Journal of Orthopaedic Reports最新文献

{"title":"Effect of COVID-19 on orthopedic injuries due to firearm violence","authors":"Katherine Kozlowski,&nbsp;Taylor Rick,&nbsp;Dominik Kucharski,&nbsp;Alexandra Wadhwani,&nbsp;Rhys Mendel,&nbsp;Thomas Ryan,&nbsp;Grayson Pawlowski,&nbsp;Ellen Lutnick","doi":"10.1016/j.jorep.2025.100860","DOIUrl":"10.1016/j.jorep.2025.100860","url":null,"abstract":"<div><h3>Background</h3><div>This analysis explores changes in firearm-related orthopedic injuries surrounding the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>The National Electronic Injury Surveillance System database was queried from 1993 to 2022, summarized by injuries related to firearms, time-period relative to the COVID-19 pandemic (before: 01/01/1993–03/12/2020; after: 03/13/2020–12/31/2022), and orthopedic injury status. Descriptive statistics were summarized, and Pearson's chi-squared tests to assess categorical differences. Independent samples t-tests compared means between groups. Statistical analyses were conducted using IBM SPSS Statistics Version 29. P &lt; 0.05 was significant.</div></div><div><h3>Results</h3><div>133,778 firearm-related cases were included (average age 28.2 years; 86.0 % males). Orthopedic injuries made up 10.8 %. Fractures were the most common (10.1 % of total injuries). Orthopedic injuries accounted for 8.9 % of injuries pre-COVID vs. 20.4 % during the COVID period, representing a 2.34-fold increase. There was a slight decrease in the proportion of fractures occurring at home after COVID (41.3 % vs. 36.7 %) and fractures occurring on public properties increased (24.7 %–34.3 %; χ² = 71.38, p &lt; 0.001). Injuries sustained by black individuals increased from 54.4 % to 69.0 % after COVID. Similar trends were seen in the American Indian (0.002 %–0.3 %) and Asian (0.0 %–0.7 %) populations (χ² = 2665.70, p &lt; 0.001). The proportion of Hispanic individuals sustaining injuries increased from 8.4 % pre-COVID to 10.7 % post-COVID (χ² = 91.46, p &lt; 0.001). Within orthopedic-related injuries, handgun involvement increased from 72.7 % to 88.5 % during COVID (χ² = 117.68, p &lt; 0.001), as did fractures related to handguns (77.2 %–89.5 %; χ² = 75.46, p &lt; 0.001). After COVID, there was a decrease in self-inflicted orthopedic injuries (40.9 %–31.9 %). There was a significant decrease in the proportion of individuals being treated at small hospitals from pre-to post-COVID (6.5 % vs 3.1 %, χ² = 411.43, p &lt; 0.001). Of orthopedic injuries, 56.3 % resulted in hospitalization.</div></div><div><h3>Conclusion</h3><div>Orthopedic injuries and specifically fractures increased during COVID, representing an increased burden of care specifically in larger hospital systems, which disproportionally affected women and non-white patients.</div></div><div><h3>Level of evidence</h3><div>Level III; retrospective cohort study.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100860"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148745569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decreased rates of subsidence with a specific modular, fluted, tapered femoral revision stem","authors":"Kevin C. Chang,&nbsp;Nadia Baichoo,&nbsp;Joel Politi,&nbsp;James A. Germano","doi":"10.1016/j.jorep.2025.100879","DOIUrl":"10.1016/j.jorep.2025.100879","url":null,"abstract":"<div><h3>Introduction</h3><div>Studies have noted high rates of subsidence &gt;5 mm in modular, fluted, tapered (MFT) stems used in femoral revision. These rates may be high due to evaluation of all MFT stems as a group; we present improved subsidence data using a single stem.</div></div><div><h3>Methods</h3><div>We reviewed revision hip arthroplasty cases using the DePuy RECLAIM MFT stem. Postoperative radiographs were compared with most recent follow-up radiographs to measure subsidence.</div></div><div><h3>Results</h3><div>124 patients were reviewed. 10 were lost to follow-up, and one was excluded for surgical error, leaving 113 patients. Average subsidence was 0.44 mm, range 0–4.20 mm. Average subsidence in female and male populations were 0.40 mm and 0.49 mm, respectively; the difference was not significant. There were no reoperations.</div></div><div><h3>Discussion</h3><div>The subsidence data for MFT stems presented in the literature is higher than our experience. This difference may be attributable to implant design, and future studies may benefit from stratification by manufacturer.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100879"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RFF-JSS: A radiomic feature fusion and joint space segmentation framework for automated knee osteoarthritis assessment","authors":"K. Pugazharasi,&nbsp;Bhuvaneswari Srinivasan,&nbsp;Anandh Nagarajan,&nbsp;I. Govindharaj","doi":"10.1016/j.jorep.2026.100899","DOIUrl":"10.1016/j.jorep.2026.100899","url":null,"abstract":"<div><h3>Objective</h3><div>Knee osteoarthritis (KOA) is a leading cause of pain and functional disability worldwide. Radiographic severity grading using the Kellgren–Lawrence (KL) scale is widely adopted in clinical practice but remains subjective and susceptible to inter- and intra-observer variability, particularly when distinguishing adjacent grades. This study aims to develop an accurate, interpretable, and anatomically guided framework for automated KOA severity grading from plain knee radiographs.</div></div><div><h3>Methods</h3><div>A novel Radiomic Feature Fusion and Joint Space Segmentation (RFF-JSS) framework is proposed for automated KOA severity assessment. The pipeline includes (i) standardized preprocessing of knee radiographs, (ii) anatomically informed tibiofemoral joint space segmentation using a U-Net model, (iii) IBSI-compliant multiscale radiomic feature extraction from medial and lateral compartments, (iv) PCA-based radiomic feature fusion for dimensionality reduction and redundancy suppression, and (v) ordinal-aware KOA severity classification using a Random Forest classifier. The framework was evaluated on 5820 knee radiographs from two large public cohorts—the Osteoarthritis Initiative (OAI) and the Multicenter Osteoarthritis Study (MOST)—with stratified training, validation, and testing splits.</div></div><div><h3>Results</h3><div>The proposed RFF-JSS framework achieved an accuracy of 94.87 %, precision of 95.12 %, sensitivity of 94.68 %, specificity of 96.10 %, F1-score of 94.89 %, ROC-AUC of 0.972, and a Quadratic Weighted Kappa (QWK) of 0.947. The method consistently outperformed state-of-the-art approaches, including ResNet-SVM, UNet-Radiomics, Deep-KOA, JSN-Net, RF-RFE, and CNN-KLNet. Ablation studies confirmed the critical contributions of joint space segmentation, compartment-wise analysis, feature standardization, and PCA-based radiomic fusion in improving classification robustness and reducing misclassification between adjacent KL grades.</div></div><div><h3>Conclusion</h3><div>The RFF-JSS framework provides a robust, interpretable, and anatomically grounded solution for automated KOA severity grading from plain radiographs. By synergistically combining joint space segmentation with radiomic feature fusion and ordinal-aware classification, the proposed approach bridges the gap between high predictive performance and clinical interpretability, demonstrating strong potential for large-scale screening and clinical decision support in knee osteoarthritis assessment.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100899"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reduced urinary retention using spinal anesthesia with chloroprocaine versus bupivacaine in total joint arthroplasty: A matched retrospective cohort study","authors":"John Andrawis,&nbsp;Felix Pham,&nbsp;Julie Duong,&nbsp;James Oka,&nbsp;Dina Hanna,&nbsp;Yashodhan Tabib,&nbsp;Anthony Arellano-Kruse","doi":"10.1016/j.jorep.2026.100901","DOIUrl":"10.1016/j.jorep.2026.100901","url":null,"abstract":"<div><h3>Brief title</h3><div>Reduced POUR: Chloroprocaine in TJA</div></div><div><h3>Background</h3><div>Chloroprocaine is emerging as a short-acting alternative to bupivacaine for spinal anesthesia in joint arthroplasty.</div></div><div><h3>Methods</h3><div>In this retrospective matched cohort study, 50 patients undergoing primary total hip or knee arthroplasty with chloroprocaine were matched to 50 patients receiving bupivacaine. Outcomes included postoperative day 0 ambulation, postoperative urinary retention, and 90-day readmission. Chi-square tests and multivariable logistic regression were used for analysis.</div></div><div><h3>Results</h3><div>Urinary retention was significantly lower with chloroprocaine compared to bupivacaine (4% vs. 22%; <em>p</em> = 0.007). No significant differences were observed in postoperative day 0 ambulation or 90-day readmission rates. Secondary analysis identified younger age as a predictor of early ambulation, while procedure type was associated with reduced urinary retention.</div></div><div><h3>Conclusion</h3><div>Spinal anesthesia with chloroprocaine was associated with a significantly lower incidence of postoperative urinary retention compared with bupivacaine and may be advantageous for patients at risk of this complication.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100901"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial variations in total joint arthroplasty in Western New York: A retrospective review","authors":"Ellen Lutnick,&nbsp;David Barkevich,&nbsp;Joseph Barbarino,&nbsp;Jacob Geiger,&nbsp;Idem Essien,&nbsp;Jamie Bousleiman,&nbsp;Thomas Listopadzki,&nbsp;Michael Hennig,&nbsp;Raymond Richards,&nbsp;Elizabeth Johnson,&nbsp;Andrew Stegemann","doi":"10.1016/j.jorep.2025.100844","DOIUrl":"10.1016/j.jorep.2025.100844","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to quantify disparities in total joint arthroplasty (TJA) utilization and outcomes in Erie County, NY.</div></div><div><h3>Methods</h3><div>Retrospective review included adult patients who received TJA between January 2018–December 2021 by one orthopaedic practice in Erie County, NY. Patient demographics and patient reported outcome measures (PROMs) were collected. Social determinants of health data (SDoH) were extrapolated from ZIP-code level data from the U.S. Census Bureau and American Community Data Survey, 5-year Estimates 2018–2022.</div></div><div><h3>Results</h3><div>The TJA cohort (n 6974) was not racially representative of the general population, with 88.11 % of patients served identifying as white vs. 76.5 % within the general population (p &lt; 0.001). Median household income (MHI) was higher (p &lt; 0.001), poverty rate lower (p &lt; 0.001), Bachelor's degree attainment lower (p &lt; 0.001), and percent without healthcare lower (p &lt; 0.001) than the average population; however, the effect sizes of comparisons of SDoH across patient between the study population and the general population were small. Within those patients treated with TJA, effect size comparisons of SDoH across race, specifically MHI, poverty rate, and insurance rates, were large with consideration to Black/African American vs. White patients. Significant variations in preoperative and postoperative PROMS, including postoperative rate of improvement, were described comparing patient race and poverty status examining general scores, pain scores, and joint specific scores. However, while statistically significant, the differences in PROMs described largely did not reach thresholds correlating to clinical significance.</div></div><div><h3>Conclusion</h3><div>There exist racial disparities in TJA utilization in the described patient population. Correlative disparities in SDoH in the treated cohort were reflective of the general surrounding population, which may explain these differences in utilization. PROM measures significantly varied per race and poverty status; however, this warrants future study, as these differences may not have reached clinical significance.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100844"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is intramedullary nailing superior to minimally invasive plate osteosynthesis in patients with tibial metadiaphyseal fractures?","authors":"David M. Kamal,&nbsp;Ahmed M. Kholeif,&nbsp;Abo-bakr Z. Mohamed,&nbsp;Ahmad A. Elbadry","doi":"10.1016/j.jorep.2025.100835","DOIUrl":"10.1016/j.jorep.2025.100835","url":null,"abstract":"<div><h3>Background</h3><div>Tibial metadiaphyseal fractures remain challenging to manage due to the anatomical transition between diaphyseal and metaphyseal zones. Both intramedullary nailing (IMN) and minimally invasive plate osteosynthesis (MIPO) are established fixation methods, yet the optimal choice for this transitional region remains controversial.</div></div><div><h3>Objective</h3><div>To compare the functional and radiological outcomes, intraoperative parameters, and postoperative complications between IMN and MIPO in patients with tibial metadiaphyseal fractures using a prospective cohort design.</div></div><div><h3>Methods</h3><div>Between April 2023 and April 2024, 36 adult patients with acute metadiaphyseal tibial fractures were enrolled and treated with either IMN or MIPO according to fracture configuration and surgeon preference (18 patients per group). All patients completed a 6-month follow-up. Functional recovery was assessed using the Oxford Knee Score (OKS), while fracture union was evaluated using the Radiographic Union Score for Tibia (RUST). Additional parameters included operative time, intraoperative radiation exposure, time to full weight-bearing, and complications.</div></div><div><h3>Results</h3><div>The IMN group achieved significantly earlier full weight-bearing (6.2 ± 1.3 weeks vs 9.1 ± 1.6 weeks; p &lt; 0.001), whereas the MIPO group demonstrated shorter operative time (66.9 ± 9.3 min vs 88.6 ± 11.2 min; p &lt; 0.001) and lower radiation exposure (15.1 ± 3.7 s vs 158.3 ± 15.6 s; p &lt; 0.001). Union rates were comparable, with no significant differences in RUST scores at 1.5, 3, or 6 months (p &gt; 0.05). Complication rates were low and not significantly different between groups.</div></div><div><h3>Conclusion</h3><div>Both IMN and MIPO provide reliable fixation for tibial metadiaphyseal fractures. IMN allows earlier mobilization and weight-bearing, while MIPO offers advantages in operative efficiency and radiation safety. The choice of technique should be individualized based on fracture morphology and soft-tissue condition.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100835"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Local adiposity at the surgical site outperforms BMI as a predictor of postoperative wound problems in THA","authors":"Brij Mohan Patel,&nbsp;Nitin Manral,&nbsp;Sujeet Kumar Chaudhary,&nbsp;Mithilesh Kannaujiya,&nbsp;Sagar Meena,&nbsp;Ravi Kumar","doi":"10.1016/j.jorep.2025.100875","DOIUrl":"10.1016/j.jorep.2025.100875","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative wound complications remain a significant cause of morbidity after total hip arthroplasty (THA). Body mass index (BMI) is commonly used for risk assessment, but it does not reflect regional fat distribution. This study aimed to determine whether surgical site fat thickness (SSFT), measured on preoperative radiographs, is a more accurate predictor of wound complications than BMI in patients undergoing posterior approach THA.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted on 157 patients who underwent primary posterior approach THA at a single tertiary centre. SSFT was measured as the perpendicular distance from the greater trochanter to the skin surface on standardized anteroposterior radiographs. Preoperative BMI was recorded for all patients. Wound complications within 90 days—including superficial infection, wound dehiscence, prolonged drainage, and unplanned return to the operating room—were documented. Logistic regression was used to evaluate predictors, and receiver operating characteristic (ROC) analysis compared the discriminatory performance of SSFT and BMI.</div></div><div><h3>Results</h3><div>Eighteen patients (11.5 %) developed wound complications. Increased SSFT demonstrated a strong independent association with wound problems, with each additional millimetre increasing the odds of complications by 15 %. BMI did not independently predict wound complications after adjustment for confounders. ROC analysis revealed superior predictive accuracy for SSFT (area under the curve 0.82) compared with BMI (0.65). An SSFT threshold of 25 mm yielded optimal sensitivity and specificity for identifying high-risk patients.</div></div><div><h3>Conclusions</h3><div>SSFT is a more precise predictor of postoperative wound complications than BMI in patients undergoing THA. Incorporating SSFT into preoperative evaluation may enhance risk stratification and guide targeted perioperative wound-management strategies.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100875"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MCT-HIIT improves physical fitness, body composition, and quality of life in postmenopausal women with osteoporosis","authors":"António M. Monteiro,&nbsp;André Schneider,&nbsp;Samuel G. Encarnação,&nbsp;José E. Teixeira,&nbsp;Pedro Forte,&nbsp;Tiago M. Barbosa,&nbsp;Daniel Pecos-Martín","doi":"10.1016/j.jorep.2025.100882","DOIUrl":"10.1016/j.jorep.2025.100882","url":null,"abstract":"<div><h3>Introduction</h3><div>Osteoporosis is common among postmenopausal women and is associated with reduced physical function, lower quality of life (QoL), and increased fracture risk. Multicomponent training (MCT) and high-intensity interval training (HIIT) are potential strategies to counter these effects.</div></div><div><h3>Objective</h3><div>To examine the effects of an 8-month MCT combined with HIIT on physical fitness, body composition, bone health, and QoL in postmenopausal women with osteoporosis.</div></div><div><h3>Methods</h3><div>Forty women aged ≥65 years participated. Functional fitness was assessed using the Senior Fitness Test battery. Body composition and bone parameters were measured using dual-energy X-ray absorptiometry (DEXA), and QoL was evaluated with the WHOQOL-BREF. Pre–post differences were analyzed using Brunner–Langer nonparametric models, and individual responsiveness was evaluated using cut-off criteria based on control group variability.</div></div><div><h3>Results</h3><div>Significant improvements were found in flexibility (p = 0.032) and aerobic endurance (p = 0.014), along with a small reduction in BMI (p = 0.048). No significant changes were observed in fat mass, lean mass, or bone mineral density. QoL outcomes showed heterogeneous responses, with improvements in social and environmental domains among some participants. Responder analysis indicated that 25–45 % of participants responded positively in functional fitness and selected QoL outcomes, while responsiveness for bone and body composition variables was minimal.</div></div><div><h3>Conclusion</h3><div>An 8-month MCT + HIIT programme improved functional fitness and certain QoL dimensions in postmenopausal women with osteoporosis but did not alter bone density or body composition. Programmes including higher mechanical loads, impact-based exercises, or individualized progression may be required to elicit osteogenic and compositional adaptations in this population.</div></div><div><h3>Trial registration</h3><div>ClinicalTrials.gov Identifier: NCT06843486, registered on February 5, 2025. URL: <span><span>https://clinicaltrials.gov/study/NCT06843486</span><svg><path></path></svg></span></div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100882"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing PIPJ contractures with 3D-printed static progressive splints: Clinical outcomes from a case series","authors":"Michael Jansen van Vuuren,&nbsp;Megan O'Connor,&nbsp;Antoine Rocher","doi":"10.1016/j.jorep.2025.100857","DOIUrl":"10.1016/j.jorep.2025.100857","url":null,"abstract":"<div><h3>Aims and objectives</h3><div>Proximal interphalangeal joint (PIPJ) contractures are prevalent following trauma to the hand and are a contributing factor to impaired hand function. This study aimed to evaluate the efficacy of a novel 3D-printed static progressive splint in a series of patients with PIPJ contracture.</div></div><div><h3>Materials and methods</h3><div>A retrospective case series of 17 cases was conducted in accordance with PROCESS 2023 guidelines. The splint design was briefly outlined, and its application in a series of patients described. Range of motion (ROM) was measured for both active and passive flexion and extension to monitor efficacy. Descriptive summary statistics are presented.</div></div><div><h3>Results</h3><div>A total of 15 patients with 17 fingers underwent management with a 3D-printed splint, with a mean age of 40. Patients began splinting after the deformity had been present for a median of 6 months. Active ROM improved on average from 37° to 50° and passive ROM from 60° to 79°. The mean gains in ROM were 13° (active) and 19° (passive). Patients were compliant in 76.5 % cases. Reported complications included pressure sores and splint breakage.</div></div><div><h3>Conclusion</h3><div>This case series aimed to evaluate the efficacy and identify any problems with the use of a 3D-printed static progressive splint for managing PIPJ contractures. The findings demonstrate that this approach can deliver measurable improvements in joint mobility, while also highlighting areas for design refinement and further research.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100857"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Button screw versus button staple anchor in single bundle anterior cruciate ligament reconstruction: A comparative study of gait analysis, outcome analysis and cost effectiveness","authors":"Fadlurrahman Manaf,&nbsp;I Putu Alit Pawana,&nbsp;Kukuh Dwiputra Hernugrahanto,&nbsp;Zainurrahman Kurnia Putra,&nbsp;Dwikora Novembri Utomo","doi":"10.1016/j.jorep.2025.100831","DOIUrl":"10.1016/j.jorep.2025.100831","url":null,"abstract":"<div><h3>Introduction</h3><div>Anterior cruciate ligament injuries are common, particularly in young athletes. Reconstruction is preferred due to its higher long-term success rate. In Indonesia, the reconstruction is often limited to high-tier hospitals due to the cost constraints imposed by national insurance. The study was aimed to compare functional outcomes, gait analysis and cost between two methods of fixation: button screw and button staple anchor.</div></div><div><h3>Materials and methods</h3><div>This prospective cohort study was conducted at a single center in Indonesia. Twenty-five patients undergoing single-bundle anterior cruciate ligament reconstruction with either button screw (imported titanium and biodegradable polymer) or button staple anchor (domestic stainless steel 316L) fixation were included. Data w ere collected pre-operatively and at least seven months post-operatively. Functional (KOOS, LEFS and IKDC), clinical outcomes (Lachman test, Anterior drawer test and Laximetry), gait analysis (stride length, stride time, cadence, gait velocity, angular joint velocity, peak knee angle, vGRF and knee momentum force) and cost effectiveness analysis were evaluated.</div></div><div><h3>Results</h3><div>Significant improvements in functional outcomes were observed in both groups post-operatively (P &lt; .05). However, there were no significant differences between groups in clinical and functional outcomes (P &gt; .05). Notable differences in gait biomechanics were found: higher angular knee velocity (P = .018), vertical ground reaction forces (P = .019), and knee flexion moment (P = .022) in the button staple anchor group.</div></div><div><h3>Conclusions</h3><div>Both methods provided equivalent clinical and functional outcomes, supporting optimal graft stability and healing. The button staple anchor demonstrated superior biomechanical performance and cost-efficiency, making it a promising option for broader anterior cruciate ligament reconstruction accessibility in resource-limited settings.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100831"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148745568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}