Sep 14–20, 2026 · 24 new studies, 10 reviews · Orthopaedic Trauma archive · All weeks
The new Orthopaedic Trauma research The Reduction sent the week of Sep 14–20, 2026, with the week’s most recent reviews, each with a one-line summary.
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In 64 patients with rTSA for proximal humerus fractures, pain relief and function were largely achieved by one year, with only modest further gains by two years, supporting one-year outcomes as sufficient for most patients.
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.
Outcomes of early vs delayed medial malleolar fixation in the treatment of open ankle fractures.
In open ankle fractures, early medial malleolar fixation shortened hospital stay and reduced reoperations but carried a higher infection risk, especially in bi/trimalleolar injuries, urging caution in higher-energy fractures.
Patient Expectations After Distal Radius ORIF: A Guide for Surgeons.
Single-surgeon series of 34 distal radius ORIF patients found steady pain reduction and functional recovery by 3 months, offering benchmark timelines for return to driving and work.
An international 31-expert Delphi panel created the WAIT-Free Consensus, offering 13 practical recommendations to help low-adoption regions safely implement immediate weight-bearing after hip fracture surgery.
In 398 tibial tubercle osteotomies, two 3.5 mm screws had significantly higher fixation failure rates than two 4.5 mm screws, suggesting screw size is a modifiable risk factor.
South Korean national data (2010-2024) show vertebroplasty use steadily rising—especially among patients 80 and older—diverging from the US shift toward kyphoplasty after sham-trial evidence.
In 303 primary total elbow arthroplasties followed a mean 4.6 years, 21% required reoperation—mainly for infection and aseptic loosening—highlighting persistent durability challenges despite modern technique.
In 16 pediatric patients with K-wire-associated osteomyelitis after closed fracture fixation, early aggressive debridement with antibiotic bone grafts achieved good functional outcomes despite high rates of septic arthritis and growth plate involvement.
In 79 patients with hemodynamically unstable pelvic fractures, TAE patients were older and had more acetabular involvement, but pre-embolization external fixation did not delay time-to-embolization or affect the 22% one-year mortality rate.
In fragility pelvic fractures (type III/IV), robot-assisted reduction achieved better reduction quality and 1-year mobility than manual/navigation-assisted fixation, though a survival benefit was not confirmed.
A single-position, fully anterior fix-and-replace strategy (pararectus fixation plus direct anterior THA) in 20 elderly patients with acetabular fractures achieved acceptable functional outcomes but a 20% two-year revision rate.
This CT-based 3D mapping study of geriatric pelvic insufficiency fractures identified the sacral alae as the predominant fracture hotspot, with posterior involvement progressively increasing across FFP fracture severity types.
Two years after polytrauma, survivors showed markedly reduced physical and mental quality of life along with high job loss, underscoring the need for long-term interdisciplinary aftercare programs.
In a district hospital study, hip log-roll and straight leg raise tests were highly sensitive but poorly specific for occult neck-of-femur fractures, useful mainly to rule out injury before CT/MRI.
In 50 postoperative osteogenesis imperfecta patients, a low-pressure manual noninvasive blood pressure protocol caused no fractures, supporting its safety as an alternative to arterial lines or ICU admission.
A low-cost, 3D-printed tactile Kirschner wire pinning simulator was rated favorably by pediatric orthopaedic surgeons for teaching residents pin placement, targeting, and fine motor skills outside the OR.
In 1,585 conservatively treated distal radius fractures, first-week radiographic changes—especially volar tilt—predicted stabilization timing better than baseline measurements, potentially allowing reduced follow-up imaging.
In 169 patients with complex elbow fracture-dislocations, heterotopic ossification occurred in about a third and was linked to male sex, terrible triad injuries, and delayed surgery, worsening functional outcomes.
In 22 pediatric cerebral palsy patients, THA provided durable pain relief over an average 11-year follow-up with an acceptable 22% complication rate, supporting its use in select cases of painful hip dislocation.
A horizontal plate fixation technique for isolated greater tuberosity fractures achieved reliable union and good UCLA shoulder scores in 11 patients.
In 160 open pelvic fracture patients, antibiotic regimens varied widely and prolonged/broader therapy reflected injury severity rather than infection prevention, with transfusion and colorectal injury predicting organ-space SSI.
In 133 pediatric patients undergoing biological reconstruction after lower-limb diaphyseal tumor resection, union rates (~73%) and complication risks were similar across IMT, vascularized fibula, and combined techniques, with tibial location predicting faster, more reliable healing.
Hinge fractures after open-door laminoplasty were more common in men with larger preoperative C2 SVA and led to early neck pain and kyphotic change, though most fractures healed by one year.
Fix or Replace: Evidence for Treatment Options in the Management of Femoral Neck Fractures.
This review weighs evidence for internal fixation versus arthroplasty in femoral neck fractures, noting a growing trend toward arthroplasty based on injury and patient factors.
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.
The authors propose a practical classification (Groups A, B, C) to guide surgeons in choosing conservative versus surgical treatment for hand fractures based on evidence and experience.
Surgical Techniques to Manage the Unstable Volar Lunate Facet Fragment of Distal Radius Fractures.
This review outlines distal radius anatomy, surgical exposures, and fixation techniques for managing unstable volar lunate facet fragments to avoid radiocarpal and DRUJ instability.
This scoping review finds that socioeconomic disadvantage, public insurance, and minority race are linked to delayed, less operative, and less adequately pain-managed pediatric extremity fracture care in the US.
This review examines emerging indications and outcomes of intermediate-length (235-240mm) cephalomedullary nails for proximal femur fractures compared with short and long nail options.
A Delphi consensus among ASES shoulder experts found agreement on surgery for certain complex proximal humerus fractures in healthy patients and nonoperative care in sicker patients, but no consensus on rehabilitation protocols or many fracture patterns.
Articular Fragment Escape and Carpal Subluxation Following Distal Radius Fracture Fixation.
This review classifies patterns of articular fragment escape and carpal subluxation after distal radius volar plate fixation and offers strategies to recognize and prevent this complication.
Diagnosis and Management of Hand Infections.
This review addresses diagnosis and management of hand and upper-extremity infections, covering antibiotic timing, culture strategies, antibiotic stewardship, and emerging diagnostic technologies like next-generation sequencing.
Literature review finds C1 osteosynthesis for isolated C1 arch fractures with transverse ligament rupture offers good fusion, deformity correction, and motion preservation compared with C1-2 fusion, though stronger evidence is needed.
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