Faisal A. Shaikh, Damion Martins, Dean Padavan

Jae Won Shin, Dong Ki Kim and 8 others

Patients with visual disturbances exhibited a significantly more cranial thoracic apical vertebra level (T6 vs. T8, p < 0.01), greater thoracic Cobb angles, and lower mean serum calcium and magnesium levels compared with the control group (p < 0.05).

Iulian Manac, Sanda Jurja and 8 others

SA with NP/MH diagnosis reported higher overall symptom burden than those without, SA without NP/MH diagnosis with CH had greater symptom count (p < .001) and severity (p < .002). Preexisting NP/MH conditions and CH can substantially influence baseline symptom reporting in UK student athletes.

Russell Clash, Julie Gooderick

Following multivariate analysis, injury type was the only statistically significant factor affecting RTP duration, with ruptured Achilles injuries associated with significantly increased time missed compared to nonrupture injuries (95% CI, 171.15-264.11 days; P < .001).

Brian Forsythe, Catherine Hand and 11 others

CS analysis demonstrated that grafts remaining in situ at 4 years postoperatively had a 90% probability of survival to 10 years. Conclusion: OCA transplantation of the knee demonstrated an overall 10-year graft survivorship of 78%.

Nathanial W. Linstrom, William D. Bugbee, Tim Wang

According to the Modified Flynn cosmetic score, carrying angle and supination differed significantly between excellent and good outcome groups (p = 0.002 and p < 0.001, respectively).

R Arıkan, K Öner, F Karaca

Clinical outcomes improved significantly within 6 months (NRS, 7.6 ± 2.4 to 1.3 ± 1.2; KOOS symptom, 64.0 ± 13.0 to 79.1 ± 10.8; p < 0.05) and remained stable. Baseline varus alignment was greater in patients who underwent surgery than in those who continued nonoperative treatment (HKA, 6.0° vs. 3.7°, p < 0.01).

Satoshi Nonaka, Kazuhisa Hatayama and 4 others

In contrast, 10‐year follow‐up evidence after arthroscopic partial meniscectomy for degenerative meniscal tears provides a more established example of medical reversal, demonstrating no sustained clinical benefit over sham surgery and raising concern regarding structural harm.

Mehmet Süleyman Abul, Javad Parvizi and 5 others

Of the 1178 identified records, six randomized controlled trials, including 551 patients, were included. Intra-articular autologous AD-MSC injections for knee OA were associated with improvements in pain and WOMAC outcomes without a significant increase in AEs.

Joo Hyung Han, Min Jung and 7 others

Four comparative studies enrolled 324 patients, of whom 299 were available for final comparative analysis (RT, n = 142; HT, n = 157). RT autografts produced early clinical outcomes broadly comparable to HT autografts, but the evidence base comprises only four heterogeneous comparative studies with short and unequal follow-up.

Yizhou Ge, Martin Häner and 4 others

Manual interobserver reliability was highest for femoral torsion (ICC: 0.99; 95% CI: 0.98-0.99; p < 0.001). The 3D planning software demonstrated good to very good inter and intraobserver reliability for MRI-based lower extremity torsional assessment.

Johanna Lippuner, Felix Hüttner and 7 others

Overall, 841 knees were analysed: 786 isolated ACLR and 55 ACLR + LMPR repair, with a median follow-up of 46.0 months. Concomitant all-inside LMPR repair during ACLR was not independently associated with decreased graft rerupture-free survival and showed comparable clinical outcomes to isolated ACLR at short- to mid-term follow-up.

Alessandro Carrozzo, Émilie Bérard and 5 others

Of 1494 records, 10 studies met the inclusion criteria, comprising 1054 patients and 1958 femoral heads for early detection, 1573 patients and 2293 femoral heads for staging, and 276 patients and 533 femoral heads for both.

Khaled Skaik, Jean Pierre Abdallah and 3 others

The median inclusion was 61% male and 39% female (mean 64% and 36%, respectively). No difference in inclusion was seen in studies of mental health outcomes.

John H. Sonnier, Neeraj M. Patel and 7 others

Yu Jiang, Xiaodong Jia and 10 others

Contact area decreased preoperatively by up to 121.7 mm 2 (CI 57.1–186.3) and increased by up to 110.8 mm 2 (CI 42.3–179.3) at 2 years. WOSI improved from 55% (CI 49–61) preoperatively to 36% (CI 25–48) at 1 year and 27% (CI 17–36) at 2 years.

Josephine Olsen Kipp, Emil Toft Petersen and 5 others

One hundred and twelve patients (114 wrists) were included. Wrist denervation yields durable symptom relief and can, in many cases (86%), prevent further osteoarthritis-related surgery in patients with wrist osteoarthritis over a median 4 year follow-up.

Esmee Kwee, Niek J Nieuwdorp and 42 others

Methods: A total of 190 patients with Wassel type II–IV thumb duplication underwent the modified Bilhaut–Cloquet procedure. The coarse communicating branch type exhibited the lowest success rate, while the fine communicating branch type achieved a 100% success rate.

Chao Kong, Jianyi Liu and 3 others

Tobias Laurell, Anne Sophie Kruit, Mona I Winge

IKDC scores were significantly higher in the JewelACL‐only group than in the hybrid group ( p = 0.02), while Lysholm and Tegner scores did not differ significantly. There was no statistically significant difference in return‐to‐sport rates between the JewelACL group (85%) and the hybrid group (86%) ( p = 1.00).

Klaudiusz Kosowski, Ewa Bręborowicz and 2 others

Results There was no significant difference between the two groups for clinical outcomes at 3 years follow‐up: median scores for ACL‐RSI (ACL‐A: 75 vs. ACL‐R: 72; p = 0.27), IKDC (ACL‐A: 90 vs. ACL‐R: 86; p = 0.20), Tegner (ACL‐A: 7.0 vs. ACL‐R: 6.0; p = 0.19) or SKV (ACL‐A: 90 vs. ACL‐R: 90; p = 0.58).

Corentin Herce, Nicolas Bouguennec, Philippe Colombet

This study aimed to determine whether functional improvement after isolated medial patellofemoral ligament (MPFL) reconstruction is better associated with achieving a postoperative tilt 20° (all p > 0.05). These results support an individualized correction‐based strategy based on preoperative patellar tilt.

Ella George, Pierre‐Henri Vermorel and 3 others

ROC analysis demonstrated moderate predictive ability (AUC = 0.782). Using a 1.0 mm cutoff, early motion limitation was significantly more frequent in patients with displacement ≥1.0 mm than <1.0 mm (32.3% vs. 6.3%, p = 0.011).

Shin Woo Choi, Jae-Kwang Hwang and 2 others

Mariam Grazia Polito, Consolo Andrea and 21 others

Subjective clinical tools and objective technologies help monitor orthosis wear of adolescent patients with idiopathic scoliosis.

Anna Mathew, Kamila Sykorova and 6 others

In this adult humerus-based finite element model, the L2C1 configuration showed favourable fixation stability under extension, varus, and valgus loading compared with conventional lateral-entry pinning.

Masato Nakadai, Takuya Yoda and 4 others

The findings suggest that SRC education for teenage grassroots soccer players could incorporate short, structured sessions; interactive and practical approaches; online quizzes, and the use of social media platforms and relatable information sources.

Abid Hussain, Dominic Malcolm

When subsidence was restricted, stress shifted to the distal tip (zone 4), increasing by 49–102% depending on stem design and material. Conclusions: Restricting subsidence in PTS stems significantly increases distal cement mantle stress, which may elevate PPF risk.

Mohamad Taufiqurrakhman, Alison Jones and 6 others

Results: An increased Southwick angle was significantly associated with AVN (mean 14.8° vs. 5.95°, p = 0.012; OR 1.30, 95% CI, 1.01–1.68). Age >7 years and non-anatomic reduction showed high odds ratios (OR 6.00), but did not achieve statistical significance.

Nirmal R Gopinathan, Akash K Ghosh and 4 others

Methods: A retrospective case–control radiographic study was performed including 21 adults with bilateral Ficat-Arlet stage II–III non-traumatic AVN and 100 age- and sex-matched asymptomatic controls.

Cemil Aktan, Yusuf Alper Katı and 4 others

This review documents the changes in HRA, focusing on how the successes and failures of different historical design concepts and bearing materials have shaped current indications and patient selection. We also examine the evolution and development of modern prostheses.

Joshua Filer, Richard P Baker

Results: 4 phenotypes emerged: Complete Responders (41.7%), ADL-Dominant Responders (27.3%), Slow Progressors (19.0%), and Non-Responders (12.0%). Conclusions: 4 robust recovery phenotypes exist, with 27% demonstrating ADL-sports dissociation predicted by older age, lower activity, and greater chondral damage.

Miguel Vázquez, Roberto Seijas and 5 others

HHS rose from 45.8% to 82.0% in Group A and from 42.6% to 60% in Group B. Significant ( p < 0.0001) reductions in necrotic segment size and fewer poor outcomes were observed in Group A.

Ahmed Alkhuzai

The absolute deviation from the mean ΔOI math -IOI cup , which corresponds with pelvic motion, was significantly higher in RI outliers compared with non-outliers for the 35–45° inclination zone (4.7°, SD 2.8 vs. 2.5°, SD 2.0 respectively) ( p < 0.0001).

Geert Meermans, Willem J Van Doorn and 3 others

Kaplan-Meier analysis showed 96% stem survival at 166 months (95% confidence interval from 89.1% to 100%, with 4 hips at risk at that period. 96 cases (76.8%) returned to baseline mobility, 7 (5.6%) of cases suffered an intraoperative complication.

Conor Hughes, Brian Lim and 4 others

Long-term clinical scores showed no significant difference ( p > 0.05). The unlocked group had significantly longer follow-up duration ( p < 0.05).

Ali Can Çiçek, Vahit Yıldız

The proportion of cups within the Lewinnek safe zone was higher in the rTHA group (90% vs. 77%), without statistical significance ( p = 0.302). Operative time was significantly longer in the rTHA group (109.7 ± 33.6 vs. 93.5 ± 21.3 minutes, p = 0.042).

Murat Kezer, Kayhan Turan and 3 others

The mean surgical age was 23.5 ± 7.5 months, and the median follow-up was 61 months (range, 24-121 months).

Feyzi Kilic, Fedde Weenink and 9 others

Radiological evaluation demonstrated median KA values of 6.9° preoperatively, 5.5° postoperatively and 7.71° at final follow-up ( p = 0.026).

Giuseppe Maria Vincenzo Barbagallo, Giacomo Cammarata and 8 others

Within the limits of available observational evidence, unipolar and bipolar SCM release yield comparable global clinical outcomes with low recurrence and complication rates. No consistent comparative advantage of greater release extent was demonstrated.

Hussein Akil, Zeinab Nahle and 8 others

126 complications were observed in 70 patients (36.5%) within the first month. Early complications following PFF surgery are frequent and severe, reflecting the extreme frailty of this patient population.

Nicolas Blum, Lise Chevassut and 7 others

Among 210 eligible trials, 62 (29.5%) were discontinued before completion, and only 26 (17.6%) had published results. Nearly one-third of osteosarcoma clinical trials are discontinued, and most completed trials lack published results, highlighting substantial research waste and limitations in evidence generation.

Mohammad Wadah Khriesat, Miqdad Qandeel and 2 others

NRS scores decreased significantly over time in both groups, F(1,42) = 141.86, p < 0.001, partial η² = 0.772, without a significant time-by-group interaction, F(1,42) = 0.72, p = 0.400. Both techniques were associated with acceptable postoperative outcomes in appropriately selected patients.

Mohammad Javad Dehghani-Firoozabadi, Romina Basij and 5 others

Independent predictors of depression included age (β = 0.29 ± 0.070, P < 0.001), female sex (β = −1.4 ± 0.41, P < 0.001), sleep (β = −1.2 ± 0.16, P < 0.001), injury (β = 0.88 ± 0.37, P = 0.019), and racial/ethnic minority status (β = 0.81 ± 0.40, P = 0.004), but not AI (β = 0.049 ± 0.035, P = 0.16).

Sakar Gupta, Kristin Haraldsdottir and 4 others

Total hip arthroplasty demonstrated higher physiological demands than total knee arthroplasty (heart rate: 95.7 vs 90.2 bpm; energy: 290.2 vs 189.4 kcal). Cite this article: Bone Jt Open 2026;7(8):1037–1045.

Matteo Innocenti, Roberto Civinini and 5 others

Sophia S. Antonioli, Garrett Ruff and 4 others

Significant (p<.001) improvements of self-paced walking velocity (SPV) were observed from 6 weeks (2.2 ± 1.1 km/h), to 3 (2.9 ± 0.9 km/h) and 6 months (3.4 ± 0.9 km/h). Patients undergoing surgical ankle fracture repair with early mobilization and full weight-bearing showed substantial gait recovery within 6 weeks.

Leandra Bauer, Anne Sophie Schlegel and 4 others

We identified 5944 patients who received concomitant ACL and EAL reconstruction with postoperative outcomes available at 30, 90, and 180 days. Concomitant ACL and EAL reconstruction demonstrated negligible rates of serious medical complications.

Rayyan Abid, Robert J. Burkhart and 6 others

Metabolic conditions were associated with increased odds of THA, including obesity (OR 1.17) and sleep apnea (OR 1.12).

David Maman, Yaniv Steinfield, Yaron Berkovich

In unilateral DDH-related osteoarthritis treated with THA, postoperative lower-limb alignment changes were associated with Crowe severity and showed only partial normalization relative to the contralateral reference limb.

Muhammed Yusuf Afacan, Mahmut Gorkem Gurcinar and 3 others

The six-screw configuration showed significantly lower axial deformation after cyclic loading ( p = 0.047) and lower radial fragment–shaft translation at both time points ( p = 0.028; p = 0.045).

Lena Dietz, Christian Spiegel and 7 others

The overall accuracy was 81% (range: 68.33%-85.83%). Large language models such as ChatGPT can perform well on knowledge-based orthopedic examinations and may serve as useful tools for examination preparation and educational support.

Bartosz Maciąg, Krzysztof Bujak and 2 others

These guidelines emphasize the importance of timely, efficient, and safe management in the emergency department. Pre- and post-reduction diagnostics are crucial for safe reduction and appropriate management.

Marianne L Van Gastel, Karin M C Hekman and 11 others

397 patients were included, where 210 patients received a cementless implant (TKA = 78, UKA = 132) and 187 received a cemented implant (TKA = 83, UKA =104). Tibial implant migration was not significantly different between patients with low and normal BMD as defined by T-score groups.

Karina N Linde, Bente L Langdahl and 3 others

João Protásio Netto, Vincenzo Giordano and 3 others

Trabecular line formation was observed in 90.4% of knees and was most commonly seen medial (67.2%) and lateral (36.9%) to the tibial keel.

Kai Chun Augustine Chan, Amy Cheung and 6 others

The overall PVT incidence was 15.24% and 23.36% (p < 0.05) in young/middle-aged and elderly patients, respectively. Fracture patients of different age groups require distinct risk management and perioperative treatments.

Mengwen Xue, Hui Liu and 4 others

SHAP analysis consistently identified wrist radial deviation ROM as the most influential predictor across all models, with lower values linked to higher LE probability.ConclusionInterpretable machine learning models classified LE with good cross-validated discrimination using simple biomechanical measurements.

Jun-Hee Kim

Transient sciatic nerve palsy occurred in three patients (2.6%), all resolving within six months.

George Macheras, Chrysoula Argyrou and 4 others

In MO patients, operative times were significantly shorter with DA (71 ± 18 versus 92 ± 26 minutes, P < 0.001). In MO patients undergoing THA, the DA approach was associated with shorter operative times.

Jordan A. Bauer, Brooke Birbara, Matthew J. Grosso

In the 184-episode primary analytic cohort, failure rates were 43.5% (80 of 184) by MSIS-ORT, 40.8% (75 of 184) by Delphi, and 47.3% (87 of 184) by the clinical definition. Failure after treatment of PJI remained common regardless of the outcome framework applied.

John R. Tyler, Whisper Grayson and 3 others

Conversion TKA after TPF ORIF carries elevated risks of PJI and revision compared with primary TKA. The risk profile appears to stem from a dual burden: the baseline hazard imposed by the intra-articular fracture and an additive risk associated with prior hardware.

Yijie Luo, Kylen Soriano and 4 others

Chronic obstructive pulmonary disease was the sole significant predictor of AAE, observed only in the R-UKA cohort (odds ratio = 9.442; P = 0.002).

Sashrik Sribhashyam, Braeden R. Gooch and 7 others

Certain complex situations, particularly those associated with metatarsus adductus or juvenile HV, require specific morphological analysis because of an increased risk of recurrence and particular biomechanical constraints.

Hicham Bouredoucen

Primary RTSA in patients <65 years improves ROM and PROMs. Although complication/revision risk increases over time, these findings support RTSA in appropriately selected younger patients and provide benchmarks for outcome counseling.

Mohini Johri, Nour-Maria Bouzid and 7 others

These annotations describe gait characteristics, deviations, and compensatory mechanisms. The dataset enables research on linking biomechanical motion data with clinical descriptions, supporting applications such as automated gait assessment, anomaly detection, and analysis of early post-operative recovery.

Rebecca Keilhauer, Chen-Yu Wang and 3 others

Participants had various surgeries, the most common being arthroscopic knee procedures (38.3%) or rotator cuff repair (17.0%), and laparoscopic hernia repair with mesh (29.8%).

Ashraf S Habib, Daneshvari Solanki and 10 others

Sixteen studies encompassing 647 patients were included; these comprised one Level II study, seven Level III studies, and eight Level IV studies.

Joo Hyung Han, Sung-Hwan Kim and 6 others

Jing Zhang, Chao Jing and 3 others

Sina Javidmehr, Seyed Mohammad Javad Mortazavi and 4 others

Radiological outcomes showed a medial fracture step > 2 mm in 10 cases (med ECO n = 5, non-ECO n = 5) and a gap > 5 mm in 8 cases (med ECO n = 3, non-ECO n = 5). Both med ECO and non-ECO demonstrated good radiological results.

Hannah Gablac, Christian Arras and 6 others

Mulakala Sravya Keerthi, Arvindraj Mahadevan and 4 others

Ethan C. Cossu, Luna Toma and 4 others

Catherine Hua, Huub H. de Klerk and 5 others

A robotic ligament tensioner applied 70-100 N medially and laterally before bony resections. Increasing BMI was associated with lateral flexion gap tightening (-0.59 mm per 10 kg/m2 increase, p = 0.018).

Alexander D Orsi, Vasili Karas and 5 others

PurposeTo evaluate the radiologic and clinical outcomes of a novel scapular anatomical plate designed for fixation of glenoid articular and periarticular fractures.MethodsThis prospective case series included 14 patients with scapular fractures treated between 2020 and 2024.

Doo-Hyung Lee, Myung-Sub Lee and 4 others

The proposed graded stress-exposure framework complements established return-to-sport criteria by translating mechanical, neuromuscular, and neurocognitive stress domains into phase-specific progression decisions, allowing clinicians to identify the domain limiting rehabilitation advancement and guide selective progression or regression of rehabilitation demands before unrestricted sport…

Horacio Rivarola, Cristian Collazo and 5 others

There was no significant difference in the total fentanyl consumption between the two groups: 237.5 (150-450) μg in the P group and 250 (125-400) μg in the Q group; p = 0.617.

Kaimedinlung Newmai, Ravinder Kumar Pandey and 8 others

Cell proliferation on the β-TCP/collagen scaffold was significantly increased from day 3, whereas apoptosis remained low in all groups, with apoptotic cells accounting for less than 5%.

Jichen Liu, Shaowei Xu and 4 others

Recognition of upper-limb bone stress injuries requires a high index of suspicion. Individualized, multidisciplinary care is essential to prevent progression, guide safe return to sport, and reduce recurrence.

Milos Bojovic, Elisabet Hagert

Heather Rhodes-Lyons, David L. McClure and 3 others

Shota Den, Ueda Kota

Rohan Phadke, Samer Salman and 4 others

Using the tenodesis effect yields a dynamic, stable assessment that reflects postoperative biomechanics better than the piston test, improving restoration of natural thumb motion and reducing risks of polyethylene wear, cup migration, and early failure.

Nicolas Dreant

Age, race, and insurance type were independently associated with surgical treatment. These findings suggest that socioeconomic factors may influence access to definitive surgical care.

Lilly F. Stadelmeier, Laura Hilbig-Vlatten and 9 others

Five patients returned for in-person follow-up and had a mean 148° arc of motion, 80% strength compared with the contralateral hand, and were satisfied. These injuries typically present in teenagers with a transscaphoid pattern and are associated with high-energy mechanisms.

Adi Wollstein, Angela A. Wang and 4 others

Methods: A retrospective review of 13 consecutive patients, including 4 adolescents, with CMC1 instability treated with suture-button stabilisation by 2 fellowship-trained hand surgeons between 2018 and 2024 was performed. Mean VAS decreased by 4.43 points ( P < .001), and mean Kapandji improved by 1.57 points ( P = .042).

David Gao, Jai Sungaran and 3 others

Occurrence (Risk, %) for laminectomy at C5-C7 in 3,934 patients were 11 (0.3), 25 (0.6), 41 (1), 53 (1.3), and 55 (1.4) versus 13 (0.3), 22 (0.6), 27 (0.7), 29 (0.7) and 30 (0.8) for laminoplasty in 3,948 patients with significance for the difference on 180 and 365 days.

Teleale Fikru Gebeyehu, Yashvi Shah and 8 others

After matching, 60 pairs were analyzed, and no significant differences in mechanical complications were observed between the groups. In patients aged 80 years or older, lower upper instrumented vertebra Hounsfield unit value and lower postoperative sacral slope were independently associated with PJFx.

Kai Inoue, Atsuyuki Kawabata and 14 others

This review highlights the diagnostic challenges of IgG4-SHP and emphasizes the importance of histopathological confirmation. This systematic review provides a comprehensive summary to date of clinical features, treatment approaches, and outcomes.

Yingjing Du, Shuosi Liu and 5 others

The most pronounced changes were significant ventricular enlargement (Lateral Ventricle volume) and subcortical atrophy in the thalamus and cerebellum (p<0.001, large effect sizes). DS is associated with selective cortical and subcortical morphometric alterations primarily affecting the cerebellar-thalamo-cortical network.

Ahmet Payas, Hikmet Kocaman and 4 others

Eight retrospective cohort studies analysing 311,402 ACDF patients were included, of whom 8,182 were GLP-1RA users matched to non-users. Perioperative GLP-1RA use was associated with lower odds of pseudarthrosis.

Dave Osinachukwu Duru, David Kwan Ryung Lee and 4 others

Risk-stratified logistic regression models showed that MEWT estimates for curve deterioration ranged from 9.3 to 21.6 h/day, depending on target risk (20% to 5%) and Risser sign.

Shan Liu, Babak Hassan Beygi and 7 others

There were 831 measures from 196 children (79 females) between 2010 and 2017 aged between 9 and 18 years of age. The development of the sagittal shape of the spine is dependent on height velocity, and the effects of this differ between the sexes.

Adrian Gardner, Fiona Berryman, Paul Pynsent

Peri-vertebral venous injury may serve as a hidden source of thromboembolism in high-energy cervical spine trauma. Absence of IJV flow void on MRI should prompt focused vascular assessment.

Sai Keerthan Vanamala, Rishi Mugesh Kanna and 2 others

The absolute Constant Score decreased slightly between the two- and five-year follow-up; however, this difference was not statistically significant (p = 0.264). Stemless reverse shoulder arthroplasty demonstrated favorable clinical outcomes and stable radiographic metaphyseal fixation at a minimum follow-up of five years.

Stephanie Geyer, Cedric Oettle and 2 others

The molecular characteristics and differential diagnostics of the disease is well known, however, due to the rarity of the disease, the wide array of treatment methods and short-term follow-up intervals, there is still no consensus over the most efficient treatment plan.

Maysam Moghaddam Amin, Ákos Sükösd and 4 others

Avulsion fractures of the tibial spine, also known as the tibial eminence, are predominantly described in the pediatric population and uncommon in adults. In the presence of a tibial spine fracture associated with a fracture of the proximal meta-epiphyseal tibia, management of the spine fragment remains controversial.

Karl-Heinz Frosch, Robinson Esteves Pires and 5 others

At 5° and 15° of dorsiflexion, only the shear wave velocities of the tibial nerve were significantly positively related to passive joint stiffness (p = 0.024 and 0.008, β = 0.385 and 0.489, respectively).

Hiyu Mukai, Jun Umehara and 5 others