OrthoDigest

Today's shoulder and elbow edition examines tendon transfer techniques and the emerging role of GLP-1 receptor agonists in orthopaedic surgery. We review comparative outcomes of single versus dual tendon transfers for irreparable rotator cuff tears, explore the potential healing benefits of GLP-1 agonists in both rotator cuff repair and total joint arthroplasty, and examine soft tissue reconstruct...

Today's knee edition covers ceramic implant alternatives, navigation-assisted constitutional alignment, adolescent patellofemoral reconstruction, and cardiac risk stratification in arthroplasty. Key findings include promising mid-term survivorship for ceramic total knee replacements, excellent accuracy with three-dimensional navigation for constitutional alignment restoration, high return-to-sport...

Today's hip edition covers four diverse studies addressing practical challenges in hip surgery. We examine a comprehensive meta-analysis showing tranexamic acid reduces blood loss by over 250ml and transfusion risk by 45% in hip fracture surgery, explore how traditional Japanese herbal medicine may reduce postoperative swelling and pain after total hip arthroplasty, review outcomes of bone morphog...

Today's sports medicine edition covers four open-access studies spanning pediatric knee anatomy, shoulder instability, ACL reconstruction, and patellar dislocation. We discuss the first anatomic study of the anterior intermeniscal ligament in children and its implications for ACL surgery, examine how native anatomy influences bone loss severity in posterior shoulder dislocation, review evidence fo...

This trauma edition covers four key areas of orthopaedic trauma care. We examine outcomes of the UOL II plate system for ulnar shortening osteotomy, showing excellent union rates with zero non-union cases but noting seventeen percent implant removal requests. A pediatric study demonstrates ninety-two percent favorable outcomes with elastic intramedullary nailing for forearm fractures, though compl...

Today's hand edition covers four important studies spanning neuroma management, pain control, and oncologic vigilance. We examine outcomes of regenerative peripheral nerve interface surgery across different mental health baselines, sobering long-term results of traditional neuroma surgery, evolving opioid prescribing patterns after flexor tendon repairs, and a critical case of unexpected sarcoma d...

Today's foot and ankle edition covers four open-access studies examining digital rehabilitation, perioperative drug management, preoperative interventions, and tarsal coalition treatment. We review evidence for smartphone-based rehabilitation after Achilles repair, consensus recommendations for managing complex medications in foot surgery, third-generation cryotherapy benefits for ankle fractures,...

Today's shoulder and elbow edition examines risk assessment strategies for proximal humerus fractures, highlighting how metabolic and nutritional parameters may outperform traditional frailty measures in predicting surgical outcomes. We explore a specific pattern of diagonal elbow injuries in children that can be easily missed on initial radiographs, review cost-effectiveness data comparing Latarj...

Today's knee edition covers four diverse topics spanning arthroplasty outcomes, meniscal surgery, perioperative care, and preoperative optimization. We examine how bisphosphonate therapy may influence TKA revision rates, explore combined surgical approaches for complex meniscal pathology, investigate simple interventions for postoperative recovery, and compare modern weight loss strategies in join...

Today's hip edition covers infection management strategies, complications of cemented arthroplasty, biomechanical insights into FAI-related sacroiliac joint pain, and complex reconstruction techniques for post-traumatic arthritis. We examine outcomes of partial two-stage revision in elderly patients with periprosthetic joint infection, explore a rare case of delayed liver injury following bone cem...

This sports medicine edition examines four critical topics affecting athletic populations. We explore psychological readiness differences between elite and nonelite athletes during ACL recovery, revealing that competition level doesn't predict psychological outcomes. A biomechanical study shows persistent muscle stiffness changes after hamstring strain injury that may explain high reinjury rates....

Today's trauma edition covers periprosthetic fracture management, femoral neck fracture arthroplasty techniques, pediatric forearm fixation, and acetabular surgery complications. We examine outcomes of modular taper stems for Vancouver fractures, assess modern cementless stem performance in elderly patients, review elastic nailing results in pediatric forearm fractures, and discuss a rare vascular...

Today's hand edition covers four important studies spanning trauma, nerve injury prevention, and surgical decision-making. We examine whether comorbidity indices predict complications in distal radius fracture surgery, review a case of iatrogenic motor branch injury during carpal tunnel release with recommendations for prevention, compare outcomes between capitolunate and four-corner fusion techni...

Today's foot and ankle edition covers four open-access studies examining diverse aspects of foot and ankle care. We explore how platelet-rich plasma response varies by tendon location and patient sex, investigate geometric principles for safer minimally invasive metatarsal surgery, review the diagnostic challenges and outcomes of rare primary bone malignancies in the foot, and examine unexpected c...

Today's shoulder and elbow edition covers four studies examining imaging and measurement techniques in shoulder arthroplasty, along with prosthetic design comparisons. We explore tomosynthesis as an alternative imaging modality for detecting glenoid bone defects after reverse shoulder arthroplasty, evaluate the reliability of 3D CT planning for glenoid version correction, compare 2D and 3D measure...

Today's knee edition explores four critical aspects of contemporary knee surgery. We examine prolonged adductor canal catheter use for post-TKA pain management, compare PROMIS outcome measures to legacy tools, validate radiographic measurement techniques in unicompartmental knee arthroplasty, and investigate biomechanics of inter-implant gaps in revision scenarios. "Pain trajectory after total kne...

Today's hip edition covers delirium screening validation, antibiotic perfusion research, functional recovery patterns, and mortality risk stratification. We examine the Greek validation of the 4AT delirium screening tool in hip fracture patients, explore continuous local antibiotic perfusion pharmacokinetics through cadaveric models, analyze BMI effects on functional recovery after total hip arthr...

Today's sports medicine edition covers four key topics: risk factors for complications after proximal hamstring avulsion repair, comparison of repair techniques for meniscal ramp lesions, radiographic prediction of anchor stability in rotator cuff surgery, and surgical technique for open Latarjet procedures. All studies are open access. "Risk Factors for Complications After Proximal Hamstring Avul...

Today's trauma edition covers four innovative approaches to complex orthopaedic problems. We examine AI-predicted implant sizing in hip arthroplasty and its association with complication rates, explore novel intercalary prosthetic reconstruction for recalcitrant humeral nonunions, review outcomes of elastic nail fixation in pediatric forearm fractures, and detail an extraordinary case of multistag...

Today's hand edition covers four important studies examining patient recovery expectations, healthcare disparities, treatment durability, and cost-effective surgical techniques. We discuss realistic recovery timelines after carpal tunnel release, the substantial economic burden of occupational hand injuries in vulnerable populations, evidence-based recurrence rates for Dupuytren contracture treatm...

Today's foot and ankle edition covers innovative reconstruction techniques and diagnostic challenges. We examine a successful case of three-dimensional-printed titanium prosthesis for distal tibia giant cell tumor reconstruction, explore the rare complication of Charcot neuroarthropathy following forefoot surgery in a patient with myelopathy, review the consequences of missed midtarsal injuries, a...

In today's shoulder and elbow edition, we examine four studies spanning surgical techniques, fracture management, arthroplasty biomechanics, and return to sport outcomes. Topics include arthroscopic posterior labral repair with interval closure, fibular strut graft augmentation achieving one hundred percent union rates in proximal humerus fractures, biomechanical advantages of multiplanar humeral...

Today's knee-focused episode covers four important studies spanning infection prevention, trauma outcomes, patellofemoral instability, and meniscus surgery. We examine a large meta-analysis questioning the routine use of antibiotic bone cement in primary total knee arthroplasty, review long-term outcomes after multiligament knee injuries showing concerning rates of osteoarthritis development, expl...

Today's hip edition examines four key areas of hip surgery research. We review a systematic review comparing safety outcomes between postless and post-assisted hip arthroscopy techniques, showing significant reductions in nerve injuries with the postless approach. We then explore how surgical approach affects intraoperative femoral fracture risk in total hip arthroplasty, discuss population-level...

Today's sports medicine edition covers four key studies spanning ankle and knee pathology in both pediatric and adult populations. We examine return to sports outcomes after talar osteochondral grafting, predictive testing for ankle instability clearance, surgical technique for medial collateral ligament reconstruction, and complications following pediatric tibial spine fracture fixation. "Return...