Efort Open Reviews最新文献_第2页

Acetabular revision surgery revisited: do changing indications influence bone defect management? A comprehensive review. 髋臼翻修手术：适应证的改变会影响骨缺损的处理吗？全面审查。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2026-0029

Eduardo García-Rey, Sebastien Lustig, Theofilos Karachalios, Luigi Zagra

引用次数: 0

External fixation in severe open tibial shaft fractures: indications, orthoplastic strategy, and infection-aware decision-making. 严重胫干开放性骨折的外固定：指征、矫形策略和感染意识决策。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2026-0107

Sabri El Banna

{"title":"External fixation in severe open tibial shaft fractures: indications, orthoplastic strategy, and infection-aware decision-making.","authors":"Sabri El Banna","doi":"10.1530/EOR-2026-0107","DOIUrl":"10.1530/EOR-2026-0107","url":null,"abstract":"Intramedullary nailing remains the preferred definitive fixation for most open tibial shaft fractures once contamination is controlled and soft tissues permit internal implantation. External fixation should be chosen according to intent: damage control, preservation of orthoplastic access, staged bridge to internal fixation, or definitive frame-based reconstruction. Temporary frames are most useful in polytrauma, vascular injury, severe swelling, gross contamination, and wounds needing serial debridement, flap planning, or negative-pressure therapy. Conversion to intramedullary nailing is appropriate only when margins are declared, coverage is complete or reliably scheduled, contamination is controlled, and fracture-related infection (FRI) is not suspected. Definitive circular or hybrid fixation is favored when repeated excision, vascular repair, segmental bone loss, bone transport, uncertain margins, or suspected/established FRI makes buried metal less attractive. Successful frame treatment requires safe pin placement outside flap and implant corridors, restoration of length, axis, and rotation without distraction, timely soft-tissue coverage, and standardized infection and pin-site pathways.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"11 10","pages":"1159-1165"},"PeriodicalIF":4.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117088","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

Periprosthetic fractures of the knee. 膝关节假体周围骨折。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-10-01 DOI: 10.1530/EOR-2026-0075

Kerstina Menzel, Carsten Perka, Panayiotis D Megaloikonomos, Henryk Haffer, Susana González Khatib, Clemens Gwinner, Emil Schemitsch, Sebastian Braun

{"title":"Periprosthetic fractures of the knee.","authors":"Kerstina Menzel, Carsten Perka, Panayiotis D Megaloikonomos, Henryk Haffer, Susana González Khatib, Clemens Gwinner, Emil Schemitsch, Sebastian Braun","doi":"10.1530/EOR-2026-0075","DOIUrl":"10.1530/EOR-2026-0075","url":null,"abstract":"Periprosthetic fractures around total knee arthroplasty are an increasingly common and complex problem driven by rising arthroplasty volumes, aging populations, and longer implant survivorship. Successful management requires integration of trauma principles with arthroplasty-specific considerations, particularly implant stability, bone stock, and patient frailty. Implant stability and bone quality are the primary determinants of treatment strategy, outweighing fracture morphology alone. Classification systems are useful frameworks but must be interpreted in the context of component fixation and host factors. Fixation using locked plating, retrograde intramedullary nailing, or combined constructs is appropriate for stable implants with adequate bone stock and achieves high union rates, while preserving bone and future revision options, particularly important in younger or active patients. Revision arthroplasty with stemmed components, cones or sleeves, and appropriate constraint is indicated for loose components or compromised bone stock, offering durable reconstruction but with complication profiles similar to complex revision total knee arthroplasty. Distal femoral replacement serves as an effective salvage option for fractures that cannot be fixed or in frail, low-demand patients, enabling immediate weight-bearing but at the cost of higher complication and re-revision rates. Overall, outcomes depend not only on fracture union but also on restoration of alignment, extensor mechanism function, and early mobilization. High complication rates reflect the combined burden of fragility fracture biology and revision arthroplasty complexity, underscoring the need for individualized, patient-centered decision-making.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"11 10","pages":"1015-1027"},"PeriodicalIF":4.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117098","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

Surgery of the tumors of the spine. 脊柱肿瘤的外科手术

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-09-01 DOI: 10.1530/EOR-2026-0089

Andrea Angelini, Pietro Ruggieri

引用次数: 0

Tranexamic acid effectively reduces blood loss and transfusion requirements in musculoskeletal tumor surgery with acceptable safety: a systematic review and meta-analysis. 氨甲环酸在可接受的安全性下有效减少肌肉骨骼肿瘤手术的失血和输血需求：一项系统回顾和荟萃分析。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-09-01 DOI: 10.1530/EOR-2025-0213

Hua Luo, Chunli Xu, Xiaoguang Xu, Lingqin Huang, Yu Yang, Junbo Liang

引用次数: 0

Surgical augmentation of gluteal tendon tears: a systematic review of techniques, indications and comparative clinical outcomes. 臀肌腱撕裂的外科手术：技术，适应症和比较临床结果的系统回顾。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-09-01 DOI: 10.1530/EOR-2025-0003

Cédric Bonte, Damien Van Quickenborne, Emmanuel Audenaert, Arne Burssens

引用次数: 0

Learning curves in orthopedic and trauma surgery: a systematic review. 骨科和创伤外科的学习曲线：系统综述。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-09-01 DOI: 10.1530/EOR-2025-0033

Pierre-Alban Bouché, Charles Falkenrodt, Rémy S Nizard, Flore Devriese, Matthieu Resche-Rigon, Jules Descamps

引用次数: 0

Unobvious diagnosis: subcoracoid impingement. Current knowledge about this condition. 诊断不明确：喙下撞击。目前对这种情况的了解。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-09-01 DOI: 10.1530/EOR-2025-0239

Szymon Stupnicki, Mikołaj Zakryś, Jędrzej Jabłoński, Mikołaj Lewandowski, Jan Niziński, Przemysław Lubiatowski

{"title":"Unobvious diagnosis: subcoracoid impingement. Current knowledge about this condition.","authors":"Szymon Stupnicki, Mikołaj Zakryś, Jędrzej Jabłoński, Mikołaj Lewandowski, Jan Niziński, Przemysław Lubiatowski","doi":"10.1530/EOR-2025-0239","DOIUrl":"10.1530/EOR-2025-0239","url":null,"abstract":"Subcoracoid impingement (SCI) is one of the possible causes in anterior shoulder pain that can be misdiagnosed or missed. It results from a conflict between the coracoid process and the lesser tuberosity of the humeral head. The collision mainly affects the subscapularis tendon that is at risk of degeneration and tearing. The symptoms arise by positioning the shoulder in flexion, adduction and internal rotation, dynamically decreasing the coracohumeral distance, the most important diagnostic parameter in the SCI. The impingement has been associated with shoulder overuse that may occur in specific sport activities, such as freestyle swimming and overhead throwing. Ultrasound scan, MRI and arthroscopy may help in the identification of pathology. Although not suitable for soft tissue imaging, X-ray may be helpful in detecting bony factors contributing to SCI. The first and main line of treatment is usually conservative, but when it fails, bursectomy followed by mild coracoplasty is a safe and effective method. Patients may also need a repair of the subscapularis tears.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"11 9","pages":"994-1004"},"PeriodicalIF":4.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882271","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

Trends in female anterior cruciate ligament injuries: a bibliometric and visualized analysis. 女性前交叉韧带损伤的趋势：文献计量学和可视化分析。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-09-01 DOI: 10.1530/EOR-2025-0133

DingYuan Fan, HoiKuan Ng

引用次数: 0

Deltoid ligament injury: thinking beyond the ankle - an expert opinion. 三角韧带损伤：考虑脚踝以外的问题——专家意见。

IF 4.6 2区医学

Efort Open Reviews Pub Date : 2026-09-01 DOI: 10.1530/EOR-2025-0268

Catherine Fleury, Antoine Acker, Victor Dubois-Ferrière, Mathieu Assal

{"title":"Deltoid ligament injury: thinking beyond the ankle - an expert opinion.","authors":"Catherine Fleury, Antoine Acker, Victor Dubois-Ferrière, Mathieu Assal","doi":"10.1530/EOR-2025-0268","DOIUrl":"10.1530/EOR-2025-0268","url":null,"abstract":"Deltoid ligament (DL) injuries are common in ankle trauma, yet their optimal management remains debated. Most trauma literature considers DL injury as an isolated ankle problem, whereas foot-and-ankle specialists view the ankle and the foot as a complex. This disconnect leaves a critical knowledge gap that our work aims to address. As we know, every post-traumatic collapsing foot deformity involves a DL injury, but not every DL necessarily progresses to such a deformity. We introduce the concept of the DL as a tri-articular stabilizer within the medial ankle ligament complex, contributing to the stability of the tibio-talar, subtalar (ST), and talo-navicular (TN) joints. Neglecting this broader stabilizing role may lead to irreversible foot sequelae, such as post-traumatic plano-valgus or plano-abductus deformities. Therefore, DL injuries should be systematically recognized in both acute and chronic settings, whether treated conservatively or surgically. In this expert opinion, we synthesize current anatomical, biomechanical, and clinical evidence together with our experience to outline key diagnostic principles and therapeutic considerations for the management of DL injuries.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"11 9","pages":"930-938"},"PeriodicalIF":4.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882237","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