Open research questions in Orthopedic Surgery and Rehabilitation
297 gap statements mined from Orthopedic Surgery and Rehabilitation papers in our 7.9M-paper local library, which holds 1,997 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Selection bias and unmeasured confounding may have influenced the observed associations. Causal interpretation of comparative treatment benefit is limited due to the non-randomized design. The study did not systematically confirm TFCC or DRUJ ligament tears using MRI or arthroscopy.
Mini-Anchor Fixation vs Conservative Treatment for Hauck Type II Ulnar Styloid Fractures Associated With Distal Radius Fractures: A Retrospective Cohort Study · 2026 · DOIThe unique radiographic appearances and fracture patterns in pediatric patients can make diagnosis challenging. The lack of standardization in study design and characteristics can introduce methodological heterogeneity. The potential for publication bias can affect the validity of the results.
Diagnostic accuracy of deep learning models for detecting wrist and distal forearm fractures in pediatric patients: A systematic review and meta-analysis · 2026 · DOIThe lack of a comprehensive evaluation of the diagnostic accuracy of deep learning models for detecting wrist and distal forearm fractures in pediatric patients. The need for a systematic review and meta-analysis to synthesize existing evidence.
Diagnostic accuracy of deep learning models for detecting wrist and distal forearm fractures in pediatric patients: A systematic review and meta-analysis · 2026 · DOIThe study faced challenges in terms of patient selection, with a need to exclude patients with open fractures, multiple coinciding fractures, and poor cognitive function. The paper also had to address the issue of duplicates in the patient data. The study's findings may be limited by the retrospective design and the potential for confounding factors.
A retrospective cohort study of distal radius fracture manipulation under different traction methods and different analgesic modalities and its impact on surgical rates · 2026 · DOIThe study highlights the need for careful consideration of the entry point location to minimize the risk of neurological complications.
Radial entry for ESIN fixation of pediatric radial fractures: a 10-year cohort study with focus on neurological complications · 2026 · DOIPatients face challenges in managing their pin site care, including the need for support and guidance. The development of standardized pin site care guidelines is a challenge due to the limited and inconsistent evidence base.
The lack of standardized pin site care guidelines leads to variability in practices and outcomes. The current evidence base for pin site care is limited and inconsistent. There is a need for further research to inform the development of effective pin site care regimens.
The widespread adoption of wrist arthroscopy has been accompanied by the recognition of associated complications. There is a need to evaluate complications in wrist arthroscopy over a decade. The study aims to fill this gap by examining the types of complications and their management.
Evaluating complications in wrist arthroscopy: a decade of experience and lessons learned · 2026 · DOIThe relationship between patient expectations and subjective long-term outcomes in scaphoid fracture surgery is not well understood. The predictive value of baseline expectations on functional recovery is unknown.
Patient expectations and outcomes of successful scaphoid surgery: a prospective cohort analysis using the trauma expectation and trauma outcome measure (TEFTOM) · 2026 · DOIImportance Although individuals with thumb carpometacarpal (CMC1) osteoarthritis (OA) commonly experience participation restrictions, participation-focused outcome measures remain underinvestigated, and clinicians primarily rely on assessments of impairments in body structures and functions.
Validity and Reliability of the Activity Card Sort 3 in Persons With Thumb Carpometacarpal Osteoarthritis · 2026 · DOIHowever, little is known about how patients and their families cope with the functional limitations and economic consequences that follow, and how these injuries affect patients' mental and emotional health.
How Does Traumatic Hand Injury Impact Patients in a Safety-net Healthcare System? A Mixed Methods Study · 2026 · DOIThe DT-PRWE demonstrated excellent psychometric properties in simulated data; however, its psychometric properties have not yet been evaluated in a real-world clinical setting.
What Is the Interversion Reliability and Agreement Between the Decision Tree Patient-rated Wrist Evaluation and the Full-length Version? · 2026 · DOIAlso, future research may investigate whether implementing shortened PROMs, such as the DT-PRWE, improves compliance with PROMs.
What Is the Interversion Reliability and Agreement Between the Decision Tree Patient-rated Wrist Evaluation and the Full-length Version? · 2026 · DOISurgeon case volume has been linked with outcomes across many orthopaedic procedures, but its influence on distal radius fracture fixation remains uncertain.
Is Higher Surgeon Volume Associated With Lower Complication and Revision Risk After Distal Radius Fracture Surgery? A Population-based Cohort Study of 13,389 Patients · 2026 · DOIConsequently, the influence of intrinsic healing elements on early postoperative function remains unclear.
Disruption of Intrinsic Healing Elements Does Not Alter Early Functional or Mechanical Outcomes After Zone II Flexor Tendon Repair in a Large-animal Model · 2026 · DOIThere is limited information about modifier 22 use in open reduction and internal fixation (ORIF) of distal radius fracture.
Utilization of Billing Codes for Complexity in Open Reduction and Internal Fixation of Distal Radius Fractures · 2026 · DOICorticosteroid injections are a common first-line treatment, though treatment outcomes of ultrasound relative to landmark-guided techniques remain unclear.
Ultrasound-Guided Versus Landmark-Guided Corticosteroid Injections for De Quervain’s Tenosynovitis: A Retrospective Comparative Study · 2026 · DOIHowever, little is known about how DQST affects occupations of first-time mothers.
‘I couldn't change his nappy’: New mothers' experiences of De Quervain's tendinosis and its impact on occupational performance · 2025 · DOIIn summary, while current in vivo evidence suggests that MSCs may enhance the surgical repair of flexor tendons, there is insufficient evidence at present to recommend this treatment for use in humans.
1230 Mesenchymal Stromal Cells for the Enhancement of Flexor Tendon Repair in Animal Models · 2024 · DOIHowever, evidence is unclear on whether patient satisfaction differs when comparing WALANT with anaesthesia with tourniquets (local, regional, or general).
1105 Patient Satisfaction Using Wide Awake Local Anaesthesia No Tourniquet (WALANT) in Adults Undergoing Hand Surgery: A Systematic Review and Meta-Analysis · 2024 · DOIThere is a need to compare the cost-effectiveness of different treatment strategies for DRF.
Comparative cost-effectiveness analysis of different treatment strategies for distal radius fracture · 2026 · DOIThe comparative efficacy and safety of haematoma block and procedural sedation for manipulating distal radius fractures are uncertain. There is a lack of high-quality evidence comparing haematoma block with procedural sedation.
Haematoma block versus sedation for manipulating distal radius fractures in the emergency department · 2026 · DOIFirst, in our study, the impact of hand trauma was not limited to the injury itself or to short-term lost wages.
Editor’s Spotlight/Take 5: How Does Traumatic Hand Injury Impact Patients in a Safety-net Healthcare System? A Mixed Methods Study · 2026 · DOIComparison of the radial approach to other approaches, - Evaluation of the long-term effects of SBRN injury, - Investigation of the optimal entry point location, - Study of the effects of patient age on neurological complications, - Research on the development of new techniques to minimize SBRN…
Radial entry for ESIN fixation of pediatric radial fractures: a 10-year cohort study with focus on neurological complications · 2026 · DOIParticipants felt that until they developed DQST, they received insufficient information about it from health professionals during pregnancy and the first-year post-birth.
‘I couldn't change his nappy’: New mothers' experiences of De Quervain's tendinosis and its impact on occupational performance · 2025 · DOI
Most-cited papers in Orthopedic Surgery and Rehabilitation
- Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study · The Lancet · 2015 · 1,661 citations
- Stability assessment of distal radius fractures · Injury · 1989 · 344 citations
- Biomechanical Evaluation of 4 Techniques of Distal Biceps Brachii Tendon Repair · The American Journal of Sports Medicine · 2006 · 287 citations
- Distal Biceps Tendon Ruptures · The American Journal of Sports Medicine · 2015 · 235 citations
- Tenotomy versus Tenodesis in the Management of Pathologic Lesions of the Tendon of the Long Head of the Biceps Brachii · The American Journal of Sports Medicine · 2008 · 233 citations
- Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register · BMC Musculoskeletal Disorders · 2020 · 229 citations
- Radiographic scoring method for the assessment of the severity of nutritional rickets · Journal of Tropical Pediatrics · 2000 · 217 citations
- Refracture of Proximal Fifth Metatarsal (Jones) Fracture After Intramedullary Screw Fixation in Athletes · The American Journal of Sports Medicine · 2000 · 188 citations
- Anthropometric data for describing the kinematics of the human hand · Ergonomics · 1992 · 183 citations
- Athletic Injuries of the Wrist and Hand · The American Journal of Sports Medicine · 2004 · 181 citations
Most recent work
- Radiological outcome of early surgical fixation versus cast immobilization for adults with a scaphoid waist fracture: five-year follow-up of the Scaphoid Waist Internal Fixation for Fractures Trial · The Bone & Joint Journal · 2026
- The IFSSH consensus and current guidelines on flexor tendon repairs and reconstruction · Journal of Hand Surgery (European Volume) · 2026
- Non-surgical casting versus surgical reduction for children with severely displaced distal radial fractures (the CRAFFT Study): a multicentre, randomised, controlled non-inferiority trial and economic evaluation · The Lancet · 2026
- Short-to-medium-term outcomes of MAÏA® dual mobility CMC joint arthroplasty · Journal of Hand Surgery (European Volume) · 2026
- Complex articular fractures of the distal radius in patients over 65 years old: A comparison of functional outcomes after locked anterior plate osteosynthesis versus orthopedic treatment, with an average follow-up of 40 months · Orthopaedics & Traumatology: Surgery & Research · 2026
- Tele-rehabilitation program in patients with distal radius fracture: a controlled clinical trial · Cirugía y Cirujanos (English Edition) · 2026
- Biomechanical comparison of radiopalmar double plating with conventional palmar plating in comminuted distal radius fractures · Archives of Orthopaedic and Trauma Surgery · 2026
- Clinical effectiveness of early surgical fixation versus cast immobilization for adults with a scaphoid waist fracture: five-year follow-up of the Scaphoid Waist Internal Fixation for Fractures Trial · The Bone & Joint Journal · 2026
- Trapeziometacarpal joint arthroplasty: avoiding imbalance and optimizing outcomes · Journal of Hand Surgery (European Volume) · 2026
- Risk factors of flexor tendon tenosynovitis after distal radius fractures treated with volar locking plates: A case-control study · Orthopaedics & Traumatology: Surgery & Research · 2026
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