MUSCULOSKELETAL SURGERY最新文献

{"title":"Retrograde insertion of full-length ramus screws for the treatment of pelvic and/or acetabular fracture.","authors":"Libin Zheng, Chia-Jui Hu, Xionghai Shen, Jiangtao Hao, Lai Yu, Guanfei Zeng, Guangming Yang, Yongwei Pan","doi":"10.1007/s12306-026-00956-7","DOIUrl":"https://doi.org/10.1007/s12306-026-00956-7","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the feasibility, safety, and effectiveness of a retrograde technique for inserting a full-length ramus screw through an osseous starting site (OSS) at the anteromedial corner of the para-symphyseal bone, and to analyze the position and parameters of the ramus osseous fixation pathway (OFP) based on screw placement.</p><p><strong>Methods: </strong>From August 2020 to December 2021, patients with fractures of the anterior acetabular column or the superior pubic ramus treated with a retrograde superior ramus screw were included in this study. The OSS was located at the anteromedial corner of the para-symphyseal bone. Perioperative and postoperative complications were recorded. The position and the parameters of the ramus OFP were established based on the postoperative CT images of the inserted full-length screws.</p><p><strong>Results: </strong>Twenty-three (23/25) full-length large-diameter (≥ 7 mm) ramus screws were successfully inserted in 19 (19/20) cases. Postoperative CT images showed that all full-length screws were positioned within a bony corridor, located anteriorly and cranially to the acetabular dome. The OFP measures 119.9 ± 7.6 mm in length, with angle projection of 16.9 ± 6.3 degrees to the coronal plane and 38.6 ± 3.9 degrees to the horizontal plane. During follow-up, bone union was achieved in all cases, with no instances of bone delayed union or screw breakage observed.</p><p><strong>Conclusions: </strong>Via the OSS at the anteromedial corner of the para-symphyseal bone, the inserted full-length large ramus screws were situated anteriorly and cranially to the acetabular dome. This retrograde technique has been demonstrated to be a feasible, safe, and effective surgical procedure.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surveillance of postoperative respiratory complications in Japanese patients with hip fractures using ARISCAT score.","authors":"N Ishimaru, T Waki, T Shimokawa, S Mizuki, Y Kanzawa, T Nakajima, T Yano, K Ito","doi":"10.1007/s12306-026-00957-6","DOIUrl":"https://doi.org/10.1007/s12306-026-00957-6","url":null,"abstract":"<p><strong>Purpose: </strong>The ARISCAT score can reportedly be used to detect perioperative respiratory complications when they are not predictable by routine pulmonary function tests, blood gas tests, or chest radiography. However, its validity in Japanese patients with hip fractures is unverified. Here, we aim to determine the sensitivity and specificity of the ARISCAT score for the prevalence of respiratory complications in Japanese patients with hip fractures.</p><p><strong>Methods: </strong>This study retrospective cohort analysis included patients that underwent surgery for hip fracture at our hospital between July 2020 and March 2022. The primary outcome was the rate of postoperative respiratory issues (pneumothorax, aspiration pneumonia, respiratory infection, bronchospasm, respiratory failure, atelectasis, and pleural effusion).</p><p><strong>Results: </strong>Respiratory complications occurred in 17 of 389 patients with hip fractures, with an incidence rate [95% CI] of 4.4% (2.3, 6.4). The mean age was 83.7 [8.7] years, 27.8% were men, and 232 of them (59.6%) had femoral neck fractures. The discriminative power of the ARISCAT score model for the occurrence of respiratory complications was C-statistic 0.71 [0.57,0.83]. Sensitivity and specificity were 52.9% [29.2, 76.7] and 76.8% [72.6, 81.2], respectively, for a score of ≥ 26, and 42.9% [6.2, 79.5] and 96.5% [94.6, 98.4], respectively, for a score of ≥ 45.</p><p><strong>Conclusion: </strong>The ARISCAT score had low sensitivity for detecting respiratory complications in Japanese patients with hip fractures. Surveillance of postoperative respiratory complications in Japan should be via regionally validated tools.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Systematic review of injections for acute ankle sprains.","authors":"Christopher Frey, Anant Shukla, Emily C Adydan, Nicholas Strasser","doi":"10.1007/s12306-026-00955-8","DOIUrl":"https://doi.org/10.1007/s12306-026-00955-8","url":null,"abstract":"","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147776851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcatheter arterial microembolization (TAME) in foot and ankle pathologies: current indications and future perspectives.","authors":"A Mazzotti, G Facchini, G D'Antonio, L Langone, F Sgubbi, G Peta, S Quarchioni, M Di Carlo, M Miceli, C Faldini","doi":"10.1007/s12306-026-00948-7","DOIUrl":"https://doi.org/10.1007/s12306-026-00948-7","url":null,"abstract":"<p><p>Transcatheter arterial microembolization (TAME) is a minimally invasive endovascular procedure initially developed for bleeding control and later applied to the treatment of chronic musculoskeletal conditions characterized by pathological hypervascularization, to inhibit or reduce the release of inflammatory mediators. First introduced in anatomical districts such as the knee, TAME has more recently been proposed as a therapeutic option for chronic inflammatory foot and ankle disorders refractory to conservative treatment. A narrative review of the literature was conducted by searching PubMed using the keywords \"microembolization,\" \"transcatheter arterial microembolization,\" \"TAME,\" \"foot,\" and \"ankle.\" The most recent and relevant studies, including case reports, case series, and retrospective studies, were analyzed, along with the reference lists of selected articles. Clinical indications, procedural techniques, embolic materials, clinical outcomes, and complications were evaluated. The main indications for TAME in foot and ankle pathology were Achilles tendinopathy, plantar fasciopathy, and, in a single reported case, non-union of a fifth metatarsal fracture. The procedure was predominantly performed using temporary embolic agents, most commonly imipenem/cilastatin sodium. All studies reported a technical success rate of 100%, with significant pain reduction and functional improvement in most patients. Reported complications were minor and transient, with no major adverse events documented.TAME represents a promising minimally invasive therapeutic option for chronic inflammatory foot and ankle conditions refractory to conservative management, particularly Achilles tendinopathy and plantar fasciopathy. Although preliminary clinical results are encouraging, the current evidence is limited by small sample sizes and low methodological quality, underscoring the need for larger, well-designed prospective studies.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147675020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing predictive accuracy of 2D digital templating in fluoroscopy-guided direct anterior approach total hip arthroplasty.","authors":"Jonathan Liu, Noah Gilreath, Joseph E Nassar, Mohammad Daher, Jeffrey Okewunmi, Simbarashe J Peresuh, Janine Molino, Valentin Antoci, Derek Jenkins","doi":"10.1007/s12306-026-00954-9","DOIUrl":"https://doi.org/10.1007/s12306-026-00954-9","url":null,"abstract":"<p><strong>Introduction: </strong>Preoperative 2D digital templating aids surgical planning in total hip arthroplasty (THA). We evaluated template accuracy by comparing preoperative templated measurements with postoperative findings and final implant sizes.</p><p><strong>Methods: </strong>We retrospectively reviewed a consecutive series of 100 patients who underwent fluoroscopy-guided direct anterior approach (DAA) THA by a single surgeon from November 2022 to September 2024. All patients received an Emphasys femoral stem with a Pinnacle acetabular cup. A single arthroplasty surgeon used Traumacad™ software for preoperative templating, which was compared to postoperative measurements and implants.</p><p><strong>Results: </strong>Preoperative template averages were: cup size (55.1 mm), femur size (5.8), head size (36 mm), and inclination (41.0°). Delta values (difference between postoperative and templated measurements) were: neck cut length (5.6 mm), neck cut angle (2.8°), LLD (0.1 mm), cup size (1.3 mm), femur size (0.7), head size (0 mm), and inclination (2.9°). Cup size was perfectly predicted in 56% of cases, 95% within two sizes; femur size was perfect in 52% of cases, 88% within one size, and 95% within two sizes. Stem offset was 94% accurate. Regression analysis found that higher BMI and male gender were associated with less accurate predictions for neck angle and cup size, respectively.</p><p><strong>Conclusion: </strong>While variables such as higher BMI and male gender may influence the accuracy of templating, our findings suggest that 2D templating for DAA THA offers reliable predictions within a narrow range for final implant sizes, neck cut, and planned leg length changes.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review of injections for acute ankle sprains.","authors":"Christopher Frey, Anant Shukla, Emily Adydan, Nicholas Strasser","doi":"10.1007/s12306-026-00951-y","DOIUrl":"10.1007/s12306-026-00951-y","url":null,"abstract":"<p><p>Lateral ankle sprains are a common injury that can result in morbidity in terms of pain and time away from work or sport. Although it is typically self-resolving, treatments to expedite or enhance healing may be beneficial. One modality utilized by health care practitioners is the injection of therapeutic compounds. The purpose of this study is to determine the impact of injections of local anesthetics, platelet-rich plasma (PRP), and hyaluronic acid (HA) on patients with lateral ankle sprains. Systematic Review; Level of evidence 3. A comprehensive literature search was conducted in PubMed, Embase, Web of Science, Scopus, and the Cochrane Library on December 17th, 2024, by the Health Sciences Research Librarian. A total of 10 studies were included. 5 pertained to local anesthetic injections and demonstrated a favorable impact on recovery time. 3 manuscripts used PRP with 2 of the 3 finding improvements in the intervention group relative to the control up to 24 weeks from the injury. 2 manuscripts pertained to hyaluronic acid injections and one of the studies found relative improvements compared to the control in terms of pain control. Injections of PRP, hyaluronic acid, and local anesthetics may be able to improve recovery time and pain control for lateral ankle sprains; however, there remains a need for high-quality research to make recommendations for clinical practice.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147474372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medial tibial stress syndrome.","authors":"Antonio Mazzotti, Gianmarco Di Paola, Alberto Arceri, Federico Sgubbi, Laura Langone, Simone Ottavio Zielli, Gianmarco Gemini, Cesare Faldini","doi":"10.1007/s12306-026-00953-w","DOIUrl":"https://doi.org/10.1007/s12306-026-00953-w","url":null,"abstract":"<p><p>Medial Tibial Stress Syndrome (MTSS) is an overuse pathological condition, characterized by pain and tenderness along the posteromedial border of the tibia. The duration and severity of symptoms, in some cases, may lead to marked functional impairment and undermine athletic performance.There is a lack of consensus across literature regarding several aspects of MTSS. The purpose of this narrative review is to synthesize current evidence and highlight key elements related to MTSS.Findings indicate that MTSS is a multifactorial condition involving periosteal traction, bone overload and impaired remodeling. Epidemiological data are heterogeneous, but MTSS remains prevalent among athletes and military personnel. Multiple intrinsic and extrinsic risk factors contribute to its onset. Diagnosis is primarily clinical, supported by imaging. Conservative management, consisting of rest, anti-inflammatory medications and physiotherapy, remains the cornerstone, while the evidence for surgical intervention is limited and methodologically weak.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study between two commonly used robotic systems on the accuracy of the intraoperative cuts in total knee arthroplasty.","authors":"S S Liong, W C Lee, S K M Khoo, B R K Chee, R Kunnasegaran","doi":"10.1007/s12306-026-00950-z","DOIUrl":"https://doi.org/10.1007/s12306-026-00950-z","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to compare the accuracy of robotic Total Knee Arthroplasty (TKA) intraoperative cuts between Computed Tomography image-based MAKO and imageless ROSA.</p><p><strong>Methods: </strong>We retrospectively analysed registry data for patients who underwent imaged-based MAKO and imageless ROSA robotic TKA. Two reviewers independently radiographically measured the coronal alignment of the implants in relation to the mechanical axis at 3 months post-operation. These were compared to the planned intraoperative robotic cuts.</p><p><strong>Results: </strong>One hundred sixty-one patients underwent MAKO and 110 ROSA TKA. Intraclass correlation for radiographic readings was 0.88 to 0.96. When comparing the variability between intraoperative planned alignment and 3 months postoperative, MAKO femur showed no statistically significant difference (- 0.1° ± 0.8° vs. - 0.1° ± 1.2°, p = 0.12) and likewise no difference for tibia (- 0.9° ± 1.2° vs. - 0.6° ± 1.3°, p = 0.60). However, for ROSA, its femur showed statistically significant difference (- 1.2° ± 1.0° vs. - 0.7° ± 1.3°, p < 0.01), likewise for tibia (- 0.4° ± 0.9° vs. - 0.2° ± 1.4°, p < 0.01). The variability from intraoperation to 3 months postoperative was significantly different between MAKO and ROSA for femur (0.0° ± 1.0° vs. 0.4° ± 1.1°, p < 0.01), but was not statistically significant for tibia (0.3° ± 0.1° and 0.1° ± 1.1°, p = 0.26). There was a significant difference with a larger proportion of femur implant that deviated < 1º from intraoperative plan in MAKO compared to ROSA (62.1% and 37.2% respectively, p < 0.01). At the tibia component, there was no statistically significant difference in the proportion of the extent of deviation (p = 0.73).</p><p><strong>Conclusion: </strong>There was statistically significant variability in coronal alignment between intraoperative plan and postoperative 3 months in the imageless robotic system at both femur and tibia components. The extent of variability between the imageless and CT-image based systems in femur was also statistically significant. There was also a larger proportion of implant deviation of > 1º in the femur component in imageless robotic system. Nevertheless, the overall extent of the deviation between the intraoperative plan and the postoperative position was < 0.5º. Future studies may be performed to determine whether this would translate into any clinical significance.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are elderly patients undergoing blood transfusion during hip fracture surgery at risk of postoperative delirium: a retrospective observational study.","authors":"A Laudisio, B Zampogna, G Francesco Papalia, M Serena Iuorio, F Vorini, P Catania, G Rizzello, R Papalia","doi":"10.1007/s12306-026-00949-6","DOIUrl":"https://doi.org/10.1007/s12306-026-00949-6","url":null,"abstract":"<p><strong>Purpose: </strong>Delirium is common following hip fracture surgery. Red blood cell transfusion (RBCT), which is frequently needed in this population, has been inconsistently associated with incident delirium in previous studies. This study aims to investigate whether RBCT in patients undergoing hip fracture surgery is associated with increased risk of post-operative delirium, and to identify potential risk factors that might influence this association.</p><p><strong>Materials and methods: </strong>We conducted a retrospective observational study of all hip fracture patients who underwent surgery between November 1 2020 and February 28 2022. Delirium was diagnosed based on DSM V criteria, and assessed daily. The need of perioperative RBCT, and the number of units transfused, were recorded.</p><p><strong>Results: </strong>A total of 364 participants with a mean age of 84 years were included. Delirium was recorded in 49 (14%) patients, while 88 (24%) required RBCT. In logistic regression, RBCT was associated with delirium (OR = 3.88, 95% CI = 1.23-12.24), after adjusting. An increasing number of RB units transfused was associated with increased probability of delirium (P for linear trend = .013).</p><p><strong>Conclusions: </strong>Clinicians should carefully consider the indications for RBCT in hip fracture patients. Further studies are needed to confirm these results, and to investigate the potential mechanisms underlying this association.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of pericapsular nerve group block (PENG) compared to local infiltration analgesia (LIA) after total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials.","authors":"Jiawei Chen, Ryan Wai Keong Loke, Ethan Yii Wong, Barry Wei Loong Tan","doi":"10.1007/s12306-025-00915-8","DOIUrl":"10.1007/s12306-025-00915-8","url":null,"abstract":"<p><strong>Purpose: </strong>Pain management after total hip arthroplasty (THA) is crucial for patient recovery and satisfaction. Various analgesic techniques exist, including the pericapsular nerve group (PENG) block and local infiltration analgesia (LIA). This study aims to compare the efficacy of PENG and LIA in postoperative pain management following THA.</p><p><strong>Methods: </strong>A random-effects meta-analysis of randomized controlled trials (RCTs) comparing PENG and LIA in primary THA was conducted. A systematic search of MEDLINE, Embase, Cochrane Library, and SCOPUS was performed up to October 24, 2024. Pain scores, opioid consumption, and secondary outcomes such as complications and postoperative nausea and vomiting (PONV) were analysed.</p><p><strong>Results: </strong>Four RCTs were included, with 128 patients receiving PENG and 130 receiving LIA. Demographics, including age, BMI, ASA status, and surgery duration, were comparable. Pain scores at 6, 12, 24, and 48 h were higher in the PENG group but not statistically significant. At 24 h, cumulative opioid consumption was higher in the LIA group [4.23 mg (95% CI: 0.50-7.96) vs. 3.97 mg (95% CI: 0.24-7.70)] though not statistically significant (p = 0.92). At 48 h, PENG had higher cumulative opioid consumption [6.78 mg (95% CI: 1.04-12.52) vs. 6.18 mg (95% CI: 0.91-11.45)] though not statistically significant (p  = 0.88). Secondary outcomes, including overall complication rates and PONV, showed no significant differences.</p><p><strong>Conclusions: </strong>PENG and LIA are comparable in terms of their effectiveness post THA. LIA is non-inferior to PENG in terms of postoperative pain scores, cumulative opioid consumption, overall complication rates and rates of PONV.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"29-39"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144961852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}