European Journal of Orthopaedic Surgery and Traumatology最新文献

{"title":"Discharge with home health services following primary total shoulder arthroplasty does not adversely affect 90-day ED visits or readmissions.","authors":"Cameron Smith, Savino Stallone, Suhirad Khokhar, Yungtai Lo, Konrad Gruson","doi":"10.1007/s00590-025-04306-4","DOIUrl":"https://doi.org/10.1007/s00590-025-04306-4","url":null,"abstract":"<p><strong>Purpose: </strong>Discharging patients with the addition of home health services (HHS) has been postulated to reduce the risk for perioperative complications and, thereby, 90-day ED visits and readmissions following elective total shoulder arthroplasty (TSA).</p><p><strong>Methods: </strong>A retrospective review of primary anatomic (aTSA) and reverse shoulder arthroplasty (rTSA) cases from January 2016 through April 2024 was performed. Demographic data, including age, marital status, body mass index (BMI), smoking status, self-identified race, Area Deprivation Index (ADI) score, modified 5-item fragility index (mFI-5), and surgical indication was collected. Discharge with or without HHS, and whether a patient had access to a postoperative home health aide (HHA), were also recorded. Regression analysis was utilized to determine the association between discharge with HHS and both postoperative 90-day ED return and readmission.</p><p><strong>Results: </strong>There were 327 patients included, including 161 (49%) aTSA and 166 (51%) rTSA. A total of 121 (37%) patients were discharged with HHS, of which 49 (40%) also had access to a HHA during the postoperative period. There was no significant difference in patients who were discharged with HHS compared with those who were discharged without HHS with regards to either 90-day return to the ED (OR 1.15, 95% CI 0.58-2.30, P = 0.692) or all-cause unplanned 90-day readmissions (OR 0.79, 95% CI 0.29-2.19, P = 0.652).</p><p><strong>Conclusions: </strong>Discharge with HHS following elective TSA, even in the setting of increased patient age and fragility, results in similar 90-day postoperative healthcare utilization compared with those discharged to self-care.</p><p><strong>Level of evidence: </strong>Level III (Retrospective cohort).</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"179"},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994115","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":"The correlation between biomechanical experiments and clinical studies in orthopedics: a systematic review.","authors":"Byron A Ward, Joshua A Parry","doi":"10.1007/s00590-025-04249-w","DOIUrl":"https://doi.org/10.1007/s00590-025-04249-w","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical relevance of biomechanical experiments by conducting a systematic review of orthopedic studies that compared treatments with both a biomechanical experiment and a clinical study.</p><p><strong>Methods: </strong>A systematic search of MEDLINE/PUBMED was performed to identify orthopedic studies that included both a biomechanical experiment and a clinical study to compare treatments. The association between a difference in the outcome of the biomechanical experiment and a difference in the outcome of the clinical study was evaluated.</p><p><strong>Results: </strong>There were 23 studies that were included. The orthopedic specialty of the studies included trauma (n = 17), pediatric trauma (n = 2), sports (n = 2), and hand (n = 1). The anatomic areas of each study included the hip/femur (n = 11), shoulder/humerus (n = 3), elbow/forearm (n = 2), knee/tibia (n = 3), ankle/foot (n = 2), pelvis/acetabulum (n = 1), and hand (n = 1). The biomechanical experiments involved cadavers (n = 14), synthetic bone (n = 5), finite element analysis (n = 3), and animals (n = 1). The biomechanical experiment from each study, compared to the clinical study, was more likely to report a difference in outcomes (82.6% (19/23) vs. 30.4% (7/23), p = 0.0008). The findings of the biomechanical experiment and the clinical study were in agreement in 43.4% (10/23) of the studies. Studies that reported a difference in the biomechanical outcome, compared to those that did not, were not more likely to report a difference in the clinical outcome (31.6% (6/19) vs. 25.0% (1/3), p = 1.0).</p><p><strong>Conclusions: </strong>The outcomes of biomechanical experiments did not correlate with clinical study outcomes. Considering these findings, the utility of biomechanical experiments in orthopedics should be reexamined.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"178"},"PeriodicalIF":1.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057689","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":"Poor preoperative oral status is associated with early wound infection after joint replacement surgery.","authors":"Taizo Kaneko, Kentaro Hayakawa, Tsuyoshi Miyazaki","doi":"10.1007/s00590-025-04304-6","DOIUrl":"https://doi.org/10.1007/s00590-025-04304-6","url":null,"abstract":"<p><strong>Purpose: </strong>Joint replacement surgery has become prevalent; however, postoperative wound infections remain a significant concern. The role of preoperative oral health in influencing infection risk in patients undergoing joint replacement is poorly understood. In this study, we aimed to investigate the association between the preoperative oral status and risk of wound infection after joint replacement surgery.</p><p><strong>Methods: </strong>In this retrospective observational study, data from patients who underwent hip or knee replacement surgery at our hospital between January 2020 and December 2022 were analyzed. Preoperative oral health parameters including plaque control records (PCRs), bleeding indices, and rates of probed pocket depth ≥ 4 mm, were assessed. Postoperative wound infection rates up to postoperative day 90 were determined, and associations were assessed using univariate and multivariate logistic regression analyses.</p><p><strong>Results: </strong>We included 330 patients (mean age 75.3 ± 8.1 years) in our analysis. The results of multivariate logistic regression analysis revealed significant associations between elevated risk of early postoperative wound infection and a higher body mass index [odds ratio (OR) 1.27; 95% confidence interval (CI) 1.10-1.49; p = 0.002) as well as a higher PCR rate (OR 1.04; 95% CI 1.01-1.07; p = 0.02).</p><p><strong>Conclusion: </strong>These findings emphasize the importance of preoperative oral health optimization in reducing surgical complications after joint replacement surgery.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"177"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042272","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":"Correction: Outcomes of treatment for isolated greater trochanteric fractures with occult intertrochanteric extension: a retrospective cohort of 118 patients.","authors":"Victor Manuel Alvarez, Juan Ignacio Perez Abdala, Gonzalo Garcia Barreiro, Guido Carabelli, Carlos Sancineto, Danilo Taype Zamboni, Jorge Barla","doi":"10.1007/s00590-025-04298-1","DOIUrl":"https://doi.org/10.1007/s00590-025-04298-1","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"176"},"PeriodicalIF":1.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054690","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":"Arthroscopic Bankart repair with or without remplissage: a single-institution cost comparison.","authors":"Gennaro DelliCarpini, Michael Moore, Wendell Cole, Samuel Montgomery, Spencer Stein","doi":"10.1007/s00590-025-04274-9","DOIUrl":"https://doi.org/10.1007/s00590-025-04274-9","url":null,"abstract":"<p><strong>Background: </strong>Remplissage is a useful adjunct to repair of the anteroinferior glenoid labrum in the treatment of anterior shoulder instability. This study aimed to compare costs and clinical outcomes between isolated arthroscopic Bankart repair (ABR) and ABR with remplissage.</p><p><strong>Methods: </strong>This was a retrospective study of all patients who underwent arthroscopic treatment of anterior shoulder instability between June 2011 and August 2021. Patient, procedural factors, and clinical outcome data were collected. Financial data was reported as \"relative costs\". The best fit circle method was utilized on MRI to estimate glenoid bone loss (GBL) and the Hill Sachs Interval (HSI). Using the glenoid track, patients were determined to either have 'on' or 'off' track lesion.</p><p><strong>Results: </strong>48 patients who underwent ABR alone and 49 patients who underwent ABR with remplissage were matched and included in analysis. There was no significant difference in total cost, mean number of dislocations, ED visits, or revision surgery between isolated ABR and ABR with remplissage. The remplissage cohort had a significantly higher rate of \"off-track\" lesions (24.5% vs. 6.2%, p = 0.013), % GBL (8.7% vs. 5.7%, p = 0.015) and Hill Sachs lesion size (16.7 ± 4.1 mm vs. 8.9 ± 6.9 mm, p < 0.001).</p><p><strong>Conclusion: </strong>No differences in total cost were found between ABR with or without addition of remplissage. Clinical outcomes were similar in both groups, despite a significant increase in the number of off-track lesions, HSI and GBL seen in the remplissage group. Surgeons may consider addition of remplissage in the appropriate clinical context with low concern of increased cost.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"175"},"PeriodicalIF":1.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993112","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":"Rise of Asian research in orthopaedic and sports medicine: a bibliometric analysis from 1996 to 2022.","authors":"Sravya Teja Paleti, Srinivas B S Kambhampati, Abhishek Vaish, Raju Vaishya, Riccardo D'Ambrosi","doi":"10.1007/s00590-025-04294-5","DOIUrl":"https://doi.org/10.1007/s00590-025-04294-5","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines the growth and impact of orthopaedic and sports medicine (OSM) publications across 30 Asian countries from 1996 to 2022 using a bibliometric (scientometric) approach. Despite Asia's rising academic achievements, prior studies have not comprehensively mapped publication trends in this field across the region. This analysis aims to perform bibliometric analysis in OSM research in the Asian Countries.</p><p><strong>Methods: </strong>Publication data were sourced from the SCImago Journal & Country Rank portal, derived from the SCOPUS database, covering the period from 1996 to 2022, with updates available until April 2023. The analysis focused on the top Asian countries and included key indicators such as H-index and total citations to assess research impact.</p><p><strong>Results: </strong>The study identified a substantial rise in OSM publications from Asia, with total output increasing 14.27-fold-compared to a 5.54-fold increase globally. Between 1996 and 2022, 111,342 OSM publications originated from Asian countries, out of 666,847 globally. However, citation counts for Asian research declined from 26,263 in 1996 to 6020 in 2022, likely reflecting the time-lag effect in citation accumulation for recent publications. Possible contributing factors are discussed.</p><p><strong>Conclusion: </strong>This study highlights a remarkable surge in orthopaedic and sports medicine publications from Asia, surpassing global growth trends. While citation metrics appear lower in recent years-likely due to the recency of publications-the overall trend suggests a strong and growing research in Asia. China and Japan lead in output and impact, respectively, while India's rapid rise reflects increasing academic potential. However, enhancing research quality and visibility and reducing self-citation are essential to elevate global impact. Countries like Hong Kong, Singapore, and Sri Lanka demonstrate high citation efficiency. With optimal collaboration and strategic investment, Asian countries are well positioned to play a leading role in global orthopaedic research.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"173"},"PeriodicalIF":1.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042282","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 osteosynthesis versus non-surgical treatment in displaced proximal humerus fractures-long term functional outcome and quality of life.","authors":"Lisa Klute, Christian Pfeifer, Arne Berner, Volker Alt, Maximilian Kerschbaum, Leopold Henssler","doi":"10.1007/s00590-025-04290-9","DOIUrl":"https://doi.org/10.1007/s00590-025-04290-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the long-term outcomes of patients treated with plate osteosynthesis versus non-operative treatment for proximal humerus fractures (PHF) after a mean follow-up period of 10 years.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted, including patients with PHF treated between 2004 and 2014. Patients were divided into two groups: those who underwent plate osteosynthesis (PO) and those managed non-surgically (NO). Functional outcomes, including range of motion, strength, and patient-reported quality of life were evaluated using standardized assessments such as the Constant-Murley score and Short-Form-36 (SF-36) questionnaire.</p><p><strong>Results: </strong>A total of 241 patients (161 in the Surgical Group and 80 in the Non-Operative Group) were included in the study. With a mean follow-up of 10.4 ± 3.1 years, both groups demonstrated comparable functional outcomes. The Constant-Murley score in the Surgical Group was 53.5 ± 21.8 compared to 60.1 ± 24.2 in the Non-Operative Group (p = 0.225). Complication rates were significantly higher in the PO group. The revision rate for patients treated with plate osteosynthesis was 37.9%. Patient-reported Quality of Life, assessed using the SF-12 questionnaire, revealed no significant differences between the Surgical and Non-Operative Groups.</p><p><strong>Conclusion: </strong>This long-term follow-up study demonstrates that after a minimum of 5 years, there were no significant differences in functional outcomes or quality of life between patients treated with plate osteosynthesis and those who were managed non-operatively for displaced proximal humerus fractures. Both treatment approaches can offer favorable results, and the choice of treatment should consider individual patient characteristics and preferences.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"174"},"PeriodicalIF":1.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030869","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":"Correction: Factors related to deep vein thrombosis as a complication of post-total hip arthroplasty patients: a systematic review.","authors":"Hizki Ervando, Alifaturrasyid Syafaatullah Ridwan, Ismail Hadisoebroto Dilogo","doi":"10.1007/s00590-025-04267-8","DOIUrl":"https://doi.org/10.1007/s00590-025-04267-8","url":null,"abstract":"","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"172"},"PeriodicalIF":1.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057010","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 outcomes and mortality rates in lower-extremity fractures due to gunshot wounds among pediatric patients.","authors":"Okan Ateş, Mustafa Altıntaş","doi":"10.1007/s00590-025-04296-3","DOIUrl":"https://doi.org/10.1007/s00590-025-04296-3","url":null,"abstract":"<p><strong>Objective: </strong>Treatment of extremity fractures resulting from gunshot wounds (GSWs) is difficult and takes a long time for orthopedic surgeons. In this study, we evaluated the prognosis and factors affecting mortality in lower-extremity fractures resulting from GSWs in a pediatric age group (age 0-16 years).</p><p><strong>Materials and methods: </strong>A total of 31 patients meeting the study criteria were evaluated. Patients were classified according to the anatomical location of the injury (femur, n = 17; tibia, n = 14). The demographic characteristics of the patients, fracture classification, presence of neurological or vascular damage at the time of diagnosis, surgical procedure, follow-up period, and extremity inequality were recorded. Union time and the presence of malunion were evaluated radiologically. Finally, patients were evaluated in terms of injury severity and pain with the Mangled Extremity Severity Score (MESS) and Pediatric Trauma Score (PTS) at the time of admission, as well as the Tegner Activity Score (TAS) after recovery.</p><p><strong>Results: </strong>No significant difference was found in the parameters examined between the anatomical location groups. In the comparisons between the patients who died in the hospital and those who survived, the mortality rate was high among patients with high MESSs and PTSs (p = 0.018, p = 0.02). The causes of death in the hospital were not due to the extremity injuries but due to additional injuries (p = 0.001).</p><p><strong>Conclusion: </strong>No difference was found in terms of functional results, fracture types, vascular and nerve injuries, and mortality rates in terms of anatomical region. High MESSs and PTSs at admission were related to the mortality rate. Deaths were related to additional injuries and not to the extremity injuries.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"171"},"PeriodicalIF":1.4,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023055","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":"Preoperative anticoagulation and its impact on surgical timing and postoperative outcomes in hip fracture surgery: a retrospective study at an Orthogeriatrics Clinical Care Center in Colombia.","authors":"Juan David Bernate, Ana Milena López, Jorge Rojas Liévano, Rodrigo Pesantez, Aldo Patiño, Valentina Sanint, Julián Salavarrieta, Diana Morales, Carlos Mario Olarte","doi":"10.1007/s00590-025-04286-5","DOIUrl":"https://doi.org/10.1007/s00590-025-04286-5","url":null,"abstract":"<p><strong>Purpose: </strong>The management of elderly patients undergoing hip fracture surgery often involves those on anticoagulation therapy, posing challenges in surgical timing and outcomes. This study evaluates the prevalence of anticoagulation therapy, its impact on surgical timing, and postoperative outcomes within an Orthogeriatric Clinical Care Center (OCCC).</p><p><strong>Methods: </strong>A retrospective review of 638 patients aged 65 and above treated for hip fractures from May 2014 to December 2023 at the OCCC was conducted. Data on anticoagulant use, surgical timing, and outcomes were analyzed using multivariate logistic regression to adjust for confounders, such as age, preoperative hemoglobin levels, and comorbidities.</p><p><strong>Results: </strong>Anticoagulation therapy was present in 14.7% of patients, primarily with direct oral anticoagulants (12.2%). There was no significant delay in surgical timing for anticoagulated patients (mean time to surgery: 31.5 ± 23.3 h) compared to non-anticoagulated patients (28.7 ± 15.7 h, p = 0.272). Additionally, no significant differences were observed in transfusion requirements, ICU admissions, or mortality rates at 30 days and 1 year postoperatively between the two groups.</p><p><strong>Conclusion: </strong>Timely surgery for hip fractures is achievable in elderly patients on anticoagulation therapy and does not negatively impact critical postoperative outcomes when managed within a structured OCCC protocol. These findings support the use of standardized perioperative anticoagulation management protocols to ensure timely surgery and optimize patient recovery. Further research is recommended to validate these findings in broader clinical settings.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"170"},"PeriodicalIF":1.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059711","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}