Today's shoulder and elbow edition examines six key studies addressing common clinical scenarios. We review a randomized controlled trial comparing PRP versus corticosteroids for partial rotator cuff tears, analyze whether high-grade chondral defects affect repair outcomes, compare conservative versus operative management strategies, identify risk factors for retears, examine geriatric fracture complications, and evaluate treatment approaches for pediatric shoulder instability.

1. "The efficacy of platelet-rich plasma compared to corticosteroids for partial-thickness rotator cuff tears: a randomized controlled trial." — Guity MR et al., JSES Int — https://doi.org/10.1016/j.jseint.2025.101409
2. "Grade III and IV glenohumeral chondral defects do not portend worse patient-reported outcomes at 2 years after rotator cuff repair." — Sherman NC et al., JSES Int — https://doi.org/10.1016/j.jseint.2025.09.006
3. "Conservative Management Versus Arthroscopic Repair for Symptomatic Partial-Thickness Supraspinatus Tears: A Prospective Comparative Analytical Study." — Khanna P et al., Cureus — https://doi.org/10.7759/cureus.102351
4. "Risk factors for postoperative retears in patients with small to medium tears following arthroscopic rotator cuff repair." — Nishida K et al., JSES Int — https://doi.org/10.1016/j.jseint.2025.101610
5. "Geriatric-Typical Characteristic Complexes Predict Short-Term Outcome of Proximal Humeral Fractures in Geriatric Patients." — Happe JP et al., Clin Interv Aging — https://doi.org/10.2147/CIA.S562164
6. "Conservative Versus Operative Management of Pediatric Isolated Anterior Shoulder Instability: A Systematic Review and Meta-Analysis." — Khoshaba R et al., Cureus — https://doi.org/10.7759/cureus.101704

Today's knee edition covers six important studies addressing perioperative protocols and complications. We examine whether systemic corticosteroids improve early TKA recovery, analyze concerning complication patterns with gabapentinoid use, review the underrecognized problem of noise-induced hearing loss in orthopaedic surgery, investigate differential graft failure rates with vancomycin-soaked ACL grafts, evaluate the cost-effectiveness of liposomal bupivacaine for regional anesthesia, and explore predictive models for early postoperative pain in enhanced recovery protocols.

1. "Systemic Low Dose Corticosteroid Improves Early Postoperative Knee Function and Pain Intensity in Patients Undergoing Unilateral Total Knee Arthroplasty: A Blinded Controlled Randomized Clinical Trial" — Ebrahimzadeh MH et al., JB JS Open Access — https://doi.org/10.2106/JBJS.OA.25.00331
2. "Perioperative gabapentinoid use during total knee arthroplasty is associated with higher rates of postoperative complications compared to no use" — Hilo AK et al., Orthop Rev (Pavia) — https://doi.org/10.52965/001c.158288
3. "Noise Levels and Noise-Induced Hearing Loss in the Orthopaedic Operating Room: A Systematic Review" — Powell CJ et al., JB JS Open Access — https://doi.org/10.2106/JBJS.OA.25.00276
4. "Vancomycin-Soaked Quadriceps Tendon Autografts but Not Hamstring Tendon Autografts Are Associated with Early Graft Failure (Graft Resorption) After Primary Anterior Cruciate Ligament Reconstruction: A Single-Center Experience" — Weninger P et al., Indian J Orthop — https://doi.org/10.1007/s43465-025-01632-x
5. "Liposomal Bupivacaine for Adductor Canal Block Combined with IPACK Block in Total Knee Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Trial" — Yuan Q et al., Drug Des Devel Ther — https://doi.org/10.2147/DDDT.S566411
6. "Early Postoperative Pain and Its Risk Factors in Patients Undergoing Total Knee Arthroplasty Under the ERAS Protocol" — Wu L et al., J Pain Res — https://doi.org/10.2147/JPR.S549841

Today's hip edition covers six critical topics in geriatric hip surgery and perioperative optimization. We examine long-term functional outcomes comparing hemiarthroplasty to total hip arthroplasty in octogenarians, explore promising interventions to prevent postoperative delirium, analyze the survival impact of sustained nutritional supplementation, evaluate optimal tranexamic acid strategies for blood conservation, investigate novel biomarkers for mortality prediction, and assess the clinical implications of preoperative anemia. All studies provide practical insights for improving outcomes in this vulnerable patient population.

1. "HOPE Trial: Hemiarthroplasty Compared with Total Hip Arthroplasty for Displaced Femoral Neck Fractures in Octogenarians: A 4- and 10-Year Follow-Up of a Randomized Controlled Trial" — Mili-Schmidt V et al., JB JS Open Access — https://doi.org/10.2106/JBJS.OA.25.00302
2. "Effect of preoperative warming combined with dexmedetomidine on postoperative delirium in elderly patients undergoing hip fracture surgery: a randomized controlled trial" — Sun L et al., Front Med (Lausanne) — https://doi.org/10.3389/fmed.2026.1763529
3. "3-month oral nutritional supplementation adherence impacts positively on survival in malnourished older patients following hip fracture: a real-life study" — Sánchez-Torralvo FJ et al., Front Nutr — https://doi.org/10.3389/fnut.2026.1757193
4. "Comparative efficacy of intravenous, topical, and combined tranexamic acid in elderly patients with intertrochanteric fractures undergoing intramedullary nail fixation: a multicenter cohort study" — Bai Q et al., Front Pharmacol — https://doi.org/10.3389/fphar.2026.1775124
5. "Red Blood Cell Distribution Width-to-Albumin Ratio (RAR) Is an Independent Predictor of Mortality in Non-Anemic Elderly with Hip Fractures" — Ning T et al., Int J Gen Med — https://doi.org/10.2147/IJGM.S580782
6. "Prevalence, Related Factors and Outcomes of Pre-Operative Anemia in Patients Undergoing Hip Arthroplasty: A Retrospective Observational Study from Vietnam" — Vu PTN et al., Int J Gen Med — https://doi.org/10.2147/IJGM.S567929