OrthoJOE

In this episode, Marc and Mo are joined by special guest Robert Winquist, MD, an icon in the field of orthopaedic trauma, in a wide-ranging discussion on his career, his mentors, and the development of IM nailing.  

Links:  

• Winquist RA, Hansen ST Jr, Clawson DK. Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases. J Bone Joint Surg Am. 1984 Apr;66(4):529-39. PMID: 6707031. https://bit.ly/3U8I9JR 

Subspecialties: 

• Orthopaedic Essentials 
• Trauma 

In this episode, Marc and Mo are joined by special guests David Martin, MD (Executive Director), David Elstein (Manager of Education and Communication), and Fred Azar, MD (Past-President) in a discussion of the history of the ABOS and plans to celebrate the organization’s 90th anniversary.  

Links:  

• American Board of Orthopaedic Surgery website: https://www.abos.org/ 

Subspecialties: 

• Orthopaedic Essentials 
• Education and Training 

In this episode, Marc and Mo discuss the importance of keeping abreast of trustworthy, high-impact  information outside of one’s subspecialty and being cognizant of the entire pyramid of knowledge—from across the field—that has the potential to improve patient care.  

Links:  

• Schmaranzer F, Justo P, Kallini JR, Ferrer MG, Miller P, Bixby SD, Novais EN. Hip Morphology on Post-Reduction MRI Predicts Residual Dysplasia 10 Years After Open or Closed Reduction. J Bone Joint Surg Am. 2024 Jan 17;106(2):110-119. doi: 10.2106/JBJS.23.00333. Epub 2023 Nov 22. PMID: 37992184. 

Subspecialties: 

• Orthopaedic Essentials 
• Pediatrics 

In this episode, Marc and Mo are joined by special guests Dr. Sheila Sprague (Research Director and Associate Professor PT at McMaster University) and Dr. Gerard Slobogean (Director of Clinical Research for the Department of Orthopaedics at the University of Maryland School of Medicine) in a discussion of the landmark PREPARE trial, focusing on skin antisepsis before fracture surgery.  

Links:  

• PREP-IT Investigators. Skin Antisepsis before Surgical Fixation of Extremity Fractures. N Engl J Med. 2024 Feb 1;390(5):409-420. doi: 10.1056/NEJMoa2307679. PMID: 38294973. https://bit.ly/4c13uLZ 

Subspecialties: 

• Infection 
• Trauma 

In this episode, Marc and Mo are joined by special guest Dr. Saroo Sharda (inaugural Associate Dean of Equity and Inclusion for the Faculty of Health Sciences at McMaster University; inaugural Equity, Diversity and Inclusion Lead at the College of Physicians and Surgeons of Ontario; anesthesiologist; and creative writing coach) in a discussion on (1) the intersections between EDI, clinical work, and storytelling and (2) how to measure success in equity work.  

Links:  

• Sharda S, Butler K, Al Mandhari M, Mehta S. Microaggressions in anesthesiology and critical care: individual and institutional approaches to change. Can J Anaesth. 2023 Jun;70(6):1026-1034. English. doi: 10.1007/s12630-023-02459-6. Epub 2023 Jun 2. PMID: 37268799. https://bit.ly/3tO9Tc6 
• McVicar JA, Poon A, Caron NR, Bould MD, Nickerson JW, Ahmad N, Kimmaliardjuk DM, Sheffield C, Champion C, McIsaac DI. Postoperative outcomes for Indigenous Peoples in Canada: a systematic review. CMAJ. 2021 May 17;193(20):E713-E722. doi: 10.1503/cmaj.191682. PMID: 34001549; PMCID: PMC8177941. https://bit.ly/48LUAiZ 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo discuss the value of basic science as a clinical research tool, with a specific focus on a recent JBJS study evaluating in vivo joint loads during swimming in patients with hip and knee prostheses.  

Links:  

• Schemitsch EH, Kowalski MJ, Swiontkowski MF, Senft D. Cortical bone blood flow in reamed and unreamed locked intramedullary nailing: a fractured tibia model in sheep. J Orthop Trauma. 1994 Oct;8(5):373-82. doi: 10.1097/00005131-199410000-00002. PMID: 7996319. 
• Zhou S, Bender A, Kutzner I, Dymke J, Maleitzke T, Perka C, Duda GN, Winkler T, Damm P. Loading of the Hip and Knee During Swimming: An in Vivo Load Study. J Bone Joint Surg Am. 2023 Dec 20;105(24):1962-1971. doi: 10.2106/JBJS.23.00218. Epub 2023 Oct 23. PMID: 38079507. https://bit.ly/3RVsSux 
• Xiong GX, Kang JR, Sharma J, et al. Biomechanically superior treatments do not translate into improved outcomes in randomized controlled trials. European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie. 2022 Jul;32(5):933-938. DOI: 10.1007/s00590-021-03051-8. PMID: 34176011. 

Subspecialties: 

• Basic Science 

In this episode, Marc and Mo are joined by special guests Drs. Hans Kreder, Joseph Schatzker, and Marvin Tile, for a discussion on the history of the AO, the importance of mentorship, and the development of (1) the Schatzker classification system for tibial plateau fractures and (2) the Pennal-Tile classification system for pelvic fractures. 

Subspecialties: 

• Orthopaedic Essentials 
• Trauma 

In this episode, Marc and Mo are joined once again by special guest Bob Schenck, MD (JBJS Deputy Editor for Arts and Humanities) for a discussion on the past, evolution, and future of the JBJS “What’s Important: Arts & Humanities” section, with an emphasis on the value of art in medicine.  

Links: 

• Schenck RB Jr, Swiontkowski M. JBJS Arts & Humanities. J Bone Joint Surg Am. 2022 Jan 5;104(1):1-3. doi: 10.2106/JBJS.21.01103. PMID: 34985448.                                            https://bit.ly/46D6Wsi 
• OrthoJoe Episode 30 (What’s Important: Arts & Humanities, with special guest Bob Schenck), with special guest Bob Schenck, MD. https://bit.ly/3N4be4W 
• Bhandari M. What's Important: A Look in the Mirror: Arts & Humanities. J Bone Joint Surg Am. 2022 Jan 5;104(1):92-93. doi: 10.2106/JBJS.21.01336. PMID: 34985449. https://bit.ly/3GjOEBy 
• Yoo J. What's Important (Arts & Humanities): Roses and Lilies. J Bone Joint Surg Am. 2023 Feb 15;105(4):323-324. doi: 10.2106/JBJS.22.00494. Epub 2022 Jul 19. PMID: 36790393. https://bit.ly/3GlYFy9 
• Stoll EJ Jr. What's Important: The Surgeon Artist: Arts & Humanities. J Bone Joint Surg Am. 2022 Nov 2;104(21):1956-1957. doi: 10.2106/JBJS.22.00100. Epub 2022 May 31. PMID: 35700070. https://bit.ly/49VWgaZ 

Subspecialties: 

• Orthopaedic Essentials  

In this bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Dr. Jeff Husband reflects on his experiences as a Fellow at the Indiana Hand Center. 

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ 
• JBJS OrthoCorps: https://bit.ly/3lTBaG5 
• OrthoCorps submission form: https://bit.ly/3G3es53 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo discuss the most impactful JBJS and OE articles from 2023 and make their predictions for important research themes in 2024. 

Links: 

• OrthoEvidence. Operative vs Nonoperative Treatment for Proximal Humeral Fractures: A Meta-Analysis. ACE Report. 2023;303(5):9. Available from: https://bit.ly/3sQz90I 
• OrthoEvidence. Posterior Cervical Foraminotomy vs Anterior Cervical Discectomy w/ Fusion for Cervical Radiculopathy. ACE Report. 2023;303(3):2. Available from: https://bit.ly/3RcmZZJ 
• OrthoEvidence. Total Ankle Replacement Versus Arthrodesis for End-Stage Ankle Osteoarthritis. ACE Report. 2023;303(2):9. Available from: https://bit.ly/3R76iP7 
• Ueyama H, Kanemoto N, Minoda Y, Taniguchi Y, Nakamura H. Perioperative Essential Amino Acid Supplementation Facilitates Quadriceps Muscle Strength and Volume Recovery After TKA: A Double-Blinded Randomized Controlled Trial. J Bone Joint Surg Am. 2023 Mar 1;105(5):345-353. doi: 10.2106/JBJS.22.00675. Epub 2023 Mar 1. PMID: 36856692. https://bit.ly/3QRQ37f 
• OrthoEvidence. Aspirin vs. Enoxaparin for Preventing Symptomatic Venous Thromboembolism in Hip or Knee Arthroplasty. ACE Report. OrthoEvidence. Ultrasonography vs. Radiography for Suspected Pediatric Distal Forearm Fractures: The BUCKLED Trial. ACE Report. 2023;303(8):1. Available from: https://bit.ly/46miikl 
• Goswami K, Clarkson S, Tipton C, Phillips CD, Dennis DA, Klatt BA, O'Malley M, Smith EL, Gililland J, Pelt CE, Peters CL, Malkani AL, Palumbo BT, Lyons ST, Bernasek TL, Minter J, Goyal N, Purtill W, McDonald JF 3rd, Cross MB, Prieto HA, Lee GC, Hansen EN, Bini SA, Ward DT, Zhao N, Shohat N, Higuera CA, Nam D, Della Valle CJ, Parvizi J; Orthopedic Genomics Workgroup. The Microbiome of Osteoarthritic Hip and Knee Joints: A Prospective Multicenter Investigation. J Bone Joint Surg Am. 2023 May 16. doi: 10.2106/JBJS.22.00594. Epub ahead of print. PMID: 37192280. https://bit.ly/3SMof6W 
• Cortez A, Urva M, Subramanian A, Jackson NJ, Zirkle L, Morshed S, Shearer DW. Delays in Debridement of Open Femoral and Tibial Fractures Increase Risk of Infection. J Bone Joint Surg Am. 2023 Oct 18;105(20):1622-1629. doi: 10.2106/JBJS.23.00074. Epub 2023 Aug 24. PMID: 37616420; PMCID: PMC10592141. https://bit.ly/40OBsOm 

Subspecialties: 

• Foot & Ankle 
• Hip 
• Knee 
• Orthopaedic Essentials 
• Spine 
• Trauma 

In this episode, Marc and Mo discuss the upcoming JBJS article and accompanying editorial focusing on the often unpaid and unsupervised research year for medical students who wish to enter orthopaedics, with a call for faculty members to hold to up their part of the deal when mentoring medical students.  

Links: 

Tidd JL, Piuzzi NS. The Orthopaedic Forum. A Research Year for Medical Students. J Bone Joint Surg. 2024 Jan 3;106(1):78-83. doi: 10.2106/JBJS.23.00340. https://bit.ly/3R0hBZm 

Swiontkowski MF: Editorial. The Orthopaedic Research Year: Faculty Mentors Must Hold up Their Part of the Deal. 2024 Jan 3;106(1):1. doi: 10.2106/JBJS.23.01167. https://bit.ly/47AvDpY 

Subspecialties: 

• Education and Training 
• Orthopaedic Essentials 

In this bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Dr. Rick Matsen shares his memories on the life and legacy of Dr. Charles Rockwood Jr. 

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ 
• JBJS OrthoCorps: https://bit.ly/3lTBaG5 
• OrthoCorps submission form: https://bit.ly/3G3es53 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Milton (Chip) Routt, MD, in a discussion of changes and innovations in pelvic fracture management, with specific focus on the development and benefits of percutaneous fixation.    

Subspecialties: 

• Hip 
• Trauma 

In this episode, Marc and Mo are discuss several studies from the literature focusing on the value of gravity stress tests following ankle fractures.    

Links: 

• Gregersen MG, Robinson HS, Molund M. Concomitant Unstable and Stable Gravity Stress Tests on Weight-Bearing Stable Weber B Ankle Fractures Treated Nonoperatively: A 2-Year Outcome Study. J Bone Joint Surg Am. 2023 Sep 20;105(18):1435-1441. doi: 10.2106/JBJS.23.00195. Epub 2023 Jul 28. PMID: 37498982. https://bit.ly/3ZI3hra 

• McConnell T, Creevy W, Tornetta P 3rd. Stress examination of supination external rotation-type fibular fractures. J Bone Joint Surg Am. 2004 Oct;86(10):2171-8. doi: 10.2106/00004623-200410000-00007. PMID: 15466725. https://bit.ly/3QeSrGh 
• Egol KA, Amirtharajah M, Tejwani NC, Capla EL, Koval KJ. Ankle stress test for predicting the need for surgical fixation of isolated fibular fractures. J Bone Joint Surg Am. 2004 Nov;86(11):2393-8. doi: 10.2106/00004623-200411000-00005. Erratum in: J Bone Joint Surg Am. 2005 Apr;87(4):857. Erratum in: J Bone Joint Surg Am. 2005 Jan;87-A(1):161. Amirtharage, Mohana [corrected to Amirtharajah, Mohana]. PMID: 15523008. https://bit.ly/3ZHROb8 

Subspecialties: 

• Foot & Ankle 
• Trauma 

In this bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Drs. Antonia Chen and Jim Kang share their memories on the life and legacy of Dr. Freddie Fu. 

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ 
• JBJS OrthoCorps: https://bit.ly/3lTBaG5 
• OrthoCorps submission form: https://bit.ly/3G3es53 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Ned Amendola, MD, in a discussion on the state of the science related to the treatment of Achilles tendon rupture, with a specific focus on recent injuries among high-profile professional athletes.    

Links: 

• Ochen Y, Beks RB, van Heijl M, Hietbrink F, Leenen LPH, van der Velde D, Heng M, van der Meijden O, Groenwold RHH, Houwert RM. Operative treatment versus nonoperative treatment of Achilles tendon ruptures: systematic review and meta-analysis. BMJ. 2019 Jan 7;364:k5120. doi: 10.1136/bmj.k5120. PMID: 30617123; PMCID: PMC6322065. https://bit.ly/45eRCBh  

Subspecialties: 

• Foot & Ankle 
• Orthopaedic Essentials 
• Rehabilitation  
• Sports Medicine 
• Trauma 

In this episode, Marc and Mo are joined by special guest Matthew Costa, Professor of Orthopaedic Trauma Surgery at University of Oxford, in a discussion network trials in the UK and their impact on front-line patient care as well as the importance of patient involvement when setting research priorities.    

Links: 

• James Lind Alliance: https://www.jla.nihr.ac.uk/ 

• Fernandez MA, Achten J, Parsons N, Griffin XL, Png ME, Gould J, McGibbon A, Costa ML; WHiTE 5 Investigators. Cemented or Uncemented Hemiarthroplasty for Intracapsular Hip Fracture. N Engl J Med. 2022 Feb 10;386(6):521-530. doi: 10.1056/NEJMoa2108337. PMID: 35139272. https://www.nejm.org/doi/pdf/10.1056/NEJMoa2108337 
• Costa ML, Achten J, Marian IR, Dutton SJ, Lamb SE, Ollivere B, Maredza M, Petrou S, Kearney RS; UKSTAR trial collaborators. Plaster cast versus functional brace for non-surgical treatment of Achilles tendon rupture (UKSTAR): a multicentre randomised controlled trial and economic evaluation. Lancet. 2020 Feb 8;395(10222):441-448. doi: 10.1016/S0140-6736(19)32942-3. PMID: 32035553; PMCID: PMC7016510. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32942-3/fulltext 

Subspecialties: 

• Orthopaedic Essentials 
• Trauma 

In this bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Marc asks Dr. Joel Boyd to share his memories about his colleague and mentor, Dr. Peter Fowler, and the profound influence that this relationship has had on his life and career. 

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ 
• JBJS OrthoCorps: https://bit.ly/3lTBaG5 
• OrthoCorps submission form: https://bit.ly/3G3es53 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Margaret Fok (Queen Mary Hospital, University of Hong Kong, SICOT) in a discussion on mentorship, diversity, embracing change, seizing opportunity, and the impact of patient expectations on outcomes.    

Links: 

• Fang C, Chen YJ, Fang E, Wong TM, Liu ZH, Lau TW, Fok MWM, Yee DK, Pun T, Luo CF, Leung F. Patient expectations predict outcomes following distal radius fracture: a prospective cohort study using the TEFTOM questionnaire. Injury. 2021 Apr;52(4):877-882. doi: 10.1016/j.injury.2020.10.091. Epub 2020 Oct 19. PMID: 33127078. https://bit.ly/47rcms3 

Subspecialties: 

• Hand & Wrist 
• Orthopaedic Essentials 
• Trauma 

In this episode, Marc and Mo discuss ideas of how to make meetings more productive (as captured with the acronym “HELP”: Honesty, Evidence, Learning/Listening, Purpose/Professionalism) and reflect on the recent JBJS article entitled “What’s Important: Surgery and the Aging Orthopaedic Surgeon.”    

Links: 

• Mo’s LinkedIn post on Advisory Boards: https://bit.ly/3YgKwuf 

• Sonnenfeld JA. What Makes Great Boards Great. Harvard Business Review, September 2002. https://bit.ly/3Ovpo09 
• Zuckerman JD. What's Important: Surgery and the Aging Orthopaedic Surgeon. J Bone Joint Surg Am. 2023 Jul 19;105(14):1140-1142. doi: 10.2106/JBJS.23.00054. Epub 2023 Mar 3. PMID: 36867681. https://bit.ly/470AGRn 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Allan Gross, MD, FRCSC, in a wide-ranging discussion of the past, present, and future of arthroplasty, tumor surgery, and fresh allograft transplantation.    

Links: 

Subspecialties: 

• Basic Science 
• Hip 
• Knee 
• Oncology 
• Orthopaedic Essentials 

• Sports Medicine 

In this episode, Marc and Mo are joined by special guest Jaydeep Moro, MD, FRCSC (Assistant Clinical Professor at McMaster University) in a fascinating discussion of the importance of morning rituals and the value of practicing mindfulness and meditation as a means of achieving balance between the physical, mental, emotional, and spiritual parts of one’s life.   

Links: 

• Basso JC, McHale A, Ende V, Oberlin DJ, Suzuki WA. Brief, daily meditation enhances attention, memory, mood, and emotional regulation in non-experienced meditators. Behav Brain Res. 2019 Jan 1;356:208-220. doi: 10.1016/j.bbr.2018.08.023. Epub 2018 Aug 25. PMID: 30153464. https://www.sciencedirect.com/science/article/abs/pii/S016643281830322X?via%3Dihub         

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo discuss 2 recent studies that caught their eye, including (1) an OrthoEvidence ACE report focusing on the INSITE trial comparing IM nails with sliding screws for trochanteric fractures and (2) a recent JBJS article focusing on the microbiome of osteoarthritic joints.  

Links: 

• OrthoEvidence. The INSITE Trial: Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management. ACE Report. 2023;303(6):9. Available from: https://myorthoevidence.com/AceReport/Report/16004 

• Goswami K et al. The Microbiome of Osteoarthritic Hip and Knee Joints: A Prospective Multicenter Investigation. J Bone Joint Surg Am. 2023 May 16. doi: 10.2106/JBJS.22.00594. Epub ahead of print. PMID: 37192280.  bit.ly/42C2xUy 
• Robilotti EV, Henry MW, Miller AO. Osteoarthritis and the Microbiome: Knock, Knock, Anybody Home?: Commentary on an article by Karan Goswami, MD, et al.: “The Microbiome of Osteoarthritic Hip and Knee Joints. A Prospective Multicenter Investigation”. The Journal of Bone and Joint Surgery 105(11):p e26, June 7, 2023. doi: 10.2106/JBJS.23.00107. bit.ly/3Jz7ff9         

Subspecialties: 

• Hip 
• Knee 
• Orthopaedic Essentials 
• Infection 
• Trauma 

In this episode, Marc and Mo are joined by special guest Michelle Ghert, MD, FRCSC (Professor of Surgery at McMaster University and President of the Musculoskeletal Tumor Society) in a discussion of the Prophylactic Antibiotic Regimens in Tumor Surgery (PARITY) study that appeared in JAMA as well as the related JBJS supplement focusing on secondary analytic questions. 

Links: 

• PARITY Supplement in JBJS: https://bit.ly/47fEkqH 
• Editorial focusing on PARITY: https://bit.ly/44ExN6Z 
• Prophylactic Antibiotic Regimens in Tumor Surgery (PARITY) Investigators; Ghert M, Schneider P, Guyatt G, Thabane L, Vélez R, O'Shea T, Randall RL, Turcotte R, Wilson D, Wunder JS, Baptista AM, Cheng EY, Doung YC, Ferguson PC, Giglio V, Hayden J, Heels-Ansdell D, Khan SA, Sampath Kumar V, McKay P, Miller B, van de Sande M, Zumárraga JP, Bhandari M. Comparison of Prophylactic Intravenous Antibiotic Regimens After Endoprosthetic Reconstruction for Lower Extremity Bone Tumors: A Randomized Clinical Trial. JAMA Oncol. 2022 Mar 1;8(3):345-353. doi: 10.1001/jamaoncol.2021.6628. PMID: 34989778; PMCID: PMC8739829. https://bit.ly/3K7MG8S 

Subspecialties: 

• Infection 
• Oncology 
• Orthopaedic Essentials 

In this bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Marc asks Dr. Terry Gioe to share his memories about his colleague and mentor, Dr. Ed McElfresh, and the profound influence that this relationship has had on his life and career. 

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ 
• JBJS OrthoCorps: https://bit.ly/3lTBaG5 
• OrthoCorps submission form: https://bit.ly/3G3es53 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Kiran Agarwal-Harding (Director of the Harvard Global Orthopaedics Collaborative) in a discussion about his career path; his interest and efforts in the delivery of orthopaedic trauma care in poor, rural, agrarian communities worldwide; and how the lessons derived from such experiences can lead to solutions that are universally applicable.  

Links: 

• Harvard Global Orthopaedics Collaborative: https://ortho.hms.harvard.edu/harvard-global-orthopaedics-collaborative 
• Harvard Global Orthopaedics Collaborative mailing list sign up link: https://mailchi.mp/08ff1ed7cc02/harvard-global-orthopaedics-collaborative 
• SONA Global: www.sonaglobal.org 

Subspecialties: 

• Trauma 
• Foot & Ankle 
• Hand & Wrist 
• Orthopaedic Essentials 

In this episode, Marc and Mo discuss the topic of amputation surgery in diabetic patients, with a specific focus on the risk factors for failure following transmetatarsal amputation, the challenges to performing RCTs in this area of orthopaedics, and the need for collaborative multidisciplinary/multi-institutional consortia focused on this important topic. 

Links: 

• Ron I, Kyin C, Peskin B, Ghrayeb N, Norman D, Ben-Kiki T, Shapira J. Risk Factors for a Failed Transmetatarsal Amputation in Patients with Diabetes. J Bone Joint Surg Am. 2023 May 3;105(9):651-658. doi: 10.2106/JBJS.22.00718. Epub 2023 Mar 21. PMID: 36943915. https://bit.ly/3o72Et0 

• OrthoEvidence. Fenofibrate produces a reduction in amputation events in type II diabetics. ACE Report. 2013;2(4):82. Available from: https://myorthoevidence.com/AceReport/Report/333                     

Subspecialties: 

• Ethics 
• Orthopaedic Essentials 
• Rehabilitation 

In this bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Marc asks Dr. Peter Cole to share his memories about his mentor, the pioneering orthopedic surgeon Dr. Michael Ehrlich, and the profound influence that this relationship has had on his life and career. 

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ 
• JBJS OrthoCorps: https://bit.ly/3lTBaG5 
• OrthoCorps submission form: https://bit.ly/3G3es53 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Joseph Silburt, PhD (Data Scientist at OrthoEvidence) in a follow-up discussion focusing on the latest developments in--and ethical implications of--artificial intelligence, machine learning, neural networks, and ChatGPT.  

Links: 

Leopold SS, Haddad FS, Sandell LJ, Swiontkowski M. Artificial Intelligence Applications and Scholarly Publication in Orthopaedic Surgery. J Bone Joint Surg Am. 2023 Apr 17. doi: 10.2106/JBJS.23.00293. Epub ahead of print. PMID: 37067181. https://bit.ly/3HXWrGy 

Subspecialties: 

• Ethics 
• Orthopaedic Essentials 

In this episode, Marc and Mo discuss several recent topics that caught their eye, including trends in ACL allograft research, the emerging ability to perform “instantaneous meta-analyses” in the AI era, the “knowledge-to-translation” gap, and the need for a multi-prong approach for the dissemination of research outcomes that will change clinical practice.    

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Apr 19;105(8):581. doi: 10.2106/JBJS.23.00222. Epub 2023 Mar 8. https://bit.ly/41EZUBD 
• OrthoCorps Submission Link: [email protected] 
• Maletis GB, Prentice HA, Wyatt RWB, Paxton EW, Funahashi TT. An Interrupted Time Series Analysis Measuring the Impact of Research and Education on Clinical Practice: Decreasing Allograft Use in Young Patients Using a Registry to Track Outcomes. J Bone Joint Surg Am. 2023 Apr 19;105(8):614-619. doi: 10.2106/JBJS.22.00955. Epub 2023 Feb 22. PMID: 36812332. https://bit.ly/3L97i19 

Subspecialties: 

• Orthopaedic Essentials 
• Sports Medicine 

In this bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Marc interviews Dr. Denis Clohisy on the lessons that his parents—a surgeon and a nurse anesthetist—taught him and his siblings. 

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ 
• JBJS OrthoCorps: https://bit.ly/3lTBaG5 
• OrthoCorps submission form: https://bit.ly/3G3es53 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Theodore Miclau, MD (Professor and Vice Chairman in the Department of Orthopaedic Surgery at UCSF School of Medicine; Director of the UCSF/SFGH Orthopaedic Trauma Institute at Zuckerberg San Francisco General Hospital and Trauma Center; and Steering Committee Chair of the International Orthopaedic Trauma Association) in a discussion of orthopaedics in the developing world and the importance of building sustainable partnerships between orthopaedic organizations for the purpose of improving clinical care across the globe.  

Links: 

• Institute for Global Orthopaedics and Traumatology (IGOT): https://bit.ly/40rLvYo 
• International Orthopaedic Trauma Association (IOTA): https://bit.ly/3lITlOx 
• International Combined Orthopaedic Research Societies (ICOR): https://bit.ly/40bbZNY 
• Asociación de Cirujanos Traumatólogos en las Americas (ACTUAR): https://bit.ly/3ZamcJp 

Subspecialties: 

• Orthopaedic Essentials 
• Trauma 

In this episode, Marc and Mo discuss two recent articles that caught their eye, including (1) an OE article on the psychology of procrastination (also known as the “intention-to-action gap”), including its role in stress and health-related issues, and (2) a JBJS article on perioperative nutrition and its effect on muscle strength and volume following TKA. 

Links: 

• OrthoEvidence. “It Can Wait”: The Psychology of Procrastinators. OE Insights. June 25, 2021. Article 58. https://bit.ly/423Cw1k 
• Ueyama H, Kanemoto N, Minoda Y, Taniguchi Y, Nakamura H. Perioperative Essential Amino Acid Supplementation Facilitates Quadriceps Muscle Strength and Volume Recovery After TKA: A Double-Blinded Randomized Controlled Trial. J Bone Joint Surg Am. 2023 Mar 1;105(5):345-353. doi: 10.2106/JBJS.22.00675. Epub 2023 Mar 1. PMID: 36856692. https://bit.ly/3IOSp2M 

Subspecialties: 

• Knee 
• Orthopaedic Essentials 

In this bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Marc interviews Dr. Joseph Zuckerman (Chair of the NYU Department of Orthopaedic Surgery) about the mentorship of orthopaedic legend Dr. Victor Frankel and the profound impact that it has had on his life and career. 

Links: 

• Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ 
• JBJS OrthoCorps: https://bit.ly/3lTBaG5 
• OrthoCorps submission form: https://bit.ly/3G3es53 

Subspecialties: 

• Orthopaedic Essentials 

In this episode, Marc and Mo discuss the origins of the term “Evidence-Based Medicine,” the subsequent development of the “Evidence-Based Orthopaedics” section in JBJS, and how the dissemination of clear summaries of evidence-based information from across the literature has the potential to influence clinical decision-making.

Links:

• Wright JG, Swiontkowski MF. Introducing a New Journal Section: Evidence-Based Orthopaedics. J Bone Joint Surg. 2000;82(6):759. https://bit.ly/3Sv3vyt
• JBJS Levels of Evidence: https://bit.ly/3kx7gH4
• Lamplot JD. In Patients with Nonacute ACL Deficiency and Instability, ACL Reconstructive Surgery Improved Pain and Function More Than Physiotherapy at 18 Months. J Bone Joint Surg Am. 2023 Feb 15;105(4):320. doi: 10.2106/JBJS.22.01260. Epub 2022 Dec 16. PMID: 36729530. https://bit.ly/3m5ft5D
• Asnis PD, Hazzard S. Exercise-Based Physical Therapy Was Not Inferior to Arthroscopic Partial Meniscectomy for Knee Function Over 5 Years in Adults with Degenerative Meniscal Tears. J Bone Joint Surg Am. 2023 Feb 15;105(4):321. doi: 10.2106/JBJS.22.01256. Epub 2022 Dec 16. PMID: 36729418. https://bit.ly/3m9GapT
• Taylor SA. In Total Shoulder Arthroplasty, Preoperative Washes with Benzyl Peroxide, with or without Clindamycin, Reduced Skin Cutibacterium acnes Colonization Compared with pHisoHex Before Skin Preparation and Draping but Not During Surgery. J Bone Joint Surg Am. 2023 Feb 15;105(4):322. doi: 10.2106/JBJS.22.01257. Epub 2023 Jan 3. PMID: 36728520. https://bit.ly/3KGz0DC

Subspecialties:

• Knee
• Orthopaedic Essentials
• Shoulder

In this episode, Marc and Mo are joined by special guest Robin Richards (co-editor of JBJS Open Access) in a wide-ranging discussion about leadership, the importance of “walking the shop floor,” changes in shoulder surgery, and the role of JBJS Open Access. 

Links: 

• JBJS Open Access 

Subspecialties: 

• Shoulder 
• Orthopaedic Essentials 

In this episode, Marc and Mo discuss 2 recent articles, including (1) an OE Insights article on the importance of cultivating habits of excellence, kindness, humility, and being present and (2) a JBJS article on the treatment of metacarpal shaft fractures. 

Links: 

• Scholl E and Bhandari M. Towards Excellence: 13 Habits for a New Year (Updated). OE Insights. Article no. 28. Jan 26, 2023. https://bit.ly/3WyUK6J 
• Peyronson F, Ostwald CS, Hailer NP, Giddins G, Vedung T, Muder D. Nonoperative Versus Operative Treatment for Displaced Finger Metacarpal Shaft Fractures: A Prospective, Noninferiority, Randomized Controlled Trial. J Bone Joint Surg Am. 2023 Jan 18;105(2):98-106. doi: 10.2106/JBJS.22.00573. Epub 2022 Nov 10. PMID: 36455163. Randomized Controlled Trial. J Bone Joint Surg Am. 2023 Jan 18;105(2):98-106. https://bit.ly/3Jej7Ur 

Subspecialties: 

• Hand and Wrist 
• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Jennifer Green, hand surgeon and President of International Orthopaedic Diversity Alliance (IODA) in a discussion on advances that have been made-- and the work that still needs to be done--in the area of diversity in orthopaedics. 

Links: 

• International Orthopaedic Diversity Alliance (IODA): https://www.orthopaedicdiversity.org/ 
• Gladden Society: https://www.gladdensociety.org/ 
• American Association of Latino Orthopaedic Surgeons (AALOS): https://www.aalos.org/ 
• Pride Ortho: https://prideortho.org/ 
• Ruth Jackson Orthopaedic Society: http://www.rjos.org/ 
• Perry Initiative: https://perryinitiative.org/ 
• Nth Dimensions: http://www.nthdimensions.org/ 

Subspecialties: 

• Orthopaedic Essentials 
• Education and Training 

In this episode, Marc and Mo are joined by special guest Shanmuganathan Rajasekaran (Chairman of Orthopaedics, Ganga Hospital, Coimbatore, India, and JBJS Deputy Editor for Spine) in a wide-ranging discussion on orthopaedics in India, injury prevention, innovation, leadership, mentorship, the power of intention, and the meaning of the term “work-life balance.” 

Links: 

• none 

Subspecialties: 

• Spine 
• Trauma 
• Orthopaedic Essentials 

In this episode, Marc and Mo discuss two recent articles that caught their eye. The first article focuses on the distinct demographic and clinical characteristics of patients who are enrolled in Medicare Advantage vs. traditional Medicare (thereby limiting the utility of CMS data for TJA research), and the second article focuses on routinely changing gloves and instruments before wound closure as a simple and frugal strategy for preventing SSI. 

Links: 

• Wang JC, Piple AS, Chen XT, Bedard NA, Callaghan JJ, Berry DJ, Christ AB, Heckmann ND. The Rise of Medicare Advantage: Effects on Total Joint Arthroplasty Patient Care and Research. J Bone Joint Surg Am. 2022 Oct 26. doi: 10.2106/JBJS.22.00254. Epub ahead of print. PMID: 36367757. https://bit.ly/3WxCwTZ 
• Large Database and Registry Research in Joint Arthroplasty and Orthopaedics. https://bit.ly/3YR5Nuo 
• NIHR Global Research Health Unit on Global Surgery. Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection (ChEETAh): a pragmatic, cluster-randomised trial in seven low-income and middle-income countries. Lancet. 2022 Nov 19;400(10365):1767-1776. doi: 10.1016/S0140-6736(22)01884-0. Epub 2022 Oct 31. PMID: 36328045. https://bit.ly/3YQAkZl 

Subspecialties: 

• Hip 
• Knee 
• Infection 
• Orthopaedic Essentials 

In this episode, Marc and Mo are joined by special guest Peter Giannoudis (Professor, University of Leeds and Editor-in-Chief, Injury) in a wide-ranging discussion of his unique career path (in both clinical practice and research), how and when research ideas are generated, and the importance of constantly questioning everything in pursuit of the truth.    

Links: 

• Day One Trauma Support Foundation

Subspecialties: 

• Orthopaedic Essentials 
• Trauma 

In this episode, Marc and Mo discuss the important questions of (1) how surgeon-related factors affect patient outcomes (e.g., PROMs, length of stay, discharge disposition, 90-day readmission, etc.) and (2) how researchers should apply this information to the design of future trials.  

Links: 

• Sinclair ST, Klika AK, Jin Y, Higuera CA, Piuzzi NS; on behalf of the Cleveland Clinic OME Arthroplasty Group. The Impact of Surgeon Variability on Patient-Reported Outcome Measures, Length of Stay, Discharge Disposition, and 90-Day Readmission in TKA. J Bone Joint Surg Am. 2022 Nov 16;104(22):2016-2025. doi: 10.2106/JBJS.21.01339. Epub 2022 Aug 31. PMID: 36047698. https://bit.ly/3P5lfOZ 

Subspecialties: 

• Hip 
• Knee 
• Orthopaedic Essentials 
• Trauma 

In this episode, Marc and Mo discuss several recent articles that caught their eye. The first part of the discussion focuses on selected highlights from the recent meeting of the OTA (specifically, the treatment of humeral shaft fractures), and the second part focuses on genetic factors related to adhesive capsulitis of the shoulder.

Links:

• OTA 2022: Key Findings from This Year’s RCTs and Meta-Analyses. OE Insights. 2022. Available from: https://myorthoevidence.com/Insight/Show/148
• Kulm S, Langhans MT, Shen TS, Kolin DA, Elemento O, Rodeo SA. Genome-Wide Association Study of Adhesive Capsulitis Suggests Significant Genetic Risk Factors. J Bone Joint Surg Am. 2022 Nov 2;104(21):1869-1876. doi: 10.2106/JBJS.21.01407. Epub 2022 Nov 2. PMID: 36223477. https://bit.ly/3URMnD6
• OrthoJoe Episode 43: Physician Etiquette and Attire https://bit.ly/3Ak3gy9

Subspecialties:

• Basic Science
• Shoulder
• Trauma
• Orthopaedic Essentials

In this episode, Mo and Marc are joined by special guest George Dyer (Deputy Editor for the “AOA Critical Issues in Education” section in JBJS Open Access) in a discussion of his work and lessons learned as a residency program director and his vision for making the JBJS OA education channel the authoritative source for educational research in orthopaedics.

Links:

• Free collection of education-related content in JBJS Open Access: AOA Critical Issues in Education

Subspecialties:

• Education and Training
• Orthopaedic Essentials

In this episode, Marc and Mo discuss several recent JBJS and OE articles that caught their eye. The first part of the discussion focuses on selected highlights from the recent meeting of the OTA (specifically, anti-sepsis approaches in open fracture management), and the second part focuses on the recently published JBJS Supplement on the use of large databases in orthopaedic research.

Links:

• OTA 2022: Key Findings from This Year’s RCTs and Meta-Analyses. OE Insights. 2022. https://myorthoevidence.com/Insight/Show/147
• JBJS Supplement on Large Database and Registry Research in Joint Arthroplasty and Orthopaedics. https://jbjs.org/collection.php?id=22
• Khosravi B, Rouzrokh P, Erickson BJ. Getting More Out of Large Databases and EHRs with Natural Language Processing and Artificial Intelligence: The Future Is Here. J Bone Joint Surg Am. 2022 Oct 19;104(Suppl 3):51-55. doi: 10.2106/JBJS.22.00567. Epub 2022 Oct 19. PMID: 36260045. https://bit.ly/3suFxqK
• Swiontkowski MF, Callaghan JJ, Lewallen DG, Berry DJ. Large Database and Registry Research in Joint Arthroplasty and Orthopaedics. J Bone Joint Surg Am. 2022 Oct 19;104(20):1775-1777. doi: 10.2106/JBJS.22.00405. Epub 2022 Oct 19. PMID: 36260046. https://bit.ly/3TFAQ9o

Subspecialties:

• Ethics
• Hip
• Infection
• Knee
• Orthopaedic Essentials
• Trauma

In this episode of the "Your Case Is On Hold" podcast, cohosts Andrew Schoenfeld and Antonia Chen are joined by Special Guest Marc Swiontkowski (Editor in Chief, JBJS) in a discussion of the November 2, 2022 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold!

Links:

JBJS website: https://jbjs.org/issue.php

Your Case Is On Hold podcast: https://yourcase.castos.com/

In this episode, Mo and Marc are joined by special guest Olufemi Ayeni (Professor and Academic Head of Orthopaedic Surgery at McMaster University), in a discussion of the evolution of hip arthroscopy throughout the years, trends in the use of hip preservation vs. hip replacement, the diagnosis and treatment of hip pain, key factors contributing to the development of symptomatic FAI (particularly in young athletes), and the importance of cultivating a team-based approach in the treatment of patients with hip symptoms.

Subspecialties:

• Hip
• Pediatrics
• Sports Medicine

In this episode, Marc and Mo are joined by Special Guests Daniel Berry, Hilal Maradit Kremers, and David Lewallen (all from the Mayo Clinic) in a discussion on a 2021 workshop and upcoming JBJS supplement focusing on the power and potential of large databases; the weaknesses and risks of analyses using these databases; the methods, specific attributes, and best uses of the most commonly used databases; and the optimum use of administrative datasets and registries in orthopaedic research.

Links:

• Large Database and Registry Research in Joint Arthroplasty and Orthopaedics (upcoming JBJS Supplement)

Subspecialties:

• Hip
• Knee
• Orthopaedic Essentials

In this episode, Mo and Marc are joined by special guest Jason Busse (Professor in the Department of Anesthesia at McMaster University, Director of the National Pain Centre, and Associate Director of the Michael G. DeGroote Centre for Medicinal Cannabis Research), in a discussion on research into the relative effectiveness and harms associated with various types of opioids, cannabinoids, and psychedelics in the treatment of chronic pain.

Links:

• Noori A, Sadeghirad B, Wang L, Siemieniuk RAC, Shokoohi M, Kum E, Jeddi M, Montoya L, Hong PJ, Zhou E, Couban RJ, Juurlink DN, Thabane L, Bhandari M, Guyatt GH, Busse JW. Comparative benefits and harms of individual opioids for chronic non-cancer pain: a systematic review and network meta-analysis of randomised trials. Br J Anaesth. 2022 Sep;129(3):394-406. doi: 10.1016/j.bja.2022.05.031. Epub 2022 Jul 9. PMID: 35817616. https://bit.ly/3KOtVat

• Kane RL, Bershadsky B, Rockwood T, Saleh K, Islam NC. Visual Analog Scale pain reporting was standardized. J Clin Epidemiol. 2005 Jun;58(6):618-23. doi: 10.1016/j.jclinepi.2004.11.017. PMID: 15878476. https://bit.ly/3BrSIyd

• Busse JW, Craigie S, Juurlink DN, Buckley DN, Wang L, Couban RJ, Agoritsas T, Akl EA, Carrasco-Labra A, Cooper L, Cull C, da Costa BR, Frank JW, Grant G, Iorio A, Persaud N, Stern S, Tugwell P, Vandvik PO, Guyatt GH. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017 May 8;189(18):E659-E666. doi: 10.1503/cmaj.170363. PMID: 28483845; PMCID: PMC5422149. https://bit.ly/3QhqY3f

Subspecialties:

• Basic Science
• Education and Training
• Ethics
• Foot & Ankle
• Hand & Wrist
• Hip
• Knee
• Oncology
• Orthopaedic Essentials
• Pain Management
• Rehabilitation
• Pediatrics
• Spine
• Shoulder
• Elbow
• Sports Medicine
• Trauma

In this episode, Mo and Marc discuss 2 recent OE and JBJS articles that caught their eye. The first part of the discussion focuses on how orthopaedists can forecast the future with evidence from the past, and the second part focuses on the challenges and appropriate applications of large administrative database research.

Links:

• Phillips S and Bhandari M. Predicting the Future with Evidence from the Past: The OE Forecaster. OE Insights. August 19, 2022. Article no. 103. https://myorthoevidence.com/Insight/Show/138

• Fujiwara T, Ogura K, Alaqeel M, Healey JH. Geographic Access to High-Volume Care Providers and Survival in Patients with Bone Sarcomas: Nationwide Patterns in the United States. J Bone Joint Surg Am. 2022 Aug 17;104(16):1426-1437. doi: 10.2106/JBJS.21.01140. Epub 2022 Jun 21. PMID: 35730765. https://bit.ly/3CKlElY

Subspecialties:

• Oncology
• Orthopaedic Essentials
• Sports Medicine
• Trauma

In this episode, Marc and Mo are joined by special guests Matt Schmitz (JBJS Deputy Editor for Social Media; San Antonio Military Medical Center; Uniformed Services University of the Health Sciences; Brooke Army Medical Center) and Patrick Osborn (Brooke Army Medical Center; Baptist Health System) in a discussion on the research being done by the Major Extremity Trauma and Rehabilitation Consortium (METRC) and how the knowledge gained has impacted the ability of the orthopaedic surgeon to treat the injured warrior.

Links:

• Major Extremity Trauma Research Consortium (METRC). Outcomes Following Severe Distal Tibial, Ankle, and/or Mid/Hindfoot Trauma: Comparison of Limb Salvage and Transtibial Amputation (OUTLET). J Bone Joint Surg Am. 2021 Sep 1;103(17):1588-1597. doi: 10.2106/JBJS.20.01320. PMID: 33979309. https://bit.ly/3QOCd4a
• Major Extremity Trauma Research Consortium (METRC). Effect of Intrawound Vancomycin Powder in Operatively Treated High-risk Tibia Fractures: A Randomized Clinical Trial. JAMA Surg. 2021 May 1;156(5):e207259. doi: 10.1001/jamasurg.2020.7259. Epub 2021 May 12. PMID: 33760010. https://bit.ly/3cirkso

Subspecialties:

• Trauma
• Rehabilitation

In this episode, Marc and Mo discuss 2 recent JBJS and OE articles that caught their eye. The first part of the discussion focuses on a large RCT evaluating the effect of supplemental perioperative oxygen on SSI among adults with lower-extremity fractures, and the second part focuses on a systematic review on the use of medical ozone versus hyaluronic acid for knee OA.

Links:

• Major Extremity Trauma Research Consortium (METRC). Effect of Supplemental Perioperative Oxygen on SSI Among Adults with Lower-Extremity Fractures at Increased Risk for Infection: A Randomized Clinical Trial. J Bone Joint Surg Am. 2022 Jul 20;104(14):1236-1243. doi: 10.2106/JBJS.21.01317. Epub 2022 May 11. PMID: 35775284. https://bit.ly/3Q2hPvF
• Intra-Articular Injection of Medical Ozone Versus Hyaluronic Acid for Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. OE Original. 2022;5(5):3. Available from: https://myorthoevidence.com/Blog/Show/183

Subspecialties:

• Infection
• Knee
• Orthopaedic Essentials
• Trauma

In this episode, Marc and Mo are joined by special guests Elizabeth Arendt (Professor and Vice-Chair, Department of Orthopedic Surgery, University of Minnesota) and Herman Johal (Assistant Professor, Department of Surgery, McMaster University) in a lively discussion of the evolution of physician attire (neckties, white coats, blazers, dresses, footwear, T-shirts, shorts, scrubs, zip-ups, etc.) and its role in projecting professionalism and authority, connecting with patients, and training residents.

Links:

• Petrilli CM, Saint S, Jennings JJ, et al. Understanding patient preference for physician attire: a cross-sectional observational study of 10 academic medical centres in the USABMJ Open 2018;8:e021239. doi: 10.1136/bmjopen-2017-021239. https://bit.ly/3Bnyw0N

Subspecialties:

• Orthopaedic Essentials

In this episode, Marc and Mo discuss 3 recent articles that caught their eye. The first part of the discussion focuses on the importance of blinded assessment of outcomes in clinical trials, and the second part focuses on the use of tranexamic acid in patients with hip fractures.

Links:

• Metcalfe A, Parsons H, Parsons N, Brown J, Fox J, Gemperlé Mannion E, Haque A, Hutchinson C, Kearney R, Khan I, Lawrence T, Mason J, Stallard N, Underwood M, Drew S; START:REACTS team. Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder (START:REACTS): a group-sequential, double-blind, multicentre randomised controlled trial. Lancet. 2022 May 21;399(10339):1954-1963. doi: 10.1016/S0140-6736(22)00652-3. Epub 2022 Apr 21. PMID: 35461618. https://bit.ly/3P62z0I

• Verma N, Srikumaran U, Roden CM, Rogusky EJ, Lapner P, Neill H, Abboud JA; SPACE GROUP. InSpace Implant Compared with Partial Repair for the Treatment of Full-Thickness Massive Rotator Cuff Tears: A Multicenter, Single-Blinded, Randomized Controlled Trial. J Bone Joint Surg Am. 2022 Apr 22. doi: 10.2106/JBJS.21.00667. Epub ahead of print. PMID: 35777921. https://bit.ly/3cBTmz6

• Porter SB, Spaulding AC, Duncan CM, Wilke BK, Pagnano MW, Abdel MP. Tranexamic Acid Was Not Associated with Increased Complications in High-Risk Patients with Intertrochanteric Fracture. J Bone Joint Surg Am. 2022 Jul 6;104(13):1138-1147. doi: 10.2106/JBJS.21.01389. Epub 2022 Apr 29. PMID: 35775092. https://bit.ly/3AHrhjT

• POISE Study Group, Devereaux PJ, Yang H, Yusuf S, Guyatt G, Leslie K, Villar JC, Xavier D, Chrolavicius S, Greenspan L, Pogue J, Pais P, Liu L, Xu S, Málaga G, Avezum A, Chan M, Montori VM, Jacka M, Choi P. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet. 2008 May 31;371(9627):1839-47. doi: 10.1016/S0140-6736(08)60601-7. Epub 2008 May 12. PMID: 18479744. https://pubmed.ncbi.nlm.nih.gov/18479744/

Subspecialties:

• Shoulder
• Trauma
• Hip
• Orthopaedic Essentials

In this episode, Marc and Mo focus on 2 compelling topics that were covered in recent articles. The first part of the discussion focuses on the emergence of Generation Z in orthopaedics (and how this generation differs from both Millennials and Generation Y), while the second part focuses on the treatment of displaced femoral neck fractures with arthroplasty, with a call for additional work in this area.

Links:

• Siddiqua A, Bhandari M. The ABCs of Generation Z: What Worked for Millennials Will Not Work for Gen Z. OrthoEvidence, Article 38, March 27, 2021. https://myorthoevidence.com/Insight/Show/63

• Farey JE, Cuthbert AR, Adie S, Harris IA. Bipolar Hemiarthroplasty Does Not Result in a Higher Risk of Revision Compared with Total Hip Arthroplasty for Displaced Femoral Neck Fractures: An Instrumental Variable Analysis of 36,118 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry. J Bone Joint Surg Am. 2022 May 18;104(10):919-927. doi: 10.2106/JBJS.21.00972. Epub 2022 Feb 17. PMID: 35175973. https://bit.ly/3LNFTA6

• HEALTH Investigators, Bhandari M, Einhorn TA, Guyatt G, Schemitsch EH, Zura RD, Sprague S, Frihagen F, Guerra-Farfán E, Kleinlugtenbelt YV, Poolman RW, Rangan A, Bzovsky S, Heels-Ansdell D, Thabane L, Walter SD, Devereaux PJ. Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture. N Engl J Med. 2019 Dec 5;381(23):2199-2208. doi: 10.1056/NEJMoa1906190. Epub 2019 Sep 26. PMID: 31557429. https://pubmed.ncbi.nlm.nih.gov/31557429/

Subspecialties:

• Hip
• Trauma
• Orthopaedic Essentials
• Education and Training

In this episode, Marc and Mo are joined by special guest Kent Anderson (former CEO of JBJS, founder of The Geyser and The Scholarly Kitchen) in a timely and wide-ranging discussion designed to enlighten the audience on several topics related to scholarly publication, including open access, preprints, technology, social media, peer review, datasets, AI, the roles of editors and publishers, and the human component in knowledge creation.

Links:

• The Geyser: https://www.the-geyser.com/
• The Scholarly Kitchen: https://scholarlykitchen.sspnet.org/
• Leopold SS, Haddad FS, Sandell LJ, Swiontkowski M. Clinical Orthopaedics and Related Research, The Bone & Joint Journal, the Journal of Orthopaedic Research, and The Journal of Bone and Joint Surgery Will Not Accept Clinical Research Manuscripts Previously Posted to Preprint Servers. J Bone Joint Surg Am. 2019 Jan 2;101(1):1-4. doi: 10.2106/JBJS.18.01215. PMID: 30601410; PMCID: PMC6319698. https://bit.ly/3yYKblq

Subspecialties:

• Orthopaedic Essentials

In this episode, Marc and Mo discuss a couple of recent JBJS and OE articles that caught their eye. The first part of the discussion focuses on a number of provocative questions related to the topic of reproducibility in science, while the second part focuses on a recent RCT on the impact of perioperative nutrition on patient outcomes, with a call for additional research in this area.

Links:

• Bhandari M, Silburt J. Reproducibility in Science: a Crisis in Confidence? Ortho Evidence. 14 May 2022. Article Number 92. https://bit.ly/3NjjKuA
• Ioannidis JP. Why most published research findings are false. PLoS Med. 2005 Aug;2(8):e124. doi: 10.1371/journal.pmed.0020124. Epub 2005 Aug 30. PMID: 16060722; PMCID: PMC1182327. https://bit.ly/3Prta9h
• Hendrickson NR, Davison J, Glass NA, Wilson ES, Miller A, Leary S, Lorentzen W, Karam MD, Hogue M, Marsh JL, Willey MC. Conditionally Essential Amino Acid Supplementation Reduces Postoperative Complications and Muscle Wasting After Fracture Fixation: A Randomized Controlled Trial. J Bone Joint Surg Am. 2022 May 4;104(9):759-766. doi: 10.2106/JBJS.21.01014. Epub 2022 Mar 14. PMID: 35286282. https://bit.ly/3wzrpQ5

Subspecialties:

• Basic Science
• Trauma
• Orthopaedic Essentials

In this episode, Marc and Mo are joined once again by special guest Javad Parvizi (James Edwards Professor of Orthopaedic Surgery at the Sidney Kimmel School of Medicine at the Rothman Institute at Thomas Jefferson University in Philadelphia) in a follow-up discussion focusing on international efforts to achieve consensus and standardization in orthopaedic care, with a specific focus on the recently published guidelines related to venous thromboembolism.

Links:

• ICM-VTE Delegates. Recommendations from the ICM-VTE. J Bone Joint Surg Am. 2022 Mar 16;104(Suppl 1):1-162. doi: 10.2106/JBJS.21.01531. https://www.jbjs.org/collection.php?id=19

Subspecialties:

• Basic Science
• Education and Training
• Ethics
• Foot & Ankle
• Hand & Wrist
• Hip
• Infection
• Knee
• Oncology
• Orthopaedic Essentials
• Pain Management
• Rehabilitation
• Pediatrics
• Spine
• Shoulder
• Elbow
• Sports Medicine
• Trauma

In this episode, Marc and Mo are joined by Kanu Okike (JBJS Deputy Editor for Health Disparities) in a wide-ranging discussion on the multifaceted issue of health disparities in orthopaedics, with a focus on steering the entire field (including researchers, insurers, health systems, funding bodies, and JBJS itself) toward finding meaningful solutions in this important area.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Okike K. My Grandmother's Knees: A Call for Research on Strategies to Address Racial and Ethnic Disparities in Orthopaedic Surgery. J Bone Joint Surg Am. 2021 Nov 3;103(21):1961-1962. doi: 10.2106/JBJS.21.01081. https://bit.ly/3JYY58R

Subspecialties:

• Basic Science
• Education and Training
• Ethics
• Foot & Ankle
• Hand & Wrist
• Hip
• Infection
• Knee
• Oncology
• Orthopaedic Essentials
• Pain Management
• Rehabilitation
• Pediatrics
• Spine
• Shoulder
• Elbow
• Sports Medicine
• Trauma

In this episode, Marc and Mo discuss the third edition of the AAOS Clinical Practice Guidelines on Osteoarthritis of the Knee, with a particular focus on the quality of evidence related to injectable therapies and the concept of “living guidelines.” 

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected] 

Links: 

• AAOS Clinical Practice Guidelines on Osteoarthritis of the Knee (originally released in 2013, update in Aug. 2021. https://bit.ly/3KZI4Rm 
• Vannabouathong C, Bhandari M, Bedi A, Khanna V, Yung P, Shetty V, Khan M. Nonoperative Treatments for Knee Osteoarthritis: An Evaluation of Treatment Characteristics and the Intra-Articular Placebo Effect: A Systematic Review. JBJS Rev. 2018 Jul;6(7):e5. doi: 10.2106/JBJS.RVW.17.00167. https://bit.ly/3uY2t3z 

• Bauer TW. Stem Cell Therapy for Knee Pain—What Exactly Are We Injecting, and Why? Editorial. J Bone Joint Surg. 2016 Sep; 98(15): 1509. doi: 10.2106/JBJS.16.00872. https://bit.ly/3Olf34V 

Subspecialties: 

• Knee 
• Basic Science 
• Orthopaedic Essentials 

In this episode, Marc and Mo discuss recent articles on 2 important topics of interest: (1) intimate partner violence in orthopaedic patients and (2) the outcomes of total knee replacement after high tibial osteotomy. They also touch on the recent JBJS supplement on the International Consensus Meeting on Venous Thromboembolism. 

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected] 

Links: 

• Madden K, Sprague S, Petrisor B, Schneider PS, Kleinlugtenbelt YV, Hackenberg EAM, Garcia-Sanchez Y, Hall JA, Bzovsky S, Thabane L, Bhandari M; PRAISE-2 Investigators. Intimate Partner Violence During Recovery from an Orthopaedic Injury: An Exploratory, Prospective, Multicenter, Observational Cohort Study. J Bone Joint Surg Am. 2022 Mar 16;104(6):512-522. doi: 10.2106/JBJS.21.00421. PMID: 35041623. https://jbjs.org/reader.php?rsuite_id=3175393&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/104/6/512/fulltext&topics=oe#info

• PRAISE Investigators, Sprague S, Bhandari M, Della Rocca GJ, Goslings JC, Poolman RW, Madden K, Simunovic N, Dosanjh S, Schemitsch EH. Prevalence of abuse and intimate partner violence surgical evaluation (PRAISE) in orthopaedic fracture clinics: a multinational prevalence study. Lancet. 2013 Sep 7;382(9895):866-76. doi: 10.1016/S0140-6736(13)61205-2. Epub 2013 Jun 12. PMID: 23768757. https://pubmed.ncbi.nlm.nih.gov/23768757/ 

• Hevesi M, Wilbur RR, Keyt LK, Abdel MP, Levy BA, Saris DBF, Stuart MJ, Krych AJ. Total Knee Arthroplasty Function at 25 Years Following Proximal Tibial Osteotomy: Paired Outcomes of Bilateral TKAs Following Unilateral Osteotomy. J Bone Joint Surg Am. 2022 Mar 16;104(6):552-558. doi: 10.2106/JBJS.21.00761. PMID: 35293891 https://jbjs.org/reader.php?rsuite_id=3164395&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/104/6/552/fulltext&topics=kn#info 

• International Consensus Meeting on Venous Thromboembolism: https://jbjs.org/collection.php?id=19 

Subspecialties: 

• Orthopaedic Essentials 
• Trauma 
• Knee 

In this episode, Marc and Mo are joined by Tom Einhorn, Editor of JBJS Reviews (and accomplished guitarist and singer) in a captivating discussion about the past, present, and future of JBJS Reviews; the practical application of Team Approach and Critical Analysis articles in optimizing patient care; and the importance of maintaining a healthy work-life balance by pursuing creative interests in the arts. (Spoiler alert: in the late 1960’s, Tom’s bands opened for such renowned artists as The Who, Cream, and The Association.)

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Tom Einhorn’s cover version of Land of Hope and Dreams by Bruce Springsteen
• Einhorn TA, Swiontkowski MF. What Types of Articles Does JBJS Reviews Prefer to Publish? JBJS Rev. 2022 Mar 15;10(3). doi: 10.2106/JBJS.RVW.22.00012. PMID: 35290254. The Journal of Bone and Joint Surgery

Subspecialties:

• Basic Science
• Education and Training
• Ethics
• Foot and Ankle
• Hand and Wrist
• Hip
• Infection
• Knee
• Oncology
• Orthopaedic Essentials
• Pain Management
• Rehabilitation
• Pediatrics
• Spine
• Shoulder
• Elbow
• Sports Medicine
• Trauma

In this episode, Marc and Mo highlight 2 recent JBJS and OrthoEvidence articles that caught their eye: (1) a propensity-matched study focusing on complete and pending fractures in patients with long-bone metastases and (2) an Advanced Clinical Evidence report focusing on the WHiTE-5 trial comparing cemented vs. uncemented hemiarthroplasty for intracapsular hip fracture.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Groot OQ, Lans A, Twining PK, Bongers MER, Kapoor ND, Verlaan JJ, Newman ET, Raskin KA, Lozano-Calderon SA, Janssen SJ, Schwab JH. Clinical Outcome Differences in the Treatment of Impending Versus Completed Pathological Long-Bone Fractures. J Bone Joint Surg Am. 2022 Feb 16;104(4):307-315. doi: 10.2106/JBJS.21.00711. PMID: 34851323.

• The WHiTE 5 Trial: Cemented vs. Uncemented Hemiarthroplasty for Intracapsular Hip Fracture. ACE Report. 2022;191(1):2. Available from: https://myorthoevidence.com/AceReport/Report/14311

Subspecialties:

• Oncology
• Hip
• Trauma

In this episode, Marc and Mo are joined by special guests Antonia Chen and Andrew Schoenfeld in a discussion of their vision for the newest JBJS podcast, “Your Case Is On Hold.” Every two weeks, Antonia and Andrew give their takes on selected articles from the upcoming issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold!

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Your Case Is On Hold podcast link: https://yourcase.castos.com/

Subspecialties:

• Basic Science
• Education and Training
• Ethics
• Foot and Ankle
• Hand and Wrist
• Hip
• Infection
• Knee
• Oncology
• Orthopaedic Essentials
• Pain Management
• Rehabilitation
• Pediatrics
• Spine
• Shoulder
• Elbow
• Sports Medicine
• Trauma

In this episode, Marc and Mo provide their predictions for scholarly publication trends in 2022, including the use of algorithms to solve complex problems, innovations in rehabilitative strategies, “side hustles” for researchers and surgeons, the generational impact in orthopaedic education, the impact of patient mental health and personality on the process of care, a greater focus on “what really matters” in life, and the musculoskeletal implications of Long COVID.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Malizos KN. Long COVID-19: A New Challenge to Public Health. J Bone Joint Surg. 2022 Feb 2. 10.2106/JBJS.21.02176

Subspecialties:

• Basic Science
• Education and Training
• Ethics
• Foot and Ankle
• Hand and Wrist
• Hip
• Infection
• Knee
• Oncology
• Orthopaedic Essentials
• Pain Management
• Rehabilitation
• Pediatrics
• Spine
• Shoulder
• Elbow
• Sports Medicine
• Trauma

In this episode, Marc and Mo are joined by special guest Bob Schenck, MD (JBJS Deputy Editor for Arts and Humanities) in an inspiring and stimulating discussion of their shared vision for the newest section of the JBJS Orthopaedic Forum known as “What’s Important: Arts & Humanities,” with an emphasis on the value of maintaining a healthy work-life balance, the trickle-down benefits of exploring and cultivating one’s creative side, and the relationship between art and wellness.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Bhandari M. What's Important: A Look in the Mirror: Arts & Humanities. J Bone Joint Surg Am. 2022 Jan 5;104(1):92-93. doi: 10.2106/JBJS.21.01336. PMID: 34985449.                  https://jbjs.org/reader.php?id=210954&rsuite\_id=3156798&native=1

• Schenck RB Jr, Swiontkowski M. JBJS Arts & Humanities. J Bone Joint Surg Am. 2022 Jan 5;104(1):1-3. doi: 10.2106/JBJS.21.01103. PMID: 34985448.                                            https://jbjs.org/reader.php?id=210955&rsuite\_id=3156516&native=1

In this episode, Marc and Mo are joined by special guest Zain Chagla, MD (Associate Professor of Medicine and Director of Infection Control at McMaster University and St. Joseph’s Hospital) in a timely discussion of the current landscape and evolving strategies related to the ongoing COVID-19 pandemic, with a focus on the Omicron variant as well as the interface between social media and science.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Vannabouathong C, Devji T, Ekhtiari S, Chang Y, Phillips SA, Zhu M, Chagla Z, Main C, Bhandari M. Novel Coronavirus COVID-19: Current Evidence and Evolving Strategies. J Bone Joint Surg Am. 2020 May 6;102(9):734-744. doi: 10.2106/JBJS.20.00396. https://jbjs.org/reader.php?id=206110&rsuite\_id=2387011&native=1&source=The\_Journal\_of\_Bone\_and\_Joint\_Surgery/102/9/734/fulltext&topics=if%2Boe#info

• López-Medina E, López P, Hurtado IC, Dávalos DM, Ramirez O, Martínez E, Díazgranados JA, Oñate JM, Chavarriaga H, Herrera S, Parra B, Libreros G, Jaramillo R, Avendaño AC, Toro DF, Torres M, Lesmes MC, Rios CA, Caicedo I. Effect of Ivermectin on Time to Resolution of Symptoms Among Adults With Mild COVID-19: A Randomized Clinical Trial. JAMA. 2021 Apr 13;325(14):1426-1435. doi: 10.1001/jama.2021.3071. https://pubmed.ncbi.nlm.nih.gov/33662102/

In this episode, Marc and Mo take a look back and discuss their choices for the top 3 most compelling and impactful articles published in JBJS and OrthoEvidence over the past year (or so).  

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]   

Links:

Scholl E, Bhandari M. Towards Excellence: 12 Habits For A New Year. OrthoEvidence. Article 35. January 3, 2021. https://myorthoevidence.com/Download/24c509b4-1711-4bdf-bf99-6c6464db23c4

Clohisy DR, Yaszemski MJ, Lipman J. Leadership, Communication, and Negotiation Across a Diverse Workforce: An AOA Critical Issues Symposium. J Bone Joint Surg Am. 2017 Jun 21;99(12):e60. doi: 10.2106/JBJS.16.00792. https://jbjs.org/reader.php?id=203624&rsuite\_id=1331052&native=1&source=The\_Journal\_of\_Bone\_and\_Joint\_Surgery%2F99%2F12%2Fe60%2Ffulltext#info

Scholl E, Bhandari M. Insight on Vaccine Hesitancy. OrthoEvidence. January 16, 2021. Article 30. https://myorthoevidence.com/Insight/Show/53

Tanaka MJ, Oh LS, Martin SD, Berkson EM. Telemedicine in the Era of COVID-19: The Virtual Orthopaedic Examination. J Bone Joint Surg Am. 2020 Jun 17;102(12):e57. doi: 10.2106/JBJS.20.00609. Erratum in: J Bone Joint Surg Am. 2020 Oct 21;102(20):e121. https://pubmed.ncbi.nlm.nih.gov/32341311/

OE – OrthoEvidence. Total versus Hemi-arthroplasty for Displaced Femoral Neck Fracture: Powered by OE M.I.N.D. OE Original. 2021;4(5):4. Available from: https://myorthoevidence.com/Blog/Show/131

Moosmayer S, Lund G, Seljom US, Haldorsen B, Svege IC, Hennig T, Pripp AH, Smith HJ. At a 10-Year Follow-up, Tendon Repair Is Superior to Physiotherapy in the Treatment of Small and Medium-Sized Rotator Cuff Tears. J Bone Joint Surg Am. 2019 Jun 19;101(12):1050-1060. doi: 10.2106/JBJS.18.01373. https://pubmed.ncbi.nlm.nih.gov/31220021/ 

In this episode, Marc and Mo are joined by special guest Gerard Slobogean, MD (Associate Professor and Director of Clinical Research, Department of Orthopaedics, University of Maryland School of Medicine) in an insightful conversation on the current issues and challenges related to the treatment of, and research into, open fractures.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]  

Links:

Chang Y, Bhandari M, Zhu KL, Mirza RD, Ren M, Kennedy SA, Negm A, Bhatnagar N, Naji FN, Milovanovic L, Fei Y, Agarwal A, Kamran R, Cho SM, Schandelmaier S, Wang L, Jin L, Hu S, Zhao Y, Lopes LC, Wang M, Petrisor B, Ristevski B, Siemieniuk RAC, Guyatt GH. Antibiotic Prophylaxis in the Management of Open Fractures: A Systematic Survey of Current Practice and Recommendations. JBJS Rev. 2019 Feb;7(2):e1. doi: 10.2106/JBJS.RVW.17.00197. PMID: 30724762. https://jbjs.org/reader.php?id=205004&rsuite\_id=1938010&native=1&source=JBJS\_Reviews/7/2/e1/abstract&topics=ta#info

Foote CJ, Tornetta P 3rd, Reito A, Al-Hourani K, Schenker M, Bosse M, Coles CP, Bozzo A, Furey A, Leighton R; GOLIATH Investigators. A Reevaluation of the Risk of Infection Based on Time to Debridement in Open Fractures: Results of the GOLIATH Meta-Analysis of Observational Studies and Limited Trial Data. J Bone Joint Surg Am. 2021 Feb 3;103(3):265-273. doi: 10.2106/JBJS.20.01103. Erratum in: J Bone Joint Surg Am. 2021 Mar 17;103(6):e25. PMID: 33298796. https://www.jbjs.org/reader.php?id=207441&rsuite\_id=2681010&native=1&topics=ta&source=The\_Journal\_of\_Bone\_and\_Joint\_Surgery%2F103%2F3%2F265%2Ffulltext#content/contributor\_reference\_11

PREP-IT Trial: https://www.prepittrial.com/

Stennett CA, O'Hara NN, Sprague S, Petrisor B, Jeray KJ, Leekha S, Yimgang DP, Joshi M, O'Toole RV, Bhandari M, Slobogean GP; FLOW Investigators. Effect of Extended Prophylactic Antibiotic Duration in the Treatment of Open Fracture Wounds Differs by Level of Contamination. J Orthop Trauma. 2020 Mar;34(3):113-120. doi: 10.1097/BOT.0000000000001715. PMID: 32084088; PMCID: PMC8077225. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077225/

In this episode, Marc and Mo are joined by special guest Michael McKee (Chairman of Orthopaedic Surgery at the University of Arizona College of Medicine in Phoenix, past President of the Orthopaedic Trauma Association) in a deep dive into Dr. McKee’s impact on the field of orthopaedics, particularly his role as a leader in establishing multicenter trials focusing on clavicular fractures and his expectations for future research in this area.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am. 2007 Jan;89(1):1-10. doi: 10.2106/JBJS.F.00020. PMID: 17200303. https://jbjs.org/reader.php?id=198776&rsuite\_id=1021775&native=1&source=The\_Journal\_of\_Bone\_and\_Joint\_Surgery/89/1/1/abstract&topics=sh#info

McKee RC, Whelan DB, Schemitsch EH, McKee MD. Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials. J Bone Joint Surg Am. 2012 Apr 18;94(8):675-84. doi: 10.2106/JBJS.J.01364. PMID: 22419410. https://jbjs.org/reader.php?id=201211&rsuite\_id=1146706&native=1&source=The\_Journal\_of\_Bone\_and\_Joint\_Surgery%2F94%2F8%2F675%2Fabstract#info

Swiontkowski M. Editor’s Choice: Are We Overtreating Clavicular Fractures? OrthoBuzz, July 9, 2014. https://orthobuzz.jbjs.org/2014/07/09/editors-choice-are-we-overtreating-clavicular-fractures/

In this episode, Marc and Mo are joined by special guests Dr. Clarence Shields (the first African American team physician in the NFL) and Dr. Joel Boyd (the first African American team physician in the NHL) in an insightful discussion on the importance of increasing diversity in the field of orthopaedics in general and sports medicine in particular. What has changed over the years, and what challenges, barriers, and opportunities remain? How do we proactively attract underrepresented minorities into sports fellowships and careers in sports medicine? How do we move from optics to meaningful action?

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

Team HEAL: https://www.teamheal.org/

Boyd JL. How Canada’s Black Hockey League Shaped the Sport and the Path to Our Arrival in the NHL Today. J Bone Joint Surg Am. 2020 Nov 4;102(21):1918-1921. doi: 10.2106/JBJS.20.01708. PMID: 33148956. https://journals.lww.com/jbjsjournal/Abstract/9900/How_Canada_s_Black_Hockey_League_Shaped_the_Sport.3.aspx

In this episode, Marc and Mo are joined by special guests and sports medicine experts Bradley Nelson (Head of Athletic Medicine at the University of Minnesota) and Moin Khan (Assistant Professor of Orthopaedic Surgery at McMaster University) in an informative discussion on the on-field management of sports injuries. What kind of preparation is ideal for those interested in pursuing a career that involves sports medicine coverage? What can be learned from mentors, including faculty and senior athletic trainers? What types of injuries and medical issues should one should expect to see? What pre-game preparation is needed in terms of communicating and interacting with trainers and EMS, reviewing the emergency action plan, and becoming familiar with the equipment, supports, and facilities that will available during a game? What risks, liabilities, and special considerations are potential areas of concern when on the sidelines, particularly when covering high school games involving minors? What options are available if you are the only person providing coverage?

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected] 

Links:

AOSSM online curriculum: https://www.sportsmed.org/aossmimis/Members/Education/Online\_Education.aspx

In this entertaining episode, Marc and Mo focus on the recent publication of the second edition of Mo’s comprehensive textbook, Evidence-Based Orthopedics, as a springboard for a larger discussion of the role of books—and indeed, all printed media—in the future of orthopaedic learning and staying up to date in the field. OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected] 

Links:  

Bhandari M, editor. Evidence Based Orthopedics. Second Edition. John Wiley and Sons Ltd/Wiley-Blackwell. 2021. ISBN 9781119414991. https://www.mobythegreat.com/books/mohit-bhandari/evidence-based-orthopedics/9781119414001?gclid=CjwKCAjw7--KBhAMEiwAxfpkWHiFh8TSC4sjrRavQO0K8q1dox3FAvqRiLIEhJfWLhVBEIbB-MsZjhoCbH4QAvD\_BwE     

In this episode, Marc and Mo are joined by special guest Ed Cheng, Editor of JBJS Essential Surgical Techniques, in celebrating the 10-year history of the launch of JBJS’s innovative peer-reviewed video journal, with a focus on the overlap between the art and science of surgery and how audio-video communication can be used as an effective learning tool to “get inside the mind” of the master surgeon.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]   

Links:  

Cheng EY, Swiontkowski MF. JBJS Essential Surgical Techniques: Celebrating 10 Years of Innovation. JBJS Essent Surg Tech. July-September 2021; 11 (3): e21.00047. https://jbjs.org/reader.php?id=209938&rsuite\_id=3013329&native=1&source=JBJS\_Essential\_Surgical\_Techniques%2F11%2F3%2Fe21.00047%2Ffulltext#info

Cheng EY. Announcing a New Video and Written Abstract Format for All Essential Surgical Techniques Articles. JBJS Essent Surg Tech. January-March 2020; 10 (1): e0061. 10.2106/JBJS.ST.19.00061. https://jbjs.org/reader.php?id=205809&rsuite\_id=2296017&native=1&source=JBJS\_Essential\_Surgical\_Techniques%2F10%2F1%2Fe0061%2Ffulltext#info

Cheng EY, Swiontkowski MF. Leaving a Legacy While Achieving Maximum Impact. JBJS EST Now in PubMed Central. JBJS Essent Surg Tech. December 26, 2018; 8 (4): e28. 10.2106/JBJS.ST.18.00095. https://jbjs.org/reader.php?id=204828&rsuite\_id=1856114&native=1&source=JBJS\_Essential\_Surgical\_Techniques%2F8%2F4%2Fe28%2Ffulltext#info

Cheng EY. Key Procedures. On the Cutting Edge for Teaching Surgical Techniques. JBJS Essent Surg Tech. October 28, 2015; 5 (4): e21. 10.2106/JBJS.ST.O.00071. https://jbjs.org/reader.php?id=206221&rsuite\_id=2437094&native=1&source=JBJS\_Essential\_Surgical\_Techniques%2F5%2F4%2Fe21%2Ffulltext#info

In this episode, Marc and Mo are joined by special guest and world-renowned sports-medicine expert Asheesh Bedi (Director of the Michigan Center for Human Athletic Medicine and Performance, Harold W. and Helen L. Gehring Professor of Orthopaedic Surgery, Chief of Sports Medicine and Shoulder Surgery at the University of Michigan, head orthopaedic surgeon for University of Michigan athletics, and consultant for numerous NBA, NFL, and NHL teams) in a continuation of their previous discussion of orthobiologics, one of the most rapidly evolving areas of orthopaedics. What are the “major players” in this field, and are we there yet? Do PRP and stem cells play a role in the management of patients in 2021? What progress has been made, and what challenges and opportunities remain?

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

1. Reider B. Proceed With Caution. The American Journal of Sports Medicine. 2009;37(11):2099-2101. doi:10.1177/0363546509352786. https://journals.sagepub.com/doi/full/10.1177/0363546509352786
2. Bauer, Thomas W. MD, PhD Stem Cell Therapy for Knee Pain—What Exactly Are We Injecting, and Why?, The Journal of Bone and Joint Surgery: September 21, 2016 - Volume 98 - Issue 18 - p 1509-1510 doi: 10.2106/JBJS.16.00872. https://jbjs.org/reader.php?id=203068&rsuite_id=1261189&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/98/18/1509/fulltext&topics=bs#info

In this episode, Marc and Mo discuss a number of intriguing questions related to the use of orthobiologics in orthopaedics: How do we set standards for novel biologics? How do we decide what works and what doesn’t? What filter should be used to determine which studies get published? Ultimately, we need to know how these materials are prepared and what is actually in them before we can evaluate their effect on patients. Answering these questions is essential work in order for us to make advances in this field.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Siddiqua A, Bhandari M. Platelet Rich Plasma and Stem Cell Therapy: Setting Standards and Evidence. OrthoEvidence. Article No. 97. August 21, 2021. https://myorthoevidence.com/Insight/Show/97

• Murray IR, Safran MR, LaPrade RF. Biologics in orthopaedics. Bone & Joint 360.2018;7(6):2-8. https://online.boneandjoint.org.uk/action/showCitFormats?doi=10.1302%2F2048-0105.76.360648

• Cole BJ, Gilat R, DiFiori J, Rodeo SA, Bedi A. The 2020 NBA Orthobiologics Consensus Statement. Orthop J Sports Med. 2021 May 6;9(5):23259671211002296. doi: 10.1177/23259671211002296. PMID: 34017878; PMCID: PMC8114275. https://pubmed.ncbi.nlm.nih.gov/34017878/

• Lamplot JD, Rodeo SA, Brophy RH. A Practical Guide for the Current Use of Biologic Therapies in Sports Medicine. Am J Sports Med. 2020 Feb;48(2):488-503. doi: 10.1177/0363546519836090. Epub 2019 Apr 30. PMID: 31038990. https://pubmed.ncbi.nlm.nih.gov/31038990/

• Bauer TW. Stem Cell Therapy for Knee Pain-What Exactly Are We Injecting, and Why? J Bone Joint Surg Am. 2016 Sep 21;98(18):1509-10. doi: 10.2106/JBJS.16.00872. PMID: 27655977. https://bit.ly/3Bc2TUz

In this episode, Marc and Mo discuss the importance of breaking down silos and collaborating with non-surgeon colleagues in the musculoskeletal arena (PTs, OTs, physiatrists) to develop evidence-based recommendations on rehabilitation strategies for the purpose of improving patient outcomes.

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Martínez R, Santana F, Pardo A, Torrens C. One Versus 3-Week Immobilization Period for Nonoperatively Treated Proximal Humeral Fractures: A Prospective Randomized Trial. J Bone Joint Surg Am. 2021 Aug 18;103(16):1491-1498. doi: 10.2106/JBJS.20.02137. PMID: 34101691. https://bit.ly/2WhQSh1

In this episode, Marc and Mo are joined by special guest Joseph Silburt, PhD (Data Scientist at OrthoEvidence) in an informative discussion on the issues related to artificial intelligence, machine-learning, and neural networks, with a specific focus on how these technologies can be applied to preoperative and perioperative planning. 

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• OrthoEvidence. An Overview of Machine Learning Applications for Conducting Systematic Reviews. OE Original. 2021;4(3):2. Available from: https://myorthoevidence.com/Blog/Show/118

• OrthoEvidence. Deep neural networks (machine learning) in healthcare. OE Original. 2019;2(6):1. Available from: https://myorthoevidence.com/Blog/Show/33
• OrthoEvidence. Rise of the Robots: The robot-assisted orthopaedic surgical Revolution. OE Insight. 2021; 2(1): 1. Available from: https://myorthoevidence.com/Download/51b28028-b6f9-4b2c-8ede-9209dbc642c8

In this episode, Marc and Mo are joined by special guest Javad Parvizi (James Edwards Professor of Orthopaedic Surgery at the Sidney Kimmel School of Medicine at the Rothman Institute at Thomas Jefferson University in Philadelphia) in a thought-provoking discussion on the goals and impact of international efforts to achieve consensus and standardization in orthopaedic care, with a specific focus on guidelines related to periprosthetic joint infection and venous thromboembolism. 

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• Second International Consensus Meeting (ICM) on Musculoskeletal Infection. https://icmphilly.com/
• Parvizi J, Gehrke T, Chen AF. Proceedings of the International Consensus on Periprosthetic Joint Infection. Bone Joint J. 2013 Nov;95-B(11):1450-2. https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.95B11.33135?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org

In this instructive episode, Mo and Marc focus on the concept of the Fragility Index—a method for evaluating the robustness of statistically significant dichotomous outcomes in RCTs—and discuss why this concept is relevant to practicing orthopaedic surgeons, who must routinely make real decisions in the clinic and OR based on their interpretation of the orthopaedic literature. 

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to [email protected]

Links:

• OrthoEvidence. Fragility Index: How robust are your results? OE Original. 2021;4(5):2. Available from: https://myorthoevidence.com/Blog/Show/127
• Ekhtiari S, Gazendam AM, Nucci NW, Kruse CC, Bhandari M. The Fragility of Statistically Significant Findings From Randomized Controlled Trials in Hip and Knee Arthroplasty. J Arthroplasty. 2021 Jun;36(6):2211-2218.e1. doi: 10.1016/j.arth.2020.12.015. Epub 2020 Dec 13. PMID: 33390336. https://pubmed.ncbi.nlm.nih.gov/33390336/