Efort Open Reviews最新文献

Orthopedic implant allergies: a review of current knowledge on metal hypersensitivity and prosthesis failure. 骨科种植体过敏：对金属过敏和假体失效的最新研究综述。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2025-0252

Veronica Viola, Niccoló Marelli, Teofila Caplanusi, Sylvain Steinmetz

{"title":"Orthopedic implant allergies: a review of current knowledge on metal hypersensitivity and prosthesis failure.","authors":"Veronica Viola, Niccoló Marelli, Teofila Caplanusi, Sylvain Steinmetz","doi":"10.1530/EOR-2025-0252","DOIUrl":"10.1530/EOR-2025-0252","url":null,"abstract":"Metal hypersensitivity is an increasingly recognized factor in orthopedic implant failure, particularly in patients undergoing total joint arthroplasty (TJA), and may contribute to persistent pain, aseptic loosening, or early revision. This review synthesizes current evidence on the underlying immune mechanisms of metal hypersensitivity and explores their potential role in implant-related complications such as chronic inflammation, pain, and aseptic loosening. A systematic literature search was conducted using Embase.com and complementary databases; relevant studies involving patients with suspected or confirmed allergic responses to metallic orthopedic implants were identified and integrated into a narrative review of clinical presentations, diagnostic strategies, and outcomes. Diagnostic approaches remain variable and include clinical evaluation, dermatological patch testing, in vitro assays such as the lymphocyte transformation test (LTT), and histopathological examination of periprosthetic tissues, with no current consensus on a gold-standard method. Although metal hypersensitivity is associated with a subset of implant failures, the strength of evidence is limited by heterogeneous study designs, variable diagnostic criteria, and inconsistent reporting of outcomes. Future efforts should focus on standardizing diagnostic protocols, validating predictive tests, and developing patient-specific management algorithms - particularly regarding implant material selection - to improve care for patients with suspected metal allergies in orthopedic surgery.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"11 10","pages":"1028-1037"},"PeriodicalIF":4.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analgesic efficacy and clinical role of peripheral nerve blocks in arthroscopic shoulder surgery: a Bayesian network meta-analysis. 关节镜肩关节手术中周围神经阻滞的镇痛效果和临床作用：贝叶斯网络meta分析。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2025-0125

Jinlong Zhao, Hetao Huang, Meihan Liu, Weiyi Yang, Jun Liu, Minghui Luo

引用次数: 0

Unilateral biportal endoscopy versus percutaneous transforaminal endoscopic discectomy for far lateral lumbar disc herniation: a systematic review and meta-analysis. 单侧双门静脉内窥镜与经皮经椎间孔内窥镜椎间盘切除术治疗远外侧腰椎间盘突出症：一项系统回顾和荟萃分析。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2026-0035

Kaiyuan Lin, Xiaojun Yu, Shanxi Wang, Ye Tian, Jianbin Guan

引用次数: 0

Arthroscopic versus open repair for triangular fibrocartilage complex foveal tears: a systematic review and meta-analysis. 关节镜下与开放式修复三角形纤维软骨复合体中央凹撕裂：一项系统回顾和荟萃分析。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2026-0088

Boyi Pan, Weiyu Chen, Hua Luo

引用次数: 0

Delayed surgery for high-grade acromioclavicular joint dislocations does not compromise clinical and radiographic outcomes: a systematic review and meta-analysis. 高度肩锁关节脱位的延迟手术不会影响临床和影像学结果：一项系统回顾和荟萃分析。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2025-0129

Luca Bianco Prevot, Vittorio Bolcato, Livio Pietro Tronconi, Philipp Moroder, Giuseppe Basile, Riccardo Accetta

引用次数: 0

A review of digital orthopedic techniques in pre- and intra-operative management of scaphoid fracture. 数字骨科技术在舟状骨骨折术前及术中治疗中的应用综述。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2026-0084

Shuai Wang, Zhe Yi, Wei Chen, Bo Liu

{"title":"A review of digital orthopedic techniques in pre- and intra-operative management of scaphoid fracture.","authors":"Shuai Wang, Zhe Yi, Wei Chen, Bo Liu","doi":"10.1530/EOR-2026-0084","DOIUrl":"10.1530/EOR-2026-0084","url":null,"abstract":"Digital orthopedics integrates artificial intelligence, finite element analysis, virtual surgical planning, intraoperative navigation, robotics, and three-dimensional printing into a precise, individualized workflow for scaphoid fracture management. Artificial intelligence-based algorithms achieve high diagnostic accuracy for scaphoid fractures on plain radiographs, aid in detecting occult fractures, and support treatment decisions. Three-dimensional fracture mapping and finite element analysis enable quantitative assessment of fracture morphology and biomechanical stability, supporting individualized preoperative planning. Computer-assisted navigation reduces radiation exposure and guidewire attempts compared with conventional fluoroscopy but remains limited by registration inaccuracy and dependence on manual execution. Robot-assisted surgery improves procedural consistency and screw accuracy, with a learning curve of approximately 10-20 cases; however, it is constrained by longer setup times, high costs, and predominantly level IV evidence. Virtual surgical planning combined with three-dimensional printing provides patient-specific percutaneous guides, reduction templates, anatomical models, and custom prostheses, improving accuracy, reducing radiation exposure, and enabling motion-preserving salvage for scaphoid nonunions and scaphoid nonunion advanced collapse. Current evidence is largely based on small case series and cadaveric studies, highlighting the need for standardized protocols and high-quality comparative trials to support widespread adoption.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"11 10","pages":"1048-1063"},"PeriodicalIF":4.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transforaminal versus interlaminar endoscopic lumbar discectomy for L5-S1 lumbar disc herniation: meta-analysis. 经椎间孔与椎间腔内窥镜下腰椎间盘切除术治疗L5-S1腰椎间盘突出症：荟萃分析。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2025-0002

Hang Shi, Xiaopeng Sun, Kangjia Yang, Kewei Li, Zhong Liu, Qiang Fu, Hua Ding

引用次数: 0

Unicompartmental and total knee arthroplasty in the same patient for the treatment of bilateral knee osteoarthritis: a systematic review of literature. 单腔和全膝关节置换术在同一患者治疗双侧膝骨关节炎：文献的系统回顾。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2025-0193

Claudio Legnani, Kalina Fadel, Riccardo D'Ambrosi, Giuseppe M Peretti, Alberto Ventura

引用次数: 0

Complication and work-related recovery between ulnar shortening osteotomy and arthroscopic wafer procedure: a combination of frequentist and Bayesian meta-analysis. 并发症和工作恢复之间的尺骨缩短截骨和关节镜手术：频率和贝叶斯荟萃分析的结合。