Archives of Orthopaedic and Trauma Surgery最新文献

筛选
英文 中文
Using an App based algorithm to determine axial rotation and pelvic tilt at the time of an AP radiograph: a sawbone study 使用基于App的算法确定AP x线片时的轴向旋转和骨盆倾斜:一项锯骨研究。
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-23 DOI: 10.1007/s00402-026-06433-x
Friedrich Boettner, Ajay Premkumar, Manuel Sterneder, Celia Aboaf, Lyubomir Haralambiev
{"title":"Using an App based algorithm to determine axial rotation and pelvic tilt at the time of an AP radiograph: a sawbone study","authors":"Friedrich Boettner,&nbsp;Ajay Premkumar,&nbsp;Manuel Sterneder,&nbsp;Celia Aboaf,&nbsp;Lyubomir Haralambiev","doi":"10.1007/s00402-026-06433-x","DOIUrl":"10.1007/s00402-026-06433-x","url":null,"abstract":"<div><h3>Introduction</h3><p>Axial rotation of the pelvis impacts inclination and anteversion measurements of the acetabular component on plain radiographs. Currently the axial rotation is not taken into account when providing acetabular component measurements on plain radiographs. The current study evaluates a novel App based algorithm to determine pelvic axial rotation at the time of an AP pelvis radiograph.</p><h3>Materials and methods</h3><p>AP and lateral radiographs were taken of the sawbone pelvis to calibrate the App. The sawbone was then rotated 11 times to the left (average 5.3°, range 0.2°–10.5°) and 10 times to the right (average 5.2°, range 1.2°–11.3°). The sawbone was then tilted forward 14 times (average 5.6° range 0.1°–11.6°) and 13 times backward (average 5.9°, range 0.1°–11.2°). The amount of axial rotation and tilt of the sawbone pelvis was determined using a digital caliper. AP pelvis radiographs were taken for each position. Using a novel App based calculation algorithm the amount of axial rotation and pelvic tilt was determined from the AP Pelvis radiograph.</p><h3>Results</h3><p>The algorithm determined the axial rotation of the pelvis at the time of the AP pelvis radiograph with an average difference of 0.6° (range 0°–1.8°) compared to the digital caliper measurement. For measuring pelvic tilt, the difference was 2.3° (range 0.4°–4.5°) compared to the digital caliper measurement.</p><h3>Conclusions</h3><p>The algorithm used to determine axial rotation of the pelvis at the time of an AP pelvis radiograph is highly accurate. The technology can help to more accurately determine acetabular component position on standard radiographs and intraoperative C-arm images.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560702","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}
引用次数: 0
Risk factors for implant-associated infection after bone allograft reconstruction: a 20-year retrospective cohort study 同种异体骨移植重建后种植体相关感染的危险因素:一项20年回顾性队列研究。
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-23 DOI: 10.1007/s00402-026-06431-z
Fabrice Scheurer, Maria Smolle, Georg Hauer, Paul Ruckenstuhl, Thomas Valentin, Andreas Leithner
{"title":"Risk factors for implant-associated infection after bone allograft reconstruction: a 20-year retrospective cohort study","authors":"Fabrice Scheurer,&nbsp;Maria Smolle,&nbsp;Georg Hauer,&nbsp;Paul Ruckenstuhl,&nbsp;Thomas Valentin,&nbsp;Andreas Leithner","doi":"10.1007/s00402-026-06431-z","DOIUrl":"10.1007/s00402-026-06431-z","url":null,"abstract":"<div><h3>Aims</h3><p>Reconstruction of bone defects is a key challenge in orthopaedic surgery. While autologous bone grafts are considered the gold standard, osseous allografts are increasingly used as an alternative as they allow for treatment of large bone defects. However, they may be associated with an increased risk of postoperative infections. This study aims to analyze the frequency of and risk factors for implant-associated infections after bone allograft transplantation.</p><h3>Methods</h3><p>All patients who underwent reconstruction with bone allografts at a single orthopaedic and trauma unit between 2003 and 2023 were retrospectively included. Data on demographics, disease-associated parameters, risk factors at index surgery, and development of implant-associated infections during follow-up were documented. Potential risk factors for development of implant-associated infections during follow-up were investigated with logistic regression models.</p><h3>Results</h3><p>A total of 220 patients were included (46.8% males; median age at surgery 46.5 years [IQR: 22–67]; <i>n</i> = 23 with implant-associated infections during follow-up). Factors independently associated with subsequent implant-associated infections were smoking (<i>p</i> = 0.001), BMI (<i>p</i> = 0.015) and radiotherapy (<i>p</i> = 0.013). Gender, age, preoperative chemotherapy, allograft material, preoperative C-reactive protein, hemoglobin and reason for surgery (tumor, <i>n</i> = 104; trauma, <i>n</i> = 13; revision, <i>n</i> = 103) were not associated with implant associated infection.</p><h3>Conclusion</h3><p>Independent risk factors for implant-associated infections following bone allograft surgery included active smoking, high BMI and radiotherapy (in case of tumor). These factors should be taken into consideration when planning bone allograft reconstruction.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560682","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}
引用次数: 0
Why it’s better to believe in a larger definition of the diametaphyseal junction zone in pediatric distal radius fractures 为什么在儿童桡骨远端骨折中,最好相信一个更大的干骺端连接区定义。
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-20 DOI: 10.1007/s00402-026-06428-8
Christoph von Schrottenberg, Susann Marie Beck, Philipp Schwerk, Guido Fitze, Jurek Schultz
{"title":"Why it’s better to believe in a larger definition of the diametaphyseal junction zone in pediatric distal radius fractures","authors":"Christoph von Schrottenberg,&nbsp;Susann Marie Beck,&nbsp;Philipp Schwerk,&nbsp;Guido Fitze,&nbsp;Jurek Schultz","doi":"10.1007/s00402-026-06428-8","DOIUrl":"10.1007/s00402-026-06428-8","url":null,"abstract":"<div><h3>Introduction</h3><p>Diametaphyseal radius fractures (DMRF) in children are characterized by special biomechanical behavior. They present with a stereotypical loss of reduction (radial translation and ulnar tilt) of the distal fragment when stabilized with elastic stable intramedullary nailing (ESIN), the standard osteosynthesis for pediatric diaphyseal forearm fractures. No consensus has been found on the definition of the diametaphyseal junction zone (DMJZ). Some authors claim that diaphyseal fractures immediately proximal to the metaphysis, as defined by the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO-PCCF), can safely be stabilized with ESIN. They confine the DMJZ to a small part within the metaphysis. Other definitions of the DMJZ extend slightly more proximally, including a small part of the distal diaphysis. The forearm fracture index (FFI) calculates the ratio of the fracture’s distance to the radius’ growth plate over its width and defines DMRF to have an FFI between 1 and 2. The aim of this case series was to demonstrate that these particular fractures, which can be considered diaphyseal according to the AO-PCCF, still exhibit biomechanical characteristics typical of DMRF.</p><h3>Materials and methods</h3><p>Radiologic and clinical outcomes of 11 DMRF, that would be considered diaphyseal by the AO-PCCF classification but fall into the DMJZ when using the FFI, are being reported.</p><h3>Results</h3><p>7 fractures were treated with ESIN and 4 with transepiphyseal percutaneous intramedullary Kirschner-wire (TEPIK) fixation. ESIN osteosynthesis led to only a small reduction in angulation but a notable increase in translational dislocation in the a.p. radiograph, both typical dislocation patterns seen in DMRF. Fractures stabilized with TEPIK, an osteosynthesis technique obeying the biomechanical demands of DMRF, did not present with these stereotypical dislocation patterns.</p><h3>Conclusions</h3><p>The biomechanical demands typical of DMRF also apply to very distal diaphyseal forearm fractures. Hence, a larger definition of the DMJZ might include all fractures with the characteristic biomechanical behavior.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148534718","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}
引用次数: 0
Optimizing initial biomechanical strength (“Time Zero”) of posterior repair in total hip arthroplasty: a biomechanical comparison of suture materials and knot configurations 优化全髋关节置换术后路修复的初始生物力学强度(“时间零”):缝合材料和结构型的生物力学比较
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-20 DOI: 10.1007/s00402-026-06362-9
Ming Chen, Xiang Liu, Dayi Chen, Xiaojing Li, Haoyuan Du, Yulong Sun, Hua Wang
{"title":"Optimizing initial biomechanical strength (“Time Zero”) of posterior repair in total hip arthroplasty: a biomechanical comparison of suture materials and knot configurations","authors":"Ming Chen,&nbsp;Xiang Liu,&nbsp;Dayi Chen,&nbsp;Xiaojing Li,&nbsp;Haoyuan Du,&nbsp;Yulong Sun,&nbsp;Hua Wang","doi":"10.1007/s00402-026-06362-9","DOIUrl":"10.1007/s00402-026-06362-9","url":null,"abstract":"<div><h3>Introduction</h3><p>Posterior capsule repair (PCR) is commonly performed during total hip arthroplasty (THA) via the posterolateral approach to improve postoperative stability. Because biological healing of the repaired posterior structures requires time, the repair construct must provide sufficient immediate mechanical support after surgery. This study aimed to identify the suture material and knot configuration with favorable initial mechanical performance in a standardized in vitro model.</p><h3>Materials and methods</h3><p>This in vitro biomechanical study was conducted in two sequential phases. Phase 1 evaluated the baseline tensile properties of three commonly used suture materials: #2 Ethibond, #0 Vicryl, and 3 − 0 PGLA. Phase 2 used a standardized porcine dermal surrogate model to compare eight suture configurations, including single- and double-strand techniques. The primary biomechanical outcomes included maximum failure load, load at 2 mm gap formation, and construct stiffness during uniaxial quasi-static load-to-failure testing.</p><h3>Results</h3><p>In Phase 1, non-absorbable #2 Ethibond showed significantly greater ultimate tensile strength (92.44 ± 8.72 N) and higher stiffness than the absorbable alternatives (<i>P</i> &lt; 0.001). In Phase 2, double-strand configurations outperformed all single-strand techniques. Among them, the double-strand Nice knot achieved the highest maximum failure load (104.04 ± 8.68 N) and the greatest construct stiffness (12.59 ± 1.21 N/mm), with better resistance to gap formation than conventional single-strand techniques.</p><h3>Conclusions</h3><p>In this in vitro model, absorbable sutures and traditional static knots showed lower initial fixation strength than double-strand constructs. Under controlled laboratory conditions, the combination of #2 Ethibond and a double-strand Nice knot was associated with higher initial biomechanical strength and stiffness than the other tested methods. These findings may help inform construct selection for posterior capsule repair, although direct clinical extrapolation should be made with caution.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148534740","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}
引用次数: 0
Intravenous versus oral tranexamic acid in shoulder arthroplasty 肩关节置换术中静脉注射氨甲环酸与口服氨甲环酸比较。
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-19 DOI: 10.1007/s00402-026-06426-w
Tarishi Parmar, Akin Adio, Mohammad Daher, Adam Khan, John Horneff, Joseph Abboud
{"title":"Intravenous versus oral tranexamic acid in shoulder arthroplasty","authors":"Tarishi Parmar,&nbsp;Akin Adio,&nbsp;Mohammad Daher,&nbsp;Adam Khan,&nbsp;John Horneff,&nbsp;Joseph Abboud","doi":"10.1007/s00402-026-06426-w","DOIUrl":"10.1007/s00402-026-06426-w","url":null,"abstract":"<div><h3>Purpose</h3><p>Tranexamic acid (TXA) is used in shoulder arthroplasty to reduce blood loss. While intravenous (IV) TXA is standard, oral TXA offers advantages in cost and administration. This study compares 90-day complications and postoperative laboratory values between IV and oral TXA in total shoulder arthroplasty (TSA).</p><h3>Methods</h3><p>A retrospective cohort study using TriNetX identified adults undergoing primary TSA (2005–2025) receiving TXA on the day of surgery, stratified by route (IV vs. oral). One-to-one propensity score matching was performed. Ninety-day outcomes included transfusion, thromboembolic events, cardiac and renal complications, neurologic events, infection, wound dehiscence, readmissions, emergency department visits, opioid utilization, and mortality. Postoperative laboratory outcomes included hemoglobin, erythrocyte count, hematocrit, and platelet count. Outcomes were compared using odds ratios (ORs) with 95% confidence intervals (CIs) and t tests where appropriate.</p><h3>Results</h3><p>After matching, 5722 patients were included in each cohort. No significant differences were observed between IV and oral TXA in 90-day transfusion rates (<i>P</i> = 0.873) or thromboembolic events, including deep vein thrombosis and pulmonary embolism. Rates of myocardial infarction, stroke, cardiac ischemia, acute renal failure, infection, readmission, emergency department visits, opioid use, and mortality were also comparable between groups (all <i>P</i> &gt; 0.05). Postoperative laboratory values, including hemoglobin, erythrocyte count, hematocrit, and platelet count, did not differ significantly between IV and oral TXA cohorts (all <i>P</i> &gt; 0.14).</p><h3>Conclusion</h3><p>In this large propensity-matched analysis, oral TXA demonstrated equivalent safety, complication rates, and postoperative laboratory profiles compared with IV TXA following TSA. These findings support oral TXA as a clinically effective alternative to IV administration, offering potential advantages in cost reduction and resource utilization without compromising patient safety. Future prospective studies should evaluate optimal dosing strategies, patient-specific selection criteria, and formal cost-effectiveness analyses to further define the role of oral TXA in shoulder arthroplasty pathways.</p><h3>Level of evidence</h3><p>III, Retrospective Cohort Study.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13381376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148519645","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}
引用次数: 0
Robotic-arm assistance in revision total hip arthroplasty improves the accuracy of acetabular component positioning: a cadaver-based study 机械臂辅助翻修全髋关节置换术提高髋臼部件定位的准确性:一项基于尸体的研究
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-18 DOI: 10.1007/s00402-026-06395-0
Kailey Fitzgerald, Ilya Borukhov, Varun Chandra, Chase Smitterberg, Michael A. Mont, Sally LiArno
{"title":"Robotic-arm assistance in revision total hip arthroplasty improves the accuracy of acetabular component positioning: a cadaver-based study","authors":"Kailey Fitzgerald,&nbsp;Ilya Borukhov,&nbsp;Varun Chandra,&nbsp;Chase Smitterberg,&nbsp;Michael A. Mont,&nbsp;Sally LiArno","doi":"10.1007/s00402-026-06395-0","DOIUrl":"10.1007/s00402-026-06395-0","url":null,"abstract":"<div><h3>Introduction</h3><p>Acetabular component positioning is a key factor for stability, impingement, wear, and biomechanics in revision total hip arthroplasty (THA). However, anatomic distortion and previous implants may complicate positioning. Although evidence on computed-tomography (CT)-based robotic assistance in revision THA is limited, its planning features and precision may improve surgical plan execution. This study aimed to measure the precision and accuracy of acetabular component positioning of revision robotic-arm assisted total hip arthroplasty (RA-THA) compared with a published manual primary total hip arthroplasty (M-THA) benchmark for: (a) acetabular inclination; (b) acetabular version; and (c) center of rotation (COR), with comparison by surgeon case volume.</p><h3>Materials and methods</h3><p>There were seven cadavers (nine hips) that previously underwent primary THA revised with RA-THA by independent surgeons with varying primary RA-THA case volumes, surgical approaches, and acetabular component types. Due to surgical protocol deviations, two hips were excluded leaving seven hips from six cadavers. Pre- and postoperative CT scans were compared to calculate absolute error for inclination, version, and COR; normality was established with the Anderson-Darling test and two-variance tests assessed differences in standard deviations (α = 0.05). Mean differences between cadaver-based revision RA-THA and published M-THA values were compared with Welch's <i>t</i>-test for superiority (α = 0.05). Effect sizes were reported as mean differences with 95% upper bounds and sensitivity analyses were performed given the fixed sample size.</p><h3>Results</h3><p>Revision RA-THA demonstrated significantly greater accuracy for acetabular inclination (2.5 ± 1.9° versus 7.2 ± 3.2°, <i>P</i> = 0.008) and version (2.2 ± 1.6° versus 7.8 ± 4.6°, <i>P</i> = 0.014), and significantly greater precision for acetabular version (<i>P</i> = 0.023) compared with M-THA. There was adirectionally lower error for COR compared with M-THA. Mean error reductions were 5.7° for version and 4.7º for inclination with 95% upper bounds of -1.9 for both version and inclination. Low RA-THA surgical volume corresponded with the highest absolute error for shell inclination (5.5º) and version (5.0º), though values remained below published M-THA averages.</p><h3>Conclusions</h3><p>Revision RA-THA reduced error in both acetabular inclination and acetabular version, and variability in acetabular version relative to the M-THA benchmark. Although these results relate only to technical performance, accurate acetabular positioning in clinical practice is an important factor in reducing the risk of malposition-related complications in revision THA.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00402-026-06395-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148466425","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}
引用次数: 0
Correction: Modified rotational wedge distal metatarsal osteotomy versus chevron osteotomy for hallux valgus: long-term radiographic and clinical outcomes 矫正:改良的旋转楔形远端跖骨截骨术与角形截骨术治疗拇外翻:长期影像学和临床结果
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-17 DOI: 10.1007/s00402-026-06420-2
Ahmet Aybar, Kemal Gokkus, Erdem Özden, Mehmet Hamdi Çetin, Mehmet Ümit Çetin
{"title":"Correction: Modified rotational wedge distal metatarsal osteotomy versus chevron osteotomy for hallux valgus: long-term radiographic and clinical outcomes","authors":"Ahmet Aybar,&nbsp;Kemal Gokkus,&nbsp;Erdem Özden,&nbsp;Mehmet Hamdi Çetin,&nbsp;Mehmet Ümit Çetin","doi":"10.1007/s00402-026-06420-2","DOIUrl":"10.1007/s00402-026-06420-2","url":null,"abstract":"","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00402-026-06420-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148466402","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}
引用次数: 0
Preoperative lower radiographic osteoarthritis severity in primary total knee arthroplasty increases revision risk by tenfold compared to severe osteoarthritis 与严重骨关节炎相比,原发性全膝关节置换术术前低x线片骨关节炎严重程度增加翻修风险十倍
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-17 DOI: 10.1007/s00402-026-06394-1
Lenka Stroobant, Hannes Vermue, Tamara Droogsma, Stefaan Van Onsem, Nele Arnout, Gijs G. van Hellemondt, Jan Victor, Petra J. C. Heesterbeek
{"title":"Preoperative lower radiographic osteoarthritis severity in primary total knee arthroplasty increases revision risk by tenfold compared to severe osteoarthritis","authors":"Lenka Stroobant,&nbsp;Hannes Vermue,&nbsp;Tamara Droogsma,&nbsp;Stefaan Van Onsem,&nbsp;Nele Arnout,&nbsp;Gijs G. van Hellemondt,&nbsp;Jan Victor,&nbsp;Petra J. C. Heesterbeek","doi":"10.1007/s00402-026-06394-1","DOIUrl":"10.1007/s00402-026-06394-1","url":null,"abstract":"<div><h3>Background</h3><p>Dissatisfaction following primary total knee arthroplasty (pTKA) is higher in patients with preoperative low-grade osteoarthritis (OA), but its impact on revision risk remains unclear.</p><h3>Questions/purposes</h3><p>This study aimed to identify predictors for revision surgery within 10 years following pTKA, focusing on radiographic severity of OA using the Kellgren-Lawrence (KL) grading system, along with other demographic and radiographic factors.</p><h3>Patients and methods</h3><p>This retrospective case-control study was conducted at two European tertiary referral centers. The case group included 142 patients who underwent aseptic revision total knee arthroplasty (rTKA) between 2007 and 2023, within 10 years following pTKA. A 2:1 control group of 284 patients who had pTKA between 2011 and 2014, with no revision surgery within 10 years, was selected. Collected data included age, sex, body mass index (BMI), side of surgery, and American Society of Anesthesiologists (ASA) classification. Radiographic data were collected, requiring a preoperative radiograph to assess the KL grade. Univariate analyses identified potential predictors for rTKA, and multivariable logistic regression assessed their relationship with revision risk.</p><h3>Results</h3><p>Patients requiring rTKA were significantly younger at the time of pTKA. For each additional year of age, the revision risk decreased by 6% (OR 0.94, 95% CI 0.92 to 0.97; <i>p</i> &lt; 0.001). Men were at a fourfold higher risk for revision compared to women (OR 4.01, 95% CI 2.41 to 6.69; <i>p</i> &lt; 0.001). Patients with KL grade 2 OA were ten times more likely to need revision compared to those with KL grade 4 (OR 10.12, 95% CI 5.19 to 19.74; <i>p</i> &lt; 0.001).</p><h3>Conclusions</h3><p>Revision surgery risk following pTKA was associated with younger age, male sex, and less severe OA. These results emphasize the importance of appropriate patient selection for pTKA, enabling better identification of high-risk patients and improving preoperative counselling to optimize long-term outcomes.</p><h3>Level of evidence</h3><p>III.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00402-026-06394-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148466153","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}
引用次数: 0
Isolated compartment arthrosis of the knee: contemporary concepts, persistent controversies, and future directions in unicompartmental knee arthroplasty 孤立间室膝关节:当代概念,持续的争议,和未来的方向在单间室膝关节置换术
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-17 DOI: 10.1007/s00402-026-06409-x
Mustafa Akkaya, Matteo Innocenti
{"title":"Isolated compartment arthrosis of the knee: contemporary concepts, persistent controversies, and future directions in unicompartmental knee arthroplasty","authors":"Mustafa Akkaya,&nbsp;Matteo Innocenti","doi":"10.1007/s00402-026-06409-x","DOIUrl":"10.1007/s00402-026-06409-x","url":null,"abstract":"","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00402-026-06409-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148466401","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}
引用次数: 0
Correction: Non-tobacco nicotine dependence and postoperative complications following operative fixation of tibial shaft fractures: a retrospective cohort analysis 纠正:胫骨干骨折手术固定后非烟草尼古丁依赖和术后并发症:回顾性队列分析。
IF 2.2 3区 医学
Archives of Orthopaedic and Trauma Surgery Pub Date : 2026-07-15 DOI: 10.1007/s00402-026-06421-1
Alexander Berk, Maislin Bogart, Cyrus Eghtedari, Logan Good, Samuel Florentino, Andrew Moyal, Robert Burkhart, George Ochenjele, Robert Wetzel, Joshua Napora
{"title":"Correction: Non-tobacco nicotine dependence and postoperative complications following operative fixation of tibial shaft fractures: a retrospective cohort analysis","authors":"Alexander Berk,&nbsp;Maislin Bogart,&nbsp;Cyrus Eghtedari,&nbsp;Logan Good,&nbsp;Samuel Florentino,&nbsp;Andrew Moyal,&nbsp;Robert Burkhart,&nbsp;George Ochenjele,&nbsp;Robert Wetzel,&nbsp;Joshua Napora","doi":"10.1007/s00402-026-06421-1","DOIUrl":"10.1007/s00402-026-06421-1","url":null,"abstract":"","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"146 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00402-026-06421-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443640","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书