European Journal of Orthopaedic Surgery and Traumatology最新文献

{"title":"Correction: Sacroiliac joint variants are common and gender-specific but do not predict fracture pattern in pelvic ring injuries.","authors":"Marie Le Baron, Guillaume David, Byron A Ward, Cyril Mauffrey","doi":"10.1007/s00590-026-04717-x","DOIUrl":"https://doi.org/10.1007/s00590-026-04717-x","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624545","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":"Polyethylene thickness showed no significant association with implant survival in primary posterior-stabilized total knee arthroplasty at 13-year follow-up: a regional registry-based study of 5625 crosslinked inserts.","authors":"Lorenzo Benvenuti, Vitantonio Digennaro, Andrea Colangelo, Barbara Bordini, Alessandro Panciera, Cesare Faldini","doi":"10.1007/s00590-026-04743-9","DOIUrl":"https://doi.org/10.1007/s00590-026-04743-9","url":null,"abstract":"<p><strong>Purpose: </strong>The influence of polyethylene (PE) insert thickness on long-term implant survival after total knee arthroplasty (TKA) remains controversial. Thicker PE inserts are generally reserved for cases in which adequate ligament balance cannot otherwise be achieved, but their impact on implant survivorship is unclear.</p><p><strong>Methods: </strong>This registry-based retrospective study analyzed primary posterior-stabilized (PS) TKAs implanted between 2007 and 2020 and recorded in the Emilia-Romagna Orthopedic Prosthetic Implant Registry (RIPO). Only fixed-bearing crosslinked polyethylene inserts were included. PE thickness was categorized into three groups (8-10 mm, 11-12 mm, and ≥ 13 mm). The endpoint was revision of any TKA component for any cause. Implant survivorship was assessed using Kaplan-Meier analysis and multivariable Cox regression adjusted for age and sex.</p><p><strong>Results: </strong>A total of 5625 crosslinked PE inserts were analyzed. Inserts of 8-10 mm accounted for 69.8% of cases, followed by 11-12 mm (23.9%) and ≥ 13 mm (6.2%). At 13 years, implant survival was 94.6% (95% CI 93.3-95.5) for 8-10 mm inserts, 93.3% (95% CI 89.4-95.8) for 11-12 mm inserts, and 88.9% (95% CI 74.6-95.6) for ≥ 13 mm inserts. Additionally, 302, 125, and 38 patients in the respective groups died during follow-up and were censored in the survival analysis. No statistically significant differences in survivorship were observed among thickness groups (log-rank p = 0.50). Adjusted hazard ratios did not demonstrate an increased risk of revision associated with greater PE thickness.</p><p><strong>Conclusion: </strong>In this large registry-based cohort of primary PS TKAs using crosslinked polyethylene, PE insert thickness was not statistically associated with long-term implant survival. Although thicker inserts showed a numerically lower survivorship, this difference was not statistically significant and should be interpreted with caution. Further studies incorporating clinical, radiographic, and failure-specific data are warranted.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624555","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":"Total hip arthroplasty as reconstructive treatment in patients with cerebral palsy: a comparative study of postoperative outcomes between patients with developmental hip dysplasia and cerebral palsy hip dysplasia.","authors":"Ricard L González-Adrio, Daniel Pacha, Andrés Aliaga-Martínez, Alejandro Hernández, Diego Collado, Diego Soza","doi":"10.1007/s00590-026-04701-5","DOIUrl":"https://doi.org/10.1007/s00590-026-04701-5","url":null,"abstract":"<p><strong>Background: </strong>Total hip arthroplasty (THA) has emerged as a viable treatment for end-stage hip disease in patients with cerebral palsy (CP), yet long-term comparative data remain limited. This study evaluates postoperative outcomes in CP patients with hip dysplasia compared to a matched cohort with developmental hip dysplasia (DDH).</p><p><strong>Methods: </strong>A retrospective comparative analysis of 72 patients (14 CP, 58 DDH) undergoing primary THA between November 2016 and December 2022 at a tertiary trauma center. All procedures used cementless Wagner SL stems and Zimmer Biomet acetabular components (G7, Trilogy, or TMT). Radiological parameters (stem alignment, acetabular inclination, anteversion) were measured using TraumaCad. Functional outcomes were assessed using modified Harris Hip Score (DDH) and CP-specific scales (CP group). Minimum follow-up was 12 months (mean 3 years).</p><p><strong>Results: </strong>No significant differences were observed between groups in surgical time (138.5 vs. 139.4 min, p = 0.629), postoperative complications (21.3% vs. 12.2%, p = 0.633), or dislocation rates (7.14% vs. 5.17%, p = 0.72). The CP group required significantly more transfusions (50% vs. 13.7%, p = 0.01), but preoperative and postoperative hemoglobin levels were similar between groups (p > 0.05). Both groups demonstrated significant functional improvement and high satisfaction rates (92.3% vs. 96.55%, p = 0.472).</p><p><strong>Conclusions: </strong>THA provides safe and effective pain relief and functional restoration in CP patients with hip dysplasia, with comparable outcomes to DDH patients despite greater surgical complexity. Tailored surgical approaches, including soft-tissue releases and selective femoral osteotomy, optimize outcomes in this population.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624542","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":"Radiological and surgical outcomes after graduation to posterior spinal fusion surgery following magnetically controlled growing rod treatment for early-onset scoliosis: a systematic review and single-arm meta-analysis.","authors":"Paolo Brigato, Leonardo Oggiano, Camilla Ravaioli, Sergio De Salvatore, Gian Mario Sangiovanni, Davide Palombi, Sergio Sessa, Pier Francesco Costici, Neil Saran, Jean Albert Ouellet","doi":"10.1007/s00590-026-04731-z","DOIUrl":"https://doi.org/10.1007/s00590-026-04731-z","url":null,"abstract":"<p><strong>Purpose: </strong>Early-onset scoliosis (EOS) is a challenging condition for spinal surgeons. Growing rods represent the standard treatment for patients requiring surgery, and magnetically controlled growing rods (MCGR) are increasingly adopted. Many patients ultimately transition to posterior spinal fusion (PSF), although the necessity of definitive fusion remains debated. This systematic review and single-arm meta-analysis aimed to evaluate radiographic and surgical outcomes of PSF following MCGR treatment.</p><p><strong>Methods: </strong>A systematic literature search was conducted in PubMed, Google Scholar, Medline, Scopus, Embase, and the Cochrane Library up to April 2025, following PRISMA guidelines. Eligible studies were identified using a PIO (Population, Intervention, Outcome) framework. Extracted data included demographic, radiographic, and surgical outcomes, including complications. A single-arm meta-analysis compared pre- and post-PSF radiographic parameters (main curve magnitude, thoracic kyphosis (TK), T1-T12 and T1-S1 lengths). Risk of bias was assessed using the MINORS tool.</p><p><strong>Results: </strong>Eight retrospective studies were included (370 patients), of which six were eligible for quantitative synthesis. The meta-analysis demonstrated significant improvements in all radiographic parameters (main curve magnitude, TK, T1-T12 and T1-S1 lengths, p < 0.05). The pooled overall postoperative complication rate after PSF was 17.2%.</p><p><strong>Conclusions: </strong>PSF appears to be a viable treatment option following MCGR, providing significant deformity correction with a relatively acceptable complication rate. Nevertheless, the current evidence is limited by small, retrospective cohorts. Larger, prospective studies with standardized reporting of surgical variables and clinical outcomes are needed to better define the role of final fusion and to optimize treatment protocols.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595898","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":"Patient-reported outcome measure comparison of two cemented primary total hip arthroplasty implant combinations for osteoarthritis: a regional New Zealand study.","authors":"Amy Pearce, Chaitanya Joshi, Georgina Chan, Tony Lamberton, Simon MacLean, Andrew Vane, Kim Hébert-Losier","doi":"10.1007/s00590-026-04734-w","DOIUrl":"10.1007/s00590-026-04734-w","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595937","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":"Perioperative management and outcomes of hip and knee arthroplasty among heartmate 3 left ventricular assist device recipients.","authors":"Oguz Turan, Ignacio Pasqualini, Khaled A Elmenawi, Shujaa T Khan, Raya Nahlawi, Paulino Alvarez, Nicolas S Piuzzi","doi":"10.1007/s00590-026-04692-3","DOIUrl":"10.1007/s00590-026-04692-3","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583089","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":"Complications and outcomes after definitive surgery for traumatic high-energy pelvic fractures.","authors":"Kaarina Birgitta Salonpää, Juho Nurkkala, Ulla Koskela, Iikka Lantto, Sanna Kakko, Timo Kaakinen, Janne Liisanantti","doi":"10.1007/s00590-026-04729-7","DOIUrl":"10.1007/s00590-026-04729-7","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576331","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":"Plate configuration in midshaft clavicle fractures: influence of working length, screw number, and plate length-a retrospective cohort study of 355 patients.","authors":"Michelle Antonia Hinkelmann, Desiree Schibler, Flurina Frei, Hans-Christoph Pape, Florin Allemann, Christian Hierholzer, Christiane Barthel","doi":"10.1007/s00590-026-04728-8","DOIUrl":"https://doi.org/10.1007/s00590-026-04728-8","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576278","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":"Pediatric and adolescent ballistic femur fractures: treatment, outcomes, and costs from a level-one trauma center.","authors":"Zachary Jodoin, Victor Martinez, Coltin Gerhart, Andrew Ni, Shawn Dripchak, Daanish Sheikh, Catherine Hand, Steven Gibbons, Thomas Hand","doi":"10.1007/s00590-026-04730-0","DOIUrl":"10.1007/s00590-026-04730-0","url":null,"abstract":"<p><strong>Purpose: </strong>Pediatric ballistic femur fractures are severe injuries that require extensive follow-up and have high rates of complication and cost. Treatment strategies are largely derived from adult trauma principles; this study aims to characterize the management, outcomes, and costs of pediatric and adolescent ballistic femur fracture patients presenting to an academic level I trauma center.</p><p><strong>Methods: </strong>This retrospective case series gathered data from a single academic level I trauma center. Patients aged 0-21 years who sustained a ballistic femur fracture and presented between 2017 and 2022 were included. Pediatric patients were defined as ≤ 18 years, and adolescents as 19-21 years. Patient demographics, injury characteristics, management details, in-hospital costs, and outcomes were recorded. Subgroup analysis compared pediatric and adolescent cohorts.</p><p><strong>Results: </strong>A total of 34 patients were identified, including 19 pediatric and 15 adolescent patients. Comorbidities were uncommon and non-contributory in both groups. No significant differences were noted between groups with respect to demographics, treatment strategies, outcomes, or complications. Inpatient management was significantly more costly than outpatient management.</p><p><strong>Conclusions: </strong>This series includes a mixture of non-operative, intramedullary nailing, and open reduction internal fixation patients to broadly represent the pediatric ballistic femur fracture population. High union rates, similar time to union, and low complication rates were observed in both pediatric and adolescent cohorts. Subgroup analysis demonstrated no significant differences in outcomes or complications, supporting extrapolation of adult trauma literature to this population. A considerable loss to follow-up was noted, with male sex, lack of insurance, substance use, and non-operative management identified as common risk factors.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576354","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":"50% reduction of intraoperative radiation in orthopedics: impact of using the fluoroscopy's lowest possible radiation settings.","authors":"Antoine Arsenault, Jeremie Thibault, Dominique M Rouleau, Julien Chapleau","doi":"10.1007/s00590-026-04727-9","DOIUrl":"https://doi.org/10.1007/s00590-026-04727-9","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"36 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576289","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}