Sep 28 – Oct 4, 2026 · 22 new studies, 10 reviews · Orthopaedic Trauma archive · All weeks
The new Orthopaedic Trauma research The Reduction sent the week of Sep 28 – Oct 4, 2026, with the week’s most recent reviews, each with a one-line summary.
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In a 35-patient randomized trial, distal radius ORIF with local lidocaine/epinephrine and no tourniquet was safe, with modestly better early function and pain, similar blood loss and operative time, but slightly poorer visualization.
The Incidence and Risk Factors for Volar Shear Distal Radius Fractures at a Level 1 Trauma Center.
Volar shear distal radius fractures made up 8.5% of distal radius fractures at a level 1 trauma center, with high-energy injury mechanism and younger age as the key risk factors.
In 53 children starting growth hormone therapy, DTI-MRI showed transient tibial tubercle physeal changes peaking around 8 months, suggesting a vulnerable window for avulsion fracture when impact activities may warrant limiting.
In children with cerebral palsy, proximal and distal femoral derotational osteotomies both significantly improved hip rotation and foot progression in gait; proximal had more hardware-removal surgery, so site choice should weigh complications and reoperation risk.
In a target trial emulation of 4564 periprosthetic hip fracture patients, early surgery (within 2 days) did not clearly reduce 30- or 90-day mortality versus delayed surgery, so the 48-hour native hip fracture standard may not apply.
In 746 oncologic rotationplasty patients across 26 studies, 34% had complications, mostly osseous construct, vascular, and wound issues, concentrated early (vascular within 14 days), making it a durable option with front-loaded risk.
A ResNet50 transfer-learning model detected pediatric supracondylar fractures on radiographs with about 90% accuracy, statistically comparable to emergency physicians, but it missed nondisplaced Gartland I fractures and needs prospective validation.
In 13 patients and 42 screws, fully percutaneous navigation-assisted cervical pedicle screw fixation looked feasible: 86% of screws were Bredow Grades 1-2, one screw needed revision, and no new neurologic deficits or vertebral artery injuries occurred.
In children with both-bone forearm fractures, lower vitamin D levels were linked to delayed radiographic union, while high-dose vitamin D supplementation improved healing rates and scores.
Cluster analysis of 672 femoral neck fractures found a high-risk older cohort and a low-risk younger cohort; procedure type did not independently predict mortality, though THA predicted better mobility, suggesting selection bias explains apparent THA survival benefit.
In this RCT, template-guided cortical bone trajectory screws matched traditional pedicle screws in clinical outcomes, offering less radiation and muscle atrophy but more endplate perforations and longer instrumentation time.
Feasibility of repeat tibial tubercle osteotomy in re-revision knee arthroplasty.
In 58 complex revision knee arthroplasty patients, repeat tibial tubercle osteotomy healed in 97.6% with few complications, supporting its use as an extensile approach in re-revision surgery.
The Current Landscape of Fragility Fracture Care in the People's Republic of China.
Overview of fragility fracture care in China, noting emerging robotic systems, acute arthroplasty for acetabular fractures, orthogeriatric comanagement for hip fractures, and a high prevalence of sarcopenia.
Prevention of Periprosthetic Fractures: What Should We Be Doing to Address This Impending Epidemic?
This review argues periprosthetic fractures after hip arthroplasty are a rising epidemic with mortality rivaling hip fragility fractures, so prevention should be built into arthroplasty care via a multidisciplinary approach.
In 8,667 revision hips, 90-day mortality was 0.9%, unrelated to revision extent but about 3-4 times higher for periprosthetic fracture or infection than aseptic loosening.
In 60 patients aged 70 or older with displaced acetabular fractures, acute THA with or without fixation allowed faster mobilization and less pain at discharge than ORIF, without more complications.
In 25 patients with acute posterior sternoclavicular dislocation, emergency medial clavicle resection gave excellent 12-month QuickDASH scores, 100% return to work and sport, and only three superficial wound infections.
For select complex acetabular fractures, an anterior-only intrapelvic approach achieved outcomes comparable to combined anterior-posterior surgery, with reduction quality mattering more than surgical approach.
In 85 anterior acetabular fracture patients, a surgeon-placed iliac fascia catheter did not significantly cut opioid use but matched epidural analgesia on pain and morphine consumption, warranting a randomized trial.
A 10-year cohort study finds discontinuous thoracolumbar fractures cluster at the thoracolumbar junction with distinct AO morphology patterns, and nearly half of secondary fractures are initially missed, supporting thorough whole-spine imaging after high-energy trauma.
Long-term follow-up shows bipolar hemiarthroplasty for proximal femur bone tumor reconstruction offers low mechanical failure and acetabular wear rates over 15 years.
Scaffold Fixation of Multi-Fragmented Intra-Articular Distal Radius Fractures.
In 87 patients with multi-fragmented distal radius fractures, combining volar locking plates with a dorsal bone clamp ('scaffold fixation') restored motion and maintained radiocarpal alignment regardless of dorsal ulnar corner screw purchase or fragment size.
Narrative review supporting anterior opening-wedge high tibial osteotomy to restore posterior tibial slope in PCL insufficiency and genu recurvatum, with 70-90% good-to-excellent outcomes, though evidence is mostly Level III-IV.
Structural balance restoration in complex forearm problems using 3D technology.
Describes a surgeon-engineer 3D imaging, planning, and printing workflow for restoring bone and soft-tissue balance in complex forearm malunions and deformities.
Advances in the Management of Sternoclavicular Joint Injuries.
Review of sternoclavicular joint injuries: CT is the preferred imaging, acute posterior dislocations warrant aggressive reduction, and ligament reconstruction or fixation works, but mediastinal vascular risk calls for thoracic or vascular surgeon backup.
Treatment of Distal Clavicle Fractures in Adults: Evidence-Based Strategies for Treatment.
Nondisplaced distal clavicle fractures do well without surgery, while displaced Neer type II and V fractures carry high nonunion risk (31%-37%) and warrant fixation, though no consensus exists on technique and implant removal is common, especially hook plates.
Approaching the posterolateral quadrant of the tibial plateau: challenges and strategies.
Reviews surgical approaches to posterolateral tibial plateau fractures, comparing strengths, weaknesses, technical details, and indications for each given the challenging local anatomy and limited fixation footprint.
Expanding Indications for Temporary Dorsal Wrist Spanning Plate Fixation.
This review covers the history, expanding indications, and technique of temporary dorsal wrist spanning plate fixation, a versatile option for distal radius fractures and other carpal conditions despite requiring a second procedure for removal.
Management of Ballistic Injuries to the Humeral Shaft.
Review of ballistic humeral shaft fractures, whose management is largely extrapolated from nonballistic injuries, covering debridement, vascular and nerve repair, bony stabilization, compartment release, and soft tissue reconstruction.
Repair of Pediatric LC3 Pelvic Ring Injury.
This review describes reduction and fixation of pediatric LC3 pelvic ring injuries, focusing on open versus percutaneous techniques for treating the associated crescent fracture.
Diagnosis and Management of Pediatric Ballistic Fractures.
Reviews diagnosis and management approaches for pediatric ballistic fractures amid rising firearm-related pediatric injuries in the US.
Complications of Volar Versus Low-Profile Dorsal Plating of Distal Radius Fractures.
Review of recent literature on complications of volar locking versus low-profile dorsal plating for distal radius fractures, supporting careful plate selection based on fracture pattern since both methods carry risks.
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