JOEI The Journal

The recording of the JOEI Zoom "Open Mic" featuring Matthew Brown, MD, Maxwell Courtney, MD, & James Huddleston, MD.

A personal perspective on modern cementless femoral fixation in primary total hip arthroplasty, design differences, and technique in today’s challenging bone.

Dr. Lee Rubin shares from his history and interactions with the direct anterior approach (DAA).

Large language models (LLMs) are increasingly used in medical education, yet head-to-head comparisons of contemporary multimodal and clinically oriented (retrieval-grounded) models on orthopedic in-service examinations remain limited.

The author reviews the history and development of a new technology for joint arthroplasty.

Glucagon-like peptide-1 (GLP-1) receptor agonists have demonstrated benefits in diabetes and obesity management, but their impact on outcomes following unicompartmental knee arthroplasty (UKA) remains unexplored. This study evaluates the influence of preoperative GLP-1 agonist use on postoperative complications following UKA.

Prolonged screen exposure and sedentary behaviors are increasingly associated with musculoskeletal dysfunction in the digital era. This narrative review synthesizes current literature examining the relationship between digital behavior and orthopedic pathology, outlining proposed mechanisms, clinical presentations, and preventive strategies. Searches of PubMed, Google Scholar, and ScienceDirect (2...

The recording of the JOEI "Open Mic" featuring Brett Levine, MD (Moderator), Richard Buch, MD, Chris Johnson, DO, Jon Minter, DO, & Jan Szatkowski, MD.

The recording of the JOEI "Open Mic" featuring Nick Arnold, MD, Matthew Cable, MD, & Michael Langworthy, MD.

Current guidelines recommend delaying elective surgery after coronary revascularization, but the relationship between timing for total joint arthroplasty (TJA) and postoperative outcomes remains unclear. We investigated the association between timing of TJA after percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and postoperative outcomes.

The author reviews his experience in managing significant bone defects in knee arthroplasty.

Knee osteoarthritis (KOA) is a highly prevalent and debilitating condition associated with substantial physical, psychological, and socioeconomic burden. For patients in whom conservative therapy has failed and who are unable or unwilling to undergo arthroplasty, treatment options remain limited. Genicular artery embolization (GAE) has emerged as a minimally invasive investigational therapy perfor...

Health literacy plays a crucial role in patient decision-making. National guidelines from the NIH and AMA recommend that patient education materials (PEMs) be written at or below a 6th-grade reading level.

Magnetically driven telescopic intramedullary lengthening nails permit internal distraction osteogenesis without external fixation. While removal is typically uncomplicated, component dissociation at the telescoping junction has been reported as an infrequent but challenging complication.

The author describes his early experiences with using anatomic fluted stems for difficult knee revisions.

Review the diagnostic and therapeutic indications, complications, and technical considerations for the use of In-office needle arthroscopy (IONA).

Incisional tension is an important and recognized contributor to complications surrounding wound sites and suboptimal scarring after sports medicine interventions, especially in areas high in motion which could be subjected to early mobilization. Force modulating tissue bridges (FMTBs) are non-invasive devices that can offload mechanical tension at the wound site. We aimed to evaluate the safety,...

Despite the known opioid crisis and momentum for opioid prescribing protocols in orthopedic surgery, there are no universal guidelines for procedure-specific opioid prescription amount, or duration of use. We report results of a single, brief quality improvement intervention to reduce opioid prescribing in a private practice setting.

Complex hip and knee arthroplasty can leave attenuated tendon, capsule, retinaculum, periosteum, and fascia that are difficult to close reliably after definitive reconstruction. The purpose of this report was to describe the clinical applications of a biointegrative collagen implant in complex hip and knee arthroplasty and to characterize early clinical and second-look observations following impla...

The author shares his perspective on consent and robotic orthopaedic procedures.

The recording of the JOEI "Open Mic" Session featuring Derek Amanatullah, MD, Stephen Duncan, MD, & Ken Urish, MD.

Burnout, characterized by emotional exhaustion, depersonalization, and reduced professional fulfillment, has emerged as a critical issue in orthopaedic surgery. Affecting an estimated 30–40% of surgeons, burnout has been associated to increased medical errors, malpractice risk, decreased patient satisfaction, and alarming mental health consequences, including elevated suicide rates. While traditio...

Tibial plafond fractures are severe injuries that often result in a prolonged treatment and recovery process, as well as poor outcomes and high complication rates. Given this, an online support group exists for patients to gain support and advice from a community of patients with the same injury. Similar groups exist for other chronic medical conditions and traumatic injuries; such groups have bee...

Total ankle arthroplasty (TAA) has become a reliable option for end-stage ankle arthritis management with good to excellent survivorship with modern 4th generation implant designs. In cases of implant failure, an array of revision implant options is necessary but not readily available to address all the nuanced requirements. We put forth a case series of revision total ankle arthroplasty (rTAA) to...

Orthopedic surgical educational strategies have rapidly advanced, driven by increasing technical complexity in the breadth of procedures within the specialty, the introduction of novel educational supplementation including simulation-based training, and the introduction of structured feedback mechanisms to encourage competency-based training. The learning curve for various common orthopedic proced...