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
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
Introduction and Objective: The outcome of ankle sprains varies considerably among patients, and the available literature does not provide a clear understanding of the factors influencing this evolution. The aim of this study was to investigate the correlations between subjective [....] » 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: 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
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
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
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
Aims: This study intends to define the outcomes of Periprosthetic Femoral Fractures (PPFs) by fracture type and management strategy since the introduction of British Hip Society guidelines. Methods: This was a retrospective cohort series of adult patients admitted with PPFs to [....] » Read More
Background: Achilles tendon ruptures are commonly misdiagnosed in emergency departments, leading to delayed treatment and prolonged rehabilitation. Advanced imaging (ultrasound/MRI) is the gold standard but is often unavailable outside routine hours. Methods: We conducted a re [....] » Read More
Background: Meniscal tears occur in up to 65% of acute ACL injuries and repair with concomitant ACL reconstruction (ACLR) is increasingly favoured to prevent meniscal and joint degeneration. Despite reported failure rates of 10–25%, the influence of risk factors, particular [....] » 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
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
Objective: To investigate the morphological differences of facet joints in patients with Lumbar Spinal Stenosis (LSS) with and without degenerative Lumbar Spondy Lolisthesis (DSL). Methods: A retrospective analysis was performed on 80 patients with LSS complicated by DLS admit [....] » Read More
Objective: To evaluate the clinical efficacy, diagnostic accuracy, and feasibility of integrating smart patches with sensors and artificial intelligence (AI) algorithms for postoperative wound monitoring and the early detection of Surgical Site Infections (SSI). Methods: A sel [....] » Read More
Objective: To highlight the clinical similarities between Adult-Onset Still’s Disease (AOSD) and Periprosthetic Joint Infection (PJI) after Total Hip Arthroplasty (THA), and to identify key diagnostic factors to prevent misdiagnosis and unnecessary surgery. Methods: A ca [....] » 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
Introduction: Complex Regional Pain Syndrome (CRPS) is a painful complication in traumatology. Its etiology; complex and multi-causal is still poorly understood. Its diagnosis is relatively easy and straightforward (with clinical and imaging tools), but its progression remains un [....] » Read More
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
Background: Delayed diagnosis of Cauda Equina Syndrome (CES) in District General Hospitals (DGHs) remains a major cause of avoidable morbidity and litigation. Traditional "red flag" checklists perform poorly as standalone decision aids, and there is limited real r [....] » 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
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
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
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
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
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
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
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
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
Background: Femoral neck fractures in younger adults are relatively uncommon but carry important risks of fixation failure, nonunion, osteonecrosis, and secondary procedures. Surgical treatment options include percutaneous Pinning (PIN), Oopen Reduction and Internal FIxation (ORI [....] » 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
Background: Many ring-fenced elective orthopaedic hubs exclude American Society of Anesthesiologists (ASA) III patients because of limited on-site intensive therapy unit availability and reduced in-house medical cover. This retrospective service evaluation assessed whether ASA II [....] » Read More
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
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
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
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
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: 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
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
Determining the optimal surgical approach for recurrent anterior shoulder instability remains contentious, often guided more by clinician familiarity than comparative data. This meta-analysis assessed outcomes of arthroscopic Bankart repair versus the Latarjet procedure. A thorou [....] » 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
Background: The optimal surgical approach for full-thickness Rotator Cuff Tears (RCTs) remains a subject of debate. While arthroscopic repair (aRCR) offers theoretical benefits in deltoid preservation and visualization, open/mini-open repair (oRCR) historically provided reliable [....] » Read More
Background: Glucagon-like Peptide-1 Receptor Agonists (GLP-1RAs) are widely used for type 2 diabetes and obesity, with emerging evidence suggesting effects on inflammation and tissue metabolism. However, their impact on tendon and ligament healing remains poorly understood. This [....] » Read More
Background: Massive Irreparable Rotator Cuff Tears (MIRCTs) remain challenging, with high failure rates after conventional repair. It is unclear which intervention may reduce the incidence of retears and improve outcomes. Purpose: The purpose of this study was to evaluate the [....] » Read More
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
Background: Medial Patello Femoral Ligament (MPFL) reconstruction is a well-established procedure for managing patellar instability. Among available graft options, the Quadriceps Tendon (QT) has gained increasing interest due to its strength and lower donor-site morbidity. Howeve [....] » Read More
Objectives: This presentation aims to analyze the pathophysiological parallels between articular cartilage degeneration and pelvic floor dysfunctions as manifestations of tissue aging. It highlights their shared mechanisms, significant clinical and social impact, and advocates fo [....] » Read More
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 : Update on orthopedic-implant-cobaltism
Stephen S Tower, University of Alaska Anchorage, United States
Will be Updated Soon...
Title : The tomographic phenotype and the genotype of wormian bones
Ali Al Kaissi, National Ilizarov Medical Research Center for Traumatology and Orthopaedics, Russian Federation
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
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 : Day-case shoulder arthroplasty: potential for improved efficiency and cost reduction in an NHS elective cohort
Carlos Maria Flores Argerich, Mersey and West Lancanshire NHS FT, United Kingdom
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
Title : Modifiable lifestyle and occupational risk factors associated with dupuytrens disease: A systematic review and meta analysis
Mohammed Jameel, East Lancashire Hospitals Trust, United Kingdom
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
Title : Clinical characteristics and one-year outcomes of lateral ankle sprains in young active adults referred for rehabilitation
Dib Kheir Eddine, Regional University Military Hospital of Oran, Algeria
Background and Objective: Lateral ankle sprains are among the most common musculoskeletal injuries in young active adults. This study aimed to describe the characteristics of patients referred to Physical and Rehabilitation Medicine (PRM) following a first episode of lateral ankl [....] » Read More
Title : Missed hind foot fractures – worth a second look?
Akash Ganguly, Warrington and Halton Hospitals NHS FT, United Kingdom
Injuries of the foot and ankle are common in any ED department, with nearly half a million patients presenting with a first diagnosis of hindfoot or ankle sprain in the UK in 2023/24. Plain radiographs remain the standard initial imaging offered. However, fractures continue to be [....] » Read More
Title : Outcomes of flexible fixation devices in purely ligamentous lisfranc injuries: A systematic review
Praveen Rajan, Basildon University Hospital, United Kingdom
Background: Purely ligamentous Lisfranc injuries represent a challenging subset of tarsometatarsal trauma and are frequently underdiagnosed. Whilerigid fixation has traditionally been used, it is associated with implant- related complications and often requires secondary surgery. [....] » Read More
Title : Combined partial knee arthroplasty versus Total Knee Arthroplasty (TKA): A systematic review and meta-analysis of randomised control trials
Raven Joseph, Cwm Taf Morgannwg University Health Board, United Kingdom
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
Title : Acute major haematoma in a patient on long-term anticoagulation: Case report
Zena Alwaily, University Hospital Crosshouse, United Kingdom
Background: Intramuscular haematomas account for approximately 5.8% of emergency department admissions and occur predominantly in anticoagulated patients, particularly older women with renal impairment. Reduced creatinine clearance may lead to accumulation of anti-factor Xa activ [....] » 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 : The impact of draping technique on radiation exposure during Dynamic Hip Screw (DHS) fixation for hip fractures
Owen Morris, Wrexham Maelor Hospital, United Kingdom
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
Title : Imaging adherence in shoulder dislocation: Evaluating compliance with rotator cuff tear guidelines in the NHS
Olisemeka Chukwudifu Eboka, London North West University Healthcare NHS Trust, United Kingdom
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
Title : The impact of acoustic, electrical, and electromagnetic frequencies on neuronal regeneration: A systematic review and meta-analysis
Agustin Tellez Duarte, Artritis and Orthopaedic Clinic Cozumel, Mexico
Background: The modulation of neuronal regeneration through external physical stimuli—such as acoustic, electrical, and electromagnetic frequencies—represents a promising frontier in neuro-restorative medicine. This study systematically reviews and meta-analyzes the e [....] » Read More
Title : Rational application and therapeutic efficacy of prophylactic fasciotomy in major limb replantation procedures
Teng Zhicheng, The First peoples' Hospital of Nantong & The Affiliated Hospital of Southeast University, China
Study Design: A retrospective study Background: Compartment Syndrome (CS) is a serious complication following major limb replantation. However, the role of Prophylactic Fasciotomy (PF) in this context remains controversial. This study aims to establish a selective PF protocol [....] » Read More
Title : Short-term outcomes of arthroscopic treatment for concomitant bony bankart lesions and massive rotator cuff tears in middle-aged and elderly patients
Wei Liu, Affiliated Hospital 2 of Nantong University, China
Objective: To investigate the surgical technique and postoperative outcomes of simultaneous repair of bony Bankart lesions combined with rotator cuff tears using suture anchor technology under shoulder arthroscopy. Methods: From June 2021 to January 2023, a total of 10 middle- [....] » Read More
Title : Therapeutic effect analysis of repair versus non-repair of Medial Meniscus Posterior Root Tear (MMPRT) combined with High Tibial Osteotomy (HTO)
Hong Yi, The First peoples' Hospital of Nantong & The Affiliated Hospital of Southeast University, China
Objective: To compare the clinical efficacy of repair versus non-repair of Medial Meniscus Posterior Root Tear (MMPRT) combined with High Tibial Osteotomy (HTO) in the treatment of varus knee with MMPRT, and to explore the clinical value of MMPRT repair and the rational selection [....] » Read More
Title : Short-term clinical efficacy of unilateral biportal endoscopic unilateral laminectomy for bilateral decompression for lumbar epidural lipomatosis: An observational study
Ze Gao, Jinan University First Affiliated Hospital, China
Objective: Evaluation of Multidimensional Clinical Outcomes Following Unilateral Biportal Endoscopic Unilateral Laminectomy for Bilateral Decompression (UBE-ULBD) for Symptomatic Lumbar Epidural Lipomatosis. Methods: This retrospective study analyzed 15 consecutive patients wi [....] » Read More
Title : Improving time to theatre: Reducing avoidable cancellations and delays to surgery in trauma - A quality improvement project
Soniya Chauhan, Queen’s Hospital, 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 stay. [....] » 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 : Optimizing hip fracture surgery outcomes in geriatric patients with cognitive decline
Mustafa Al Saedi, University of Washington School of Medicine, United States
Introduction: The prevalence of dementia is projected to rise to 139 million worldwide by 2050. As the population continues to increase, ensuring the quality of medical interventions continues to be a concern. Current literature suggests that geriatric patients with mild cognitiv [....] » Read More
Title : What's going on in Spain with the direct anterior approach: General trends and our own experience
Miguel Carrato Gomez, Hospital Vithas Alicante, Spain
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
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 : Clinical outcomes of soft-tissue stabilization combined with medial patellofemoral ligament reconstruction for recurrent patellar dislocation in children: A retrospective cohort study
Zhang Jun, The Affiliated Hospital of Xuzhou Medical University, China
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
Title : New treatment of sarcopenia through muscle regeneration with mitochondrial dynamics
Ki Ji Lee, Busan Medical University, Korea, Republic of
Sarcopenia is a common age-related skeletal muscle disorder featuring the loss of muscle mass and function. In regard to tissue repair in the human body, scientists always consider the use of stem cells. In skeletal muscle, satellite cells (SCs) are adult stem cells that maintain [....] » Read More