Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Comparison of Medial Meniscus Root Repair with Two Surgical Techniques Using Medial and Lateral Tunnels: A Prospective Cohort Study.","authors":"Ali Shahsavari Pour, Ali Hosseini, Iman Ghomashi, Sajjad Jafari, Zahra Sarabandi, Fatemeh Ahmadi","doi":"10.22038/abjs.2025.86673.3939","DOIUrl":"10.22038/abjs.2025.86673.3939","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the clinical outcomes of trans-tibial pullout repair of the medial meniscus posterior root using the lateral tibial tunnel versus the conventional medial tibial tunnel.</p><p><strong>Methods: </strong>In this prospective cohort study, patients with posterior root tears of the medial meniscus who underwent surgical repair were divided into two groups based on the tibial tunnel used for fixation: the medial tunnel technique (Group 1) and the lateral tunnel technique (Group 2). The Lysholm score was recorded preoperatively and 12 months postoperatively to assess knee function and the return to daily and sports activities. Demographic data, including age, gender, and associated injuries, were also documented. Statistical analysis was performed using the one-sample t-test, independent t-test, and Pearson correlation.</p><p><strong>Results: </strong>The mean Lysholm score in the medial tunnel group was 92.67 ± 9.28, while in the lateral tunnel group, it was 88.02 ± 13.59. Statistical analysis revealed no significant difference in the Lysholm scores between the two groups (p > 0.05), indicating comparable clinical outcomes for both techniques.</p><p><strong>Conclusion: </strong>Both medial and lateral tibial tunnel techniques for trans-tibial pullout repair of the medial meniscus root yield comparable functional outcomes. The choice of tunnel may be guided by anatomical considerations or surgeon preference, as no significant difference was observed in postoperative recovery, as measured by the Lysholm score.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 1","pages":"24-30"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724401","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":"Sensory Organization and Postural Control Strategies During Quiet Standing in People with Acute Low Back Pain: A Case-Control Study.","authors":"Abbas Fatehi Peykani, Maryam Saadat, Saeideh Monjezi, Farshad Molhemi","doi":"10.22038/ABJS.2025.85252.3885","DOIUrl":"10.22038/ABJS.2025.85252.3885","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare posturographic measures between acute low back pain patients (LBP) and healthy controls.</p><p><strong>Methods: </strong>A total of 20 participants with acute LBP were compared with a group of matched, healthy participants. Sensory organization, standing balance, and motor control strategies were assessed with the Neurocom Smart Balance Master posturography platform.</p><p><strong>Results: </strong>The MANOVA indicated significant between-group differences in equilibrium (F = 5.58, p < 0.001) and strategy scores (F = 3.98, p = 0.006) across the six conditions of the sensory organization test. The equilibrium scores were significantly lower in participants with acute LBP compared to controls in all conditions except conditions 1 and 2 (p < 0.001). Similarly, strategy scores were significantly reduced in the acute LBP group compared to the control group in all conditions except condition 1 (p < 0.05). Visual and vestibular ratios were significantly lower in the acute LBP group than in controls (p < 0.05), whereas no significant difference was observed in somatosensory ratios between the two groups (p = 0.07).</p><p><strong>Conclusion: </strong>Patients with acute LBP exhibit impaired postural control and altered movement strategies under sensory challenges, highlighting the importance of early assessment and rehabilitation targeting sensorimotor deficits to reduce the risk of recurrence.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 4","pages":"313-320"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164511","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":"Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.","authors":"Sohrab Keyhani, Kamran Shirbache, Iman Menbari Oskouie, Mehran Soleymanha, Mohammad Movahedinia, Robert F Laprade, Luke V Tollefson, Rene Vendonk, Sina Aminizadeh, Fardis Vosoughi","doi":"10.22038/ABJS.2025.88267.3998","DOIUrl":"10.22038/ABJS.2025.88267.3998","url":null,"abstract":"<p><p>Medial meniscus ramp lesions have emerged as a critical but frequently overlooked contributor to knee instability, particularly in the context of anterior cruciate ligament (ACL) injuries. Recent advances in imaging and arthroscopic techniques have improved their detection and classification, enhancing our understanding of their anatomical and functional significance. Evidence indicates that untreated ramp lesions may perpetuate instability and alter knee biomechanics, underscoring the need for structured, individualized treatment. Although multiple arthroscopic repair strategies have been proposed, the optimal technique remains debated. The posterior portals approach offers superior visualization and reliable repair, and has gained increasing adoption. This review synthesizes current insights into ramp lesion pathophysiology, classification, diagnostic advances, and evolving management strategies, emphasizing the importance of accurate identification and tailored intervention to optimize patient outcomes.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 4","pages":"267-284"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165127","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":"Association of Physical Function and Pain with Lower Muscle Strength and Trunk Muscle Endurance in Subjects with Patellofemoral Pain Syndrome.","authors":"Mehri Shakerinasab, Mohammad Jafar Shaterzadeh Yazdi, Nahid Pirayeh, Neda Orakifar","doi":"10.22038/ABJS.2025.84895.3873","DOIUrl":"10.22038/ABJS.2025.84895.3873","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the relationship between knee pain severity and functional performance, as well as hip and knee muscle strength and trunk endurance, in individuals with patellofemoral pain syndrome (PFPS).</p><p><strong>Methods: </strong>This cross-sectional study included 50 participants diagnosed with PFPS. An 11-point visual analog scale (VAS) was used to assess the severity of knee pain, and the Anterior Knee Pain Scale (AKPS) was used to quantify functional ability. Hip extensors, abductors, medial and lateral rotators, and knee extensors were tested for strength using a handheld dynamometer. Trunk endurance was assessed through plank tests in anterior, posterior, and lateral positions.</p><p><strong>Results: </strong>A significant inverse relationship was identified between pain intensity and functional performance (r = -0.504, p < 0.001). Body mass index (BMI) exhibited a negative relationship with performance (B = -7.459, p = 0.021). Knee extensor strength (B = 0.156, p < 0.0001) and lateral plank endurance (B = 1.457, p = 0.002) showed a positive relationship with functional performance.</p><p><strong>Conclusion: </strong>Higher pain levels and BMI were related to poorer function in individuals with PFPS. In contrast, greater quadriceps strength and increased lateral core endurance were correlated with better functional outcomes.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 6","pages":"401-407"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654808","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":"Comparing VR-Based Exercises and Routine Physical Therapy Effects on Pain, Kinesiophobia, and Functional Abilities in Non-Specific Chronic Low Back Pain Patients \"A Randomized Clinical Trial\".","authors":"Fatimah Khalifeh, Noureddin Karimi, Somayeh Mohammadi, Mohammad Hassan Azarsa, Samaneh Hosseinzade, Saeed Behzadipour, Pezhman Masoudi","doi":"10.22038/abjs.2025.87696.3971","DOIUrl":"10.22038/abjs.2025.87696.3971","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the effects of Virtual Reality (VR)-based exercises and routine physical therapy on pain, kinesiophobia, and functional abilities in patients with Non-Specific Chronic Low Back Pain (NSCLBP).</p><p><strong>Methods: </strong>Twenty-eight participants aged 20 to 55 were included and randomly assigned to two groups, ensuring single blinding. Both groups received routine physical therapy, which included transcutaneous electrical nerve stimulation (TENS), ultrasound therapy, and infrared light, along with identical exercise programs. The intervention group also engaged in additional exercises using VR technology. Participants had been experiencing NSCLBP for three months or longer.</p><p><strong>Results: </strong>The intervention group showed significant improvements in pain (P=0.001), disability index, quality of life (QoL) (P=0.004), range of motion (ROM) in flexion and extension (P=0,008, P=0.002), and both left and right sided balance (P=0.001, P=0.013) compared to the control group. However, no significant differences were observed in the Tampa Scale of Kinesiophobia (P=0.148) and strength in flexion and extension (P=0.370, P=0.09).</p><p><strong>Conclusion: </strong>VR-based therapeutic exercises significantly improved pain, disability, quality of life, and balance in NSCLBP patients compared to routine physical therapy interventions.</p><p><strong>Level of evidence: </strong>I.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 9","pages":"616-629"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026505","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":"New Onset Urological Complication in Pelvic Fractures: Predictors of Bladder Injury, Urethral Injury, Urinary Retention and Urinary Incontinence Following Pelvic Fractures.","authors":"Mohammed Dashti, Abdullah Almutairi, Saad Alenezi, Barak Alenezi, Ahmed Alshammasi, Bassam Almulla, AlJaraah Aleidan","doi":"10.22038/abjs.2025.89334.4058","DOIUrl":"10.22038/abjs.2025.89334.4058","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to identify the incidence of urological complications named bladder injury, urethral injury, urinary retention, and urinary incontinence following pelvic fractures and e xamine age, sex, fracture type, and mechanism of injury as possible predictors.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted at two general hospitals, including patients with pelvic ring fractures between January 2021 and March 2024. Data were gathered using the patients' files.</p><p><strong>Results: </strong>A total of 45 patients were included. 2 (4.4%) had urethral injury, 4 (8.9%) had bladder injury, 6 (13.3%) had urinary incontinence, and 2 (4.4%) had urinary retention. Neither age nor sex showed a statistically significant difference. Anteroposterior compression type III (APC III) injuries were disproportionately associated with urological complications, namely one urethral injury, three bladder injuries, and two urinary retention cases. Patients with APC III injuries had an increased probability of sustaining bladder injuries (OR- 15, p = 0.057). In terms of mechanisms of injury, road traffic accidents, falls from height, injuries with heavy objects, and falls from stairs were the most common, accounting for 51% of the cases. However, a fall from stairs was identified as the only mechanism of injury (MOI) that showed a lower odds of urethral injury, which is statistically significant; however, due to the rarity of complications as well as small sample size, the odds ratio calculations are known to be dubious with a resultant high variance and wide confidence interval, therefore further studies are required to confirm findings.</p><p><strong>Conclusion: </strong>This study shows a significant association between APC III pelvic fractures and bladder injuries and urinary retention. The results show that the type of fracture and its mechanism of injury play a more significant role in predicting urogenital complications, compared to factors like age and gender. Early diagnostic interventions and management strategies based on these factors are essential for improving patient outcomes. Although the study provides valuable insights, further research with a larger sample size is needed to develop predictive models for more effective management.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 9","pages":"597-606"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026533","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":"Two-stage primary Total Knee Arthroplasty (TKA) for Treatment of Refractory Septic Knee Osteoarthritis: A Retrospective Cohort Study.","authors":"Moslem Fallah, Amir Shahriar Ariamanesh, Amir Moayedpour","doi":"10.22038/ABJS.2025.87772.3972","DOIUrl":"10.22038/ABJS.2025.87772.3972","url":null,"abstract":"<p><strong>Objectives: </strong>Several case studies have reported the use of a two-stage primary total knee replacement as a last resort for managing infected, arthritic knee joints. However, the exact treatment protocol has not yet been clearly defined. The objective of this study was to assess the effectiveness of a two-stage primary total knee replacement, using an antibiotic-loaded cement spacer block, in treating patients with concurrent osteoarthritis and refractory joint infection.</p><p><strong>Methods: </strong>This retrospective study evaluated the outcomes of a two-stage primary total knee arthroplasty (TKA) for the treatment of refractory septic osteoarthritic knees. A total of six cases were included. In the first stage, open debridement was performed, followed by insertion of a well-designed antibiotic-loaded static cement spacer. Systemic antibiotics were administered during the interval period between the two stages. Once the infection had been eradicated, the second-stage TKA was performed. No suppressive antibiotic therapy was prescribed after the second stage. Clinical outcomes were assessed using pre- and postoperative knee range of motion (ROM), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, and visual analog scale (VAS) scores. The mean follow-up duration was two years (range, 1-4 years).</p><p><strong>Results: </strong>Complete eradication of infection was successfully achieved within an average follow-up period of two years. Before the initial stage surgery, the average range of motion (ROM) was 60 degrees (range, 40-120 degrees). Following the two-stage TKA, the ROM significantly improved to an average of 118 degrees (range, 100-130 degrees). Additionally, the WOMAC scores improved from an initial score of 40 to 20 after TKA. The mean VAS scores also showed significant improvement, decreasing from 50 preoperatively to 19 after the TKA procedure.</p><p><strong>Conclusion: </strong>The promising final clinical outcomes observed in this study suggest that this treatment protocol could serve as a reliable alternative for patients with infected osteoarthritic knees, providing a viable option for both restoring function and eradicating infection.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 5","pages":"343-348"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13240994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200448","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":"Functional Outcome of Management by Intramedullary Interlocking Nailing for Extra-Articular Distal Tibial Fractures in Adults.","authors":"Sathish Kumar Dake, Rajashekhar Tati, Polisetty Venkata Shyam Prasad, Paidi Srivenkat Saketh, Anga Venkata Suresh","doi":"10.22038/ABJS.2025.88106.3991","DOIUrl":"10.22038/ABJS.2025.88106.3991","url":null,"abstract":"<p><strong>Objectives: </strong>Extra-articular distal tibial fractures (EADTFs) are commonly associated with fibular fractures in approximately 85% of cases and present unique challenges due to their unstable nature and propensity for complications such as malunion, delayed union, non-union, and soft tissue compromise. This study aimed to evaluate the functional and radiological outcomes of intramedullary interlocking nailing (IMN) in the management of EADTFs.</p><p><strong>Methods: </strong>This prospective observational study was conducted on 30 patients diagnosed with extra-articular distal tibial fractures, who underwent intramedullary nailing at a tertiary care center. Radiographic assessments included time to union, loss of reduction, and angular malalignment. Diagnostic criteria for consistent bony union, non-union, delayed union, and malunion were applied. Functional outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system during follow-up evaluations.</p><p><strong>Results: </strong>Of the 30 patients included, the mean age was 41.6 ± 15.6 years, with a male predominance (73.3%). Based on the AOFAS score, 26.7% of patients achieved an excellent outcome, 56.7% had good outcomes, and 16.6% had fair outcomes. No patient recorded a poor outcome. Radiologically, the mean time to union was 18.5 ± 2.2 weeks. Malunion occurred in 6.7% of cases, while there were no instances of delayed union, non-union, or infection reported.</p><p><strong>Conclusion: </strong>Intramedullary interlocking nailing is a reliable and effective treatment modality for extra-articular distal tibial fractures, offering favorable functional outcomes and a low complication rate. The technique demonstrates consistent union rates and minimal risk of infection or non-union, reinforcing its role as a preferred management strategy in appropriately selected cases.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 2","pages":"129-134"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870008","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 Evaluation of Reduction and Plate Positioning in Proximal Humerus Fractures: A Case-Control Study Comparing CFR-PEEK and Metallic Plates.","authors":"Secci Gregorio, Galardi Giovanni, Corti Jacopo, Innocenti Matteo, Zanna Luigi, Tucci Raffaele","doi":"10.22038/ABJS.2025.87746.3970","DOIUrl":"10.22038/ABJS.2025.87746.3970","url":null,"abstract":"<p><strong>Objectives: </strong>Proximal humeral fractures (PHF) are common upper extremity injuries, particularly in older adults. Recently, carbon fiber-reinforced polyetheretherketone (CFR-PEEK) plates have gained popularity in trauma surgery due to their bone-like elasticity, radiolucency, and reduced risk of stress shielding. However, their impact on intraoperative fracture reduction and implant positioning remains unclear. The aim of our study was to assess CFR-PEEK plates' impact on intraoperative fracture reduction and device positioning.</p><p><strong>Methods: </strong>This retrospective case-control study evaluated PHFs treated with CFR-PEEK plates versus conventional metallic plates. Radiologic parameters, including plate-tuberosity distance, tuberosity-head distance, neck-shaft angle, neck-shaft distance, head-shaft angle, were assessed postoperatively. Thirty patients with CFR-PEEK plates were matched with a metal plate control group based on age, gender, and fracture type.</p><p><strong>Results: </strong>The results showed no significant differences in fracture reduction quality between the two groups, suggesting CFR-PEEK plates allow comparable anatomical restoration. However, due to radiolucency and marker positioning, CFR-PEEK plates were more frequently placed too high.</p><p><strong>Conclusion: </strong>In conclusion, CFR-PEEK plates provide effective fracture fixation comparable to metal plates but require careful positioning to avoid complications. Surgeons should take extra precautions to ensure proper plate positioning, using intraoperative guides rather than freehand techniques.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 2","pages":"121-128"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870021","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":"Clinical, Functional, and Radiological Outcomes of Core Decompression in Kienböck's Disease: A Comprehensive Systematic Review.","authors":"Babak Shojaie, Mohammadhossein TaheryNejad, Hossein Saremi, Mohammadamin Sabahi, Amirreza Rostami","doi":"10.22038/ABJS.2025.89723.4065","DOIUrl":"10.22038/ABJS.2025.89723.4065","url":null,"abstract":"<p><strong>Objectives: </strong>Kienböck's disease (KD) is a progressive, typically unilateral condition primarily affecting young male manual laborers, causing pain and impaired wrist function. This comprehensive narrative review synthesizes the existing literature to assess clinical, functional, and radiological outcomes of Metaphyseal core decompression (MCD) in KD patients.</p><p><strong>Methods: </strong>A comprehensive narrative review of the literature was conducted in November 2024 using PubMed, Cochrane Library, Google Scholar (top 20 result pages), and Web of Science to identify studies on core decompression for Kienböck's disease. Eligible articles were qualitatively synthesized with respect to clinical, functional, and radiological outcomes.</p><p><strong>Results: </strong>Eighteen studies comprising 382 patients (mean age 34.5 years) across Lichtman stages I-IIIb were reviewed. MCD techniques were associated with improvements in clinical and functional outcomes, including VAS, DASH, MWS, and PRWE scores. Radiological findings showed variable progression that did not consistently correlate with clinical deterioration. Capitate Forage Procedure (CFP), though limited in data, seems to offer promising early-term results. Major complications were infrequently reported, and a high proportion of patients (91-100%) returned to work. No procedure-related complications were reported in the reviewed studies, and the reoperation rate associated with MCD was relatively low, ranging from 4.2% to 8.3%. MCD may be beneficial for both young and elderly patients, including those with stage IIIb disease, and could offer socioeconomic advantages due to its minimally invasive nature and lack of implant use. MRI-detected vascular changes may suggest long-term benefits, with Schmitt's method recommended for imaging evaluation.\"</p><p><strong>Conclusion: </strong>MCD improves pain relief, range of motion, and grip strength in both early and advanced stages. Pain relief is often observed early, contributing to patient satisfaction, and its efficacy may extend to advanced stage IIIb cases, enabling most patients to return to work. MRI assessments suggest possible long-term vascular benefits. MCD is considered less invasive than RSO, with potential benefits that may justify further cadaveric studies to refine arthroscopic techniques.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 1","pages":"3-15"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724412","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}