Orthopaedics & Traumatology-Surgery & Research最新文献

{"title":"French innovations that became gold standards in lower limb joint-preserving surgery: trochleoplasty, the scarf osteotomy and its derivatives, antero lateral procedures in ACL reconstruction and meniscal preservation","authors":"Henri Favreau,&nbsp;Nazim Mehdi,&nbsp;Pierre Barouk,&nbsp;Jean-Marie Philippeau,&nbsp;David Dejour,&nbsp;Nicolas Graveleau","doi":"10.1016/j.otsr.2026.104866","DOIUrl":"10.1016/j.otsr.2026.104866","url":null,"abstract":"<div><div>French orthopedic surgeons have played a major role in the development, evaluation, and dissemination of numerous techniques and concepts in conservative orthopedic surgery. In lower-limb surgery, the French contribution has been particularly influential in establishing strong concepts based on the critical assessment of surgical outcomes. Over time, these concepts have gained broad acceptance because of their clinical relevance, reproducibility, and effectiveness, and have contributed to standardizing the management of several orthopedic conditions.</div><div>Four major concepts are addressed in this article: the comprehensive management for correction of severe objective patellofemoral instability; the correction of adult forefoot deformities; improved control of rotational knee instability through anterolateral reconstruction combined with anterior cruciate ligament reconstruction; and the principles of meniscal preservation and conservation.</div><div>These concepts illustrate how French orthopedic surgery has contributed not only to the development and refinement of surgical techniques, but also to the emergence of broader treatment philosophies and decision-making frameworks that have influenced contemporary orthopedic practice. This article results from a collaborative effort among French surgeons who were trained in these concepts, contributed to their development and dissemination, and continue to apply them in daily clinical practice.</div></div><div><h3>Level of evidence</h3><div>V; expert opinion</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104866"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Publication outcomes of oral presentations delivered at the SOFCOT annual congress between 2016 and 2024","authors":"Céline Klein,&nbsp;Yoann Dalmas,&nbsp;Osama Abou-Arab,&nbsp;Patrick Devos,&nbsp;Mathilde Gaumé","doi":"10.1016/j.otsr.2026.104792","DOIUrl":"10.1016/j.otsr.2026.104792","url":null,"abstract":"<div><h3>Background</h3><div>Publication of conference abstracts as full-text articles is considered an indicator of scientific quality and research dissemination. The annual congress of the French Society of Orthopaedic Surgery and Traumatology (SOFCOT) is the leading national meeting in French orthopaedics. This study evaluated publication outcomes of oral presentations from SOFCOT meetings between 2016 and 2024.</div></div><div><h3>Hypothesis</h3><div>Publication rates of SOFCOT oral communications would improve over time, reflecting increased research productivity and scientific quality.</div></div><div><h3>Methods</h3><div>Oral presentations accepted at SOFCOT annual meetings from 2016 to 2024 were retrospectively reviewed. Corresponding publications were identified through systematic searches of PubMed and Google Scholar. Publication rate, time to publication, journals, citation metrics, impact factors, and category normalized citation impact (CNCI) were analyzed.</div></div><div><h3>Results</h3><div>Among 3877 oral communications, 1278 were subsequently published, yielding an overall publication rate of 33%. Of published studies, 92.3% were indexed in PubMed and 86.0% in Web of Science. Publication rates remained stable over time (p = 0.34), despite an increase in presentations after 2021. Median time to publication was 16 months (IQR: 8–28) and progressively decreased during the study period. Nearly 20% of studies were published before congress presentation. Orthopaedics &amp; Traumatology: Surgery &amp; Research (OTSR) was the leading publication journal (29.5%), followed by International Orthopaedics and Knee Surgery, Sports Traumatology, Arthroscopy. Median CNCI was 0.74 (IQR: 0.31–1.46). Arthroplasty generated the largest publication volume, while shoulder surgery, ACL research, and pelvic trauma showed higher citation impact.</div></div><div><h3>Conclusion</h3><div>One-third of SOFCOT oral communications were published as full-text articles, consistent with other orthopaedic meetings. Although publication rates did not improve over time, delays shortened and international dissemination increased, confirming the scientific value of the SOFCOT congress.</div></div><div><h3>Level of evidence</h3><div>III.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104792"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 100th Congress of the French Society of Orthopaedic and Trauma Surgery (SOFCOT): A major, unmissable event. Review of over 100 years of history and toward future","authors":"Christophe Hulet,&nbsp;Jean Noel Argenson,&nbsp;Philippe Clavert,&nbsp;Philippe Massin,&nbsp;Henri Migaud","doi":"10.1016/j.otsr.2026.104854","DOIUrl":"10.1016/j.otsr.2026.104854","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104854"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is “Top 100 most cited” reliable to identify influential articles? Example of OTSR","authors":"Patrick Devos,&nbsp;Gaelle Maroteau,&nbsp;Julien Dartus","doi":"10.1016/j.otsr.2026.104795","DOIUrl":"10.1016/j.otsr.2026.104795","url":null,"abstract":"<div><h3>Background</h3><div>Bibliometric evaluations based on « top most cited » articles are commonly used to identify publications that have had a major impact in a specific field, as well as to highlight trends and advances. In Web of Science, nearly 900 publications contain the words «Top» and «Cited» in their title. However, this identification method tends to favor older articles because citation counts are cumulative.</div></div><div><h3>Hypothesis</h3><div>The use of normalized citation indicators is more relevant to identify high impact articles.</div></div><div><h3>Methods</h3><div>Articles and reviews published in the journal OTSR between 2009 and 2024 were extracted and we compared three bibliometric indexes: total citation count, the Category Normalized Citation Impact (CNCI), and the global Top10% indicator.</div></div><div><h3>Results</h3><div>A total of 3404 publications from OTSR were analyzed. Sixteen publications were ranked within the global Top1%, and 280 within the global Top10%. Moderate agreement was observed between the different selection models (Ka = 0.54).</div></div><div><h3>Discussion</h3><div>These results are consistent with previous studies: the use of citation indicators normalized for publication year and disciplinary field provides a more reliable approach to identify influential publications within a given research area.</div></div><div><h3>Level of Evidence</h3><div>IV; retrospective study.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104795"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"French innovations that have become gold standards in Trauma: locked nails, percutaneous pelvic fixation using less invasive surgical approaches, and the induced membrane technique","authors":"Marie Le Baron,&nbsp;Frédéric Rongieras,&nbsp;Matthieu Ehlinger","doi":"10.1016/j.otsr.2026.104797","DOIUrl":"10.1016/j.otsr.2026.104797","url":null,"abstract":"<div><div>Advances in anatomical, biomechanical and biological knowledge as well as technical advances in fixation devices and ancillary equipment have enabled precise treatments in trauma management. Locked intramedullary nails, minimally invasive pelvic techniques, and the induced membrane technique are examples of these French major innovations that have transformed that exemplify these advances.</div><div>The locked intramedullary nail has revolutionized the management of long bone fractures by combining mechanical stability, while respecting bone biology, and thus allowing early mobilization. Modern nailing is based on three fundamental principles: a closed fracture site, reaming, and locking. Initially reserved for diaphyseal fractures, its indications have gradually expanded.</div><div>Pelvic and acetabular surgery has simultaneously evolved significantly through the pioneering Letournel's work, which enabled a three-dimensional understanding of acetabular fractures and the standardization of classifications and surgical approaches. Advances in intraoperative imaging, specialized implants, and percutaneous techniques subsequently enabled the development of less invasive, more precise surgical techniques.</div><div>Finally, Masquelet’s induced membrane technique has established itself as the gold standard for the reconstruction of complex bone defects. This two-stage technique combines mechanical stabilization with biological induction through the formation of a vascularized membrane that promotes the integration of the bone graft.</div><div>These three examples illustrate the major contribution of French surgeons to modern trauma surgery, combining the three fundamental principles of contemporary trauma surgery: mechanics, anatomy, and biology.</div></div><div><h3>Level of evidence</h3><div>V; expert opinion.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104797"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI in orthopedics: how to measure one’s real contribution and avoid cheating?","authors":"Grégoire Micicoi,&nbsp;Matthieu Ollivier,&nbsp;Jean-Noël Argenson","doi":"10.1016/j.otsr.2026.104616","DOIUrl":"10.1016/j.otsr.2026.104616","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104616"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The rise of AI companions: From prediction to surgery in the digital twin era","authors":"Marc-Olivier Gauci,&nbsp;Grégoire Duval,&nbsp;Louis Rony","doi":"10.1016/j.otsr.2026.104796","DOIUrl":"10.1016/j.otsr.2026.104796","url":null,"abstract":"<div><div>Artificial intelligence (AI) is rapidly reshaping orthopaedic surgery, supported by advances in data science, computational power, and perioperative digitalization. Within this evolving landscape, five “AI companions” structure the surgeon’s workflow. The “AI Scribe” maximizes administrative efficiency while preserving the surgeon–patient relationship. The “Strategic Assistant” supports the continuum from diagnosis to decision-making and personalized care. The “Surgical Co-pilot” integrates real-time data, digital twins, and vision–language–action synergy to enhance intraoperative guidance. The “Learning Sentinel” leverages collective experience to inform practice, education, and continuous improvement. The “Agile Trauma Vanguard” secures emergency decision-making while contributing to the decentralization of expertise.</div><div>These systems rely on digital twins, task-specific, data-driven models continuously refined through patient outcomes via automated or semi-automated feedback loops. While early applications have demonstrated feasibility, their clinical value remains insufficiently established, highlighting the need for robust evaluation frameworks focused on patient-centered outcomes and real-world effectiveness. In parallel, economic models remain uncertain for technologies generating largely intangible returns.</div><div>Their integration into practice will require surgeons to develop strong oversight capabilities and a clear understanding of model performance, scope, and limitations. Open science, data sharing, and digital sovereignty will be critical to ensure transparency, reproducibility, and equitable access. AI companions may ultimately redefine orthopaedic care, provided that their deployment is guided by rigorous validation and appropriate governance.</div></div><div><h3>Level of evidence</h3><div>V; Expert opinion, Narrative review.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104796"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One manuscript, two journals: Simultaneous submissions and ethical implications in OTSR (2019–2025)","authors":"Patrick Haubruck,&nbsp;Timo A Nees,&nbsp;Philippe Clavert,&nbsp;Henri Migaud","doi":"10.1016/j.otsr.2026.104794","DOIUrl":"10.1016/j.otsr.2026.104794","url":null,"abstract":"<div><h3>Background</h3><div>Simultaneous submission of manuscripts to multiple journals violates established publication ethics and may compromise the integrity of the peer-review process. However, data on temporal trends, geographic distribution, and outcomes of such practices remain limited. This study aimed to address the following questions: 1) Has the frequency of simultaneous submissions increased over time? 2) Is this practice geographically concentrated or globally distributed? 3) What publication outcomes and metrics characterize these manuscripts?</div></div><div><h3>Hypothesis</h3><div>We hypothesized that simultaneous submissions have increased over time and are associated with unfavourable publication outcomes.</div></div><div><h3>Material and Methods</h3><div>A retrospective bibliometric study was conducted including all manuscripts submitted to Orthopaedics &amp; Traumatology: Surgery &amp; Research (OTSR) between 2019 and 2025. In total 60 simultaneous submissions were identified between 2019 and 2025 using editorial management systems and similarity screening tools. Data collected included year of submission, country of origin, publication status, time to publication, journal impact factor, and open access status. Temporal trends were analysed using linear regression, and descriptive statistics were applied.</div></div><div><h3>Results</h3><div>A total of 60 simultaneous submissions were identified, increasing from 3 cases in 2019 to 22 cases in 2025. We observed a significant upward trend, corresponding to an annual rise of approximately 3.5 cases and an incidence increase of 0.4% per year. Geographic distribution was heterogeneous, and incidence rates adjusted for total submission numbers did not reveal a clear regional pattern. Overall, 36.7% (22/60) of manuscripts were not published. Among the 38 published manuscripts, only 15% (9/60) were accepted by one of the initially targeted journals (however 0 in OTSR which systematically desk rejected due to ethical violation), while the majority were published in different journals. Publication delays were common, with 55.3% (21/38) of manuscripts published after more than 4 months. Most manuscripts were ultimately published in journals with similar or lower impact factors, and 68.4% (26/38) appeared in fully open access journals.</div></div><div><h3>Discussion</h3><div>Simultaneous submission appears to be an increasing and globally distributed phenomenon driven by systemic pressures to publish. However, this strategy is largely ineffective, often resulting in delayed publication, lower-impact outcomes, or failure to publish altogether, while exposing all co-authors to ethical risks. Strengthening cross-publisher collaboration and reinforcing adherence to ethical guidelines are essential to mitigate this practice.</div></div><div><h3>Level of Evidence</h3><div>IV; bibliometric retrospective research.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104794"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Essential innovations in spinal surgery: Contributions from the French school","authors":"Laura Marie-Hardy,&nbsp;Léonard Chatelain,&nbsp;Charlie Bouthors,&nbsp;Solène Prost,&nbsp;Christian Garreau de Loubresse,&nbsp;Charles Court","doi":"10.1016/j.otsr.2026.104842","DOIUrl":"10.1016/j.otsr.2026.104842","url":null,"abstract":"<div><div>French innovation has profoundly shaped the evolution of spinal surgery over the past fifty years. While many French contributions are now internationally recognized, few studies have explored their impact on the biomechanical understanding of the spine, the development of surgical techniques, or their broader implications. This review aims to trace France’s contributions to advancing spinal physiology, deformity surgery, and spinal stabilization, while outlining future perspectives for the specialty.</div><div>From a surgical standpoint, the work of Stagnara, Duval-Beaupère, Legaye, and Roussouly laid the foundation for modern concepts of sagittal balance and spinal alignment. Cotrel and Dubousset revolutionized scoliosis management by introducing the three-dimensional deformity model and segmental instrumentation. Meanwhile, Roy-Camille, Louis, Argenson, Onimus, and Marnay advanced spinal trauma surgery, surgical approaches, and instrumentation techniques.</div><div>Technological innovations include EOS imaging, vertebroplasty, disc prostheses, PediGuard® pedicle guidance systems, preoperative planning tools, custom rods, and data analysis platforms.</div><div>More recently, France has emerged as a key player in robotic surgery, artificial intelligence, personalized surgery, and surgical simulation.</div></div><div><h3>Level of evidence</h3><div>V; Narrative review.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104842"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why serve as a reviewer for an orthopaedic journal?","authors":"Charles Pioger,&nbsp;Renaud Siboni,&nbsp;François Loisel,&nbsp;Philippe Clavert","doi":"10.1016/j.otsr.2026.104807","DOIUrl":"10.1016/j.otsr.2026.104807","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"112 6","pages":"Article 104807"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}