Journal of Orthopaedic Surgery and Research

Abstract Background Tibial shaft fractures caused by low-energy gunshot injuries represent a rare but challenging clinical problem. The optimal treatment approach, particularly in comparison with Gustilo-Anderson Type I open fractures, remains controversial. Methods This was a retrospective comparative study that included patients who underwent intramedullary nailing for tibial shaft fractures. G…

Abstract Background Arthroscopy of the elbow joint is usually performed with a 30° view. Stability tests, structural assessments and pathologies are described with this scope. Due to the anatomy of the distal humerus and the arthroscopic accessibility, the assessment of the capitellum, particularly with regard to cartilage damage, is limited in terms of dimension and depth. Arthroscopy with flexi…

Abstract Background Hereditary multiple exostoses (HME) is an autosomal dominant skeletal disorder frequently associated with progressive forearm deformities, including ulnar shortening, radial bowing, and radial head dislocation. Ulnar lengthening using distraction osteogenesis has become the principal surgical strategy; however, outcomes, techniques, and complication profiles vary across studie…

Abstract Background Parallel to the advancement of endoscopic techniques, unilateral biportal endoscopic lumbar interbody fusion (UBE-LIF) has become a popular surgical method in the treatment of degenerative lumbar instability. This study aimed to compare the clinical and radiological outcomes of UBE-LIF and conventional open TLIF techniques. Methods Patients with single-level degenerative lumba…

Abstract Background An animal model of non-transport disc distraction osteogenesis (NTDDO) was developed for repairing segmental mandibular defects in dogs. This study aimed to determine whether any difference exists in osteogenesis within the distraction zone between non-transport disc distraction osteogenesis (NTDDO) and conventional distraction osteogenesis (CDO), in order to provide a referen…

Abstract Background Excessive joint line obliquity (JLO) is associated with poor outcomes in open wedge high tibial osteotomy (OWHTO). The Coronal Plane Alignment of the Knee (CPAK) classification categorizes knee phenotypes by alignment and JLO but overlooks the joint line convergence angle (JLCA), which impacts JLO pre- and postoperatively in OWHTO. This study aims to modify JLO calculation by …

Abstract Background Distal femoral fractures (DFF) present significant challenges in orthopedic surgery because of their complex biomechanical environment and limited bone stock for fixation. Dual plating (DP), involving the application of both lateral and medial plates, has emerged as a promising alternative to enhance construct stability. We hypothesize that distal femoral DP improves union rat…

Abstract Background The objective of this study was to evaluate and compare the safety, efficacy, and cost-effectiveness of different mobility aids during the early rehabilitation phase following surgical repair of acute Achilles tendon rupture (AATR). Methods This prospective cohort study included 198 patients who underwent surgical repair for AATR between April 2023 and February 2025, with 171 …

Glenohumeral internal rotation deficit (GIRD) is a well-recognized component of shoulder dysfunction and has been extensively described in overhead athletes within the framework of scapular dyskinesis. However, whether a similar or distinct pattern of GIRD exists after mid-shaft clavicle fractures remains insufficiently understood. This study aimed to evaluate the prevalence and features of GIRD …