Journal of Clinical Orthopaedics and Trauma最新文献

{"title":"Erratum regarding missing statements in previously published articles","authors":"","doi":"10.1016/j.jcot.2026.103347","DOIUrl":"10.1016/j.jcot.2026.103347","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"75 ","pages":"Article 103347"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147709459","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":"Erratum regarding missing statements in previously published articles","authors":"","doi":"10.1016/j.jcot.2026.103348","DOIUrl":"10.1016/j.jcot.2026.103348","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"75 ","pages":"Article 103348"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147709458","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":"Erratum regarding missing statements in previously published articles","authors":"","doi":"10.1016/j.jcot.2026.103378","DOIUrl":"10.1016/j.jcot.2026.103378","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"75 ","pages":"Article 103378"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147709743","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":"Erratum regarding missing statements in previously published articles","authors":"","doi":"10.1016/j.jcot.2026.103354","DOIUrl":"10.1016/j.jcot.2026.103354","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"75 ","pages":"Article 103354"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147709741","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":"Erratum regarding missing peer review statement in previously published articles","authors":"","doi":"10.1016/j.jcot.2025.103316","DOIUrl":"10.1016/j.jcot.2025.103316","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"75 ","pages":"Article 103316"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147709453","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":"Erratum regarding missing statements in previously published articles","authors":"","doi":"10.1016/j.jcot.2026.103355","DOIUrl":"10.1016/j.jcot.2026.103355","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"75 ","pages":"Article 103355"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147709742","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":"Dislocation rates in cemented posterior-approach THA using small heads, TAL-guided acetabular alignment: A large single-surgeon series","authors":"Amit Kumar Yadav ,&nbsp;R.M. Hemmady ,&nbsp;Jane James ,&nbsp;Mukesh Hemmady","doi":"10.1016/j.jcot.2026.103356","DOIUrl":"10.1016/j.jcot.2026.103356","url":null,"abstract":"<div><h3>Background</h3><div>Dislocation is a well-known complication after total hip arthroplasty (THA), with reported rates ranging from 0.12% to 16.1%. This study aims to assess the incidence of dislocation in primary THAs performed with a small femoral head through a posterior approach, in which acetabular positioning was guided by the transverse acetabular ligament (TAL) and supported by meticulous posterior capsular repair.</div></div><div><h3>Methods</h3><div>Prospectively collected clinical data from all unilateral primary cemented THAs performed between 2005 and 2021 were retrospectively analysed. All procedures were carried out using a posterior approach with posterior soft-tissue repair, and acetabular component alignment was guided intraoperatively by the TAL. Patient demographics and postoperative dislocations were recorded. Functional outcomes were assessed using the Oxford Hip Score (OHS), the SF-12, and the UCLA Activity Score.</div></div><div><h3>Results</h3><div>A total of 1385 patients underwent primary THA with a mean follow-up of 6.6 years. Femoral head sizes used were 22 mm (47.4%), 28 mm (52.2%), and 32 mm (0.28%). The overall dislocation rate was 0.58% (95% CI, 0.25–1.14)<strong>,</strong> with 1.06% (95% CI, 0.43–2.19) in the 22-mm group and 0.14% (95% CI, 0.003–0.78) in the 28-mm group. No dislocations occurred in the 32-mm group (chi-square p = 0.06; Fisher's exact test p = 0.029). All dislocations were posterior and were successfully managed with closed reduction, with no recurrence or need for revision. Functional outcomes improved markedly: OHS increased from 18.0 to 37.2, SF-12 from 30.4 to 63.2, and UCLA from 1.8 to 6.6 at one year.</div></div><div><h3>Conclusion</h3><div>Primary total hip arthroplasty performed through a posterior approach using small femoral heads, with posterior capsular repair and transverse acetabular ligament–guided acetabular alignment, was associated with very low dislocation rates. The results are most applicable to high-volume surgeons and centres using a standardised posterior approach with TAL guidance.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"74 ","pages":"Article 103356"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175475","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 acute targeted muscle reinnervation after upper vs. lower limb amputation: A retrospective, global analysis","authors":"Haad A. Arif ,&nbsp;Joaquín Sarmiento-Falen ,&nbsp;Bradley A. Carlson ,&nbsp;Fatima Z. Arif ,&nbsp;Anthony J. Archual ,&nbsp;Jan P. Szatkowski","doi":"10.1016/j.jcot.2026.103377","DOIUrl":"10.1016/j.jcot.2026.103377","url":null,"abstract":"<div><h3>Background</h3><div>While targeted muscle reinnervation (TMR) has demonstrated efficacy in reducing chronic pain and symptomatic neuroma formation following limb amputation, differences in outcomes between upper- and lower-limb TMR remain poorly defined. This study compared the efficacy of acute TMR in pain reduction following major upper-versus lower-limb amputation.</div></div><div><h3>Methods</h3><div>A retrospective cohort analysis was conducted using the TriNetX Global Network to identify adults undergoing acute TMR following upper-limb (UL cohort) and lower-limb (LL cohort) amputation. Propensity score matching was performed using demographic and comorbidity covariates. One-year outcomes included new-onset phantom limb pain (PLP), residual limb pain, symptomatic neuroma formation, opioid and neuropathic medication prescriptions, and stump complications.</div></div><div><h3>Results</h3><div>A total of 811 patients met inclusion criteria, with 182 well-matched patients in each cohort. The UL cohort experienced significantly lower rates of PLP (27.5% vs. 40.1%; RR 0.69 [95% CI 0.51–0.92]) and opioid use (59.9% vs. 74.7%; RR 0.80 [95% CI 0.69–0.93]), as well as fewer stump complications (19.8% vs. 34.1%; RR 0.58 [95% CI 0.41–0.83]). RLP (9.9% vs. 7.1%; p = 0.3478) and neuropathic medication use (56.6% vs. 66.5%; p = 0.0525) were similar between cohorts.</div></div><div><h3>Conclusions</h3><div>Acute TMR is associated with significantly lower rates of PLP, opioid use, and stump complications following UL amputation compared with LL amputation. These findings highlight differences in postoperative pain trajectories across patient populations and underscore the need for prospective studies to explore the mechanisms driving these patterns.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"74 ","pages":"Article 103377"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175468","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":"Treatment of geriatric pelvis fractures – What are the knowledge gaps?","authors":"Ulrich J. Spiegl ,&nbsp;Max Reinhold ,&nbsp;Lorin Benneker ,&nbsp;Jonathan Dalton ,&nbsp;Ashraf N. El Naga ,&nbsp;Richard Bransford ,&nbsp;Sebastian F. Bigdon ,&nbsp;Gregory Schroeder ,&nbsp;Andrei F. Joaquim ,&nbsp;Klaus John Schnake ,&nbsp;AO Spine Knowledge Forum Trauma and Infection","doi":"10.1016/j.jcot.2026.103350","DOIUrl":"10.1016/j.jcot.2026.103350","url":null,"abstract":"<div><div>The incidence of insufficiency fractures of the pelvis is rising in developed countries. The aim of this review is to summarize the current evidence regarding the classification, treatment, and surgical strategies for these fractures. Several classifications have been developed such as the AO Spine Sacral Injury Classification System, the Fragility Fractures of the Pelvis (FFP), and the OF pelvis classification. The treatment option consists of non-operative treatment, sacroplasty, ileosacral screw or rod fixation, lumbopelvic fixation and approaches to the anterior ring including fixateur externe or interne, pelvic plates or screw fixations. The advantages and disadvantages of each technique are depicted. The knowledge gap in this field is large and future directions are discussed.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"74 ","pages":"Article 103350"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175469","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":"Spectrum, management strategies, and outcomes of isolated posterior wall acetabular fractures: A retrospective study of 129 patients","authors":"Premkumar Pandiaraj,&nbsp;Ramesh Perumal,&nbsp;Muthukumar Soundararajan,&nbsp;Asif Imran,&nbsp;Dheenadhayalan Jayaramaraju","doi":"10.1016/j.jcot.2026.103363","DOIUrl":"10.1016/j.jcot.2026.103363","url":null,"abstract":"<div><h3>Background</h3><div>Posterior wall fractures are the most common acetabular fracture pattern and are associated with a wide spectrum of injury severity, hip instability, and complications. Management depends on fracture morphology and joint stability, yet factors influencing outcomes and complications remain incompletely defined.</div></div><div><h3>Methods</h3><div>This retrospective study included 129 patients with isolated posterior wall acetabular fractures treated between 2012 and 2022. Demographic data, fracture patterns, management strategies, and complications were reviewed. Radiological outcomes were assessed using Matta's criteria, and functional outcomes were evaluated using the EuroQol-5D questionnaire.</div></div><div><h3>Results</h3><div>The cohort comprised predominantly males (91%), with a mean age of 42.4 years. Fracture patterns included simple posterior wall fractures (62A1.1) in 58 patients, multifragmentary fractures (62A1.2) in 54 patients, and fractures with marginal impaction in 17 patients. Surgical management was required in 123 patients, while 6 were treated non-operatively. Complications occurred in 25 patients. Multifragmentary fractures and associated hip dislocation were significantly associated with higher rates of avascular necrosis (p = 0.023) and post-traumatic arthritis (p = 0.0137). Radiological outcomes were excellent or good in 87.6% of patients, and the majority reported no or only slight problems on the EuroQol-5D questionnaire.</div></div><div><h3>Conclusion</h3><div>Dynamic stress examination helped identify hip instability in selected posterior wall fractures, including those with less than 20% wall involvement. Fracture complexity was associated with worse outcomes and higher complication rates, particularly avascular necrosis and post-traumatic arthritis.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"74 ","pages":"Article 103363"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175473","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}