Clinical Orthopaedics and Related Research®最新文献

{"title":"Letter to the Editor: Development of Machine Learning-based Algorithms to Predict the 2- and 5-year Risk of TKA After Tibial Plateau Fracture Treatment.","authors":"Qingyu Xu, Baojian Zhang, Yanqun Liu","doi":"10.1097/CORR.0000000000003651","DOIUrl":"10.1097/CORR.0000000000003651","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"483 10","pages":"2001-2002"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174052","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":"Art in Science: The Crimson Thread-A Surgeon's Revolution Born in Fire.","authors":"Abdulhamit Misir","doi":"10.1097/corr.0000000000003714","DOIUrl":"https://doi.org/10.1097/corr.0000000000003714","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"112 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145247110","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":"Editor's Spotlight/Take 5: CORR Synthesis: What Is the Role of Robotic-assisted Technology in Knee Arthroplasty?","authors":"Seth S Leopold","doi":"10.1097/CORR.0000000000003639","DOIUrl":"10.1097/CORR.0000000000003639","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"483 10","pages":"1798-1801"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174054","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":"Is Civilian Hospital Treatment of Lumbar Spinal Disorders Associated With Greater Odds of Fusion Procedures?","authors":"Mark C Lawlor, Madison N Cirillo, Kaitlyn E Holly, Patawut Bovonratwet, Brendan M Striano, Christian Coles, Tracey P Koehlmoos, Andrew J Schoenfeld","doi":"10.1097/CORR.0000000000003487","DOIUrl":"10.1097/CORR.0000000000003487","url":null,"abstract":"<p><strong>Background: </strong>Technological advancements in spine surgical care are disproportionately slanted toward fusion-based procedures, which may influence surgeons to prefer these over other less expensive techniques. These issues may be particularly magnified within the context of integrated care delivery systems such as the Military Health System, where patients can be treated at centers with different philosophies regarding care or manner of provider reimbursement (direct care Department of Defense facilities versus the private sector) within the same network. Understanding how these factors may influence the preferential use of lumbar fusion could better inform healthcare expenditures and the cost-efficiency of spine surgical care.</p><p><strong>Questions/purposes: </strong>(1) Compared with direct care models (Department of Defense facilities), does the private sector (civilian hospitals) have higher odds of performing interbody fusion versus other procedures for the surgical treatment of lumbar spine conditions? (2) For spinal conditions such as disc herniation, radiculopathy, spondylolisthesis, and spinal stenosis, are there higher odds of interbody fusion and posterolateral fusion in the private sector?</p><p><strong>Methods: </strong>We used TRICARE healthcare claims to retrospectively compare surgical care delivery between direct and private sector care (October 2015 to September 2023). The population covered by TRICARE has previously been shown to be representative of the US demographic ages 18 to 64 years, while the unique tiered nature of the system serves as a model of care delivery that is translatable to civilian integrated hospital networks. Direct care represents a proxy for those academic medical centers with salaried reimbursement; private sector care is representative of community facilities employing fee-for-service models. We included patients 18 years and older surgically treated for a disc herniation, lumbar spinal stenosis, lumbar radiculopathy, and/or spondylolisthesis. There were minimal missing data for the factors of interest. The mean ± SD age of the cohort as a whole was 53 ± 15 years, with 82% (50,747 of 61,735) of the population male and 79% (48,966 of 61,735) White. Lumbar spinal stenosis (42% [25,942 of 61,735]) was the most common surgical indication, followed by disc herniation (30% [18,708 of 61,735]). Overall, and within each lumbar spine disorder (disc herniation, spinal stenosis, radiculopathy, and spondylolisthesis), initial bivariate comparisons were made between type of surgery (decompression, posterolateral fusion, and interbody fusion) and the environment of care using multinomial logistic regression. Adjustments were then made for patient mix using multivariable multinomial logistic regression.</p><p><strong>Results: </strong>After adjusting for confounders such as age, race, gender, medical comorbidities, sponsor rank, and census region, compared with the direct care environment, lumbar s","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1939-1947"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735750","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®: How Accurate Are Fulcrum Bending Radiographs in Estimating Postoperative Outcomes in Adolescent Idiopathic Scoliosis? A Systematic Review and Meta-analysis.","authors":"George H Thompson","doi":"10.1097/CORR.0000000000003558","DOIUrl":"10.1097/CORR.0000000000003558","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1966-1968"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641968","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":"On Patient Safety: The Weekend Effect.","authors":"James Rickert","doi":"10.1097/CORR.0000000000003668","DOIUrl":"10.1097/CORR.0000000000003668","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1821-1822"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945300","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":"Beyond the Bone: Why Orthopaedics Matters in the Super-aged Era.","authors":"Tae Kyun Kim","doi":"10.1097/CORR.0000000000003675","DOIUrl":"10.1097/CORR.0000000000003675","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"483 10","pages":"1815-1816"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174035","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":"How Accurate Are Fulcrum Bending Radiographs in Estimating Postoperative Outcomes in Adolescent Idiopathic Scoliosis? A Systematic Review and Meta-analysis.","authors":"Victoria Yuk Ting Hui, Samuel Tin Yan Cheung, Jason Pui Yin Cheung, Prudence Wing Hang Cheung","doi":"10.1097/CORR.0000000000003468","DOIUrl":"10.1097/CORR.0000000000003468","url":null,"abstract":"<p><strong>Background: </strong>Fulcrum bending radiographs can be used to assess coronal flexibility in patients with adolescent idiopathic scoliosis (AIS) to estimate postoperative correction. To obtain fulcrum bending radiographs, patients are passively bent over a radiolucent fulcrum at the apex of the curve. Available studies have disagreed about the accuracy in estimating postoperative correction, although these studies differed in terms of patients' baseline characteristics as well as other methods. Moreover, factors associated with accuracy were never explored. By pooling (meta-analyzing) results from these studies, we hoped to address these gaps in knowledge.</p><p><strong>Questions/purposes: </strong>In a meta-analysis, we asked: (1) Can fulcrum bending radiographs accurately estimate postoperative curve correction in patients with AIS? (2) What factors are associated with the accuracy of fulcrum bending estimation on postoperative coronal correction? (3) Is fulcrum flexibility associated with other surgical outcomes such as shoulder and coronal balance?</p><p><strong>Methods: </strong>PubMed, Embase, Medline, Journals@Ovid, Web of Science, and Scopus were searched from their inception up to August 27, 2024. Studies that (1) included patients with AIS undergoing single-stage posterior spinal fusion surgery without anterior release, (2) used fulcrum bending radiographs, (3) assessed radiographic surgical outcomes, and (4) had a minimum follow-up of 2 years were included. Studies that did not evaluate the use of fulcrum bending radiographs, those that did not report a p value, and studies with poor methodological quality were excluded. Our initial search yielded 433 articles, of which 172 remained after duplicate articles were removed. A total of 161 articles were excluded as the studies included patients who did not have AIS (n = 14), did not undergo surgery (n = 14), or did not undergo posterior spinal fusion (n = 23) or the studies did not evaluate the use of fulcrum bending radiographs (n = 59); had an insufficient follow-up duration of < 2 years (n = 15); did not evaluate the relationship between fulcrum bending radiographs and postoperative outcomes (n = 1); were reviews, commentaries, articles, conference proceedings, or non-English studies (n = 33); were animal studies (n = 1); or had poor methodological quality (n = 1). This left 11 studies for analysis. The Newcastle-Ottawa Quality Assessment Scale was used to evaluate the quality of evidence in three domains, including participant selection, comparability, and outcome measurement. Eleven included studies were of good quality except one with poor-quality evidence that was subsequently excluded from analysis. A random-effects meta-analysis was used to pool the data because of substantial statistical heterogeneity (I 2 > 50%) in the included studies. The estimation of absolute correction was pooled using standardized mean differences, referred to as the mean difference; a value > ","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1951-1965"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708918","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®: Standardized Intraoperative Robotic Laxity Assessment in TKA Leads to No Clinically Important Improvements at 2 Years Postoperatively: A Randomized Controlled Trial.","authors":"John Bartoletta","doi":"10.1097/CORR.0000000000003563","DOIUrl":"10.1097/CORR.0000000000003563","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1875-1877"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172911","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 Rotationplasty Still a Reasonable Reconstruction Option for Patients With a Femoral Bone Sarcoma? A Comparative Study of Patients With a Minimum of 20 Years of Follow-up After Rotationplasty and Lower Extremity Amputation.","authors":"Daniel C Allison","doi":"10.1097/CORR.0000000000003572","DOIUrl":"10.1097/CORR.0000000000003572","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"1922-1925"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539246","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}