External Fixator Pin Placement in the Lower Extremity Without Fluoroscopy.

Introduction: External fixation is a critical method for temporizing musculoskeletal injuries. Limited guidance exists on how to achieve appropriate external fixator pin depth without image guidance. We sought to validate a standardized technique for placing external fixation pins in the lower extremity without fluoroscopy.

Negative pressure wound therapy in resource-limited environments: Review and field guide.

Negative pressure wound therapy (NPWT) has emerged as a valuable tool in the management of traumatic soft tissue injuries. Negative pressure wound therapy alters the local wound environment through a variety of mechanisms at both the macroscopic and microscopic level to reduce edema, stimulate angiogenesis, decrease bacterial burden, and promote healing. In battlefield or disaster response settings, NPWT offers additional advantages including reductions in dressing changes and the skilled personnel required to complete them, as well as less exposure to the surrounding environment and associated infection risk.

Comparison of the RFN-advanced femoral nailing system versus locked lateral plating in the management of distal femur fractures: A matched-cohort analysis.

Introduction: Distal femur fractures are commonly managed with retrograde femoral nailing or locked lateral plating (LLP). As implant design has evolved, more distal and complex patterns are being treated with intramedullary implants. The aim of the present study was to compare early outcomes in distal femur fractures managed with the novel DePuy Synthes RFN-Advanced (RFNA) Retrograde Femoral Nailing System to a similar cohort treated with locked lateral plating.

Femur Fractures Distal to Long and Short Cephalomedullary Nails: A Comparative Multicenter Study.

Introduction: Cephalomedullary nails (CMNs) are commonly used to treat intertrochanteric hip fractures. Subsequent fractures distal to an existing CMN are a challenging complication with patterns and management that vary based on nail length. Whether short or long CMNs allow for less complicated surgical revision or better postoperative outcomes is unknown.

The cranial unstable transverse acetabulum fracture: an important variant.

Purpose: Achieving anatomic reduction in combined injuries of the pelvic ring and acetabulum is critical to optimizing outcome. One of the most common combined patterns is a transverse-type acetabular fracture with associated ipsilateral sacroiliac joint instability. The optimal order of fixation (pelvis-first versus acetabulum-first) in these patients remains unclear.

Intraoperative Radiographic Rotational Profile of the Tibia: Technique and Clinical Series.

Recreating tibial torsion in patients with complex tibial fractures is an important intraoperative consideration, particularly for fractures with comminution or segmental bone loss. Failure to accurately restore tibial alignment may lead to malrotation, poor functional outcomes, and reoperation to correct rotational deformity. No consensus currently exists regarding the optimal technique for intraoperative measurement of tibial torsion in patients undergoing tibial fracture fixation.

Marijuana Use and Complication Risk After Tibia Shaft Fracture Fixation.

Objectives: The aim of this study was to investigate the relationship between preoperative marijuana use and complications after tibia shaft fracture fixation.

Design: Retrospective cohort study.

Setting: Two academic Level I trauma centers.

Recovery after neurologic injury in operative acetabular and pelvic fractures: Defining the natural history of foot drop.

Introduction: Dorsiflexion weakness, or footdrop, is a well-described sequela of high-energy acetabular and pelvic trauma, but little data exists describing the factors related to neurologic recovery and the timeline therein. An improved understanding of these factors would facilitate prognostication, patient education, and treatment decision-making. The aim of this study was to compare neurologic recovery between acetabular and pelvic fractures, delineate factors associated with recovery, and determine the expected timeline of recovery.

Research Fellowships for Unmatched Orthopaedic Applicants: What Can They Expect?

Introduction: Unmatched orthopaedic surgery applicants often pursue research fellowships to strengthen their residency applications. The aims of this study were to (1) report the trend of the number of orthopaedic research fellowships offered online between 2019 and 2024, (2) describe the characteristics of research fellowships available to unmatched applicants, and (3) assess the quality of support received by unmatched applicants who complete research fellowships.

Methods: An online orthopaedic forum was retrospectively reviewed to identify job postings for medical student research fellowships in the 2019 to 2020 and 2024 to 2025 academic years.

Readability of Trauma-related Patient Education Materials From the American Academy of Orthopaedic Surgeons and Orthopaedic Trauma Association Websites.

Introduction: Web-based resources serve as a fundamental educational platform for orthopaedic trauma patients; however, they are frequently written above the recommended sixth-grade reading level, and previous studies have demonstrated this for the American Academy of Orthopaedic Surgeons (AAOS) web-based articles. In this study, we perform an updated assessment of the readability of AAOS trauma-related educational articles as compared with injury-matched education materials developed by the Orthopaedic Trauma Association (OTA).

Methods: All 46 AAOS trauma-related web-based ( https://www.

Use of custom glenoid components for reverse total shoulder arthroplasty.

Background: Our purpose was to evaluate a custom reverse total shoulder arthroplasty glenoid baseplate for severe glenoid deficiency, emphasizing the challenges with this approach, including short-term clinical and radiographic outcomes and complications.

Methods: This was a single-institution, retrospective series of 29 patients between January 2017 and December 2022 for whom a custom glenoid component was created for extensive glenoid bone loss. Patients were evaluated preoperatively and at intervals for up to 5 years.

Assessing the Impact of COVID-19 on the 2021 Orthopaedic Surgery Match Outcomes.

Unlabelled: The purpose of this study was to assess the influence of the COVID-19 pandemic on the 2021 orthopaedic surgery residency match outcomes. Because in-person away rotations and interviews were canceled during the 2020 to 2021 application cycle, we hypothesized that applicants would match at their home program at a higher rate in 2021 than in previous years.

Methods: We queried allopathic orthopaedic surgery residency websites and social media accounts for names of residents and medical school information for cohorts matching from 2017 through 2021.

4D Biofabrication Using Shape-Morphing Hydrogels.

Despite the tremendous potential of bioprinting techniques toward the fabrication of highly complex biological structures and the flourishing progress in 3D bioprinting, the most critical challenge of the current approaches is the printing of hollow tubular structures. In this work, an advanced 4D biofabrication approach, based on printing of shape-morphing biopolymer hydrogels, is developed for the fabrication of hollow self-folding tubes with unprecedented control over their diameters and architectures at high resolution. The versatility of the approach is demonstrated by employing two different biopolymers (alginate and hyaluronic acid) and mouse bone marrow stromal cells.