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Review Article | Open Access

Published on: 08 Nov 2025

Article ID: wjor.2025.k0802

The Role of Human Leukocyte Antigens in Orthopaedics: Clinical Relevance from Autoimmune Joint Disorders to Implant Compatibility
Dr. Bikram Kesari Kar 1 Dr. Punit Gaurav* 2 Dr. Himanshu 2 Dr. Neeraj Khare 2 Dr. Dushyant Chouhan 3

Background: The human leukocyte antigen (HLA) system is central to immune recognition, orchestrating the distinction between self and non-self-antigens. Its significance in orthopaedics has gained increasing attention due to its involvement in autoimmune disorders, tissue transplantation, and implant-related complications.

Methods: This review synthesises evidence from published literature on the structure, function, and polymorphism of HLA genes…

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Systematic Review | Open Access

Published on: 30 Sep 2025

Article ID: wjor.2025.i3001

Type D Personality, Back Pain, and Vagus Nerve Stimulation in Orthopaedic Rehabilitation: A Systematic Narrative Review with Clinical Case
Dr. Christian Riediger* 1 Dr. Mark Ferl 1 Dr. Maria Schönrogge 1 Dr. Agnieszka Halm-Pozniak 1

Background: Type D personality (negative affectivity and social inhibition) is associated with poor outcomes in cardiovascular and orthopaedic populations. Recent studies show significant associations with chronic back pain. Vagus nerve stimulation (VNS), particularly in its non-invasive form of transcutaneous auricular stimulation (taVNS), has emerged as a promising neuromodulatory approach to restore autonomic balance and attenuate inflammatory signaling.

Methods: A systematic…

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Research Article | Open Access

Published on: 27 Sep 2025

Article ID: wjor.2025.i2704

Lumbar Disc Herniation: Etiology and Recovery
Dr. Xinghong Yang* 1

Lumbar Disc Herniation (LDH) is a common and debilitating condition that often persists or recurs despite conventional medical treatments. It imposes substantial physical, psychological, and social burdens on patients. Modern medicine can offer temporary relief through conservative therapy or surgery, but these approaches do not address the deeper karmic causes that underlie LDH, such as killing karma and the attachment of spirits (souls of deceased humans or animals), which can lead to…

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