🦵🏽 PRIMARY TOTAL KNEE ARTHROPLASTY FOR PRIMARY AND SECONDARY OSTEONECROSIS 🏥

Read the full paper here!

#TotalKneeArthroplasty #TKA #KneeReplacement #BJJ #OrthoSky #MedSky

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Abstract text for article titled 'Aspirin prophylaxis is safe and effective for venous thromboembolism prophylaxis in low-risk patients undergoing aseptic revision total knee arthroplasty'. The Bone & Joint Journal.

The risk of thromboembolic events must be weighed against the increased potential for bleeding with more potent anticoagulants.

#Aspirin #TotalKneeArthroplasty #TKA #DVT #OrthoSky #MedSky

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We’re thrilled that The Bone & Joint Journal has signed up to receive IP address updates via theipregistry.org. @bonejointjournal.bsky.social is pleased to offer additional support for subscribers accessing content via IP authentication.
#Library #libraries #publisher #publishers #publishing

Measurement of quadriceps strength using a handheld dynamometer. Patients were seated with the knee at 90° flexion. Quadriceps strength was measured isometrically with a handheld dynamometer (μTas F-1, Anima Corporation, Japan) secured to the distal lower leg using a strap with belt stabilization.

Achieving quadriceps strength within the distribution of older adults without knee OA following TKA is associated with clinically meaningful differences in satisfaction and functional activities.

#Osteoarthritis #Arthroplasty #Knee #Quadriceps #Muscle #OrthoSky #MedSky

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Abstract text for article titled 'Primary total knee arthroplasty for primary and secondary osteonecrosis'. The Bone & Joint Journal.

TKA is a durable and reliable option for primary osteonecrosis at long-term follow-up, although TKAs performed for secondary osteonecrosis carry a higher reoperation risk.

#TKA #TotalKneeArthroplasty #KneeReplacement

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Abstract text for article titled 'The Suspected Cauda Equina Syndrome Score (SuCESS)'. The Bone & Joint Journal.

The authors aimed to develop and validate a simplified clinical risk score, the Suspected Cauda Equina Syndrome Score (SuCCESS), based on interpretable and routinely collected variables.

#CaudaEquinaSyndrome #Spine #MedSky #OrthoSky

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Cover of BJJ Paper of the Month featuring a study on managing displaced supracondylar humerus fractures with lateral versus crossed Kirschner wires. The Bone & Joint Journal.

Last month's most downloaded #BJJ paper sought to evaluate whether loss of reduction in lateral Kirschner (K)-wiring is noninferior to crossed K-wiring in closed reduction and percutaneous pinning of Type III supracondylar humerus fractures.

#Fracture #MedSky #OrthoSky

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Showing cross-sectional arrangement of tendon fibres in the Achilles tendon.

Nonoperative treatments have proven highly effective for managing MAT, often serving as the primary approach, as approximately 75% of patients experience spontaneous resolution of the condition.

#Achilles #Tendinopathy #OrthoSky #MedSky

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Abstract text for article titled 'The association between type of bone cement and revision surgery after primary elective total hip arthroplasty'. The Bone & Joint Journal.

While most contemporary cement types have comparable revision rates, five were associated with a significantly higher rate of revision. Outcome monitoring for bone cement warrants scrutiny just like implant components.

#BoneCement #Orthopedics #OrthoSky #MedSky

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Example showing how the articular surface percentage involvement (ASPI) was calculated for a specific patient.

The aim of this study was to report the long-term patient-reported outcomes of unstable ankle fractures with a posterior malleolus fracture and without.

#PROMs #AnkleFracture #Trauma #OrthoSky #MedSky

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Example of open reduction and internal fixation combined with primary subtalar arthrodesis in a 76-year-old male. Lateral radiographs a) preoperatively, b) immediately postoperatively, and c) six months postoperatively. The patient fulfilled the following of Schepers’ criteria: Böhler angle < 0°, age > 65 years, and with comorbidities.

ORIF combined with subtalar arthrodesis provided good rates of subtalar union and good functional outcomes, with results similar or better than those following ORIF alone or delayed arthrodesis.

#ORIF #Arthrodesis #Fracture #Trauma #OrthoSky #MedSky

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For 25 years, Research4Life has helped expand who gets to participate in global research. Today, 12,000+ institutions access 250,000+ trusted resources. Help us celebrate our 25th Anniversary! https://ow.ly/2NvF50YozYO

#R4L25

Abstract text for 'Foot and ankle surgical research – marching forwards'. The Bone & Joint Journal.

In this month’s busy issue of The Bone & Joint Journal, we have a collection of foot and ankle research studies, with 11 papers spanning the specialty.

#Foot #Ankle #BJJ #Orthopedics #OrthoSky #MedSky

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BJJ Paper of the Month exploring the link between surgery timing and outcomes after hip fracture. The Bone & Joint Journal. Mazarello Paes et al. Bone Joint J. 2026;108-B(1):30-38.

In last month's most downloaded #BJJ paper, the authors report that surgery within 24 to 48 hours after hip fracture in older people is associated with better clinical outcomes and improved patient-reported outcomes.

#Surgery #HipFracture #PROMs #OrthoSky #MedSky

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Abstract text for article titled 'Survival of the Exeter V40 hemiarthroplasty femoral component and associated complications'. The Bone & Joint Journal.

PTS designs are widely used in cemented hip hemiarthroplasty for displaced intracapsular native hip fractures, though concerns persist regarding the association with higher postoperative periprosthetic femoral fracture risk.

#Hemiarthroplasty #Fracture #OrthoSky #MedSky

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Measurement of glenoid bone loss and glenoid bone fragment on preoperative 3D-CT. a) Yellow line: diameter of the best-fitting circle outlining the inferior glenoid contour; b) blue line: width of the glenoid defect; c) white line: width of the bone fragment. GBL% was calculated as (b/a) × 100; GBF% as (c/a) × 100.

Patients without recurrence were generally older, had shorter delay from the initial instability event, fewer preoperative instability events, and larger glenoid bone fragment for incorporation in the repair.

#Bone #BoneLoss #CTScan #Orthopedics

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Abstract text for article titled 'Arthroplasty for hip fracture: the art and evidence of hip arthroplasty'. The Bone & Joint Journal.

While both their surgical and medical management have advanced tremendously in recent decades, several aspects of the use of arthroplasty in patients with a hip fracture remain controversial.

#Arthroplasty #HipFracture #BJJ #OrthoSky #MedSky

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Method of calculating trapezial height between a) preoperative and b) postoperative, as described in the text. The postoperative height of the trapezial space (b) is expressed as a percentage of preoperative height (a).

While challenges remain, particularly in complex cases, the prognosis for patients undergoing revision for failed CMC surgery of the thumb is favourable overall.

#CMCArthroplasty #Thumb #Arthritis #Orthopedics #Ortho

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The figure shows a pretreatment MRI in a) T1 and b) T2 of a 63-year-old female with a pleomorphic sarcoma in the anterior compartment of the thigh who had neoadjuvant radiotherapy. The blue line is the measurement of oedema at the cranial edge of the tumour.

Oedema tail is associated with aggressive infiltrative tumours; 26% of them had tumour cells that would remain if we resected the tumour with a wide R0 margin, even with preoperative radiation.

#Tumour #Oedema #Sarcoma #Oncology #Orthopedics #OrthoSky #MedSky

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Assessment of a posterior (trans-)olecranon fracture-dislocation using different diagnostic tools. a) Radiograph. b) 2D CT. c) 3D CT. d) 3D-printed model.

3D-printed models help diagnose complex elbow fracture patterns. If printing time is reduced and reusable materials are used, the models can be of added value to standard practice.

#Elbow #Fracture #Trauma #Surgeon #OrthoSky #MedSky

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Abstract text for article titled 'Radiological outcome of early surgical fixation versus cast immobilization for adults with a scaphoid waist fracture: five-year follow-up of the Scaphoid Waist Internal Fixation for Fractures Trial'. The Bone & Joint Journal.

SWIFFT was a pragmatic, parallel-group, multicentre, open-label, two-arm, randomized superiority trial. This longer-term evidence confirms consolidation of the proportion of bony bridging, and the increasing #arthritis impact of #injury on joints.

#OrthoSky #MedSky

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Abstract text for article titled 'Patient-reported outcomes may be ‘missing not at random’ in hip and knee arthroplasty'. The Bone & Joint Journal.

Non-responders of routinely collected PROM scores in hip and knee arthroplasty had significantly increased mortality and significantly worse baseline scores despite similar demographics and revision risk.

#PROMs #Arthroplasty #Surgery #MedSky #OrthoSky

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Gait analyzing mat (GAITRite Electronic Walkway; CIR Systems, USA).

Peroneus longus tendon harvest for anterior cruciate ligament reconstruction can cause subtle but measurable alterations in gait biomechanics, particularly affecting single-leg support time.

#Tendon #Ligament #Biomechanics #Surgery #OrthoSky #MedSky

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BJJ LIFE logo. FRCS (T&O) exam on 4th February 2026? To pass, you'll need to be able to answer a question every 72 seconds. Perfect your exam technique with ‘Exam Mode’ on BJJ LIFE.

⏰ FRCS exam on 4th February? | ⌛ You'll need to answer a MCQ every 72 seconds

There's still time to perfect your exam technique! In 'Exam Mode' you can set a custom countdown clock and get your results only after completion for a real test experience.

#FRCS #OrthoSky

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Intraoperative image of an acetabulum with a wave sign two-thirds of the way from the labrum to the fossa. (Beck classification 2, University College London Hospitals classification 1B).

Increasing waiting times are resulting in increased severity of intra-articular damage in patients undergoing hip arthroscopy for femoroacetabular impingement, particularly in male patients.

#HipArthroscopy #FAI #OrthoSky #MedSky

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Anteroposterior radiograph of a 68-year-old female patient showing severe osteoarthritis of the carpometacarpal joint of the thumb with adduction of the first metacarpal and compensatory hyperextension of the metacarpophalangeal joint. Intraoperative anteroposterior radiograph of a TOUCH (KeriMedical, Switzerland) dual mobility carpometacarpal joint arthroplasty of the thumb in a 58-year-old male patient.

The SCOOTT is a multicentre, three-arm, RCT which is currently being undertaken, comparing the clinical outcomes and cost-effectiveness of an enhanced package of non-surgical management, trapeziectomy, and thumb CMCJA.

#RCT #Thumb #Ortho #Surgery #Trial #OrthoSky #MedSky

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What is debridement, antibiotics, and implant retention in #orthopaedic #oncology?
a global cross-sectional survey of surgeons’ practices and opinions boneandjoint.org.uk/Article/10.1... #hvhebron #cot [Text complet] @bonejointjournal.bsky.social

Registration is now live! Running from Tuesday 13th January 2026, the Practice Ready Orthopaedic Foot & Ankle Survey (PROFAS) webinar series is focused on exam-style learning. It is delivered by the T&O Education Partnership and BOFAS. https://tinyurl.com/2y75tpbn
The Bone & Joint Journal

👀What got you talking last month?

Collared fully HA-coated stems may be an effective option for patients with a high postop periprosthetic femoral fracture risk. This design potentially overcomes one of the limitations of cementless stems and offers a safer THA option.

#OrthoSky

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Abstract text for article titled: The MEniscal TeaR Outcome (METRO) study The Bone & Joint Journal.

The METRO cohort study is a prospectively designed multicentre study recruiting from eight centres across the UK.

#Meniscus #Injury #Knee #Surgery #OrthoSky #MedSky

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