OrthoJOE

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

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

Notes: 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! Link: 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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

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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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=2

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 orthojoe@jbjs.org Links: 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 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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 orthojoe@jbjs.org 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/

In this thought-provoking episode, Marc and Mo highlight a recent single-center study on the use of machine-learning algorithms in orthopaedics and use it as a springboard into a larger discussion of the inherent opportunities and challenges that have always been associated the ongoing process of scientific exploration into new domains, with a focus on the intriguing question: “Is there a day in the future when clinical decision-making will be reduced to these machine-learning algorithms?” OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Kunze KN, Polce EM, Clapp I, Nwachukwu BU, Chahla J, Nho SJ. Machine Learning Algorithms Predict Functional Improvement After Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Athletes. J Bone Joint Surg Am. 2021 Jun 16;103(12):1055-1062. doi: 10.2106/JBJS.20.01640. PMID: 33877058. https://jbjs.org/reader.php?id=209282&rsuite_id=2845874&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/103/12/1055/fulltext&topics=sm#info OrthoBuzz Blog Entry: https://orthobuzz.jbjs.org/2021/06/21/use-of-machine-learning-to-predict-improvement-after-hip-arthroscopy/ Author Insights video: https://www.youtube.com/watch?v=KRT98A2HDn8

Orthopaedic patients are increasingly using cannabinoids for pain relief, but there is a lack of evidence-based data on this topic. In this episode, Marc and Mo are joined by special guest Jason Busse (Associate 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 an illuminating discussion on the issues, opportunities, and challenges related to orthopaedic research into the use of cannabinoids. Some of the questions covered during the discussion include: What are the most popular claims among cannabis proponents? What evidence is there to support these claims? Is there a causal relationship between cannabinoid use and decreased use of opioids and other prescription medications (i.e., a “substitution effect”)? Much of the current evidence on cannabinoids is observational and anecdotal. What can we learn from this evidence, and how can such information inform future research? What are the possible sources of funding for such research? What legal and regulatory hurdles must be overcome in order to allow us to perform properly designed RCTs into this topic? What challenges are faced by physicians when asked by patients about cannabinoids? What research is being done from the patient perspective? What is the roadmap for the future? How we will obtain quality evidence that will help clinicians and their patients to make decisions that are consistent with their values and preferences? OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Yun C, Haleem MS, Jeong S, Oyer MA, Driscoll AJ, Chang KY, Yun J, Paul J, Lubbe RJ, Stock SR, Hsu WK, Hsu EL. Effect of Postoperative Analgesic Exposure to the Cannabinoid Receptor Agonist WIN55 on Osteogenic Differentiation and Spinal Fusion in Rats. J Bone Joint Surg Am. 2021 Jun 2;103(11):984-991. doi: 10.2106/JBJS.20.00573. PMID: 33759484. Link. Devinsky O, Patel AD, Cross JH, Villanueva V, Wirrell EC, Privitera M, Greenwood SM, Roberts C, Checketts D, VanLandingham KE, Zuberi SM; GWPCARE3 Study Group. Effect of Cannabidiol on Drop Seizures in the Lennox-Gastaut Syndrome. N Engl J Med. 2018 May 17;378(20):1888-1897. doi: 10.1056/NEJMoa1714631. PMID: 29768152. Link. Devinsky O, Cross JH, Laux L, Marsh E, Miller I, Nabbout R,

In this episode, Marc and Mo are joined by special guests Ann Van Heest (Professor and Director of Education in the Department of Orthopaedic Surgery at the University of Minnesota) and Laurie Hiemstra (Orthopaedic Surgeon at Banff Sport Medicine and soon-to-be President-Elect of the Canadian Orthopaedic Association) in an illuminating discussion on the challenges faced by women in the field of orthopaedics—and, more importantly, what can be done to address these challenges. This topic was suggested by one of our listeners (Rostanda Meireles, the first woman in the Brazilian Hip Society) via the OrthoJoe mailbag (orthojoe@jbjs.org). The discussion touched on a number of themes: What systematic disadvantages do women continue to face in orthopaedics? How do these institutional barriers impact their careers in terms of meeting the requirements for board certification, becoming successful surgeons, obtaining grants and industry support, performing original research, publishing articles, and so on? How do cultural differences around the world impact women as they try to become established in the field? How can these issues be addressed locally, nationally, and internationally? How can we address the root causes of the “pipeline” issue, given the fact that 50% of medical students in the US are female, compared with only 15% of orthopaedic surgeons? What has worked, what hasn’t worked, and where should we be focusing our efforts going forward? How can we drive cultural change for the purpose of increasing the representation of women in positions of leadership within the field? How can men and non-minority allies lead the charge in fostering meaningful change and increasing diversity, equity, and inclusion across our organizations? Major cultural change comes from above, but grassroot change is equally important. How can we all “walk the talk” in order to make the field of orthopaedics better across the board? OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Van Heest, Ann E. MD; Agel, Julie MA; Samora, Julie Balch MD, PhD. A 15-Year Report on the Uneven Distribution of Women in Orthopaedic Surgery Residency Training Programs in the United States, JBJS Open Access: April-June 2021 - Volume 6 - Issue 2 - e20.00157. doi: 10.2106/JBJS.OA.20.00157. Link. Scholl E, Badwall HK, Bhandari M. Equity in Surgery: Being Diverse and Inclusive, Isn’t Enough. OE Insights. Sept. 5, 2020.

In this episode, Marc and Mo are joined by special guest Ed Harvey (tenured professor at McGill University and Past-President of the Canadian Orthopaedic Association) in a lively discussion on the topic of innovation in the field of orthopaedic surgery. The discussion touches on a number of related questions: Invention is often confused with innovation. What is the difference? What is the phenotype of a surgeon-innovator, and how does such an individual differ from a surgeon-scientist or surgeon-educator? What are the necessary skills and qualities of the surgeon-innovator? How can we identify individuals with these skills, and how can we motivate individuals to develop them? Are people born with these skills, and can these skills be taught? When is the right time to innovate? Are you ever too young or too old to innovate? How does the concept of value relate to the concept of innovation? What are the roles of the “3 Ps” (Patient, Physician, and Payor) in achieving commercialization? How does a surgeon-innovator define “success”? Why is it important to have an efficient and effective team during the commercialization process? How does the team change over time? What kind of expertise is needed to navigate the regulatory issues related to innovation? What are investors and venture capitalists (VCs) ultimately looking for when evaluating an invention? OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Schiffman CJ, Prabhakar P, Hsu JE, Shaffer ML, Miljacic L, Matsen FA 3rd. Assessing the Value to the Patient of New Technologies in Anatomic Total Shoulder Arthroplasty. J Bone Joint Surg Am. 2021 May 5;103(9):761-770. doi: 10.2106/JBJS.20.01853. PMID: 33587515. Link. Duckworth, A. (2016). Grit: The power of passion and perseverance. Scribner/Simon & Schuster. https://www.amazon.com/Grit-Passion-Perseverance-Angela-Duckworth/dp/1501111108

In this episode, Marc and Mo highlight a recent large database study from The Hospital for Special Surgery and use it as a springboard to discuss a number of issues related to the appropriateness, timing, and investigation of knee arthroscopy in patients with degenerative disease. What is the relationship between the timing of knee arthroscopy and the rates of revisions and complications following TKA? Is there a recommended time interval between knee arthroscopy and TKA that can be used to inform clinical decision-making? Is the use of arthroscopy in the presence of knee OA even evidence-based to begin with? What would be the specific situations in which arthroscopy would definitely be indicated? What are the weaknesses of the insurance database approach to studying this topic? How should we advise residents or young academic faculty with regard to the issues that are associated with this study design? What confounders must be considered in the interpretation of the results? If the goal is to delay TKA for as long as possible, what are the top 3 evidence-based interventions that we have in our armamentarium today? OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Gu A, Fassihi SC, Wessel LE, Kahlenberg C, Ast MP, Sculco PK, Nunley RM. Comparison of Revision Risk Based on Timing of Knee Arthroscopy Prior to Total Knee Arthroplasty. J Bone Joint Surg Am. 2021 Apr 21;103(8):660-667. doi: 10.2106/JBJS.20.00218. PMID: 33849048. Link Jones MH. Indications for Knee Arthroscopy in Patients with Osteoarthritis: Commentary on an article by Alex Gu, MD, et al.: "Comparison of Revision Risk Based on Timing of Knee Arthroscopy Prior to Total Knee Arthroplasty". J Bone Joint Surg Am. 2021 Apr 21;103(8):e33. doi: 10.2106/JBJS.21.00074. PMID: 33849051. Link Richardson SS, Schairer WW, Sculco TP, Sculco PK. Comparison of Infection Risk with Corticosteroid or Hyaluronic Acid Injection Prior to Total Knee Arthroplasty. J Bone Joint Surg Am. 2019 Jan 16;101(2):112-118. doi: 10.2106/JBJS.18.00454. PMID: 30653040. Link OARSI Guidelines: https://oarsi.org/education/oarsi-guidelines-0

In this episode, Marc and Mo are joined by special guest P.J. Devereaux, Director of the Division of Perioperative Care at McMaster University, in an informative discussion on the future of perioperative and transitional care. With much of the world still dealing with a third wave of the Covid pandemic, and with hospital access continuing to be a challenge because of high rates of ER visits and hospital readmissions, how can we optimize the safety and care of patients both intraoperatively and postoperatively? How has Covid helped us to rethink how we might improve care for our patients in the future? How can we most effectively monitor patients after they leave the orthopaedic surgical suite? What measures can we take to send patients home both sooner and safer? What are the roles of technology, personnel, data monitoring, and established protocols in ensuring timely and improved patient care after discharge? What are the cost considerations associated with technology and technology support? How do these costs compare with those of ER visits and rehospitalizations? How might the development of a new discipline of perioperative and transitional care help to save lives, provide better patient experiences, improve outcomes, and avoid overloading our ERs and hospitals? OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Prada C, Chang Y, Poolman R, Johal H, Bhandari M. Best practices for surgeons. COV/0-19 Evidence-Based Scoping Review. https://myoe.blob.core.windows.net/docs/OE-Best-Practices-for-Surgeons-COVID-19-Evidence-Based-Scoping-Review.pdf Prvu Bettger J, Green CL, Holmes DN, Chokshi A, Mather RC 3rd, Hoch BT, de Leon AJ, Aluisio F, Seyler TM, Del Gaizo DJ, Chiavetta J, Webb L, Miller V, Smith JM, Peterson ED. Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty: VERITAS, a Randomized Controlled Trial. J Bone Joint Surg Am. 2020 Jan 15;102(2):101-109. doi: 10.2106/JBJS.19.00695. PMID: 31743238. link