Ortho&Trauma with Dr. Polotrauma

Researchers assessed patients who were available for long-term evaluation at a median 37 years follow-up after permanent epiphysiodesis. The results demonstrated that 65% of patients achieved a good clinical outcome with adequate leg length equalization. Furthermore, the intervention did not cause significant long-term adverse events, with mild osteoarthritis observed in only two patients decades later.

Long-term outcome (28–40 years) after correction of leg length discrepancy through permanent epiphysiodesis
Laufer A, et al. · Journal of Orthopaedics and Traumatology, 2025
https://doi.org/10.1186/s10195-025-00895-2

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Surgical management requires tailored approaches depending on bone quality and joint preservation. Open reduction and internal fixation achieves a reported success rate of 90% in treated patients, making it the preferred method when stable fixation and bone grafting are possible. Total elbow arthroplasty serves as a reliable salvage procedure for complex or unreconstructible fractures, showing a success rate of 74% in these patients. Following this arthroplasty, approximately 67% of patients achieve a good functional outcome. Meticulous preoperative planning is essential to optimize stability and minimize postoperative adverse events.

Extraarticular distal humeral nonunion: systematic review of literature
Vicenti G, et al. · Journal of Orthopaedics and Traumatology, 2025
https://doi.org/10.1186/s10195-025-00861-y

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Severe pelvic trauma is heavily associated with polytrauma and massive blood loss. Fortunately, approximately 85% of the hemorrhage associated with these injuries is venous and can be controlled with maneuvers that reduce and stabilize pelvic volume. Furthermore, 21.2% of unstable ring fractures occur concurrently with chest trauma. The presence of gross hematuria should also raise clinical suspicion, as bladder injuries occur in 29% of patients presenting with this sign. Prompt recognition of these patterns is essential to prevent severe adverse events and improve survival.

Traumatic Injuries of the Pelvis
Brown JV, Yuan S · Emergency Medicine Clinics of North America, 2020
https://doi.org/10.1016/j.emc.2019.09.011

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This orthopaedic publication serves as an international platform, with 70% of published articles originating outside Italy. To assist prospective authors, the editorial board released practical guidelines on manuscript preparation. They advise keeping the introduction concise, limited to up to 500 words, to clearly outline the literature gap and study purpose. For clear and reproducible method reporting, authors should aim for the length of approximately 1000 words without including findings. Adhering to these standards ensures better clarity and improves acceptance probability.

Writing for JOOT: raising standards in clinical research and evidence synthesis
Migliorini F, et al. · Journal of Orthopaedics and Traumatology, 2025
https://doi.org/10.1186/s10195-025-00868-5

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Camera-based movement analysis offers dynamic functional evaluations without the radiation exposure of traditional imaging. While computed tomography remains standard, the determination of femoral antetorsion by CT shows interobserver variability of mean 15.6°. In contrast, optical systems can detect any marker on rigid segments with accuracy of fewer than less than 1 mm. However, clinicians must account for soft tissue artefacts, which can introduce absolute measurement errors of range between 3 and 40 mm and lead to incorrect joint centre calculations. Combining kinematic data with clinical findings helps tailor surgical strategies for complex musculoskeletal conditions.

Movement Analysis in Orthopedics and Trauma Surgery - Measurement Systems and Clinical Applications
Oppelt K, et al. · Zeitschrift für Orthopädie und Unfallchirurgie, 2019
https://doi.org/10.1055/a-0873-1557

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Fracture-related infections are severe adverse events with incidence rates of approximately 1–2% in closed fractures and up to 30% in open fractures. Accurate diagnosis requires clear clinical criteria and rigorous tissue sampling before starting empirical antibiotics. When the implant remains stable, thorough debridement and antimicrobial therapy can achieve bony union for 71% of patients.

Fracture-related infections
Hussain SA, et al. · British Journal of Hospital Medicine, 2023
https://doi.org/10.12968/hmed.2022.0545

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Secondary prevention of fragility fractures requires active intervention. Research indicates that range 5% to 30% of osteoporotic patients who sustain hip fractures receive appropriate medical treatment for their underlying bone disease. Preoperative optimization also reveals critical nutritional deficits. Hypovitaminosis D is present in 97% of orthopedic trauma patients who are not already taking supplements. Surgeons should initiate bone health screening, ensure adequate vitamin D supplementation, and coordinate with medical teams to prevent subsequent fractures and reduce the risk of postoperative adverse events.

Orthopedic Surgery and the Geriatric Patient
Greenstein AS, Gorczyca JT · Clinics in Geriatric Medicine, 2019
https://doi.org/10.1016/j.cger.2018.08.007

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Research evaluating preoperative weight changes found that 19.2% of patients were in the group with significant preoperative BMI gain after booking. The average length of stay was longest in this group at mean 50.3 h. Furthermore, this group showed the lowest discharge-to-home rate at 88.7%, highlighting a greater need for rehabilitation facilities. However, these fluctuations did not increase the risk of short-term adverse events or revisions, allowing surgeons to focus on discharge planning rather than cancelling procedures.

Does weight gain from time of indication to date of surgery affect outcomes in total knee arthroplasty?
Sarfraz A, et al. · Arthroplasty, 2026
https://doi.org/10.1186/s42836-026-00379-6

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Shoulder injuries are common, accounting for range 8% to 13% of athletic injuries. When evaluating dislocations, structural damage is almost universal, with a Bankart lesion occurring in 97% of first-time glenohumeral dislocations. Furthermore, recurrence is a major concern, as range 50% to 64% of young patients face a risk of recurrent dislocation.

The Emergent Evaluation and Treatment of Shoulder, Clavicle, and Humerus Injuries
Stelter J, et al. · Emergency Medicine Clinics of North America, 2020
https://doi.org/10.1016/j.emc.2019.09.006

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A survey of international shoulder specialists explored the limits for anatomical shoulder replacements. The median limit reported by a participant for still performing an anatomical arthroplasty was a glenoid retroversion of median 20° and a posterior humeral head subluxation of median 70%. For patient age, a participant reported a median limit of median 70 years for still performing anatomical shoulder arthroplasty. Although consensus was limited for borderline cases, preference shifted toward reverse arthroplasty in older patients with severe retroversion. Patient anatomy and age remain critical in preoperative planning.

What influences the surgeon’s decision between anatomical and reverse total shoulder arthroplasty in primary osteoarthritis? A case-vignette study
Boulidam D, et al. · Journal of Orthopaedics and Traumatology, 2025
https://doi.org/10.1186/s10195-025-00854-x

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