OrthoJOE: Recent Episodes
Mohit Bhandari and Marc Swiontkowski
Keeping current with orthopaedic science and research. A podcast from JBJS and OrthoEvidence, featuring Mohit Bhandari, MD and Marc Swiontkowski, MD.
In this episode, Mo and Marc are joined by special guest Michael Chapman, MD (Chairman Emeritus at UC Davis, Past Chair of JBJS Board of Trustees, Past President of AOA, founding member of OTA) in a discussion of the history and future (and recent JBJS acquisition) of the classic textbook Chapman’s Comprehensive Orthopaedics.
Links:
- Chapman’s Comprehensive Orthopaedics, 4th Edition
- JBJS Clinical Classroom
- JBJS Hub
Subspecialties:
- Basic Science
- Education and Training
- Ethics
- Foot and Ankle
- Hand and Wrist
- Hip
- Infection
- Knee
- Oncology
- Orthopaedic Essentials
- Pain Management
- Rehabilitatoin
- Pediatrics
- Spine
- Shoulder
- Elbow
- Sports Medicine
- Trauma
In this episode, Mo and Marc discuss the challenges of conducting high-quality observational trials and the dangers of publishing poorly designed RCTs, with an emphasis on the concept that high quality leads to high impact.
Links:
- Fram BR, Bosse MJ, Odum SM, Reider L, Gary JL, Gordon WT, Teague D, Alkhoury D, MacKenzie EJ, Seymour RB, Karunakar MA; The Major Extremity Trauma Research Consortium. Do Transtibial Amputations Outperform Amputations of the Hind- and Midfoot Following Severe Limb Trauma?: A Secondary Analysis of the OUTLET Study. J Bone Joint Surg Am. 2024 May 1;106(9):776-781. doi: 10.2106/JBJS.23.00878. Epub 2024 Mar 21. PMID: 38512987. https://bit.ly/3WJEjIy
- Bosse MJ, MacKenzie EJ, Kellam JF, Burgess AR, Webb LX, Swiontkowski MF, Sanders RW, Jones AL, McAndrew MP, Patterson BM, McCarthy ML, Travison TG, Castillo RC. An analysis of outcomes of reconstruction or amputation after leg-threatening injuries. N Engl J Med. 2002;347:1924-31. https://pubmed.ncbi.nlm.nih.gov/12477942/
- MacKenzie EJ, Bosse MJ, Pollak AN, Webb LX, Swiontkowski MF, Kellam JF, Smith DG, Sanders RW, Jones AL, Starr AJ, McAndrew MP, Patterson BM, Burgess AR, Castillo RC. Long-term persistence of disability following severe lower-limb trauma. Results of a seven-year follow-up. J Bone Joint Surg Am. 2005 Aug;87(8):1801-9. doi: 10.2106/JBJS.E.00032. PMID: 16085622. https://bit.ly/3UZfhE3
Subspecialties:
- Rehabilitation
- Trauma
In this bonus episode, from the JBJS OrthoCorps audio archive, Dr. Thomas Vail shares his story about tackling challenges in leadership and his sources of inspiration and motivation.
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 guidelines: https://bit.ly/4dD2sqr
Subspecialties:
- Orthopaedic Essentials
In this episode, Mo and Marc are joined by special guests Seth Leopold, MD (Editor-in-Chief, Clinical Orthopaedics and Related Research) and Kim Templeton, MD (Chair of Faculty Development and Associate Dean for Continuing Medical Education at the University of Kansas) in a discussion of the recent symposium and upcoming series of articles focusing on sex and gender in orthopaedic research.
Links:
- American Women’s Medical Society
- JBJS Supplement on Pain Management
- Leopold SS, Beadling L, Dobbs MB, Gebhardt MC, Lotke PA, Manner PA, Rimnac CM, Wongworawat MD. Fairness to all: gender and sex in scientific reporting. Clin Orthop Relat Res. 2014 Feb;472(2):391-2. doi: 10.1007/s11999-013-3397-5. Epub 2013 Nov 26. PMID: 24276859; PMCID: PMC3890179. https://bit.ly/4b3hLqv
- SAGER guidelines
- NIH Policy on Sex as a Biological Variable
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 bonus episode, from the newly introduced JBJS OrthoCorps audio archive, Dr. Heather Vallier MD, discusses the history of orthopaedic trauma in North America with Anna Miller, MD.
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://avs.jbjs.org/
Subspecialties:
- Orthopaedic Essentials
As the EIC baton is passed, Mo and Marc reflect on their individual histories with JBJS, Marc’s legacy, and Mo’s vision for the future.
Links:
- None
Subspecialties:
- Orthopaedic Essentials
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
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
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:
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:
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
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: orthocorps@jbjs.org
- 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 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=Z39.88-2003𝔯_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
In this episode, Marc and Mo are joined by special guest Bruce Sangeorzan—Professor of Orthopaedics at the University of Washington and world-renowned foot and ankle researcher—in a lively discussion on the past, present, and future of ankle replacement.
- Approximately 700,000 knee replacements are performed each year, compared with just 10,000-20,000 ankle replacements, leading to a number of questions:
- How does this factor affect the number of clinicians who are as skillful and comfortable in performing ankle replacement as compared with shoulder, knee, and hip replacement?
- How do better-designed alignment devices, improved implants, and better training affect the numbers of ankle replacements being performed each year?
-
How soon can we reach 40,000 ankle replacements each year?
-
What are the challenges in performing RCTs of ankle arthroplasty? Is an RCT even the right study design for this topic?
- What design elements seem to be most successful, especially given the space limitations in the ankle region?
- How do factors such as degenerative disease, BMI, activity level, and adjacent osteotomy affect the results of ankle replacement and arthrodesis?
OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org
Resources/Links:
- Veljkovic AN, Daniels TR, Glazebrook MA, Dryden PJ, Penner MJ, Wing KJ, Younger ASE. Outcomes of Total Ankle Replacement, Arthroscopic Ankle Arthrodesis, and Open Ankle Arthrodesis for Isolated Non-Deformed End-Stage Ankle Arthritis. J Bone Joint Surg Am. 2019 Sep 4;101(17):1523-1529. doi: 10.2106/JBJS.18.01012. PMID: 31483394. https://jbjs.org/reader.php?id=205473&rsuite\_id=2159103&native=1&source=The\_Journal\_of\_Bone\_and\_Joint\_Surgery/101/17/1523/fulltext&topics=fa#info
- Muller P, Skene SS, Chowdhury K, Cro S, Goldberg AJ, Doré CJ; TARVA Study Group. A randomised, multi-centre trial of total ankle replacement versus ankle arthrodesis in the treatment of patients with end stage ankle osteoarthritis (TARVA): statistical analysis plan. Trials. 2020 Feb 18;21(1):197. doi: 10.1186/s13063-019-3973-4. PMID: 32070409; PMCID: PMC7029552. https://pubmed.ncbi.nlm.nih.gov/32070409/
- The Canadian Foot and Ankle Society (COFAS): https://coa-aco.org/foot-ankle-cofas/
Brought to you by Mohit Bhandari and Marc Swiontkowski of OrthoJOE.
How do diversity, equity, and inclusion contribute to excellence, creativity, competitive advantage, and relevance in both orthopaedic surgery and scientific publishing? How can we achieve greater diversity among authors, editors, and reviewers at top journals? What specific steps can individuals and organizations take to create a more diverse, inclusive, and equitable environment that provides greater opportunities for under-represented groups?
We have a mailbag! If you have any feedback or comments about the latest episode or other relevant topics, feel free to send us a line at the OrthoJOE Mailbag: orthojoe@jbjs.org.
Talking Points:
- Equity and inequality in surgery
- “Getting to excellence” and “being diverse and inclusive” are key targets
- How can we be more inclusive in the publishing industry and within our fields of expertise?
- The orthopaedic gender gap
- What more should we be doing?
- Rallying the voices of others
- Being aware of what’s happening in your office
- Thinking broadly about change
Resources/Links:
- Scholl E, Badwall HK, Bhandari M. Equity in Surgery: Being Diverse and Inclusive, Isn’t Enough. OE Insights. Sept. 5, 2020.https://myorthoevidence.com/Download/5ac93c79-38a3-4e9e-b5bc-ce225882ac75.
- Okike K, Liu B, Lin YB, Torpey JL, Kocher MS, Mehlman CT, Bhandari M, Biermann JS. The orthopedic gender gap: trends in authorship and editorial board representation over the past 4 decades. Am J Orthop (Belle Mead NJ). 2012 Jul;41(7):304-10. https://pubmed.ncbi.nlm.nih.gov/22893880/
- Hiller KP, Boulos A, Tran MM, Cruz AI Jr. What Are the Rates and Trends of Women Authors in Three High-impact Orthopaedic Journals from 2006-2017? Clin Orthop Relat Res. 2020 Jul;478(7):1553-1560. doi: 10.1097/CORR.0000000000001043. https://pubmed.ncbi.nlm.nih.gov/31688211/
- Ray GS, Lechtig A, Rozental TD, Bernstein DN, Merchan N, Johnson AH. Gender Disparities in Financial Relationships Between Industry and Orthopaedic Surgeons. J Bone Joint Surg Am. 2020 Feb 19;102(4):e12. doi: 10.2106/JBJS.19.00669. https://jbjs.org/reader.php?id=205772&rsuite_id=2266005&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/102/4/e12/abstract&topics=oe#info
Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this episode of OrthoJOE, Marc and Mo discuss the RCTs (or randomized control trials) on common injuries like distal radial fractures. There is a huge amount of work involved in these. Should our focus be elsewhere? Is there such a thing as too many RCTs on the same topic?
Marc and Mo also talk about the data and their findings in recent scientific journals, including their own JBJS and Orthoevidence articles. "Cost-effectiveness studies'' are increasingly popular, with submissions doubling every 18 months. Orthopaedic surgeons must "own the bone" when treating distal radial fractures, which should be seen as a sentinel event for investigating overall bone health.
If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE. We are currently working on a better mailbag system. However, in the meantime, you can contact us through our respective websites (MyOrthoEvidence and JBJS).
Talking Points:
- RCTs on distal radial fractures
- The cost-effectiveness of certain studies
- Getting the appropriate dialogue going
- The upsides and downsides to “expertise-based trials”
- Novel angles for future trials
- The AOA’s “Own the Bone” Program and focusing on poor bone quality
Resources/Links:
- Ludvigsen T, Matre K, Gudmundsdottir RS, Krukhaug Y, Dybvik EH, Fevang JM. Surgical Treatment of Distal Radial Fractures with External Fixation Versus Volar Locking Plate: A Multicenter Randomized Controlled Trial. J Bone Joint Surg Am. 2021 Mar 3;103(5):405-414. doi: 10.2106/JBJS.20.00275. PMID: 33369985. https://pubmed.ncbi.nlm.nih.gov/33369985/
- Rajan PV, Qudsi RA, Dyer GSM, Losina E. The Cost-Effectiveness of Surgical Fixation of Distal Radial Fractures: A Computer Model-Based Evaluation of Three Operative Modalities. J Bone Joint Surg Am. 2018 Feb 7;100(3):e13. doi: 10.2106/JBJS.17.00181. PMID: 29406347; PMCID: PMC6819022. https://pubmed.ncbi.nlm.nih.gov/29406347/
Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this episode of OrthoJOE, Marc and Mo explore both the challenges and opportunities that have risen from the new abundance of online information and what this means for our pursuit of evidence-based medicine in surgery.
If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE. You can contact us through our respective websites (MyOrthoEvidence and JBJS). We intend on having a mailbag portion of the show where we answer questions posed by our listeners.
Talking Points:
- Traditional textbooks and journal articles in digital form look and operate similar to the printed version
- Application of machine learning to scientific research and clinical practice
- Future scientific paper: computational notebooks creating opportunity for a "living journal”
- Point-of-care, data-driven tools of the future
Resources/Links:
- OrthoEvidence, (February 19, 2021- No 42) OrthoEvidence. The Digital Enterprise: Redefining How Data is Changing Surgery. OE Insight. 2021;2(2):3. Available from: https://myorthoevidence.com/Download/9a6a3a4e-405f-4e40-8970-9ffa1f77480b
- JBJS, Vaid S, Cakan C, Bhandari M. Using Machine Learning to Estimate Unobserved COVID-19 Infections in North America. J Bone Joint Surg Am. 2020 Jul 1;102(13):e70. doi: 10.2106/JBJS.20.00715. PMID: 32618918; PMCID: PMC7396213. https://pubmed.ncbi.nlm.nih.gov/32618918/
Machine Learning Consortium, on behalf of the SPRINT and FLOW Investigators. A Machine Learning Algorithm to Identify Patients with Tibial Shaft Fractures at Risk for Infection After Operative Treatment. J Bone Joint Surg Am. 2020 Dec 29;Publish Ahead of Print. doi: 10.2106/JBJS.20.00903. Epub ahead of print. PMID: 33394819. https://pubmed.ncbi.nlm.nih.gov/33394819/
Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this episode of OrthoJOE, Marc and Mo are talking about the choice of a unipolar or bipolar prosthesis design for displaced femoral neck fractures which are treated with hemiarthroplasty. They discuss randomized clinical trials (scientific approach to control bias) vs registry data (real world). They also have a lively discourse about revision rates.
If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE.
Talking Points:
- Orthoevidence article: “Unipolar vs bipolar hemiarthroplasty similar in elderly displaced femoral neck fractures in elderly individuals”
- Lessons from Mo’s large random control trial concerning fractures
- The debate about total versus hemiarthroplasty
- The advantage of a total hip replacement
-
The statistics of the trial
-
The need for a repository of data
- Clinical decision-making about cementification and revision
Resources/Links:
Farey JE, Cuthbert AR, Adie S, Harris IA. “Revision Risk After Unipolar or Bipolar Hemiarthroplasty for Femoral Neck Fractures: An Instrumental Variable Analysis of 62,875 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry.” J Bone Joint Surg Am. 2021 Feb 3;103(3):195-204. doi: 10.2106/JBJS.20.00486. PMID: 33208595. https://europepmc.org/article/med/33208595
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/
Orthoevidence: “Unipolar vs bipolar hemiarthroplasty similar in elderly displaced femoral neck fractures in elderly individuals” https://myorthoevidence.com/AceReports/Report/8399
Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this episode of OrthoJOE, Drs. Bhandari and Swionkowski discuss the future of robotics in orthopaedic surgery. Why all of the investment? What are the costs vs. benefits? How about the marketing incentives for institutions? Is there a promise of better outcomes?
If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE.
Talking Points:
- Facts about robotics in the medical industry
- Why robotics? Are we fixing the problem?
- What is the long-term value of robotics in surgery?
- Expertise bias in robotics
- Is the initial cost going to be outweighed quickly?
- Two-year outcome study
- Quicker, less invasive surgeries?
-
Marketing using the latest technology
-
Robotics as an enabler technology that allows us to rethink our views on surgery
- What is needed in order to integrate and use robots well
Resources/Links:
“Robotic-Assisted Total Hip Arthroplasty: A Meta-analysis of Randomized Controlled Trials,” OrthoEvidence
“Robotic Technology in Orthopaedic Surgery,” JBJS.org
“Robotic-Assisted Pedicle Screw Placement During Spine Surgery,” JBJS.org
The Journal of Bone and Joint Surgery
Orthoevidence
Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this episode of OrthoJOE, we’ll be talking about the Journal of Bone and Joint Surgery (JBJS) as well as Orthoevidence, our two publications which both have the goals of synthesizing information and making it digestible for the public and professionals in the industry. Today we’re also talking about the impact of COVID-19 on orthopaedic surgery, the speed at which information was disseminated, as well as the publishing standards on this information as it was released to the public.
If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE.
Talking Points:
- The history and mission statement for Orthoevidence
- The early days of COVID-19
- Infodemic
- The speed at which information was disseminated
- How publishing standards have evolved
- Preprint servers and associated use during crisis
Resources/Links:
The Journal of Bone and Joint Surgery
Orthoevidence
JBJS Covid-19 Collection
The "Infodemic" of Journal Publication Associated with the Novel Coronavirus Disease
Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this episode of OrthoJOE, we’ll be talking about sham surgeries. What is sham surgery and why do we need it? Is it morally ethical to use sham controls? We talk about avoiding bias and the feasibility of using sham controls. What are the benefits? Do they outweigh the moral ramifications?
If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE.
Talking Points:
- The three things most people should remember about sham surgery
- Agreeing on the definition of sham surgery
- How do you avoid bias?
- Psychological state of patients and how physicians can affect that
- The feasibility of sham surgeries
- The difference sham surgeries and a placebo trial
Resources/Links:
My Ortho Evidence Website: https://myorthoevidence.com/Blog/Show/106
Sham surgery resources
Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this second episode of OrthoJOE, we’ll be talking about our background in orthopedics, the purpose and mission for our podcast, and topics we cover in both of our publications including the use of antibiotic cement in arthroplasty, registry data, randomized trials, and trial numbers. We also discuss how different trials covering the same subject matter can yield such different results.
Dr. Marc Swiontkowski is an orthopedic trauma surgeon at the TRIA Orthopedic Center Bloomington. He is the editor-in-chief of the Journal of Bone and Joint Surgery. He’s also an active researcher sponsored by the National Institutes of Health.
Dr. Mohit Bhandari is a professor and academic head of the division of Orthopedic Surgery at McMaster University in Ontario. He holds the Canadian Research Chair in evidence-based orthopedics.
If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE.
Talking Points:
- The use of antibiotic cement in arthroplasty
- The biggest challenge in registry data
- Subject numbers and other necessities for trials
- Knee replacement and hip replacement trials
Keeping current with orthopaedic science and research. A podcast from JBJS and OrthoEvidence, featuring Mohit Bhandari, MD and Marc Swiontkowski, MD.