Clinical Orthopaedics and Related Research®最新文献

{"title":"CORR Insights®: Gluteus Minimus Indentation Is Associated With Acetabular Undercoverage and Increased Femoral Torsion in Patients With Nontraumatic Hip Pain","authors":"Benjamin F. Ricciardi","doi":"10.1097/corr.0000000000004160","DOIUrl":"https://doi.org/10.1097/corr.0000000000004160","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"2 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089260","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":"Your Best Life: Write the Script of Your Best Self","authors":"John D. Kelly","doi":"10.1097/corr.0000000000004162","DOIUrl":"https://doi.org/10.1097/corr.0000000000004162","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"13 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089261","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: How Is Lumbar Fusion Associated With Compensatory Hip Motion After THA?","authors":"Hiroyuki Tokuyasu,Eiki Tsushima","doi":"10.1097/corr.0000000000004154","DOIUrl":"https://doi.org/10.1097/corr.0000000000004154","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"36 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089262","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: Synovial Fluid Leukocyte Count and Differential Are Poor Standalone Rule-in Tests for Periprosthetic Joint Infection: Results of a Methodological Audit and Reanalysis of the 2025 Meta-analysis Underpinning the Unified Periprosthetic Joint Infection Criteria","authors":"Ashwaghosha Parthasarathi,Soko Setoguchi,Peter Kupchak,Patrick Donnelly,Keith Kardos,Alex C. McLaren,Yale A. Fillingham,Brett R. Levine,Carl Deirmengian","doi":"10.1097/corr.0000000000004164","DOIUrl":"https://doi.org/10.1097/corr.0000000000004164","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"5 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089259","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":"Cochrane in CORR®: Autologous Blood and Platelet-rich Plasma Injection Therapy for Lateral Elbow Pain (Review)","authors":"Ashraf Hantouly,Moin Khan","doi":"10.1097/corr.0000000000004153","DOIUrl":"https://doi.org/10.1097/corr.0000000000004153","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"36 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089264","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 Orthopaedic Surgery Go Green? Environmental Footprint of Disposable Versus Reusable Instruments in TKA","authors":"Shirin Monadjemi,Guillaume Villatte,Roger Erivan,Stéphane Descamps","doi":"10.1097/corr.0000000000004158","DOIUrl":"https://doi.org/10.1097/corr.0000000000004158","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"32 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089265","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":"Is the Parkinson Disease Diagnosis-to-Surgery Interval Associated With 5-year Vascular and Periprosthetic Outcomes After TKA? A Nationwide Large-database Study","authors":"Hyung Jun Park,Jung Hyun Park,Dong Hun Suh,Se Rang Moon,Do-Young Kwon,Jae Gyoon Kim","doi":"10.1097/corr.0000000000004093","DOIUrl":"https://doi.org/10.1097/corr.0000000000004093","url":null,"abstract":"Background Because populations in many countries are aging, a number of large database studies have reported more patients with Parkinson disease undergoing TKA, and the risk of complications after surgery is greater in this population. Because Parkinson disease–related autonomic dysfunction, medication changes, mobility loss, and frailty may evolve after diagnosis, the diagnosis-to-TKA interval could identify clinically different vascular and periprosthetic risk profiles and help guide counseling and selective preoperative assessment; however, 5-year endpoint-specific risks remain insufficiently characterized. Questions/purposes (1) Is Parkinson disease diagnosed before TKA associated with higher 5-year risks of vascular events and periprosthetic complications after TKA? (2) How do these associations appear when patients with Parkinson disease diagnosed before TKA are grouped by a pragmatic 5-year diagnosis-to-TKA interval? Methods Using the National Health Insurance Service (NHIS) database of South Korea, we identified patients who underwent unilateral TKA between January 2010 and December 2018, with follow-up available through December 2023 to allow assessment of 5-year postoperative outcomes. The database links procedure, diagnosis, prescription, and health-screening data at the individual level, allowing assessment of 5-year vascular and periprosthetic outcomes. Patients with < 5 years of follow-up or preexisting cardiovascular or cerebrovascular disease were excluded to focus on incident postoperative vascular events. The unmatched analytic cohort included 287,075 patients without Parkinson disease and 20,728 patients with Parkinson disease diagnosed before TKA, including 16,877 diagnosed ≤ 5 years before TKA and 3851 diagnosed > 5 years before TKA. All patients in these unmatched groups had at least 5 years of follow-up by design. Parkinson disease was defined by diagnostic codes and prescriptions for Parkinson disease–related medications. Each group of patients diagnosed with Parkinson disease before TKA was propensity score–matched 1:1 to the group of patients without Parkinson disease, yielding 20,707 matched pairs for all patients with Parkinson disease before TKA, 16,860 matched pairs for those diagnosed ≤ 5 years before TKA, and 3848 matched pairs for those diagnosed > 5 years before TKA. After matching, age, sex, comorbidity, health behaviors, dyslipidemia, and year of surgery were balanced. Outcomes were analyzed using Cox regression models, with prespecified time-window analyses to describe temporal patterns in adjusted associations. Results After adjustment for age, sex, Charlson comorbidity index, smoking, alcohol use, physical activity, dyslipidemia, and year of surgery, Parkinson disease diagnosed before TKA was associated with a slightly higher 5-year adjusted hazard of cerebrovascular events (adjusted HR 1.11 [95% confidence interval (CI) 1.07 to 1.16]; p < 0.001) but not with cardiovascular events, periprostheti","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"8 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089267","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":"What Do National Joint Replacement Registries Fail to Collect? The Critical Value of Recording Preoperative Alignment for Prediction of Revision After TKA: A Nested-model Analysis of Registry-only versus Seldom- and Never-recorded Variables","authors":"Wayne Hoskins,Kenrick Rosser,Charles Gusho,Matthew Lim,Kate Dunstall","doi":"10.1097/corr.0000000000004161","DOIUrl":"https://doi.org/10.1097/corr.0000000000004161","url":null,"abstract":"Background National joint replacement registries inform prosthesis selection and health policy using a consistently recorded set of patient, implant, and surgical variables. However, preoperative radiographic alignment and detailed diagnostic complexity are rarely, if ever, captured. Surgeons pay close attention to limb alignment and deformity because both reflect the complexity of the knee being replaced and are associated with the risk of failure. However, the incremental value of recording these measurements, beyond the variables that registries already collect, has not been quantified. As preoperative alignment can be read from the same long-leg radiographs that many surgeons already obtain, even a small improvement in identifying which knees will be revised could justify the modest cost of recording it. Questions/purposes In a 15-year, single-center, TKA group with comprehensive preoperative alignment assessments and national joint replacement registry linkage, we asked: (1) How well do the variables that a national joint replacement registry routinely records identify which knees will later be revised (as quantified by a metric called discrimination, where 0.50 is no better than chance and 1.00 is perfect prediction)? (2) Does adding diagnostic-complexity variables improve that discrimination? (3) Does adding preoperative alignment variables improve it further? (4) When alignment is left out, by how much do the risk estimates that registries report for common surgical decisions (their HRs) change? Methods A retrospective analysis of 2341 primary TKAs in 1917 patients performed between January 2010 and May 2024 at a single tertiary center was conducted, all with national-registry linkage and a documented preoperative long-leg standing radiograph. The primary outcome was aseptic revision, modeled with nested Fine-Gray regression and death treated as a competing risk, meaning that a patient who dies can no longer be revised and is not simply removed from the denominator. To check that the findings were not an artifact of incomplete imaging, we repeated the entire analysis in a more completely imaged group (a prespecified sensitivity analysis), which was a subset of 1567 procedures with both preoperative and postoperative long-leg radiographs (the paired-imaging subset). We built the models (M) stepwise to determine how much each kind of information added. The M1 used the variables that a registry routinely records, M2 added three diagnostic-complexity variables, and M3 added three preoperative alignment variables. To measure how much each group of variables contributed, we compared neighboring models statistically, using an intermediate model (M2.5) to isolate the share attributable to limb alignment. We measured how well each model separated the knees that were later revised from those that were not using a score called the concordance index (C-index): 0.50 means that the model is no better than a coin toss, 1.00 means it is always right, and","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089266","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®: Is Femoral Head Decentration Reversible After Periacetabular Osteotomy for the Treatment of Developmental Dysplasia of the Hip?","authors":"Yusuke Kohno","doi":"10.1097/corr.0000000000004151","DOIUrl":"https://doi.org/10.1097/corr.0000000000004151","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"1 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089263","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":"Statistics in Brief: A Surgeon’s Guide to Creating and Interpreting Risk Calculator Tools","authors":"Periklis Giannakis,Jashvant Poeran,Alejandro Gonzalez Della Valle,Junying Wang","doi":"10.1097/corr.0000000000004125","DOIUrl":"https://doi.org/10.1097/corr.0000000000004125","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"32 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089374","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}