Orthopaedic Surgery

The standard treatment for lower limb amputation is socket prostheses. This systematic review and meta-analysis showed significant quality of life improvements with bone-anchored prostheses (BAP) over socket prostheses. The positive findings suggest BAP has the potential to replace socket prostheses as the first line treatment.

The Collum Femoris Preserving (CFP) stem, designed to minimize stress shielding and preserve femoral neck bone stock, demonstrated a 95.32% long-term survival rate over 10.4 years. Radiographic findings revealed significant proximal femoral bone resorption and distal femoral sclerosis, redefining CFP stems as distal-stabilized rather than epiphyseal-stabilized prostheses.

A tall Crowe IV patient with preoperative left knee valgus was found to have a lower rate of complications.

The virtual lateral wall technique, which effectively prevents nail entry pathway errors within the canal and guides the reamer to create an accurate path for nail insertion in the treatment of pertrochanteric fractures.

Postmenopausal OP accelerates surgically induced OA, and that anti-OP treatment can reverse this progression.

Satellite rods with duet screws in a four-rod construct significantly decrease rod stress at the L3 PSO and sacrum, reducing rod breakage without compromising spinal motion. Finite element and cadaveric tests confirm this biomechanical advantage for adult spinal deformity surgery with long fusion to the pelvis.

For elderly patients with LSS who are intolerant to general anesthesia, UBE decompression under local anesthesia is feasible. Satisfactory clinical outcomes can be achieved by employing the SafetyNet-guided decompression strategy during UBE surgery under local anesthesia. UBE decompression under local anesthesia is a potential alternative treatment for elderly patients with LSS and significant medical comorbidities.

This study examines the impact of gender differences and intraoperative warming techniques on body metrics and temperature regulation during shoulder arthroscopy. Warmed irrigation effectively stabilizes intraoperative core temperatures, potentially enhancing surgical outcomes, while gender differences in BSA and BMI are evident. Recovery times remain consistent across different demographics and health conditions.

We retrospectively evaluated 1238 elderly patients with hip fracture who underwent hip surgery between March 2014 and June 2024. Among elderly hip fracture patients, NLR demonstrated the highest predictive value for postoperative UTIs compared to PLR and SII. High NLR, high PLR, and high SII were significantly associated with the incidence of postoperative UTIs using the best cutoff values.

Stem design significantly affects strain patterns on the proximal femur during total hip arthroplasty. Collared stems induce compressive strain medially, while double taper stems compress laterally. These findings provide insights to reduce intraoperative periprosthetic femur fracture risk and guide ideal implant selection.