Oct 26 – Nov 1, 2026 · 19 new studies, 10 reviews · Orthopaedic Trauma archive · All weeks
The new Orthopaedic Trauma research The Reduction sent the week of Oct 26 – Nov 1, 2026, with the week’s most recent reviews, each with a one-line summary.
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Norwegian registry data on 204,041 hip arthroplasties suggest cemented composite beam stems carry the lowest periprosthetic fracture reoperation risk, preferred in men over 75 and women over 70; polished taper-slip stems were riskiest in men.
Review of distal radius malunion osteotomy's shift from 2D radiographic planning to 3D virtual planning and patient-specific guides; better geometric accuracy doesn't guarantee better function, so standardized outcome data are needed.
In a matched database cohort of total ankle arthroplasty patients, preoperative psychiatric medication use was associated with higher 2-year rates of mechanical loosening, implant-related pain, and periprosthetic fracture.
In 91 patients after medial meniscus posterior root repair, preoperative subchondral insufficiency fracture predicted fewer meaningful clinical improvements, more reoperations (20.6% vs 5.3%), and greater osteoarthritis progression.
In national claims for distal radius ORIF, modifier 22 (increased complexity) was used in only 17% of cases, tracked fracture complexity rather than patient complexity, and was linked to modestly higher payments.
In a cadaveric Monteggia-like injury model, radial head resection significantly reduced forearm construct stiffness and radial head arthroplasty restored it to near intact levels, supporting reconstruction of the radial column in these injuries.
Commentary cautioning that a recent study lumped heterogeneous posterolateral tibial plateau fractures together, concluding only that their presence alone doesn't predict pivot-shift laxity, while high-grade lesions' significance remains unresolved.
Anatomic Considerations of Retrograde Intramedullary Nail Placement in Distal Ulna Fractures.
In a cadaveric study, retrograde intramedullary nailing of distal ulna fractures frequently penetrated the TFCC (mostly dorsal periphery, small area) and always disrupted the extensor retinaculum, with nearby tendons and dorsal ulnar nerve branch spared.
A meta-analysis of low-quality observational studies found no demonstrated reduction in pelvic infection or mortality with routine early fecal diversion in open pelvic fractures, though benefit in high-risk injuries can't be excluded.
In 18 limbs of children with intoeing, standardized biplanar radiographs measured femoral anteversion within about 1 degree of CT, supporting plain films as a radiation-sparing alternative.
In 87 older women with trochanteric fractures, admission CT Hounsfield units of the femoral head moderately correlated with DXA T-scores and could flag markedly low BMD, but specificity was limited and needs external validation.
In 85 children with femoral shaft fractures treated with titanium elastic nails, constructs meeting radiographic pre-bend criteria had about 3.4 degrees less coronal angulation, but clinical importance and effects on complications remain uncertain.
How the cause of surgical delay affects mortality in fragility hip fractures: A cohort study.
In a 1,769-patient hip fracture cohort, delays from theatre capacity did not raise mortality, while delays for medical optimization did, suggesting patient illness, not timing alone, drives risk and optimization should be prioritized.
Tips and tricks for femoral Fassier-Duval rod revision in osteogenesis imperfecta.
In 21 femoral Fassier-Duval rod revisions in osteogenesis imperfecta, union reached 89.5% and rod survival 85% at about two years, supporting a tailored, systematic revision approach.
A systematic review of 12 studies found lateralization and distalization shoulder angles correlate with acromial stress, scapular spine fractures, and deltoid stiffness but not with range of motion or outcome scores after reverse shoulder arthroplasty.
In 135 tibia fractures treated with circular frames, older patients (over 64) achieved union as often and as fast as younger ones but had more pin site infections, so counsel them accordingly.
In rural Tanzania, most proximal femur fractures were treated nonoperatively, with 28% one-year mortality and poor hip function in most survivors, highlighting the need for improved fracture care in resource-limited settings.
In an NSQIP analysis of about 30,000 hip fracture fixations, general anesthesia was independently linked to higher 30-day mortality, readmission, and complications in frail patients, suggesting spinal anesthesia may be safer for them.
After AI fracture-detection deployment in a pediatric ED, orthopaedic consults fell from 73% to 68.3% and stays shortened about 28 minutes for patients discharged without consultation, with no change in 30-day readmissions.
Dislocations after hip hemiarthroplasty for acute femoral neck fractures: a scoping review.
This scoping review of 178 papers found hemiarthroplasty dislocation rates of 0-16.6% (median about 2%), with cognitive impairment and the posterior approach among risk factors; no study reported patient-reported outcomes after dislocation.
This review proposes a multidisciplinary framework for anticoagulated hip fracture patients that favors surgery within 24-48 hours, separating surgical from neuraxial anesthesia safety thresholds and using general anesthesia when needed to avoid delay.
Transport Intramedullary Nail for Nonunion.
Reviews internal bone transport with an intramedullary nail for nonunion with bone defects, covering planning, corticotomy, distraction, docking site and regenerate management, and the existing literature.
Navicular and fifth metatarsal base stress fractures: An illustrated anatomical review.
Illustrated anatomical review of navicular and proximal fifth metatarsal stress fractures, explaining how anatomy, loading, and limited blood supply drive delayed healing and nonunion, to guide diagnosis and treatment.
Bone Transport Techniques-Classic (Ilizarov + Hexapod With Pins and Wires).
Review of bone transport with classic Ilizarov and hexapod circular fixators for post-traumatic segmental bone loss, covering principles, technical considerations, advantages, and complications.
This scoping review found high-quality evidence that a removable splint or bandage safely treats pediatric distal radius buckle and nondisplaced incomplete fractures, while evidence for other fracture patterns remains limited and heterogeneous.
This review of the Essex-Lopresti injury (radial head fracture with central band disruption) highlights improved understanding of its mechanism, which supports earlier diagnosis and treatment, since delayed recognition can severely impair function.
Review of percutaneous pelvic stabilization for metastatic pathologic fractures of the pelvis and acetabulum; early series show acceptable complications and meaningful pain and function gains with less morbidity than open reconstruction.
Adhesives for treatment of bone fractures: A review of the state-of-the art.
Review of bone adhesives for fracture care; early results are promising for comminuted fractures, fixation, void filling, and nonunion prevention, but adhesives are not yet part of routine clinical practice.
Review of negative pressure wound therapy with instillation, which cleanses wounds and stabilizes soft tissue between staged procedures, summarizing evidence and offering recommendations for its use in managing infection in orthopaedic trauma.
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