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Residency Diary: Getting Stuck In. 住院医师日记:陷入困境。
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-10 DOI: 10.1097/CORR.0000000000003794
Lisa G M Friedman
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引用次数: 0
CORR Insights®: Does Isolated Ankle Arthrodesis Affect Medial Column Alignment in Patients With Progressive Collapsing Foot Deformity and End-stage Ankle Osteoarthritis? CORR Insights®:孤立踝关节融合术是否会影响进行性塌陷足畸形和终末期踝关节骨性关节炎患者的内侧柱对齐?
IF 4.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-10 DOI: 10.1097/CORR.0000000000003801
Alexander S Rascoe
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引用次数: 0
Value-based Healthcare: Shared Patients, Shared Risk-A Call for Integrating Primary and Musculoskeletal Care. 基于价值的医疗保健:共享患者,共享风险——对初级和肌肉骨骼护理整合的呼吁。
IF 4.2 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-09 DOI: 10.1097/corr.0000000000003793
Isabella Rubin,Adam Beckman,Kevin J Bozic
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引用次数: 0
Letter to the Editor: Factors That Increase the Risk of Prosthetic Joint Infection Within 90 Days After THA and TKA: A Nationwide Population-based Study. 致编辑的信:THA和TKA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 4.2 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-08 DOI: 10.1097/corr.0000000000003797
Szu-An Jou,Chia-Hao Hsu
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引用次数: 0
CORR Insights®: Is There a Relationship Between Social Health and Musculoskeletal Discomfort and Incapability? A Systematic Review. CORR洞察®:社会健康与肌肉骨骼不适和残疾之间是否存在关系?系统评价。
IF 4.2 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-03 DOI: 10.1097/corr.0000000000003759
Alicia R Jacobson
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引用次数: 0
Beyond the Bone: From Healers to Enablers of Mobility. 超越骨骼:从治疗者到行动的推动者。
IF 4.2 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-02 DOI: 10.1097/corr.0000000000003783
Tae Kyun Kim
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引用次数: 0
CORR Synthesis: What Is the Role of Robotic Technology in THA? CORR综合:机器人技术在THA中的作用是什么?
IF 4.2 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-02 DOI: 10.1097/corr.0000000000003790
Ruby Lawson,Babar Kayani,John A Skinner
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引用次数: 0
Letter to the Editor: A Conversation With … William Berloni, Broadway and Hollywood Animal Trainer, on the Differences Between Training and Education. 给编辑的信:与百老汇和好莱坞动物驯兽师威廉·伯洛尼的对话,关于训练和教育的区别。
IF 4.2 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-02 DOI: 10.1097/corr.0000000000003787
Safak Ekinci
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引用次数: 0
Frame-based Draping Technique for Standard Table Direct Anterior Approach THA: Efficient and Safe? 基于框架的标准台面直接前路THA悬垂技术:高效、安全?
IF 4.2 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-02 DOI: 10.1097/corr.0000000000003789
Martin Aepli,Alberto Carli,Annegret Mündermann,Hannes A Rüdiger,Michael Leunig
BACKGROUNDPerforming a direct anterior approach (DAA) for THA without the use of a traction table requires precise leg manipulation and exposure. We developed a novel frame-based horizontal one-piece drape with an impermeable cover enabling repeated leg hyperextension while maintaining sterility. However, the efficiency and revision risks of this frame-based DAA for THA on a standard table remain unevaluated, which may concern surgeons who are considering the technique.QUESTIONS/PURPOSES(1) Does the frame-based DAA for THA technique require less time for setup and surgery than the traditional stockinette-based technique with its multipiece cover? (2) Is the frame-based DAA for THA technique associated with a higher infection revision rate or overall revision rate compared with other institutions as measured in the national joint registry?METHODSThis retrospective, comparative cohort study described the frame-based DAA for THA technique and evaluated its efficiency and safety. Efficiency was assessed as operative setup time and surgery duration using hospital data from consecutive unilateral DAA THAs performed by a single surgeon between January 2008 and December 2013. The control group included 387 patients (43% [167] male; mean ± SD age 73 ± 10 years; 64% [246] uncemented) using the traditional stockinette-based technique, while the intervention group comprised 385 patients (49% [188] male; age 70 ± 10 years; 89% [342] uncemented) using the frame-based technique. Safety was evaluated as 5-year revision rates and reason for revision from the mandatory Swiss National Joint Registry (SIRIS, covering 98% of all THAs in Switzerland), which also included patients who underwent revision at a different hospital than where the primary THA was performed. We compared 9973 DAA THAs performed at our institution (frame-based technique 46% [4612] male; age 67 ± 11 years; BMI 26 kg/m2 ± 5; 98% [9799] cementless) with 88,443 DAA THAs performed nationwide (any other technique 48% [42,607] male; age 69 ± 11 years; BMI 27 ± 5 kg/m2; 86% [75,649] cementless) between January 2014 and December 2024. The groups were comparable in terms of ASA classification and indication.RESULTSThe frame-based DAA for THA technique had a shorter median (IQR) setup time (37 minutes [30 to 47] versus 47 minutes [39 to 57]; p < 0.001) and a shorter median (IQR) surgery duration (63 minutes [56 to 75] versus 72 minutes [63.0 to 81.5]; p < 0.001) compared with the stockinette-based DAA for THA technique. When compared with the national benchmark for DAA THAs performed using other techniques, the frame-based technique demonstrated a lower 5-year revision rate for periprosthetic joint infection (PJI) (0.43% [16 of 3651] [95% confidence interval (CI) 0.31% to 0.60%] versus 0.94% [292 of 31,070] [95% CI 0.88% to 1.02%]) and a lower overall 5-year revision rate (1.34% [49 of 3651] [95% CI 1.10% to 1.62%] versus 3.52% [1094 of 31,070] [95% CI 3.39% to 3.67%]; p < 0.001 for both comparisons).CONC
背景:在不使用牵引台的情况下,采用直接前路入路(DAA)治疗THA需要精确的腿部操作和暴露。我们开发了一种新颖的基于框架的水平一体式褶皱,具有不透水的覆盖物,可以在保持无菌的同时重复腿部超伸。然而,这种基于框架的全髋关节置换术在标准手术台上的有效性和翻修风险仍未得到评估,这可能会引起考虑采用该技术的外科医生的关注。(1)基于框架的THA技术的DAA是否比传统的多片覆盖的基于袜子的技术需要更少的安装和手术时间?(2)与国家联合登记处测量的其他机构相比,基于框架的THA技术DAA是否与更高的感染修订率或总体修订率相关?方法回顾性、比较队列研究描述了基于框架的THA技术的DAA,并评估了其有效性和安全性。利用2008年1月至2013年12月由一名外科医生连续进行的单侧DAA tha的医院数据,通过手术准备时间和手术持续时间来评估效率。对照组包括387例患者(43%[167]男性,平均±SD年龄73±10岁,64%[246]未骨水泥),采用传统的基于支架的技术,干预组包括385例患者(49%[188]男性,年龄70±10岁,89%[342]未骨水泥)。安全性通过强制性瑞士国家联合登记(SIRIS,覆盖瑞士98%的THA)的5年翻修率和翻修原因进行评估,其中还包括在不同医院接受翻修的患者,而不是在进行原发性THA的医院。我们比较了2014年1月至2024年12月在我院实施的9973例DAA tha(框架技术46%[4612]男性,年龄67±11岁;BMI 26 kg/m2±5;98%[9799]无骨水泥)和全国实施的88,443例DAA tha(任何其他技术48%[42,607]男性,年龄69±11岁;BMI 27±5 kg/m2; 86%[75,649]无骨水泥)。两组在ASA分类和适应症方面具有可比性。结果与基于支架的THA技术DAA相比,基于支架的THA技术DAA的中位(IQR)设置时间(37分钟[30 ~ 47]对47分钟[39 ~ 57],p < 0.001)和中位(IQR)手术时间(63分钟[56 ~ 75]对72分钟[63.0 ~ 81.5],p < 0.001)更短。与全国相比基准DAA伴音音量使用其他技术,执行框架技术表现出较低的5年修订periprosthetic联合感染率(PJI)(0.43% 3651年[16][95%可信区间(CI) 0.31%到0.60%)和0.94%(292 31070)[95%可信区间0.88% - 1.02%]),并降低总体5年修订率(1.34% [3651]49 (95% CI 1.10%到1.62%)和3.52%(1094 31070)(95%可信区间3.39%至3.67%);对比较p < 0.001)。结论基于框架的标准手术台上DAA tha悬垂技术简单、高效、安全。与传统的基于短袜的方法相比,基于框架的一件式悬垂技术缩短了设置时间,消除了将腿下放到超伸状态时的污染风险。与其他THA技术的DAA相比,它与更高的修正率无关,特别是对于PJI。证据等级:III级,治疗性研究。
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引用次数: 0
Editorial: Remember Your Past and Open Some Doors for Those Who Follow. 社论:记住你的过去,为后来者打开一扇门。
IF 4.2 2区 医学 Q1 ORTHOPEDICS Pub Date : 2025-12-02 DOI: 10.1097/corr.0000000000003773
Mark C Gebhardt
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引用次数: 0
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