higher revision rates in elderly total hip arthroplasty patients despite increased use, suggesting cement fixation may be superior in this population.
Concurrent synovectomy with simultaneous bilateral total knee arthroplasty successfully managed lipoma arborescens with end-stage osteoarthritis and improved function.
This review discusses risk factors, diagnosis, and management strategies for intraoperative periprosthetic fractures occurring during primary total knee arthroplasty.
Implant costs drive high variability in total joint arthroplasty expenses; female sex, Hispanic ethnicity, higher ASA score, and transfusion need independently predict high facility costs.
Long-Term Survivorship of Cemented and Uncemented Polyethylene Liner Exchange.
Head-liner hip arthroplasty revisions achieve 86% long-term survivorship regardless of cementation, with better outcomes for non-dislocation versus dislocation indications.
Use of Adjunct Antiseptic Agents in Periprosthetic Joint Infections.
Various antiseptic agents target different periprosthetic joint infection organisms; debridement and lavage effectiveness depends on matching agent to causative organism.
Complications After Pediatric Hip Fractures: Evaluation and Management.
Pediatric hip fractures risk osteonecrosis and other complications; anatomic reduction and stable fixation are critical to prevent nonunion and preserve hip function.
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