Clinical Orthopaedics and Related Research®最新文献

{"title":"Editor's Spotlight/Take 5: Can Simple Changes in Splinting Technique Reduce Posterior Heel Contact Pressure?","authors":"Seth S Leopold","doi":"10.1097/corr.0000000000003706","DOIUrl":"https://doi.org/10.1097/corr.0000000000003706","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"86 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145247101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CORR Insights®: Association of Payment Model Changes With the Rate of Total Joint Arthroplasty in Patients Undergoing Kidney Replacement Therapy.","authors":"Paul Edward Levin","doi":"10.1097/CORR.0000000000003531","DOIUrl":"10.1097/CORR.0000000000003531","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1838-1840"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: AI-assisted Letters to the Editor-Scope of a Growing Ethical and Practical Concern, and CORR 's Approach to Managing It.","authors":"Samantha League Smith, Seth S Leopold","doi":"10.1097/CORR.0000000000003641","DOIUrl":"10.1097/CORR.0000000000003641","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1795-1797"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to the Letter to the Editor: How Does Anterior Vertebral Body Tethering Compare to Posterior Spinal Fusion for Thoracic Idiopathic Scoliosis? A Nonrandomized Clinical Trial.","authors":"Patrick J Cahill","doi":"10.1097/CORR.0000000000003688","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003688","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to the Letter to the Editor: Can a Liquid Biopsy Detect Circulating Tumor DNA With Low-passage Whole-genome Sequencing in Patients With a Sarcoma? A Pilot Evaluation.","authors":"Colin J Anderson, Johann H Hsu, Megan H Jagosky, Joshua C Patt, Jeffrey S Kneisl, Nury M Steuerwald","doi":"10.1097/CORR.0000000000003633","DOIUrl":"10.1097/CORR.0000000000003633","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1993-1994"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144741403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CORR Insights®: Is 2-week Cast Wearing Followed by 4-week Functional Bracing Superior to 6-week Cast Immobilization After Surgery for Ankle Fractures? A 2-year Follow-up of a Randomized Controlled Trial.","authors":"James D Michelson","doi":"10.1097/CORR.0000000000003569","DOIUrl":"10.1097/CORR.0000000000003569","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"483 10","pages":"1888-1890"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Is the Clinical Efficacy of Combined Semitendinosus Autograft Reconstruction and Scar Tissue Repair for Chronic Irreparable Patellar Tendon Rupture?","authors":"Kunhao Chen, Min Zhu, Chenghao Zhang, Jiayao Zhang, Yuyan Zhang, Shuang Li, Jian Li, Tingwu Qin, Qi Li","doi":"10.1097/CORR.0000000000003471","DOIUrl":"10.1097/CORR.0000000000003471","url":null,"abstract":"<p><strong>Background: </strong>Chronic patellar tendon rupture is a rare but serious injury that can lead to significant functional impairment if not treated effectively. Traditional repair methods often result in rerupture because of tendon defects, adhesions, and poor tissue quality. Although tendon graft reconstruction is the first-line treatment, the role of combining the remaining scar tissue with tendon grafting in improving patient-reported outcomes has not been fully explored.</p><p><strong>Questions/purposes: </strong>(1) What improvements in patient-reported outcomes and radiographic results were observed after reconstruction of chronic patellar tendon ruptures with semitendinosus autograft combined with scar tissue repair? (2) What ROM was achieved after recovery, and were patients free from extensor lag? (3) What surgical complications were associated with this technique?</p><p><strong>Methods: </strong>This retrospective case-series study included 47 patients with chronic patellar tendon rupture treated from January 2010 to December 2023 diagnosed by clinical assessment, MR imaging, and surgical exploration during the procedure. Among the 47 patients, 23 patients met the following inclusion criteria: (1) radiographic patella alta (Caton-Deschamps Index [CDI] > 1.3 or modified Insall-Salvati Index [ISI] > 2) with MRI confirmation of patellar tendon rupture and (2) treatment with semitendinosus autografts reconstruction and scar tissue repair. Two patients were lost to follow-up before the minimum study follow-up time of 1 year, and for patients with bilateral rupture, we included the more affected side, leaving 21 of 47 patients with 21 knees ultimately included in the final analysis. For each included patient, we collected preoperative baseline and final follow-up data, which included patient-reported outcome measures (PROMs) such as International Knee Documentation Committee (IKDC) score and Lysholm score, knee ROM, extensor lag, patellar height assessed by CDI and ISI, and any surgical complications. All patients had at least 12 months of follow-up (median [range] 65 months [12 to 161]). Follow-up data were obtained from clinical visits, phone interviews, and medical records.</p><p><strong>Results: </strong>Patient-reported outcomes demonstrated improvements, with the IKDC score increasing from a mean ± SD 46 ± 6 preoperatively to 92 ± 5 postoperatively (mean difference -46 [95% confidence interval (CI) -49 to -43]; p < 0.01). Radiographic evaluation confirmed normal restoration of patellar height, with the CDI improving from a mean ± SD 1.9 ± 0.3 to 1.1 ± 0.1 and the modified ISI from 2.4 ± 0.3 to 1.5 ± 0.2. Postoperative knee ROM improved from 100° ± 31° to 140° ± 2° (mean difference -40° [95% CI -54° to -25°]; p < 0.01). Extensor lag resolved in 16 of 21 patients (21 of 21 preoperatively versus 5 of 21 postoperatively), with a mean deficit of 1° ± 2°, representing a mean improvement of 33° (95% CI 22° to 43°; p < 0.01). One of ","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1926-1935"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CORR Insights®: What Is the Clinical Efficacy of Combined Semitendinosus Autograft Reconstruction and Scar Tissue Repair for Chronic Irreparable Patellar Tendon Rupture?","authors":"Hongsen Chiang","doi":"10.1097/CORR.0000000000003510","DOIUrl":"10.1097/CORR.0000000000003510","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1936-1938"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CORR Insights®: High Risk of Venous Thromboembolism With Aspirin Prophylaxis After THA for High-riding Developmental Dysplasia of the Hip: A Retrospective, Comparative Study.","authors":"Rocco P Pitto","doi":"10.1097/CORR.0000000000003577","DOIUrl":"10.1097/CORR.0000000000003577","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1851-1853"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Periacetabular Osteotomy Affect the Load Distribution on the Knee?","authors":"Yuki Ogawa, Tomohiro Shimizu, Shunichi Yokota, Daisuke Takahashi, Norimasa Iwasaki","doi":"10.1097/CORR.0000000000003453","DOIUrl":"10.1097/CORR.0000000000003453","url":null,"abstract":"<p><strong>Background: </strong>Periacetabular osteotomy (PAO) treats developmental dysplasia of the hip (DDH) by reducing load on the hip and improving joint function. Untreated DDH affects lower extremity alignment and alters knee morphology, with valgus alignment more pronounced in hip osteoarthritis secondary to DDH. While PAO may influence knee mechanics, its association with subchondral bone density in the tibiofemoral joint remains unclear.</p><p><strong>Questions/purposes: </strong>(1) To what degree is PAO associated with changes in the distribution of subchondral bone density in the knees of patients with DDH? (2) Is PAO associated with altered subchondral bone density distribution in patients with DDH such that they more closely resemble a control cohort of patients?</p><p><strong>Methods: </strong>We conducted a retrospective chart review to evaluate the association of PAO with knees in female patients with DDH. From January 2015 to December 2021, 69 patients (≤ 49 years of age, center-edge angle ≤ 25°) underwent PAO. Of these, 38% (26) of patients were included after excluding patients for bilateral operations, lack of follow-up, or incomplete CT data. A power analysis required at least 20 hips per group based on the past study. For comparison, we reviewed 63 patients undergoing joint-preserving surgery for idiopathic osteonecrosis from January 2014 to December 2024, with 32% (20) of female patients meeting criteria (unilateral hip necrosis only) for the control group. PAO resulted in sufficient acetabular coverage and improved clinical scores in patients. Importantly, no change in lower limb alignment was observed postoperatively. The distribution and quantification of subchondral bone density in the proximal tibial articular surface were measured using CT osteoabsorptiometry (CT-OAM). This was achieved by assessing radiodensity variations in Hounsfield units (HUs) and mapping these as two-dimensional visualizations. The high-density area within these regions was defined as the top 20% of HUs. The medial and lateral tibial compartments were divided into three subregions of equal width in the coronal direction: lateral-lateral, lateral-central, lateral-medial, medial-medial, medial-central, and medial-lateral. Each subregion percentage represented by the high-density area was calculated (percentage of high-density area). Our primary study goal was to evaluate the association of PAO with changes in subchondral bone density distribution in the knees of patients with DDH. To achieve this, we utilized CT-OAM to map subchondral bone density patterns before and after surgery. Our secondary study goal was to determine whether PAO results in a subchondral bone density distribution in patients with DDH that more closely resembles that of a control cohort without DDH. For this goal, we analyzed radiographic and CT data to identify changes in high-density areas across tibial plateaus and compared preoperative and postoperative results within th","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1854-1862"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}