Orthopedics最新文献

{"title":"Endobutton Combined With Medial Plate Fixation for the Treatment of Lisfranc Injuries.","authors":"Kai Xiao, Ruokun Huang, Xiong Qiu","doi":"10.3928/01477447-20260407-01","DOIUrl":"https://doi.org/10.3928/01477447-20260407-01","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to demonstrate the clinical efficacy of the Endobutton in combination with medial plate fixation for the treatment of Lisfranc injuries.</p><p><strong>Materials and methods: </strong>We analyzed clinical data from 30 patients with Lisfranc injuries between February 2021 and October 2024 to assess foot function using Visual Analog Scale (VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) midfoot scale score, plantar pressure assessment, and weight-bearing imaging. We evaluated patients' postoperative pain and foot function, examined the appearance of the foot for any obvious deformities, assessed plan-tar pressure distribution, and conducted weight-bearing imaging to evaluate the gaps in patients' joints.</p><p><strong>Results: </strong>All 30 patients received effective follow-up for a duration of 12 to 14 months (mean ± standard deviation, 12.92 ± 1.129 months). At the final follow-up, no clinically significant foot deformities were observed, and weight-bearing radiographs demonstrated stable tarsometatarsal alignment without evidence of progressive joint subluxation or displacement. The differences in the first and second tarsometatarsal joints gap distances and VAS and AOFAS scores at 3 months postoperatively and at the final follow-up were statistically significant (<i>P</i> < .05) when compared to the preoperative period. The difference in the results of the plantar pressure test between the injured foot and the contralateral foot was not statistically significant (<i>P</i> > .05).</p><p><strong>Conclusion: </strong>For low-energy and crush Lisfranc injuries, Endobutton combined with medial plate fixation yielded favorable early clinical outcomes and reliable short-term surgical results in this single-center retrospective study. Although the clinical benefits of this combined technique are promising, its efficacy compared with conventional fixation methods requires further validation in well-designed prospective controlled trials.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777851","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 Comparative Analysis of Suture-Button and InternalBrace Fixation for Purely Ligamentous Lisfranc Injuries.","authors":"Sanghoon Lee, Dong-Il Chun, Jaeho Cho, Sung Hun Won, Sung Hyun Lee, Young Yi","doi":"10.3928/01477447-20260304-01","DOIUrl":"https://doi.org/10.3928/01477447-20260304-01","url":null,"abstract":"<p><strong>Background: </strong>Purely ligamentous Lisfranc injuries are challenging to manage. Traditional open reduction and internal fixation provides rigid stability but risks cartilage damage, hardware failure, and the need for removal. Flexible fixation methods such as the suture-button (SB) and InternalBrace (IB) systems aim to maintain reduction while allowing physiological motion. This study compared clinical and radiographic outcomes of SB and IB fixation for these injuries.</p><p><strong>Materials and methods: </strong>A retrospective comparative study included 64 patients (SB, n = 34; IB, n = 30) with acute, purely ligamentous Lisfranc injuries and ≥24-month follow-up. Primary outcomes were American Orthopaedic Foot & Ankle Society (AOFAS) midfoot and visual analog scale (VAS) pain scores; radiographic outcomes included maintenance of the first cuneiform to second metatarsal (C1-M2) interval. Secondary measures were time to full weight bearing, return to sport, and complications.</p><p><strong>Results: </strong>Both groups demonstrated significant improvements in AOFAS and VAS scores from preoperative to final follow-up (<i>P</i> < .001). There was no statistically significant difference between the SB and IB groups in mean final AOFAS scores (92.4 vs 91.5, respectively; <i>P</i> = .58) or VAS scores (1.5 vs 1.2, respectively; <i>P</i> = .21). Both techniques effectively maintained anatomic reduction, with no significant difference in the final C1-M2 diastasis (<i>P</i> = .75) and no clinically significant loss of reduction at final follow-up.</p><p><strong>Conclusion: </strong>SB and IB fixation provide excellent function, stable radiographic results, and low complication rates for purely ligamentous Lisfranc injuries, offering reliable alternatives to rigid fixation.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777776","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":"Effect of Socioeconomic Disadvantage on Patient-reported Outcomes After Orthopedic Trauma: A Study Using the Area Deprivation Index.","authors":"Haley D Puckett, Jacob S Borgida, Rebekah M Kleinsmith, Stephen A Doxey, Riley Swenson, Rachael L Rivard, Sandy Vang, Lauren M Shapiro, Mai P Nguyen, Brian P Cunningham","doi":"10.3928/01477447-20260326-01","DOIUrl":"https://doi.org/10.3928/01477447-20260326-01","url":null,"abstract":"<p><strong>Background: </strong>Socioeconomic status (SES) is increasingly recognized as a key factor influencing outcomes after orthopedic procedures. The objective of this study was to determine the effect of socioeconomic disadvantage on patient-reported outcomes (PROs) after orthopedic trauma.</p><p><strong>Materials and methods: </strong>A retrospective review of PROs was performed for orthopedic trauma patients from 2018 to 2023. The Area Deprivation Index (ADI) was used as a surrogate for socioeconomic disadvantage. Outcomes included Patient-Reported Outcomes Measurement Information System Global Physical Health and Global Mental Health 10-item short forms (PROMIS 10 GPH and GMH) at 6 weeks, 3 months, 6 months, and 1 year postoperatively. A mixed-model analysis was performed to compare outcomes among ADI cohorts.</p><p><strong>Results: </strong>In total, 844 patients were included. Of these, 313 (37.1%) were in the least socioeconomically disadvantaged group. There was a significant difference in the distributions of age, marital status, smoking status, and self-reported race among the five ADI cohorts (<i>P</i> < .002). Patients with an ADI of 1 or 2 (low disadvantage) had significantly higher PROMIS 10 GPH scores compared with their counterparts in ADI Groups 3/4, 5/6, and 9/10, although all groups saw a similar significant improvement from the 6-week to 1-year follow-up.</p><p><strong>Conclusion: </strong>Socioeconomic disadvantage has a significant effect on PROMIS 10 GPH and GMH scores following orthopedic trauma procedures. However, patients in all ADI cohorts saw improvements in PROMIS 10 GPH up to 1 year postoperatively. It is important to identify patients in socioeconomically disadvantaged areas and create care pathways to better optimize their improvements postoperatively.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777779","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":"Impact of Varied Severity of Chronic Kidney Disease Stage on Surgical Outcomes Following Distal Radius Fracture Operative Fixation.","authors":"Joshua G Sanchez, Katie M Zehner, Andrew Salib, Claire A Donnelly, Fortunay H Diatta, F Perry Wilson, Jonathan N Grauer","doi":"10.3928/01477447-20260323-02","DOIUrl":"https://doi.org/10.3928/01477447-20260323-02","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease (CKD) alters bone metabolism, immune function, and vascular health, potentially increasing postoperative risk following distal radius fracture (DRF) operative fixation (ie, open reduction and internal fixation, percutaneous pinning). However, data stratifying risk by CKD severity remain limited. This study evaluated the association between CKD stage and 90-day complications and 1-year orthopedic-related events following DRF operative fixation.</p><p><strong>Materials and methods: </strong>Adults aged 18 to 65 undergoing isolated DRF operative fixation were identified in the PearlDiver M170 database. Patients were stratified by CKD status: none, stage 1 to 2, stage 3 to 4, and stage 5 or end-stage renal disease (ESRD). Ninety-day medical complications and 1-year orthopedic-related events were assessed using univariable and multivariable logistic regression controlling for age and sex, with and without adjustment for Elixhauser Comorbidity Index (ECI). Bonferroni correction was significant at <i>P</i> ≤ .001.</p><p><strong>Results: </strong>Among 29,009 patients, 28,411 (97.9%) had no CKD history, 101 (0.3%) had stage 1 to 2 CKD, 336 (1.2%) had stage 3 to 4, and 161 (0.6%) had stage 5/ESRD. Complication risk increased stepwise with CKD severity. Adjusting for age and sex, odds ratios (OR) for any 90-day complication were 5.62, 15.07, and 30.63 for stages 1 to 2, 3 to 4, and 5/ESRD, respectively (all <i>P</i> < .001). After ECI adjustment, associations remained significant, although attenuated (OR = 2.23, 5.93, and 11.04, respectively). No differences were observed in 1-year orthopedic-related events, including hardware removal or malunion/nonunion.</p><p><strong>Conclusion: </strong>CKD independently and incrementally increased short-term complication risk following DRF operative fixation, even after accounting for comorbidity burden. These findings support stage-based perioperative counseling and multidisciplinary optimization in patients with CKD.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628202","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":"Three Cases of Ipsilateral Limb Swelling Secondary to Iliopsoas Bursitis Following Total Hip Arthroplasty.","authors":"Xinyu Na, Chenghao Ren, Tong Chen, Haizhao Wu","doi":"10.3928/01477447-20260323-01","DOIUrl":"https://doi.org/10.3928/01477447-20260323-01","url":null,"abstract":"<p><p>This article reports three cases of ipsilateral limb swelling following total hip arthroplasty secondary to vascular compression from iliopsoas bursitis. The etiology was attributed to insufficient acetabular component ante-version, leading to polyethylene liner wear and iliopsoas impingement. Two patients underwent revision surgery and achieved symptom resolution. In contrast, the third patient opted for conservative management, resulting in recurrent limb swelling and the development of deep vein thrombosis. The patient required interventional treatment by the vascular surgery service and ultimately showed clinical improvement.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628261","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":"Canopy Flap: A Specially Shaped Flap for the Repair of Complex Hand Defects.","authors":"Long-Feng Chen, Zi-Zheng Wang, Wen-Xiong Li","doi":"10.3928/01477447-20260320-01","DOIUrl":"https://doi.org/10.3928/01477447-20260320-01","url":null,"abstract":"<p><strong>Background: </strong>Traditional flap transplantation for complex hand defect repair faces challenges like insufficient blood supply and scar contracture. This study aimed to explore the clinical value of the \"canopy flap\" with three-dimensional shaping in such repairs.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on 13 patients with irregular single wounds and complex tissue defects (accompanied by deep tissue exposure and nerve injury) treated with canopy flaps from June 2021 to March 2025. The technique included preoperative wound contour tracing, flap design based on a single perforator vessel, harvesting under tourniquet control, tension-dispersed transfer, microvascular anastomosis, and standardized postoperative management. Follow-up assessments used the British Medical Research Council sensory grading scale and hand function evaluation.</p><p><strong>Results: </strong>Of the 13 flaps, 12 survived completely with primary healing; 1 developed postoperative venous crisis that was successfully salvaged. Follow-up showed flap appearance/texture similar to surrounding skin and no significant scar contracture. Sensory recovery reached S4 (4 cases), S3 (7 cases), and S2 (2 case). Approximately 70% of patients achieved excellent/good hand function, with all donor sites healing without functional impairment.</p><p><strong>Conclusion: </strong>The canopy flap has high survival rate, good three-dimensional conformability, and reduces complications. It achieves favorable sensory and functional recovery, providing a valuable option for complex hand defect repair.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628211","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":"Cauda Equina Dural Sac Hernia Caused by the Drainage Tube After Lumbar Unilateral Biportal Endoscopy Surgery: A Case Report.","authors":"Xiang Fang, Dingjun Xu, Chaowei Lin, Minyu Zhu, Honglin Teng","doi":"10.3928/01477447-20260306-01","DOIUrl":"https://doi.org/10.3928/01477447-20260306-01","url":null,"abstract":"<p><p>Previously reported cases of cauda equina herniation primarily involve compression of the spinal cord caused by fracture fragments intruding into the spinal canal following traumatic spinal burst fractures or by dural tears occurring during spinal endoscopic surgery. Such cases can often be evaluated preoperatively or intraoperatively to facilitate the selection of an appropriate treatment plan. However, cauda equina herniation resulting from the use of a drainage tube following spinal endoscopic surgery has not yet been reported. In this article, we present a case of a 76-year-old male patient who experienced a dural tear resulting in cauda equina herniation due to the positioning of the drainage tube following an L4/5 lumbar unilateral biportal endoscopy procedure. This case highlights the importance of timely surgery following cauda equina herniation and provides guidance for intraoperative procedures and perioperative management of patients undergoing spinal endoscopic surgery.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"49 2","pages":"e180-e183"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513912","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":"Radiographic Features of Posttraumatic Knee Osteoarthritis More Than 10 Years After Anterior Cruciate Ligament Reconstruction: Osteophyte Enlargement With Preserved Joint Space.","authors":"Kengo Sugitani, Youngji Kim, Mitsuaki Kubota, Yo Kawashima, Noriaki Mihara, Hitoshi Arita, Jun Tomura, Jun Shiozawa, Shinnosuke Hada, Keiichi Yoshida, Haruka Kaneko, Yoshitomo Saita, Muneaki Ishijima","doi":"10.3928/01477447-20260210-01","DOIUrl":"10.3928/01477447-20260210-01","url":null,"abstract":"<p><strong>Background: </strong>Anterior cruciate ligament (ACL) injury is a major risk factor for knee osteoarthritis (OA). Although ACL reconstruction (ACLR) restores stability, it does not reliably prevent OA. This study investigated the radiographic features of patients with knee OA more than 10 years after ACLR.</p><p><strong>Materials and methods: </strong>Thirty patients (21 female and 9 male; mean age, 45.4 ± 12.0 years) who underwent ACLR more than 10 years ago (mean postoperative period, 14.5 ± 4.0 years) were included. Standing anteroposterior radiographs of ACLR and contralateral healthy knees were evaluated for Kellgren-Lawrence (KL) grade, osteophyte width at the medial and lateral tibial and femoral surfaces, and minimum joint space width (mJSW). Lower limb alignment was assessed using medial proximal tibial angle (MPTA) and joint line convergence angle (JLCA). Subgroup analyses were based on KL grade concordance and history of partial meniscectomy.</p><p><strong>Results: </strong>KL grades were significantly higher in ACLR knees than in contralateral knees (<i>P</i> < .001). Osteophyte widths were greater in ACLR knees at medial tibia (2.1 ± 1.1 mm vs 0.5 ± 0.7 mm), lateral tibia (2.3 ± 2.3 mm vs 0.5 ± 0.7 mm), medial femur (2.0 ± 1.7 mm vs 0.1 ± 0.4 mm), and lateral femur (1.4 ± 2.3 mm vs 0.2 ± 0.5 mm); all <i>P</i> < .001. No significant differences were observed in mJSW (<i>P</i> = .904), MPTA (<i>P</i> = .232), or JLCA (<i>P</i> = .681). Subgroup analyses showed similar findings.</p><p><strong>Conclusion: </strong>Enlarged osteophytes without joint space narrowing were observed in ACLR knees, suggesting a posttraumatic OA radiographic pattern distinct from that of primary OA.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"e114-e121"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348827","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":"Pediatric Mycobacterium Tuberculosis Infection Involving the Ankle: A Case Report.","authors":"Haiqiong Chen, Shi Gao, Li Li, Xufei Zhao, Guoqiang Zhao","doi":"10.3928/01477447-20260213-01","DOIUrl":"10.3928/01477447-20260213-01","url":null,"abstract":"<p><p>Extrapulmonary tuberculosis is relatively rare, and osteoarticular tuberculosis involving the ankle joint is particularly uncommon. We report a 10.5-year-old, previously healthy male patient who initially presented to the trauma surgery department with a 2-month history of swelling, pain, and limited mobility of the left ankle following minor trauma. Blood tests, including tests to determine blood cell counts, C-reactive protein level, and the erythrocyte sedimentation rate, bacterial and fungal cultures, and T-cell spot tests for tuberculosis (T-SPOT.TB) were performed. B-ultrasound-guided aspiration of the infected area was carried out, which included two surgeries for extensive irrigation, debridement, and drainage. A pus sample was sent for routine bacterial culture and an acid-fast bacillus test, and the bone and soft tissue samples were sent for pathological biopsy and the detection of <i>Mycobacterium tuberculosis</i> by sequencing and rifampicin resistance analysis. The empirical antibiotic was administered for 1 week, followed by linezolid and rifampicin for anti-infection treatment. Ten days later, the T-SPOT.TB test result was positive. Gene sequencing detected the <i>M. tuberculosis</i> complex at \"very low levels\" with no detection of rifampicin resistance, and the pathological report revealed \"chronic necrotizing granulomatous inflammation.\" After the diagnosis of <i>M. tuberculosis</i> infection was confirmed, the patient was started on appropriate antituberculosis therapy with the isoniazid, rifampicin, pyrazinamide, and ethambutol (HRZE) regimen, and the function of the ankle joint was followed up in the outpatient clinic. This case serves as a reminder for clinicians to consider <i>M. tuberculosis</i> infection in children presenting with atypical ankle swelling and pain.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"e167-e171"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377328","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":"Impact of Stroke History and Interval on Outcomes of Total Hip Arthroplasty: A Retrospective Cohort Study.","authors":"Paul Botolin, Rafael Robles, Christopher Keshishian, Sandeep S Bains, Ronald E Delanois, Nirav K Patel","doi":"10.3928/01477447-20260303-01","DOIUrl":"https://doi.org/10.3928/01477447-20260303-01","url":null,"abstract":"<p><strong>Background: </strong>There is limited data on perioperative management of patients with prior stroke undergoing total hip arthroplasty (THA). This study evaluates timing for THA following stroke. We assessed (1) complications at 90 days, 1 year, and 2 years; (2) timing of stroke and THA; and (3) risk factors for periprosthetic joint infection (PJI).</p><p><strong>Materials and methods: </strong>We retrospectively analyzed a national database to identify 35,496 THA patients. Cohorts were stratified by time from stroke to surgery: no stroke (n = 20,000), stroke within 6 months (n = 5,535), 12 months (n = 3,165), 18 months (n = 2,614), 24 months (n = 2,168), and 30 months (n = 2,014). Complication rates were compared at 90 days, 1 year, and 2 years, and multivariate analysis identified risk for PJI.</p><p><strong>Results: </strong>Stroke within 6 months of THA was associated with higher PJI revision rates at 90 days and 2 years (all <i>P</i> < .046). Stroke within 18 months increased PJI revision risk across all time points (all <i>P</i> < .047). Several risk factors were associated with this complication, including hypertension, obesity, and tobacco use. Stroke 6 to 18 months before THA was associated with higher rates of 90-day complications, including deep vein thrombosis, cardiac arrest, and surgical site infections. Patients with stroke prior to THA had significant risks of revision for PJI and aseptic revisions at 1 and 2 years, with risks depending on time between stroke and THA (all <i>P</i> < .002).</p><p><strong>Conclusion: </strong>A history of stroke increases postoperative complications after THA, particularly PJI. We recommend patients defer THA for at least 18 months following a stroke to minimize risks.</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"49 2","pages":"e151-e157"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513962","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}