
Hosted by Ira H. Kirschenbaum, MD · EN

Monostotic fibrous dysplasia (MFD) involving the upper extremity is typically amenable to conservative treatment. However, surgery may be indicated in the presence of fragility fractures. While curettage with bone grafting is often used, graft resorption and local recurrence are common. This article describes 3 consecutive patients with MFD who underwent curettage with autograft cancellous bone chips, using a trapdoor technique with adjuvant dehydrated alcohol and cryoablation.

Artificial intelligence (AI) is increasingly influencing orthopedic practice by improving diagnostic accuracy, surgical planning, and research efficiency. Despite these advances, the adoption of AI-based tools in routine orthopedic workflows remains limited due to the technical expertise and financial resources traditionally required for software development.

The economic burden of cancer is substantial, particularly within orthopaedic oncology, where metastatic bone (MBD) imposes significant cost-efficiency challenges on healthcare systems. As a major component of bone disease in cancer, MBD contributes greatly to overall costs and impacts value-based care efforts. MBD is prevalent in 60-84% of patients with metastatic cancer, leading to increased medical expenses and hospitalization costs due to skeletal-related events (SREs). Direct costs associated with orthopedic tumor surgeries are considerable, encompassing inpatient and outpatient care, medication, and long-term follow-up.

The aims of this study were to determine the incidence of block-related complications after adductor canal blocks (ACB) in total knee arthroplasty (TKA), identify associated risk factors, and investigate if there were any differences in clinical outcomes.

Pyrocarbon hemiarthroplasty heads are an alternate bearing surface compared to metal with favorable wear properties. Pyrocarbon has a high wear resistance, low friction and favorable modulus when compared to cortical bone.

Total Knee Arthroplasty (TKA) is one of the most common orthopedic procedures globally, with wound closure playing a critical role in postoperative recovery and complication prevention. Despite advances, the optimal closure technique remains debated. This narrative review evaluates current wound closure techniques in TKA highlighting their biomechanical and clinical

The posterior cruciate ligament (PCL) is a major stabilizing structure of the flexion space, yet current evidence is inconclusive regarding change in gap laxity associated with its resection. This study aimed to describe the association between PCL resection and knee gap balancing using intra-operative robotic assessment.

The author reflects on what was, is, and will be in orthopaedics based on his fifty years in the field.

Lumbar spine fusion is one of the most common surgical procedures performed in the operative management of adult degenerative spine disorders. The dual incision, mini-open TLIF surgery uses a minimally invasive surgical technique that decompresses neural elements through placement of an anterior interbody disc spacer and posterior stabilization with pedicle screws.

rofit margins for ambulatory surgery centers (ASCs) can vary significantly. Top decile ASCs have EBITDA (earnings before interest, taxes and depreciation allowance) profit margins exceeding 40%, while those in the bottom quartile struggle with EBITDA margins below 15%. Increasing ASC profitability is more important than ever for surgeons as the ASC income can help offset reductions in their earnings due to decreasing or stagnant payment rates combined with rising practice costs.