European Journal of Orthopaedic Surgery and Traumatology最新文献

{"title":"A minimum of 16° of rotation of transcervical femoral neck fractures leads to arterial collapse: an anatomical cadaveric study.","authors":"Tyler Thorne, Leonard Lisitano, Max Mouritsen, Willie Dong, Lucas Marchand, Justin Haller","doi":"10.1007/s00590-026-04745-7","DOIUrl":"https://doi.org/10.1007/s00590-026-04745-7","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647427","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":"Evaluating the incidence of ileus in patients with pelvic ring and acetabular fractures in Major Trauma: a retrospective cohort audit at a Major Trauma Centre (July 2024-June 2025).","authors":"Mark Hanna, Yasser Mohamed, Emily Georgia Stewart, Matthew Irvine, Roslyn Cassidy, Owen Diamond","doi":"10.1007/s00590-026-04732-y","DOIUrl":"https://doi.org/10.1007/s00590-026-04732-y","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647415","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":"Optimizing discharge planning: predictors of prolonged hospital length of stay after isolated femoral shaft fracture fixation.","authors":"Lucy O'Sullivan, Sanjana Nasta, Allison Heffley, Michael Stoltz, Rodolfo Zamora","doi":"10.1007/s00590-026-04742-w","DOIUrl":"https://doi.org/10.1007/s00590-026-04742-w","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647467","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, functional, and quality-of-life outcomes after arthroplasty versus osteosynthesis for metastatic lesions of the proximal femur: a 12-month observational cohort study.","authors":"Rezeart Dalipi, Simona Karapandzevska, Zeljko Stepanovic","doi":"10.1007/s00590-026-04737-7","DOIUrl":"https://doi.org/10.1007/s00590-026-04737-7","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635153","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":"Outcomes and complications of bipolar fusionless constructs for early-onset scoliosis: a systematic review.","authors":"Sergio De Salvatore, Paolo Brigato, Davide Palombi, Gian Mario Sangiovanni, Leonardo Oggiano, Umile Giuseppe Longo, Laura Ruzzini, Fabrizio Donati, Pier Francesco Costici","doi":"10.1007/s00590-026-04735-9","DOIUrl":"https://doi.org/10.1007/s00590-026-04735-9","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635192","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":"Memantine as a pain management strategy post-total knee arthroplasty: a randomized controlled trial.","authors":"Seyedehsan Daneshmand, Shayan Amiri, Mohammad Soleimani, Mohammad Saeid Khonji, Maryam Mehrpooya, Mehdi Moghtadaei, Azadeh Eshraghi","doi":"10.1007/s00590-026-04675-4","DOIUrl":"https://doi.org/10.1007/s00590-026-04675-4","url":null,"abstract":"<p><strong>Introduction: </strong>Total knee arthroplasty (TKA) provides significant pain relief and improved function for patients with knee osteoarthritis. Despite its effectiveness, postoperative pain remains a major challenge. Effective management of this acute postoperative pain is critical for enhancing recovery. The study investigates the effectiveness of memantine in reducing postoperative pain in patients undergoing TKA.</p><p><strong>Methods: </strong>This double-blind, randomized controlled trial aimed to evaluate the efficacy of memantine for managing postoperative pain after TKA. Conducted from April to September 2022, eligible participants over 18 years with ASA grades I or II were recruited. Exclusions included patients with substance abuse histories, chronic opioid use, significant comorbidities, or contraindications to memantine. Participants were randomly assigned to receive either memantine (20 mg daily preoperatively for three days and 10 mg daily postoperatively for two weeks) or a placebo. Both groups received standard analgesics during hospitalization and upon discharge. Pain levels were assessed using Visual Analog Scale (VAS) scores and Short-Form McGill Pain Questionnaire (SF-MPQ) at various time points. Secondary outcomes measured included opioid usage and nocturnal awakening.</p><p><strong>Results: </strong>Memantine did not significantly lower pain levels compared to placebo, as measured by VAS (mean difference: 0.138, CI 95%: - 0.468-1.103, P = 0.418) and SF-MPQ (mean difference: 1.962, CI 95%: - 1.013-4.936, P = 0.190). Patients receiving memantine needed opioid analgesia (2.85 ± 0.67 times) significantly (P < 0.001) less frequently than the Placebo patients (4.14 ± 1.06 times). Nocturnal awakening did not differ significantly between the two groups (Memantine: 3.59 ± 2.15, Placebo: 2.33 ± 2.12, P = 0.067).</p><p><strong>Conclusion: </strong>The comparison of pain levels between oral memantine and placebo indicates that memantine does not significantly reduce pain in patients undergoing TKA. However, it significantly lowers the need for opioids postoperatively.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635215","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":"Minimally invasive screws fixation of displaced fractures of the acetabulum: a 7 years single center experience.","authors":"Umberto Mezzadri, Carlo Colonna, Elena Biancardi, Francesco Addevico, Alessandro Casiraghi, Giovanni Pietro Pesenti, Federico Bove","doi":"10.1007/s00590-026-04748-4","DOIUrl":"https://doi.org/10.1007/s00590-026-04748-4","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635202","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":"Comparative Efficacy of Hematoma Block Versus Circumferential Block in Pain Management for Distal Radius Fracture Reduction.","authors":"Natee Kalapukdee, Patarapon Inthawong, Jaruwat Vechasilp, Lertkong Nitiwarangkul, Woraphon Jaroenporn","doi":"10.1007/s00590-026-04733-x","DOIUrl":"https://doi.org/10.1007/s00590-026-04733-x","url":null,"abstract":"<p><strong>Background: </strong>Distal radius fractures are among the most common orthopedic injuries requiring effective pain management during closed reduction. While the hematoma block is widely used, circumferential block has been proposed as an alternative due to its broader analgesic coverage. However, direct comparative evidence remains limited.</p><p><strong>Methods: </strong>This double-blind randomized controlled trial (RCT) included 51 patients with distal radius fractures treated from June 2023 to May 2024. Patients were randomized into hematoma block or circumferential block groups. Pain levels were measured using the Visual Analog Scale (VAS) at four time points: before injection, 5 min post-injection, during reduction, and 10 min post-reduction. Radiographic alignment and complications were also assessed.</p><p><strong>Results: </strong>Baseline characteristics were comparable between groups (p = 0.42). Pain scores were significantly lower in the circumferential block group across all post-injection time points (p < 0.01). VAS scores: Circumferential block provided better pain relief at 5 min post-injection (1.19 vs. 3.08), during reduction (1.61 vs. 4.96), and 10 min post-reduction (1.50 vs. 4.12). Radiographic alignment outcomes were similar between groups. No adverse events (e.g., neurovascular injury, infection) were reported.</p><p><strong>Conclusions: </strong>Circumferential block demonstrated superior pain control compared to hematoma block without compromising fracture alignment or increasing complications. Its broader periosteal innervation coverage and ease of administration suggest it may be a valuable alternative for pain management in distal radius fracture reduction. However, further studies with larger sample sizes and long-term functional assessments are warranted to confirm these findings.</p><p><strong>Level of evidence i: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635159","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":"Heel injuries caused by motorcycle spokes: experience in an orthopedic trauma service-case series.","authors":"Juan Manuel Concha, Jose Luis Osma, Juan Carlos Uribe, Carolina Concha","doi":"10.1007/s00590-026-04694-1","DOIUrl":"https://doi.org/10.1007/s00590-026-04694-1","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635252","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":"Predicting minimal clinically important difference after hip arthroscopy: logistic regression versus machine learning.","authors":"Miguel Vázquez-Gómez, Roberto Seijas-Vázquez, Patricia Laiz-Boada, Alfred Ferré-Aniorte, Lorenzo Escutia-Marí, Pedro Alvarez-Diaz, Ramon Cugat-Bartomeu","doi":"10.1007/s00590-026-04738-6","DOIUrl":"https://doi.org/10.1007/s00590-026-04738-6","url":null,"abstract":"<p><strong>Purpose: </strong>Hip arthroscopy outcomes for femoroacetabular impingement (FAI) remain heterogeneous, with 30-40% of patients failing to achieve meaningful improvement. We aimed to develop and validate a predictive model for achievement of minimal clinically important difference (MCID) using routine preoperative variables, and to compare logistic regression with machine learning algorithms.</p><p><strong>Methods: </strong>We retrospectively analyzed 310 consecutive patients undergoing hip arthroscopy for FAI (2010-2024) at a single institution. Predictor variables included age, sex, body mass index (BMI), morphological etiology, preoperative pain (VAS), and Hip Outcome Score-Activities of Daily Living (HOS-ADL). The outcome was achievement of MCID (≥ 9-point improvement in HOS-ADL). We developed logistic regression, random forest, and gradient boosting models. Internal validation used 10-fold stratified cross-validation. Temporal external validation used 80% of patients for training and 20% for testing.</p><p><strong>Results: </strong>Mean age was 39.7 ± 12.0 years; 59.7% were male. MCID was achieved by 213 patients (68.7%). Lower preoperative HOS-ADL (OR 0.911, 95% CI 0.883-0.940, p < 0.001) and lower BMI (OR 0.846, 95% CI 0.771-0.928, p < 0.001) independently predicted MCID achievement. Logistic regression achieved AUC 0.804 (95% CI 0.76-0.85) on internal validation and AUC 0.819 on temporal external validation (accuracy 81.4%). Logistic regression outperformed random forest (AUC 0.787) and gradient boosting (AUC 0.777). Calibration was excellent.</p><p><strong>Conclusion: </strong>A parsimonious logistic regression model using routine preoperative variables demonstrated excellent and externally validated discriminative ability for predicting MCID after hip arthroscopy. The model outperformed machine learning algorithms while maintaining superior interpretability. The developed nomogram provides a practical tool for individualized outcome prediction.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635186","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}