Learn Orthopedic Surgery, From the Source

Lumbar Spine Fractures

The thoracolumbar junction (T11–L2) is the most frequently injured region of the spine. It is a transition zone between the rigid, rib-supported thoracic spine and the mobile lumbar spine, where flexion and axial loads concentrate. Fractures of the lower lumbar spine (L3–L5) are less common and behave differently: the segment is lordotic, the canal is wide and contains the cauda equina, and preserving motion segments is a priority.

Burst Farcture

Burst fractures result from axial loading, often combined with flexion. The anterior and middle columns fail, and the posterior wall is retropulsed into the canal.

Compression Fractures

Compression fractures are failures of the anterior vertebral body under axial or flexion load, with an intact posterior wall and posterior tension band (AO Spine type A1).

Radiotherapy For Extremity Sarcomas

Metastatic Bone Disease

Metastatic bone disease (MBD) is the most common malignant condition of the skeleton, often originating from breast, prostate, lung, kidney, or thyroid cancers. Treatment targets fracture prevention, functional maintenance and pain relief.

Limb Lengthening

The effects of postoperative malrotation alignment on outcomes of Gartland type III/ IV paediatric supracondylar humeral fractures treated by close reduction and percutaneous K‑wire fixation

Journal of Orthopaedic Surgery and Research

Can achilles tendon ruptures be treated via PRP?

This study aimed to determine whether platelet-rich plasma (PRP) injections promote healing and improve functional outcomes in nonsurgically treated acute Achilles tendon ruptures (ATRs).The research was designed as a randomized, double-blinded, and placebo-controlled prospective trial that included 40 male patients with an acute ATR.Patients received either four PRP or four placebo (saline) injections 14 days apart, in addition to standard orthosis treatment and a progressive exercise program.Over a 12-month follow-up period, the researchers evaluated the self-reported Achilles tendon Total Rupture Score (ATRS) alongside functional metrics such as heel-rise work, tendon elongation, calf circumference, and ankle dorsiflexion.The findings revealed that while both groups experienced significant improvement over time, there was no statistical difference between the PRP and placebo groups regarding ATRS or any functional outcomes at any point.Ultimately, the study concluded that the application of multiple PRP injections did not provide any superior clinical or functional benefits for patients with nonsurgically treated acute ATRs.

Optimal Tightrope Positioning for Adequate Syndesmotic Stabilization in Simulated Syndesmotic Injuries

Foot Ankle Orthop. 2025 Jun 19;10(2):24730114251342243. doi: 10.1177/24730114251342243. eCollection 2025 Apr. Optimal Tightrope Positioning for Adequate Syndesmotic Stabilization in Simulated Syndesmotic Injuries Mark A Goss et al.