Jul 20–26, 2026 · 16 new studies, 8 reviews · Adult Reconstruction archive · All weeks
The new Adult Reconstruction research The Reduction sent the week of Jul 20–26, 2026, with the week’s most recent reviews, each with a one-line summary.
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A stepwise femoral head extraction technique using a Schanz pin and corkscrew minimized tensor fasciae latae injury in 63 direct anterior hip arthroplasties.
Dementia as a Marker of Poor Outcome After Hip Hemiarthroplasty.
Dementia significantly increased major complications, dislocation, readmission, and mortality after hip hemiarthroplasty despite equivalent baseline characteristics in matched cohorts.
Social determinants of health disparities showed no clinically important differences in patient-reported outcome measure completion rates after total joint arthroplasty.
Bipolar hemiarthroplasty and total knee arthroplasty generate substantially higher intraoperative surgical smoke (PM2.5) exposure than total hip arthroplasty via direct anterior approach.
Younger age, female sex, and Black race increase manipulation under anesthesia risk after TKA, while perioperative dexamethasone, steroids, and ARBs are protective.
Registry data reveal that only about 4% of US TKA periprosthetic infections are managed by both high-volume surgeons and institutions, raising concerns about proposed centralized centers of excellence.
Chlorhexidine Gluconate and Hypersensitivity From 2-Octyl Cyanoacrylate Mesh Dressings.
An enhanced skin-washing protocol before applying chlorhexidine-based mesh dressings significantly reduced hypersensitivity reactions in hip/knee arthroplasty patients from 14.5% to 2.6%.
For elderly patients with displaced femoral neck fractures, THA offers no clinically important functional benefit over hemiarthroplasty and increases dislocation risk; hemiarthroplasty is preferred.
Study evaluates long-term outcomes of cup-cage reconstruction for major acetabular defects, assessing implant survivorship and functional results at 10-year follow-up.
Robot-assisted total knee arthroplasty achieves comparable functional outcomes and low complications in HIV-positive and HIV-negative patients when viral suppression is maintained.
Cement viscosity was not independently associated with 10-year revision risk for aseptic loosening or radiographic fixation in primary TKA using standardized techniques.
Deep learning model predicts femoral mechanical axis from standard antero-posterior knee radiographs with 1.02-degree accuracy, outperforming linear regression and 6-degree varus methods.
Underweight and malnourished patients undergoing total hip arthroplasty face significantly higher risks of bleeding, cardiac arrest, and death, amplified when both conditions coexist.
Robotic-assisted functional alignment total knee arthroplasty yields comparable early outcomes regardless of tibial varus severity, with modest pain improvement in less severe deformities.
A propensity-matched cohort found the direct anterior approach for bipolar hip hemiarthroplasty offered better early functional recovery at discharge than posterior approach, but differences did not persist at 12 months.
Kneeling After Total Knee Arthroplasty: Does Resurfacing the Patella Affect the Ability to Kneel?
Patella resurfacing in patients without preoperative patellar osteoarthritis resulted in greater dissatisfaction with kneeling despite equivalent functional outcomes after total knee arthroplasty.
Nociplastic pain affects over one-third of hip and knee arthritis patients; preoperative identification is critical as these patients experience less pain relief and increased opioid use after arthroplasty.
New Clues to the Challenge of Knee Arthrofibrosis: From Molecules to Therapies.
Knee arthrofibrosis involves TGF-β1-driven myofibroblast transformation and altered adipogenesis; anti-inflammatory interventions show promise for preventing this debilitating post-TKA complication.
Systematic Exposure in Revision Total Hip Arthroplasty: The Posterior Approach.
This review provides a stepwise systematic approach to surgical exposure via the posterior approach for revision total hip arthroplasty, emphasizing extensile techniques and soft-tissue releases.
Consensus statement on unicompartmental knee replacement: A collaboration between BASK and EKS.
Expert consensus recommends unicompartmental knee arthroplasty as alternative to total knee replacement for eligible patients and emphasizes avoiding low-volume surgeon use to optimize outcomes.
Total hip and knee arthroplasty operative times remained stable at approximately 96-104 minutes over five years, providing no evidence supporting reimbursement reduction.
Posttraumatic avascular necrosis occurs after femoral neck, humeral head, talar neck, and scaphoid fractures; diagnosis timing and treatment depend on specific anatomic location and collapse.
Management of Extra-articular Deformity in the Setting of Total Knee Arthroplasty.
Extra-articular femoral and tibial deformities with knee osteoarthritis require careful preoperative planning; intra-articular compensation or staged osteotomy addresses both pathologies.
Recurrent Hemarthrosis After Total Knee Arthroplasty: Evaluation and Treatment.
Recurrent hemarthrosis after total knee arthroplasty is rare but complex; management options include immobilization, arthroscopic synovectomy, embolization, or revision with variable effectiveness.
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