MUSCULOSKELETAL SURGERY最新文献

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Does non-anatomic reduction and fixation of acetabular fractures affect the post-operative quality of life?-a single center, five years, retrospective analytical study. 髋臼骨折的非解剖复位和固定是否影响术后生活质量?-单中心,5年,回顾性分析研究。
MUSCULOSKELETAL SURGERY Pub Date : 2026-06-01 Epub Date: 2025-10-15 DOI: 10.1007/s12306-025-00928-3
Arghya Kundu Choudhury, Kshitij Gupta, Surabhi Das, Chanakya P V, Tarun Goyal, Balgovind S Raja, Vivek Singh, Bhaskar Sarkar, Roop Bhushan Kalia
{"title":"Does non-anatomic reduction and fixation of acetabular fractures affect the post-operative quality of life?-a single center, five years, retrospective analytical study.","authors":"Arghya Kundu Choudhury, Kshitij Gupta, Surabhi Das, Chanakya P V, Tarun Goyal, Balgovind S Raja, Vivek Singh, Bhaskar Sarkar, Roop Bhushan Kalia","doi":"10.1007/s12306-025-00928-3","DOIUrl":"10.1007/s12306-025-00928-3","url":null,"abstract":"<p><strong>Background: </strong>Displaced acetabulum fracture is one of the most difficult traumatic injuries to be managed. It has a bearing on the patients' life in the long-term. The ability to return to pre-injury quality of life (QoL) is of major importance after acetabular fracture fixation, which in turn depends on quality of fracture reduction. The purpose of this study is to ascertain the effect of the quality of reduction on patients' QoL.</p><p><strong>Hypothesis: </strong>The patients with non-anatomic reduction of acetabular fracture will have a poorer QoL and higher complication rate as compared to anatomic reduction group.</p><p><strong>Method: </strong>A retrospective review of all the patients with acetabular fracture who were managed surgically was conducted. The patients were divided into two groups-anatomic reduction (n = 79) and non-anatomic reduction (n = 47) after reviewing the post-operative Computed Tomography (CT) scans. QoL parameters using various patient-reported outcomes measures (PROMs) like, VAS score for hip pain, Modified Harris Hip Score, Short-form 12 questionnaire, UCLA activity score and Patient satisfaction score were compared between the two groups at a minimum follow-up of 2 years. Complications like conversion to Total hip arthroplasties (THA) due to development of arthritis or AVN of femoral head, were also evaluated.</p><p><strong>Results: </strong>Modified Harris Hip score (mHHS) for the affected hip [61.5 ± 7.5 (59.9-63 .2) vs 57.1 ± 7.8 (54.8-59.3)], SF-12 (both PCS [50.5 ± 9.9 (48.4-52.7) vs 44.3 ± 8 (42-46.5)] and MCS [53.3 ± 7.8 (51.6-55.1) vs 48.3 ± 9.7 (45.6-51.1)]), UCLA activity score [4.6 ± 1.1 (4.4-4.8) vs 4.1 ± 0.9 (3.8-4.3)], and patient satisfaction scores [47.2 ± 4.5 (46.2-48.2) vs 45.1 ± 5.8 (43.4-46.8)] were significantly (p < 0.05) better in those with anatomic reduction. However, post-operative VAS was comparable in both groups. The conversion rate to THA was not found to be different between the two groups. Multivariate analysis found reduction quality to be an independent factor affecting patients' QoL.</p><p><strong>Conclusion: </strong>Quality of fracture reduction is one of the most important factors for determining the clinical outcome of the patient. An anatomic reduction not only provides better functionality to the hip; it also results in a better quality of life for the patient.</p><p><strong>Level of evidence: </strong>III, Retrospective cohort study.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"173-182"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301994","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}
引用次数: 0
Ultrasonography allows for a safe and early diagnosis of patellofemoral dysplasia in newborns: a prospective study. 超声检查可安全、早期诊断新生儿髌骨发育不良:一项前瞻性研究。
MUSCULOSKELETAL SURGERY Pub Date : 2026-06-01 Epub Date: 2025-09-23 DOI: 10.1007/s12306-025-00909-6
Joaquín Moya-Angeler, Carlos De la Torre-Conde, Domingo Maestre-Cano, Regina Sanchez-Jimenez, Cristina Jimenez-Soto, Cristina Serrano-García, Francisco Forriol, Vicente León-Muñoz
{"title":"Ultrasonography allows for a safe and early diagnosis of patellofemoral dysplasia in newborns: a prospective study.","authors":"Joaquín Moya-Angeler, Carlos De la Torre-Conde, Domingo Maestre-Cano, Regina Sanchez-Jimenez, Cristina Jimenez-Soto, Cristina Serrano-García, Francisco Forriol, Vicente León-Muñoz","doi":"10.1007/s12306-025-00909-6","DOIUrl":"10.1007/s12306-025-00909-6","url":null,"abstract":"<p><strong>Background: </strong>Patellofemoral joint instability is the most common knee pathology observed in childhood and adolescence. One significant contributing factor to this condition is trochlear dysplasia (TD) of the femoral trochlea, which can lead to chronic pain, recurrent instability, and premature wear of the patellofemoral joint. Amongst the identified risk factors, breech presentation (BP) at birth has been highlighted as a potential contributor to the development of trochlear dysplasia. This study explores the association between breech presentation and the femoral trochlea's increased sulcus angle (SA), further emphasising its role in patellofemoral joint pathology.</p><p><strong>Methods: </strong>A prospective cohort study was conducted with 85 newborns (170 knees), including healthy infants born in breech presentation (BP) between weeks 31 and 42 and those born in cephalic presentation (CP) between weeks 35 and 41. Sulcus angle (SA) values were measured using ultrasound, and a physical examination was performed for each group.</p><p><strong>Results: </strong>We observed significant differences in the SA measurements between the two groups (p < 0.05): 149.92º (95% CI 148.81-151.04; SD = 5.56), compared to the CP group, which had a mean SA of 142.52º (95% CI 141.83-143.21; SD = 2.94). The BP group also had shorter gestation periods (267 days, SD = 11 vs 274 days, SD = 8) and lower birth weights (3091.71 g, SD = 500.94 vs. 3380.74 g, SD = 424.72, p < 0.05). Additionally, the rate of caesarean-section deliveries was higher in the BP group (44.8%) compared to the CP group (17.14%) (p < 0.05).</p><p><strong>Conclusion: </strong>Newborns with breech presentation exhibit significantly higher SA values, suggesting a flatter trochlear groove and a potential predisposition to patellofemoral joint instability.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"227-232"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125193","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}
引用次数: 0
A case series of robotic TKA in stiff knees using the imageless CORI system: technical strategies and early functional results. 使用无图像CORI系统对僵硬膝关节进行机器人TKA的案例系列:技术策略和早期功能结果。
MUSCULOSKELETAL SURGERY Pub Date : 2026-06-01 Epub Date: 2025-10-31 DOI: 10.1007/s12306-025-00931-8
V Bagaria, S Nadange, A Tiwari
{"title":"A case series of robotic TKA in stiff knees using the imageless CORI system: technical strategies and early functional results.","authors":"V Bagaria, S Nadange, A Tiwari","doi":"10.1007/s12306-025-00931-8","DOIUrl":"10.1007/s12306-025-00931-8","url":null,"abstract":"<p><p>Preoperative stiffness in the knee joint significantly compromises outcomes after total knee arthroplasty (TKA). Robotic-assisted TKA (raTKA) using the imageless CORI system may offer precision in alignment and gap balancing, especially in difficult cases with limited range of motion (ROM). We present a case series of 25 knees in 22 patients with preoperative ROM < 50°, all treated using the imageless CORI robotic system (Smith & Nephew). All patients had advanced osteoarthritis or inflammatory arthritis and underwent primary TKA through a standard medial parapatellar approach with posterior cruciate-sacrificing implants. Postoperative follow-ups were conducted at 15 days, 3 months, 6 months, 1 year, and 2 years, with evaluation of ROM, Knee Society Score (KSS), and Visual Analog Score (VAS). Mean preoperative ROM was 38.7° ± 5.4 (range: 28°-45°). At final follow-up, all patients showed significant improvement in ROM, with a mean of 110.2° ± 6.2. KSS improved from a mean of 32 to 84, and VAS decreased from a mean of 8.2 to 1.6. Varus deformity was corrected in all patients. No cases of postoperative neurovascular complications, patellar tendon injuries, or manipulations under anesthesia were noted. The CORI robotic system offers a promising strategy for managing preoperatively stiff knees. It allows precise bone cuts and real-time soft tissue balancing with minimal releases, reducing complications, and improving functional outcomes. Further controlled studies are needed to establish its long-term advantages.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145422337","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}
引用次数: 0
Comparison between anterolateral standard and percutaneous antero-acromial approach in humeral intramedullary nailing (IMN). A radiological, functional, and ultrasound rotator cuff evaluation prospective study. 肱骨髓内钉前外侧标准入路与经皮肩峰前入路的比较。放射学、功能和超声对肩袖评价的前瞻性研究。
MUSCULOSKELETAL SURGERY Pub Date : 2026-06-01 Epub Date: 2025-09-06 DOI: 10.1007/s12306-025-00919-4
A Pautasso, M Puricelli, D Morlacchi, G A Discalzo, G De Falco, G Pilato, F D'Angelo
{"title":"Comparison between anterolateral standard and percutaneous antero-acromial approach in humeral intramedullary nailing (IMN). A radiological, functional, and ultrasound rotator cuff evaluation prospective study.","authors":"A Pautasso, M Puricelli, D Morlacchi, G A Discalzo, G De Falco, G Pilato, F D'Angelo","doi":"10.1007/s12306-025-00919-4","DOIUrl":"10.1007/s12306-025-00919-4","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the radiological-functional outcomes and rotator cuff (RC) status following humeral intramedullary nailing (IMN), comparing the anterolateral standard approach (group 1) and the percutaneous antero-acromial approach (group 2).</p><p><strong>Methods: </strong>This observational prospective monocentric study was conducted from August 2021 to March 2023. Inclusion criteria included: two-parts proximal (surgical neck) and diaphyseal Humeral fractures treated with IMN; 12-month follow-up; age between 18 and 85 years; good performance status (excluding neurologic deficits or mental disorders). Evaluations included RC status via ultrasound, Constant, DASH, and SPADI scores, as well as fracture healing times. A T-test was used or statistical analysis.</p><p><strong>Results: </strong>Sixty-one patients were enrolled during the study period (34 in group 1; 27 in group 2). The mean bone healing time resulted 2.9 ± 0.5 months in group 1 and 2.4 ± 0.7 months in group 2, with a statistically significant reduction of 17% in favor of group 2 (p < 0.05). No significant differences were found in the Constant scores at 6 and 12 months of follow-up; however, significant differences were observed in DASH and SPADI scores (p < 0.05). Supraspinatus tears were detected in both groups: 6 in Group 1 (2 full-thickness and 4 partial) localized at the footprint, and 4 in Group 2 (1 full-thickness and 3 partial) assessed medially in the musculotendinous portion.</p><p><strong>Conclusion: </strong>Intramedullary nailing with a percutaneous approach proved to be a minimally invasive technique with better functional outcomes and shorter fracture healing times. The impact on the RC was comparable to the standard approach.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"191-198"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008371","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}
引用次数: 0
A narrative review on greater trochanteric pain syndrome: diagnostic imaging and non-surgical treatments. 大转子疼痛综合征的叙述性回顾:诊断成像和非手术治疗。
MUSCULOSKELETAL SURGERY Pub Date : 2026-06-01 Epub Date: 2025-09-19 DOI: 10.1007/s12306-025-00924-7
D Donati, R Tedeschi, P E Garnum, F Vita, L Tarallo, C Faldini, F Catani
{"title":"A narrative review on greater trochanteric pain syndrome: diagnostic imaging and non-surgical treatments.","authors":"D Donati, R Tedeschi, P E Garnum, F Vita, L Tarallo, C Faldini, F Catani","doi":"10.1007/s12306-025-00924-7","DOIUrl":"10.1007/s12306-025-00924-7","url":null,"abstract":"<p><strong>Background: </strong>Greater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain, primarily affecting middle-aged women. It involves tendinopathy or tears of the gluteus medius and minimus tendons, often misdiagnosed as trochanteric bursitis. Accurate diagnosis and management require thorough clinical assessment and diagnostic imaging.</p><p><strong>Methods: </strong>This review examines the pathogenesis, clinical examination, and diagnostic tools like ultrasound (US) and magnetic resonance imaging (MRI) for GTPS. A narrative literature was conducted from May 2002 to February 2024 using PubMed. A total of 85 articles were reviewed, with 56 included, focusing on conservative and interventional treatments such as physical therapy, extracorporeal shock wave therapy (ESWT), corticosteroid injections, and platelet-rich plasma (PRP).</p><p><strong>Results: </strong>Non-surgical interventions showed variable efficacy. ESWT provided significant long-term pain relief, while corticosteroid injections offered short-term benefits that diminished over time. PRP injections demonstrated sustained improvement. US-guided procedures were found superior in precisely targeting anatomical structures.</p><p><strong>Conclusions: </strong>GTPS remains a challenging, often chronic condition. Non-surgical approaches can effectively manage early stages, but persistent cases may require advanced interventional strategies. Further research is needed to standardize treatment protocols, particularly for severe tendinopathy cases.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"163-172"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diaphyseal fractures of the humerus with radial nerve injury: how to manage both fracture and the nerve injury. 肱骨骨干骨折伴桡神经损伤:骨折及神经损伤的处理。
MUSCULOSKELETAL SURGERY Pub Date : 2026-06-01 Epub Date: 2025-10-07 DOI: 10.1007/s12306-025-00925-6
A Maresca, C Sirio, P Vitale, S Cerbasi, F Calderazzi, R Pascarella
{"title":"Diaphyseal fractures of the humerus with radial nerve injury: how to manage both fracture and the nerve injury.","authors":"A Maresca, C Sirio, P Vitale, S Cerbasi, F Calderazzi, R Pascarella","doi":"10.1007/s12306-025-00925-6","DOIUrl":"10.1007/s12306-025-00925-6","url":null,"abstract":"<p><p>In this article, data of nerve and bone recovery were reported in a series of patients treated with open reduction and internal fixation (ORIF) with plate in humeral shaft fractures (HSF) associated with radial nerve palsy (RNP). The authors highlight the role of early surgical intervention for optimal nerve repair and patient's recovery, and to avoid subsequent and more complex surgery to patients. This is a retrospective study of 24 of 31 patients with HSF with RNP (10,1%) out of 308 patients with HSF, treated surgically between 2012 and 2023 in a level I Trauma Center. The mean age was 57 years. The mean follow-up time was 42 months (range 12-60). Twenty-seven were closed fractures and 4 were open. All patients were treated within 24 hours with ORIF with plate and exploration and decompression of radial nerve. The medical records of all patients and their X-ray were reviewed to evaluate fracture's type, location, energy of trauma, status of RN injury and, beyond the time of recovery from RNP, the time of bone healing and functionally recovery. We reviewed 24 patients, and 7 were lost to follow-up. All patients (100%) had good nerve palsy recovery in a mean time of 6.2 months. The mean X-ray bone consolidation occurred after 4 months. The mean time of Rom recovery was 4.46 months. None of our patients needed further surgery for the failure of the radial nerve recovery. In conclusion, our study, even of mall size, demonstrated that early surgical exploration of radial nerve during ORIF with plate of RHSF facilitates nerve repair and enhancing patient recovery. Furthermore, the low incidence of radial nerve palsy should not preclude surgical exploration, conversely, as many patients may have undiagnosed nerve injuries that can be addressed through timely intervention.Level of Evidence: Level IV, retrospective study.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"149-161"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239263","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}
引用次数: 0
The use of short cementless femoral stems in total hip arthroplasty for femoral neck fractures: a scoping review of the literature. 短无骨水泥股骨柄在股骨颈骨折全髋关节置换术中的应用:文献综述。
MUSCULOSKELETAL SURGERY Pub Date : 2026-06-01 Epub Date: 2025-08-09 DOI: 10.1007/s12306-025-00917-6
Nicola Corradi, Alberto Trimarchi, Federica Manca, Ilaria Martini, Andrea Colombelli, Alberto Belluati
{"title":"The use of short cementless femoral stems in total hip arthroplasty for femoral neck fractures: a scoping review of the literature.","authors":"Nicola Corradi, Alberto Trimarchi, Federica Manca, Ilaria Martini, Andrea Colombelli, Alberto Belluati","doi":"10.1007/s12306-025-00917-6","DOIUrl":"10.1007/s12306-025-00917-6","url":null,"abstract":"<p><strong>Background: </strong>Short cementless femoral stems, designed for bone-preserving elective THA, are increasingly used for femoral neck fractures, yet their safety and effectiveness remain unclear.</p><p><strong>Objective: </strong>To map current evidence on short cementless stems in fracture-related THA, focusing on complications, function, and revisions.</p><p><strong>Methods: </strong>MedLine and Web of Science were searched to 30 April 2025. Studies reporting ≥ 5 THAs with short cementless stems for femoral neck fractures were included; data were charted and narratively synthesized.</p><p><strong>Results: </strong>Five studies (477 short-stem, 70 standard-stem THAs; mean age 63 years; mean follow-up 65 months) met criteria. Short stems showed a 4.4% complication rate (0.6% intra-op fractures, 0.6% dislocations, 2.1% aseptic loosening) and 3.7% reoperations. Mean Harris Hip Score was 86.8-comparable to standard stems-with fewer surgical complications (4.4 vs. 15.7%).</p><p><strong>Conclusion: </strong>Current evidence suggests short cementless stems are a safe, effective option for selected femoral neck fracture patients, but higher-quality, long-term studies are needed.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"139-147"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804378","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}
引用次数: 0
Retrograde insertion of full-length ramus screws for the treatment of pelvic and/or acetabular fracture. 逆行置入全长支螺钉治疗骨盆和/或髋臼骨折。
MUSCULOSKELETAL SURGERY Pub Date : 2026-05-07 DOI: 10.1007/s12306-026-00956-7
Libin Zheng, Chia-Jui Hu, Xionghai Shen, Jiangtao Hao, Lai Yu, Guanfei Zeng, Guangming Yang, Yongwei Pan
{"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}
引用次数: 0
Surveillance of postoperative respiratory complications in Japanese patients with hip fractures using ARISCAT score. 应用ARISCAT评分监测日本髋部骨折患者术后呼吸并发症。
MUSCULOSKELETAL SURGERY Pub Date : 2026-05-06 DOI: 10.1007/s12306-026-00957-6
N Ishimaru, T Waki, T Shimokawa, S Mizuki, Y Kanzawa, T Nakajima, T Yano, K Ito
{"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}
引用次数: 0
Correction: Systematic review of injections for acute ankle sprains. 纠正:系统回顾注射治疗急性踝关节扭伤。
MUSCULOSKELETAL SURGERY Pub Date : 2026-04-28 DOI: 10.1007/s12306-026-00955-8
Christopher Frey, Anant Shukla, Emily C Adydan, Nicholas Strasser
{"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}
引用次数: 0
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