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Reply to the Letter to the Editor: Modic Changes Are Associated With Increased Pain Intensity, Greater Disability, And Reduced Quality Of Life In Low Back Pain: A Cross-Sectional Study. 给编辑的回复:一项横断面研究表明,腰痛患者的改变与疼痛强度增加、残疾加重和生活质量下降有关。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-11-04 DOI: 10.1097/CORR.0000000000003748
Daishui Yang, Bernhard U Hoehl, Lukas Schönnagel, Lukas Mödl, Tianwei Zhang, Sihai Liu, Sandra Reitmaier, Lena Fleig, Matthias Pumberger, Hendrik Schmidt
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引用次数: 0
Editor's Spotlight/Take 5: What Would Be the Effect of Lowering the Threshold of Statistical Significance From 0.05 to 0.005 in Foot and Ankle Randomized Controlled Trials? 编者聚焦/题5:足踝随机对照试验中统计学显著性阈值从0.05降至0.005会有什么影响?
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-12-01 DOI: 10.1097/CORR.0000000000003779
Seth S Leopold
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引用次数: 0
Letter to the Editor: The Forward Movement: Amplifying Black Voices on Race and Orthopaedics-Reclaiming True Merit. 给编辑的信:前进运动:放大黑人对种族和整形外科的声音——重获真正的价值。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-08-14 DOI: 10.1097/CORR.0000000000003659
Ethan Lichtblau
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引用次数: 0
Art in Science: L'Époque Orthopédique. 科学中的艺术:L'Époque orthopaidique。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-11-18 DOI: 10.1097/CORR.0000000000003758
Stuart A Green
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引用次数: 0
CORR Insights®: Factors That Increase the Risk of Prosthetic Joint Infection Within 90 Days After THA and TKA: A Nationwide Population-based Study. CORR Insights®:全髋关节置换术和全髋关节置换术后90天内增加假体关节感染风险的因素:一项基于全国人群的研究。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-07-24 DOI: 10.1097/CORR.0000000000003632
Miguel A Ayerza
{"title":"CORR Insights®: Factors That Increase the Risk of Prosthetic Joint Infection Within 90 Days After THA and TKA: A Nationwide Population-based Study.","authors":"Miguel A Ayerza","doi":"10.1097/CORR.0000000000003632","DOIUrl":"10.1097/CORR.0000000000003632","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"117-118"},"PeriodicalIF":4.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CORR Insights®: All-inside ACL Reconstruction Offers No Advantage in Clinical Outcomes, Graft Healing, or Tunnel Widening Compared With the Complete Tibial Tunnel Technique: A Prospective Randomized Trial. CORR Insights®:一项前瞻性随机试验:与完全胫骨隧道技术相比,全内ACL重建在临床结果、移植物愈合或隧道拓宽方面没有优势。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-09-18 DOI: 10.1097/CORR.0000000000003698
Robert A Teitge
{"title":"CORR Insights®: All-inside ACL Reconstruction Offers No Advantage in Clinical Outcomes, Graft Healing, or Tunnel Widening Compared With the Complete Tibial Tunnel Technique: A Prospective Randomized Trial.","authors":"Robert A Teitge","doi":"10.1097/CORR.0000000000003698","DOIUrl":"10.1097/CORR.0000000000003698","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"162-164"},"PeriodicalIF":4.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CORR Insights®: Statistical Groupings of Mental Health and Osteoarthritis Severity Correlate With 10-year Trajectories of Levels of Capability and Comfort Among People With Hip Pain: A Nationwide Prospective Cohort Study (CHECK). CORR Insights®:心理健康和骨关节炎严重程度的统计分组与髋关节疼痛患者的能力和舒适水平的10年轨迹相关:一项全国前瞻性队列研究(CHECK)。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-09-03 DOI: 10.1097/CORR.0000000000003674
David S Jevsevar
{"title":"CORR Insights®: Statistical Groupings of Mental Health and Osteoarthritis Severity Correlate With 10-year Trajectories of Levels of Capability and Comfort Among People With Hip Pain: A Nationwide Prospective Cohort Study (CHECK).","authors":"David S Jevsevar","doi":"10.1097/CORR.0000000000003674","DOIUrl":"10.1097/CORR.0000000000003674","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"66-68"},"PeriodicalIF":4.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Residency Diary: Trauma. 住院医师日记:创伤。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-10-17 DOI: 10.1097/CORR.0000000000003735
Lisa G M Friedman
{"title":"Residency Diary: Trauma.","authors":"Lisa G M Friedman","doi":"10.1097/CORR.0000000000003735","DOIUrl":"10.1097/CORR.0000000000003735","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"25-26"},"PeriodicalIF":4.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does the JK Classification Have Good Reliability for Making Treatment Choices and Prognosticating Outcomes in Radial Polydactyly? JK分类对桡骨多指畸形的治疗选择和预后有良好的可靠性吗?
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-08-08 DOI: 10.1097/CORR.0000000000003650
Won Sun Lee, Ahmed Ali A Hashroof, Young Ho Shin, Jae Kwang Kim
<p><strong>Background: </strong>The Wassel-Flatt classification has been widely used to categorize radial polydactyly, but it has limitations in describing variations such as the hypoplastic and triphalangeal types. To address these limitations, the modified Wassel-Flatt classification was introduced. However, this classification also has drawbacks in categorizing of Type VII and fails to include angular-type hypertrophied epiphysis of the distal phalanx. Therefore, the JK classification, a revised version of the modified Wassel-Flatt classification, was recently proposed. However, its reliability and usefulness in prognosticating for postoperative outcomes, when compared with other classifications, have not been thoroughly investigated.</p><p><strong>Questions/purposes: </strong>(1) What are the interobserver and intraobserver reliability values for the JK classification, and how do these compare with the Wassel-Flatt and the modified Wassel-Flatt classifications? (2) Which classification types were associated with higher risk of reoperation? (3) Does the JK classification offer prognostically useful information, as measured by Japanese Society for Surgery of the Hand (JSSH) scores?</p><p><strong>Methods: </strong>Between October 2017 and March 2020, a total of 129 patients with radial polydactyly underwent surgery by a single surgeon in our institution, and these patients were considered eligible candidates for this study. Of those, we excluded patients older than 5 years of age at the time of surgery (one patient), those with < 24 months of postoperative follow-up (16 patients), and those with incomplete medical records (two patients). Ultimately, 85% (110) of patients were included in our evaluation of interobserver and intraobserver reliability as well as in our assessment of reoperation risk and JSSH scores. The mean ± SD age at surgery was 8.8 ± 4.8 months, and the mean follow-up period was 30 ± 4.2 months. Fifty-eight percent (64 of 110) were boys and 42% (46) were girls. Patients were categorized using the Wassel-Flatt, modified Wassel-Flatt, and JK classification systems. Interobserver and intraobserver reliability were assessed using Cohen and Fleiss kappa coefficients. Reoperation risk was compared across the different classifications. Postoperative clinical outcomes were evaluated using the JSSH scoring system with patient categorization based on the JK classification.</p><p><strong>Results: </strong>The JK classification demonstrated almost perfect interobserver (κ = 0.86 [95% confidence interval (CI) 0.81 to 0.89]) and intraobserver (κ = 0.94 [95% CI 0.88 to 0.99]) reliability. The modified Wassel-Flatt classification also exhibited almost perfect interobserver (κ = 0.82 [95% CI 0.78 to 0.86]) and intraobserver (κ = 0.92 [95% CI 0.85 to 0.98]) reliability. The Wassel-Flatt classification showed substantial interobserver reliability (κ = 0.68 [95% CI 0.62 to 0.74]) and almost perfect intraobserver reliability (κ = 0.85 [95% CI 0.77
背景:Wassel-Flatt分类已被广泛用于桡骨多指畸形的分类,但它在描述发育不良型和三指型等变异时有局限性。为了解决这些局限性,引入了改进的Wassel-Flatt分类。然而,该分类在对VII型进行分类时也存在缺陷,未能包括远端指骨角型肥大骨骺。因此,JK分类,一个修订版本的修改Wassel-Flatt分类,最近被提出。然而,与其他分类相比,其在预测术后预后方面的可靠性和有用性尚未得到彻底的研究。问题/目的:(1)JK分类的观察者间和观察者内信度值是什么,这些值与Wassel-Flatt和修改的Wassel-Flatt分类相比如何?(2)哪些分类与再手术风险较高相关?(3)用日本手外科学会(JSSH)评分来衡量,JK分类是否提供了有用的预后信息?方法:2017年10月至2020年3月,我院共有129例桡骨多指畸形患者接受了同一位外科医生的手术治疗,这些患者被认为是本研究的合格候选人。其中,我们排除了手术时年龄大于5岁的患者(1例)、术后随访时间< 24个月的患者(16例)和医疗记录不完整的患者(2例)。最终,85%(110)的患者被纳入我们的观察者间和观察者内可靠性评估,以及我们的再手术风险评估和JSSH评分。手术时平均±SD年龄8.8±4.8个月,平均随访时间30±4.2个月。其中男生占58%(110人中64人),女生占42%(46人)。采用Wassel-Flatt、改良Wassel-Flatt和JK分类系统对患者进行分类。使用Cohen和Fleiss kappa系数评估观察者间和观察者内的信度。比较不同分类的再手术风险。使用JSSH评分系统评估术后临床结果,并根据JK分类对患者进行分类。结果:JK分类表现出几乎完美的观察者间(κ = 0.86[95%置信区间(CI) 0.81至0.89])和观察者内(κ = 0.94 [95% CI 0.88至0.99])信度。改进的Wassel-Flatt分类也表现出几乎完美的观察者间(κ = 0.82 [95% CI 0.78至0.86])和观察者内(κ = 0.92 [95% CI 0.85至0.98])信度。Wassel-Flatt分类显示出可观的观察者间信度(κ = 0.68 [95% CI 0.62至0.74])和几乎完美的观察者内信度(κ = 0.85 [95% CI 0.77至0.92])。JK分类的观察者间信度高于Wassel-Flatt分类(p < 0.001)。然而,JK和改进的Wassel-Flatt分类的观察者间信度没有差异(p = 0.73)。JK分类与改进的Wassel-Flatt分类(p = 0.99)或Wassel-Flatt分类(p = 0.23)之间的观察者内信度均无差异。在这三种类型中,只有JK显示出特定类型(VIIB型)与再手术风险之间的关联(4 / 6;p < 0.001),而其他类型的再手术风险较低。在按JK分类的非发育不良类型中,事后分析显示,VIIA型(中位数[IQR] 16[13.5 ~ 18.5])的JSSH评分低于II型(19[19 ~ 20])和IV型(19 [18 ~ 20],p < 0.01);这些评分的差异在临床上具有重要意义。根据JK分类分为发育不全型和非发育不全型时,发育不全型的JSSH评分中位数(IQR)为20[20 ~ 20],高于非发育不全型的19[18 ~ 20],中位数差异为1,p < 0.001)。结论:JK分型对桡骨多指畸形的分型具有近乎完美的观察者间和观察者内可靠性。在评估的三种分类系统中,只有JK分类确定了VIIB型与更高的再手术风险之间的关联。此外,根据JK分类,非发育不良型患者的JSSH评分低于发育不良型患者。在非发育不良类型中,VIIA型的JSSH评分低于II型和IV型。这些发现可能有助于外科医生进行术前计划和患者咨询。证据等级:II级,预后研究。
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引用次数: 0
Letter to the Editor: Modic Changes Are Associated With Increased Pain Intensity, Greater Disability, and Reduced Quality Of Life In Low Back Pain: A Cross-Sectional Study. 致编辑的信:一项横断面研究表明,腰痛患者的改变与疼痛强度增加、残疾加重和生活质量下降有关。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2026-01-01 Epub Date: 2025-08-27 DOI: 10.1097/CORR.0000000000003673
Li Liu, Dazhi Li
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