Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews最新文献

{"title":"Deltoid Muscle Volume Correlates With Patient Outcome After Reverse Shoulder Arthroplasty.","authors":"Elizabeth Knazek, Allison Cracchiolo, Chaoyang Chen, Antonio Bouffard, Stephen Lemos, Jason Holcomb","doi":"10.5435/JAAOSGlobal-D-26-00145","DOIUrl":"10.5435/JAAOSGlobal-D-26-00145","url":null,"abstract":"<p><strong>Aims: </strong>Reverse total shoulder arthroplasty (rTSA) relies on a competent deltoid muscle to provide stability and function. This study aims to determine the importance of ultrasonically measured deltoid muscle volume on patient strength, function, and satisfaction after rTSA.</p><p><strong>Methods: </strong>We retrospectively reviewed 56 shoulders in 28 patients underwent rTSA with surveys of American Shoulder and Elbow Society questionnaire (ASES), simple shoulder test, and ultrasonography measurement of deltoid volume. Statistical analysis was done to determine the correlation between deltoid muscle volume and abduction strength, ASES score, Constant-Murley Score, Visual Analog Scale, range-of-motion testing, between surgical shoulder and nonsurgical repair groups, respectively.</p><p><strong>Results: </strong>A strong positive correlation was observed with deltoid muscle volume and abduction strength, and a moderate positive correlation between deltoid muscle volume and the Constant-Murley Score. No notable difference was observed between the mean deltoid volume for the surgical and nonsurgical sides. No correlation existed between deltoid volume and ASES. A decrease in deltoid muscle volume was observed with patients' age, but no trend regarding length of time since surgery. These findings indicated that deltoid muscle assessment in candidate selection and postoperative care are associated with improved postoperative outcomes.</p><p><strong>Conclusion: </strong>Deltoid volume is a robust predictor of postoperative abduction strength and has a moderate association with shoulder function including muscle strength and range of motion but does not correlate with pain or satisfaction. The results can inform clinicians to prioritize deltoid evaluation during patient selection and follow-up, guiding additional research on optimizing rehabilitation and implant design.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 8","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680358","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}

{"title":"Proximal Humerus Osteomyelitis After Influenza Vaccination Administration.","authors":"Taylor Coates, Madeleine Smith, David M Bear","doi":"10.5435/JAAOSGlobal-D-25-00053","DOIUrl":"https://doi.org/10.5435/JAAOSGlobal-D-25-00053","url":null,"abstract":"<p><p>Proximal humerus osteomyelitis after injection of influenza vaccination is a rare but potentially debilitating complication. An otherwise healthy 55-year-old woman presented with acute osteomyelitis after influenza vaccination. This case report describes successful treatment with intravenous antibiotics and subsequent shoulder arthroscopic d?bridement, manipulation under anesthesia, and capsular release for secondary adhesive capsulitis. Consideration of proximal humerus osteomyelitis as a potential risk after flu vaccination is an important tool for orthopaedic specialists and primary care providers because failure to diagnose penetrating bone infection early may lead to prolonged disability.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 8","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799164","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}

{"title":"A 4-Anchor Suture Tape Internal Bracing Technique for Ligamentous Perilunate Injuries.","authors":"Thomas Hays, Taylor Johnson, Bryan Brown","doi":"10.5435/JAAOSGlobal-D-25-00429","DOIUrl":"10.5435/JAAOSGlobal-D-25-00429","url":null,"abstract":"<p><p>A 31-year-old man presented with an acute, ligamentous perilunate dislocation and paresthesia in the median nerve distribution after a dirt bike accident and underwent closed reduction. The following morning, he was treated with carpal tunnel release and open reduction and internal fixation using a 4-anchor suture tape internal bracing treatment technique through a dorsal carpal approach. The construct consisted of a series of internal braces dunked into four carpal anchors to reinforce/recreate the scapholunate interosseous ligament, lunotriquetral interosseous ligament, and dorsal intercarpal ligament without Kirschner wire retention, with an additional limb used to resist excess scaphoid flexion. The patient was immobilized in a short arm cast for six weeks before initiating full range-of-motion and hand therapy. Full weight bearing and strengthening were allowed at 12 weeks. At six months, the patient reported minimal to no pain, was able to form a full composite fist, and could tolerate a dart thrower's motion. He demonstrated a wrist flexion-extension arc of 90o (25o flexion/65o extension) and reported complete resolution of paresthesia since surgery. No radiographic evidence of carpal instability, fracture, or peri-implant failure was observed, and the Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) score obtained through telephone was 14 out of 100 at 32 months postoperatively.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521177","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}

{"title":"Gender-Based Differences in Arthroplasty Utilization Across Two Tertiary Academic Centers.","authors":"Mikayla R Mefford, Charlotte F Wahle, Emma D Grellinger, Hannah Chi, Nicole J Newman-Hung, Katherine A Woolley, Chloe Dlott, Nicholas J Jackson, Stephanie E Wong, Alexandra I Stavrakis, Lauren E Wessel","doi":"10.5435/JAAOSGlobal-D-25-00201","DOIUrl":"10.5435/JAAOSGlobal-D-25-00201","url":null,"abstract":"<p><strong>Background: </strong>Women have a higher prevalence of osteoarthritis and report worse symptoms, yet they undergo joint replacement surgery (JRS) at lower rates than men. Studies suggest that cultural norms, healthcare access, physician biases, and patient preferences may contribute to disparities, but consensus on gender-specific barriers in JRS utilization remain unclear.</p><p><strong>Methods: </strong>From a database of JRS candidates seen in 2022 at two tertiary academic centers, patients who were offered but declined surgery were invited to participate in focus groups (FGs). Demographics, Kellgren-Lawrence grades, symptom duration, visual analog pain score, Charlson Comorbidity Index, and nonsurgical treatments were collected. Statistical analysis included chi-square, analysis of variance, and t-tests. FGs explored patient treatment experiences using code-based qualitative analysis.</p><p><strong>Results: </strong>The database cohort included 976 patients (140 shoulder, 493 hip, and 343 knee), with 60% female. No notable sex differences were found in JRS utilization. FG participants (n = 24) included 12 women and 12 men. Women were younger than men (70.9 ± 9.6 vs. 73.4 ± 6.1). Both men and women reported negative physician interactions and identified return to lifestyle as key in influencing surgery decisions. Men expressed concerns about hobbies, recovery support, and felt encouraged to undergo surgical treatment. Women prioritized household responsibilities, cosmetic outcomes, and trialed alternative treatments more often and endorsed age- and gender-based biases in care.</p><p><strong>Conclusion: </strong>Gender-based differences influence patient experiences and decision making regarding JRS. Although men felt supported in pursuing surgery, women perceived bias and exhausted conservative treatments first. These findings highlight the need for shared decision-making frameworks that address gender-based disparities in surgical care.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521172","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}

{"title":"Iliopsoas Tenotomy in Patients With Neurological Diseases. A Novel Closed Technique Using an Ultrasound-Guided Minimally Invasive Approach in Neuro-Orthopaedics.","authors":"Paolo Zerbinati, Isabella Tristano, Davide Glorioso, Jonathan Bemporad","doi":"10.5435/JAAOSGlobal-D-25-00409","DOIUrl":"10.5435/JAAOSGlobal-D-25-00409","url":null,"abstract":"<p><p>The iliopsoas tenotomy aims at correcting the impaired hip extension that compromises patients' ability during gait, creating discomfort during postural transfers and prolonged sitting. The standard, open approach adopted for neurological disorders requires general anesthesia and sutures, with considerable odds of adverse events, such as nerve injuries, pain, and infections. To date, percutaneous release interventions have been done only on cadavers or adult patients with orthopaedic conditions. In this article, we introduce the ultrasound-guided minimally invasive approach in neuro-orthopaedics procedure for the iliopsoas tenotomy, a percutaneous release combining ultrasound-guidance and mini-invasiveness. This technique offers several advantages: reduced length of surgery, no surgical incisions, use of local anesthesia, and the possibility of visualizing the surgical target during the entire process, thus minimizing complications. It is especially useful for patients where open surgery is not recommended, such as those with extensive scarring in the abdominal region caused by previous interventions or those with a high probability of additional surgeries during their lifetime. Moreover, rehabilitation can start on day 1 after surgery and may considerably reduce recovery time.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632288","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}

{"title":"The Interface of Artificial Intelligence and the Electronic Medical Record in Orthopaedic Surgery: Current Applications and Future Directions.","authors":"Logan M Good, Matthew R Magro, Jeremy M Adelstein, Margaret A Sinkler, Abigail M Braden, John M Apostolakos","doi":"10.5435/JAAOSGlobal-D-26-00041","DOIUrl":"10.5435/JAAOSGlobal-D-26-00041","url":null,"abstract":"<p><p>Artificial intelligence (AI) has a broad impact on health care across orthopaedic surgery and numerous other subspecialties through various applications, including the enhancement of diagnostic imaging, robotic assisted surgeries, and rehabilitation protocols. More recently, AI-powered electronic medical record integration with platforms, such as DeepScribe, Augmedix, Suki, Abridge, Nuance Dragon Ambient eXperience, and Clinical Notes AI, have enabled hospital systems to enhance their operational value while streamlining patient care and reducing burnout for clinicians. Although these systems can notably reduce clinician workload while accurately and efficiently transcribing clinical encounters, concerns exist regarding patient confidentiality and data encryption, cost, and ease of integration within healthcare systems. Further studies are needed to elucidate the long-term impact and outlook of AI healthcare integration, particularly within the electronic medical record system.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632346","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}

{"title":"Risk Factors and Causes of Delayed Hip Fracture Surgery in Elderly Patients: Findings from a Hip Fracture Fast-Track Surgery Program.","authors":"Chanon Hansudewechakul, Natee Tanasubsinn, Sakdichot Aerthada, Amornsak Roobsoong","doi":"10.5435/JAAOSGlobal-D-26-00033","DOIUrl":"10.5435/JAAOSGlobal-D-26-00033","url":null,"abstract":"<p><strong>Background: </strong>Early surgical management of hip fractures within 48 hours improves outcomes in elderly patients. Despite established fast-track surgery protocols, surgical delays continue to occur.</p><p><strong>Objectives: </strong>To determine the incidence and risk factors of delayed hip fracture surgery in elderly patients and to describe system-related and patient-related causes of surgical delay within a Hip Fast-Track (HFT) care model.</p><p><strong>Methods: </strong>This retrospective cohort study reviewed medical records of elderly patients with hip fractures treated between October 1, 2022, and September 30, 2024. Patients were categorized into urgent surgery and delayed surgery (>48 hours after admission). Data were analyzed using descriptive and multivariable statistical methods. Causes of delay were analyzed descriptively in the delayed surgery group.</p><p><strong>Results: </strong>Among 390 patients, 132 (33.85%) underwent surgery more than 48 hours after admission. Notable factors associated with delayed surgery included the presence of ≥3 comorbidities (OR = 2.34, P < 0.001), anemia or the need for preoperative blood transfusion (OR = 2.90, P < 0.001), and admission on Thursday or Friday (OR = 3.92, P < 0.001). Causes of delay included hospital-related and patient-related factors. Patients in the delayed surgery group had a longer median hospital stay and higher rates of urinary tract infection and pressure ulcers.</p><p><strong>Conclusion: </strong>Optimizing preoperative preparation, particularly for patients with multiple comorbidities, strengthening preoperative anemia management and blood transfusion systems, and establishing surgical service continuity during public holidays are essential to achieve timely hip fracture surgery.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457263","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}

{"title":"A Case of Mangled Foot With Midfoot Bone Defect.","authors":"Toshihiro Kodama, Kaoru Sato, Hiroyuki Koshimizu, Masao Deguchi","doi":"10.5435/JAAOSGlobal-D-25-00147","DOIUrl":"10.5435/JAAOSGlobal-D-25-00147","url":null,"abstract":"<p><strong>Introduction: </strong>The decision between amputation and reconstruction for mangled feet is often challenging. The foot must be functional for reconstruction to be considered successful. In this report, we present a case of a mangled foot with a metatarsal bone defect.</p><p><strong>Case description: </strong>A man in his 50s presented to the hospital after a heavy load fell on his left foot at work. He was diagnosed with an open dislocation fracture of the Lisfranc joint (Gustilo IIIC), a comminuted fracture of the navicular bone, and a defect of the intermediate cuneiform bone.</p><p><strong>Treatment course: </strong>A foot ring-type external fixator was applied in an arched position to stabilize the dislocation. An antibiotic cement spacer was inserted into the bone defect. The wound was managed with local negative pressure therapy, followed by placement of an autologous bone graft and a phalangeal skin flap. The patient could walk independently 1 year after surgery.</p><p><strong>Discussion and conclusion: </strong>The patient's dislocated fracture of the Lisfranc joint, complicated by the absence of a keystone bone, was reconstructed using a foot ring-type external fixator with wires positioned to preserve the arch mechanism. As a result, both bone reconstruction and soft-tissue reconstruction were achieved, leading to high patient satisfaction.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13344916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424920","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}

{"title":"Fluoroscopic Corner Congruency and Tibiotalar Symmetry Confirm Syndesmotic Reduction.","authors":"Erin Stockwell, Josue Layuno-Matos, Pablo Sanchez-Urgelles, Hassan Mir","doi":"10.5435/JAAOSGlobal-D-26-00115","DOIUrl":"10.5435/JAAOSGlobal-D-26-00115","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to assess the accuracy of two intraoperative radiographic markers, corner congruency (CC), and tibiotalar symmetry (TTS), in determining anatomic reduction of the syndesmosis.</p><p><strong>Methods: </strong>Eight cadaveric specimens were used. Each specimen underwent baseline imaging with C-arm fluoroscopy to confirm native presence of the CC and TTS radiographic markers and with axial CT to assess the native syndesmosis reduction. Unstable syndesmotic injuries were simulated through complete sectioning of the syndesmosis; malreductions were then performed, confirmed on CT, and CC and TTS markers were recorded. Open syndesmotic reductions were then performed and confirmed with CT, and the presence or absence of anatomically aligned CC and TTS radiographic markers were again recorded. All measurements were done independently by three reviewers.</p><p><strong>Results: </strong>CT measurements demonstrated intercorrelation coefficient values of >0.8, indicating excellent interobserver reliability. Anatomically aligned CC and TTS radiographic markers were present in all specimens at baseline. Fluoroscopic images obtained after malreductions demonstrated the presence of an anatomically aligned CC radiographic marker in 3/8 specimens, presence of TTS marker in 2/8 specimens, and anatomic malalignment of both markers in 3/8 specimens. None of the malreduced specimens demonstrated the concomitant presence of intact CC and TTS radiographic markers. After open reduction of the syndesmosis, all specimens demonstrated restoration of both the CC and TTS radiographic markers. Independently, CC as a marker of syndesmotic reduction was found to have a sensitivity of 62.5% and a specificity of 100%, whereas TTS as an independent marker of syndesmotic reduction was found to have a sensitivity of 75% and a specificity of 100%. In combination, the presence of both CC and TTS radiographic markers were found to have 100% sensitivity and specificity.</p><p><strong>Conclusion: </strong>In combination, intact CC and TTS radiographic markers are reliable predictors of anatomic reduction of the syndesmosis.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388229","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}

{"title":"Increased Risk of Complications and Mortality After Total Joint Arthroplasty in Dialysis-Dependent Patients.","authors":"David Novikov, Olivia Schaffer, Kyle W Lawrence, Ran Schwarzkopf, Ayesha Abdeen","doi":"10.5435/JAAOSGlobal-D-26-00055","DOIUrl":"10.5435/JAAOSGlobal-D-26-00055","url":null,"abstract":"<p><strong>Background: </strong>Patients with chronic kidney disease (CKD) and dialysis dependence represent high-risk populations with increased demand for total joint arthroplasty (TJA). We aimed to assess surgical outcomes of CKD and dialysis-dependent (DD) patients undergoing TJA.</p><p><strong>Methods: </strong>A multicenter retrospective review of TJA records between June 2011 and July 2022 was conducted. Patients with a diagnosis of CKD who were DD at the time of surgery were propensity-matched to non-DD CKD patients and control subjects without CKD in a ratio of 1:5:5. Matched comparisons and Kaplan-Meier survival analyses were conducted for a total of 176 (DD: 16) total knee arthroplasty (TKA) and 297 (DD: 27) total hip arthroplasty (THA) patients.</p><p><strong>Results: </strong>Medical complications within 90 days after both TKA (control: n = 1, 1.3%; CKD: n = 3, 3.8%; DD: n = 3, 18.8%; P = 0.005) and THA (control: n = 4, 3%; CKD: n = 4, 3%; DD: n = 6, 22.2%; P < 0.001) were significantly higher in the DD group. Infection and revision rates at last follow-up were similar between the three groups after TKA (P > 0.05) and THA (P > 0.05). In Kaplan-Meier analyses, survivorship free of mortality was lowest in the DD group after THA at 40.3% compared with 100% in the control and 78.8% in the CKD groups (P < 0.001).</p><p><strong>Conclusion: </strong>Dialysis-dependent patients are at an increased risk of postoperative medical complications and mortality compared with matched groups with and without CKD. Infection and revision rates seem to be similar. We advocate for a shared decision-making approach between patient and surgeon to include a thorough discussion weighing postoperative complication risk, patient function, and life expectancy.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"10 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13344935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425147","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}