The Journal of Bone & Joint Surgery最新文献

{"title":"Fix or Fuse: The Lisfranc Debate Persists: Commentary on an article by Wolfram Grün, MD, et al.: \"Primary Arthrodesis Versus Temporary Bridge Plating in Unstable Lisfranc Injuries. A Concise Follow-up, at 10 Years, of a Previous Report\".","authors":"Langdon A Hartsock,Christopher E Gross","doi":"10.2106/jbjs.26.00749","DOIUrl":"https://doi.org/10.2106/jbjs.26.00749","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148432675","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":"Advance Practice Provider Performance Is Noninferior to That of Residents, but Likely not Superior: Commentary on an article by Ambika Nair, BS, et al.: \"Effectiveness of a Structured Training Program in Pediatric Distal Radial Fracture Reduction for Orthopaedic Advanced Practice Providers\".","authors":"Douglas R Dirschl","doi":"10.2106/jbjs.26.00450","DOIUrl":"https://doi.org/10.2106/jbjs.26.00450","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148432676","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":"Orthobiologic Treatment: A Patient's Experience with MFAT Injection for Shoulder Osteoarthritis.","authors":"Leonardo P Oliveira,Marianne Holmes","doi":"10.2106/jbjs.26.00833","DOIUrl":"https://doi.org/10.2106/jbjs.26.00833","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148416113","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":"Postoperative Rehabilitation Milestones and Functional Recovery Among Geriatric Patients After Total Knee Arthroplasty.","authors":"Hassan Kamal","doi":"10.2106/jbjs.26.00703","DOIUrl":"https://doi.org/10.2106/jbjs.26.00703","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"319 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148416112","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":"Clinical Impact of VEGFi Reinitiation Timing on Wound Complications After Spinal Metastatic Tumor Surgery: Commentary on an article by Chih-Chi Su, MD, et al.: \"Timing of Vascular Endothelial Growth Factor Inhibitor Reinitiation and Risk of Wound Complications in Spinal Metastasis Surgery\".","authors":"Hideki Shigematsu","doi":"10.2106/jbjs.26.00475","DOIUrl":"https://doi.org/10.2106/jbjs.26.00475","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148416111","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":"Regulatory Frameworks and Clinical Development of Orthobiologics Across Asia and Europe.","authors":"Jin Kyu Lee,Elizaveta Kon,Giuseppe Anzillotti,Norimasa Nakamura","doi":"10.2106/jbjs.26.00667","DOIUrl":"https://doi.org/10.2106/jbjs.26.00667","url":null,"abstract":"Asia and Europe are rapidly expanding hubs for orthobiologics, driven by aging populations, advancing infrastructure, and growing evidence for regenerative therapies. Regulatory heterogeneity across both regions remains a major barrier, highlighting the need for international collaboration to support safe, responsible innovation.","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148416110","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":"Orthobiologics at a Crossroads: From Biological Promise to Evidence-Based Orthopaedic Practice.","authors":"Giuseppe Anzillotti,Pietro Conte,Jason L Dragoo,Elizaveta Kon","doi":"10.2106/jbjs.26.00684","DOIUrl":"https://doi.org/10.2106/jbjs.26.00684","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"445 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148415870","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":"Federated Computing in Orthopaedic Surgery: A Paradigm Shift in Collaborative Multicenter Research.","authors":"Brandon G Hill,Thomas E Nyul,Wayne E Moschetti,Peter L Schilling","doi":"10.2106/jbjs.25.01034","DOIUrl":"https://doi.org/10.2106/jbjs.25.01034","url":null,"abstract":"➢ Multicenter studies remain rare in orthopaedics (9.9% of recent publications) due to regulatory complexity, restrictive data-sharing policies, and administrative delays, despite their proven value in generating robust, generalizable evidence.➢ Federated computing (FC) brings analytic code to each institution's data and returns only encrypted, aggregated results. This preserves patient privacy, maintains institutional control, and streamlines compliance by reducing or eliminating the need for complex data-use agreements.➢ Extensive applications in other medical fields show that FC can match or exceed the performance of centralized analyses across diverse data types (imaging, electronic health records, genomics, and surgical video) without centralizing sensitive information.➢ For orthopaedics, FC enables scalable, privacy-preserving collaboration on rare events, low-frequency outcomes, and practice variation across subspecialties. Broad adoption could expand research scope, improve evidence quality, and accelerate translation of findings into clinical care.➢ FC enables secure, privacy-preserving multicenter collaboration in orthopaedics, overcoming long-standing barriers to data-sharing and expanding the scope of clinically impactful research.","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"220 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148415875","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 Randomized Controlled Trial of Primary Arthrodesis Versus Temporary Bridge Plating in Unstable Lisfranc Injuries: A Concise Follow-up, at 10 Years, of a Previous Report.","authors":"Wolfram Grün,Magnus Poulsen,Martin Økelsrud Riiser,Kjetil Hvaal,Elisabeth Ellingsen Husebye,Are Haukåen Stødle","doi":"10.2106/jbjs.26.00020","DOIUrl":"https://doi.org/10.2106/jbjs.26.00020","url":null,"abstract":"Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148415871","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":"Edema-Enhanced CT Derived from Quantitative Dual-Energy CT Reduces Experience-Related Variability in Sacral Fragility Fracture Diagnosis.","authors":"Takahiro Oda,Shimpei Kitada,Hitoshi Hirase,Kenjiro Iwasa,Takahiro Niikura","doi":"10.2106/jbjs.26.00200","DOIUrl":"https://doi.org/10.2106/jbjs.26.00200","url":null,"abstract":"BACKGROUNDSacral fractures are difficult to diagnose. In dual-energy computed tomography (DECT) water/Ca images, edema at fracture sites appears as locally increased water-equivalent density. This study developed an edema-enhanced CT (EECT) technique based on DECT and evaluated its diagnostic performance for sacral fractures.METHODSFifty Japanese patients with suspected sacral fractures (mean age, 82.4 years; 41 women) underwent single-energy CT (SECT), DECT, and magnetic resonance imaging (MRI). On sagittal DECT, the water-equivalent density at the S1 vertebral midline was defined as the standard value (SV); in 16 regions of interest per patient, the relative standard value (RSV) was calculated as the ratio relative to the SV and classified according to MRI findings. Receiver operating characteristic curve analysis determined the optimal RSV cutoff for fracture detection, and EECT images highlighted regions exceeding this threshold. Thirty patients were then independently assessed twice (>3-month interval) by orthopaedic surgeons with <3 years (group A) or >10 years (group B) of experience using SECT (S group), DECT (D group), and EECT (E group) to evaluate fracture presence and localization. Sensitivity, specificity, inter- and intraobserver reliability, and diagnostic accuracy were compared among groups using Cochran Q, McNemar, and Fisher exact tests.RESULTSThe optimal RSV cutoff was 1.000. For both fracture detection and localization, EECT showed the highest sensitivity, specificity, and diagnostic accuracy, particularly for fracture site identification. Inter- and intraobserver reliability were also the highest with EECT, and the performance gap between less experienced and experienced observers seen with SECT was not observed when using EECT.CONCLUSIONSEECT showed better performance than DECT and SECT in sacral fracture detection and localization, providing high accuracy and reliability regardless of observer experience, and it may be useful for sacral fractures.LEVEL OF EVIDENCEDiagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148415873","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}