Aims. To describe the epidemiology of acetabular fractures including patient characteristics, injury mechanisms,
Aims. There is ambiguity surrounding the degree of scaphoid union required to safely allow mobilization following scaphoid waist
Aims. In the Netherlands, general practitioners (GPs) can request radiographs. After a radiologically diagnosed
Aims. Medial humeral epicondyle
The management of children’s
Aims. Paediatric triplane
Aims. Posterior malleolar (PM)
Aims. Despite limited clinical scientific backing, an additional trochanteric stabilizing plate (TSP) has been advocated when treating unstable trochanteric
Aims. The aim of this study was to report a complete overview of both incidence,
Aims. Periprosthetic
Aims. The aims of this study were to evaluate the incidence of reoperation (all cause and specifically for periprosthetic femoral fracture (PFF)) and mortality, and associated risk factors, following a hemiarthroplasty incorporating a cemented collarless polished taper slip stem (PTS) for management of an intracapsular hip
Aims. This study aimed to compare mortality in trochanteric AO/OTA A1 and A2
Aims. Olecranon
Despite being one of the most common injuries around the elbow, the optimal treatment of olecranon
Aims. Triplane ankle
Aims. Distal third clavicle (DTC)
Aims. This study aimed to gather insights from elbow experts using the Delphi method to evaluate the influence of patient characteristics and
Aims. Ankle
Aims. The aims of this study were to describe the epidemiology of metacarpal shaft
Aims. The aim of this study was to report the patterns of symptoms and insufficiency
Aims. The aim of this study was to determine the
Aims. The aim of this study was to evaluate the outcome of complex radial head
Aims. The aims of this study were to assess quality of life after hip
Aims. Prior to the availability of vaccines, mortality for hip
Aims. Hip
Aims. To investigate if preoperative CT improves detection of unstable trochanteric hip
Aims. Current levels of hip
Aims. Periprosthetic
Aims. The purpose of this study was to determine the weightbearing practice of operatively managed fragility
Aims. This study aimed to describe practice variation in the use of total hip arthroplasty (THA) for older patients with femoral neck
Aims. The modern prevalence of primary tumours causing metastatic bone disease is ill-defined in the oncological literature. Therefore, the purpose of this study is to identify the prevalence of primary tumours in the setting of metastatic bone disease, as well as reported rates of pathological
Displaced
Aims. Management of displaced paediatric supracondylar elbow
Aims. To identify factors influencing clinicians’ decisions to undertake a nonoperative hip
Aims. This study explores data quality in operation type and
Aims. The aim of this study was to describe the demographic details of patients who sustain a femoral periprosthetic
Aims. Several previously identified patient-, injury-, and treatment-related factors are associated with the development of nonunion in distal femur fractures. However, the predictive value of these factors is not well defined. We aimed to assess the predictive ability of previously identified risk factors in the development of nonunion leading to secondary surgery in distal femur fractures. Methods. We conducted a retrospective cohort study of adult patients with traumatic distal femur fracture treated with lateral locking plate between 2009 and 2018. The patients who underwent secondary surgery due to fracture healing problem or plate failure were considered having nonunion. Background knowledge of risk factors of distal femur fracture nonunion based on previous literature was used to form an initial set of variables. A logistic regression model was used with previously identified patient- and injury-related variables (age, sex, BMI, diabetes, smoking, periprosthetic
Aims. To propose a new method for evaluating paediatric radial neck
Aims. The aim of this study was to examine perioperative blood transfusion practice, and associations with clinical outcomes, in a national cohort of hip
Aims. United Classification System (UCS) B2 and B3 periprosthetic
Aims. The aim of this study was to describe the management and associated outcomes of patients sustaining a femoral hip periprosthetic
Aims. This study aimed to answer the following questions: do 3D-printed models lead to a more accurate recognition of the pattern of complex
Aims. Femoral periprosthetic
Aims. Patients with A1 and A2 trochanteric hip
Aims. The aim of this study was to investigate the rate of revision for distal femoral arthroplasty (DFA) performed as a primary procedure for native knee
Aims. To report the outcomes of patients with a
Aims. Cementing in arthroplasty for hip
Aims. Proper preoperative planning benefits
Aims. To determine if patient ethnicity among patients with a hip
Aims. Several different designs of hemiarthroplasty are used to treat intracapsular
Aims. The aim of this study was to investigate the outcome of periprosthetic
Salter-Harris II
Aims. A
Aims. The incidence of limb
Aims. This study evaluated the effect of treating clinician speciality on management of zone 2 fifth metatarsal
Aims. Factors associated with high mortality rates in geriatric hip
Aims. The optimal management of posterior malleolar ankle
Aims. The rationale for exacting restoration of skeletal anatomy after unstable ankle
Aims. This study aimed to establish the optimal fixation methods for calcaneal tuberosity avulsion
Aims. Pneumatic tourniquets are often used during the surgical treatment of unstable traumatic ankle
Aims. The primary aim was to estimate the cost-effectiveness of routine operative fixation for all patients with humeral shaft
Aims. This study aimed to investigate the optimal sagittal positioning of the uncemented femoral component in total knee arthroplasty to minimize the risk of aseptic loosening and periprosthetic
Aims. Total hip arthroplasty (THA) is considered the preferred treatment for displaced proximal femoral neck
Aims. The aim of this study was to report the three-year follow-up for a series of 400 patients with a displaced intracapsular
Aims. Cemented hemiarthroplasty is an effective form of treatment for most patients with an intracapsular
Aims. Surgery is often delayed in patients who sustain a hip
Aims. To explore individuals’ experience of a scaphoid waist
Aims. This study estimated trends in incidence of open
Aims. Fractures of the humeral shaft represent 3% to 5% of all
Aims. The risk of mechanical failure of modular revision hip stems is frequently mentioned in the literature, but little is currently known about the actual clinical failure rates of this type of prosthesis. The current retrospective long-term analysis examines the distal and modular failure patterns of the Prevision hip stem from 18 years of clinical use. A design improvement of the modular taper was introduced in 2008, and the data could also be used to compare the original and the current design of the modular connection. Methods. We performed an analysis of the Prevision modular hip stem using the manufacturer’s vigilance database and investigated different mechanical failure patterns of the hip stem from January 2004 to December 2022. Results. Two mechanical failure patterns were identified:
Aims. The aims of this study were to report the outcomes of patients with a complex
Aims. The aim of this study was to compare the cost-effectiveness of surgical fixation with Kirschner (K-)wire ersus moulded casting after manipulation of a
Aims. The aim of this study was to describe the current pathways of care for patients with a
Aims. The aim of this study was to develop a core outcome set of what to measure in all future clinical research on hand
Aims. Hip
Aims. This study aimed to identify risk factors (patient, healthcare system, and socioeconomic) for mortality after hip
Aims. To investigate health-related quality of life (HRQoL) of older adults (aged ≥ 60 years) after tibial plateau
Aims. The aim of this study was to assess the safety and clinical outcome of patients with a femoral shaft
Aims. The aim of this study was to determine the risk of tibial eminence avulsion intraoperatively for bi-unicondylar knee arthroplasty (Bi-UKA), with consideration of the effect of implant positioning, overstuffing, and sex, compared to the risk for isolated medial unicondylar knee arthroplasty (UKA-M) and bicruciate-retaining total knee arthroplasty (BCR-TKA). Methods. Two experimentally validated finite element models of tibia were implanted with UKA-M, Bi-UKA, and BCR-TKA. Intraoperative loads were applied through the condyles, anterior cruciate ligament (ACL), medial collateral ligament (MCL), and lateral collateral ligament (LCL), and the risk of
Aims. The aim of this study was to investigate mortality and risk of intraoperative medical complications depending on delay to hip
Aims. National hip
Aims. The aim of this study was to compare the early postoperative mortality and morbidity in older patients with a
Aims. Periprosthetic femoral fracture (PPF) is a major complication following total hip arthroplasty (THA). Uncemented femoral components are widely preferred in primary THA, but are associated with higher PPF risk than cemented components. Collared components have reduced PPF rates following uncemented primary THA compared to collarless components, while maintaining similar prosthetic designs. The purpose of this study was to analyze PPF rate between collarless and collared component designs in a consecutive cohort of posterior approach THAs performed by two high-volume surgeons. Methods. This retrospective series included 1,888 uncemented primary THAs using the posterior approach performed by two surgeons (PKS, JMV) from January 2016 to December 2022. Both surgeons switched from collarless to collared components in mid-2020, which was the only change in surgical practice. Data related to component design, PPF rate, and requirement for revision surgery were collected. A total of 1,123 patients (59.5%) received a collarless femoral component and 765 (40.5%) received a collared component. PPFs were identified using medical records and radiological imaging.
Aims. The primary aim of this study was to compare surgical methods (sliding hip screw (SHS) vs intramedullary nailing (IMN)) for trochanteric hip
Aims. Treatment of Weber B ankle
Aims. This study aimed to demonstrate the promoting effect of elastic fixation on
Aims. The aim of this study was to determine the impact of hospital-level service characteristics on hip
Aims. Hip
Aims. To systematically review qualitative studies of patients with distal tibia or ankle
Aims. The aim of this study was to explore the functional results in a fitter subgroup of participants in the Hip
Aims. The aim of this study was to investigate the association between additional rehabilitation at the weekend, and in-hospital mortality and complications in patients with hip
Aims. The primary aim of this study was to determine the rates of return to work (RTW) and sport (RTS) following a humeral shaft
The Unified Classification System (UCS), or Vancouver system, is a validated and widely used classification system to guide the management of periprosthetic femoral fractures. It suggests that well-fixed stems (type B1) can be treated with fixation but that loose stems (types B2 and B3) should be revised. Determining whether a stem is loose can be difficult and some authors have questioned how to apply this classification system to polished taper slip stems which are, by definition, loose within their cement mantle. Recent evidence has challenged the common perception that revision surgery is preferable to fixation surgery for UCS-B periprosthetic
Aims. Our primary aim was to assess reoperation-free survival at one year after the index injury in patients aged ≥ 75 years treated with internal fixation (IF) or arthroplasty for undisplaced femoral neck
Aims. Several studies have reported that patients presenting during the evening or weekend have poorer quality healthcare. Our objective was to examine how timely surgery for patients with severe open tibial
Aims. To describe outcome reporting variation and trends in non-pharmacological randomized clinical trials (RCTs) of distal tibia and/or ankle
Aims. Revision total hip arthroplasty in patients with Vancouver type B3
Aims. Isolated
Aims. This study aimed to compare the outcomes of two different postoperative management approaches following surgical fixation of ankle
Aims. The aim of this study was to report the outcomes of patients with severe open