International Orthopaedics最新文献

{"title":"Inter-hospital variation in early major complication rates following total hip arthroplasty: a population-based study.","authors":"Seper Ekhtiari, Daniel Pincus, Pakpoom Ruangsomboon, J Michael Paterson, Bheeshma Ravi","doi":"10.1007/s00264-025-06423-5","DOIUrl":"10.1007/s00264-025-06423-5","url":null,"abstract":"<p><strong>Purpose: </strong>Early major complications following total hip replacement (THR) occur rarely, but given the high volumes of THR, represent a major burden to patients and the system. The purpose of this study was to determine the influence of hospital-level surgical practices on early major complications across Ontario.</p><p><strong>Methods: </strong>We conducted a population-based retrospective cohort study of all adults in Ontario, Canada who underwent primary THR for osteoarthritis between January 1, 2009 and December 31, 2019. The primary outcome was early major surgical complications (composite of deep infection, periprosthetic fracture, dislocation, or revision surgery occurring within 1 year of surgery). Medical complications (thromboembolism, myocardial infarction, pneumonia) occurring within 30 days of surgery also were assessed. THR performed at centres with very low volumes were excluded a priori. Two-level hierarchical logistic regression models adjusted for age, sex and Charlson co-morbidity score were used to calculate each hospital's unique adjusted complication rate and 95% confidence interval.</p><p><strong>Results: </strong>During the study period, 95,912 patients (mean [SD] age 67 [11.0] years; 51,216 (53.4%) women) underwent THA at 56 hospitals across Ontario. Overall, 1,656 (1.7%) patients had a major surgical complication within 1 year. Major surgical complication rates varied seven fold between hospitals from 0.6 to 4.1%. After adjustment, 4 of 56 hospitals were low outliers (adjusted complication rate significantly below average) and 5 of 56 were high outliers (adjusted complication rate significantly above average). There were no hospital outliers for medical complications.</p><p><strong>Conclusions: </strong>There was significant variation in early major surgical complication rates between Ontario hospitals that persisted after adjustment for patient age, sex and medical comorbidity. Feeding back adjusted outcomes in benchmarking reports may enable individual hospitals and surgeons better consider their own performance and scale up best practices from low outlier hospitals, which can play a role in educating other centres in their region.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"589-594"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364694","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 comparative study evaluating the screw-cement construct for tibial defects in total knee arthroplasty: our experience.","authors":"Bushu Harna, Anil Kapoor, Anil Arora, Shivali Arya","doi":"10.1007/s00264-025-06439-x","DOIUrl":"10.1007/s00264-025-06439-x","url":null,"abstract":"<p><strong>Purpose: </strong>Total knee arthroplasty (TKA) is the preferred treatment for end-stage knee osteoarthritis, but challenges arise with severe angular deformities and associated tibial bone loss. The cement screw construct has emerged as a promising technique for managing these defects, offering advantages such as cost-effectiveness, accessibility, and ease of implementation. This research evaluated the clinical, functional and radiological outcome of screw-cement construct for the tibial defects in TKA.</p><p><strong>Method: </strong>This retrospective study aimed to evaluate the long-term functional outcomes and success rate of the cement screw construct in patients with significant tibial defects. Sixty-five patients (104 knees) undergoing TKA were divided into two groups: conventional TKA (Group A) and TKA with screw-cement construct (Group B). Demographic, clinical, and radiological data were collected, with a follow-up duration of at least eight years.</p><p><strong>Results: </strong>The study revealed comparable demographic characteristics between groups. Both cohorts exhibited significant postoperative improvements in knee morphology and clinical outcomes. Group B demonstrated a higher incidence of radiolucency around the tibial tray, although no progressive complications were observed. Implant survival rates were similar between groups, with complications such as aseptic loosening and infections occurring in both without significant difference.</p><p><strong>Conclusions: </strong>This study emphasised the viability of the screw-cement construct for managing uncontained tibial defects during TKA, providing evidence of its efficacy, and cost-effectiveness and suggesting its potential as a standard approach for tibial defects till 20 mm.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"647-660"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399155","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 elbow dislocations: shorterm results of the \"French elbow connection\" technique.","authors":"Pierre Laumonerie, Gregoire Ciais, Hugo Barret, Paul Héraudet, Pierre Mansat, Vincent Martinel, Meagan Tibbo","doi":"10.1007/s00264-025-06447-x","DOIUrl":"10.1007/s00264-025-06447-x","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the present study was to describe our experience with French Elbow Connection (FEC) (i.e. elbow reduction and triple ligamentoplasty) for patients with chronic elbow dislocation (CED).</p><p><strong>Materials and methods: </strong>We performed a retrospective review of 12 patients in two departments of orthopaedic surgery undergoing the FEC procedure for CED between 2019 and 2024. The median follow-up was 1.80 years (IQR 1.00; 1.97). Range of motion, mean Mayo Elbow Performance score (MEPS), visual analog scale (VAS), elbow stability, and radiographic outcome were recorded.</p><p><strong>Results: </strong>Median MEPS and VAS were 90.00 points (IQR 75.60; 100.00) and 0 (IQR 0; 1.50), respectively. Eight (66%) patients reported no pain. The median active flexion-extension and prono-supination arcs were 145°(IQR 102.60; 150.00), and 170°(IQR 155.03; 170.00) respectively. Persistent valgus or varus instability was identified in 2 (17%), and 1 (8%) patient respectively. Size patients (50%) were diagnosed with osteoarthritis (OA) and 1 patient experienced worsening postop OA (from grade 1(preop) to 3(postop)).</p><p><strong>Conclusion: </strong>CED is a complex condition that presents elbow surgeons with unique challenges. The FEC procedure allows for immediate active ROM and yielded satisfactory short-term outcomes in our hands. Larger, longer-term studies will be necessary to assess reproducibility and confirm results can be maintained over time.</p><p><strong>Level of evidence: </strong>level IV; therapeutic study (case series [no, or historical, control group]).</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"687-695"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408019","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":"Three dimensionalprinted titanium block to reconstruct severe acetabular bone defects in primary hip arthroplasty.","authors":"Han Sun, Rui Tan, Jiachen Liu, Shijie Shao, Jinghua Xiang, Shuxiang Li, Yijie Liu, Yimin Wang","doi":"10.1007/s00264-025-06444-0","DOIUrl":"10.1007/s00264-025-06444-0","url":null,"abstract":"<p><strong>Purpose: </strong>Total hip arthroplasty (THA) with severe acetabular bone defect remains a challenge in clinic. The purpose of this study is to investigate the treatment technique by using the three-dimensional (3D) printing technology, and analyze the feasibility and preliminary effect of 3D printed personalized titanium blocks for acetabular defect reconstruction in primary THA.</p><p><strong>Methods: </strong>The clinical data of 35 patients with Paprosky type 3 acetabular defect, who underwent initial THA with 3D-printed titanium implants in our hospital from January 2017 to December 2019, were retrospectively analyzed. Among them, 21 cases were Paprosky type 3 A bone defects and 14 cases were Paprosky type 3B bone defects. The Harris Hip Score (HHS) was used to evaluate clinical outcomes, while imaging results were analyzed by hip rotation centres (V-COR and H-COR). In addition, postoperative complications were recorded.</p><p><strong>Results: </strong>The mean follow-up was 79.4 months (ranging from 63 to 94 months) and no patient was lost to follow-up. The total in-hospital blood loss of all patients was 462.9 ± 227.8 mL, accompanied with a blood transfusion rate of 31.4%. HHS improved from 44.5 ± 10.0 preoperatively to 85.1 ± 7.4 at the last follow-up (p < 0.001). Postoperative X-rays exhibited a good match between the 3D-printed titanium block and the acetabulum. V-COR decreased from 50.1 ± 4.7 mm preoperatively to 19.7 ± 1.8 mm postoperatively (p < 0.001). Similarly, H-COR improved from 33.1 ± 11.8 mm preoperatively to 29.7 ± 1.7 mm postoperatively (p > 0.05). Additionally, there were no significant changes in V-COR and H-COR at the last follow-up (p > 0.05). During follow-up, three cases of complications were observed, including two cases of wound redness and one case of partial sciatic nerve paralysis.</p><p><strong>Conclusions: </strong>The 3D-printed personalized titanium block revealed accurate reconstruction, satisfactory radiographic and clinical outcomes, and low complication rates. This technique provides a reliable treatment strategy for primary THA in patients with severe acetabular bone defect.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"595-603"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373970","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":"Outcomes of anatomic total shoulder arthroplasty: evaluation of implant-related, radiographic, and demographic factors influencing durability and revision rates.","authors":"Felix Hochberger, Benedikt Weth, Tizian Heinz, Dirk Boehm, Maximillian Rudert, Kilian List","doi":"10.1007/s00264-025-06454-y","DOIUrl":"https://doi.org/10.1007/s00264-025-06454-y","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of implant-associated and radiographic factors on survival rates and revisions of total shoulder arthroplasty (TSA) in patients with primary osteoarthritis (OA).</p><p><strong>Methods: </strong>This retrospective study included 68 patients who underwent TSA for primary OA at a single institution between 2008 and 2015, with a minimum follow-up of 60 months. Patients with prior shoulder surgeries, perioperative infections, or revisions within 12 months postoperatively were excluded. Patients were divided into Group A (Survivors) and Group B (Revisions) based on implant survival. Radiographic parameters analyzed included critical shoulder angle (CSA), acromiohumeral distance (AHD), lateral offset (LO), humeral head-stem index (HSI), centre of rotation (COR), and glenoid erosion, categorized using Sirveaux, Lévigne, Franceschi, and Walch classifications. Demographic data were also assessed.</p><p><strong>Results: </strong>Of 68 patients, 57 were in Group A (mean age: 58.5 ± 10.1 years; follow-up: 115.8 months) and 11 in Group B (mean age: 61.4 ± 8.3 years; follow-up: 113.9 months). Implant survival was 84% after 115.8 ± 34.5 months. Baseline demographics were comparable (e.g., smoking: p = 0.75), as was osteolysis prevalence (Group A: 47%; Group B: 45%; p = 0.91). HSI was significantly higher in Group B (0.5 ± 0.1 vs. 0.4 ± 0.1; p = 0.03). No other radiographic differences were significant.</p><p><strong>Conclusion: </strong>Patients undergoing anatomic total shoulder arthroplasty can expect favourable mid- to long-term outcomes, with implant survival rates of 84% and relatively low complication rates. Although osteolysis is common, it rarely necessitates revision surgery. The role of the humeral head-stem index (HSI) warrants further investigation.</p><p><strong>Study design: </strong>Level IV; retrospective case study.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537130","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 of ulnar variance with primary distal radio-ulnar joint arthritis: a matched case-control study.","authors":"Yun Jae Kim, Won Sun Lee, Young Ho Shin, Jae Kwang Kim","doi":"10.1007/s00264-025-06421-7","DOIUrl":"10.1007/s00264-025-06421-7","url":null,"abstract":"<p><strong>Purpose: </strong>Knowledge regarding risk factors for primary distal radioulnar joint (DRUJ) arthritis is limited. This study evaluated the association between ulnar variance (UV) and the development of primary DRUJ arthritis in a matched case-control cohort.</p><p><strong>Methods: </strong>Patients with symptomatic DRUJ arthritis were identified from those attending an orthopaedic outpatient clinic between January 2017 and April 2023. The control group comprised individuals without radiographic evidence of DRUJ arthritis. Propensity score matching was performed, aiming for a 1:3 ratio with an age difference limit of five years or less. UV and grade of DRUJ arthritis were assessed using a previously described method. Differences in UV between the case and control groups, and the association between ulnocarpal joint (UCJ) and DRUJ arthritis, were analysed. Receiver operating characteristic (ROC) analysis was used to determine the UV cut-off value for predicting symptomatic DRUJ arthritis.</p><p><strong>Results: </strong>The case group comprised 49 wrists from 44 patients, while the control group included 147 wrists from 132 individuals. The mean ages of the case and control groups were 69.6 and 67.5 years, respectively. UV was significantly higher in the case group (3.5 ± 2.9 vs. 1.6 ± 1.5 mm). The prevalence of UCJ arthritis increased with higher DRUJ arthritis grades. ROC curve analysis revealed a UV cut-off of 2.9 mm, with a sensitivity of 0.612 and specificity of 0.816.</p><p><strong>Conclusions: </strong>A UV greater than 2.9 mm was associated with symptomatic primary DRUJ arthritis. Patients with more advanced DRUJ arthritis were also more likely to have concomitant UCJ arthritis.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"681-686"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189242","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":"Normative values of grip and pinch strength and their predictor factors: PERSIAN cohort study of healthcare staff.","authors":"Mobina Sayadizadeh, Mahla Daliri, Masoumeh Sadeghi, Mehdi Ataei Azimi, Javad Khaje Mozafari, Ali Moradi","doi":"10.1007/s00264-025-06409-3","DOIUrl":"10.1007/s00264-025-06409-3","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aims to provide normative values for Hand Grip Strength (HGS) and Hand Pinch Strength of healthcare staff and evaluate key body anthropometric predictors of these strengths.</p><p><strong>Methods: </strong>This cross sectional study was conducted on 2,337 healthcare staff. HGS and pinch strength were assessed for both hands using a hydraulic hand dynamometer and pinch gauge. Descriptive data were reported for dominant and non-dominant HGS and pinch strength, after stratification by gender, age, and height. Multivariatelinear regression analysis was performed to assess predictor variables.</p><p><strong>Results: </strong>The maximum HGS values were identified in men aged 35 to 40, measuring 38.00 ± 7.81 kg, and in women aged 50 to 55, measuring 22.20 ± 4.13 kg. The highest pinch strength values were recorded in men aged 45 to 50, with measurements of 7.16 ± 1.48 kg, and in women aged 35 to 40, with measurements of 4.24 ± 1.15 kg. The predictor variables for dominant HGS and pinch strength exhibited 59% and 51% prediction for variations in dominant HGS and pinch strength, respectively, using gender, height, and wrist circumference as predictors. Height (for grip: dominant hand: β = 0.33, CI [0.28, 0.37]; for pinch: dominant hand: β = 0.04, CI [0.02, 0.05]) was the most effectively correlated anthropometric variable.</p><p><strong>Conclusion: </strong>The findings demonstrate differences in HGS and pinch strength among different gender and age groups. Multiple linear regression analysis highlights the crucial role of anthropometric variables in evaluating hand strength. These results can provide guidance for future research and clinical assessments.</p><p><strong>Trial registry number: </strong>Not applicable.</p><p><strong>Level of evidence: </strong>Level III (analytical cross-sectional study on big sample size).</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"549-557"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949079","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":"Comparison of Hemiarthroplasty, total hip arthroplasty, and internal fixation for hip fractures in patients over eighty years of age: factors affecting mortality: a nationwide cohort study of fifty three thousand, four hundred and ninety five patients from Türkiye.","authors":"Kadir Uzel, Murat Birinci, Ömer Serdar Hakyemez, Bilal Bostanci, İzzet Bingöl, Umut Öktem, Naim Ata, M Mahir Ülgü, Şuayip Birinci, Vasfi Karatosun, Bülent Atilla, İbrahim Azboy","doi":"10.1007/s00264-025-06412-8","DOIUrl":"10.1007/s00264-025-06412-8","url":null,"abstract":"<p><strong>Purpose: </strong>Hip fractures are a common cause of mortality in elderly patients. This study aimed to determine the predictive factors affecting mortality among patients over the age of 80 who underwent surgical treatment for hip fractures.</p><p><strong>Methods: </strong>We searched the Turkish Ministry of Health's e-health database to identify patients over 80 years old who had undergone surgery for proximal femoral fractures from 2016 to 2022. This process yielded 53,495 patients. Demographic data as well as comorbidities, blood transfusions, postoperative 90 days medical complications, and mortality was investigated. Multivariate logistic regression analysis was performed to identify risk factors for one year mortality in patients undergoing surgical treatment for proximal hip fractures.</p><p><strong>Results: </strong>The mortality rate was 37.2% in the first year. The mean Charlson comorbidity index(CCI) was 6.8 (range: 4-22). In the postoperative period, 68.6% of the patients received blood transfusions. Logistic regression analysis identified significant predictors of one-year mortality in surgical patients, including male gender, increased age, higher CCI scores, AKI, PE, pneumonia, electrolyte imbalance, gastrointestinal bleeding, blood transfusion, and increased mortality risks with hemiarthroplasty and internal fixation compared to total hip arthroplasty. (p < 0.001 for all).</p><p><strong>Conclusions: </strong>This large cohort study demonstrated that the mortality rate is high and that the type of surgery, male gender, older age, blood transfusion requirements, and high CCI score are associated with mortality in patients over 80 years of age who have undergone surgery for hip fractures. Preoperative optimization and postoperative care are critical for these vulnerable elderly patients.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"729-736"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and efficacy of ultrasonic bone scalpel compared with a high-speed drill in spinal surgery: our experience in sixty cases.","authors":"Utku Özgen, Ahmet Tulgar Başak, Mehdi Hekimoğlu, Mehmet Osman Akçakaya, Tunç Öktenoğlu, Ali Fahir Özer, Talat Kırış","doi":"10.1007/s00264-025-06474-8","DOIUrl":"https://doi.org/10.1007/s00264-025-06474-8","url":null,"abstract":"<p><strong>Purpose: </strong>In this study, we aimed to evaluate the effectiveness and safety of UBS (Ultrasonic Bone Scalpel) and HSD (High-speed drill) for performing anterior or posterior decompressions in patients with pathologies in cervical and lumbar regions.</p><p><strong>Methods: </strong>Between October 2022 and June 2024, 60 patients underwent surgery in which a UBS (Sonopet UST-2001; Stryker Neuro Spine ENT, MI, USA) and High-speed Midas Rex MR8 (Medtronic, Fort Worth, TX, USA) drill was used. Informed consent was obtained from all patients. The study included 27 men and 33 women with a mean age of 59,5 ± 14.6 years (range: 28-85). The following patient data were recorded: preoperative and postoperative JOA scores, intraoperative blood loss, and operative time for decompression in lumbar and cervical region.</p><p><strong>Results: </strong>In UBS group, the mean intraoperative blood loss was 166.0 ± 64.3 ml. The mean preoperative and postoperative JOA scores were 4.5 ± 1.0 and 8.6 ± 1.8 and the mean postoperative follow-up duration was 6.1 ± 4.4 months in UBS group. The mean intraoperative blood loss was 221.2 ± 93.4 ml in HSD group. The mean preoperative and postoperative JOA scores were 5.2 ± 1.1 and 8.2 ± 1.2 in HSD group. In the HSD group, the blood loss (BL) value was significantly higher (p < 0.05) compared to the UBS group. The preoperative/postoperative JOA score improvement in the UBS group was significantly higher (p < 0.05) than in the HSD group.</p><p><strong>Conclusions: </strong>The UBS can be safely used in spinal surgery. It reduces intraoperative blood loss and provide better clinical improvement. Authors would like to emphasize that the UBS resects the bone with oscillatory movements rather than rolling motions and this mechanism of action is important in reducing the risk of dura mater injury.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536718","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":"Spin is Prevalent in the Abstracts of Systematic Reviews and Meta-Analyses Comparing Biceps Tenodesis and Tenotomy Outcomes.","authors":"Karim Khaled, Raed Alderhali, Jordan Helbing, Osama Alzobi, Bashir Zikria","doi":"10.1007/s00264-025-06414-6","DOIUrl":"10.1007/s00264-025-06414-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the presence of spin in abstracts of systematic reviews and meta-analyses comparing biceps tenodesis and tenotomy outcomes and to explore associations between spin and specific study characteristics.</p><p><strong>Methods: </strong>Using Web of Science and PubMed databases, systematic reviews and meta-analyses comparing outcomes of biceps tenodesis and tenotomy were identified. Abstracts were evaluated for the nine most severe types of spin as described by Yavchitz et al. and appraised using the AMSTAR 2 (A MeaSurement Tool to Assess systematic Reviews). Study characteristics were extracted, including adherence to PRISMA guidelines,funding status, and impact metrics such as journal impact factor, total number of citations, and average annual citations.</p><p><strong>Results: </strong>A total of 16 studies were included, with spin detected in 81.3% of the abstracts. Type three spin was the most frequent (56.3%), followed by types six (43.8%), five (37.5%), nine (25.0%), two (12.5%), and four (6.3%). Spin types one, seven, and eight were not observed. AMSTAR 2 appraised 75% of the studies as 'low' quality, and 25% as 'critically low' quality. All studies had at least one critical flaw, with item 15 (investigation of publication bias) being the most frequent (93.8%). A strong positive correlation was found between AMSTAR 2 scores and citation counts (r = 0.821, p < 0.001). Studies with a higher number of spin incidents were significantly more likely to have an associated letter to the editor (p = 0.0043).</p><p><strong>Conclusion: </strong>Severe types of spin were prevalent in the abstracts of systematic reviews and meta-analyses comparing biceps tenodesis and tenotomy. Data analysis suggests that abstracts with a higher incidence of spin tend to attract more scrutiny from the academic community. These findings highlight the need to enhance reporting standards.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"697-704"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033140","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}