European Journal of Orthopaedic Surgery and Traumatology最新文献

{"title":"Nonsurgical versus surgical treatment for cervical radiculopathy: a systematic review and meta-analysis of randomized controlled trials.","authors":"Kamran Hassan Dar, Abdulaziz Alzarooni, Justyna Kaczmarek, Cara Mohammed, Alicia Mary Sequeira, Mrunj Bhavinkumar Patel, K Venkataramana, Zehra Hasnain, Kabilesh Jothilingam, Seba Sayed Muhammed, Abdalwahab Alenezy, Asma'a Munasar Ali Alsubari, Zain Elahi","doi":"10.1007/s00590-026-04755-5","DOIUrl":"https://doi.org/10.1007/s00590-026-04755-5","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of surgical outcomes between posterior percutaneous endoscopic cervical discectomy and microscope-assisted ACDF in patients with single-level unilateral radicular symptomatology of cervical disc herniation: a single-center retrospective study.","authors":"Yin He, Jing Zhang, Dawei Ren, Tianping Xi, Zhilin Li","doi":"10.1007/s00590-026-04756-4","DOIUrl":"https://doi.org/10.1007/s00590-026-04756-4","url":null,"abstract":"<p><strong>Objective: </strong>To compare surgical outcomes between the posterior percutaneous endoscopic cervical discectomy (PPECD) and microscope-assisted ACDF for the treatment of single-level unilateral radicular symptomatology of cervical disc herniation.</p><p><strong>Overview of literature: </strong>Microscope-assisted Anterior cervical discectomy and fusion (ACDF) is the standard surgical procedure for treating symptomatic cervical disc herniation. Posterior Percutaneous Endoscopic Cervical Discectomy (PPECD) has developed rapidly in recent years. However, comparative evidence on efficacy, safety, and recovery profiles remains limited.</p><p><strong>Methods: </strong>This was a single-center retrospective analysis of 110 patients with single-level unilateral radicular symptomatic cervical disc herniation who underwent either the PEPCD surgery (n = 57) or microscope-assisted ACDF (n = 53) between January 2019 and December 2023. Demographic information, perioperative data, and pain measurements were reviewed. Pain intensity, quality of life, and patient satisfaction were assessed using the Visual Analog Scale (VAS), the Neck Disability Index (NDI) and the modified MacNab criteria at 3 days, 1 month, 6 months, and 12 months follow-ups.</p><p><strong>Results: </strong>The mean postoperative hospitalization in the PPECD (3.0 ± 0.9 days) was significantly shorter than in the ACDF group (5.0 ± 0.9, days, p < 0.001). the postoperative VAS scores of neck/upper extremity pain and NDI scores of the patients in the two groups improved significantly compared with that of the preoperative period (P < 0.05), and the difference was not statistically significant when comparing between the two groups (P > 0.05). At 12 months postoperatively, the modified MacNab criteria evaluation showed an excellent and good rate was 83% in the PPECD and 80.7% in the ACDF group, and ther was no statistically significant difference.</p><p><strong>Conclusion: </strong>The clinical efficacy of PPECD and microscope-assisted ACDF are both satisfactory. The findings suggest comparable short-term clinical improvement between the two groups. Both ACDF and PPECD resulted in significant improvement in clinical outcomes at 12 months postoperatively. While perioperative metrics favored PPECD, the findings suggest comparable short-term clinical improvement between the two groups.</p><p><strong>Level of evidence: </strong>Level of evidence level Ⅲ, therapeutic study.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined hip procedure (CHP) involving open reduction and internal fixation and acute total hip arthroplasty (THA) for elderly acetabular fractures: a comparative analysis to THA for femoral neck fractures and hip osteoarthritis.","authors":"Manasa L Kadiyala, Lauren A Merrell, Vinay K Aggarwal, Abhishek Ganta, Kenneth A Egol, Sanjit R Konda","doi":"10.1007/s00590-026-04709-x","DOIUrl":"https://doi.org/10.1007/s00590-026-04709-x","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metformin use and outcomes after arthroscopic full thickness rotator cuff repair: a real-world, propensity score-matched cohort study.","authors":"Tarek Haj Shehadeh, Joseph Abboud","doi":"10.1007/s00590-026-04754-6","DOIUrl":"https://doi.org/10.1007/s00590-026-04754-6","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does supine versus lateral position affect operative time and reduction quality for elderly intertrochanteric femur fractures?","authors":"Ryan C Ross, Soroush Shabani, Brandan Sakka, Jorge Figueras, Michael Allen, Jackson Lee, Charalampos Zalavras, Lane Shepherd, Joseph T Patterson, Joshua L Gary","doi":"10.1007/s00590-026-04739-5","DOIUrl":"10.1007/s00590-026-04739-5","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693406","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":"Evaluation of nail-plate construct fixation for complicated distal tibial fractures: a retrospective analysis of clinical and radiographic outcomes.","authors":"I-Jung Chen, Yi Lu, Shu-Chen Liao, Chang-Heng Liu, Po-Ju Lai, Sheng-Hsuan Lin","doi":"10.1007/s00590-026-04704-2","DOIUrl":"10.1007/s00590-026-04704-2","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693422","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 retrospective cohort study of distal radius fracture manipulation under different traction methods and different analgesic modalities and its impact on surgical rates.","authors":"Luanne Lai, Serena Patel, Nicholas Ng, Nidhruv Ravikumar, Alan Norrish","doi":"10.1007/s00590-026-04747-5","DOIUrl":"https://doi.org/10.1007/s00590-026-04747-5","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extracorporeal shock wave therapy (ESWT) for treatment of osteonecrosis of the femoral head: a systematic review and meta-analysis.","authors":"Mahdi Gouravani, Dina Seyedi, Mohammad Shahrabi Farahani, Ahmadreza Sohrabi-Ashlaghi, Babak Ehsani, Shahriar Kolahi, Mahrooz Malek","doi":"10.1007/s00590-026-04723-z","DOIUrl":"https://doi.org/10.1007/s00590-026-04723-z","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and radiographic outcomes of multiple cannulated cancellous screw fixation versus the femoral neck system for femoral neck fractures in the elderly: a multicenter retrospective comparative study.","authors":"Eiki Morisaki, Hiroaki Ido, Katsuhiro Tokutake, Hiroaki Nakashima, Kenichi Mishima, Shiro Imagama, Yasuhiko Takegami","doi":"10.1007/s00590-026-04741-x","DOIUrl":"https://doi.org/10.1007/s00590-026-04741-x","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical efficacy comparison of Ilizarov bone transport versus Masquelet technique for cierny-mader type Ⅲ-Ⅳ tibial osteomyelitis with large bone defects.","authors":"Han Wu, Panpan Sun, Wen-Dan Chen","doi":"10.1007/s00590-026-04746-6","DOIUrl":"https://doi.org/10.1007/s00590-026-04746-6","url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical efficacy, safety, and prognostic factors of Ilizarov bone Transport combined with antibiotic-impregnated bone cement filling versus the Masquelet technique in treating Cierny-Mader type Ⅲ-Ⅳ tibial osteomyelitis with large bone defects, providing evidence for clinical decision-making.</p><p><strong>Methods: </strong>A retrospective multicenter study included 112 patients from the Second People's Hospital of Anhui Province (January 2018-January 2023), divided into the Ilizarov group (n = 56) and Masquelet group (n = 56). Propensity score matching (PSM) balanced baseline confounders. Primary outcomes included bone healing time (graft consolidation time for the Masquelet technique), infection control rate, and Paley scoring excellent-good rate; secondary outcomes included treatment course, limb function, complication rates, and reoperation rates.</p><p><strong>Results: </strong>All patients were followed up for 12-36 months. After PSM, the Ilizarov group had longer bone healing time (8.2 ± 1.45 vs. 6.5 ± 1.28 months, P < 0.001) but shorter total treatment course (10.5 ± 2.1 vs. 14.8 ± 2.5 months, P < 0.001). The external fixator index (EFI) for the Ilizarov group was 42.3 ± 8.5 days/cm.No significant differences were observed in infection control rate or Paley excellent-good rate (P > 0.05). The Ilizarov group had lower donor site morbidity (0% vs. 17.9%, P = 0.001) but higher pin tract infection rate (12.5% vs. 3.6%, P = 0.026). Bone defect > 12 cm and diabetes mellitus (HbA1c ≥ 7.0%) were independent risk factors for delayed healing (P < 0.05).Reoperation rates were 23.8% (13/56) in the Ilizarov group and 15.0% (8/56) in the Masquelet group (P = 0.28).</p><p><strong>Conclusion: </strong>Both techniques are safe and effective. The Masquelet technique achieves faster bone healing, while the Ilizarov technique avoids donor site trauma and shortens total treatment course. Clinical selection should be individualized based on bone defect length, soft tissue conditions, host comorbidities, vascular status, and patient willingness.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}