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Archives of Orthopaedic and Trauma Surgery OnlineFirst articles

Open Access 27.05.2024 | Trauma Surgery

Motion preservation for open book injuries of the pubic symphysis –a biomechanical cadaver study

When considering pelvic ring injuries, the differentiation between two entities is essential for adequate fracture management: While fragility fractures of the pelvis (FFP) result from low-energy trauma and primarily affect the geriatric …

verfasst von:
Adrian Cavalcanti Kußmaul, Nele Baur, Jan Wulf, Axel Greiner, Rouven Neudeck, Manuel Kistler, Carl Neuerburg, Wolfgang Böcker, Christopher A Becker

26.05.2024 | Hip Arthroplasty

The influence of body mass index on patient-reported outcome measures following total hip arthroplasty: a retrospective study of 3,903 Cases

Obesity is a rapidly growing health risk throughout the United States and worldwide [ 1 , 2 ] and represents a well-established risk factor for the development of symptomatic hip osteoarthritis requiring total hip arthroplasty (THA) [ 3 , 4 ].

verfasst von:
Walter Sobba, Kyle W. Lawrence, Muhammad A. Haider, Jeremiah Thomas, Ran Schwarzkopf, Joshua C. Rozell

Open Access 25.05.2024 | Arthroscopy and Sports Medicine

Arthroscopic and open reconstruction of the posterolateral corner of the knee have equally good clinical results: first results of a prospective 12-month follow-up study

The posterolateral corner (PLC) consists primarily of the lateral collateral ligament (LCL) and the popliteus complex (PTC), which includes the popliteus muscle tendon (PLT) unit and the arcuate complex. The arcuate complex is formed by the …

verfasst von:
H Fahlbusch, S Weiß, J Landenberger, F von Rehlingen Prinz, T Dust, R Akoto, M Krause, Karl-Heinz Frosch

Open Access 25.05.2024 | Orthopaedic Surgery

Brown tumors: Retrospective analysis of 26 cases

Parathyroid hormone (PTH) is secreted by the parathyroid glands and regulates serum calcium concentration through its effects on bone, kidney, and intestine. Hyperparathyroidism (HPT) is an endocrine disease marked by increased secretion of …

verfasst von:
Mustafa Onur Karaca, Mustafa Özyıldıran, Merve Dursun Savran, Kerem Başarır, Hüseyin Yusuf Yıldız

Open Access 25.05.2024 | Orthopaedic Surgery

Septic complications are on the rise and aseptic loosening has decreased in total joint arthroplasty: an updated complication based analysis using worldwide arthroplasty registers

Due to the increasing absolute number of total joint replacements (TJR), also the number of revision TJR is rising and predicted to continue to rise [ 7 , 8 ]. As it is to be expected that predominately younger age groups will be affected by …

verfasst von:
Georg Hauer, Laura Rasic, Sebastian Klim, Lukas Leitner, Andreas Leithner, Patrick Sadoghi

25.05.2024 | Arthroscopy and Sports Medicine

App-based analysis of the femoral tunnel position in ACL reconstruction using the quadrant method

Correct femoral tunnel positioning in anterior cruciate ligament reconstruction (ACLR) is considered as the central criterion for surgical success. In the literature tunnel malpositioning is described as a major cause of surgical failure [ 13 , 19 …

verfasst von:
Maximilian M. Mueller, Oliver Tenfelde, Nico Hinz, Geert Pagenstert, Karl-Heinz Frosch, Juergen Hoeher, Ralph Akoto

Open Access 24.05.2024 | Orthopaedic Surgery

Mathematical explanations for knee osteotomies: “Dear engineer, how would you explain it in a simple way?”

Knee osteotomies are effective procedures to treat different deformities and torsional abnormalities to redistribute the load at the joint level, reducing the risk of wear and, consequently, the need for invasive procedures. Particularly, knee …

verfasst von:
Marco Bechis, Federica Rosso, Marie Verocq, Bernardo Innocenti, Roberto Rossi, Davide Edoardo Bonasia

23.05.2024 | Arthroscopy and Sports Medicine

Treatment of anterior knee pain due to chondromalacia patellae with platelet-rich plasma and hyaluronic acid in young and middle-aged adults, a cohort study

Anterior knee pain is a common condition that affects the quality of daily living and mainly affected be are young female adults. The pathology can be caused by a plethora of different causes. Chondromalacia patellae (CMP) is a condition that …

verfasst von:
Marko Ostojic, Hassan Tarek Hakam, Bruno Lovrekovic, Nikolai Ramadanov, Robert Prill

23.05.2024 | Orthopaedic Surgery

Minimally invasive hallux valgus surgery using 3D printed patient specific instrumentation

In this technical report study, we describe technique for performing the osteotomy and screw passage in minimally invasive fourth-generation hallux valgus surgery with transverse and akin extra-articular metaphyseal osteotomy (META) using a …

verfasst von:
Gabriel Ferraz Ferreira, Gustavo Araujo Nunes, Vitor La Banca, Luiz Fernando Michaelis, Thomas Lorchan Lewis, Robbie Ray, Peter Lam, Miguel Viana Pereira Filho

22.05.2024 | Knee Arthroplasty

Return to athletics after total knee arthroplasty: a survey study of 784 recreational athletes across 12 sports

Patient expectations following total knee arthroplasty (TKA) continue to become more demanding, as a younger population desires return to high level activities and sports [ 1 ]. While patients undergoing TKA were once largely elderly and sedentary …

verfasst von:
Kyle W. Lawrence, David A. Bloom, Vinaya Rajahraman, Casey Cardillo, Ran Schwarzkopf, Joshua C. Rozell, Armin Arshi

22.05.2024 | Orthopaedic Surgery

Implantation of C2 prosthesis with dorsal fusion C0-C4 due to pathologic C2 fracture. Case report and literature review

Loss of the axis vertebra leads to a highly unstable state of the upper cervical spine and may occur in the presence of primary or secondary bone tumors or infections. Vertebral body tumors pose a challenging situation for the surgeon: unique …

verfasst von:
Laurin Feuerstein, Benjamin Martens, Roman Schwizer, Thomas Forster, Michal Ziga

21.05.2024 | Trauma Surgery

Versatility of the medial corticoperiosteal flap: from recalcitrant non-unions up to large bony defects

Current techniques in bone fixation combined with a better understanding of bone vascularity have led to a high success rate in fracture healing. However, it is estimated that an average of 3–5% of all fractures can be complicated with non-union [ …

verfasst von:
Ignacio Roger de Oña, Andrea Garcia Villanueva, Jose Ignacio Garcia Lopez, Fernando Garcia de Lucas

21.05.2024 | Knee Arthroplasty

Trends and outcomes in the surgical management of young adults with knee osteoarthritis using high tibial osteotomy and unicompartmental knee arthroplasty

Osteoarthritis affects more than 30 million people in the United States and has been recognized as a leading cause of disability [ 1 – 3 ]. Although osteoarthritis may be treated initially with nonoperative management, progressive articular …

verfasst von:
Shayom Debopadhaya, Ernesto Acosta, Dionisio Ortiz III

21.05.2024 | Hip Arthroplasty

The assessment of canal flare index and proximal femoral bone density can improve stem selection for peri-prosthetic bone maintenance after total hip arthroplasty

Following total hip arthroplasty (THA), bone quality maintenance requires load-bearing from the implant to the periprosthetic bone [ 1 ]. The femur, both around and below the femoral implant, is subjected to mechanical loads in daily life. However …

verfasst von:
Shinya Hayashi, Yuichi Kuroda, Naoki Nakano, Tomoyuki Matsumoto, Tomoyuki Kamenaga, Masanori Tsubosaka, Shotaro Tachibana, Ryosuke Kuroda

18.05.2024 | Arthroscopy and Sports Medicine

The burden of knee osteoarthritis worldwide, regionally, and nationally from 1990 to 2019, along with an analysis of cross-national inequalities

As global aging advances, Osteoarthritis (OA), being one of the most prevalent joint diseases worldwide, exhibits an escalating incidence over the years [ 1 ]. Knee osteoarthritis (KOA) takes precedence as the most commonly affected site [ 2 ]. The …

verfasst von:
Yunkang Kang, Chunlong Liu, Yuncong Ji, Haoran Zhang, Yanbo Wang, Wenzhi Bi, Jian Xu, Biao Guo

Open Access 18.05.2024 | Trauma Surgery

Acetabular fractures in geriatric patients: epidemiology, pathomechanism, classification and treatment options

The incidence of geriatric acetabular fractures has shown a sharp increase in the last decades. The majority of patients are male, which is different to other osteoporotic fractures. The typical pathomechanism generally differs from acetabular …

verfasst von:
Dietmar Krappinger, Thomas Freude, Fabian Stuby, Richard A. Lindtner

Open Access 18.05.2024 | Hip Arthroplasty

The effect of a collar on primary stability of standard and undersized cementless hip stems: a biomechanical study

The number of primary total hip arthroplasties (THA) is increasing annually. Especially aseptic loosening (22.7%) and periprosthetic fractures (15.9%) are major reasons for revision [ 1 ]. Even though cemented THAs can significantly reduce …

verfasst von:
Manuel Kistler, Arnd Steinbrück, Florian Schmidutz, Alexander C. Paulus, Boris Michael Holzapfel, Matthias Woiczinski

18.05.2024 | Knee Arthroplasty

Propensity of the tight mid-flexion and loose flexion gap despite the adjustment of extension and flexion gaps in Oxford unicompartmental knee arthroplasty: retrospective study

Oxford unicompartmental knee arthroplasty (OUKA) is an effective treatment for medial mono-condylar osteoarthritis and spontaneous knee osteonecrosis. Although implant survival and outcomes are good, and minimal invasiveness and quicker recovery …

verfasst von:
Takafumi Hiranaka, Masamune Kamachi, Takuma Hayashi, Ryoma Inoue, Sota Ogino, Motoki Koide, Takaaki Fujishiro, Koji Okamoto

17.05.2024 | Knee Arthroplasty

The use of preoperative continuous positive airway pressure in patients with obstructive sleep apnea following total knee arthroplasty: a propensity score matched analysis

An estimated 22 million Americans are living with moderate to severe sleep apnea [ 1 ]. These patients have an increased risk of postoperative complications after total knee arthroplasty (TKA), including increased thromboembolic and cerebrovascular …

verfasst von:
Jeremy A. Dubin, Sandeep S. Bains, Daniel Hameed, Zhongming Chen, Hani A. Mayassi, James Nace, Ronald E. Delanois

16.05.2024 | Arthroscopy and Sports Medicine

A novel surgical technique for revision anterior cruciate ligament reconstruction using an isolated rectus femoris tendon autograft

Graft selection is a critical part of anterior cruciate ligament (ACL) surgery to match the individual needs of the patient and maximise the clinical outcome. Bone-patella tendon-bone (BPTB) autograft is widely used. Direct bone-to-bone healing …

verfasst von:
Thorsten Huber, Marcel Frühwirth, Florian Hartenbach, Sarah Franzmair, David Ullmann, Björn Rath