The prevalence of Osteo Arthritis (OA) of the hip or knee is considerable, with 9 million people in the UK and 33 million people in the US diagnosed. Of these, over 200,000 in the UK and 2 million in the US undergo Total Joint Arthroplasty (TJA). The way exercise programmes for O [....] » Read More
Distraction osteogenesis for cosmetic stature increase has gained increasing popularity. Despite this fact, there is only scarce published evidence about the outcomes.The truth is that we do not really know how success looks in CLL, especially in the longer term In this talk we w [....] » Read More
Background: Tarlov cysts remain a topic of controversy, from the first publication of Tarlov in 1938 and even now have the tendency to be regarded as incidental findings. These perineural dilations are situated at the Dorsal Root Ganglion (DRG), where sensory and small-fiber neur [....] » Read More
Background: Musculoskeletal pain during pregnancy is commonly considered prevalent, though evidence primarily comes from cross-sectional studies lacking appropriate control groups. Objective: To examine the prevalence of musculoskeletal pain among pregnant women compared to no [....] » Read More
Background: Malnutrition is common in older patients admitted with a hip fracture and may contribute to poor outcomes. ASA grade is already used routinely when assessing these patients, while MUST is generally recorded as part of nutritional screening. We looked at whether mortal [....] » Read More
Purpose: Spontaneous Osteonecrosis of the Knee (SONK) is increasingly recognised within the spectrum of Subchondral Insufficiency Fracture of the Knee (SIFK), reflecting a shift towards mechanically influenced subchondral failure. This systematic review aimed to comprehensiv [....] » Read More
Background: Dupuytren’s Disease (DD) is a chronic fibroproliferative disorder of the palmar fascia that leads to progressive flexion contractures of the fingers. While its genetic basis is well recognised, the role of modifiable lifestyle and occupational risk factors remai [....] » Read More
Introduction: In 2017 Phadnis and Watts presented the first all-suture technique for olecranon fracture fixation. The key benefit of this new technique was the absence of metalwork, which frequently causes symptoms for patients requiring re-operation for removal. In this study, w [....] » Read More
Background: Fractures of the Anterior Process of the Calcaneus (APC) are often misdiagnosed as ankle sprains. Some patients develop symptomatic non-union. There is limited evidence evaluating Patient-Reported Outcome Measures (PROMs) before and after excision of symptomatic non-u [....] » Read More
Background: Hip fractures are among the most prevalent injuries in the elderly population, accounting for an estimated 1.66 million emergency orthopaedic operations per year. 50% of all hip fractures are intertrochanteric, and current National Institute for Health and Care Excell [....] » Read More
Background: Soft Tissue Knee Injury (STKI) referrals generate substantial fracture clinic workload, though many can be safely managed conservatively or via physio led services at a lower cost. Referrals from the Emergency Department (ED) and community are often made without struc [....] » Read More
Background: Patients with Neck of Femur (NOF) fractures are at high risk of subsequent fragility fractures. Timely initiation of secondary fracture prevention is recommended by the National Osteoporosis Guideline Group (NOGG). At our centre, orthogeriatricians formulate inpatient [....] » Read More
Background: Blood Flow Restriction training (BFR) has been demonstrated to increase muscle hypertrophy and strength, but has logistical and cost barriers. Garment-integrated BFR has the potential to reduce these barriers by lowering equipment demands and cost. The primary aim of [....] » Read More
Background: Selection criteria for ST3 (registrar-level) national recruitment in Trauma & Orthopaedics changed in November 2023 for the registrars to start in August 2024 from including Extracapsular neck of femur fracture to all neck of femur fractures, both intra capsular a [....] » Read More
Background: Concerns are frequently raised that increased operative exposure for Senior House Officers (SHOs) in neck of femur (NOF) fracture surgery could compromise patient safety. This service evaluation examined whether SHO-performed NOF fracture operations were associated wi [....] » Read More
Background: Intraoperative blood loss during definitive internal fixation of pelvic ring fractures remains insufficiently understood. While previous studies have evaluated bleeding risk based on fracture morphology and injury severity, prediction based on admission physiological [....] » Read More
Artificial Intelligence (AI) is increasingly integrated into orthopedic surgery, with applications across diagnosis, preoperative planning, intraoperative guidance, postoperative monitoring, and rehabilitation. This literature review assesses the implementation of AI algorithms f [....] » Read More
Ulnar Nerve Entrapment Across the Elbow (UNEAE) and Ulnar Nerve Entrapment Across the wrist (UNEAW) is the second most common entrapment of the hand after carpal tunnel syndrome. There are few gradings available for UNEAE and lesser in UNEAW. The aim of this research is: [....] » Read More
Objective: This scoping review aimed to map outcome measures collected in randomised controlled trials investigating prehabilitation interventions in total hip and knee arthroplasty, and timepoints of collection. Data sources: A systematic search of MEDLINE, EMBASE, Web of Sci [....] » Read More
Background: Despite increasing research on prehabilitation interventions for people undergoing Total Hip and Knee arthroplasty (THA/TKA), little is known about its acceptability to consumers and clinicians, or the barriers and enablers to implementation in clinical settings. Most [....] » Read More
Background: Elective orthopaedic waiting lists remain a major NHS challenge, requiring models that increase surgical capacity without compromising safety. High-Intensity Theatre lists aim to reduce non-operative time, standardise peri-operative workflows and maximise throughput f [....] » Read More
Background: Day-case arthroplasty rates are increasing, but national median length of stay remains 2.75, 2.91 and 1.91 days for Total Hip Replacement (THR), Total Knee Replacement (TKR) and Unicompartmental Knee Replacement (UKR), respectively. GIRFT recommends a "day-case b [....] » Read More
Aim: To describe our experience and technique when positioning patients with PC for the purpose of spinal surgery. Longitudinal bolsters were used for positioning rather then chest pads. Methods: Two paediatric patients with kyphoscoliosis and PC were selected as they required [....] » Read More
Aim: To reduce prolonged length of stay (LOS >6 days) in patients undergoing adolescent idiopathic scoliosis (AIS) surgery by improving consistency in post-operative care through standardised implementation of ERAS principles. Introduction: Prolonged LOS following AIS surge [....] » Read More
Background/Aim: Early mobilisation after hip fracture surgery has shown to reduce morbidity and mortality. The 2024 British Orthopaedic Association Standards for Trauma guidance recommended immediate mobilisation unless contraindicated and requires documentation using standardise [....] » Read More
Three-Dimensional (3D) printing, or additive manufacturing, has emerged over the past decade as a transformative technology in orthopaedic surgery, offering personalised, anatomically accurate, and biologically integrated solutions across multiple subspecialties. This scoping rev [....] » Read More
Background and Aim: Hospital-acquired Venous ThromboEmbolism (VTE), comprising deep vein thrombosis and pulmonary embolism, is a common and potentially preventable complication of hospital admission. Trauma and orthopaedic patients are particularly vulnerable because of factors i [....] » Read More
Objectives: Orthopaedic surgeons have an increased risk of developing cancer due to occupational radiation exposure. When fluoroscopy is required, there is a choice between the Conventional and Mini C-Arm machine. The aim of this study is to investigate whether there is a signifi [....] » Read More
Background: Patients with a Learning Disability (LD) are classified as vulnerable. This group of patients are reported to have a significantly younger median age of death (61 years), an increased risk of osteoporosis and ‘less good’ acute care. The Royal College of Ph [....] » Read More
Sleep Apnea Syndrome (SAS), characterized by recurrent episodes of oxygen desaturation and reoxygenation (Intermittent Hypoxia (IH)), is a risk factor for hypertension and insulin resistance. We have reported a correlation between IH and insulin resistance/diabetes. However, the [....] » Read More
Introduction: The prevalence of dementia is projected to rise to 139 million worldwide by 2050. Geriatric patients with mild cognitive decline or dementia have been found to have an increased rate of hip fractures, as well as a 180-day postoperative mortality rate of 26.5% or mor [....] » Read More
Introduction: Ankle fractures in adults with Type 2 Diabetes Mellitus (T2DM) are associated with increased postoperative complications. Glucagon-Like Peptide-1 Receptor Agonists (GLP-1 RAs) have been proposed to mitigate complications and optimize surgical outcomes. To date, no s [....] » Read More
Recurrent patellar dislocation in skeletally immature patients remains a challenging condition, frequently leading to persistent instability, pain, and functional limitations. Medial Patello Femoral Ligament (MPFL) reconstruction combined with soft-tissue stabilization has been i [....] » Read More
We describe patients who were recognized via conventional radiographs of the skull as manifesting wormian bones. Wormian bones are not a specific diagnostic entity and can be seen in variable forms of syndromic entities. Proper understanding is needed to elicit associated deficit [....] » Read More
Aims: To develop a surgical audit tool for outpatient clinics to assess patient satisfaction. Background: Currently there are no tools worldwide to evaluate non-operative patient satisfaction as a whole. The "IMNOPOK" (Is My Non-Operative Practice OK?) PROM will help [....] » Read More
The direct anterior approach has gained popularity in operating rooms and in recent Spanish scientific literature, which focuses on its advantages of rapid recovery and less muscle damage. The technique is used in the context of the more than 30,000 hip arthroplasties performed a [....] » Read More
Introduction: Malleolar ankle fractures are often associated with tibiofibular syndesmotic injury. Accurate reduction and stable fixation of the syndesmosis are critical to maximize patient outcomes, but with different techniques and tools available, there is currently no consens [....] » Read More
Introduction: The demand for shoulder arthroplasty has tripled over the last decade and is continuing to grow at a rate greater than that of hip or knee. Innovative and resource efficient strategies are needed to meet this growing demand and although Enhanced Recovery and same-da [....] » Read More
Background: Clavicle fractures are common: up to 10% of adult fractures. Virtual Fracture Clinics (VFCs) are utilised across the UK to improve efficiency in trauma care, however, evidence guiding the safe direct discharge of adult clavicle fractures remains limited. Aim: To de [....] » Read More
Background: Total Knee Arthroplasty (TKA), the standard surgical treatment for knee OsteoArthritis (OA) which resurfaces all three compartments, has disadvantages including inferior kinematics and high patient dissatisfaction rates. Combined Partial Knee Arthroplasty (CPKA), whic [....] » Read More
Introduction: Many patients with knee pain are referred to orthopaedic clinic after pre-referral MRI demonstrates meniscal pathology. In older patients, MRI frequently identifies degenerative or incidental meniscal abnormalities which may not be the primary driver of symptoms. Th [....] » Read More
Osteoporosis is an under-recognised contributor to fragility fractures, particularly in low- and middle-income countries. In Nigeria, limited awareness, inadequate screening, and fragmented care pathways contribute to delayed diagnosis and increased fracture risk, whereas the Uni [....] » Read More
Traumatic anterior shoulder dislocation is the most common large joint dislocation and is associated with a high risk of rotator cuff tears in patients aged 40–60 years. National guidelines recommend routine imaging in this cohort to guide management.This re-audit evaluated [....] » Read More
Background: NICE guidance recommends surgical fixation for Neck of Femur fractures (NOFs) on the day of or the day following admission. Compliance is commonly assessed with a 36-hr target. However, interpretation may be challenging, especially in major trauma centres and for youn [....] » Read More
Hypothesis: What is the functional outcome of flexion contracture release in case of flexion contracture in fingers following flexor tendon repair/reconstruction in Zone II Methods: This quasi-experimental study was conducted in SIBL Foundation Hospital, Green Road, Dhaka, fro [....] » Read More
Background: Bilateral femur neck fractures after a low energy trauma in a young adult patient are extremely rare and almost always indicate underlying metabolic bone pathology. Parathyroid adenoma causes primary hyperparathyroidism which causes widespread skeletal depletion there [....] » Read More
Background: Endoscopic Carpal Tunnel Release (ECTR) is increasing in popularity globally and has been associated with faster functional recovery and earlier return to work compared with Open Carpal Tunnel Release (OCTR). Despite these advantages, its cost-effectiveness remains un [....] » Read More
Introduction: Intra-Medullary Hindfoot Nailing (IMHN) is utilised for complex ankle fractures in frail patients where conventional fixation is unsuitable. However, outcome data in trauma populations remains sparse. Aim: To evaluate short-term outcomes, complications, and morta [....] » Read More
Background: Rib fracture fixation is increasingly recognized in managing severe thoracic trauma. While current guidelines address management, little is known about which surgical specialties perform this procedure across UK and the rationale behind it. This national survey aimed [....] » Read More
Introduction: Spinal Cord Injury (SCI) has dramatically increased and is associated with significant long-term disability, with loss of upper limb function representing a major determinant of independence and quality of life. Optimising recovery of arm and hand function, alongsid [....] » Read More
Background: Wrong-site surgery remains an NHS never event and is wholly preventable. The National Safety Standards for Invasive Procedures (NatSSIPs 2, NHS England 2022) require the operative site and laterality to be documented on the consent form and confirmed by indelible [....] » Read More
Introduction: Clear postoperative weight-bearing status (WBS) instructions are essential for safe rehabilitation. In August 2024, the British Orthopaedic Association Standard for Trauma (BOAST) on mobilisation and weightbearing revised the accepted lexicon, permitting only t [....] » Read More
Background: Complex hindfoot deformities with poor bone quality, including Charcot neuroarthropathy, present increasing challenges. Although circular external fixators can achieve correction, they are associated with prolonged frame time and high rates of reoperation from non-uni [....] » Read More
Background: Hip-fracture outcomes reflect patient frailty and multiple care-pathway factors. We examined the relative links of cognition, mobilisation, surgical timing and OrthoGeriatric (OG) review with survival, hospital stay and return home. Methods: We analysed 1,805 hip-f [....] » Read More
Background: Hip-fracture outcomes reflect patient frailty and multiple care-pathway factors. We examined the relative links of cognition, mobilisation, surgical timing and orthogeriatric (OG) review with survival, hospital stay and return home. Methods: We analysed 1,805 hip-f [....] » Read More
Current Anterior Cruciate Ligament (ACL) reconstruction techniques focus predominantly on intra-articular graft replacement, achieving favorable outcomes in restoring anteroposterior knee stability. However, growing evidence highlights the limitations of this approach in controll [....] » Read More
Introduction: While primary Total Knee Arthroplasty (TKA) remains the most common and definitive treatment for advanced knee arthritis, there is growing interest in joint-preserving procedures such as high tibial osteotomy (HTO) and Unicompartmental Knee Arthroplasty (UKA), parti [....] » Read More
Background: High-quality ward round documentation is essential for patient safety, multidisciplinary communication and continuity of care. Within the Orthopaedic department at Walsall Manor Hospital, ward round entries were documented using a sticker-based template. However, conc [....] » Read More
Introduction: Congenital Insensitivity to Pain (CIP) is an ultra-rare monogenic disorder with lifelong inability to sense pain. There is a paucity of literature on the presentation, surveillance, and management of CIP. An aim of this work was to determine the common orthopaedic c [....] » Read More
Background: Distal Radius Fractures (DRFs) are among the most common orthopaedic injuries and frequently require surgical fixation using volar locking plates. Routine postoperative radiographs are commonly obtained following surgery to assess fixation and identify early complicat [....] » Read More
Purpose: Intra-operative Anterior Cruciate Ligament (ACL) graft contamination is a rare but recognised complication. There are no guidelines or consensus on the management of this occurrence. Our aim was to survey trauma and orthopaedic surgeons with a knee subspecialty interest [....] » Read More
Introduction: Achilles tendon ruptures can be managed surgically or conservatively. Due to the increased risk of postoperative complications, non-surgical management is often preferred. Evidence suggests that non-operative approaches can achieve outcomes comparable to surgical re [....] » Read More
Background: Intertrochanteric femur fractures represent a major burden in the elderly, with over 1.6 million cases annually worldwide. Debate persists regarding optimal fixation between the Proximal Femoral Nail (PFN) and Dynamic Hip Screw (DHS). Methods: A systematic review a [....] » Read More
Background: Patients with acute musculoskeletal and orthopaedic conditions frequently require specialist inpatient rehabilitation to optimise recovery and improve functional independence. However, service-level outcome data for this population remain limited. This service evaluat [....] » Read More
Background: Distal biceps tendon rupture is an uncommon injury affecting predominantly middle-aged men. Comparative outcome data between operative and nonoperative management remain limited. This study aimed to evaluate both approaches within a single UK centre. Methods: A ret [....] » Read More
Background: Torus fractures, also known as buckle fractures, are amongst the most common paediatric orthopaedic injuries and typically affect the distal radius following a fall onto an outstretched hand. They occur due to the plasticity of the paediatric skeleton, where axial loa [....] » Read More
Background: Artificial Intelligence (AI), particularly Large Language Models (LLMs) such as ChatGPT, is increasingly being explored for clinical prediction. However, their ability to predict early functional outcomes following Total Knee Replacement (TKR) remains uncertain. This [....] » Read More
Background: Surgical Stabilisation of Rib Fractures (SSRF) is increasingly used for patients with severe chest wall injuries. Early fixation, particularly within 72 hours of injury, has been proposed to improve respiratory outcomes and reduce intensive care requirements; however, [....] » Read More
It is an invention of a smart orthopaedic cast system that is particularly designed to promote and accelerate bone healing while reducing patient pain and discomfort during immobilization by embedding multiple Linear Resonant Actuators (LRAs) positioned at distinct sites within t [....] » Read More
Background: Distalising Tibial Tubercle Osteotomy (TTO) is used to treat patella alta in Patello Femoral Instability (PFI) to restore early patellotrochlear contact. Nevertheless, indications, planning techniques and correction targets are not well standardised. Unlike prior [....] » Read More
Background & Aims: Neck of Femur (NOF) fracture patients require prompt assessment on admission to enable safe, timely transfer to theatre, in line with NICE guidance and the Best Practice Tariff standard of surgery within 36 hours. NICE recommends early identification of cor [....] » Read More
Background: Morton’s neuroma is a common painful neuropathy of the forefoot, characterised by fibrotic thickening of the plantar digital nerves. Patients typically present with forefoot pain, burning, tingling or numbness, most commonly affecting the third webspace. The exa [....] » Read More
Background: Intraoperative fluoroscopy is integral to ankle fracture Open Reduction and Internal Fixation (ORIF), but repeated image acquisition exposes patients and theatre staff to ionising radiation. Published reference values for orthopaedic trauma fluoroscopy are limited, an [....] » Read More
Articular cartilage defects remain a major challenge in orthopedic practice because of their limited intrinsic healing capacity. This presentation evaluates a one-step technique for knee chondral repair using a hyaluronic acid scaffold impregnated with Bone Marrow Aspirate Concen [....] » Read More
Early unplanned re-operations following trauma surgery are widely recognized as key indicators of surgical quality, postoperative complications, and institutional performance. This five-year retrospective review analyzed 7,486 orthopaedic trauma operations performed at Luton and [....] » Read More
Femoral head fractures are uncommon but severe injuries typically resulting from high energy trauma and frequently associated with hip dislocation. Surgical Hip Dislocation (SHD), particularly the Ganz approach, provides circumferential access to the femoral head while preserving [....] » Read More
Title : The shape evolution of the human thoracic cage from birth to adulthood: Characterization and acceleration
Youssef Masharawi, Tel Aviv University, Israel
Background: Despite its clinical importance, the morphological development of the human thoracic cage from infancy through adulthood remains insufficiently documented. This study aims to establish a detailed, quantitative, and qualitative timeline of thoracic cage evolution in ma [....] » Read More
Title : Acute traumatic spinal injuries - Outcomes based evidence of the holistic active physiological conservative management of the injury and its neurological effects
Wagih El Masri, Keele University, United Kingdom
Traumatic spinal injuries can present with or without neural tissue damage. Both the force and the direction of the impact determine the presence or absence of neurological damage. The principles of management of the injured spine and of the patients with or without neural tissue [....] » Read More
Title : From question to publication: A live AI workflow for evidence review, study design, and grant matching
Joanne Donoghue, New York Institute of Technology College of Osteopathic Medicine, United States
Orthopedic clinicians and researchers face increasing demands to produce high-quality research alongside busy clinical responsibilities. Recent advances in Artificial Intelligence (AI), particularly agent-based tools, offer an opportunity to streamline key components of the resea [....] » Read More
Title : Athletic footwear and orthoses in sports medicine
Matthew B Werd, American Academy of Podiatric Sports Medicine (AAPSM), United States
Lower extremity sports injuries are frequent, yet are often mis-understood on how best to diagnose and treat, and they continue be a hot topic in athletics amongst both athletes and healthcare providers. Early accurate diagnoses are necessary to formulate a treatment protocol on [....] » Read More
Title : Biomechanical comparison of triangular osteosynthesis and triangular minimally invasive spinopelvic stabilization technique for pelvic fragility fractures
Hans Joachim Riesner, German Armed Hospital Ulm, Germany
Introduction: Triangular Osteo Synthesis (TOS) is considered the gold-standard for treatment of Type IV Fragility Fractures of the Pelvis (FFP). as it provides vertical and horizontal stability through lumbopelvic fixation and iliosacral screws. An emerging Triangular Minimally I [....] » Read More
Title : A comparative analysis of financial tariff coding accuracy between non- clinical coders and orthopaedic surgeons in a large district hospital: A prospective controlled study
Amar Sidhu, Kettering General Hospital, United Kingdom
Background: Accurate clinical coding is a cornerstone of modern healthcare systems, directly influencing reimbursement, service planning, and real-world data integrity. However, traditional coding processes remain largely manual and are typically performed by non-clinical coders, [....] » Read More
Title : Implementation of an Enhanced Recovery After Surgery (ERAS) pathway for primary hip and knee arthroplasty
Ranusha Ganapathy, Mersey and West Lancashire NHS Trust, United Kingdom
Background: Enhanced Recovery After Surgery (ERAS) pathways have consistently demonstrated reductions in hospital Length of Stay (LOS), complications, and healthcare costs while improving patient outcomes following primary hip and knee arthroplasty. Despite strong evidence and na [....] » Read More
Title : Improving time to theatre: Reducing avoidable cancellations and delays to surgery in trauma - a quality improvement project.
Soniya Chauhan, Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT), United Kingdom
Background: Timely surgery is among the strongest determinants of outcome in trauma and orthopaedics. Hip fracture fixation within 36 hours is mandated under the NHS best practice tariff for many other injuries, early intervention reduces pain, complications, and length of s [....] » Read More
Title : The silent fracture crisis: Secondary prevention following upper limb fragility fractures
Soniya Chauhan, Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT), United Kingdom
Background: Fragility fractures of the distal radius and proximal humerus are sentinel events indicating significant osteoporosis risk. Without appropriate secondary prevention, patients face a two- to fivefold increase in baseline fracture risk within the first year. Despite cle [....] » Read More
Title : Hands-on to heal: A scoping review of the effectiveness of workshops in orthopaedic surgical training
Amar Sidhu, Kettering General Hospital, United Kingdom
Background: Traditional surgical training models have been challenged by reduced operative exposure due to working time restrictions, ethical considerations, and increasing service demands. As a result, simulation-based education and hands-on workshops have emerged as essential t [....] » Read More
Title : Mid-term functional outcomes following lockdown™ ligament reconstruction for rockwood type III Acromioclavicular Joint (ACJ) disruption
Ranusha Ganapathy, Mersey and West Lancashire NHS Trust, United Kingdom
Background: The optimal management of Rockwood type III acromioclavicular joint (ACJ) dislocations remains controversial. Synthetic ligament reconstruction using the LockDown™ (Surgilig®) ligament has gained popularity because of its biomechanical strength and favourabl [....] » Read More
Title : Artificial turf vs. natural grass: A comparative analysis of ankle injury risk in soccer players
Mick Nagra, University of Calgary, Canada
Ankle injuries are one of the most common injuries sustained among soccer players. Of the factors that may contribute to these injuries, playing surfaces, i.e., artificial turf or natural grass, has been the subject of considerable debate. It is still not clear whether artificial [....] » Read More
Title : Artificial turf vs. natural grass: A comparative analysis of ankle injury risk in soccer players
Dylan Nagra, University of Calgary, Canada
Ankle injuries are one of the most common injuries sustained among soccer players. Of the factors that may contribute to these injuries, playing surfaces, i.e., artificial turf or natural grass, has been the subject of considerable debate. It is still not clear whether artificial [....] » Read More
Title : Bipolar hemiarthroplasty under local anesthesia (2%)
Ketan Karabhai Parmar, Aayush Multispecialty Hospital, India
Introduction: Hip fractures in elderly patients represent a major public health concern , patients with neek of femour fractures are typically elderly and often have a history of hypertention , diabetes , and other comrbidites. These patients usually receive either spinal or gene [....] » Read More
Title : Effectiveness of yoga therapy in improving quality of life after hip fracture in older adults: A randomized controlled trial
Vijay Sharma, Jai Prakash Narayan Apex Trauma Centre (JPNATC), India
Background: Hip fractures in the elderly significantly impair mobility, quality of life, and bone health. Conventional physiotherapy remains the cornerstone of post-surgical rehabilitation, yet adjunct therapies such as yoga may enhance outcomes. Yoga integrates gentle physical m [....] » Read More
Title : Discontinuation and nonpublication of osteosarcoma clinical trials: A cross-sectional analysis of clinicaltrials.gov data
Mohammad Khriesat, University Hospitals Plymouth NHS, United Kingdom
Background: Osteosarcoma is a rare and aggressive bone cancer. Despite the urgent need for new treatments, clinical trials in this field are frequently discontinued or left unpublished, resulting in significant research waste and stalling therapeutic progress. This study evaluate [....] » Read More
Title : Outcomes of tibial plateau fracture fixation using a posteromedial (lobenhoffer) approach: A single-surgeon case series of 20 patients
Tomas Poliacik, The Countess of Chester Hospital NHS Foundation Trust, United Kingdom
Aims: To assess clinical, radiographic and patient-reported outcomes after tibial plateau fracture fixation using a Computed Tomography (CT)-guided three-column strategy incorporating a posteromedial (Lobenhoffer) approach. Methods: This retrospective single-centre cohort stud [....] » Read More
Title : Compliance with the BOAST Guidance in the management of distal radius fractures: A single-centre audit
Ummaz Nadeem, Stockport NHS Foundation Trust, United Kingdom
Introduction: Distal radius fractures are among the most common orthopaedic injury presenting to emergency departments. The British Orthopaedic Association Standards for Trauma (BOAST) have defined standards for their assessment and management. This audit aimed to determine compl [....] » Read More
Title : One-stage surgical outcomes for bilateral developmental dysplasia of the hip in walking children: A retrospective case series study from the post-war era in a tertiary care hospital at Kabul, Afghanistan
Rahim Nawaz Hussain, South Warwickshire Foundation Trust, United Kingdom
Purpose: Bilateral surgery for developmental dysplasia of the hip in a single stage represents a significant surgical challenge. The present study, therefore, aimed to evaluate the clinical and radiographic outcomes of one-stage surgical management of bilateral developmental dysp [....] » Read More
Title : Total Knee Replacement (TKR): Audit of readmissions within 30 days
Amr Mohamed Foad Mohamed, Hertfordshire NHS Trust, United Kingdom
Background: Total Knee Replacement (TKR) is a very successful operation but like all surgery carries risks. Complications can arise immediately or shortly after surgery. Patients can be readmitted back to hospital for a number of reasons, but not all necessarily linked to post-op [....] » Read More
Title : The association between pre-operative albumin levels and post-operative outcomes in neck of femur fracture surgery: A single-centre retrospective study
Rahim Nawaz Hussain, South Warwickshire Foundation Trust, United Kingdom
Introduction: Neck Of Femur Fracture (NOFF) are common presentations to the accident and emergency department. Timely intervention is essential to prevent further complications due to prolong immobility. Guidelines have been developed over the years to help manage NOFF patients e [....] » Read More
Title : Reframing MRI of the pediatric knee: Evidence-based indications, diagnostic pitfalls, and emerging imaging biomarkers
Joseph Salem Hernandez, Ponce Health Sciences University - Department of Orthopaedic Surgery, Puerto Rico
Introduction: Magnetic Resonance Imaging (MRI) has become the primary advanced imaging modality for evaluating pediatric knee pathology because of its ability to assess soft tissues, cartilage, bone marrow, and physeal structures without ionizing radiation. However, the growing a [....] » Read More
Title : Potential referral pathway for suspected Cauda Equina Syndrome (CES)
Amr Mohamed Foad Mohamed, Hertfordshire NHS Trust, United Kingdom
Background: Cauda Equina Syndrome (CES) is a rare but time-critical spinal emergency requiring rapid diagnosis and intervention to prevent irreversible neurological deficits. Delays in imaging and referral remain a significant challenge in many healthcare systems. Aim: To pres [....] » Read More
Title : Social deprivation and mortality after primary hip and knee arthroplasty: Implications for inequalities in elective orthopaedic care
Tomas Poliacik, The Countess of Chester Hospital NHS Foundation Trust, United Kingdom
Aims: To examine whether neighbourhood-level socioeconomic deprivation, measured using the English Index of Multiple Deprivation (IMD), is associated with revision surgery and all-cause mortality after primary Total Hip Arthroplasty (THA) and Total Knee Arthroplasty (TKA). Met [....] » Read More
Title : Kinematic alignment versus mechanical alignment in Total Knee Arthroplasty (TKA): A systematic review of mid-term functional outcomes
Shajee ud Din, Maidstone & Tunbridge Wells NHS Trust, United Kingdom
Total Knee Arthroplasty (TKA) is frequently performed for advanced knee osteoarthritis. Mechanical Alignment (MA) targets restoration of a neutral limb axis, whereas kinematic alignment (KA) aims to reproduce an individual’s native pre-arthritic knee alignment. This systema [....] » Read More
Title : Second loop of the Neck Of Femur (NOF) operation notes Audit
Amr Mohamed Foad Mohamed, Hertfordshire NHS Trust, United Kingdom
Background: Neck of Femur (NOF) fractures are common injuries associated with significant morbidity and mortality, requiring timely surgical management and high-quality perioperative documentation. Accurate operative notes are essential for ensuring continuity of care, guiding po [....] » Read More
Title : Research waste in ewing sarcoma: Predictors of clinical trial discontinuation and nonpublication
Mohammad Khriesat, University Hospitals Plymouth NHS, United Kingdom
Background: Ewing sarcoma is a rare primary bone and soft tissue malignancy encountered in orthopaedic oncology, where high-quality clinical evidence is essential for guiding treatment. Premature trial discontinuation and nonpublication reduce the available evidence and contribut [....] » Read More
Title : Feasibility of medial parapatellar approach in unicompartmental knee arthroplasty for moderate to severe varus deformity
Zou Shihua, Chongqing University Three Gorges Hospital, China
Research Background and Purpose: Unicompartmental Knee Arthroplasty (UKA) is well-established for mild varus deformity, but its application in moderate to severe varus cases remains technically challenging. This study aims to preliminarily evaluate whether adopting the traditiona [....] » Read More
Title : Is thromboprophylaxis appropriately prescribed in patients immobilised after lower limb injury – An audit based on national guidelines
Rahim Nawaz Hussain, South Warwickshire Foundation Trust, United Kingdom
Introduction: Venous Thrombo Embolism (VTE) post lower limb immobilisation is a well-known phenomena and one that causes significant morbidity. It can be prevent through appropriate prescribing of VTE prophylaxis. An audit was carried out at a major trauma centre using the Thromb [....] » Read More
Title : WALANT for cubital tunnel syndrome: A systematic review and meta-analysis of safety and clinical outcomes
Gaurav Jha, University Hospitals of Leicester NHS Trust, United Kingdom
Background: Cubital tunnel surgery is performed under general or regional anaesthesia. Wide-Awake Local Anaesthesia No Tourniquet (WALANT) may reduce anaesthetic dependency, postoperative pain and resource use while permitting active assessment of ulnarnerve stability. We ev [....] » Read More
Title : Vitamin D status and supplementation in orthopaedic trauma: A systematic review and meta-analysis of fracture union, infection, and functional outcomes
Gaurav Jha, University Hospitals of Leicester NHS Trust, United Kingdom
Background: Vitamin D deficiency is biologically plausible as a modifiable risk factor across orthopaedic trauma outcomes, yet no comprehensive synthesis has examined prevalence, fracture healing, infection, and prevention within a unified framework. Methods:&nb [....] » Read More
Title : 3D CT analysis and software-assisted pre-operative planning of tunnel position in revision ACL reconstruction
Daisy Theakston, University of Cambridge, United Kingdom
Background: Re-rupture of Anterior Cruciate Ligament (ACL) following Reconstruction (ACLR) remains prevalent, with failure following revision reconstruction making the scenario further challenging to manage. Optimising pre-operative planning may therefore play an important role i [....] » Read More
Title : Beyond the growth plate: Orthobiologic therapies in the developing and mature skeleton
Joseph Salem Hernandez, Ponce Health Sciences University - Department of Orthopaedic Surgery, Puerto Rico
Introduction: Orthobiologic therapies have become increasingly incorporated into musculoskeletal care as biologically derived materials designed to enhance tissue healing and regeneration. These therapies include Platelet-Rich Plasma (PRP), Bone Marrow Aspirate Concentrate (BMAC) [....] » Read More
Title : Vitamin D and the healing bone: Metabolic underpinnings of pediatric fracture repair
Joseph Salem Hernandez, Ponce Health Sciences University - Department of Orthopaedic Surgery, Puerto Rico
Introduction: Vitamin D is essential for calcium and phosphate homeostasis and plays a critical role in skeletal growth, mineralization, and bone remodeling during childhood. Hypovitaminosis D is increasingly recognized worldwide and may impair bone mineral accrual and skeletal s [....] » Read More
Title : New treatment of muscle contracture and joint contracture through muscle regeneration with mitochondrial dynamics
Ki Ji Lee, Busan Medical University, Korea, Republic of
A muscle contracture refers to a shortening of muscle length due to a decrease in the number of sarcomeres in series along the myofibrils, accompanied by an increase in the resistance to passive stretch. Joint contracture, defined as the limitation in the passive range of motion [....] » Read More
Title : Adherence to boast guidelines on early management of the paediatric forearm fracture – lessons to learn for a digital future
Nihal Allauddin Basha, East Suffolk and North Essex NHS Foundation Trust, United Kingdom
Introduction: An audit was undertaken at East Suffolk and North Essex NHS Foundation Trust, Ipswich Hospital, with the aim of identifying where there were deficiencies in implementation of British Orthopaedic Association Standards (BOASt) guidelines on the early management of pae [....] » Read More
Title : Management and outcomes of paediatric lower limb open fractures across two tertiary centres over a 13-year period
Rachel Wallice, Morriston Hospital, United Kingdom
Aim: To review the management and outcomes of paediatric lower limb open fractures across two tertiary centres a Major Trauma Centre and a regional orthoplastic unit over a 13-year period, benchmarked against BOAST 4 guidelines. Methods: Retrospective review of lower limb open [....] » Read More
Title : How should bacteriological sampling be stratified in paediat-2 ric septic arthritis? A narrative review
Maxime Schilliger, HUG -Geneva University Hospitals, Switzerland
Introduction: Joint aspiration remains the gold-standard and an urgent step in the diagnosis of paediatric Septic Arthritis (SA), conferring both diagnostic and therapeutic value, in contrast to its role in acute haematogenous osteomyelitis. The bacteriological profile of paediat [....] » Read More