OrthoDigest

Today's hip edition covers four diverse studies examining complex arthroplasty scenarios, surgical approach optimization, pharmaceutical interventions, and fracture fixation biomechanics. We explore outcomes in the challenging population of LVAD recipients undergoing joint replacement, compare thirteen different surgical approaches for total hip arthroplasty, examine five-year follow-up data on denosumab efficacy, and review optimal screw placement strategies for femoral neck fractures.

Today's sports medicine edition covers four diverse topics in athletic injury and recovery. We explore wearable sensor technology for objective gait assessment during ACL rehabilitation, examine the psychological readiness of elite judokas returning to sport after injury, investigate machine learning approaches to predict rotator cuff tears using anatomical parameters, and compare tourniquet types in ACL reconstruction surgery.

Today's trauma edition covers four diverse studies spanning pediatric ballistic injuries, open elbow fractures, innovative bone graft techniques, and incidental anatomical discoveries. We examine outcomes from thirty-four pediatric ballistic femur fractures, explore the challenges of open supracondylar humerus fractures in children, review a novel technique for processing devitalized bone fragments into autologous demineralized bone matrix, and discuss the clinical implications of incidentally discovered heterotaxy syndrome during trauma imaging.

Today's hand edition covers four key studies examining injection techniques, traumatic wrist injuries, salvage procedures, and healthcare disparities. We explore national trends showing increased ultrasound guidance for carpal tunnel injections, the underrecognized association between scaphoid fractures and scapholunate injuries, comparative outcomes of different wrist fusion techniques, and significant demographic disparities affecting congenital hand difference care.

Today's foot and ankle edition covers radiographic assessment techniques for pediatric deformities, biomechanical changes in first MTP osteoarthritis, predictors of calcaneoplasty success, and evidence on gastrocnemius recession procedures. All studies are open access and explore practical clinical questions relevant to daily foot and ankle practice.

Today's shoulder and elbow edition explores critical decision-making and diagnostic challenges across the spectrum from adult arthroplasty to pediatric trauma. We examine how surgeons choose between reverse and total shoulder arthroplasty in cuff-intact osteoarthritis, factors affecting coracoid graft survival after Latarjet procedures, technical considerations for preventing stem subsidence in reverse shoulder arthroplasty, and systematic diagnostic pitfalls in pediatric elbow fractures.

Today's knee edition covers four diverse topics in knee surgery and rehabilitation. We explore whether lateral unicompartmental knee arthroplasty can be successfully performed through a medial approach, examine the co-design process for pain intervention models, evaluate the additive benefit of iPACK blocks over local infiltration analgesia, and review predictive factors for rehabilitation outcomes after joint arthroplasty.

Today's hip edition covers diagnostic innovations for periprosthetic joint infection, biomechanical considerations in spinopelvic alignment, femoral stem design comparison, and advanced functional testing methods.

This sports medicine edition covers four open-access studies examining key clinical questions in shoulder and knee surgery. Topics include optimal timing for rotator cuff repair based on tear etiology, a novel bone density assessment protocol for the proximal humerus, the utility of critical shoulder angle measurements following shoulder dislocation, and the extended recovery timeline following ACL reconstruction.

Today's trauma edition covers four key studies: pediatric forearm nail retention rates with protrusion thresholds, clavicle hook plate peri-implant fracture risk factors, minimally invasive versus open talonavicular arthrodesis outcomes, and proximal femoral replacement complication patterns across oncologic and non-oncologic indications.

Today's hand edition covers four diverse topics in hand surgery. We examine a narrative review showing progressively shorter return-to-work times with less invasive carpal tunnel release techniques, a small case series demonstrating successful DRUJ stabilization with isolated ulnar shortening osteotomy, a prospective study revealing low lymphedema risk in post-breast cancer patients undergoing elective hand surgery, and a cost analysis comparing office-based versus hospital-based carpal tunnel procedures.

Today's foot and ankle edition covers four studies examining Achilles tendon recovery assessment, surgical outcomes for posterior heel pain, and pediatric foot deformity evaluation. We explore novel imaging techniques for monitoring tendon healing, investigate how rupture affects complex tendon biomechanics, review calcaneoplasty effectiveness regardless of bump morphology, and validate radiographic measurements against functional testing in children.

Today's shoulder and elbow edition covers four important studies spanning infection prevention, pediatric trauma outcomes, regenerative medicine, and perioperative risk assessment. We examine how povidone-iodine irrigation can reduce bacterial contamination in reverse shoulder arthroplasty, identify risk factors for complications in pediatric proximal radius fractures, evaluate platelet-rich plasma therapy effectiveness across different shoulder procedures, and compare postoperative complication rates between influenza and COVID-19 patients undergoing shoulder arthroplasty.

Today's knee edition examines four studies spanning anesthesia techniques, enhanced recovery protocols, and navigation technology in total knee arthroplasty. We explore regional anesthesia options for elderly patients, implementation of ERAS protocols in geriatric populations, accuracy of computer-assisted navigation, and validation of novel navigation platforms.

Today's hip edition covers four important studies spanning femoral head sizing patterns, mental health outcomes in elderly joint replacement patients, imaging methodology for dislocation risk assessment, and basicervical fracture management. We examine German registry data on extra-large femoral heads as revision risk markers, depression trajectory improvements following geriatric arthroplasty, discrepancies between EOS and lateral radiographic measurements for spinopelvic assessment, and comparative outcomes of basicervical versus neighboring proximal femur fractures.

This sports medicine edition covers four open-access studies examining psychological factors in ACL recovery, scapular contributions to shoulder instability, psychosocial predictors of outcomes, and graft augmentation strategies for massive rotator cuff tears.

Today's trauma edition covers technological innovations and clinical strategies across multiple injury patterns. We examine three-dimensional printed surgical guides for femoral neck fractures, explore circular external fixation techniques for ballistic trauma in resource-limited settings, review blood pressure-guided resuscitative balloon occlusion strategies, and analyze risk factors for peri-implant fractures after hook plate fixation.

Today's hand edition covers four diverse topics in upper extremity surgery. We start with a prospective study on intramedullary screw fixation showing excellent functional recovery for metacarpal and phalangeal fractures with minimal complications. Next, we examine a first-in-human trial of sutureless nerve repair demonstrating promising sensory recovery using polymer-assisted coaptation. We then review outcomes in brachial plexus surgery, highlighting how anatomical injury severity trumps mechanism in predicting recovery. Finally, we explore a meta-analysis comparing capitolunate and four-corner fusion, finding comparable outcomes between these approaches for advanced wrist collapse.

Today's foot and ankle edition covers four diverse studies examining surgical techniques, biomechanical modeling, radiographic assessment, and functional evaluation in foot and ankle care. We explore endoscopic versus minimally invasive Achilles tendon repair outcomes, finite element analysis of hallux valgus and flatfoot relationships, validation of radiographic parameters in pediatric foot deformities, and the association between ankle dorsiflexion and locomotive syndrome in older adults.

Today's shoulder and elbow edition examines tendon transfer techniques and the emerging role of GLP-1 receptor agonists in orthopaedic surgery. We review comparative outcomes of single versus dual tendon transfers for irreparable rotator cuff tears, explore the potential healing benefits of GLP-1 agonists in both rotator cuff repair and total joint arthroplasty, and examine soft tissue reconstruction options for anterosuperior rotator cuff defects.

Today's knee edition covers ceramic implant alternatives, navigation-assisted constitutional alignment, adolescent patellofemoral reconstruction, and cardiac risk stratification in arthroplasty. Key findings include promising mid-term survivorship for ceramic total knee replacements, excellent accuracy with three-dimensional navigation for constitutional alignment restoration, high return-to-sport rates after medial quadriceps tendon femoral ligament reconstruction in adolescents, and significantly increased perioperative risks for heart failure patients with reduced ejection fraction.

Today's hip edition covers four diverse studies addressing practical challenges in hip surgery. We examine a comprehensive meta-analysis showing tranexamic acid reduces blood loss by over 250ml and transfusion risk by 45% in hip fracture surgery, explore how traditional Japanese herbal medicine may reduce postoperative swelling and pain after total hip arthroplasty, review outcomes of bone morphogenetic protein augmentation for massive acetabular defects in revision surgery, and discuss how comorbidity burden affects actual weight bearing patterns during early recovery from hip fractures.

Today's sports medicine edition covers four open-access studies spanning pediatric knee anatomy, shoulder instability, ACL reconstruction, and patellar dislocation. We discuss the first anatomic study of the anterior intermeniscal ligament in children and its implications for ACL surgery, examine how native anatomy influences bone loss severity in posterior shoulder dislocation, review evidence for slope-reducing osteotomy in revision ACL reconstruction, and explore the high prevalence of ligamentous laxity in complex patellar dislocation cases.

This trauma edition covers four key areas of orthopaedic trauma care. We examine outcomes of the UOL II plate system for ulnar shortening osteotomy, showing excellent union rates with zero non-union cases but noting seventeen percent implant removal requests. A pediatric study demonstrates ninety-two percent favorable outcomes with elastic intramedullary nailing for forearm fractures, though complications occur in nearly one quarter of cases. A comprehensive review synthesizes current bone cyst management approaches, recommending risk-stratified treatment algorithms for both aneurysmal and simple bone cysts. Finally, we review outcomes of cement-augmented pedicle screw fixation for osteoporotic spine fractures, showing excellent clinical...

Today's hand edition covers four important studies spanning neuroma management, pain control, and oncologic vigilance. We examine outcomes of regenerative peripheral nerve interface surgery across different mental health baselines, sobering long-term results of traditional neuroma surgery, evolving opioid prescribing patterns after flexor tendon repairs, and a critical case of unexpected sarcoma discovery during routine carpal tunnel surgery.

Today's foot and ankle edition covers four open-access studies examining digital rehabilitation, perioperative drug management, preoperative interventions, and tarsal coalition treatment. We review evidence for smartphone-based rehabilitation after Achilles repair, consensus recommendations for managing complex medications in foot surgery, third-generation cryotherapy benefits for ankle fractures, and updated diagnostic and treatment approaches for talocalcaneal coalition.

Today's shoulder and elbow edition examines risk assessment strategies for proximal humerus fractures, highlighting how metabolic and nutritional parameters may outperform traditional frailty measures in predicting surgical outcomes. We explore a specific pattern of diagonal elbow injuries in children that can be easily missed on initial radiographs, review cost-effectiveness data comparing Latarjet and arthroscopic Bankart procedures in shoulder instability, and analyze concerning Medicare reimbursement trends for total shoulder arthroplasty over the past decade.

Today's knee edition covers four diverse topics spanning arthroplasty outcomes, meniscal surgery, perioperative care, and preoperative optimization. We examine how bisphosphonate therapy may influence TKA revision rates, explore combined surgical approaches for complex meniscal pathology, investigate simple interventions for postoperative recovery, and compare modern weight loss strategies in joint replacement patients.

Today's hip edition covers infection management strategies, complications of cemented arthroplasty, biomechanical insights into FAI-related sacroiliac joint pain, and complex reconstruction techniques for post-traumatic arthritis. We examine outcomes of partial two-stage revision in elderly patients with periprosthetic joint infection, explore a rare case of delayed liver injury following bone cement implantation, analyze how posture and cam resection affect sacroiliac joint stress using finite element modeling, and review successful total hip arthroplasty decades after adolescent pelvic trauma.

This sports medicine edition examines four critical topics affecting athletic populations. We explore psychological readiness differences between elite and nonelite athletes during ACL recovery, revealing that competition level doesn't predict psychological outcomes. A biomechanical study shows persistent muscle stiffness changes after hamstring strain injury that may explain high reinjury rates. A comprehensive meta-analysis demonstrates substantial functional improvements with meniscal allograft transplantation, though return to preinjury performance levels remains limited. Finally, a concerning pediatric study reveals high failure rates with dynamic intraligamentary stabilization for ACL repair in young athletes.

Today's trauma edition covers periprosthetic fracture management, femoral neck fracture arthroplasty techniques, pediatric forearm fixation, and acetabular surgery complications. We examine outcomes of modular taper stems for Vancouver fractures, assess modern cementless stem performance in elderly patients, review elastic nailing results in pediatric forearm fractures, and discuss a rare vascular complication case.

Today's hand edition covers four important studies spanning trauma, nerve injury prevention, and surgical decision-making. We examine whether comorbidity indices predict complications in distal radius fracture surgery, review a case of iatrogenic motor branch injury during carpal tunnel release with recommendations for prevention, compare outcomes between capitolunate and four-corner fusion techniques, and present the largest series of complex perilunate fracture-dislocations with dual styloid and scaphoid involvement.

Today's foot and ankle edition covers four open-access studies examining diverse aspects of foot and ankle care. We explore how platelet-rich plasma response varies by tendon location and patient sex, investigate geometric principles for safer minimally invasive metatarsal surgery, review the diagnostic challenges and outcomes of rare primary bone malignancies in the foot, and examine unexpected calcaneal morphological changes associated with progressive collapsing foot deformity.

Today's shoulder and elbow edition covers four studies examining imaging and measurement techniques in shoulder arthroplasty, along with prosthetic design comparisons. We explore tomosynthesis as an alternative imaging modality for detecting glenoid bone defects after reverse shoulder arthroplasty, evaluate the reliability of 3D CT planning for glenoid version correction, compare 2D and 3D measurements of scapulohumeral rhythm, and examine functional outcomes between Grammont and lateralized reverse total shoulder arthroplasty designs.

Today's knee edition explores four critical aspects of contemporary knee surgery. We examine prolonged adductor canal catheter use for post-TKA pain management, compare PROMIS outcome measures to legacy tools, validate radiographic measurement techniques in unicompartmental knee arthroplasty, and investigate biomechanics of inter-implant gaps in revision scenarios.

Today's hip edition covers delirium screening validation, antibiotic perfusion research, functional recovery patterns, and mortality risk stratification. We examine the Greek validation of the 4AT delirium screening tool in hip fracture patients, explore continuous local antibiotic perfusion pharmacokinetics through cadaveric models, analyze BMI effects on functional recovery after total hip arthroplasty, and validate the neutrophil-lymphocyte ratio as a mortality predictor in proximal femoral fracture patients.

Today's sports medicine edition covers four key topics: risk factors for complications after proximal hamstring avulsion repair, comparison of repair techniques for meniscal ramp lesions, radiographic prediction of anchor stability in rotator cuff surgery, and surgical technique for open Latarjet procedures. All studies are open access.

Today's trauma edition covers four innovative approaches to complex orthopaedic problems. We examine AI-predicted implant sizing in hip arthroplasty and its association with complication rates, explore novel intercalary prosthetic reconstruction for recalcitrant humeral nonunions, review outcomes of elastic nail fixation in pediatric forearm fractures, and detail an extraordinary case of multistage microsurgical reconstruction following shark attack trauma.

Today's hand edition covers four important studies examining patient recovery expectations, healthcare disparities, treatment durability, and cost-effective surgical techniques. We discuss realistic recovery timelines after carpal tunnel release, the substantial economic burden of occupational hand injuries in vulnerable populations, evidence-based recurrence rates for Dupuytren contracture treatments, and achieving excellent outcomes with standard implant systems for complex distal radius fractures.

Today's foot and ankle edition covers innovative reconstruction techniques and diagnostic challenges. We examine a successful case of three-dimensional-printed titanium prosthesis for distal tibia giant cell tumor reconstruction, explore the rare complication of Charcot neuroarthropathy following forefoot surgery in a patient with myelopathy, review the consequences of missed midtarsal injuries, and discuss a novel approach combining Achilles tendon allograft with free flap coverage for complex heel defects.