Sep 21–27, 2026 · 27 new studies, 10 reviews · Orthopaedic Trauma archive · All weeks
The new Orthopaedic Trauma research The Reduction sent the week of Sep 21–27, 2026, with the week’s most recent reviews, each with a one-line summary.
Get papers like these by email, free: subscribe to The Reduction, focused on your interests, on the days you pick.
Braking simulator testing after right femoral fracture surgery showed most patients didn't meet safe driving reaction/force thresholds until beyond 125 days postoperatively, informing return-to-driving counseling.
In a multicenter study of Vancouver B/C periprosthetic femur fractures with stable implants, using cerclage wiring for fracture reduction during locked plating was not associated with increased nonunion, infection, or revision rates.
In this retrospective cohort of 56 isolated distal ulna shaft fractures, operative and nonoperative treatment had similar union rates and complications, suggesting both are reasonable options in selected patients.
Pre-Reduction Position of Posterior Wall Fragment is Associated with Intra-Articular Displacement.
In 44 acetabular fracture-dislocations, posterior wall fragments positioned medial and inferior to the femoral head before reduction were strongly associated with becoming intra-articular after closed reduction, informing surgical planning.
In a retrospective cohort of Gustilo-Anderson type III open lower extremity fractures, ceftriaxone monotherapy showed infection and complication rates similar to cefazolin plus gentamicin, supporting it as a simpler prophylaxis option.
Surgical reconstruction of symptomatic scapular neck/body malunions and nonunions achieved universal union and significantly improved DASH scores, flexion, and abduction, though about a quarter needed further surgery.
Musculoskeletal simulation of gait data in 13 tibial shaft fracture patients showed nonunion cases had greater limb asymmetry in push-off moment, joint forces, and plantar flexor muscle forces than those who healed.
A combined CNN and random forest AI model predicted hand surgeons' operative versus nonoperative recommendations for distal radius fractures with 87% accuracy using pre-reduction radiographs and clinical data, showing feasibility for point-of-care decision support.
A new 8-point scoring system (FNF-ON8) using five preoperative variables better predicted osteonecrosis risk after femoral neck fracture fixation in patients under 65 than the Garden classification.
In a propensity-matched cohort of over 7,000 TJA patients, ambulatory surgery center outcomes were comparable to inpatient hospital outcomes even in patients 75 and older, suggesting age alone shouldn't exclude ASC eligibility.
In nonagenarians undergoing distal radius fracture surgery, radiographic alignment was well maintained with acceptable complications (15%), though correlation between radiographic parameters and functional outcome was weak, supporting surgery as a safe option in selected elderly patients.
ACL injuries with Segond fractures show more lateral meniscus oblique radial tears and greater residual rotational instability postoperatively, despite similar clinical outcomes.
In 12 pediatric patients with combined lateral condyle and medial epicondyle fractures with elbow dislocation, surgical treatment tailored to injury mechanism yielded excellent outcomes in most cases.
In basicervical femoral neck fractures, PFNA resulted in fewer implant-related complications and better Harris Hip Scores than the femoral neck system, despite FNS having shorter surgery and less blood loss.
In fibular hemimelia patients undergoing tibial lengthening, prophylactic intramedullary nailing at fixator removal eliminated regenerate fractures (0% vs 25% with cast alone) without added infection risk.
Combined proximal humerus and femur fragility fractures required roughly twice the hospital stay of isolated humerus fractures but showed similar one-year mortality and readmission rates, suggesting benefit from shared orthogeriatric pathways.
In 427 ankle fractures, posterolateral and lateral approaches showed similar fracture-related infection rates, so approach choice should be based on fracture morphology, not infection risk.
In ICU patients with pelvic fractures, elevated baseline RDW-CV independently predicted higher 30-, 90-, and 365-day mortality, supporting its use as a simple early risk-stratification marker.
In stability-indeterminate LC1 pelvic fractures with 12-16mm stress displacement, surgery reduced early adverse outcomes, but the finding was statistically fragile and needs prospective confirmation before changing practice.
Factors associated with U-type sacral fractures in geriatric patients: A retrospective cohort study.
In geriatric sacral fractures, spondylosis/spondylolisthesis, prior independent ambulation, and atraumatic mechanism independently predicted U-type (spinopelvic dissociation) morphology, identifying a distinct at-risk profile.
Retrospective study found retained periarticular hardware in conversion TKA increased operative time, blood loss, and early complications but not reoperation risk or two-year PROMs.
In a trial of 28 emergency residents, targeted education—not contralateral elbow radiographs—significantly improved diagnostic accuracy for pediatric elbow fractures.
Pelvic support osteotomy with limb length equalization improved Harris Hip Scores substantially in children with septic hip sequelae, but significant osteotomy angle remodeling—especially in younger patients—may require repeat surgery.
In this Danish cohort of 281 patients with proximal femur metastases, endoprosthetic reconstruction had lower implant failure and better overall survival than osteosynthesis, though revision rates were similar.
Delayed Distal Radioulnar Joint Dysfunction after Pediatric Forearm Fractures: A Systematic Review.
Systematic review finds delayed DRUJ dysfunction can follow pediatric forearm fractures, often with malunion, improving after corrective osteotomy, highlighting need for long-term wrist follow-up.
CT-based measurements in uninjured forearms establish a normal rotational profile of the radius and ulna to aid preoperative planning for malunion/nonunion correction.
In 146 adolescents, prone hip rotation only moderately correlated with CT/MRI-measured femoral version, so exam alone shouldn't substitute for imaging when precise version matters.
This review outlines complex distal radius fracture patterns where volar locking plates alone are insufficient and describes alternative fixation strategies like dorsal plating and fragment-specific constructs.
AC Joint Reconstruction Using Cortical Suture Button and Semitendinosus Allograft.
This technique review describes AC joint reconstruction combining a cortical suture button with semitendinosus allograft, citing theoretical biomechanical advantages over other methods.
Management of Intraoperative Fractures During Primary Direct Anterior Total Hip Arthroplasty.
This review outlines DAA-specific risk factors and decision-making strategies for managing intraoperative acetabular and femoral fractures during direct anterior total hip arthroplasty.
Restoring rotational balance of the paediatric forearm: lessons from post-traumatic malunion.
This review argues that treating pediatric forearm malunion should focus on restoring overall rotational balance—accounting for soft tissue and remodeling—rather than relying solely on radiographic deformity correction.
Reconstructive and salvage techniques for proximal interphalangeal joint fracture dislocations.
This review outlines reconstructive (osteochondral graft-based) and salvage surgical options for proximal interphalangeal joint fracture dislocations and proposes an algorithm to guide surgeons in choosing between them.
Injuries, Risk Factors, and Prevention Strategies in Bicycle Motocross (BMX): A Scoping Review.
This scoping review of 37 studies found BMX injury surveillance is inconsistent and mostly limited to elite competitions, highlighting a need for rigorous community-based studies to guide prevention strategies.
Management of Tibia Pilon Fractures With Ring External Fixation.
This review highlights how modern circular (ring) external fixation techniques offer effective, sometimes superior, management for complex tibial pilon fractures with severe soft tissue or bone loss.
Bone Transport With Balanced Cable Transport.
Balanced cable transport is a newer bone transport technique that reduces external fixator time, pin complications, and scarring while speeding healing at regenerate and docking sites compared to classic Ilizarov methods.
This review offers practical, cost-conscious strategies for diagnosing and managing knee dislocations in low-resource settings, including simplified imaging, implantless fixation, and adapted rehabilitation protocols.
Registry data show rising septic revision rates and costs (up to $37,297 per case) for hip/knee arthroplasty, underscoring need for standardized infection prevention and reporting.
Home · All weeks · Archive · Subscribe · FAQ
© 2026 The Reduction