Archives of Orthopaedic and Trauma Surgery最新文献

{"title":"Long-term outcomes of traumatic hip dislocation: a minimum 10-year follow-up study in 18 patients","authors":"Stephan Regenbogen,&nbsp;Paul A. Grützner,&nbsp;Markus Beck,&nbsp;Philipp Blum,&nbsp;Ulrich Stöckle,&nbsp;Philipp Osten,&nbsp;Sven Märdian,&nbsp;Vera Jaecker","doi":"10.1007/s00402-025-06048-8","DOIUrl":"10.1007/s00402-025-06048-8","url":null,"abstract":"<div><h3>Background</h3><p>Traumatic hip dislocations are rare but serious injuries, potentially affecting patients’ quality of life and mobility. Given the limited understanding of prognostic factors, this study aimed to identify predictors of long-term clinical outcomes.</p><h3>Materials and methods</h3><p>Injury characteristics and computed tomography (CT) of patients following traumatic hip dislocation from two level I trauma centers from 2009 to 2015 were analyzed. At follow-up, patients were evaluated for avascular necrosis (AVN), post-traumatic osteoarthritis (PTOA), secondary surgery, complications, and return to sports. Patient-reported outcome measures (PROMs), including Tegner Activity Scale (TAS) and modified Harris Hip Score (mHHS), were evaluated.</p><h3>Results</h3><p>38 patients with traumatic hip dislocation were finally included. Concomitant posterior acetabular wall fractures and femoral head fractures (Pipkin type I to IV) were observed in 34 cases (87%). 18 patients (mean age 38.3 ± 17.2 years) completed the follow-up (mean follow-up 12.25 ± 1.03 years). 6 patients (33%) developed PTOA, 2 patients (11%) AVN, and 3 patients (17%) required total hip arthroplasty. Decreased TAS was associated with concomitant fractures (<i>p</i> = 0.02). 10 patients (56%) did not return to their pre-injury sports level and 7 patients (39%) reported sexual dysfunction. PROMs and return to sports were significantly worse in patients with PTOA or residual sciatic nerve injury (<i>p</i> &lt; 0.05).</p><h3>Conclusions</h3><p>Patients after traumatic hip dislocation are at high risk for PTOA or AVN, especially with concomitant acetabular or femoral head fractures, resulting in significant long-term limitations in daily activities, sports, and sexual function. Recognition of concomitant fractures is a critical prognostic factor in assessing long-term outcomes.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914808","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":"High retention rates of custom 3D printed titanium implants in complex pelvic reconstruction, a report on 106 consecutive cases over 10 years","authors":"Richard Boyle,&nbsp;Corey Scholes,&nbsp;Daniel Franks,&nbsp;Amish Lodhia,&nbsp;Meredith Harrison-Brown,&nbsp;Milad Ebrahimi,&nbsp;Maurice Guzman,&nbsp;Paul Stalley","doi":"10.1007/s00402-025-06008-2","DOIUrl":"10.1007/s00402-025-06008-2","url":null,"abstract":"<div><h3>Introduction</h3><p>Access to custom 3D printed pelvic implants (3DPI) is improving for application in both arthroplasty revision and tumour reconstruction. There is limited evidence regarding the safety and outcomes of such implants for large bony defects of the pelvis. The aim of this study is to report the incidence of complications, patient mortality and implant survival following pelvic reconstruction using custom 3Dprinted prostheses in the setting of extensive pelvic bone defects following pelvic tumour resection or failure of total hip arthroplasty (THA).</p><h3>Materials and methods</h3><p>Patients who underwent reconstruction with a custom 3D printed pelvic prosthesis (3DPI) were identified from our clinical outcomes registry (Complex Reconstruction and Sarcoma Surgical Outcomes Registry; ANZCTRN 12621001421820). Indications for surgery, adverse events, reoperations and rates and modes of failure were recorded. Kaplan-Meier and multistate survival curves were generated for cumulative survival based on indication.</p><h3>Results</h3><p>One hundred and six procedures were completed (Revision THA = 33; Tumour Pelvis = 73) with a median follow up of 4.1 years, ranging from 0.6 to 10 years. Acetabular loosening was the most frequent indication for the Revision THA cohort, while indications for tumour varied across primary presentations, metastases and failures of previous resection/reconstruction. Intraoperative complications were observed in 4.1% (95%CI 1.1–12.3) of Tumour Pelvis cases. Overall implant retention was 96% (90–99). No mortality events were observed in the Revision THA cohort, with 5-year patient survival 79% (70–90) in the Tumour Pelvis cohort. Procedure-survival free from periprosthetic infection was 86% (74–100) in the Revision THA cohort and 85% (76–95) in the Tumour Pelvis cohort. Modelling adverse events using multistate survival models in both cohorts revealed complex time-varying presentation of adverse events, with a significant burden of reoperations and local tumour recurrence in the Tumour Pelvis cohort.</p><h3>Conclusions</h3><p>3DPIs are a safe and viable option for complex reconstruction of the pelvis across a range of oncological and non-oncological indications. The initial results of the present study provide important information to aid in counselling patients about such procedures and allocating healthcare resources for ongoing care. Further work is required to document functional and biomechanical outcomes in these patient populations.</p><h3>Trial registration</h3><p>Australian New Zealand Clinical Trials Registry (ANZCTRN 12621001421820); Registration date 21-Oct-2021.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00402-025-06008-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914807","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":"Cement or press-fit? Impact of patellar fixation technique on outcomes after primary TKA: a systematic review","authors":"Vasileios Giovanoulis,&nbsp;Johnny Abboud,&nbsp;Angelo V. Vasiliadis,&nbsp;Victor Meissburger,&nbsp;Christos Koutserimpas,&nbsp;Sebastien Lustig","doi":"10.1007/s00402-025-06035-z","DOIUrl":"10.1007/s00402-025-06035-z","url":null,"abstract":"<div><h3>Introduction</h3><p>The optimal fixation technique for patellar components in primary total knee arthroplasty (TKA); cemented versus press-fit, remains controversial. While early press-fit designs were associated with complications, second-generation implants with improved osseointegration features have renewed interest in cementless fixation.</p><h3>Methods</h3><p>This systematic review included studies comparing cemented and press-fit patellar fixation in primary TKA. A comprehensive literature search identified 202 studies, of which eight met predefined inclusion criteria. Data were extracted on survivorship, revisions, complications, and patient-reported outcome measures (PROMs).</p><h3>Results</h3><p>Across 1666 knees, survivorship was comparable between cemented and press-fit groups. Several studies reported 100% short-term survivorship in cementless cohorts. Four studies identified statistically significant PROM differences, but findings were inconsistent and context-dependent. No clear advantage was found for either fixation type in terms of overall pain, function, or satisfaction. Cementless patellae demonstrated no increased risk of aseptic loosening or patellar fracture. Complications were infrequent and more often reported in cemented groups.</p><h3>Discussion</h3><p>These findings showed no significant difference in failure or PROMs between fixation methods. While surgical preference remains a driver of implant choice, current evidence does not support a universal superiority of one fixation method over the other.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914809","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":"Comparison of synovial calprotectin and alpha-defensin for the diagnosis of persistent periprosthetic joint infections at second stage of a two-stage revision arthroplasty","authors":"Jennyfer A. Mitterer,&nbsp;Susana Gardete Hartmann,&nbsp;Sebastian Simon,&nbsp;Sujeesh Sebastian,&nbsp;Leonie Chlud,&nbsp;Jochen G. Hofstaetter","doi":"10.1007/s00402-025-06045-x","DOIUrl":"10.1007/s00402-025-06045-x","url":null,"abstract":"<div><h3>Background</h3><p>Two-stage revision arthroplasty is the standard treatment for chronic hip and knee periprosthetic joint infections (PJI). Accurate diagnosis of persistent infections at 2nd stage using established biomarkers and diagnostic criteria is of paramount importance. This study aimed to evaluate the diagnostic value of synovial calprotectin and alpha-defensin, and compare established diagnostic criteria from the International Consensus Meeting (ICM 2018) and the European Bone and Joint Infection Society (EBJIS 2021) to determine persistent PJI at the 2nd stage of a two-stage revision arthroplasty.</p><h3>Methods</h3><p>We retrospectively analyzed 97 patients who underwent 100 two-stage revisions (hip: 39, knee: 61). Synovial fluid samples were assessed for calprotectin and alpha-defensin levels. ICM 2018 and EBJIS 2021 were applied to all patients undergoing 2nd stage revision. Receiver operating characteristic (ROC) curves and Youden Index were utilized to determine optimal cut-off values, and correlations between biomarkers were evaluated. The microbiological spectrum was analyzed at 2nd stage and re-revision surgery.</p><h3>Results</h3><p>Calprotectin levels showed a sensitivity of 66.7%, specificity of 32.9%, and accuracy of 38.0% in predicting septic failure. Alpha-defensin showed sensitivity of 28.6%, specificity of 87.8%, and accuracy of 79.2%. Significant correlations included: calprotectin with PMN% (<i>r</i> = 0.471, <i>p</i> = 0.05) and alpha-defensin with WBC (<i>r</i> = 0.830, <i>p</i> &lt; 0.01) in the successful cohort. For septic re-revisions, calprotectin and alpha-defensin were highly correlated (<i>r</i> = 0.969, <i>p</i> &lt; 0.01). ICM correctly diagnosed persistent PJI in 26.7%, while EBJIS diagnosed 24.2%. The microbial spectrum shifted from gram-positive to gram-negative bacteria between reimplantation and re-revision surgeries.</p><h3>Conclusion</h3><p>Synovial calprotectin and alpha-defensin demonstrated limited accuracy in ruling out persistent PJI at reimplantation. The low sensitivity of current diagnostic criteria, combined with the observed shift in microbial spectrum, underscores the challenges in diagnosing persistent PJI during 2nd stage of a two-stage revisions arthroplasty.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914810","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":"Temporal association and risk factors for periprosthetic joint infection following erysipelas in total hip and knee arthroplasty","authors":"Taner Karlidag,&nbsp;Julian Steinhoff,&nbsp;T. David Luo,&nbsp;Jochen Salber,&nbsp;Thorsten Gehrke,&nbsp;Mustafa Citak","doi":"10.1007/s00402-025-06046-w","DOIUrl":"10.1007/s00402-025-06046-w","url":null,"abstract":"<div><h3>Purpose</h3><p>Erysipelas is a cutaneous infection that primarily impacts the lower extremities. Research has suggested that patients with an existing prosthetic joint are at a heightened risk for the onset of a secondary prosthetic joint infection (PJI) following the development of erysipelas. This study aims to investigate the relationship between the incidence of erysipelas and specific patient-related risk factors in the context of PJI.</p><h3>Methods</h3><p>This study involved a retrospective analysis of medical records spanning from May 2016 to June 2021 at a tertiary referral center. A total of 289 patients who had developed erysipelas following hip or knee arthroplasty were included in the study. The present investigation has performed a targeted analysis focusing on the temporal relationship between the onset of erysipelas and the subsequent onset of PJI.</p><h3>Results</h3><p>Logistic regression analyses revealed that rheumatoid arthritis (RA) significantly heightened the risk of PJI following erysipelas, with an odds ratio (OR) of 8.24 (95% CI: 3.15–21.56). In the context of primary total hip arthroplasty (THA), both RA and heart failure (HF) were found to substantially elevate the risk of PJI post-erysipelas, corresponding to ORs of 43.74 (95% CI: 3.99–480.16) for RA and 11.38 (95% CI: 1.39–93.01) for HF, respectively. Likewise, in the cohort of primary total knee arthroplasty (TKA) patients, RA was linked to a heightened PJI risk, reflected by an OR of 10.34 (95% CI: 2.70 to 39.57). Notably, patients with RA experienced a significantly shorter mean timeframe until PJI occurrence (16.6 days, standard deviation 7.2), in contrast to patients with heart failure (mean 64.2 days, SD 79.5) and those without either RA or HF (mean 220.3 days, SD 52.2) (<i>p</i> &lt; 0.001).</p><h3>Conclusion</h3><p>Our results highlight that specific risk factors including RA and HF significantly contribute to an increased risk of acute PJI following erysipelas. Notably, RA emerged as the strongest predictor, particularly in hip arthroplasty patients, where it was associated with a markedly elevated risk particularly in acute period. These findings support the need for individualized patient management strategies in early postoperative period, including optimizing perioperative immunosuppressant therapy in RA patients and implementing stringent postoperative surveillance protocols for high-risk individuals.</p><h3>Level of evidence</h3><p>Level III.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144896901","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":"Does vasopressor administration in the ICU affect outcomes following primary total joint arthroplasty?","authors":"Braden V Saba,&nbsp;Jean Shanaa,&nbsp;John K Cordero,&nbsp;Ran Schwarzkopf,&nbsp;Ezra Dweck,&nbsp;Diren Arsoy","doi":"10.1007/s00402-025-06026-0","DOIUrl":"10.1007/s00402-025-06026-0","url":null,"abstract":"<div><h3>Introduction</h3><p>The subset of patients admitted to the intensive care unit (ICU) following total joint arthroplasty (TJA) has yet to be studied in detail. Specifically, there is little data on the effects of vasopressor administration in patients who require critical care after TJA. We sought to characterize patient outcomes and mortality by vasopressor administration in the ICU following primary TJA. </p><h3>Methods</h3><p>We retrospectively reviewed 187 patients who required admission to the ICU within 14 days following primary, unilateral TJA from 2012 to 2024, out of 47,083 patients who underwent TJA during this time (0.40%). Exclusion criteria included TJA for trauma, acute fracture, and revision or conversion TJA. Patients were classified by whether they received any vasopressor (i.e., norepinephrine, phenylephrine, or vasopressin) medication at any point during their ICU stay. Limited intraoperative use of vasopressor did not qualify. Demographic and surgical data were collected and compared. Primary outcomes included complications, revisions/reoperations. </p><h3>Results</h3><p>Of the 187 patients requiring ICU admission following primary TJA, 20 received vasopressors during their stay. No significant demographic differences were found between cohorts. Hypotension (26%) was the most common indication for ICU admission. Vasopressor use was not associated with a significant increase in 30-day or one-year mortality (5.0 vs. 0.6%, <i>P</i>=0.07; 5.0 vs. 1.2%,<i> P</i>=0.20, respectively), but was associated with a significant increase in revisions/reoperations 25.0 vs 6.0%, <i>P</i>=0.005). No significant differences were observed for 90-day VTE events (<i>P</i>=0.62). Dislocations were significantly more common in patients who received vasopressors (14.3 vs. 1.0%, <i>P</i>=0.047).</p><h3>Conclusion</h3><p> Patients who received vasopressors in the ICU following TJA had significantly higher rates of revisions, reoperations, and dislocation. There were no differences in mortality rates or VTE rates between groups. Further investigation is required to better characterize outcomes following vasopressor requirement in the total joint arthroplasty population.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144897117","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":"Correction: The financial burden of vancomycin as an alternative to cefazolin for periprosthetic joint infection prophylaxis in total knee arthroplasty","authors":"Walter L. Taylor IV,&nbsp;Victoria Bergstein,&nbsp;Aaron I. Weinblatt,&nbsp;William J. Long","doi":"10.1007/s00402-025-05985-8","DOIUrl":"10.1007/s00402-025-05985-8","url":null,"abstract":"","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880977","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":"Correction: The treatment of idiopathic and non-idiopathic vertical talus using the Dobbs method– a long- term study with a follow-up of up to 16 years– relapses, residual deformities and reoperations","authors":"Christina Wack,&nbsp;Laura Bannow,&nbsp;Francisco Fernandez Fernandez,&nbsp;Thomas Wirth,&nbsp;Oliver Eberhardt","doi":"10.1007/s00402-025-05982-x","DOIUrl":"10.1007/s00402-025-05982-x","url":null,"abstract":"","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880976","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":"A cadaveric study for anatomical characterization of the superficial medial collateral ligament: the transition zone of metaphysis to diaphysis in TKA","authors":"Vaibhav Bagaria,&nbsp;Anjali Tiwari,&nbsp;Emmanuel Thienpont","doi":"10.1007/s00402-025-06021-5","DOIUrl":"10.1007/s00402-025-06021-5","url":null,"abstract":"<div><h3>Purpose</h3><p>The sMCL is pivotal for valgus stability and rotational control, with a critical role in maintaining and achieving knee stability in the native knee and after Total Knee Arthroplasty (TKA). This study aims to describe the detailed anatomical features of the superficial medial collateral ligament (sMCL) allowing surgeons to know the insertion points, if needed for reconstruction or to determine the transition of the metaphyseal to the diaphyseal zone in TKA and revision TKA.</p><h3>Methods</h3><p>We dissected 25 knees from 14 cadavers on whom TKA was simulated during this experiment to meticulously measure the anatomical dimensions of the sMCL, including its length, femoral origin, and tibial insertion points. Measurements were taken by two independent observers, ensuring reliability through the assessment of inter- and intra-observer variability using the intraclass correlation coefficient (ICC).</p><h3>Results</h3><p>The sMCL exhibited a mean length of 9.71 cm, with femoral origin and tibial insertion distances averaging 3.25 cm and 6.29 cm, respectively from the joint line. High ICC values confirmed the reliability of the measurements, although slight interobserver variability (<i>P</i> = 0.046) underscored the necessity for precise measurement techniques or possible difference in opinion about the identified surface landmark amongst the observers. This anatomical quantification provides essential references for surgical planning and execution of TKR.</p><h3>Conclusion</h3><p>The anatomical insights gained from this study show that the sMCL is a medial structure of about 9 cm with a femoral insertion point at 3 cm from the joint line and a tibial insertion point at 6 cm from the joint line. This knowledge can help surgeons in the development and understanding of classification systems based on epi-, meta- and diaphyseal zones, in the choice of the level of constraint and the zones of fixation, both in primary and revision TKA.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880870","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":"Correction: Subcutaneous vs. transcutaneous K-wires for proximal phalanx fractures: a prospective randomized trial on infection rates","authors":"Sebastian Hoffmann,&nbsp;Amelie Müller,&nbsp;Claudius Illg,&nbsp;Adrien Daigeler,&nbsp;Manuel Held,&nbsp;Johannes Tobias Thiel","doi":"10.1007/s00402-025-06006-4","DOIUrl":"10.1007/s00402-025-06006-4","url":null,"abstract":"","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880858","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}