International Orthopaedics最新文献

{"title":"Bioinductive scaffold augmentation of the patellar tendon: a scoping review of indications, techniques and early outcomes.","authors":"Karim Khaled, Anas Elshoura, Merve Bozer Kavaku, Emmanouil Papakostas","doi":"10.1007/s00264-026-06817-z","DOIUrl":"https://doi.org/10.1007/s00264-026-06817-z","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review aimed to collate and synthesize reports of bioinductive scaffold augmentation for patellar tendon pathology, focusing on indications, surgical techniques, and early outcomes. Additionally, it aimed to contextualize these findings through the more established rotator cuff literature and consider tendon property variation to inform future research and implant development.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with PRISMA-ScR guidance. PubMed, Embase, Scopus, and Web of Science were searched from inception to 25 December 2025 for human studies of bioinductive scaffold augmentation in patellar tendon pathology. Two reviewers screened studies and extracted data. Findings were synthesized narratively and in tables.</p><p><strong>Results: </strong>The search identified 633 records, with ten studies ultimately included (6 technical notes, 3 case reports, and 1 case series), published between 2019 and 2025. Across all reports, 47 patients were described (ages 17-50; 76% male where reported); most studies used scaffolds for acute patellar tendon rupture (7/10), with fewer addressing chronic tendinopathy (3/10). Augmentation was most often indicated for poor tissue quality in rupture settings, revision after re-rupture, or persistent symptoms after failed conservative management in tendinopathy. Implants comprised a bovine Achilles tendon-derived collagen scaffold (6 studies), a decellularized human dermal allograft (2), a collagen-PLLA composite scaffold (1), and an autologous platelet-rich fibrin matrix construct (1). Post-operative rehabilitation was variably reported. Reported clinical outcomes were limited but suggested some improvements in pain, functional scores and MRI appearance.</p><p><strong>Conclusion: </strong>The adoption of bioinductive scaffold augmentation in patellar tendon surgery may be considered theoretically plausible. However, fundamental pre-clinical biomechanical and histological work in human(-cadaveric) models is not available at present, and longitudinal (comparative) clinical research is ultimately needed to investigate the effects of this application, and allow for the meaningful interpretation of results. The intrinsic mechanical and biological properties of the patellar tendon warrant a more nuanced consideration in technique standardization and future device iterations.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining clinically meaningful values in the oxford hip score and factors associated with their achievement following aseptic revision total hip arthroplasty.","authors":"Thomas R Williamson, Paul Gaston, Gavin J MacPherson, James T Paton, Philip M S Simpson, Andrew D Duckworth, Chloe E H Scott, Nick D Clement","doi":"10.1007/s00264-026-06808-0","DOIUrl":"https://doi.org/10.1007/s00264-026-06808-0","url":null,"abstract":"<p><strong>Purpose: </strong>To define the 'patient acceptable symptom state' (PASS) and 'minimum important change' (MIC) for the Oxford Hip Score (OHS) following aseptic revision total hip arthroplasty (rTHA), and identify factors associated with their achievement.</p><p><strong>Methods: </strong>A prospective cohort of 135 patients (138 hips) undergoing aseptic rTHA at a single centre were followed up at one and two years postoperatively. Demographics, health-related quality of life (HRQoL; EQ-5D) and OHS were recorded at each timepoint. Anchor techniques were used to define the MIC and PASS. Regression models identified factors associated with PASS and MIC achievement.</p><p><strong>Results: </strong>The OHS PASS was 31.5 and 33.5 at one and two years postoperatively, respectively. The MIC was 8.5 at both timepoints. A greater preoperative EQ-5D was independently associated with PASS achievement at both timepoints. One-year MIC achievement was independently associated with lower BMI (p = 0.042) and lower preoperative OHS (p = 0.007), whilst lower preoperative OHS (p = 0.016) alone was independently associated with two year MIC achievement (p = 0.016). Lower preoperative EQ-5D and ASA grade 3 were associated with failure to achieve either PASS or MIC at one year (p = 0.030) and two years (p = 0.013) postoperatively, respectively.</p><p><strong>Conclusion: </strong>The PASS and MIC thresholds for the OHS following aseptic rTHA contextualise the score and can inform study design. Greater preoperative HRQoL was independently associated with PASS achievement, whilst worse preoperative function was independently associated with MIC achievement. These thresholds should be considered in conjunction when assessing outcomes following aseptic rTHA.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thirty-year outcomes of cemented versus cementless posterior-stabilized total knee arthroplasty.","authors":"Young-Hoo Kim, Jang-Won Park","doi":"10.1007/s00264-026-06823-1","DOIUrl":"https://doi.org/10.1007/s00264-026-06823-1","url":null,"abstract":"<p><strong>Purpose: </strong>There are no long-term results (> 30 years) of cemented and cementless total knee arthroplasty (TKA) with respect to clinical outcomes, radiographic and computer tomographic (CT) findings, incidence of osteolysis, revision rates, and implant survivorship.</p><p><strong>Methods: </strong>A consecutive cohort of 210 patients (mean age, 62 ± 4.6 years) underwent simultaneous bilateral TKA during a single anaesthetic session using the same posterior-stabilized prosthetic design. In each patient, one knee received a cemented implant and the contralateral knee received a cementless implant. The mean duration of follow-up was 30.3 years (range, 29-31 years).</p><p><strong>Results: </strong>At the final evaluation, no statically significant differences were observed between the two groups. The mean Knee Society scores (92 vs 93 points), Western Ontario and McMaster Universities Osteoarthritis Index scores (21 vs 10 points), range of motion (125° vs 127°) were not significantly different between the two groups. Revision was required in 3.8% of cemented knees and 4.8% of cementless knees. Kaplan-Meier analysis demonstrated a 30.3-year survival rate of 96.2% (95% confidence interval ([CI], 90%-100%) in the cemented group and 95.2% (95% [CI], 90%-100%) in the cementless group.</p><p><strong>Conclusions: </strong>Both cemented or cementless fixation methods demonstrated durable and favourable long-term outcomes at more than 30 years. However, cementless TKA did not show superior survivorship compared with cemented TKA. At present, the routine preference of cementless fixation over established cemented techniques remains unsupported by long-term evidence.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between preoperative extracellular water-to-total body water ratio and time to walking independence after total hip arthroplasty: a retrospective cohort study.","authors":"Atsushi Shinonaga, Hiromi Matsumoto, Mana Uekawa, Saki Kakeya, Shuro Furuichi, Shigeru Mitani, Shigeharu Tanaka, Naoki Deguchi, Ryo Tanaka","doi":"10.1007/s00264-026-06815-1","DOIUrl":"https://doi.org/10.1007/s00264-026-06815-1","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association between preoperative extracellular water-to-total body water ratio (ECW/TBW) and time to walking independence among female patients undergoing total hip arthroplasty (THA).</p><p><strong>Methods: </strong>This retrospective cohort study included female patients who underwent primary THA between January and December 2022. Preoperative ECW/TBW was measured using bioelectrical impedance analysis and dichotomized at 0.400. The primary outcome was time to walking independence within 14 postoperative days. Cox proportional hazards models assessed the association between ECW/TBW and walking independence, adjusting for age, comorbidities, nutritional status, skeletal muscle mass index, non-operated knee extensor strength, walking pain, and maximum walking speed. Model performance was evaluated using likelihood ratio tests, Harrell's C-index, and time-dependent area under the curve (AUC).</p><p><strong>Results: </strong>Among 142 patients, 118 (83.1%) achieved walking independence within 14 days. Patients with ECW/TBW ≥ 0.400 achieved walking independence later than those with ECW/TBW < 0.400 (log-rank p < 0.001). In multivariable analysis, ECW/TBW ≥ 0.400 was associated with delayed walking independence (hazard ratio 0.29, 95% CI 0.16-0.52). Including ECW/TBW improved model fit and increased the time-dependent AUC at postoperative day 14.</p><p><strong>Conclusion: </strong>Higher preoperative ECW/TBW is associated with delayed walking independence after THA and may complement preoperative assessment when predicting early postoperative functional recovery.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"International medical graduate orthopaedic residents show higher research productivity than United States graduate peers before and during residency\".","authors":"Ankit Kumar Garg, Swasti Keshri","doi":"10.1007/s00264-026-06822-2","DOIUrl":"https://doi.org/10.1007/s00264-026-06822-2","url":null,"abstract":"","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monoblock dual-mobility cups in total hip arthroplasty for low-grade hip dysplasia: a retrospective series with a mean ten years follow-up.","authors":"Michel Tramini, Pierre-Henri Vermorel, Alban Stordeur, Sebastien Lustig, Frederic Farizon, Remi Philippot","doi":"10.1007/s00264-026-06810-6","DOIUrl":"https://doi.org/10.1007/s00264-026-06810-6","url":null,"abstract":"<p><strong>Introduction: </strong>Total hip arthroplasty (THA) for hip developmental dysplasia (DDH) carries a high perioperative complication rate, with dislocation representing the most frequent adverse event. Monoblock dual-mobility (DMM) cups have demonstrated promising results in reducing prosthetic instability while ensuring long-term implant survival. However, data specifically addressing DMM THA in low-grade DDH remain scarce. The aim of this study was to evaluate clinical outcomes and complication rates at a minimum ten-year follow-up in patients undergoing DMM THA for low-grade DDH.</p><p><strong>Materials and methods: </strong>A single-centre retrospective study was conducted, including all patients who underwent DMM THA for Crowe grade I or II DDH between 2008 and 2018. Clinical outcomes including the Harris Hip Score (HHS), Postel-Merle d'Aubigné (PMA) score, Devane score, visual analog scale (VAS), and range of motion (ROM) were assessed preoperatively, at one year, and at final follow-up. Implant survival was estimated using Kaplan-Meier analysis.</p><p><strong>Results: </strong>Thirty-one THAs were performed in 25 patients (mean age 55.1 ± 13.4 years; mean follow-up 10.06 ± 1,98 years). All functional scores improved significantly at final follow-up (HHS 48 to 98, PMA 11 to 17, Devane 3 to 4, all p < 0.001). No dislocation, loosening, periprosthetic fracture, or septic complication was recorded. Implant survival was 100% at ten years.</p><p><strong>Conclusion: </strong>The DMM THA for low-grade DDH provides excellent long-term functional outcomes with a remarkably low complication profile, supporting the routine use of DMM cups in this indication.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic acromioclavicular dislocations repaired by modified Weaver-Dunn technique with two EndoButtons: retrospective review of twenty three cases.","authors":"Alexandra Stein, Efi Kazum, Mohamad Moussa, Philippe Valenti","doi":"10.1007/s00264-026-06791-6","DOIUrl":"https://doi.org/10.1007/s00264-026-06791-6","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic acromioclavicular joint instability (ACJI) remains challenging, and the optimal surgical technique is debated. Weaver-Dunn reconstruction is widely used, but modifications have been made to improve horizontal and vertical stability. This study addressed the clinical outcomes of a modified Weaver-Dunn procedure reinforced with a double EndoButton construct.</p><p><strong>Methods: </strong>This retrospective single-center study included 23 patients undergoing modified Weaver-Dunn reconstruction for chronic ACJI between 2012 and 2024, with a minimum follow-up of 12 months. Indications included symptomatic Rockwood grade 3 or higher after failed conservative management. Surgery was performed arthroscopically in most cases; five cases used an open approach. Clinical assessment included Constant-Murley score, Subjective Shoulder Value (SSV), Visual Analog Scale (VAS) for pain, ROM, piano-key sign, and clavicular drawer test. Radiographic evaluation included coracoclavicular distance, alignment, and loss of reduction. Complications and revisions were documented.</p><p><strong>Results: </strong>At a mean follow-up of 79 months, pain improved significantly (VAS 2.9 to 0.4, p = 0.001). Constant score increased from 60 to 87 (p = 0.001), and SSV improved significantly. Forward flexion improved from 159° to 175° (p = 0.015), and abduction from 163° to 175° (p = 0.03). Clinical stability improved, with disappearance of the piano-key sign and drawer sign in 82% and 91% of cases. Four patients (17%) showed recurrent grade 3 or higher dislocation. Complications occurred in five patients (22%), including one coracoid fracture and one EndoButton migration.</p><p><strong>Conclusion: </strong>Modified Weaver-Dunn reconstruction using two EndoButtons provided significant improvements in pain, function, ROM, and clinical stability with acceptable recurrence and complication rates.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morphological characteristics and clinical outcomes of proximal tibial fractures with popliteal artery injury: a retrospective case series.","authors":"Yuta Izawa, Kentaro Futamura, Masahiro Nishida","doi":"10.1007/s00264-026-06821-3","DOIUrl":"https://doi.org/10.1007/s00264-026-06821-3","url":null,"abstract":"<p><strong>Introduction: </strong>Popliteal artery injury (PAI) associated with proximal tibial fracture (PTF) is rare but limb-threatening, and its morphological characteristics remain poorly defined. This study aimed to investigate the fracture patterns, associated vascular and soft tissue injuries, and clinical outcomes of PTF with PAI.</p><p><strong>Methods: </strong>We retrospectively reviewed cases of PTF with PAI treated at a single institution. Based on previous reports and our experience, fractures were classified into isolated medial tibial plateau fracture (IMTPF), hyperextension bicondylar tibial plateau fracture (HBTPF), metaphyseal shearing fracture (MSF), and others. Clinical characteristics, treatment strategies, and outcomes were analyzed.</p><p><strong>Results: </strong>Among 336 patients with PTF, nine (2.7%) had associated PAI. Fracture patterns included IMTPF (n = 2), HBTPF (n = 2), MSF (n = 4), and others (n = 1). IMTPF and HBTPF were typically closed injuries associated with traction-induced vascular injury and demonstrated favorable clinical outcomes following timely revascularization and stable fixation. In contrast, MSF was characterized by anterior open wounds and direct vascular injury caused by posterior displacement of the distal fragment. Two MSF cases required soft tissue reconstruction with pedicled gastrocnemius flap, and one case resulted in amputation.</p><p><strong>Conclusion: </strong>PTF with PAI is associated with specific fracture patterns that reflect distinct injury mechanisms and clinical courses. Recognition of these patterns, particularly MSF, may facilitate early diagnosis, guide treatment strategies, and improve clinical outcomes.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimum ten-year results of total hip arthroplasty using an alkali- and heat-treated titanium Zweymüller-type stem.","authors":"Sachiyuki Tsukada, Michihisa Suwa, Yoshihito Mochizuki, Daigo Sakagoshi, Motohiro Wakui","doi":"10.1007/s00264-026-06814-2","DOIUrl":"https://doi.org/10.1007/s00264-026-06814-2","url":null,"abstract":"<p><strong>Background: </strong>The Zweymüller femoral stem is a well-established design for cementless total hip arthroplasty (THA). However, long-term data are scarce on modified versions produced by different manufacturers. This study aimed to evaluate the ten year clinical and radiographic outcomes of the Elance stem, a modified Zweymüller-type prosthesis.</p><p><strong>Methods: </strong>We retrospectively reviewed 82 primary THAs performed between 2013 and 2015 using the Elance stem. This stem features an alkali- and heat-treated bioactive surface and lacks the traditional trochanteric shoulder. The target roughness of the stem surface was 1.0 to 2.5 µm. The primary endpoint was survivorship with revision for any reason; the secondary endpoint was the rate of the aseptic loosening of the Elance stem.</p><p><strong>Results: </strong>The 10-year survivorship rate with revision for any reason was 53% (95% CI: 40-63%). Forty-one hips (50%) underwent revision surgery, with 40 of these revisions (98%) due to aseptic stem loosening. Additionally, four stems demonstrated radiographic loosening but had not yet undergone revision, resulting in a total stem loosening rate of 54%.</p><p><strong>Conclusions: </strong>The Elance femoral stem demonstrated unacceptably low year survivorship. Design modifications, specifically the omission of the trochanteric shoulder and a lower surface roughness compared to the original Zweymüller design, likely compromised initial stability and long-term osseointegration. These findings emphasize that bioactive surface treatments cannot compensate for suboptimal stem design and that caution is warranted when adopting modified orthopaedic implants without robust long-term evidence.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term clinical outcomes of allograft-prosthetic reconstruction for tumours of the extremities.","authors":"Philip T J Sanders, Sjors F van de Vusse, Giovanni Simonis, Marta Fiocco, Michiel A J van de Sande, P D Sander Dijkstra, Michaël P A Bus","doi":"10.1007/s00264-026-06819-x","DOIUrl":"https://doi.org/10.1007/s00264-026-06819-x","url":null,"abstract":"<p><strong>Purpose: </strong>Allograft-prosthetic composites (APC) are used to reconstruct large periarticular defects following tumour resection, with potential advantages especially restoration of bone stock and ligamentous reattachment. While short- and mid-term outcomes have been reported on extensively, long-term clinical results remain limited. This study evaluated the incidence of mechanical and non-mechanical complications, risk factors for complications, and the cumulative incidence of reconstruction failure following APC reconstruction for extremity tumours with a minimum follow-up of ten years.</p><p><strong>Methods: </strong>We retrospectively reviewed 64 APC with at least ten years follow-up in our centre. Predominant diagnoses were osteosarcoma (40%) and chondrosarcoma (28%). Reconstructions involved the proximal femur (39%), distal femur (22%), proximal tibia (23%) and proximal humerus (16%). Median follow-up was 24.5 years (95%CI 23.6-25.4).</p><p><strong>Results: </strong>Instability occurred in nine reconstructions (14%). Non-union was observed in nine reconstructions (14%). Implant loosening occurred in seven reconstructions (11%) after a median of 14 years (range 2-18 years). Allograft collapse occurred in 13 reconstructions (20%) after a median of three years (range 1-15). Infection developed in five reconstructions (8%). Cumulative incidence of mechanical failure at five, ten and 25 years was 15.6% (95%CI 6.6-24.6), 21.9% (95%CI 11.6-32.1) and 28.6% (95%CI 17.2-39.9), respectively.</p><p><strong>Conclusions: </strong>APC are associated with a considerable risk of both early and late complications. Non-union and infection predominate in the early postoperative period, whereas aseptic loosening and fractures are the main causes of late failure, occurring up to 18 years after surgery. These findings suggest that the routine use of APC for periarticular reconstruction after tumour resection should be reconsidered.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}