Learn Orthopedic Surgery, From the Source

Tumor Board Decision Making   

Effective management requires: Radiological assessment Histopathological diagnosis Systemic therapy planning Functional reconstruction strategy Multidisciplinary tumor boards are central to: Accurate diagnosis Proper staging Individualized treatment decisions In bone and soft tissue sarcomas, key decisions such as: Biopsy planning Surgical margins Neoadjuvant therapy Reconstruction methods are determined through tumor board discussions.

Complications and Salvage Strategies

Includes; Incorrect biopsy Contaminated surgical fields Inadequate reconstruction Mechanical complications Despite advances in limb-salvage techniques, failure remains a major challenge, often leading to repeated surgeries, functional loss, and even amputation. Tumor failure must be evaluated as a multidisciplinary problem — not just a mechanical one.

Brachial Plexus Injuries and Current Surgical Approaches

Tibial Plafond (Pilon) Fractures

Tibial Plateau Fractures

·       Associated soft-tissue injuries (meniscus and ligamentous injuries) are frequent and influence management and outcomes. ·       Diagnosis is made with initial radiographs; CT is used for fracture characterization and surgical planning, and MRI is useful for evaluating associated meniscal/ligament injuries when indicated. ·       Treatment is selected based on fracture displacement, stability, alignment, and soft-tissue status; ORIF is preferred when soft tissues permit, while staged fixation (external fixation followed by ORIF) or circular fixation (Ilizarov) may be used when soft tissues are compromised.

Fixation Methods

The selection of an appropriate bone fixation method is a critical step in lower-limb deformity correction that must be preceded by a thorough geometric analysis of the skeletal abnormality. Surgeons typically choose between internal fixation, such as plates or intramedullary nails, and external fixation systems, with the choice primarily dictated by whether the correction is to be performed acutely or gradually. Adherence to established planning principles and the correct application of the chosen hardware are essential to ensure successful collinear realignment and prevent the occurrence of secondary deformities.

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.

Alignment Techniques in Total Knee Arthroplasty

Journal of Joint Surgery and Research (2023), Vol 1: 108–116, Yukihide Minoda

Quality of Life and Outcomes After Treatment Failure for Recurrent PJI of TKA

J Arthroplasty. 2026 May;41(5):1495-1501. doi: 10.1016/j.arth.2025.08.017. Epub 2025 Aug 19. Quality of Life and Outcomes After Treatment Failure for Recurrent Periprosthetic Joint Infection of Total Knee Arthroplasty: A Multicenter Retrospective Comparison of Transfemoral Amputation, Arthrodesis, and Permanent Spacer Romain Huguet et al.