{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T02:44:26Z","timestamp":1775616266844,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n Traumatic long bone fractures require precise reduction and stable fixation to achieve optimal outcomes during open reduction and internal fixation (ORIF). Conventional bone\u2010holding instruments are often associated with prolonged operative time, increased blood loss, reliance on surgical assistance, and higher complication rates. This study aimed to evaluate the clinical effectiveness of a newly designed orthopedic repositioning device in reducing operative time, intraoperative blood loss, postoperative pain, and complications compared with conventional ORIF techniques.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This randomized controlled clinical trial was conducted between 2023 and 2024. Adult patients aged 18\u201365\u2009years with diaphyseal fractures of the femur, humerus, or tibia who underwent ORIF were enrolled. Patients were randomized into two groups: an intervention group using the novel repositioning device and a control group undergoing conventional ORIF. All surgeries were performed by a single orthopedic surgeon. The device consists of dual bone holders with a lengthening\/shortening mechanism that allows controlled traction, angular correction, and plate insertion without device removal. Primary outcome measures included duration of surgery, intraoperative blood loss, postoperative pain assessed by the visual analog scale (VAS), transfusion requirement, and postoperative complications. Statistical analysis was performed using Student's\n t<\/jats:italic>\n \u2010test or Mann\u2013Whitney\n U<\/jats:italic>\n test for continuous variables and chi\u2010square test for categorical variables, with significance set at\n p<\/jats:italic>\n \u2009<\u20090.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 58 patients were included in the final analysis (29 per group), with a mean age of 29.9\u2009years and a predominance of male patients (77.6%). Use of the repositioning device was associated with significantly reduced intraoperative blood loss (\n p<\/jats:italic>\n \u2009<\u20090.05), shorter surgical duration (\n p<\/jats:italic>\n \u2009<\u20090.05), and lower postoperative pain scores (\n p<\/jats:italic>\n \u2009<\u20090.05) compared with the control group. The need for blood transfusion was significantly lower in the intervention group (\n p<\/jats:italic>\n \u2009<\u20090.001). Postoperative complications occurred in 28.6% of patients in the control group but were not observed in the device group (\n p<\/jats:italic>\n \u2009=\u20090.002). No significant difference in hospital length of stay was detected between groups (\n p<\/jats:italic>\n \u2009=\u20090.284). Patients were followed for up to 3 months postoperatively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The novel orthopedic repositioning device improves surgical efficiency and safety in ORIF of long bone fractures by reducing operative time, blood loss, postoperative pain, and complication rates, supporting its clinical value as an effective adjunct for fracture reduction and stabilization.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/os.70248","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:17:18Z","timestamp":1772957838000},"page":"801-814","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Design and Validation of a Novel Orthopedic Device for Enhanced Fracture Stabilization and Reduction Efficiency: A Randomized Controlled Trial With Implications for Surgical Outcomes"],"prefix":"10.1111","volume":"18","author":[{"given":"Ahmad","family":"Hemmatyar","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Science and Research Branch AJA University of Medical Sciences Tehran Iran"},{"name":"Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine Iran University of Medical Science Tehran Iran"},{"name":"Shohadaye Haftom\u2010e\u2010Tir Hospital, Department of Orthopaedic Iran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davood","family":"Feizi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Science and Research Branch AJA University of Medical Sciences Tehran Iran"},{"name":"Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine Iran University of Medical Science Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Mosaed","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Science and Research Branch AJA University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melina","family":"Pourkazemi","sequence":"additional","affiliation":[{"name":"School of Medicine Iran University of Medical Science Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salar","family":"Baghbani","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Besat Hospital, School of Medicine AJA University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khatere","family":"Mokhtari","sequence":"additional","affiliation":[{"name":"Department of Cell and Molecular Biology and Microbiology, Faculty of Biological Science and Technology University of Isfahan Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pejman","family":"Molaei","sequence":"additional","affiliation":[{"name":"Research Center for Molecular Medicine Hamadan University of Medical Sciences Hamadan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Tanzadehpanah","sequence":"additional","affiliation":[{"name":"Antimicrobial Resistance Research Center, Basic Science Research Institute Mashhad University of Medical Sciences Mashhad Iran"},{"name":"Department of Emergency Medicine, Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tohid Emami","family":"Meybodi","sequence":"additional","affiliation":[{"name":"Neuroscience Research Center Iran University of Medical Sciences Tehran Iran"},{"name":"Functional Neurosurgery Research Center, Shohada Tajrish Hospital Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"issue":"2","key":"e_1_2_12_2_1","first-page":"1","article-title":"Damage Control in Orthopaedical and Traumatology","volume":"52","author":"Rondanelli A. M.","year":"2021","journal-title":"Colombia M\u00e9dica"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.02.019"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014076"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-015-0507-y"},{"issue":"4","key":"e_1_2_12_6_1","first-page":"294","article-title":"Biomechanics of External Fixation","volume":"65","author":"Moss D. P.","year":"2007","journal-title":"Bulletin of the NYU Hospital for Joint Diseases"},{"issue":"2","key":"e_1_2_12_7_1","first-page":"S54","article-title":"Open Reduction Internal Fixation for Proximal humerus Fractures Indications, Techniques, and Pitfalls","volume":"71","author":"Shulman B. S.","year":"2013","journal-title":"Bulletin of the NYU Hospital for Joint Diseases"},{"issue":"2","key":"e_1_2_12_8_1","article-title":"Blood Loss Estimation Using Gauze Visual Analogue","volume":"21","author":"Algadiem E. A.","year":"2016","journal-title":"Trauma Monthly"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.11.017"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0154332"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/2974830"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-06363-4"},{"key":"e_1_2_12_13_1","unstructured":"M.DenisiukandA.Afsari \u201cFemoral Shaft Fractures \u201d2020."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04055-5"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2020.03.115"},{"key":"e_1_2_12_16_1","first-page":"2521","article-title":"Minimally Invasive Reduction and Fixation in Orthopedic Trauma","volume":"129","author":"Zhang Y.\u2010Z.","year":"2016","journal-title":"LWW"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000014547"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70248","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.70248","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70248","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T01:52:16Z","timestamp":1775613136000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.70248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,25]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/os.70248"],"URL":"https:\/\/doi.org\/10.1111\/os.70248","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,25]]},"assertion":[{"value":"2025-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}