Aug 17–23, 2026 · 17 new studies, 10 reviews · Orthopaedic Trauma archive · All weeks
The new Orthopaedic Trauma research The Reduction sent the week of Aug 17–23, 2026, with the week’s most recent reviews, each with a one-line summary.
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In a large multicenter database, EPL rupture after distal radius fracture was rare overall (0.1% nonoperative vs 0.36% operative), with surgical treatment nearly tripling the risk, informing patient counseling and vigilance.
A novel subchondral shelf plating technique for impacted radial head fractures achieved excellent radiographic healing and functional outcomes in 13 patients, offering an alternative when impaction lies outside standard plating zones.
Reverse shoulder arthroplasty for chronic locked anterior dislocation yielded motion and complication rates similar to proximal humerus fracture rTSA, but worse PROMIS upper extremity function and more pain interference, plus higher heterotopic ossification risk.
In cadavers, dorsal radiocarpal arthrotomy visualized more distal radius articular surface than volar (77.3% vs 63.7%), though volar approach better exposed the volar rim—useful for planning exposure based on fracture pattern.
AAOS Appropriate Use Criteria Summary: Treatment of Mid-Shaft Clavicle Fractures.
AAOS's Appropriate Use Criteria rates surgical vs nonsurgical treatment of mid-shaft clavicle fractures across 96 patient scenarios to guide decision-making.
In femoral neck fracture arthroplasty, cementless collared metadiaphyseal-filling stems carried higher periprosthetic fracture revision risk than cemented stems, though with lower aseptic loosening revision rates, supporting cemented fixation.
One-stage repair of infected humeral nonunion after failed ORIF achieved union in 87% of patients, though one in three needed unplanned reoperation for infection or nonunion.
Survey of ASSH hand surgeons found treatment preferences for geriatric distal radius fractures often favor surgery despite AAOS guidelines recommending nonsurgical care, revealing a practice-guideline gap.
Short-Term Outcomes of Retrograde Intramedullary Screw Fixation of Distal Ulna Fractures.
Retrograde intramedullary screw fixation of distal ulna fractures achieved comparable union and motion to plating, with faster surgery and mobilization and a trend toward fewer complications.
3D CT analysis of 20 healthy hands found only minor bilateral metacarpal asymmetries (notably in pronation/supination), suggesting contralateral bone is generally a reliable template for surgical planning.
In a two-center study of 391 older femoral neck fracture patients undergoing THA, a validated nomogram using anticoagulant use, TXA administration, surgical duration, and preoperative hemoglobin accurately predicted postoperative transfusion risk (AUROC 0.90).
Radiographic Risk Factors for Flexor Tendon Ruptures Following Distal Radius Volar Plating.
Excessive lateral carpal alignment (CARD >4.9mm) was the strongest predictor of flexor tendon rupture after volar plating, so correcting carpal alignment intraoperatively may reduce this risk when the plate is prominent.
In this retrospective study of elderly distal radius fractures, dorsal bridge plating produced radiographic outcomes comparable to volar locking plating, supporting it as a viable fixation option in select older patients.
Finite element analysis showed that once subsidence in polished taper-slip stems is restricted, cement mantle stress shifts distally and increases 49-102%, potentially raising periprosthetic fracture risk.
In 213 surgically fixed tibial plateau fractures, older age, posterior column involvement, and greater preoperative/postoperative step-off or widening independently predicted loss of reduction, highlighting the need for optimal fixation in these patients.
Fracture orthopedic risk of non-home discharge score II (FORD-II).
The FORD-II admission-time score, derived from ~2 million trauma registry cases, outperformed prior tools in predicting non-home discharge after fracture trauma, potentially enabling earlier discharge planning and cost savings.
In this small case series, external iliac artery injury combined with severe pelvic ring trauma nearly always led to limb loss despite revascularization attempts, suggesting earlier consideration of hemipelvectomy in select cases.
Circular External Fixation in the Treatment of Complex Tibial Plateau Fractures.
Circular external fixation offers a biomechanically adaptable, minimally invasive alternative to internal fixation for complex tibial plateau fractures with compromised soft tissue, achieving excellent results with potentially fewer complications.
Fracture related infection after low-energy gunshot injuries.
Review of gunshot fracture infections finds short-course (24-72h) antibiotics are as effective as prolonged therapy, narrow-spectrum agents suffice in uncomplicated cases, and retained bullet fragments should be removed to reduce infection risk.
Assessment and Management of the Painful Reverse Total Shoulder Arthroplasty.
This review outlines a systematic diagnostic and treatment approach to painful reverse total shoulder arthroplasty, covering infection, instability, loosening, and other causes with tailored nonoperative or revision strategies.
Contemporary Management of Proximal Humeral Fractures.
This review covers current nonsurgical and surgical options—including fixation and reverse shoulder arthroplasty—for managing proximal humerus fractures.
Posttraumatic Pathologies of the First Metatarsophalangeal Joint.
This review addresses posttraumatic injuries of the first metatarsophalangeal joint—such as turf toe and sesamoid fractures—and outlines conservative versus surgical management approaches.
Refined Techniques in Tibial Nailing.
This review presents an algorithmic approach to tibial intramedullary nailing—covering starting point, reduction aids, and deforming-force control—to reduce malalignment in complex fracture patterns.
This scoping review of 15 studies finds small-to-moderate axial interfragmentary motion (~0.03-1.0 mm) at the tibia tends to promote favorable callus and biomechanical healing, though evidence remains insufficient to define an optimal threshold.
The role of tranexamic acid for infection prevention after fracture fixation.
This review discusses emerging evidence that tranexamic acid may reduce infection risk after fracture fixation via antihematoma and possible direct antibacterial/antibiofilm effects.
The management of anticoagulated fragility femoral fracture patients.
Review of anticoagulated/antiplatelet fragility femur fracture patients finds expedited surgery (within 36 hours) is safe for proximal fractures, but guidelines are inconsistent and evidence lacking for non-proximal fractures.
Fingertip Injuries: A Review and Update on Management.
This review updates management strategies for fingertip injuries, emphasizing soft-tissue coverage, nail bed repair, and selective operative treatment to optimize function and appearance.
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