SICOT-J最新文献

{"title":"A systematic review of radiological outcomes and implant positioning in robotic-assisted functionally aligned robotic total knee arthroplasty.","authors":"Vasileios Giovanoulis, Angelo V Vasiliadis, Eleftherios Tsiridis, Luca Andriollo, Pietro Gregori, Konstantinos Dretakis, Christos Koutserimpas, Sébastien Lustig","doi":"10.1051/sicotj/2025068","DOIUrl":"10.1051/sicotj/2025068","url":null,"abstract":"<p><strong>Introduction: </strong>Functional alignment (FA) or functional knee positioning is a patient-specific strategy for total knee arthroplasty (TKA) that utilizes robotics to balance coronal, sagittal, and axial planes while preserving joint-line orientation and soft-tissue tension within predefined guardrails. Although early clinical outcomes are encouraging, the radiographic profile and workflow consistency of robotic FA have not been clearly synthesized.</p><p><strong>Methods: </strong>In accordance with PRISMA guidelines, English-language studies of primary robotic FA-TKA with ≥2-year follow-up were searched. Eligible designs included RCTs, prospective/retrospective cohorts, and large case series (≥50 patients). Information on pre- and postoperative coronal alignment [hip-knee-ankle angle (HKA), lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA)], component positioning (femoral valgus/rotation/flexion; tibial varus/rotation/slope), and explicit FA workflow boundaries (guardrails) was extracted.</p><p><strong>Results: </strong>Twenty-one cohorts (5,360 knees) reported at least one radiographic or workflow endpoint. Preoperatively, the predominant deformity was varus. Postoperatively, limb alignment converged near neutral: HKA clustered around 178-179.5°, with LDFA ~89-91° and MPTA ~87-89°. Component positions were tightly distributed within FA targets: femoral valgus ≈ 0.5-1.5°, tibial varus ≈ ~3°, femoral flexion ~6-9°, and tibial slope ~0-3°; tibial rotation was overwhelmingly referenced to Akagi's line, and femoral rotation to the TEA in most series. Reported guardrails showed strong convergence: typical workflows included femoral valgus -3° to +6°, tibial varus 0-6°, tibial slope 0-3°, and femoral ER ~3-6° to TEA. Across cohorts, achieved radiographs closely tracked these limits, indicating high adherence and reproducibility. Most observational studies had a moderate risk of bias; the lone RCT was low risk.</p><p><strong>Discussion: </strong>Robotic FA-TKA delivers a radiographic profile with slight femoral valgus and modest tibial varus, while keeping components within narrow, pre-specified guardrails.</p><p><strong>Level of evidence: </strong>Level III, systematic review and meta-analysis.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"4"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12849696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067655","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":"Management of pediatric distal radius fractures - A systematic review and meta-analysis.","authors":"J Terrence Jose Jerome, G Surendran, Thirumagal Kuppusamy","doi":"10.1051/sicotj/2026032","DOIUrl":"10.1051/sicotj/2026032","url":null,"abstract":"<p><strong>Background: </strong>Pediatric distal radius fractures are the most common fractures in children. Management of displaced injuries remains controversial because remodeling capacity varies with skeletal maturity, fracture stability, and fracture subtype. Metaphyseal and physeal fractures differ biologically: metaphyseal injuries are primarily threatened by redisplacement, whereas physeal injuries carry risks of growth disturbance and iatrogenic physeal injury. An evidence-based, maturity- and stability-guided framework is required.</p><p><strong>Methods: </strong>A PRISMA-compliant systematic review and Meta-analysis was performed using PubMed, Embase, Scopus, Web of Science, and the Cochrane Library (inception-2025). Randomized controlled trials and comparative observational studies of pediatric distal radius fractures (0-18 years) treated with cast or splint immobilization, with or without percutaneous Kirschner-wire fixation, were included. Primary outcomes were redisplacement and secondary intervention for metaphyseal fractures; growth disturbance and physeal complications were evaluated separately for physeal injuries. Secondary outcomes included union, functional recovery, complications, and casting quality.</p><p><strong>Results: </strong>Forty-five studies (5,340 patients) were included qualitatively; twelve comparative studies (4 RCTs, 8 observational; 1,455 patients) were analyzed quantitatively (853 cast alone; 602 cast + K-wire). In predominantly metaphyseal fractures, redisplacement occurred in 20-35% after casting versus 0-5% after K-wire fixation (pooled OR 0.10), with reduced secondary intervention (OR 0.15). Union approached 100% and long-term functional outcomes were equivalent. In children with substantial remaining growth, including those <11 years with completely displaced metaphyseal fractures, casting without reduction achieved reliable union and remodeling. For physeal injuries, restoration of physeal alignment and longitudinal growth surveillance were prioritized. Cast length and removable splints demonstrated comparable stability when molding was adequate; casting quality indices were variably predictive.</p><p><strong>Conclusions: </strong>Outcomes are excellent when treatment aligns with fracture biology and skeletal maturity. Metaphyseal and physeal injuries require distinct considerations. Nonoperative care - including acceptance of bayonet apposition in young children - is appropriate for many metaphyseal fractures, while K-wire fixation should be selectively reserved for unstable patterns.</p><p><strong>Level of evidence: </strong>Level II (Systematic review and meta-analysis of Level I-III studies).</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"36"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164964","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":"No dislocation rate gap between single and two-stage revisions with a cementless Dual Mobility Cup.","authors":"Justine Bidard, Nory Elhadjene, Nicolas Zadel, Thomas Neri, Frédéric Farizon, Bertrand Boyer","doi":"10.1051/sicotj/2025033","DOIUrl":"10.1051/sicotj/2025033","url":null,"abstract":"<p><strong>Introduction: </strong>A major complication of hip arthroplasty is dislocation. In revision, the rate of dislocation is even higher, especially among patients with hip prosthetic joint infection treated with two-stage surgery. The utility of a dual-mobility cup (DMC) in revision was already demonstrated but with a relatively low level of confidence due to the lack of direct comparison with other surgical techniques. We hypothesized that the dislocation rate for patients undergoing cementless DMC total hip arthroplasty (THA) would be similar between single and two-stage revisions.</p><p><strong>Methods: </strong>We conducted a single-center, retrospective, and case-control study from January 2011 through December 2020. During this period, 220 patients underwent a revision of their total hip arthroplasty. Among these, 40 patients experienced THA two-stage revision. This group constituted the cases in this case-control study. Each of the 40 cases was matched with 2 controls, single-stage surgery, on age, sex, and Paprosky grade, and we defined the groups according to primary endpoint: dislocation rate.</p><p><strong>Results: </strong>There was no significant difference in dislocation rate between two-stage and single-stage revisions (7.5% vs 3.8%, p = 0.40). In univariate analysis, auto-inflammatory disease and immunosuppressive agent use were risk factors for dislocation. There was no significant difference in dislocation-free survival (log-rank test, p = 0.40) or re-revision (log-rank test, p = 0.92) between single-stage and two-stage revision THA. At the end of follow-up, the mortality rate did not differ between the two groups. No chronic instability was noted at the last follow-up (80.4 ± 38.5 months) in both groups.</p><p><strong>Conclusion: </strong>The dislocation rate was similar between single and two-stage revision THA using DMC. Further studies are warranted to highlight the potential benefits of DMC in preventing dislocation in two-stage revision THA.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"11"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366474","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":"Embracing uncertainty: a core competency for the global orthopaedic surgeon.","authors":"Yogesh S Salphale","doi":"10.1051/sicotj/2026007","DOIUrl":"10.1051/sicotj/2026007","url":null,"abstract":"<p><p>Orthopaedic surgeons across the world work within uncertainty. Decisions are often shaped not only by fracture patterns and imaging, but also by delayed presentation, limited resources, variable rehabilitation access, financial constraints, and differing patient expectations. In many global settings, especially resource-constrained environments, uncertainty is not an occasional inconvenience but a constant feature of clinical practice. This editorial argues that the capacity to recognize, tolerate, and respond constructively to uncertainty should be regarded as a core professional competency for the global orthopaedic surgeon. Rather than viewing uncertainty as a weakness or failure of knowledge, surgeons should approach it as a space that demands judgment, adaptability, humility, and ethical clarity. Training and professional discourse in orthopaedics should therefore move beyond technical mastery alone and acknowledge uncertainty management as central to sound decision-making, context sensitive care, and responsible surgical leadership.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"E4"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018134","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":"Midcarpal tenodeses versus partial arthrodeses for stage II SLAC/SNAC wrists: Long-term outcomes from a single-surgeon comparative series.","authors":"Spyridon Maris, Emmanouil Apergis, Alexandros Apostolopoulos, Dimitra Melissaridou, Panagiotis Koulouvaris, Panayiotis J Papagelopoulos, Olga Savvidou","doi":"10.1051/sicotj/2025069","DOIUrl":"10.1051/sicotj/2025069","url":null,"abstract":"<p><strong>Background: </strong>Stage II scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) are commonly treated with partial arthrodeses or motion-preserving techniques such as midcarpal tenodeses. Comparative evidence with long-term follow-up remains limited.</p><p><strong>Purpose: </strong>To compare long-term clinical and functional outcomes of midcarpal tenodeses and partial arthrodeses in patients with stage II SLAC/SNAC, by evaluating grip strength, range of motion, patient-reported outcomes, and reoperation rates.</p><p><strong>Methods: </strong>A retrospective review was performed on 21 patients operated by a single surgeon with a mean follow-up of 103 months. Nine underwent midcarpal tenodeses (FCR or ECRB based), and twelve underwent partial arthrodeses (four-corner fusion or capitolunate fusion). Outcomes included grip strength, range of motion, radiographs, and PROMs (VAS, DASH, PRWE, Mayo Wrist Score).</p><p><strong>Results: </strong>Both procedures produced comparable long-term outcomes. Mean postoperative grip strength was 27.9 kg (~75% of the contralateral side). PROMs were similar between groups (DASH 12.1, PRWE 15.5). Importantly, no complications, non-unions, or conversions to salvage arthrodesis occurred in either group during long-term follow-up.</p><p><strong>Conclusion: </strong>Midcarpal tenodeses and partial arthrodeses yield similarly durable outcomes in stage II SLAC/SNAC wrists. Tenodeses preserve motion and are suitable for patients with preserved cartilage, whereas partial arthrodeses offer predictable stability when midcarpal degeneration is present. Treatment should be individualized according to cartilage status, functional demands, and patient expectations.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"9"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272541","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":"Is a combined proximal femoral osteotomy necessary when performing open reduction and Dega acetabuloplasty in walking-age children with developmental dysplasia of the hip.","authors":"Jinghang Yu, Lianyong Li, Liwei Shi, Lijun Zhang, Qiwei Li, Enbo Wang","doi":"10.1051/sicotj/2026031","DOIUrl":"10.1051/sicotj/2026031","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the necessity of simultaneous proximal femoral osteotomy (PFO) during open reduction (OR) and Dega acetabuloplasty (DA) in patients with developmental dysplasia of the hip (DDH) by comparing the clinical and radiographic outcomes of DDH patients who underwent OR and DA with or without PFO.</p><p><strong>Methods: </strong>We retrospectively analyzed 61 DDH patients (72 hips) who underwent OR and DA at our hospital between January 2011 and December 2015. Finally, 52 patients (59 hips) with Tönnis types I, II, and III dislocation were included. We included 28 patients (31 hips) with a median operative age of 19.0 (17.0, 25.0) months (range, 15-36 months) in the PFO group. We included 24 patients (28 hips) with a median operative age of 16.0 (16.0, 23.5) months (range, 14-32 months) in the non-PFO group. Hip joint development was compared by measuring the following indicators: acetabular index (AI), femoral epiphyseal height-to-width index (HWI), et al. In both groups, we calculated changes in AI up to the final follow-up, namely ΔAI (postoperative - final follow-up).</p><p><strong>Results: </strong>Mean follow-up durations of the PFO and non-PFO groups were 42 months (range, 24-70 months). ΔAI (postoperative - final follow-up) was 5.6° (range, -15° to 24°; SD 9.0°) and 4.7° (range, -3° to 13°; SD 4.6°), respectively (t = -0.492, P = 0.625). HWI in both groups at the final follow-up was 55.9 (range, 43-76; SD 7.1) % and 53.1 (range, 43-68; SD 6.1) %, respectively (t = -1.654, P = 0.104).</p><p><strong>Conclusion: </strong>PFO is unnecessary when OR and DA is performed in walking-age children with Tönnis type III DDH or below.</p><p><strong>Level of evidence: </strong>level III.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"37"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13255421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220157","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":"Changes in muscle cross-sectional area and functional outcomes after hip arthroscopy for femoroacetabular impingement: A comparison between the operated and asymptomatic contralateral hip.","authors":"Yasin Erdoğan, Mehtap Oktay, Şahan Güven, Enejd Veizi, Hilmi Alkan, Kemal Şibar, Ahmet Firat","doi":"10.1051/sicotj/2026053","DOIUrl":"https://doi.org/10.1051/sicotj/2026053","url":null,"abstract":"<p><strong>Introduction: </strong>The effect of hip arthroscopy on peri-hip muscle morphology in patients with femoroacetabular impingement syndrome (FAI) remains unclear. Understanding postoperative muscle recovery and its relationship with functional outcomes may help optimize rehabilitation strategies. This study aimed to evaluate preoperative and 1-year postoperative changes in peri-hip muscle cross-sectional areas (CSAs) on both the operated and asymptomatic contralateral sides in patients with FAI undergoing hip arthroscopy and to assess their association with functional outcomes.</p><p><strong>Methods: </strong>This retrospective study included 66 patients who underwent hip arthroscopy for FAI, including femoroplasty, acetabuloplasty, labral repair, and complete capsular closure performed by a single surgeon. Axial T1-weighted pelvic magnetic resonance imaging scans obtained preoperatively and at 1-year postoperatively were analyzed. Bilateral CSAs of the gluteal, iliopsoas, iliocapsularis, quadriceps, and adductor muscle groups were measured. Functional outcomes were evaluated using the modified Harris Hip Score, Non-Arthritic Hip Score, Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sports-Specific Subscale, Hip disability and Osteoarthritis Outcome Score, and Visual Analog Scale.</p><p><strong>Results: </strong>At the 1-year follow-up, the gluteus maximus and rectus femoris CSAs on the operated side remained significantly smaller than those on the asymptomatic side. No significant postoperative increase in gluteus maximus CSA was observed, whereas the vastus medialis and rectus femoris demonstrated significant postoperative increases. Most other peri-hip muscles showed comparable pre- and postoperative CSAs between sides. All functional outcome scores improved significantly postoperatively, while Visual Analog Scale scores decreased. Postoperative gluteus maximus and iliocapsularis CSAs were positively correlated with postoperative modified Harris Hip Score values.</p><p><strong>Conclusions: </strong>Although most peri-hip muscle CSAs do not fully recover to asymptomatic side levels at 1 year following hip arthroscopy for FAI, improvements in specific muscle groups are associated with better functional outcomes. These findings underscore the importance of targeted postoperative rehabilitation focusing on key stabilizing muscles, particularly the gluteus maximus and iliocapsularis.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"48"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13483175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799295","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":"Management of chronic Monteggia lesion with severe radial head deformity using ulnar osteotomy, radial head replacement and ligament repair: A technical note.","authors":"Jiuzhou Lu, Erica Kholinne, Kangqi Yang, Yudong Yang, Yiqing Xue, Shulin Li, Jianyuan Jiang, Jianguang Xu","doi":"10.1051/sicotj/2026059","DOIUrl":"10.1051/sicotj/2026059","url":null,"abstract":"<p><p>Chronic Monteggia lesions are difficult to treat when longstanding radial head dislocation results in severe radial head deformity. In such cases, corrective ulnar osteotomy with or without annular ligament repair may not achieve stable or congruent radiocapitellar reduction. This technical note describes a combined reconstructive technique using corrective ulnar osteotomy, radial head replacement, and annular ligament/lateral ligament complex repair. Through a Boyd approach, the deformed radial head is resected, and the proximal ulna is osteotomized and dorsally angulated to restore radiocapitellar alignment. The resected radial head may be used as an intercalary graft at the osteotomy site. After trial radial head replacement, the capitellum, radial head notch, and proximal ulna are contoured as needed to improve prosthetic congruity. The annular ligament, lateral ulnar collateral ligament remnant, and capsule are repaired with suture anchors to enhance stability. In chronic Monteggia lesions with severe radial head deformity, this combined technique may be useful when isolated ulnar osteotomy is unlikely to restore stable radio-capitellar articulation. A longer follow-up is needed to evaluate durability, functional outcomes, and complications.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"52"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907591","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":"Factors driving higher opioid use after total hip arthroplasty: Insights from a large-scale, tertiary centre analysis.","authors":"Andreas Fontalis, Shannon Tse, Mads K Hansen, Adam T Yasen, Crystallynn S The, Isabella Catrina Haddad, Warran Wignadasan, Ricci Plastow, Fares S Haddad","doi":"10.1051/sicotj/2025064","DOIUrl":"10.1051/sicotj/2025064","url":null,"abstract":"<p><strong>Introduction: </strong>Effective postoperative pain management is imperative in total hip arthroplasty (THA) to enable early mobilization and accelerate recovery pathways. This study investigated the patterns of inpatient opioid consumption following THA and identified the factors associated with increased opioid usage.</p><p><strong>Methods: </strong>In this large-scale, single-institution study, we analyzed data from 1,867 primary THAs between April 2019 and July 2023. We collected data on demographics, length of stay (LOS), type of anaesthesia, Post Anaesthesia Care Unit (PACU) admissions, 30-day readmissions, total opioid consumption (MME; morphine milligram equivalents), implant fixation techniques, surgical characteristics and pre- and postoperative haemoglobin (Hb) levels. Factors associated with increased opioid consumption (patients in the ≥ 75th percentile of inpatient opioid consumption; MME ≥ 211.9 mg) were identified through univariate and multivariate logistic regression models.</p><p><strong>Results: </strong>The cohort included 1150 women (61.6%) and 717 men (38.4%). The median inpatient opioid use was 88 mg (IQR = 39.3-211.9). In the univariate model, significant predictors included age, American Society of Anaesthesiologists (ASA) score, manual THA technique, general anaesthesia, pre- and postoperative Hb levels, need for PACU admission and year of surgery. After adjusting for baseline demographics in the hierarchical multivariate logistic regression model, significant predictors of higher opioid utilization were age (OR 0.989 [95% CI 0.981-0.997], p = 0.01), general anaesthesia (OR 2.386 [95% CI 1.865-3.054], p < 0.001), PACU admission (OR 2.098 [95% CI 1.310-3.358], p = 0.002), ASA score (OR 1.492 [95% CI 1.193-1.866], p < 0.001), postoperative Hb levels (OR 0.981 [95% CI 0.970-0.992], p < 0.001), and year of surgery (OR 0.638 [95% CI 0.579-0.703], p < 0.001) indicating that later years were associated with lower odds of high opioid consumption).</p><p><strong>Discussion: </strong>Younger age, higher ASA scores, lower postoperative haemoglobin, the need for PACU admission and general anaesthesia were significantly associated with increased opioid consumption following THA. Recognizing these factors can facilitate the development of tailored postoperative pain management protocols, enabling targeted interventions that minimize opioid reliance while enhancing recovery.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"6"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114570","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":"Corrigendum to: Historically, did Cemented Thompson perform better than uncemented Austin Moore hemiarthroplasty for femoral neck fractures? A meta-analysis of available evidence.","authors":"Mohamed S A Shehata, Ahmed Abdelal, Sami Salahia, Hussien Ahmed, Muhammad Shawqi, Ahmed Elsehili, Mahmoud Morsi, Ahmed M Afifi, Nardeen Kader, Florian Grubhofer, Asser Sallam, Mohamed Imam","doi":"10.1051/sicotj/2026013","DOIUrl":"10.1051/sicotj/2026013","url":null,"abstract":"","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"16"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692859","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}