Stand-alone ALIF shows higher reoperation risk for pseudarthrosis vs combined fixation
Adding screws to spinal fusion may reduce reoperation risk
This systematic review and meta-analysis of 917 patients found that stand-alone ALIF had a numerically higher but not statistically signific…
Spinal fusion with added screws lowered the need for repeat surgery by nearly 7 times, but fusion rates were similar.
Postoperative delirium linked to greater cognitive decline one year after hip fracture repair in older adults
Postoperative delirium linked to worse thinking one year after hip fracture repair
This secondary analysis of a randomized clinical trial examined older adults with hip fracture repair. Participants with postoperative delir…
Older adults with hip fractures who developed postoperative delirium showed greater cognitive decline one year later compared to those witho…
Meta-analysis shows testosterone replacement therapy increases clinical fracture risk in hypogonadal men compared to placebo
Testosterone therapy raises fracture risk in hypogonadal men
A systematic review of 2,711 hypogonadal men found that testosterone replacement therapy significantly increased the risk of clinical fractu…
A large review found that men with low testosterone taking replacement therapy had a higher risk of clinical fractures compared to those on …
Computational modeling may improve TAVR planning but clinical translation remains limited
Computational modelling may help predict TAVR risks before surgery
This systematic review examines computational modeling derived from patient-specific imaging for TAVR planning versus CT-based anatomical as…
A systematic review suggests patient-specific imaging models could predict complications in TAVR procedures, though clinical validation is s…
Polish pediatric surgeons vary widely in managing incidentally found Meckel's diverticula during appendectomy procedures
Surgeons in Poland report mixed views on handling Meckel's diverticulum
A survey of Polish pediatric surgeons reveals significant variation in managing incidentally found Meckel's diverticula. While most excise t…
A survey of Polish surgeons shows no single best way to handle Meckel's diverticulum found during appendectomy, with practices varying widel…
Reverse Shoulder Arthroplasty Improves Forward Flexion Over ORIF in Elderly Fracture Patients
Reverse shoulder replacement beats plate surgery for arm lifting
A systematic review and meta-analysis of over 34,000 patients aged 65 years or older with complex proximal humeral fractures found that reve…
For older adults with complex shoulder fractures, reverse shoulder replacement may offer better arm lifting ability than traditional plate s…
Diabetes mellitus linked to higher SSI risk after hernia repair, other factors not significant
Large study shows diabetes may raise infection risk during hernia repair surgery for patients
This systematic review and meta-analysis of 97,428 patients undergoing abdominal wall hernia repair found that diabetes mellitus was associa…
A huge review of nearly 100,000 patients found that having diabetes might slightly increase the chance of infection after hernia surgery. Ot…
Z-POEM offers minimally invasive treatment for Zenker's diverticulum in elderly patients with high surgical risks
A minimally invasive procedure helped an 85-year-old woman with Zenker's diverticulum
This case report describes a single 85-year-old female treated with Zenker's peroral endoscopic myotomy (Z-POEM) for Zenker's diverticulum. …
An 85-year-old woman with Zenker's diverticulum recovered without complications after a minimally invasive procedure called Z-POEM.
Kinematic alignment improves function and pain over mechanical alignment in robotic TKA
Kinematic alignment beats mechanical in knee replacement
This meta-analysis of 1470 patients undergoing robotic-assisted total knee arthroplasty found that kinematic alignment (KA) was superior to …
A new analysis suggests aligning the knee implant to a patient's natural anatomy may lead to less pain and better function after robotic kne…
Meta-analysis compares arthroscopic versus open reduction for tibial spine fractures in children
Two surgical methods show similar results for kids tibial spine fractures
This systematic review evaluated functional outcomes in pediatric tibial spine fractures treated with arthroscopic versus open reduction. Re…
A large analysis of 2,017 children found that two different surgical techniques for tibial spine fractures produced comparable functional ou…
ORIF linked to higher reoperation risk than acute THA/CHP in older patients with acetabular fractures
Hip replacement may lower reoperation risk for older fracture patients compared to repair
This systematic review and meta-analysis of 949 patients aged 60 years and older found that open reduction internal fixation (ORIF) was asso…
For hip fractures in people over 60, joint replacement surgery led to fewer repeat operations than repair, though arthritis and dislocation …
Early functional treatment increases wound complication risk 14% versus cast immobilization in ankle fracture patients
Early functional treatment for ankle fractures carries higher wound risk than casting
This systematic review and meta-analysis evaluated early functional treatment versus cast immobilization for skeletally mature patients with…
A meta-analysis found early functional treatment after ankle fractures increases the risk of wound complications compared to cast immobiliza…