Joint diseases and related surgery最新文献

{"title":"Biomechanical comparison of three fixation methods under axial loading in proximal humerus fractures with medial metaphyseal defect.","authors":"Muhlik Akyürek, Emre Koraman, Aykut Çelik, Yusuf Iyetin, Clemens Kösters, Ismail Türkmen","doi":"10.52312/jdrs.2026.2570","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2570","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to compare the biomechanical performance of three different surgical fixation techniques in the treatment of proximal humerus fractures with medial metaphyseal defects.</p><p><strong>Materials and methods: </strong>A total of 24 synthetic humerus bone models were used and equally divided into three groups (n = 8 per group). A standardized unstable proximal humerus fracture model with a medial metaphyseal cortical defect extending to the surgical neck was created using a three-dimensional (3D)-printed osteotomy guide. Group 1 received fixation with a lateral anatomical locking plate. Group 2 was treated with a combination of a lateral anatomical plate and a medial buttress plate (dual plating). Group 3 underwent fixation with an intramedullary nail (IMN); in this group, four specimens had distal locking with an endopin (Group 3a), and the other four with static screws (Group 3b). All specimens were subjected to axial loading until failure. Forces at the onset of failure and complete failure were recorded, and fracture patterns were documented.</p><p><strong>Results: </strong>In Groups 1 and 2, transverse fractures consistently occurred at the level of the most distal screw of the lateral plate. In Group 3, failure was observed either proximally or distally at the nail tip, including butterfly fragment formation and metaphyseal collapse. Group 2 exhibited the highest resistance to axial loading, followed by Group 1 and Group 3, with statistically significant differences between all groups (p = 0.043, p = 0.0003, p < 0.00001). No significant difference was found between subgroups 3a and 3b (p > 0.05).</p><p><strong>Conclusion: </strong>Our study results indicate that double plating provides the greatest axial stability in proximal humerus fractures with medial metaphyseal defects, supporting its use in fracture patterns with medial column deficiency. However, as fixation choice should be guided by patient-specific factors and surgical feasibility, these findings should be interpreted in the context of experimental conditions and loading limitations.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"688-696"},"PeriodicalIF":2.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655080","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":"Dose-dependent protective effects of punicalagin on steroid-induced osteonecrosis in a rat model.","authors":"Muhammed Uslu, Ozancan Biçer, Yiğit Önaloğlu, Emincan Balcı, Yiğit Güleryüz, Abdurrahman Acar, Mustafa Fatih Daşcı, Ender Alagöz","doi":"10.52312/jdrs.2026.2795","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2795","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to evaluate the dose-dependent protective effects of punicalagin (PUN) in a rat model of Steroid-induced osteonecrosis of the femoral head (SONFH).</p><p><strong>Materials and methods: </strong>Twenty-four male Wistar albino rats were randomly assigned to four groups (n = 6 per group): control, osteonecrosis (ON), ON treated with 10 mg/kg PUN, and ON treated with 40 mg/kg PUN. Osteonecrosis was induced using lipopolysaccharide and methylprednisolone. Femoral heads were evaluated using micro-computed tomography (CT), histopathological examination, and immunohistochemical analysis of cleaved caspase-3. Serum oxidative stress and antioxidant parameters including malondialdehyde (MDA), reduced glutathione (GSH), superoxide dismutase (SOD), and catalase (CAT) were measured.</p><p><strong>Results: </strong>The primary outcome measure, the percentage of empty lacunae, was significantly higher in the ON group compared to controls (p = 0.01), showing a numerical reduction in the 40 mg/kg PUN group. Histopathological evaluation demonstrated a significant reduction in pyknotic cells in the high-dose PUN group compared to the ON group (p < 0.05). Furthermore, PUN treatment reduced the incidence of osteonecrosis (2/6 vs. 6/6; p < 0.01) and improved trabecular architecture. Immunohistochemical analysis showed decreased caspase-3 expression specifically in trabecular bone and adipocytes in the high-dose PUN group (p < 0.01), while downward trends were observed in bone marrow and endothelial cells. Micro-CT analysis confirmed a significant reduction in bone mineral density in the ON group compared to controls (p = 0.02). Regarding oxidative stress, although no statistically significant differences were observed, numerical trends toward reduced lipid peroxidation (p = 0.61) and a strong trend toward enhanced antioxidant capacity (GSH; p = 0.07) with a moderate-to-large effect size were noted.</p><p><strong>Conclusion: </strong>Punicalagin may exert dose-dependent protective effects against SONFH in rats, primarily associated with reduced apoptotic activity and partial preservation of bone microarchitecture. While systemic oxidative stress markers show numerical improvements, the marked reduction in osteocyte apoptosis and necrotic incidence suggests that PUN represents a promising adjunctive strategy for mitigating steroid-related bone injury.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"785-799"},"PeriodicalIF":2.5,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655150","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 YouTube as a source of information on limb lengthening surgery: A quality and reliability analysis.","authors":"Musa Ergin, Ebubekir Eravsar, Mustafa Citak","doi":"10.52312/jdrs.2026.2628","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2628","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to evaluate the content quality and reliability of YouTube videos on limb lengthening surgery.</p><p><strong>Materials and methods: </strong>On July 5^th, 2025, a YouTube search was performed using the keywords \"limb lengthening surgery\" and \"leg lengthening surgery.\" The first 100 videos were reviewed; duplicates and those without English audio were excluded, resulting in 53 videos for analysis. Basic characteristics including views, upload time, duration, comments were recorded. Videos were categorized by source as \"physician,\" \"speaker,\" or \"patient,\" and by theme as \"general information\" or \"patient testimony.\" Video content quality, including accuracy, reliability, and comprehensibility of information, was assessed using the DISCERN, Journal of the American Medical Association (JAMA) Benchmark Score, Global Quality Score (GQS), and a researcher-developed Limb Lengthening Scoring System (LLSS). Two orthopedic surgeons independently evaluated all videos.</p><p><strong>Results: </strong>The median view count of the 53 videos was 48,036 (range, 1,229 to 3,734,177), and the mean number of days since upload (as of July 5th, 2025) was 1,331 ± 735 days. The mean DISCERN was 24.4 ± 6.9, median JAMA 2 (range, 1 to 2), median GQS 1.5 (range, 1 to 3.5), and mean LLSS 1.1 ± 0.9. Physician-generated videos achieved significantly higher DISCERN and GQS scores (p = 0.031 and p = 0.040, respectively) than patient-generated videos. Speaker-generated videos had higher LLSS scores than patient-generated videos (p = 0.013). General information videos scored higher than patient testimonies for DISCERN (p = 0.035) and GQS (p = 0.025). Video duration and comment count positively correlated with LLSS (p < 0.001 and p = 0.047, respectively), whereas view counts and ratios showed no significant association with quality scores.</p><p><strong>Conclusion: </strong>YouTube videos on limb lengthening surgery are usually of low quality, with limited scientific accuracy and educational value. Physician-produced videos receive higher scores; however, their overall quality still remains limited, while patient-generated content shows the lowest reliability. These findings highlight that inaccurate or incomplete online information may influence patient expectations prior to consultation and complicate shared decision-making. Greater involvement of orthopedic surgeons and academic institutions is needed to provide clear, evidence-based, and reliable online educational content to improve patient understanding and clinical communication.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"723-730"},"PeriodicalIF":2.5,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655164","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":"Does rod overhang matter? Clinical impact in adolescent idiopathic scoliosis and Scheuermann's kyphosis.","authors":"Deniz Kargin, Ulas Yavuz, Batuhan Konu","doi":"10.52312/jdrs.2026.2615","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2615","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to investigate the potential relationship between rod overhang (RO) and quality of life (QoL) scores, as well as implant-related irritation, in patients with adolescent idiopathic scoliosis (AIS) and Scheuermann's kyphosis (SK).</p><p><strong>Patients and methods: </strong>Between October 2016 and December 2018, a total of 33 pediatric patients with AIS and SK who underwent posterior instrumentation were retrospectively analyzed. On radiographs, the longest RO at both the superior and inferior ends (right or left) was recorded, and patients were grouped according to whether RO exceeded 1 cm. Quality of life outcomes were assessed using the Scoliosis Research Society-22r (SRS-22r), Oswestry Disability Index (ODI), and Short Form-36 (SF-36) questionnaires, and patients were also asked about implant-end irritation.</p><p><strong>Results: </strong>Of the patients, 10 were male and 23 were female. The mean age at the time of operation was 15.18 ± 1.98 years, while the mean age at the latest follow-up was 23.85 ± 1.86 years. The median follow-up was 104.08 months. The mean maximum RO was 11.3 ± 7.8 mm superiorly and 11.1 ± 6.2 mm inferiorly. Superior RO correlated significantly with SF-36 role-physical (r = -0.36, p = 0.04) and vitality (r = -0.43, p = 0.01) subdomains; no other significant QoL correlations were found. Implant-related irritation was reported in eight (n = 3 superior, n = 5 inferior) patients. There was no significant difference in RO between patients who did and did not report implant-related irritation (superior p = 0.18 vs. inferior p = 0.48). There were no significant differences in QoL scores (for superior, inferior, and either end; p > 0.05) or in the rate of implant-related irritation between patients with RO greater or less than 1 cm (superior p = 0.70; inferior and either end p = 1.00).</p><p><strong>Conclusion: </strong>Our study results suggest that rod overhangs up to 3 cm may not be a clinically relevant determinant of patient-reported outcomes or implant-related irritation in AIS and SK surgery. From a clinical perspective, this may help reduce concern regarding minor distal or proximal overhang during posterior instrumentation, particularly when optimal correction and fixation require slight extension of the construct. The absence of a measurable association with QoL or irritation also supports a more flexible intraoperative decision-making approach, prioritizing deformity correction and implant stability over strict limitation of rod length within this range.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"697-704"},"PeriodicalIF":2.5,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655131","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":"Evaluation of ophthalmologic abnormalities in pediatric patients with idiopathic scoliosis: A prospective, cross-sectional, case-control study.","authors":"Abdullah Alper Sahin, Asena Keles Sahin","doi":"10.52312/jdrs.2026.2854","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2854","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to determine the prevalence and distribution of ophthalmologic abnormalities, particularly binocular vision disorders and refractive errors, in children diagnosed with idiopathic scoliosis (IS).</p><p><strong>Patients and methods: </strong>Between September 2025 and December 2025, a total of 48 pediatric patients diagnosed with IS (scoliosis group) and 41 age- and sex-matched healthy children (control group) were included in this prospective, cross-sectional, case-control study. The Cobb angle (≥ 10°) was considered in the scoliosis assessment. Based on Cobb angle measurements, scoliosis patients were classified into two subgroups: mild scoliosis (10°-20°, n = 26) and moderate scoliosis (21°-40°, n = 22). All participants underwent a comprehensive ophthalmologic examination, including cycloplegic refraction, visual acuity levels, and near stereoscopic vision measurement.</p><p><strong>Results: </strong>Of a total of 48 patients with IS included in the study, 14 were male and 34 were female with a median age of 14 (range, 6 to 18) years. The control group consisted of 41 participants. Of them, 16 were male and 25 were female with a median age of 11 (range, 5 to 16) years. Cervicothoracic scoliosis was identified in 30 patients (62.5%) in the scoliosis group. The number of patients with refractive error requiring glasses was significantly higher in the scoliosis group (p = 0.030). Stereoacuity levels were significantly lower in the scoliosis group (p < 0.001), and this difference was observed in both mild and moderate scoliosis subgroups. However, multivariable logistic regression analysis adjusting for age and sex revealed no independent association between scoliosis and decreased stereopsis or refractive error.</p><p><strong>Conclusion: </strong>Children with idiopathic scoliosis exhibit reduced stereopsis and a higher frequency of refractive errors requiring spectacles. These findings suggest a potential association between scoliosis and visual function. Therefore, ophthalmologic evaluation may be considered as part of the clinical assessment of children with scoliosis.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"747-755"},"PeriodicalIF":2.5,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655134","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 and radiological outcomes of direct anterior versus posterolateral total hip arthroplasty in ankylosing spondylitis: A propensity-matched study.","authors":"Xingshan Wang, Shaoyi Guo, Dazhao Chen, Yixin Zhou, Tao Bian, Siliang Man, Liang Zhang","doi":"10.52312/jdrs.2026.2738","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2738","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to compare the clinical and radiological outcomes of the direct anterior approach (DAA) and the traditional posterior-lateral approach (PLA) for total hip arthroplasty (THA) in patients with ankylosing spondylitis (AS).</p><p><strong>Patients and methods: </strong>Between July 2001 and May 2024, a total of 137 patients (117 males, 20 females; mean age: 40.21 ± 13.28 years; range, 17 to 73 years) with AS who underwent THA using the DAA or PLA were retrospectively analyzed. Using propensity score-matching, we retrospectively analyzed data on 164 hips with AS for which THA was performed, with 41 and 123 hips in the DAA and PLA groups, respectively. Preoperative baseline characteristics, surgical data, clinical and radiological outcomes at follow-up were collected and compared between the two groups.</p><p><strong>Results: </strong>The mean follow-up was 68.05 ± 38.09 months. There were no significant intergroup differences in terms of surgical data, postoperative complications, clinical scores, or patient satisfaction (p > 0.05). Compared to the PLA group, the DAA group had a significantly higher rate of achieving hip flexion over 90° (82.93% vs. 60.98%, p = 0.010), with fewer patients in the group reporting difficulty with putting on socks (p = 0.003). The DAA group exhibited a smaller acetabular anteversion (17.10 ± 6.60° vs. 20.68 ± 8.73°, p = 0.031), with a higher proportion of acetabular components positioned within the Lewinnek safe zone (82.93% vs. 60.16%, p = 0.008).</p><p><strong>Conclusion: </strong>Although both surgical approaches are effective for managing hip involvement in ankylosing spondylitis undergoing THA, the DAA may offer functional benefits and improved prosthetic alignment. These advantages support its consideration as a favorable surgical option in appropriately selected patients.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"592-601"},"PeriodicalIF":2.5,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655073","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":"Minimum 10-year outcomes of highly cross-linked polyethylene in total hip arthroplasty for hip dysplasia: Effect of cup inclination in a matched comparative study.","authors":"Byung-Chan Choi, Kyung-Jae Lee, Byung-Woo Min, Ho-Sung Suh","doi":"10.52312/jdrs.2026.2702","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2702","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to compare the long-term outcome of highly cross-linked polyethylene (HXLPE) in hip dysplasia with osteonecrosis of the femoral head (ONFH) and evaluate the effect of cup inclination on HXLPE wear after total hip arthroplasty (THA) during a minimum 10-year follow-up.</p><p><strong>Patients and methods: </strong>Between January 2000 and December 2012, a total of 124 patients who underwent primary THA for hip dysplasia or ONFH with a minimum 10-year follow-up were retrospectively analyzed. A total of 62 patients were successfully matched between the two groups (ONFH group, n = 62 and hip dysplasia group, n = 62). Primary outcomes included acetabular cup inclination, anteversion, and wear rates of HXLPE. Based on cup inclination, both groups were divided into three subgroups, classified as (1) ≤ 45°, (2) < 45° to < 50°, and (3) ≥ 55°. Secondary outcomes included the clinical score and radiographic findings of osteolysis, implant loosening, stress shielding, and heterotopic ossification. Kaplan-Meier curve and Cox regression test were used to compare the implant survivorship in the full cohort prior to exclusion and matching (178 hip dysplasia and 397 ONFH patients).</p><p><strong>Results: </strong>There was no significant difference in survival rate without revision of prosthesis at 10-year between two groups (hip dysplasia: 94.7%, 95% confidence interval [CI]: 91.1% to 98.4% vs. ONFH: 95.7% (95% CI: 93.3% to 98.2%) (p = 0.4) Cup inclination was significantly steeper in the hip dysplasia group (47.6°, 95% CI: 46.0° to 49.3°) than in the ONFH group (43.9°, 95% CI: 42.3° to 45.5°) (p = 0.002). Steep cup inclination (> 55°) was significantly more frequent in the hip dysplasia group (11.3%, 7/62) than in the ONFH group (6.5%, 4/62; p = 0.006). However, wear rates of HXLPE were not significantly different between groups, and no correlation was found between cup inclination and HXLPE wear rate. No progressive osteolysis or prosthetic loosening was observed during follow-up.</p><p><strong>Conclusion: </strong>Although patients with hip dysplasia demonstrated a steeper mean cup inclination and a higher incidence of steep cup positioning compared to those with ONFH, implant survivorship remained comparable between groups in the overall cohort. In the matched cohort analysis, HXLPE wear rates and clinical outcomes were also comparable between the groups. These findings suggest that, despite technical challenges in acetabular positioning, the use of HXLPE in THA for hip dysplasia provides satisfactory long-term performance and may alleviate concerns regarding cup inclination-related wear.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"602-613"},"PeriodicalIF":2.5,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654917","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":"Perioperative blood management and clinical outcomes in patients with hemophilia undergoing total joint arthroplasty: Our long-term results.","authors":"Mingling Peng, Sibei Li, Xinyuan Wu, Wuhua Ma, Yuhui Li","doi":"10.52312/jdrs.2026.2794","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2794","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to evaluate the efficacy and safety of a comprehensive, multidisciplinary perioperative blood management (PBM) protocol in patients with Hemophilia A undergoing total joint arthroplasty (TJA).</p><p><strong>Patients and methods: </strong>Between December 2014 and November 2024, a total of 29 male patients (mean age: 33.38 ± 8.62 years; range, 20 to 55 years) with hemophilic arthropathy (HA), all diagnosed with Hemophilia A, who underwent total knee arthroplasty (TKA) or total hip arthroplasty (THA) were retrospectively analyzed. All patients received a standardized PBM protocol, including preoperative factor Ⅷ sensitivity testing, individualized factor replacement, restrictive fluid management, ultrasound-guided regional anesthesia, and tranexamic acid administration. Primary outcomes included total blood loss (TBL) and hemoglobin (Hb) drop. Secondary outcomes included operation time, length of hospital stay (LOS), and perioperative complications.</p><p><strong>Results: </strong>All 29 procedures were successfully completed under our PBM protocol. For the entire cohort, the median TBL was 630.52 (range, 470.95 to 939.64) mL, and the mean Hb decrease on postoperative Day 5 was -41.83 ± 22.81 g/L. The median operative time was 122.0 (range, 91.0 to 182.5) min, and the median LOS was 23.0 (range, 19.0 to 31.0) days. Simultaneous double TJA showed higher TBL and transfusion rates than single TJA, but the outcomes remained within safe clinical limits. Furthermore, THA was associated with significantly shorter operation time (p = 0.008) and lower total FⅧ consumption (p = 0.036) compared to TKA, despite similar TBL (p = 0.860). No major complications, such as inhibitor development, hemorrhage or venous thromboembolism were observed.</p><p><strong>Conclusion: </strong>A standardized, multidisciplinary PBM protocol ensures surgical safety in patients with end-stage HA. Despite the underlying hemorrhagic diathesis, optimized factor replacement and comprehensive anesthetic strategies can achieve surgical outcomes comparable to the general population. These findings support the broader clinical application of comprehensive PBM for high-risk hemophilic surgical cases.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"649-657"},"PeriodicalIF":2.5,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654845","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":"Thumb carpometacarpal osteoarthritis: Arthrodesis versus trapeziectomy with ligament reconstruction and tendon interposition.","authors":"Cengiz Aldemir, Tahir Ozturk, Hakan Ertem, Yener Aydın, Eyup Cagatay Zengin, Ahmet Piskin, Firat Erpala, Muhittin Sener","doi":"10.52312/jdrs.2026.2927","DOIUrl":"https://doi.org/10.52312/jdrs.2026.2927","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we aimed to compare the clinical and radiological outcomes of patients undergoing arthrodesis and trapeziectomy with ligament reconstruction and tendon interposition (T + LRTI) for thumb carpometacarpal (CMC) osteoarthritis and to investigate whether patient-specific decision-making could offer advantages over LRTI or arthrodesis as a surgical approach.</p><p><strong>Patients and methods: </strong>Between August 2014 and January 2025, a total of 40 patients who underwent surgical treatment for thumb CMC osteoarthritis were retrospectively analyzed. The patients were divided into two groups as the T + LRTI group (n = 22) and arthrodesis group (n = 18). Clinical outcomes were assessed using the Visual Analog Scale (VAS), Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), grip strength (kg), and pinch strength (kg) measurements.</p><p><strong>Results: </strong>Of the patients, 7 were male and 33 were female with a mean age of 62.9 ± 6.5 years in T + LRTI group, 60.1 ± 7.4 years in arthrodesis group (range, 40 to 75 years). Both groups demonstrated significant improvement in VAS and QuickDASH scores postoperatively (p < 0.001). The mean postoperative VAS scores were 2.7 ± 2.0 in the T + LRTI group and 1.9 ± 0.9 in the arthrodesis group (p = 0.267), while QuickDASH scores were 26.4 ± 17.3 and 19.1 ± 3.2, respectively (p = 0.085). No significant differences were observed in grip strength (p = 0.358), palmar pinch (p = 0.104) and key pinch strength (p = 0.097) between the groups. The overall complication rate was 12.5% in both groups, indicating no statistically significant difference (p = 0.642).</p><p><strong>Conclusion: </strong>Our study results suggest that both T + LRTI and arthrodesis provide effective and comparable pain relief and functional outcomes in the surgical management of thumb CMC osteoarthritis and can be considered reliable surgical options.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 3","pages":"777-784"},"PeriodicalIF":2.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655139","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":"Vertebral fragility fractures mimicking metastases in patients with hormone-sensitive cancers: A clinical highlight.","authors":"Anıl Köktürk, Erdem Aras Sezgin, O Şahap Atik","doi":"10.52312/jdrs.2026.57933","DOIUrl":"10.52312/jdrs.2026.57933","url":null,"abstract":"","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"37 2","pages":"563-564"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576816","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}