J Bone & Joint Surg

Can structural changes in operative workflow improve both patient care and physician well-being? In this commentary on Wong et al., Agnew examines the impact of a dedicated trauma operating room (DTOR) on hand surgery delivery. The study demonstrates that reducing after-hours operative burden not only improves system efficiency and lowers costs, but also addresses the growing issue of physician burnout. By reframing surgical care delivery through a systems-based lens, this work underscores the importance of operational design in optimizing both clinical outcomes and provider sustainability. Read the full commentary 👉 bit.ly/3PqnbGx Then explore the original study 👉 bit.ly/4n4htGD #JBJS #Orthopaedics #Hand

⏳ Now is the time! If you’re planning to enroll in Miller’s Orthopaedic Review Course Part I, now is the time. Register today and get immediate access to the virtual learning platform before the course even begins. 📚 Miller’s Orthopaedic Review Course Part I delivers a high-impact, up-to-date, and comprehensive learning experience unlike any other. Specifically designed to focus on the essential testable material for the American Board of Orthopaedic Surgery Part I Examination, this course is a must for serious candidates. Early access includes: 👨‍🏫 Faculty introductions 📚 Full course curriculum 🧠 Learning resources 🗂️ Daily handouts 📄 ALL presentation PDFs 💡 Faculty Top 10 tips 📍 Course begins May 20 Attend in Denver or online. Secure your spot today: bit.ly/40NHsoU #ABOS #MRC #orthopaedicreview #JBJS

Do you know the correct answer? Scroll down to reveal the answer... . . . . . . . . . . . . . . . . . . A. Use of an allograft prosthetic composite (APC): there is substantial proximal humeral bone loss that will require augmentation with bone or metal. & B. Placement of a tumor reverse shoulder prosthesis: there is substantial proximal humeral bone loss that will require bone or metallic augmentation.

📢 New & Free: Knee Osteoarthritis Article Collection from JBJS Looking for the latest evidence on knee osteoarthritis? This curated digital collection brings together key research on treatments—from injections to surgery—plus insights on patient preferences, risks, clinical guidelines, and cost-effectiveness. Designed for clinicians, researchers, and healthcare professionals who want to make smarter, evidence-based decisions. ⬇️ Get your free copy in minutes Just fill out a quick form to access the full PDF collection: bit.ly/4cRpUk0 #Knee #kneeosteoarthritis #JBJS

We’re counting down the Top 10 Open Access Articles of 2025. At #3: How does robot-assisted intramedullary nailing compare to plate fixation for midshaft clavicle fractures? In this JBJS article, Zhang et al. evaluate outcomes of robot-assisted retrograde elastic intramedullary nailing versus ORIF with plate fixation for displaced clavicular fractures Read the full article for insights into emerging surgical technologies in fracture management. 👉 bit.ly/4hilaES #JBJS #OpenAccess

Can modern external ring fixation improve recovery outcomes in severe open tibial fractures? In this secondary analysis of the prospective randomized FIXIT trial, Shu et al. found that patients treated with modern external ring fixation experienced significantly greater pain interference at 6 months compared with internal fixation, although differences resolved by 12 months. A key secondary finding showed that patients with retained external fixation frames at 12 months reported substantially greater pain intensity and pain interference. These findings highlight the importance of postoperative pain management and frame-related care when utilizing external ring fixation in severe tibial trauma. Read the full article 👉 bit.ly/4nm9dSt #JBJS

⏳ Still time to level up your orthopaedic knowledge 📈🦴 Part One of the Miller's Orthopaedic Review Course is coming up—and there’s still time to secure your spot 🎯 📅 Starts May 20th — join in person or online 💻🏥 🗓️ Five-day intensive program designed for maximum impact ⚡ This isn’t just another review course—it’s a comprehensive learning experience designed to sharpen your fundamentals and boost exam readiness 💡📚 ✔️ High-yield lectures from expert faculty 🎤 ✔️ Structured content built for retention 🧠📖 ✔️ Bonus learning tools to reinforce key concepts long after the course ends 🛠️ 🔥 Don’t miss your chance to be part of one of the most trusted review programs in orthopaedics 👉 Register now: bit.ly/40NHsoU #Orthopaedics #MedicalEducation #BoardPrep #MRC #JBJS

In the latest OrthoBuzz post, we are reintroducing Dr. Andrew Schoenfeld, JBJS Associate Editor and co-host of Your Case Is On Hold. In this Q&A, Dr. Schoenfeld discusses his path with JBJS, the role of podcasts in orthopaedic education, and the importance of making research engaging and accessible to the wider community. Read the full article 👉 bit.ly/3RajjKe #JBJS

"Comparable Outcomes and Implant Survivorship of Total Knee Arthroplasty After High Tibial Osteotomy and Primary Arthroplasty" by Bax et al. Read the full article 👉 bit.ly/4f92s4j #JBJS

In the latest episode of #OrthoJOE, 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. Listen to the full episode wherever you get your podcasts or with the link below 👉 bit.ly/4woB60o #JBJS #OrthoJOE

Call for Abstracts — DOCSF26 Submit your work to DOCSF Science, an interaction‑first program proudly sponsored by JBJS, focused on rigorous, cross‑disciplinary exchange in orthopaedics, AI, and digital health. 📅 Deadline: June 30, 2026 🔗 docsf.health/2026/04/docsf2… #DOCSF26 #Orthopaedics #DigitalHealth #MedTech #AI #JBJS

"Free Vascularized Fibular Grafting for Osteonecrosis of the Femoral Head" by Tang et al. Read the full article 👉 bit.ly/42jNQI3 #JBJS

Does highly cross-linked polyethylene confer a long-term advantage in total knee arthroplasty? In this commentary on Kim et al., Lieberman reviews a 15-year follow-up comparison of highly cross-linked polyethylene (HXLPE) and conventional polyethylene in bilateral TKA. The findings demonstrate equivalent clinical outcomes, radiographic results, and implant survivorship between the two materials. While HXLPE has significantly advanced total hip arthroplasty, its benefit in TKA remains less clearly defined. These results reinforce the need for long-term data when evaluating material innovations in orthopaedic implants. Read the full commentary 👉 bit.ly/4uzumel Then explore the original study 👉 bit.ly/3OXKJlV #JBJS #Orthopaedics #KneeArthroplasty #ImplantMaterials #ClinicalOutcomes

"Advances in the Management of Sternoclavicular Joint Injuries" by Nielsen et al. Read the full article 👉 bit.ly/4eBnZ5K #JBJS

⏳ Don’t Put Off Your Preparation Any Longer If you’re planning to enroll in Miller’s Orthopaedic Review Course Part I, now is the time. Register today and get immediate access to the virtual learning platform before the course even begins. Early access includes: 👨‍🏫 Faculty introductions 📚 Full course curriculum 🧠 Learning resources 🗂️ Daily handouts 📄 ALL presentation PDFs 💡 Faculty Top 10 tips 📍 Course begins May 20 Attend in Denver or online. Secure your spot today: bit.ly/40NHsoU #ABOS #MRC #orthopaedicreview #JBJS

🎉 Congratulations to Professor Tom Cosker on being elected President of the British Orthopaedic Oncology Society (BOOS)! Your leadership, dedication to orthopaedic education, and commitment to advancing the field continue to make an incredible impact worldwide. From all of us at JBJS and MRC, cheers to Tom Cosker on this well-deserved honor! 👏🥂 #Orthopaedics #Leadership #MedicalEducation #OrthopaedicOncology #JBJS #MRCOxford.

"Vertebral Body Tethering: We Have to Get It Just Right" by Polly et al. Read online at: bit.ly/4cUZGgr

Can autoclaving alone ensure sterility of PMMA-contaminated surgical instruments? In this commentary on Thomson et al., Abe et al. evaluate the microbiological risk associated with retained polymethylmethacrylate (PMMA) following standard sterilization protocols. Using experimentally contaminated PMMA models, the study demonstrates that autoclaving significantly reduces viable microbial burden, with no detectable regrowth under tested conditions. However, the findings also underscore an important limitation: sterilization does not replace the need for meticulous pre-cleaning, particularly in the presence of organic debris or biofilm structures that may impair steam penetration. These results provide practical guidance for operative workflow, supporting evidence-based sterilization practices while reinforcing the continued importance of mechanical cleaning. Read the full commentary 👉 bit.ly/49l1gqU Then explore the original study 👉 bit.ly/4cYUfyr #JBJS #Orthopaedics #InfectionControl #Sterilization #SurgicalSafety

📢 New & Free: Knee Osteoarthritis Article Collection from JBJS Looking for the latest evidence on knee osteoarthritis? This curated digital collection brings together key research on treatments—from injections to surgery—plus insights on patient preferences, risks, clinical guidelines, and cost-effectiveness. Designed for clinicians, researchers, and healthcare professionals who want to make smarter, evidence-based decisions. ⬇️ Get your free copy in minutes Just fill out a quick form to access the full PDF collection: bit.ly/4cRpUk0 #Knee #kneeosteoarthritis #JBJS

⏳ Still time to level up your orthopaedic knowledge 📈🦴 Part One of the Miller's Orthopaedic Review Course is coming up—and there’s still time to secure your spot 🎯 📅 Starts May 20th — join in person or online 💻🏥 🗓️ Five-day intensive program designed for maximum impact ⚡ This isn’t just another review course—it’s a comprehensive learning experience designed to sharpen your fundamentals and boost exam readiness 💡📚 ✔️ High-yield lectures from expert faculty 🎤 ✔️ Structured content built for retention 🧠📖 ✔️ Bonus learning tools to reinforce key concepts long after the course ends 🛠️ 🔥 Don’t miss your chance to be part of one of the most trusted review programs in orthopaedics 👉 Register now: bit.ly/40NHsoU #Orthopaedics #MedicalEducation #BoardPrep #MRC #JBJS