Journal of Orthopaedic Surgery最新文献

{"title":"Cryotherapy modulates femoral nerve afferent signals after simulated anterior cruciate ligament reconstruction in a rabbit model.","authors":"Joe M Hart, Kimberly A Pritchard, Bradley J Lauck, MaCalus V Hogan, Susan A Saliba","doi":"10.1177/10225536261474688","DOIUrl":"https://doi.org/10.1177/10225536261474688","url":null,"abstract":"<p><p>BackgroundAberrant sensory information arising from damaged knee joint tissues is an underlying cause of post-traumatic quadriceps arthrogenic muscle inhibition which commonly follows joint injury. This study aimed to determine if aberrant sensory information from damaged knee joints could be modulated using cryotherapy.MethodsComposite femoral nerve sensory signal was measured during passive knee extension in 16 rabbits. Ten rabbits underwent unilateral leg surgery to simulate the joint damage created during anterior cruciate ligament reconstruction, and 6 rabbits were healthy controls receiving no intervention. Focal knee joint cryotherapy treatment was administered for 15 minutes in all 12 control and 10 surgical limbs. Nerve measurements were repeated after cryotherapy. Side-to-side ratios (surgical side vs. contralateral healthy side) for peak filtered and integrated whole nerve composite signal were compared before and following cryotherapy treatment.ResultsPeak femoral nerve signal was significantly higher in the surgical leg (4.68±1.95) compared to the contralateral leg (3.25±2.04) in rabbits who underwent unilateral surgery (p=0.049). There was no difference in side-to-side limb comparison in control animals (p=0.337). The peak femoral nerve signal in the surgically involved rabbits was significantly reduced following cryotherapy in the surgical leg (p=0.005).ConclusionComposite femoral nerve afferent signal is greater in injured knees than in healthy knees relative to the contralateral side. Cryotherapy resulted in a significantly downregulated sensory response from the surgical limb.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261474688"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco use and complications after open reduction and internal fixation of distal radius fractures in older adults: A propensity score-matched analysis.","authors":"Zina Smadi, Bilal Irfan, Katie McBee, Barock Tesfaye, Eileen Phan, Fatima Mubarak, Marc Boutros, Daniel E Pereira","doi":"10.1177/10225536261467961","DOIUrl":"https://doi.org/10.1177/10225536261467961","url":null,"abstract":"<p><p>BackgroundDistal radius fractures (DRFs) are among the most common fragility-related fractures in older adults. Although open reduction and internal fixation (ORIF) is often selected to restore function and enable early mobilization, preoperative risk factors such as tobacco use may impair bone metabolism and immune function, affecting ORIF outcomes. This study aimed to investigate 90-day and 2-year outcomes after DRF ORIF in geriatric patients with a history of tobacco use or nicotine dependence.MethodsA retrospective cohort analysis was performed using a nationwide database to identify patients aged ≥60 years who underwent DRF ORIF with at least two-year postoperative follow-up between 2005-2025. Patients were categorized into tobacco users and controls. Propensity score matching (1:1) was applied for demographics and major comorbidities. Primary outcomes included implant removal, malunion/nonunion repair, and infection at two years postoperatively; secondary outcomes encompassed ninety-day medical systemic complications.ResultsAfter matching, 5,725 patients remained in each cohort. Tobacco users had higher rates of sepsis (0.2% vs 0%, p=0.002), renal failure (RR 2.64, p=0.001), pneumonia (RR 2.64, p<0.0001), wound complications (RR 1.62, p=0.004), and postoperative infection (RR 2.46, p<0.0001). At two years, rates of malunion/nonunion repair (RR 2.08, p=0.001) and malunion (RR 1.54, p=0.042) remained significantly elevated.ConclusionA history of tobacco use is associated with increased 90-day and 2-year complications after ORIF for DRF in older adults. These findings highlight the importance of preoperative counselling, smoking cessation, and perioperative optimization to improve surgical outcomes in this population. Further research is needed to identify targeted interventions and strategies to reduce these complications and improve recovery in older adults with a history of tobacco use.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261467961"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathological fractures as a prognostic factor for survival in metastatic solid cancers: A meta-analysis.","authors":"Ahmed Elkohail, Ali Soffar, Ahmed M Khalifa, Ibrahim Omar, Ahmed Anber, Ashis Kumar Paul, Larisa Radu, Aqil Ahamed Mohideen Ahamed Sha, Ahmed Elsaket, Mostafa Abdulaziz, Mahmoud Teama, Ehab Sharyan, Mohamed Terra","doi":"10.1177/10225536261475961","DOIUrl":"10.1177/10225536261475961","url":null,"abstract":"<p><p>BackgroundPathological fractures (PFs) are clinically important skeletal-related events in patients with bone metastases from solid tumors and may negatively affect survival. This meta-analysis aimed to quantify the association between PFs and overall survival (OS) in patients with metastatic solid cancers.MethodsThis systematic review and meta-analysis was conducted in accordance with PRISMA 2020 using a PICOS-defined protocol. PubMed/MEDLINE, Embase, Scopus, Web of Science, and the Cochrane Library were searched from inception to 2025 without language restrictions. Eligible studies included adults with metastatic solid tumors, compared patients with and without PFs, and reported OS using hazard ratios (HRs). Tumor types were pooled a priori because the included studies evaluated the same exposure-comparator-outcome framework across metastatic solid tumors. Random-effects models were used, and heterogeneity was explored through moderator analyses and meta-regression. Two reviewers independently screened records, extracted data, and assessed risk of bias using MINORS for observational studies and the Cochrane tool for randomized trials.ResultsFrom 198 records, four studies comprising seven cohorts and 3,607 participants met the inclusion criteria. Random-effects pooling showed that PFs were significantly associated with poorer OS compared with no PFs (pooled HR 1.40, 95% CI 1.08-1.81; p = 0.010). However, heterogeneity was substantial (I² = 92.6%), indicating that the pooled estimate should be interpreted cautiously. Meta-regression suggested a positive association between publication year and effect size (β = 0.041; p = 0.041), whereas primary cancer subgrouping was not a significant moderator. Funnel-plot asymmetry and Egger's test suggested possible small-study effects.ConclusionsPFs appear to be associated with worse OS in patients with metastatic solid tumors, highlighting the importance of fracture prevention, early identification of impending fractures, and multidisciplinary care. Nevertheless, the small evidence base, substantial heterogeneity, and possible publication bias warrant cautious interpretation. Prospective studies with standardized PF definitions and adjusted survival analyses are needed.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261475961"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bioabsorbable pin versus kirschner wire fixation in the salter innominate osteotomy for the treatment of developmental dysplasia of the hip.","authors":"Ahmet Sinan Sarı, Kadir İsmail Dere, Muhammet Zeki Gültekin, Fatih Doğar, Volkan Taşdemir, Halil Akça","doi":"10.1177/10225536261485076","DOIUrl":"https://doi.org/10.1177/10225536261485076","url":null,"abstract":"<p><p>PurposeTo evaluate the clinical and radiological effects of bio-pin versus Kirschner wire (K-wire) fixation in Salter innominate osteotomy (SIO) for developmental dysplasia of the hip (DDH).MethodsThis retrospective comparative study included patients aged 1-5 years who underwent SIO for DDH between 2021 and 2024. Patients were divided according to fixation method: bio-pin fixation (Group 1, 15 hips) and K-wire fixation (Group 2, 14 hips). Tönnis classification, acetabular index (AI), acetabular depth ratio (ADR), and International Hip Dysplasia Institute (IHDI) classification were evaluated preoperatively, immediately postoperatively, at three and six months, and at final follow-up. Postoperative complications were examined.ResultsTwenty-seven patients (29 hips) were included: 14 patients (15 hips) in Group 1 and 13 patients (14 hips) in Group 2. No substantial variations were seen between groups concerning age, sex, operated side, complication rates, or follow-up time (p>0.05). Both groups showed significant improvement in AI and ADR during follow-up (p<0.001). At final follow-up, mean AI was 26.09±1.96° in Group 1 and 24.04±4.33° in Group 2 (p=0.117), while mean ADR was 204.9 ± 23.7 and 219.1 ± 28.5, respectively (p=0.167). Avascular necrosis was the most common complication, occurring in two hips in Group 1 and four hips in Group 2. No implant-related complications were observed.ConclusionBioabsorbable pin fixation provided radiological outcomes comparable to K-wire fixation following SIO for DDH. Although no implant-related complications were identified, the small sample size and limited follow-up warrant cautious interpretation. Further studies with larger cohorts and longer follow-up are needed.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261485076"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148829532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The rat as a model for biologic rotator cuff treatment interventions.","authors":"William H Fang, Yesenia Valle Ramirez, Grace Kim, C Thomas Vangsness","doi":"10.1177/10225536261449650","DOIUrl":"10.1177/10225536261449650","url":null,"abstract":"<p><p>The rat model has been extensively utilized in numerous studies on the rotator cuff. This review analyzes these studies and categorizes their findings into three primary areas: (1) the effects of external interventions on the intact shoulder/supraspinatus tendon, (2) surgical healing under varied conditions, and (3) the combined impact of surgery and external interventions on the biological healing response of the supraspinatus tendon. These studies consistently highlight the Sprague-Dawley rat as a valuable animal model. Several key themes emerge from research on rat shoulders. First, both intrinsic and extrinsic mechanisms contribute to changes in the supraspinatus tendon. Second, many studies report suboptimal tendon-bone healing, emphasizing the need for improved surgical repair techniques. Timely repair of acute tears facilitates smoother surgeries, enhances healing outcomes, and reduces the risk of failure. Additionally, reduced post-surgical activity levels have been associated with superior healing. Finally, ongoing research using this model continues to advance our understanding of the complex rotator cuff healing process.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261449650"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morphological development of the femoral trochlea: A literature review.","authors":"Charles-Antoine Tardif, Marie-Lyne Nault, David Mazy","doi":"10.1177/10225536261478327","DOIUrl":"10.1177/10225536261478327","url":null,"abstract":"<p><p>This literature review aimed to synthesize the current evidence on the developmental processes of the femoral trochlea, both non-dysplastic and dysplastic. A comprehensive literature review was conducted in three databases (PubMed, Google Scholar, and Sofia) for studies published up to June 2025 using predefined keywords related to trochlear morphology and development. Studies addressing the development of both dysplastic and non-dysplastic trochleae were included after a stepwise screening of titles, abstracts, and full texts. Eleven studies were included, three were prenatal and eight were postnatal. Most studies relied only on the sulcus angle to characterize trochlear dysplasia. In non-dysplastic trochlea, trochlear morphology starts in utero, with a relatively flat osseous groove at birth that is functionally compensated by a well-formed cartilaginous trochlea, followed by progressive osseous deepening and integration with the cartilaginous morphology until skeletal maturity. In dysplastic trochlea, while a genetic predisposition appears involved, altered patellar tracking and insufficient patellar engagement during growth may also contribute a developmental component of dysplasia. Future studies should combine longitudinal follow-up with comprehensive three-dimensional assessment of trochlear morphology to improve our understanding of femoral trochlear development and the pathogenesis of trochlear dysplasia.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261478327"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"APPA-defined pelvic state and iliac tilt-based estimation of pelvic tilt in a large standing radiographic cohort.","authors":"Siyuan Wang, Shuo Yang, Hao Qi, Chenxi Wang, Chenjie Dai, Wei Chen, Di Zhang","doi":"10.1177/10225536261459777","DOIUrl":"https://doi.org/10.1177/10225536261459777","url":null,"abstract":"<p><p>BackgroundPelvic tilt (PT) is a key spinopelvic parameter, but direct measurement may be limited on routine lateral radiographs when the femoral heads are obscured. Anterior pelvic plane angle (APPA) and iliac tilt (IT) may serve as alternative descriptors of pelvic orientation, but the optimal IT-derived metric for estimating PT remains unclear.MethodsWe retrospectively reviewed 977 consecutive individuals who underwent standardized standing lateral whole-spine radiography between February 2024 and November 2025. Only radiographs without radiographically evident structural spinal pathology and with directly measurable PT were included. Pelvic state was classified by APPA. Candidate IT measurements, including superior iliac tilt (ITS), inferior iliac tilt (ITI), and mean iliac tilt (ITM), were compared in terms of measurability, reliability, and estimation error. Linear regression models were then developed to estimate PT from ITM and internally validated using 10-fold cross-validation.ResultsOf the 977 individuals, 660 (67.6%) showed pelvic retroversion, 311 (31.8%) anteversion, and 6 (0.6%) a neutral state. APPA-defined retroversion was more frequently observed in older age groups, reaching 85.7% in participants aged ≥70 years. ITM provided the most favorable overall performance, with 94.2% measurability, high reproducibility, the lowest mean absolute error (3.17°), and the narrowest 95% limits of agreement (-8.21° to 8.21°). PT correlated most strongly with ITM (<i>r</i> = 0.87, <i>P</i> < 0.001). The model incorporating ITM, age, and sex showed the best internally validated performance (<i>R</i>² = 0.79, RMSE = 3.91°, MAE = 3.01°).ConclusionsIn this cohort with directly measurable PT, APPA-defined retroversion was more frequent in older age groups. ITM may provide an approximate PT estimate when direct PT measurement is limited, but further validation is needed in PT-nonmeasurable radiographs.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261459777"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A diagnostic nomogram for synchronous lung metastasis at initial diagnosis in osteosarcoma: A retrospective SEER database study.","authors":"Sisi Ge, Yali Yu, Lin Hu, Yanli Niu","doi":"10.1177/10225536261462612","DOIUrl":"10.1177/10225536261462612","url":null,"abstract":"<p><p>ObjectiveThis study aimed to establish a diagnostic nomogram for identifying synchronous lung metastasis at initial diagnosis in osteosarcoma patients, and to descriptively analyze overall survival patterns in patient subgroups.MethodsA total of 1149 eligible osteosarcoma cases diagnosed between 2010 and 2015 were retrieved from the Surveillance, Epidemiology, and End Results (SEER) database. Candidate predictors were screened by univariate logistic regression (<i>p</i> < 0.10) and entered into backward stepwise multivariate logistic regression (retention <i>p</i> < 0.05) to construct a diagnostic nomogram. Discrimination was evaluated by the area under the receiver operating characteristic curve (AUC), calibration by calibration plot, and clinical utility by decision curve analysis (DCA) with bootstrapping validation. Secondary survival analysis used Kaplan-Meier curves and log-rank tests to describe overall survival patterns.ResultsSynchronous lung metastases were found in 213 patients (18.5%) at diagnosis. The nomogram incorporated age, race, sex, lymph node stage, grade, tumour size, tumour site, and histology. It achieved an AUC of 0.754 (95% confidence interval 0.719 - 0.799) and a bootstrap-calibrated C-index of 0.745. Calibration was satisfactory, and DCA demonstrated superior net benefit compared with traditional staging approaches, including AJCC stage, grade alone, size alone, and N stage alone. In exploratory survival analysis, patients with synchronous metastasis had significantly poorer overall survival, and primary tumour surgery was associated with prolonged median survival.ConclusionThe diagnostic nomogram, incorporating tumour grade, site, size, and lymph node stage, provides a reliable tool for estimating the probability of synchronous lung metastasis at initial diagnosis, which may assist clinicians in guiding initial staging intensity and treatment planning. However, owing to the cross-sectional design of the SEER database, this model is not designed for predicting future metastatic progression.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261462612"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural factors associated with Baker's cyst volume in degenerative knees: A large MRI-based cohort study.","authors":"Çağlar Tuna Issi, Muhammed Furkan Darilmaz, Mustafa Bulut, Hakan Yolaçan, Serkan Güler","doi":"10.1177/10225536261478195","DOIUrl":"https://doi.org/10.1177/10225536261478195","url":null,"abstract":"<p><p>PurposeTo evaluate structural factors associated with Baker's cyst volume and determine whether cyst enlargement is related to medial meniscus posterior root tear (MMPRT), medial meniscus extrusion (MME), posterior tibial slope (PTS), and radiographic osteoarthritis severity.MethodsThis retrospective study included 876 knee MRI examinations with MRI-confirmed Baker's cysts after predefined exclusions. Baker's cyst volume, MMPRT status, MME, PTS, and Kellgren-Lawrence osteoarthritis grade were assessed using standardized imaging protocols. Factors associated with cyst volume were evaluated using multivariable linear regression. Logistic regression and receiver operating characteristic analysis were performed to assess the relationship between cyst volume and MMPRT. Measurement reliability was evaluated using intraclass correlation coefficients.ResultsMMPRT was independently associated with larger Baker's cyst volume (p = 0.004). Greater PTS was also associated with increased cyst volume, with each 1° increase corresponding to a significant volume increase (p = 0.012). Increasing Kellgren-Lawrence grade remained independently associated with larger cyst volume (p < 0.001), and MME showed an independent but modest association (p = 0.044). The final regression model was significant (F (8,867) = 23.45, p < 0.001) and explained 17.8% of the variance. ROC analysis identified 10.16 cm³ as the optimal cyst volume threshold for identifying MMPRT; however, discriminative performance was modest, indicating that cyst volume should not be interpreted as a standalone diagnostic marker. ICC values ranged from 0.79 to 0.91.ConclusionBaker's cyst enlargement is associated with MMPRT, increased PTS, greater MME, and increasing osteoarthritis severity. Larger cysts may prompt careful evaluation of the medial meniscus posterior root and degenerative joint burden on routine knee MRI, but cyst volume should be interpreted together with other structural imaging findings.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261478195"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiologic and clinical outcomes of a novel scapular anatomical plate for glenoid articular and periarticular fractures.","authors":"Doo-Hyung Lee, Myung-Sub Lee, Won-Tae Cho, Seungyeob Sakong, Sumin Lim, Wan-Sun Choi","doi":"10.1177/10225536261478326","DOIUrl":"https://doi.org/10.1177/10225536261478326","url":null,"abstract":"<p><p>PurposeTo evaluate the radiologic and clinical outcomes of a novel scapular anatomical plate designed for fixation of glenoid articular and periarticular fractures.MethodsThis prospective case series included 14 patients with scapular fractures treated between 2020 and 2024. Indications for surgery were intra-articular step-off >3 mm, glenoid medialization >20 mm, or glenoid angulation >30°. All patients underwent open reduction and internal fixation using the newly developed anatomical plate and were followed for at least 12 months. Radiologic outcomes were assessed using computed tomography, including intra-articular step-off, lateral border offset, and glenoid angular deformity. Clinical outcomes were evaluated using shoulder range of motion, Disabilities of the Arm, Shoulder and Hand (DASH) score, modified American Shoulder and Elbow Surgeons (ASES) score, and visual analog scale (VAS) for pain.ResultsSix patients had intra-articular fractures and eight had extra-articular fractures. Mean intra-articular step-off improved from 6.3 mm to 1.9 mm, lateral border offset from 21.2 mm to 2.3 mm, and glenoid angular deformity from 30.1° to near-anatomical alignment postoperatively. No articular screw penetration was observed on postoperative CT. All fractures achieved radiographic union without loss of reduction or implant-related complications. At 12 months, mean forward flexion was 136.4°, DASH score 24.5, modified ASES score 72.9, and VAS score 3.1.ConclusionThe novel scapular anatomical plate provided stable fixation with satisfactory radiologic restoration and favorable clinical outcomes for glenoid articular and periarticular fractures.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"34 2","pages":"10225536261478326"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}