JOEI The Journal

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...

Cerclage fixation has become an essential adjunct in total hip arthroplasty (THA), offering surgeons a versatile means of achieving mechanical stability in the face of complex challenges such as intraoperative femoral fractures, trochanteric osteotomies, and periprosthetic fracture management. This comprehensive review synthesizes current evidence regarding anatomical considerations, surgical tech...

Recent studies have shown that online video libraries are poor sources of educational content for patients. Despite this, patients seek videos on the internet to learn about their conditions and treatments, which may increase anxiety prior to surgical procedures. This study tested the hypothesis that watching a high-quality, physician-made video prior to elective hand surgery decreases pre-operati...

Chat Generative Pre-Trained Transformer (ChatGPT) has continued to become widely utilized in orthopaedic surgery due to its efficiency and ability to produce easily digestible information. Researchers have used ChatGPT to produce topic specific outlines and assist in research endeavors. The purpose of this study was to evaluate the validity of ChatGPT as a resource to orthopaedic researchers in co...

Ipsilateral dislocations of the hip and knee are rare injuries that threaten the limb and demand rapid, orderly care. We report a polytrauma patient with a closed posterior hip dislocation, an ipsilateral open knee dislocation with neurovascular compromise, and a left floating hemipelvis defined by fractures of the superior and inferior pubic rami with sacroiliac joint disruption. This constellati...

The recording of the JOEI "Open Mic" Session featuring Stefano Bini, MD, Max Courtney, MD, & George Guild, MD.

Distal radius fractures is an orthopedic injury commonly operatively treated with volar-based plating. Regional nerve blocks are efficacious in improving post-operative pain control, yet “rebound pain” when the nerve block wears off remains of great concern. This study aims to evaluate the efficacy of liposomal bupivacaine (LB) in providing meaningful, additional pain control on top of a supraclav...

The recording of the JOEI Zoom "Open Mic" Session featuring Richard Buch, MD, Jon Minter, DO, & Herrick Siegel, MD

The increasing ubiquity of personal electronic devices (PEDs) has introduced new cognitive challenges in high-stakes environments such as orthopedic surgery. While PEDs offer communication and informational utility, their misuse during clinical care has raised concerns about situational awareness, workflow disruption, and patient safety.

By Ben Schwartz, MD The author’s perspective on the relationship between orthopaedic specialists and CMS.

Medicare reimbursement cuts and increasing administrative burdens have contributed to a growing number of physicians opting out of the program, with orthopedic surgeons disproportionately affected due to their patient population, procedural volume, and operational costs. Therefore, this study aimed to analyze (1) trends in the incidence of orthopedic surgeons opting out of Medicare, (2) the demogr...

Orthopaedic surgical residency training is a demanding time. It requires discipline, long working hours, and interdependence on your co-residents. Studying, splinting, operating. There’s not much in the way of personal hobbies, free time, or sleep for that matter. The years of training don’t just qualify us for a job, they mold us into surgeons - but is there room to be anything else? Is there roo...

The author presents his overview on total joint infections.

Antibiotic-loaded cement hip spacers are a cornerstone in the management of prosthetic and native hip infections before second-stage arthroplasty. However, complications such as spacer dislocation or acetabular erosion often stem from a size mismatch between the spacer and the patient’s unique anatomy. In this technical note, we describe a patient-adapted, hand-crafted technique for fabricating a...

Studies that examine the image-based Rosa robotic knee arthroplasty system in restoring the desired mechanical axis (MA) are rare. The purpose of this study was to measure the accuracy of an image-based robotic knee system in restoring the desired MA.

The recording of the JOEI "Open Mic" featuring Kris Alden, MD, Colin McNamara, MD, & Anton Kurdin, MD.

This article discusses the author’s experience with the diagnosis and treatment of frozen shoulders.

Most glass-related injuries in children are accidental. Therefore, this study aims to identify risk factors associated with more severe glass injuries and recommend ways to prevent them.

Medial-stabilised total knee arthroplasty (MS-TKA) usage has increased significantly over the past decade with encouraging results. MS-TKA mimics the natural knee kinematics, providing superior antero-posterior stability as compared to cruciate-retaining or posterior-stabilised designs. Its proponents suggest that MS-TKA may provide the solution to the residual dissatisfaction seen in many patient...

Prevention strategies can help orthopedic surgeons optimize circumstances to reduce the incidence of SSI and PJI.

In the setting of revision total knee arthroplasty (RTKA), a tibial tubercle osteotomy (TTO) may be required to gain better exposure to the implant. However, complications still limit its use. The purpose of this study was to inform the design of a novel plate for TTO fixation in the setting of RTKA that reduces the occurrence of osteotomy displacement, nonunion, and malunion.

MOTIV™ – Musculoskeletal Outcomes and Tracking Intelligence Vault – is an initiative is designed to help orthopaedic physicians participate more directly in real-world evidence generation across all practice settings. The surgeon contributors define the clinically relevant questions and supply the ground-truth observations from their own care. MOTIV™ connects the initiative to the broader mission...

The recording of the JOEI Zoom "Open Mic" Topic Session featuring Korboi Evans, MD, Morteza Meftah, MD, & Jack Sizemore, PA