The August 2026 Trauma Roundup 360 looks at: Hemiarthroplasty versus total hip arthroplasty for femoral neck fracture in the elderly: an analysis from the American Joint Replacement Registry; How should we reduce distal radius fractures?; Extra-articular fractures of the distal tibia nails with or without fibula fixation?; Deltoid ligament augmentation replacing syndesmotic fixation for the treatment of ankle fractures; Preoperative tranexamic acid fails to reduce transfusion after hip fracture surgery; Long unlocked nails shorten operating time and reduce peri-implant fractures; Early thromboprophylaxis halves venous thromboembolism risk after lower limb fractures.