5-Minute Summary: Mitigating the Post-operative Swelling Tsunami in Total Knee Arthroplasty: A Call to Action

5-Minute Summary: Mitigating the Post-operative Swelling Tsunami in Total Knee Arthroplasty: A Call to Action

Total knee arthroplasty (TKA) is a treatment option for individuals with symptomatic osteoarthritis who have failed conservative therapy. In this manuscript the authors describe the pathophysiology of post-operative edema and explore the patient dependent factors potentially contributing to lymphatic dysfunction and thus directly influencing the TKA postoperative course. A proposed multimodal perioperative protocol is presented that focuses on identifying limb edema/lymphedema preoperatively, intraoperative technique changes that may decrease swelling post-TKA.

5-Minute Summary: Image-guided injections versus anatomical-based injections for carpometacarpal (CMC) arthritis: A Systematic Review

Thumb carpometacarpal (tCMC) arthritis is a common and debilitating condition for aging people worldwide. Conservative treatments including activity modification, bracing, anti-inflammatory medications, and steroid injections remain the initial treatment of choice. Given the size of the tCMC joint, intra-articular image-guided injections (IGI) may provide more consistent and superior outcomes with comparison to peri-articular anatomic landmark injections (ALI). This study systematically reviews the accuracy and efficacy of intra-articular IGA versus ALI.

5-Minute Summary: Surgical and Conservative Management of Adductor Tendinopathy Yield Comparable Outcomes and Complications: A Systematic Review

The purpose of this review was to evaluate treatment modalities for adductor tendinopathy and determine the superiority of conservative or surgical approaches with a specific focus on return-to-sport (RTS) rates.

5-Minute Summary: Integrating Patient-Reported Functional Outcome Measures in Determining Eligibility for Outpatient Total Hip Arthroplasty

Since the removal of total hip arthroplasty (THA) from the Medicare Inpatient‑Only (IPO) list in 2020, there has been a growing trend towards outpatient procedures. Recent studies have demonstrated equivalent complications and patient-reported outcome measures (PROMs) among inpatient and outpatient THA patients, but existing selection tools primarily emphasize medical comorbidities. This study assessed the value of incorporating preoperative PROMs into clinical-decision making tools to adequately identify patients most suitable for outpatient THA.

5-Minute Summary: Custom PEKK Triflange Implant for Reconstruction of a Post-infectious Acetabular Defect: A Case Report

Complex acetabular defects with associated infection as well as multiple revision procedures remain a significant reconstructive challenge due to compromised bone stock, altered anatomy, and increased risk of recurrent infection. Custom triflange implants have been used to restore pelvic stability in severe bone loss; however, conventional metallic constructs may present limitations in previously infected environments, including challenges with imaging assessment and biomechanical load transfer. Patient-specific implants manufactured from Poly Ether Ketone Ketone (PEKK), a high-performance polymer with mechanical properties closer to cortical bone, may offer an alternative reconstructive strategy.