OrthoJOE

Dsyphagia After Anterior Cervical Spine Surgery, with special guest Mark Pahuta

Mohit Bhandari and Marc Swiontkowski — Wed, 13 May 2026 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Mark Pahuta, MD, PhD, FRCSC (Associate Professor and W.H. Kwok Chair in Spine Surgery Research, McMaster University) in a discussion on a recent prospective study focusing on dysphagia after anterior cervical spine surgery.

Subspecialties:

Spine

Links:

Louie PK, Lipson P, Alostaz M, Bansal A, Cherel M, Reynolds L, Shen J, Eley N, Varley E, Leveque JC, Nemani VM. Subjective and Functional Dysphagia After Anterior Cervical Spine Surgery: A Prospective Controlled Study. J Bone Joint Surg Am. 2026 Mar 18;108(6):436-442. doi: 10.2106/JBJS.25.00847. Epub 2025 Dec 26. PMID: 41452954. https://bit.ly/4c4AWCb

Chapters

(00:00:03) - Ortho Joe Podcast
(00:01:15) - Improving the quality of spine surgery
(00:02:30) - Subjective and Functional Dysphasia after Anterior Cervical
(00:04:03) - Anterior vs posterior cervical procedures
(00:05:40) - The Yale Swallow Trial
(00:06:50) - What would be the ideal study design for dysphagia?
(00:11:12) - Cervical myelopathy, non-operative treatment
(00:15:02) - Dr. Bahuda on Dysphagia

Catching Up with special guest Jim Heckman (Editor Emeritus, JBJS)

Mohit Bhandari and Marc Swiontkowski — Wed, 22 Apr 2026 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Jim Heckman (Editor Emeritus, JBJS) in a discussion about his tenure and contributions as Editor-in-Chief, including the transformation of the "Gray Journal" into a more modern, evidence-based publication by implementing electronic manuscript processing system, redesigning the cover, and establishing a biostatistics review process.

Subspecialties:

Orthopaedic Essentials

Links:

none

Chapters

(00:00:03) - Pod Podcast
(00:01:22) - The Journal's Former Editor in Chief James Heckman
(00:02:35) - Excerpt: My Time in Boston
(00:04:48) - Jim Gray: Being both CEO and Editor in Chief
(00:09:53) - The Challenges of Moving the Journal Forward
(00:13:47) - A Few Words on Jeff Katz
(00:16:20) - The Journal of Born Joint Surgery
(00:21:23) - A decade at Orthopedics Journal
(00:23:46) - The Future of Orthopedic Publishing
(00:26:42) - Dr. Heckman on JBGs

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 32)

Mohit Bhandari and Marc Swiontkowski — Wed, 15 Apr 2026 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Anthony Guanciale, MD, reflects on the impact the Mid-America Orthopaedic Association has had on his career, in conversation with Bernie Stulberg, 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Chapters

(00:00:03) - OrthoCorps
(00:00:56) - Mid America Orthopedic Association Meeting
(00:07:47) - Mid America Orthopedic Association President Tony Stahlberg

Catching Up with special guest Sanjeev Sabharwal (Editor, JBJS Reviews)

Mohit Bhandari and Marc Swiontkowski — Wed, 08 Apr 2026 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Sanjeev Sabharwal (Editor, JBJS Reviews) in a discussion about his path to the role, stepping into the shoes of his predecessor Tom Einhorn, the importance of embracing a growth mindset, and his vision for the future of the journal.

Subspecialties:

Orthopaedic Essentials

Links:

none

Chapters

(00:00:03) - Interview
(00:01:30) - JBGS Reviews Editor's introduction
(00:04:02) - Reviewers' roles in the Journal
(00:07:22) - The future of JBGS Review
(00:10:10) - An editorial board discussion on AI in manuscripts
(00:14:37) - JBGS Reviews
(00:17:21) - The role of librarians in conducting lit searches
(00:18:36) - Sanjeev On Rejuvenating His Life

Catching Up with special guest Vern Tolo (Editor Emeritus, JBJS)

Mohit Bhandari and Marc Swiontkowski — Wed, 25 Mar 2026 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Vern Tolo (Editor Emeritus, JBJS) in a discussion about his tenure as Editor-in-Chief, including the decision to split the EIC and CEO roles, adapting to the new role and structure, navigating a variety of challenges in the field of publishing, and expanding the JBJS portfolio for greater impact on patient care.

Subspecialties:

Orthopaedic Essentials

Links:

none

Chapters

(00:00:03) - Pod Podcast
(00:01:02) - A Few Minutes With the American Academy of Orthopedic Surgery's
(00:02:21) - The Search for a New Chief Editor at Pediatrics
(00:04:18) - When the Edit Team moved to Boston
(00:05:42) - A New direction for the Journal of Orthopedic Surgery
(00:09:11) - JBJS: Sister Journals and Open Access
(00:10:18) - The Future of Cardiac Surgery: The flagship journal
(00:12:35) - The End of an Era for the Journal of Bone and Joint Surgery
(00:14:37) - Pushing the print journal out of extinction

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 31)

Mohit Bhandari and Marc Swiontkowski — Wed, 18 Mar 2026 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Dr. Surena Namdari moderates a conversation with Dr. Gerald Williams about the evolutions of shoulder arthroplasty.

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

Shoulder

Chapters

(00:00:03) - OrthoCorps
(00:01:39) - Tom O'Brien on Charles Rockwood's Fellowship
(00:03:52) - Shoulder Replacement, Dr. Rockwood
(00:05:23) - Osteoarthroplasty, humeral and glen
(00:14:14) - Augments and Over-Ream in B2 Glenoids
(00:21:30) - On the Future of Reciprovers
(00:23:23) - Philosopher Mark Gramont on Head and Neck Surgery
(00:24:55) - Reverse Shoulder Replacement

Microagressions in the OR, with special guest Dr. Saroo Sharda

Mohit Bhandari and Marc Swiontkowski — Wed, 11 Mar 2026 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Dr. Saroo Sharda (Associate Dean Equity & Inclusion Faculty of Health Sciences, Associate Clinical Professor, Dept of Anesthesia, Faculty of Health Sciences, McMaster University), who shared her insights on recognizing and addressing microaggressions in the medical field, emphasizing the importance of education and awareness.

Subspecialties:

Orthopaedic Essentials

Link:

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/4jToDMf

Sotto-Santiago S, Mac J, Duncan F, Smith J. “I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach. MedEdPORTAL. 2020;16:10971. https://bit.ly/3NxM4yU

Chapters

(00:00:03) - Ortho Joe Podcast
(00:01:36) - Anesthesiology and Orthopedics
(00:02:23) - Dr. Sharda on Microaggressions
(00:05:51) - Microaggressions in Orthopedic Surgery
(00:09:31) - The role of microaggressions in surgery
(00:12:35) - What Can We Do About Power Differential in ORs?
(00:16:18) - How to respond to microaggressions in the moment
(00:21:02) - Markedly Speaking Out About Saru
(00:21:54) - Annotation of the Narrative Review

OrthoEvidence, Paisley Park, and Creativity

Mohit Bhandari and Marc Swiontkowski — Wed, 25 Feb 2026 10:00:00 +0000

In this episode, Mo and Marc discuss the development of OrthoEvidence, an online platform that delivers evidence-based summaries of RCTs to help busy orthopaedists stay current with and confident in the medical literature. Mo also reflects on a recent visit to Paisley Park, using Prince’s creative workspace as a springboard for a broader conversation about creativity, discipline, and work ethic.

Subspecialties:

Orthopaedic Essentials

Link:

OrthoEvidence: https://myorthoevidence.com/

Chapters

(00:00:03) - Ortho Joe Podcast
(00:01:49) - In the Elevator: Ortho Evidence
(00:04:22) - Osteo Evidence: The importance of randomized trials
(00:08:40) - The Innovative Ortho Evidence Project
(00:12:14) - In the Elevator With Orthopedic Surgeons
(00:12:53) - Machine Learning in Orthopedic Surgery
(00:17:36) - Prince's Love Letter to Paisley Park
(00:21:52) - Egg Hunt with Ortho Joe

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 30)

Mohit Bhandari and Marc Swiontkowski — Wed, 18 Feb 2026 10:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Andrew Pollak, MD, discusses his history with 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Trauma

Chapters

(00:00:03) - OrthoCorps
(00:04:41) - Mentors in the Orthopedics field
(00:07:36) - What Lessons Has Your Work Life Teached You?
(00:09:09) - What would you say you're proudest of in your career?
(00:10:38) - Obstruction and extremity trauma training
(00:14:20) - In the Elevator of Medical Imagination
(00:15:34) - Helford on His Career
(00:18:54) - Obstruction of the lateral position during shock trauma

Orthopaedics, Stand-Up Comedy, and Rap, with special guest Kamran Hamid

Mohit Bhandari and Marc Swiontkowski — Wed, 11 Feb 2026 10:00:00 +0000

In this episode, Mo and Marc welcome special guest Kamran Hamid (hospital CMO, team doctor for Chicago Bulls and White Sox, and award-winning comedian) in a discussion about his unique journey in medicine, stand-up comedy, and rap, along with the lessons learned along the way.

Subspecialties:

Orthopaedic Essentials

Link:

Kamran’s Instagram: https://www.instagram.com/thisiskomron/reels/?hl=en

Chapters

(00:00:03) - Ortho Joe Podcast
(00:00:51) - Ice Drowning
(00:01:43) - Dr. Cameron Hameed on Comedian Kamaran
(00:02:44) - Dr. Hamid on His Funs
(00:07:10) - Paul Varghese on Starting to Do Stand Up
(00:10:05) - In the Elevator With Dr. Cameron
(00:14:48) - In the Elevator With Comedians
(00:20:23) - In the Elevator With Cameron Lee
(00:24:13) - How Should We Have Universal Healthcare Coverage?
(00:26:28) - Your Man Is Entirely Unimportant

Mo and Marc’s Highlights from 2025 and Predictions for 2026

Mohit Bhandari and Marc Swiontkowski — Wed, 28 Jan 2026 10:00:00 +0000

In this episode, Mo and Marc take a look back at several highly viewed studies that were published in The Journal in 2025 and share their predictions of what will shape the field of orthopaedics in 2026.

Subspecialties:

Orthopaedic Essentials
Ankle
Knee

Link:

Khojaly R, Rowan FE, Shah V, Nagle M, Shahab M, Ahmad AS, Dahly D, Taylor C, Niocaill RM, Cleary M. Immediate Weight-Bearing Compared with Non-Weight-Bearing After Operative Ankle Fracture Fixation: Results of the INWN Pragmatic, Randomized, Multicenter Trial. J Bone Joint Surg Am. 2025 May 23;107(13):1423-1438. doi: 10.2106/JBJS.24.00965. PMID: 40408465. https://bit.ly/4pMR5BR
Lawson MM, Lancaster K, Lipps C, Slobogean G, Brady JM, O'Hara N, Working ZM. Home Call and Sleep in Orthopaedic Surgeons: A Prospective, Longitudinal Study of the Effect of Home Call on Sleep in Orthopaedic Attending Surgeons and Residents. J Bone Joint Surg Am. 2025 Oct 15;107(20):2235-2242. doi: 10.2106/JBJS.24.01411. Epub 2025 Aug 20. PMID: 40834105. https://bit.ly/4anUpOS
Harris AB, Vigdorchik JM, Khanuja HS, Hegde V. Modern Alignment Strategies in Total Knee Arthroplasty and How to Best Achieve Them. J Bone Joint Surg Am. 2025 Nov 5;107(21):2457-2468. doi: 10.2106/JBJS.25.00480. Epub 2025 Sep 12. PMID: 40938970. https://bit.ly/49gzlbY
Hannon CP, Salih R, Barrack RL, Nunley RM. Cementless Versus Cemented Total Knee Arthroplasty: Concise Midterm Results of a Prospective Randomized Controlled Trial. J Bone Joint Surg Am. 2023 Sep 20;105(18):1430-1434. doi: 10.2106/JBJS.23.00161. Epub 2023 Jun 22. PMID: 37347823. https://bit.ly/44UsJxJ

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 29)

Mohit Bhandari and Marc Swiontkowski — Wed, 21 Jan 2026 10:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Richard Lackman, MD, discusses the influence of Ronald Bruce Heppenstall, MD, on his career and the TCOA, in conversation with Marc Swiontkowski, 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Lessons Learned From Climbing, with special guest Rock Patel

Mohit Bhandari and Marc Swiontkowski — Wed, 14 Jan 2026 10:00:00 +0000

In this episode, Mo and Marc welcome special guest Rock Patel (Clinical Professor of Orthopaedic Surgery, University of Michigan) for a fascinating discussion about his globe-trotting adventures and career journey—and how professional and personal growth often stem from adversity.

Subspecialties:

Orthopaedic Essentials

Spine

Link:

Instagram: https://www.instagram.com/rockpatelmd00/?hl=en

Chapters

(00:00:03) - Ortho Joe Podcast
(00:00:39) - Meet Rock Patel
(00:01:11) - Bo Horner on His Adventure
(00:02:03) - In the Elevator With Cancer Patients
(00:06:30) - Rocky climbed Everest in 2019
(00:10:32) - Rock climbing the Everest
(00:16:33) - Ultramarathoning and Climbing
(00:17:59) - Osteoartho surgeons on the challenges of life
(00:21:34) - Rock Patel

Transformative Gap Year in Australia, with special guest Anton Lambers

Mohit Bhandari and Marc Swiontkowski — Wed, 24 Dec 2025 10:00:00 +0000

In this episode, Mo and Marc are joined by special guest Dr. Anton Lambers (orthopaedic surgeon based in Bright, Victoria, Australia) in a discussion on his unique and transformative gap-year experience, spent travelling in a caravan with his family around the coast of Australia, visiting orthopaedic surgeons along the way.

Subspecialties:

Education and Training

Orthopaedic Essentials

Link:

Dr. Lambert’s web page: https://antonlambers.au/

Dr. Lambert’s Resident Roundup post on JBJS OrthoBuzz: https://bit.ly/4oSLCIB

Chapters

(00:00:03) - Pod Topics: Ortho Joe Podcast
(00:00:37) - Toronto's baseball fans after the game
(00:01:47) - The 'Gap Year'
(00:05:02) - The 'Gap Year'
(00:08:50) - Traveling Around Australia With a Caravan
(00:10:29) - The journey of a doctor's fellowship
(00:13:10) - Travel Journal
(00:14:20) - Active Australians talk about physical exercise
(00:15:59) - A Year on the Road: Inspiring others to do the same
(00:20:48) - A week in the wilderness

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 28)

Mohit Bhandari and Marc Swiontkowski — Wed, 17 Dec 2025 10:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, James Keeney, MD, discusses his history with the Mid-America Orthopaedic Association, in conversation with Bernie Stulberg, 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Chapters

(00:00:03) - Mid America Orthopedics Conference 2018
(00:08:22) - Board of Directors Discuss the Organization's Future
(00:11:16) - The Mid-America Conference
(00:13:03) - A message for President Brody's last year

THR vs. Resistance Training for Severe Hip OA, with Special Guest Thomas Frydendal

Mohit Bhandari and Marc Swiontkowski — Wed, 10 Dec 2025 10:00:00 +0000

In this episode, Mo and Marc are joined by special guest Thomas Frydendal, PhD (physiotherapist and researcher at Aarhus University in Denmark) in a discussion about his study entitled "Total Hip Replacement or Resistance Training for Severe Hip Osteoarthritis," published in NEJM in 2024.

Subspecialties:

Orthopaedic Essentials

Links:

Frydendal T, Christensen R, Mechlenburg I, Mikkelsen LR, Varnum C, Graversen AE, Kjærsgaard-Andersen P, Revald PH, Hofbauer C, Bieder MJ, Qassim H, Munir MS, Jakobsen SS, Nielsen SM, Ingwersen KG, Overgaard S. Total Hip Replacement or Resistance Training for Severe Hip Osteoarthritis. N Engl J Med. 2024 Oct 31;391(17):1610-1620. doi: 10.1056/NEJMoa2400141. PMID: 39476341. http://bit.ly/4oKQL5v

Thomas Frydendal’s profile on LinkedIn. https://bit.ly/4hClZtp

Chapters

(00:00:03) - Ortho Joe Podcast
(00:02:41) - Total Hip Replacement or Resistance Training for Severe Hip Osteo
(00:11:04) - The Case for a Trials
(00:13:55) - A Little About My LinkedIn Profile
(00:15:22) - The New England trial's 10 years in the world
(00:18:16) - What are you working on now?
(00:20:13) - A message for Thomas Feist

Reimagining The Journal: Local Feel with Global Appeal

Mohit Bhandari and Marc Swiontkowski — Wed, 26 Nov 2025 10:00:00 +0000

In this episode, Mo and Marc discuss the ongoing process of reimagining The Journal, including the reorganization of the editorial board, a redesign of the cover, and the introduction of new article types and theme issues, with an emphasis on globalizing the journal's content and authorship to provide high-impact, gold standard information to MSK practitioners worldwide.

Subspecialties:

Basic Science

Education and Training

Elbow

Ethics

Foot & Ankle

Hand & Wrist

Infection

Knee

Oncology

Orthopaedic Essentials

Pain Management

Pediatrics

Rehabilitation

Spine

Shoulder

Sports Medicine

Trauma

Links:

Think JBJS: https://bit.ly/3XfynWF

Chapters

(00:00:03) - Ortho Joe Podcast
(00:01:59) - A Minute with the Editorial Board
(00:06:31) - The Journal of Bone and Joint Surgery: Globalization
(00:09:13) - The Journal of Bow and Joint Surgery: Special Issues
(00:11:09) - Do we Need More Medical Journals?
(00:12:53) - A Question for The Journal
(00:15:17) - A Special Thank You for The New Vision
(00:16:37) - Think JBJS

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 27)

Mohit Bhandari and Marc Swiontkowski — Wed, 19 Nov 2025 10:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Sanjeev Sabharwal, MD, MPH, talks with his mentor Hugh Watts, MD, about the evolution of pediatric orthopaedics in North America.

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

Pediatrics

Chapters

(00:00:03) - JBJS OrthoCorps
(00:00:56) - Hugh Stokes on the Pediatric Orthopedic Society
(00:04:38) - The Pediatric Orthopedic Society of North America (POSNA
(00:11:49) - Pediatric orthopedics: the old style and the new
(00:18:43) - After your orthodist surgery, how do you regain your teeth
(00:19:12) - Pediatric Orthopedics, Residency
(00:25:57) - Trainees' experiences in scoliosis
(00:27:36) - Pediatric orthopedic surgeons and polio
(00:34:02) - An Orthopedic Trainee's Advice

The Value of Reading Outside of Orthopaedics, with special guest Josh Blomberg

Mohit Bhandari and Marc Swiontkowski — Wed, 12 Nov 2025 10:00:00 +0000

In this episode, Mo and Marc are joined by special guest and OrthoJoe listener Josh Blomberg, MD (trauma surgeon at ThedaCare Hospital in Neenah, WI) in a discussion on the benefits of outside reading and its impact on broadening knowledge, enriching life, reducing stress, increasing enjoyment, fostering personal growth and creativity, and stimulating interesting conversations.

Subspecialties:

Orthopaedic Essentials

Links to Josh’s Recommendations:

Shadow Divers by Robert Kurson

An unbelievable gripping story about a group of recreational divers off the NE coast of the US who stumble upon a WWII wreck in the late 1990s. I don't want to ruin the end of the book, but I challenge you to find a more engaging and fascinating non-fiction read on the planet. You will not be able to put it down. His second book Rocketmen, about the Apollo 8 mission, is just as good. 

The Algebra of Happiness and The Algebra of Wealth by Scott Galloway

These two books should be required reading for every single resident/fellow who is about to step out into the real world and start their careers and families. These books serve as a primer for what challenges we all face but no one warns us about. There is a reason that the most miserable period of one’s life is from age 30-50....because life gets real. The Algebra of Wealth is a follow up book about money and personal finance. It is a pragmatic view of how we should look at money, save money, and its importance in our everyday life and long term happiness. We learn nothing about money in training, but it is absolutely critical to our success and happiness in life whether or not we want to admit it. Also, these books are incredibly fun to read, full of comedic interludes, and overall very well written. 

Red Notice by Bill Browder

This is a story of Bill Browder, the first American to start an investment firm in Russia. An absolutely fascinating story about finance, and the Russian oligarchy. I listened to this book twice in a row. It completely opened my eyes to a part of the world I knew very little about, and taught me so much about communism and how their economies (don't) work. Nothing to Envy  by Barbara Demick is similar (no finance component) but is about growing up in and escaping from North Korea. You won't believe, or ever forget, that story if you chose to read it. 

One Day by Gene Weingarten

I don't know how to describe this book except to say you have never read anything like it, and you never will. Gene randomly picks a date out of a hat...not an ancient date, a more recent one. And then he provides a list of RIVETING stories about things that happened on that day in America. You will not believe these stories, and it will provide you so much perspective. I cannot recommend it highly enough. 

The Stranger in the Woods by Michael Finkel

This is the TRUE story about a man named Christopher Knight who lived in a tent in the woods of Maine for 23 years. This is not some ancient story....he was just discovered in 2013. You won't believe this story when you read it. Amazing. 

The Laws of Human Nature by Robert Greene

If I had a large leadership role, chairman of a department etc, I would read every single one of Robert Greene's books and learn every lesson I could. He is an absolute master on writing about how humans work, think, and succeed. Leadership is 80% managing human behavior, and this book highlights all aspects of it in amazing clarity. A true literary masterpiece.

Ego is the Enemy and The Obstacle is the Way by Ryan Holiday

We can learn so much from stoicism, and Ryan Holiday is the world's current leading expert on this philosophy. Its teachings are timeless and invaluable. These are, in my opinion, the two best books by Ryan Holiday and offer incredible stories and life lessons framed in the teaching of the stoic philosophers. Terrific life-changing reads.

Shoe Dog  by Phil Knight

The story of Nike, from its founding to modern times. Incredible read. I have gifted this book to many people and no one has been able to put it down...some claiming it's the best book they have ever read. It shows you just how much work, sacrifice, pain, risk, and luck it takes to build an uber successful company in America. 

Greenlights  by Matthew McConaughey

This is Matthew McConaughey's autobiography. You might ask yourself, how could this be any good? It’s terrific. He is such an engaging writer, his life story is fascinating, and he offers so many life lessons. Best autobiography I have ever read. 

The Comfort Crisis  by Michael Easter

Executive Editor Spotlight with special guest Antonia Chen

Mohit Bhandari and Marc Swiontkowski — Wed, 22 Oct 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Antonia Chen, MD (Professor and Chair, Department of Orthopaedics, UT Southwestern; Executive Editor, JBJS) in a discussion on her journey through research and academic publishing, with a focus on her commitment to equity and accessibility through an emphasis on mentorship, encouraging diverse career paths, and providing financial support for research opportunities for those from underrepresented groups.

Subspecialties:

Orthopaedic Essentials

Infection

Knee

Links:

Your Case is on Hold podcast: https://www.jbjs.org/search.php?sortby=date&sortorder=desc&a_all=ycioh&type=podcast
Women Orthopaedist Global Outreach (WOGO): https://wogo.org/
Gladden Society: https://www.gladdensociety.org/

Chapters

(00:00:03) - Ortho Joe Podcast
(00:00:59) - Orthopedics in the Spotlight with Antonia Chen
(00:01:50) - Antonia Santowski Becomes Executive Editor of JBJS
(00:05:44) - A message about the New York Times
(00:06:38) - What got you interested in orthopedics in the first place?
(00:08:12) - What's a mentor in orthopedics?
(00:12:38) - The role of women in orthopedics
(00:15:17) - Antonia Chen on Underrepresented Minority Doctors
(00:19:29) - Favorite instructor in the peloton

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 26)

Mohit Bhandari and Marc Swiontkowski — Wed, 15 Oct 2025 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Robert Winquist, MD, discusses his experiences in orthopaedic trauma 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Trauma

Chapters

(00:00:03) - OrthoCorps
(00:05:16) - A message from the 1980's
(00:06:42) - No plans for life, just
(00:08:16) - A Few Moments in My Career
(00:09:10) - Ota Orthopedic Trauma Devices

The Smallest Worthwhile Effect as an Alternative to MCID for Adult Scoliosis

Mohit Bhandari and Marc Swiontkowski — Wed, 08 Oct 2025 09:00:00 +0000

In this episode, Mo and Marc discuss a recent JBJS article from Beijing on the use of patient-reported outcome measures (PROMs) for patients undergoing surgery for adult idiopathic scoliosis, with a focus on the concept of the smallest worthwhile effect as an alternative to the minimum clinically important difference.

Subspecialties:

Orthopaedic Essentials

Spine

Links:

Liu D, Zhao Z, Li G, Yin X, Zhu Y, Liu Z, Han J, Zhang TJ, Wu N; Deciphering Disorders Involving Scoliosis and Comorbidities Study Group. The Smallest Worthwhile Effect as a Promising Alternative to the MCID in Estimating PROMs for Adult Idiopathic Scoliosis. J Bone Joint Surg Am. 2025 Sep 17;107(18):2023-2030. doi: 10.2106/JBJS.24.01269. Epub 2025 Aug 5. PMID: 40763206; PMCID: PMC12430772. https://www.jbjs.org/reader.php?rsuite_id=9baa9c45-a1cf-4d29-999b-bc25be1b1334&source=The_Journal_of_Bone_and_Joint_Surgery/107/18/2023&topics=sp#info

Chapters

(00:00:03) - Orthojoe Podcast
(00:01:47) - SWE estimates and MCID thresholds for adult idiopathic
(00:04:12) - The MCID
(00:12:14) - The Scientific Editor's Hot Seat

Executive Editor Spotlight and RCTs, with special guest Michelle Ghert

Mohit Bhandari and Marc Swiontkowski — Wed, 24 Sep 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Michelle Ghert, MD (Professor of Orthopaedics and University of Maryland School of Medicine and Executive Editor, JBJS) in a discussion on the challenges and benefits of performing large, multinational RCTs in orthopaedic oncology, with an emphasis on the development of global networks and the challenges and opportunities facing the research community in the future.

Subspecialties:

Orthopaedic Essentials

Oncology

Chapters

(00:00:03) - Welcome to the Ortho Joe Podcast
(00:00:47) - Michelle Gert becomes the journal's Executive Editor
(00:02:34) - Mo Salisbury on his transition from basic science to clinical research
(00:04:06) - Working in Canada and the United States
(00:07:54) - The Large Osteomyelitis RCT
(00:11:59) - Journal Publishing: The Greatest Challenge
(00:14:52) - Parity for Low-Resource Trials
(00:18:18) - Top Ortho Joke Executives at the Conference

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 25)

Mohit Bhandari and Marc Swiontkowski — Wed, 17 Sep 2025 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Dr. Daniel Guy, MD, and Dr. Stephen McCollam, MD, recount their memories of the legendary orthopaedic surgeon, educator, and leader Dr. Charles Rockwood Jr., 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Trauma

Chapters

(00:00:03) - Ortho Corps: Charlie Rockwood
(00:02:11) - Honorary Resident Dr. Charlie Rockwood
(00:07:27) - Doug Rockwood's Academy Legacy
(00:12:55) - A Special Moment for Charles Rockwood

Statistics and Methodology in Orthopaedics, with special guests Sameer Parpia and Sheila Sprague

Mohit Bhandari and Marc Swiontkowski — Wed, 10 Sep 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guests Drs. Sheila Ann Sprague and Sameer Parpia (Associate Professors at McMaster University and Senior Editors for Statistics and Methodology at JBJS) in a discussion on the importance of methodological rigor when designing clinical trials.

Subspecialties:

Orthopaedic Essentials

Chapters

(00:00:03) - Ortho Jobe Podcast
(00:01:00) - Senior Editors Introduction
(00:02:18) - The OsteoTrauma Trials
(00:04:12) - How to do a randomized trial in orthopedics?
(00:06:45) - The Leap of Proposals
(00:09:04) - Should Bayesian Analysis be Advanced in Orthopedic Research?
(00:12:03) - Samir and Sheila on Submitting a Paper
(00:14:10) - Biostatistics and Methodology
(00:15:34) - The Science Editor's farewell

The Growing Trend of Achilles Tendon Ruptures, with special guest Sagar Desai

Mohit Bhandari and Marc Swiontkowski — Wed, 27 Aug 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Sagar Desai (Foot and Ankle surgeon, Toronto, Canada) in a discussion on the increasing trend of Achilles tendon ruptures across various age groups and sports, with a focus on variables such as playing style, training volume, and shoe design as well as both operative and nonoperative treatment options.

Subspecialties:

Foot and Ankle

Orthopaedic Essentials
Sports Medicine

Chapters

(00:00:03) - Ortho Joe Podcast
(00:01:42) - Athlete Achilles Tendon ruptures
(00:03:02) - Athletic U ruptures: Young vs Old
(00:10:06) - Is it Bad for You to Play With a Forefoot?
(00:10:35) - Achilles injury prevention
(00:13:25) - Non-operative treatment for foot injuries
(00:16:19) - Return to Sport after a Achilles Injury
(00:18:39) - Mark Feuerstein on Achilles tendon ruptures

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 24)

Mohit Bhandari and Marc Swiontkowski — Wed, 20 Aug 2025 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Bernie Stulberg, MD, interviews David Markel, MD, Second-Vice President of the Mid-America Orthopaedic Association.

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

Innovations in Fracture-Healing, with special guest Ted Miclau

Mohit Bhandari and Marc Swiontkowski — Wed, 13 Aug 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Professor Ted Miclau (Orthopaedic Trauma Institute International Chair, UCSF Department of Orthopaedic Surgery) in a discussion focusing on innovations and recent work in fracture-healing.

Link

Gouhari F, Shariatpanahi ZV, Talebi S, Mehrvar A, Momeny M, Ehsani A, Ahmadi-Abdashti A, Zandi R. Therapeutic Effects of Bovine Colostrum on Bone Healing, Rehabilitation, and Postoperative Complications: A Prospective, Randomized, Double-Blinded Comparative Trial. J Bone Joint Surg Am. 2025 Apr 18;107(12):1307-1315. doi: 10.2106/JBJS.24.00542. PMID: 40249794. https://www.jbjs.org/reader.php?rsuite_id=bf628643-fcfe-4fc5-9f9e-b46db1bd70d2&source=The_Journal_of_Bone_and_Joint_Surgery/107/12/1307&topics=hp+ta#info

Subspecialties:

Basic Science

Orthopaedic Essentials

Trauma

Chapters

(00:00:03) - Orthojoe Podcast
(00:00:49) - Bovine Colostrum and Bone Healing
(00:03:23) - Mental Fitness: Ted McLow
(00:03:52) - Osteomyelitis and fracture healing
(00:09:48) - Breastfeeding and hip fracture
(00:11:20) - Hip Fracture and the International RCT

Executive Editor Spotlight with special guest Nico Piuzzi

Mohit Bhandari and Marc Swiontkowski — Wed, 23 Jul 2025 09:00:00 +0000

In this episode, Mo and Marc chat with Executive Editor Nico Piuzzi (Vice-Chair of Research, Cleveland Clinic) in a discussion focusing on innovation, biologics, robotics, arthroplasty, osteoarthritis, and periprosthetic infection.

Subspecialties:

Orthopaedic Essentials

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 23)

Mohit Bhandari and Marc Swiontkowski — Wed, 16 Jul 2025 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Paul D. Sponseller, MD, and Stuart L. Weinstein, MD, discuss Dr. Weinstein’s career in orthopaedics and highlight the past, present, and future of idiopathic scoliosis care and management.

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

Spine

Pediatrics

A Chat with Dr. Evalina Burger-Van Der Walt

Mohit Bhandari and Marc Swiontkowski — Wed, 09 Jul 2025 09:00:00 +0000

In this episode, Mo and Marc chat with Dr. Evalina Burger-Van Der Walt about her inspiring personal and professional journey, from growing up in South Africa to becoming the first female chair of orthopaedics at the University of Colorado, with a focus on her approach to leadership, mentorship, resident support, facing challenges, and achieving a fulfilling work-life balance.

Subspecialties:

Orthopaedic Essentials

Spine

Trauma

Education and Training

Literature Beyond Orthopaedics: The Myriad Benefits of Outside Reading

Mohit Bhandari and Marc Swiontkowski — Wed, 25 Jun 2025 09:00:00 +0000

In this episode, Mo and Marc share their insights on the importance of outside reading and its impact on broadening knowledge, enriching life, increasing enjoyment, and fostering creativity.

Links:

Paulo Coelho. The Alchemist.  https://rb.gy/ks2tao
Ernest Hemingway. The Old Man and the Sea. https://rb.gy/669rno
Ernest Hemingway. For Whom the Bell Tolls. https://rb.gy/90va2b
Siddhartha Mukherjee. The Emperor of All Maladies: A Biography of Cancer. https://rb.gy/3yb67u
Solomon. The Book of Proverbs. https://rb.gy/350laz
Rick Rubin. The Creative Act: A Way of Being. https://bit.ly/441CBV2
David Maraniss. When Pride Still Mattered: A Life of Vince Lombardi. https://bit.ly/3Tkn65r
David Maraniss. Path Lit By Lightning: The Life of Jim Thorpe. https://bit.ly/3Zv2mvw
Ron Chernow. Alexander Hamilton. https://bit.ly/45QDVfO
Erik Larson. The Devil in the White City: Murder, Magic, and Madness at the Fair That Changed America. https://bit.ly/44aqPZA
Fyodor Dostoevski. Crime and Punishment. https://bit.ly/3HAWZEV
Kahlil Gibran. The Prophet. https://bit.ly/4jKPxo4
Thomas Mann. The Magic Mountain. https://bit.ly/4jPiFui
Erik Larson. The Demon of Unrest: A Saga of Hubris, Heartbreak, and Heroism at the Dawn of the Civil War. https://bit.ly/3HFoZal
James Herriot https://bit.ly/3FzRAgP

Subspecialties:

Orthopaedic Essentials

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 22)

Mohit Bhandari and Marc Swiontkowski — Wed, 18 Jun 2025 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Ross K. Leighton, MD, FRCSC, FACS, discusses his history with 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Trauma

GLP-1 Agonists, Weight Loss, and Surgical Outcomes, with special guests Karim Ramji and Jamie Le

Mohit Bhandari and Marc Swiontkowski — Wed, 11 Jun 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guests Karim Ramji (bariatric surgeon, entrepreneur, and researcher at McMaster University) and Jamie Le (internal medicine and obesity specialist at HOW Clinics) in a discussion on GLP-1 agonists and their role in orthopaedics, particularly for weight loss and surgical outcomes.

Links:

Kim BI, LaValva SM, Parks ML, Sculco PK, Della Valle AG, Lee GC. Glucagon-Like Peptide-1 Receptor Agonists Decrease Medical and Surgical Complications in Morbidly Obese Patients Undergoing Primary TKA. J Bone Joint Surg Am. 2025 Feb 19;107(4):348-355. doi: 10.2106/JBJS.24.00468. Epub 2024 Dec 24. PMID: 39719003. https://bit.ly/4jvCvdX

Subspecialties:

Orthopaedic Essentials

Evidence-Based Management and Leadership Philosophies, with special guest Rudolf Poolman

Mohit Bhandari and Marc Swiontkowski — Wed, 21 May 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Professor Rudolf Poolman (Leiden University, OLVG) in a discussion about evidence-based management, leadership, curiosity, Stoicism, and the importance of questioning everything.

Links:

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. Erratum in: PLoS Med. 2022 Aug 25;19(8):e1004085. doi: 10.1371/journal.pmed.1004085. PMID: 16060722; PMCID: PMC1182327. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0020124

Seneca, Ad Lucilium Epistulae Morales (Moral Letters to Lucilius) https://en.wikisource.org/wiki/Moral_letters_to_Lucilius

Subspecialties:

Orthopaedic Essentials

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 21)

Mohit Bhandari and Marc Swiontkowski — Wed, 14 May 2025 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Jeffrey Abrams, MD, discusses his relationship with Richard Hawkins, MD, FRCS(C), and the community and friendships fostered by the TCOA, in conversation with Ronald Navarro, 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Femoral Neck Fractures in Younger Patients, with special guest Brad Petrisor

Mohit Bhandari and Marc Swiontkowski — Wed, 07 May 2025 09:00:00 +0000

In this episode, Mo and Marc discuss are joined by special guest Brad Petrisor, MD, FRCRC (Professor Orthopaedic Surgery, McMaster University) to discuss femoral neck fractures in younger patients, with a focus on the question of which outcomes really matter?

Links:

Wagner BC, Oliver WM, Bell KR, Scott CEH, Keating JF, White TO, Clement ND, Duckworth AD. Outcomes for Younger Patients with Femoral Neck Fractures. J Bone Joint Surg Am. 2025 Apr 2;107(7):678-686. doi: 10.2106/JBJS.23.00582. Epub 2024 Dec 23. PMID: 39715295; PMCID: PMC11949204. https://bit.ly/4ikAfWs

Slobogean G. Can We Improve the Results of Internal Fixation?: Commentary on an article by Boris C. Wagner, BMedSci(Hons), MBChB, et al.: "Outcomes for Younger Patients with Femoral Neck Fractures". J Bone Joint Surg Am. 2025 Apr 2;107(7):e29. doi: 10.2106/JBJS.25.00033. Epub 2025 Apr 2. PMID: 40172566. https://bit.ly/4jfeFE2

Subspecialties:

Orthopaedic Essentials

Trauma

Chronic Non-Cancer Spine Pain, with Special Guest Jason Busse

Mohit Bhandari and Marc Swiontkowski — Wed, 23 Apr 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Jason Busse (Professor, Department of Anesthesia, McMaster University; Canada Research Chair) to discuss his recent BMJ systematic review and network meta-analysis on chronic non-cancer spine pain, with an emphasis on the relative benefits of interventional vs. sham procedures.

Links:

Wang X, Martin G, Sadeghirad B, Chang Y, Florez ID, Couban RJ, Mehrabi F, Crandon HN, Esfahani MA, Sivananthan L, Sengupta N, Kum E, Rathod P, Yao L, Morsi RZ, Genevay S, Buckley N, Guyatt GH, Rampersaud YR, Standaert CJ, Agoritsas T, Busse JW. Common interventional procedures for chronic non-cancer spine pain: a systematic review and network meta-analysis of randomised trials. BMJ. 2025 Feb 19;388:e079971. doi: 10.1136/bmj-2024-079971. PMID: 39971346. https://bit.ly/3FR2Jth

Subspecialties:

Orthopaedic Essentials

Pain Management

Spine

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 20)

Mohit Bhandari and Marc Swiontkowski — Wed, 16 Apr 2025 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Paul D. Sponseller, MD, interviews Bruce E. Fredrickson, MD, about the backstory of Dr. Fredrickson's landmark paper, "The Natural History of Spondylolysis and Spondylolisthesis," and its 45-year follow-up study.

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:

Spine

Pediatrics

The Problem of “Research Waste” in the Form of Unpublished Clinical Trials

Mohit Bhandari and Marc Swiontkowski — Wed, 09 Apr 2025 09:00:00 +0000

In this episode, Mo and Marc discuss the “research waste” associated with unpublished clinical trial results and emphasize the importance—to both patients and the research community—of reporting the findings of all such trials, even those with negative results. The episode concludes by urging listeners to “send us your negative trials!”

Links:

OrthoEvidence. Research Waste: The Problem of Unpublished Research. OE Insights. 2024;():. Available from: https://bit.ly/41DJGLs

Subspecialties:

Ethics

Foot & Ankle

Hand & Wrist

Infection

Knee

Oncology

Orthopaedic Essentials

Pain Management

Rehabilitation

Pediatrics

Spine

Shoulder

Elbow

Sports Medicine

Trauma

Health Equity in Orthopaedics, with special guest Linda Suleiman, MD

Mohit Bhandari and Marc Swiontkowski — Wed, 26 Mar 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Linda Suleiman, MD (Associate Dean for Diversity and Inclusion, Associate Professor of Orthopaedic Surgery, Northwestern University) in a discussion on health equity in orthopaedics and how researchers can be more proactive rather than reactive in this area.

Links:

Thirukumaran CP, Cruse JJ, Franklin PD, Ricciardi BF, Suleiman LI, Ibrahim SA. Two Decades Since the Unequal Treatment Report: The State of Racial, Ethnic, and Socioeconomic Disparities in Elective Total Hip and Knee Replacement Use. J Bone Joint Surg Am. 2024 Nov 20. doi: 10.2106/JBJS.24.00347. Epub ahead of print. PMID: 39813469. https://bit.ly/42GysXt
Suleiman LI, Bergman R, Pagadala MS, Selph TJ Jr, Franklin PD, Edelstein AI. Patient-Physician Racial Concordance Increases Likelihood of Total Knee Arthroplasty Recommendation. J Arthroplasty. 2024 Nov 17:S0883-5403(24)01210-5. doi: 10.1016/j.arth.2024.11.019. Epub ahead of print. PMID: 39551406. https://bit.ly/4aRdasb
Gonzalez DO, Suleiman LI, Ivey GD, Callender CO. Is there a role for race in science and medicine. Bull Am Coll Surg. 2011 Sep;96(9):12-8. PMID: 22259929. https://bit.ly/4jG9cqq

Subspecialties:

Foot & Ankle

Hand & Wrist

Knee

Oncology

Orthopaedic Essentials

Pain Management

Rehabilitation

Spine

Shoulder

Elbow

Sports Medicine

Trauma

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 19)

Mohit Bhandari and Marc Swiontkowski — Wed, 19 Mar 2025 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Steven Olson, 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Trauma

The Many Challenges of PRP Research, with special guest Moin Khan, MD

Mohit Bhandari and Marc Swiontkowski — Wed, 12 Mar 2025 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Moin Khan, MD (Associate Professor of Orthopaedic Surgery, McMaster University) in a discussion focusing on the methodological challenges of PRP research.

Links:

Bensa A, Previtali D, Sangiorgio A, Boffa A, Salerno M, Filardo G. PRP Injections for the Treatment of Knee Osteoarthritis: The Improvement Is Clinically Significant and Influenced by Platelet Concentration: A Meta-analysis of Randomized Controlled Trials. Am J Sports Med. 2025 Jan 3:3635465241246524. doi: 10.1177/03635465241246524. Epub ahead of print. PMID: 39751394. https://bit.ly/4jtUWRg

Chahla J, Cinque ME, Piuzzi NS, Mannava S, Geeslin AG, Murray IR, Dornan GJ, Muschler GF, LaPrade RF. A Call for Standardization in Platelet-Rich Plasma Preparation Protocols and Composition Reporting: A Systematic Review of the Clinical Orthopaedic Literature. J Bone Joint Surg Am. 2017 Oct 18;99(20):1769-1779. doi: 10.2106/JBJS.16.01374. PMID: 29040132. https://bit.ly/4hrndpX

Subspecialties:

Foot & Ankle

Hand & Wrist

Knee

Orthopaedic Essentials

Spine

Shoulder

Elbow

Sports Medicine

Trauma

Social Media, Leadership, and Global Orthopaedics with Special Guest Niloofar Dehghan, MD

Mohit Bhandari and Marc Swiontkowski — Wed, 26 Feb 2025 10:00:00 +0000

In this episode, Mo and Marc are joined by special guest Niloofar Dehghan, MD (Chief of Trauma, Core Institute; Associate Professor, University of Arizona) in a wide-ranging discussion on the use of social media to connect and engage with the larger orthopaedic audience across the globe.

Links:

LinkedIn profile: https://www.linkedin.com/in/niloofar-dehghan/

Instagram profile: https://www.instagram.com/dr_niloofar_dehghan/

Threads profile: https://www.threads.net/@dr_niloofar_dehghan

Subspecialties:

Orthopaedic Essentials

Trauma

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 18)

Mohit Bhandari and Marc Swiontkowski — Wed, 19 Feb 2025 10:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Courtland Lewis, MD, shares his memories of Burr Curtis, MD, and Vincent Turco, MD, two early members of the Twentieth Century Orthopaedic Association.

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

Reverse Total Shoulder Arthroplasty, with special guest George Athwal, MD, FRCSC

Mohit Bhandari and Marc Swiontkowski — Wed, 12 Feb 2025 10:00:00 +0000

In this episode, Mo and Marc are joined by special guest George Athwal, MD, FRCSC (Professor of Surgery at Roth McFarlane Hand and Upper Limb Center, Ontario, Canada) in a discussion on the origins, evolution, and increased popularity of reverse total shoulder arthroplasty.

Links:

Best MJ, Aziz KT, Wilckens JH, McFarland EG, Srikumaran U. Increasing incidence of primary reverse and anatomic total shoulder arthroplasty in the United States. J Shoulder Elbow Surg. 2021 May;30(5):1159-1166. doi: 10.1016/j.jse.2020.08.010. Epub 2020 Aug 26. PMID: 32858194. https://bit.ly/3BGbJQc

Lapner PL, Sabri E, Rakhra K, Bell K, Athwal GS. Comparison of lesser tuberosity osteotomy to subscapularis peel in shoulder arthroplasty: a randomized controlled trial. J Bone Joint Surg Am. 2012 Dec 19;94(24):2239-46. doi: 10.2106/JBJS.K.01365. PMID: 23318614. https://bit.ly/3ZPX90J

Subspecialties:

Oncology

Orthopaedic Essentials

Shoulder

Trauma

Telehealth/Telemedicine in Orthopaedics

Mohit Bhandari and Marc Swiontkowski — Wed, 22 Jan 2025 10:00:00 +0000

In this episode, Mo and Marc discuss the advantages, limitations, and potential applications of telehealth/telemedicine in orthopaedics and explore how telehealth/telemedicine and AI might be used to make treatment decisions in the post-Covid era.

Links:

Farid AR, Hresko MT, Ghessese S, Linden GS, Wong S, Hedequist D, Birch C, Cook D, Flowers KM, Hogue GD. Validation of Examination Maneuvers for Adolescent Idiopathic Scoliosis in the Telehealth Setting. J Bone Joint Surg Am. 2024 Dec 4;106(23):2249-2255. doi: 10.2106/JBJS.23.01146. Epub 2024 Oct 2. PMID: 39356742. https://bit.ly/4gsUDEb
Hurley ET, Haskel JD, Bloom DA, Gonzalez-Lomas G, Jazrawi LM, Bosco JA , III, Campbell KA. The Use and Acceptance of Telemedicine in Orthopedic Surgery During the COVID-19 Pandemic. Telemed J E Health. 2021 Jun;27(6):657-662. doi: 10.1089/tmj.2020.0255. Epub 2020 Sep 14. PMID: 32931363. https://bit.ly/4g99aoU
OrthoEvidence. Telehealth Programs in Patients With Hip or Knee Osteoarthritis on Function, Pain and Self-efficacy. ACE Report. 2024;306(12):14. Available from: https://myorthoevidence.com/AceReport/Report/17696

Subspecialties:

Foot and Ankle

Hand and Wrist

Infection

Knee

Oncology

Orthopaedic Essentials

Pain Management

Pediatrics

Rehabilitation

Spine

Shoulder

Elbow

Sports Medicine

Trauma

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 17)

Mohit Bhandari and Marc Swiontkowski — Wed, 15 Jan 2025 10:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Thomas Einhorn, MD, and Robert Leach, MD, discuss the history of Boston University's Orthopedics Program, Dr. Leach's accomplished career, the challenges of publishing, and rock climbing.

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

Creativity in Surgery, with special guest Alex Thabane

Mohit Bhandari and Marc Swiontkowski — Wed, 08 Jan 2025 10:00:00 +0000

In this episode, Mo and Marc are joined by special guest Alex Thabane (PhD Candidate, McMaster University) in a discussion of the need for creativity in surgery and its role in problem-solving, innovation, challenging existing processes and approaches, and handling unexpected problems in the OR, ultimately resulting in better outcomes for patients.

Links: None

Subspecialties:

Foot and Ankle

Hand and Wrist

Infection

Knee

Oncology

Orthopaedic Essentials

Pain Management

Pediatrics

Rehabilitation

Spine

Shoulder

Elbow

Sports Medicine

Trauma

Holiday Grab Bag!

Mohit Bhandari and Marc Swiontkowski — Wed, 25 Dec 2024 10:00:00 +0000

In this episode, Mo and Marc discuss several studies, including (1) a small RCT comparing THA vs resistance training for severe OA, (2) a multicenter prospective study on the comparative intelligence and strength of orthopaedic surgeons vs. anesthetists, and (3) an observational study on the golf habits of physicians. Happy Holidays!

Links:

Frydendal T, Christensen R, Mechlenburg I, Mikkelsen LR, Varnum C, Graversen AE, Kjærsgaard-Andersen P, Revald PH, Hofbauer C, Bieder MJ, Qassim H, Munir MS, Jakobsen SS, Nielsen SM, Ingwersen KG, Overgaard S. Total Hip Replacement or Resistance Training for Severe Hip Osteoarthritis. N Engl J Med. 2024 Oct 31;391(17):1610-1620. doi: 10.1056/NEJMoa2400141. PMID: 39476341. https://bit.ly/4fICUbt

Subramanian P, Kantharuban S, Subramanian V, Willis-Owen SA, Willis-Owen CA. Orthopaedic surgeons: as strong as an ox and almost twice as clever? Multicentre prospective comparative study. BMJ. 2011 Dec 15;343:d7506. doi: 10.1136/bmj.d7506. PMID: 22174322; PMCID: PMC3240683. https://bit.ly/3Z9Wxny

Koplewitz G, Blumenthal DM, Gross N, Hicks T, Jena AB. Golf habits among physicians and surgeons: observational cohort study. BMJ. 2018 Dec 10;363:k4859. doi: 10.1136/bmj.k4859. PMID: 30530803; PMCID: PMC6287119. https://bit.ly/4ft0skM

Subspecialties:

Orthopaedic Essentials

Sports Medicine

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 16)

Mohit Bhandari and Marc Swiontkowski — Wed, 18 Dec 2024 10:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Theodore Miclau, MD, discusses his career and 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 guidelines: https://bit.ly/4dD2sqr

Subspecialties:

Orthopaedic Essentials

Trauma

Celebrating Episode 100! Mo and Marc Discuss Their Favorite OrthoJoe Episodes…So Far

Mohit Bhandari and Marc Swiontkowski — Wed, 11 Dec 2024 10:00:00 +0000

In this installment—marking the 100th episode of the OrthoJoe Podast—Mo and Marc reflect on their favorite episodes so far and invite the listening audience to submit their ideas for future topics and special guests. Thanks to everyone for listening—and here’s to the next 100 episodes!

Links:

Physician Etiquette and Attire (with Special Guests Elizabeth Arendt and Herman Johal): https://bit.ly/4fdcsXz

Artificial Intelligence, Machine-Learning, and Neural Networks (with special guest Joseph Siburt, PhD): https://bit.ly/40vIM3k

Trailblazing Team Physicians in Professional Sports (with special guests Clarence Shields and Joel Boyd): https://bit.ly/3CcZM4s

What’s Important: Arts & Humanities (with special guest Bob Schenck): https://bit.ly/3N4be4W

Focus on the PARITY Trial (with special guest Michelle Ghert): https://bit.ly/3UBl95O

Subspecialties:

Orthopaedic Essentials
Sports Medicine

Global Orthopaedics and Service, with special guest Coleen Sabatini, MD, MPH

Mohit Bhandari and Marc Swiontkowski — Wed, 27 Nov 2024 10:00:00 +0000

In this episode, Mo and Marc are joined by special guest Dr. Coleen Sabatini, MD, MPH (Professor and Vice Chair of Orthopaedic Surgery at UCSF Benioff Children’s Hospital Oakland in Oakland, California) in a discussion of her passion for international medicine and her ongoing collaboration with local surgeons in Uganda, with a focus on capacity building, partnership, bidirectional learning, global information-sharing, and the importance of understanding the challenges faced by surgeons in other countries.

Links:

Research4Life: https://www.research4life.org/about/

J. Robert Gladden Orthopaedic Society: https://www.gladdensociety.org/

Operation Walk: https://operationwalk.org/

Institute for Global Orthopaedics and Traumatology (IGOT): https://orthosurgery.ucsf.edu/outreach/global/igot_program

COSECSA (College of Surgeons of East, Central, and Southern Africa): https://www.cosecsa.org/

COEDN (Children’s Orthopedics Education for Developing Nations: https://www.multibriefs.com/briefs/coa/coedn.pdf

Subspecialties:

Pediatrics

Trauma

Orthopaedic Essentials

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 15)

Mohit Bhandari and Marc Swiontkowski — Wed, 20 Nov 2024 10:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Ronald A. Navarro, MD, interviews Frank Kelly, MD, about Dr. Thomas Whitesides, a long-term, dedicated member of the Twentieth Century Orthopaedic Association.

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

Robotics in Arthroplasty Surgery, with Special Guest Daniel Berry: Has the Promise Been Met?

Mohit Bhandari and Marc Swiontkowski — Wed, 13 Nov 2024 10:00:00 +0000

In this episode, Mo and Marc are joined by special guest Daniel Berry, MD (Department of Orthopaedic Surgery, Mayo Clinic) in a discussion on the promise, current challenges, and future of robotics in arthroplasty, with a focus on (1) the potential for this technology to reduce outliers and improve clinical outcomes and (2) Dr. Berry’s secret to staying creative and generating impactful ideas related to robotics.

Links:

None

Subspecialties:

Education and Training

Knee

Orthopaedic Essentials

Link Between PJI and Mortality Following Primary TJA

Mohit Bhandari and Marc Swiontkowski — Wed, 23 Oct 2024 09:00:00 +0000

In this episode, Mo and Marc are joined by special guests Bheeshma Ravi, MD, PhD, FRCSC (Associate Professor, University of Toronto), and Raman Mundi, MD, MSc, FRCSC (Assistant Professor, University of Toronto), in a discussion of their recent large database study (n > 175,000), which showed that PJI within 1 year after surgery was associated with over a fivefold increased risk of mortality within 10 years.

Links:

Mundi R, Pincus D, Schemitsch E, Ekhtiari S, Paterson JM, Chaudhry H, Leis JA, Redelmeier DA, Ravi B. Association Between Periprosthetic Joint Infection and Mortality Following Primary Total Hip Arthroplasty. J Bone Joint Surg Am. 2024 Sep 4;106(17):1546-1552. doi: 10.2106/JBJS.23.01160. Epub 2024 May 9. PMID: 38723055. https://bit.ly/4ef5Rvm

JBJS Article Collection: Large Database and Registry Research in Joint Arthroplasty and Orthopaedics: https://www.jbjs.org/collection.php?id=22

Subspecialties:

Infection

Knee

Orthopaedic Essentials

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 14)

Mohit Bhandari and Marc Swiontkowski — Wed, 16 Oct 2024 09:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Frederick Matsen III, MD, reflects on the impact that D. Kay Clawson, MD, had on his career and on the development of orthopaedic surgery.

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

Trauma

The Importance of Cultivating Non-Neural Networks

Mohit Bhandari and Marc Swiontkowski — Wed, 09 Oct 2024 09:00:00 +0000

In this episode, Mo and Marc discuss the value of establishing and cultivating diverse and purposeful personal and professional networks throughout the various stages of one’s life and career.

Links:

Richardson MA, Obana KK, Bernstein DN, Bi AS. What's Important: "Non-Neural" Networks: Building a Personal and Professional Network in Residency. J Bone Joint Surg Am. 2024 Mar 12. doi: 10.2106/JBJS.23.01162. Epub ahead of print. PMID: 38470948. https://bit.ly/4dYqA64

Subspecialties:

Orthopaedic Essentials

Origins and Impact of the Kaiser Permanente Database, with Special Guests Ron Navarro, MD, FAAOS, FAOA, and Kanu Okike, MD, MPH

Mohit Bhandari and Marc Swiontkowski — Wed, 25 Sep 2024 09:00:00 +0000

In this episode, Mo and Marc are joined by Special Guests Ron Navarro, MD, FAAOS, FAOA (JBJS Deputy Editor for Evidence-Based Orthopaedics), and Kanu Okike, MD (JBJS Deputy Editor for Health Disparities) in a discussion of the origins of the Kaiser-Permanente database and its role in effecting practice change.

Links:

None

Subspecialties:

Elbow

Foot & Ankle

Hand & Wrist

Infection

Knee

Oncology

Orthopaedic Essentials

Pain Management

Rehabilitation

Pediatrics

Spine

Shoulder

Sports Medicine

Trauma

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 13)

Mohit Bhandari and Marc Swiontkowski — Wed, 18 Sep 2024 05:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Anna Miller, MD, interviews Marc Swiontkowski, MD, about his education and career in orthopaedic trauma.

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

Trauma

A Legacy of Leadership, with Special Guest Dr. Charles (Mac) Evarts, MD, FAOA

Mohit Bhandari and Marc Swiontkowski — Wed, 11 Sep 2024 09:00:00 +0000

In this episode, Mo and Marc are joined by Special Guest Charles (Mac) Evarts, MD, FAOA (former CEO of the University of Rochester Medical Center, Chairman of the Department of Orthopaedic Surgery at Cleveland Clinic, Senior Vice President of Health Affairs and Dean of the College of Medicine at The Pennsylvania State University, and Past President of the AOA, Hip Society, and ABOS) in a discussion of the “secret sauce” of leadership of individuals, departments, and institutions, with an emphasis on grit and perseverance.

Links:

None

Subspecialties:

Education and Training

Orthopaedic Essentials

Complications After Ankle Fractures

Mohit Bhandari and Marc Swiontkowski — Wed, 28 Aug 2024 09:00:00 +0000

In this episode, Mo and Marc discuss a recent JBJS article focusing on the results of a large database trial investigating complications after ankle fractures and give their thoughts on operative versus nonoperative treatment, the effectiveness of implant removal, modifiable prognostic factors, and possible future innovations in this area.

Links:

Happonen V, Kröger H, Sund R. Complications After Ankle Fracture Surgery in Finland Between 1998 and 2020. J Bone Joint Surg Am. 2024 Jul 3;106(13):1212-1220. doi: 10.2106/JBJS.23.00745. Epub 2024 Apr 29. https://bit.ly/3zVRKfi

Subspecialties:

Foot & Ankle

Trauma

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 12)

Mohit Bhandari and Marc Swiontkowski — Wed, 21 Aug 2024 05:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Marc Swiontkowski, MD, interviews Robert Hensinger, MD, about the late Dr. G. Paul DeRosa, a long-term friend and member of the TCOA, and leader in pediatric orthopaedics.

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

Leadership, Mentorship, and the Notch Academy, with special guest Olufemi Ayeni

Mohit Bhandari and Marc Swiontkowski — Wed, 14 Aug 2024 09:00:00 +0000

In this episode, Mo and Marc are joined by special guest Olufemi Ayeni, MD, PhD, MSc, FRCSC (Chair of the Division of Orthopaedic Surgery at McMaster University and President of the Canadian Orthopaedic Association) in a discussion about leadership, mentorship, and the mission of the Notch Academy.

Links:

The Notch Academy: www.thenotchacademy.com

Subspecialties:

Education & Training

Orthopaedic Essentials

JBJS Past, Present, and Future: The Evolving Role of Editors in Orthopaedic Publishing

Mohit Bhandari and Marc Swiontkowski — Wed, 24 Jul 2024 09:00:00 +0000

In this episode, Mo and Marc discuss how JBJS has evolved over time with respect to methodology changes, DEI issues, focus shifts, technology, and the need for more curated and synthesized information, with a focus on the continuing mission of JBJS to provide highest-impact orthopaedic content from around the world.

Links:

JBJS Hub: https://www.jbjs.org/

Swiontkowski M. What's Important: The Journal of Bone & Joint Surgery . A Critical Pillar of Our Field. J Bone Joint Surg Am. 2024 May 15;106(10):922-923. doi: 10.2106/JBJS.24.00354. Epub 2024 Apr 4. PMID: 38574115. https://bit.ly/4cuyCDa

Bhandari, Mohit. Be Good, Be Present, Be Grateful. The Journal of Bone and Joint Surgery 106(11):p 939-940, June 5, 2024. doi: 10.2106/JBJS.24.00413 https://bit.ly/3VDVx85

Subspecialties:

Orthopaedic Essentials

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 11)

Mohit Bhandari and Marc Swiontkowski — Wed, 17 Jul 2024 05:00:00 +0000

In this bonus episode, from the JBJS OrthoCorps audio archive, Dr. Benjamin Joseph reflects with Dr. Sanjeev Sabharwal on his career as an academic pediatric orthopedic surgeon in India.

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

Chapman’s Comprehensive Orthopaedics-JBJS Collaboration, with Special Guest Michael Chapman, MD

Mohit Bhandari and Marc Swiontkowski — Wed, 10 Jul 2024 09:00:00 +0000

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

Infection

Knee

Oncology

Orthopaedic Essentials

Pain Management

Rehabilitatoin

Pediatrics

Spine

Shoulder

Elbow

Sports Medicine

Trauma

The OUTLET Study, the LEAP Study, and the Challenges of Conducting Observational Trials and RCTs

Mohit Bhandari and Marc Swiontkowski — Wed, 26 Jun 2024 09:00:00 +0000

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

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 10)

Mohit Bhandari and Marc Swiontkowski — Wed, 19 Jun 2024 05:00:00 +0000

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

Improving the Reporting on Sex and Gender in Orthopaedic Research

Mohit Bhandari and Marc Swiontkowski — Wed, 12 Jun 2024 09:00:00 +0000

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

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 9)

Mohit Bhandari and Marc Swiontkowski — Wed, 29 May 2024 09:00:00 +0000

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

Passing the Baton: Reflections on the JBJS Editor-in-Chief Transition

Mohit Bhandari and Marc Swiontkowski — Wed, 22 May 2024 09:00:00 +0000

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

The Early Days of Intramedullary Nailing, with special guest Robert Winquist, MD

Mohit Bhandari and Marc Swiontkowski — Wed, 08 May 2024 09:00:00 +0000

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

History of the ABOS, with Special Guests David Martin, Fred Azar, and David Elstein

Mohit Bhandari and Marc Swiontkowski — Wed, 24 Apr 2024 09:00:00 +0000

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

The Importance of Broad General Orthopaedic Knowledge

Mohit Bhandari and Marc Swiontkowski — Wed, 10 Apr 2024 09:00:00 +0000

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

Skin Antisepsis Before Fracture Surgery: Results of the PREPARE Trial

Mohit Bhandari and Marc Swiontkowski — Wed, 27 Mar 2024 09:00:00 +0000

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

Misconceptions About DEI and How to Measure Success in Equity Work

Mohit Bhandari and Marc Swiontkowski — Wed, 13 Mar 2024 09:00:00 +0000

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

Basic Science as a Clinical Research Tool

Mohit Bhandari and Marc Swiontkowski — Wed, 28 Feb 2024 10:00:00 +0000

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

History of the AO, with special guests Hans Kreder, Joseph Schatzker, and Marvin Tile

Mohit Bhandari and Marc Swiontkowski — Wed, 14 Feb 2024 10:00:00 +0000

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

Update on “What’s Important: Arts & Humanities,” with special guest Bob Schenck, MD

Mohit Bhandari and Marc Swiontkowski — Wed, 24 Jan 2024 10:01:00 +0000

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

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 8)

Mohit Bhandari and Marc Swiontkowski — Wed, 17 Jan 2024 10:01:00 +0000

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

Most Impactful Articles in 2023 and Predictions for 2024

Mohit Bhandari and Marc Swiontkowski — Wed, 10 Jan 2024 10:01:00 +0000

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

The Orthopaedic Residency Research Year: A Call for Action

Mohit Bhandari and Marc Swiontkowski — Wed, 27 Dec 2023 10:01:00 +0000

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

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 7)

Mohit Bhandari and Marc Swiontkowski — Wed, 20 Dec 2023 10:01:00 +0000

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

Changes in Pelvic Fracture Management, with special guest Milton (Chip) Routt, MD

Mohit Bhandari and Marc Swiontkowski — Wed, 13 Dec 2023 10:00:00 +0000

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

Are Stress Tests Needed for Ankle Fractures?

Mohit Bhandari and Marc Swiontkowski — Wed, 22 Nov 2023 10:01:00 +0000

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

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 6)

Mohit Bhandari and Marc Swiontkowski — Wed, 15 Nov 2023 10:01:00 +0000

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

Achilles Tendon Rupture in Professional Athletes

Mohit Bhandari and Marc Swiontkowski — Wed, 08 Nov 2023 10:01:00 +0000

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

Network Trials in the UK, with Special Guest Matthew Costa, Professor of Orthopaedic Trauma Surgery at University of Oxford

Mohit Bhandari and Marc Swiontkowski — Wed, 25 Oct 2023 09:01:00 +0000

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

Bonus Episode: JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 5)

Mohit Bhandari and Marc Swiontkowski — Wed, 18 Oct 2023 09:01:00 +0000

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

Diversity, Mentorship, and Patient Expectations with special guest Margaret Fok, FRCSEd (Ortho), FHKAM (Orthopaedic Surgery), FHKCOS, MBChB (Otago)

Mohit Bhandari and Marc Swiontkowski — Wed, 11 Oct 2023 09:01:00 +0000

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

Striving for Better Meetings and Thoughts on the Aging Surgeon

Mohit Bhandari and Marc Swiontkowski — Wed, 27 Sep 2023 09:01:00 +0000

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

Changes in Arthroplasty, Tumor Surgery, and Fresh Allograft Transplantation (with special guest Allan Gross, MD, FRCSC)

Mohit Bhandari and Marc Swiontkowski — Wed, 13 Sep 2023 09:01:00 +0000

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

Links:

Subspecialties:

Basic Science
Hip
Knee
Oncology
Orthopaedic Essentials

Sports Medicine

How to Live a Better Life (with special guest Jaydeep Moro, MD, FRCSC)

Mohit Bhandari and Marc Swiontkowski — Wed, 23 Aug 2023 09:01:00 +0000

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

Facing the Evidence: IM Nails vs Sliding Hip Screws and the Microbiome of Arthritic Joints

Mohit Bhandari and Marc Swiontkowski — Wed, 09 Aug 2023 09:00:00 +0000

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

Links:

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

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

Subspecialties:

Hip
Knee
Orthopaedic Essentials
Infection
Trauma

Focus on the PARITY Trial, with special guest Michelle Ghert, MD, FRCSC

Mohit Bhandari and Marc Swiontkowski — Wed, 26 Jul 2023 09:00:00 +0000

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

Links:

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

Subspecialties:

Infection
Oncology
Orthopaedic Essentials

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 4)

Mohit Bhandari and Marc Swiontkowski — Wed, 19 Jul 2023 09:00:00 +0000

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

Finding Time for Global Orthopaedics Work with special guest Kiran Agarwal-Harding

Mohit Bhandari and Marc Swiontkowski — Wed, 12 Jul 2023 09:01:00 +0000

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

Links:

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

Subspecialties:

Trauma
Foot & Ankle
Hand & Wrist
Orthopaedic Essentials

Amputation Surgery in Diabetic Patients

Mohit Bhandari and Marc Swiontkowski — Wed, 28 Jun 2023 09:00:00 +0000

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

Links:

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

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

Subspecialties:

Ethics
Orthopaedic Essentials
Rehabilitation

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 3)

Mohit Bhandari and Marc Swiontkowski — Wed, 21 Jun 2023 09:00:00 +0000

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

Artificial Intelligence: Past, Present, and Future (with special guest Joseph Silburt, PhD)

Mohit Bhandari and Marc Swiontkowski — Wed, 14 Jun 2023 09:00:00 +0000

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

Trends in ACL Allograft Research, Instant Meta-Analyses, and the Challenge of Knowledge Dissemination

Mohit Bhandari and Marc Swiontkowski — Wed, 24 May 2023 09:00:00 +0000

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

Bonus Episode! JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community (Part 2)

Mohit Bhandari and Marc Swiontkowski — Wed, 17 May 2023 09:00:00 +0000

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

Orthopaedics in the Developing World, with special guest Theodore Miclau, MD

Mohit Bhandari and Marc Swiontkowski — Wed, 10 May 2023 09:00:00 +0000

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

The Psychology of Procrastinators and the Effect of Perioperative Nutrition on Muscle Recovery After TKA

Mohit Bhandari and Marc Swiontkowski — Wed, 26 Apr 2023 09:00:00 +0000

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

Bonus Episode! Introducing JBJS OrthoCorps: An Audio Archive of Stories from the Orthopaedic Community

Mohit Bhandari and Marc Swiontkowski — Wed, 19 Apr 2023 09:00:00 +0000

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

Evidence-Based Medicine in Orthopaedics

Mohit Bhandari and Marc Swiontkowski — Wed, 12 Apr 2023 09:00:00 +0000

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

Leadership, Changes in Shoulder Surgery, and JBJS Open Access, with Special Guest Robin Richards

Mohit Bhandari and Marc Swiontkowski — Wed, 22 Mar 2023 09:01:00 +0000

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

Hot Topics in Orthopaedics: Excellence, Kindness, Humility, and Metacarpal Fractures

Mohit Bhandari and Marc Swiontkowski — Wed, 08 Mar 2023 10:01:00 +0000

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

Promoting Diversity in Orthopaedics and Equity in Health Care, with special guest Jennifer Green

Mohit Bhandari and Marc Swiontkowski — Mon, 20 Feb 2023 10:01:00 +0000

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

Orthopaedics in India, Injury Prevention, and the Power of Intention with special guest Shanmuganathan Rajasekaran

Mohit Bhandari and Marc Swiontkowski — Mon, 06 Feb 2023 10:01:00 +0000

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

Hot Topics in Orthopaedics: Medicare Advantage Patient Characteristics and SSI Prevention Measures

Mohit Bhandari and Marc Swiontkowski — Mon, 23 Jan 2023 10:01:00 +0000

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

The Importance of Questioning Everything, with Special Guest Peter Giannoudis

Mohit Bhandari and Marc Swiontkowski — Mon, 09 Jan 2023 10:01:00 +0000

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

Hot Topics in Orthopaedics: The Impact of Surgeon Variability on Patient Outcomes

Mohit Bhandari and Marc Swiontkowski — Mon, 26 Dec 2022 10:01:00 +0000

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

Hot Topics in Orthopaedics: (1) Humeral Shaft Fractures and (2) Genetic Factors for Adhesive Capsulitis

Mohit Bhandari and Marc Swiontkowski — Mon, 12 Dec 2022 10:01:00 +0000

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

Spotlight on Orthopaedic Education, with special guest George Dyer

Mohit Bhandari and Marc Swiontkowski — Mon, 28 Nov 2022 10:01:00 +0000

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

Hot Topics in Orthopaedics: RCTs at the OTA, Resources for Database Research

Mohit Bhandari and Marc Swiontkowski — Mon, 14 Nov 2022 10:01:00 +0000

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

Bonus Episode! Your Case Is On Hold, with Andrew Schoenfeld, Antonia Chen, and guest Marc Swiontkowski

Mohit Bhandari and Marc Swiontkowski — Sat, 05 Nov 2022 09:00:00 +0000

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/

Hip Arthroscopy and FAI, with Special Guest Olufemi Ayeni

Mohit Bhandari and Marc Swiontkowski — Mon, 31 Oct 2022 09:01:00 +0000

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

Administrative Datasets and Registries in Orthopaedic Research

Mohit Bhandari and Marc Swiontkowski — Mon, 17 Oct 2022 09:53:00 +0000

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

Chronic Pain Research, with special guest Jason Busse

Mohit Bhandari and Marc Swiontkowski — Mon, 03 Oct 2022 09:01:00 +0000

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

Hot Topics in Orthopaedics: (1) Predicting the Future with Evidence from the Past and (2) Large Administrative Database Research

Mohit Bhandari and Marc Swiontkowski — Mon, 19 Sep 2022 09:01:00 +0000

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

Major Extremity Trauma and Rehabilitation Consortium (METRC) and War Injury Research, with special guests Matt Schmitz and Patrick Osborn

Mohit Bhandari and Marc Swiontkowski — Mon, 05 Sep 2022 09:01:00 +0000

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

Hot Topics in Orthopaedics: Oxygen and Ozone

Mohit Bhandari and Marc Swiontkowski — Mon, 22 Aug 2022 09:01:00 +0000

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

Physician Etiquette and Attire (with Special Guests Elizabeth Arendt and Herman Johal)

Mohit Bhandari and Marc Swiontkowski — Mon, 08 Aug 2022 09:01:00 +0000

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

Hot Topics: (1) The Importance of Blinded Assessment of Outcomes in Clinical trials (2) TXA in Hip Fractures

Mohit Bhandari and Marc Swiontkowski — Mon, 25 Jul 2022 09:01:00 +0000

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

Gen Z in Orthopaedics and the Unsolved Fracture

Mohit Bhandari and Marc Swiontkowski — Mon, 11 Jul 2022 09:01:00 +0000

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

Open Access, Preprints, and Social Media (with special guest Kent Anderson)

Mohit Bhandari and Marc Swiontkowski — Mon, 27 Jun 2022 09:01:00 +0000

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

Spotlight on (1) Reproducibility in Science and (2) Perioperative Nutrition

Mohit Bhandari and Marc Swiontkowski — Mon, 13 Jun 2022 09:00:00 +0000

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

International Consensus Meeting on VTE (with special guest Javad Parvizi)

Mohit Bhandari and Marc Swiontkowski — Mon, 30 May 2022 09:01:00 +0000

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

Health Disparities Research in Orthopaedics, with Special Guest Kanu Okike

Mohit Bhandari and Marc Swiontkowski — Mon, 16 May 2022 09:01:00 +0000

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

AAOS Clinical Practice Guidelines on OA of the Knee (3rd Edition)

Mohit Bhandari and Marc Swiontkowski — Mon, 02 May 2022 09:01:00 +0000

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

Two Important Topics of Interest: (1) Intimate Partner Violence and (2) TKR After HTO

Mohit Bhandari and Marc Swiontkowski — Mon, 18 Apr 2022 09:01:00 +0000

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

Subspecialties:

Orthopaedic Essentials
Trauma
Knee

JBJS Reviews, Shaking Pete Townshend’s Hand, and Rediscovering What’s Important (with special guest Tom Einhorn)

Mohit Bhandari and Marc Swiontkowski — Mon, 04 Apr 2022 10:01:00 +0000

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

Two Recent Eye-Catching Studies: Impending vs. Completed Long-Bone Fractures and Cemented vs. Uncemented Hemiarthroplasty for Intracapsular Hip Fracture

Mohit Bhandari and Marc Swiontkowski — Mon, 21 Mar 2022 09:01:00 +0000

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

Introducing “Your Case Is On Hold,” with special guests Antonia Chen and Andrew Schoenfeld

Mohit Bhandari and Marc Swiontkowski — Mon, 07 Mar 2022 10:01:00 +0000

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

Marc and Mo’s Predictions for Scholarly Publication Trends in 2022

Mohit Bhandari and Marc Swiontkowski — Mon, 21 Feb 2022 10:01:00 +0000

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

What’s Important: Arts & Humanities (with special guest Bob Schenck)

Mohit Bhandari and Marc Swiontkowski — Mon, 07 Feb 2022 10:01:00 +0000

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

COVID-19: Current Landscape and Evolving Strategies (with special guest Zain Chagla)

Mohit Bhandari and Marc Swiontkowski — Mon, 24 Jan 2022 12:01:00 +0000

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/

Marc and Mo’s Editor’s Choices for JBJS and OrthoEvidence

Mohit Bhandari and Marc Swiontkowski — Mon, 10 Jan 2022 11:01:00 +0000

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/

Current Evidence in Open Fracture Management, with special guest Gerard Slobogean

Mohit Bhandari and Marc Swiontkowski — Mon, 20 Dec 2021 11:01:00 +0000

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/

Clavicular Fractures with special guest Michael McKee

Mohit Bhandari and Marc Swiontkowski — Mon, 06 Dec 2021 11:01:00 +0000

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/

Trailblazing Team Physicians in Professional Sports, with special guests Clarence Shields and Joel Boyd

Mohit Bhandari and Marc Swiontkowski — Mon, 22 Nov 2021 07:01:00 +0000

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

On-Field Management of Sports Injuries, with special guests Bradley Nelson and Moin Khan

Mohit Bhandari and Marc Swiontkowski — Mon, 08 Nov 2021 07:01:00 +0000

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

Evidence-Based Orthopedics (Second Edition) and the Future of Books in Orthopaedic Learning

Mohit Bhandari and Marc Swiontkowski — Mon, 25 Oct 2021 07:01:00 +0000

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

JBJS Essential Surgical Techniques: Celebrating 10 Years of Innovation (with special guest Ed Cheng)

Mohit Bhandari and Marc Swiontkowski — Mon, 11 Oct 2021 11:01:00 +0000

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=206221&rsuite\_id=2437094&native=1&source=JBJS\_Essential\_Surgical\_Techniques%2F5%2F4%2Fe21%2Ffulltext#info

Orthobiologics in Orthopaedics, Part Deux (with special guest Asheesh Bedi)

Mohit Bhandari and Marc Swiontkowski — Mon, 27 Sep 2021 03:00:00 +0000

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

Orthobiologics in Orthopaedics: Essential Questions

Mohit Bhandari and Marc Swiontkowski — Mon, 13 Sep 2021 03:00:00 +0000

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

Rehabilitation Strategies: Evidence is the Oasis

Mohit Bhandari and Marc Swiontkowski — Mon, 30 Aug 2021 03:10:00 +0000

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

Artificial Intelligence, Machine-Learning, and Neural Networks (with special guest Joseph Siburt, PhD)

Mohit Bhandari and Marc Swiontkowski — Mon, 16 Aug 2021 11:51:00 +0000

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

International Consensus in Orthopaedic Care (with special guest Javad Parvizi)

Mohit Bhandari and Marc Swiontkowski — Mon, 02 Aug 2021 07:00:00 +0000

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

OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org

Links:

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

The Fragility Index: Why is it Important to the Practicing Orthopaedic Surgeon?

Mohit Bhandari and Marc Swiontkowski — Mon, 19 Jul 2021 07:00:00 +0000

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/

Machine-Learning Algorithms in Orthopaedics

Mohit Bhandari and Marc Swiontkowski — Mon, 05 Jul 2021 07:39:00 +0000

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

Cannabinoids in Orthopaedic Research (with special guest Jason Busse)

Mohit Bhandari and Marc Swiontkowski — Mon, 21 Jun 2021 07:30:00 +0000

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, Scheffer IE, Thiele EA, Wright S; Cannabidiol in Dravet Syndrome Study Group. Trial of Cannabidiol for Drug-Resistant Seizures in the Dravet Syndrome. N Engl J Med. 2017 May 25;376(21):2011-2020. doi: 10.1056/NEJMoa1611618. PMID: 28538134. Link.
Ng JY, Gilotra K, Usman S, Chang Y, Busse JW. Attitudes toward medical cannabis among family physicians practising in Ontario, Canada: a qualitative research study. CMAJ Open. 2021 Apr 13;9(2):E342-E348. doi: 10.9778/cmajo.20200187. PMID: 33849983; PMCID: PMC8084545. Link.
NICE Guidelines on cannabis-based medicinal products: https://www.nice.org.uk/guidance/ng144

Women in Orthopaedics (with special guests Ann Van Heest and Laurie Hiemstra)

Mohit Bhandari and Marc Swiontkowski — Mon, 07 Jun 2021 07:32:00 +0000

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. https://myorthoevidence.com/Download/5ac93c79-38a3-4e9e-b5bc-ce225882ac75.
International Orthopaedic Diversity Alliance: https://www.orthopaedicdiversity.org/.
Women in Orthopaedics Worldwide: https://www.facebook.com/groups/458514672258536/

Innovation (with special guest Ed Harvey)

Mohit Bhandari and Marc Swiontkowski — Mon, 24 May 2021 07:00:00 +0000

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

Knee Arthroscopy

Mohit Bhandari and Marc Swiontkowski — Mon, 10 May 2021 07:44:00 +0000

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

Perioperative and Transitional Care

Mohit Bhandari and Marc Swiontkowski — Mon, 26 Apr 2021 07:00:00 +0000

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

Total Ankle Replacement

Mohit Bhandari and Marc Swiontkowski — Mon, 12 Apr 2021 07:58:00 +0000

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.

Diversity, Equity, and Inclusion

Mohit Bhandari and Marc Swiontkowski — Mon, 29 Mar 2021 07:22:00 +0000

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

Distal Radial Fractures

Mohit Bhandari and Marc Swiontkowski — Mon, 15 Mar 2021 07:28:00 +0000

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/

How is Data Redefining Surgery?

Mohit Bhandari and Marc Swiontkowski — Mon, 01 Mar 2021 02:30:00 +0000

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/

Femoral Neck Fracture Evidence

Mohit Bhandari and Marc Swiontkowski — Mon, 15 Feb 2021 07:12:00 +0000

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.

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

Robotics in Orthopaedics

Mohit Bhandari and Marc Swiontkowski — Mon, 01 Feb 2021 07:35:00 +0000

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?

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

Cov-19 Crisis and Impact on Orthopaedic Publishing

Mohit Bhandari and Marc Swiontkowski — Mon, 25 Jan 2021 09:45:00 +0000

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.

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

Sham Surgery as the Surgical “Placebo” in Orthopedic Trials

Mohit Bhandari and Marc Swiontkowski — Sun, 17 Jan 2021 07:48:00 +0000

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?

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

Current Issues with Drs. Bhandari and Swiontkowski

Mohit Bhandari and Marc Swiontkowski — Wed, 30 Dec 2020 12:45:00 +0000

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.

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

OrthoJoe Trailer

Mohit Bhandari and Marc Swiontkowski — Tue, 29 Dec 2020 15:45:00 +0000

Keeping current with orthopaedic science and research. A podcast from JBJS and OrthoEvidence, featuring Mohit Bhandari, MD and Marc Swiontkowski, MD.