OE JOURNAL
OE Journal
Vol. 14 | Iss. 20 | October 2026 - 39 Studies
Questions This Issue Explores
In adults undergoing revision total hip or knee arthroplasty, did perioperative TXA administration, compared with no TXA administration, reduce postoperative blood loss, Hb decline, and transfusion requirements without increasing thromboembolic complications, and did efficacy or safety differ according to administration route or dosage?
In adults with acute, closed humeral shaft fractures, did immediate Sarmiento functional bracing, compared with initial coaptation splinting followed by delayed functional bracing, reduce pain intensity, skin complications, opioid consumption, and improve physical function and patient satisfaction during the first 10 days following injury?
In patients with AS undergoing surgical stabilization of TL fractures, did MIS using percutaneous pedicle screw fixation, compared with conventional open fixation, improve bony healing, operative time, intraoperative blood loss, hospital length of stay, postoperative complications, and revision surgery rates?
In patients undergoing primary ACLR for isolated ACL rupture, does adding LET, compared with isolated ACLR, improve knee stability, reduce graft failure, and enhance functional outcomes and return-to-sport rates during postoperative follow-up?
In patients with clinically important anxiety symptoms undergoing primary THA, did perioperative low-dose oral olanzapine (2.5 mg), compared with alprazolam (0.4 mg) or placebo, reduce anxiety severity and improve postoperative pain, sleep quality, opioid consumption, and hip function over 24 weeks?
ORIGINAL ANALYSIS
‘A Bridge to the Future’: SICOT 2026
September 29th - October 1 Kyoto, Japan A robot can position an implant more precisely. An instrument can be tailored to a patient’s anatomy. But when does a more sophisticated operation become a better outcome? That question ran through SICOT’s 46th Orthopedic World Congress. The bridge to the future is taking shape. Its strength will depend on what patients gain when they cross it.
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Anterior Cruciate Ligament Reconstruction With or Without Lateral Extra-articular Tenodesis
10 randomized controlled trials (RCTs) involving 1221 patients undergoing primary anterior cruciate ligament reconstruction (ACLR) were included in this systematic review and meta-analysis comparing ACLR combined with lateral extra-articular tenodesis (LET) versus isolated ACLR. Pooled outcomes included graft failure, rotational and anterior knee stability, International Knee Documentation Committee (IKDC) scores, Lysholm scores, Knee injury and Osteoarthritis Outcome Score (KOOS), Tegner activity scores, and return-to-sport rates. Adding LET significantly reduced graft failure and improved rotational stability, as demonstrated by better pivot-shift outcomes. Additionally, modest improvements were observed in IKDC subjective and Lysholm scores, although no significant differences were identified in anterior knee laxity, KOOS, Tegner scores, or return-to-sport rates. These findings suggested that LET augmentation may improve graft survival and rotational stability, particularly in patients at increased risk of graft failure.
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