General Orthopaedics Archive

SUMMARY: Opinion piece on threats to research integrity from AI misuse, mega-journals, and impact-factor gaming, proposing transparency standards and reformed metrics to safeguard publishing quality.

SUMMARY: This expert opinion piece argues that AI can enhance every phase of orthopaedic care—from training and surgical planning to intraoperative guidance and personalized postoperative recovery.

SUMMARY: AI-powered EMR tools like ambient scribes can reduce orthopaedic clinician workload and improve efficiency, though privacy, cost, and integration concerns remain unresolved.

SUMMARY: This classic paper addresses the mechanisms and clinical implications of corrosion in metal orthopaedic implants.

SUMMARY: In 89 necrotizing fasciitis patients, delayed surgical debridement beyond 24 hours was the strongest independent predictor of mortality, underscoring the need for early operative intervention despite subtle early skin findings.

SUMMARY: This review describes the emergence of agentic AI—semi-autonomous software collaborators—in orthopaedic research, clinical care, and rehabilitation, along with its ethical and regulatory challenges.

SUMMARY: This scoping review of 14 studies suggests Pilates programs of about 8 weeks, 2-3 sessions weekly, 50-60 minutes each, may optimize outcomes for musculoskeletal rehabilitation, notably chronic low back pain.

SUMMARY: Review concludes intranasal salmon calcitonin offers modest bone density benefits and short-term analgesic effects for osteoporotic vertebral fractures and acute orthopaedic pain, but is inferior to bisphosphonates/anabolics and best reserved as a second-line option.

SUMMARY: Second installment of a series guiding surgeons through medical device development, focusing on the patent application process and FDA approval requirements before market entry.

SUMMARY: This Hand Clinics piece argues surgeons must actively manage implant and supply costs to run a cost-effective OR without compromising patient care quality.

SUMMARY: This review outlines risk factors, diagnosis, and treatment principles for bacterial septic arthritis of the native knee, emphasizing urgent antibiotics plus arthrotomy or arthroscopic debridement guided by Gächter staging.

SUMMARY: This review outlines the cellular biology of bone healing relevant to osteonecrosis and discusses emerging cell-based, cell-free, and gene therapies, while noting more rigorous trials are needed.

SUMMARY: Female academic orthopaedic sports medicine faculty earn significantly less than men, with the gap widening at senior ranks and totaling millions in lifetime salary loss.

SUMMARY: This review finds osteomyelitis rates of 14–86% in stage-4 sacral pressure ulcers but no evidence that its presence worsens flap outcomes or that biopsy/preoperative antibiotic treatment improves results.

SUMMARY: This review finds genetic evidence for musculoskeletal fibrosis is sparse compared to lung/heart, with shared gene variants only for lung and hand fibrosis, highlighting a need for more research into knee and shoulder fibrotic pathways.

SUMMARY: Over a decade, ACA Medicaid expansion improved orthopaedic access and utilization for Medicaid patients, especially minorities, but access gaps and limited cost/quality data persist.

SUMMARY: This engineering study presents a novel deep-learning loss function (HRKHu-Loss) that achieved over 92% accuracy detecting and grading lung cancer severity from CT images, a topic outside routine orthopaedic practice.

SUMMARY: This review outlines how natural language processing/AI can be applied in orthopaedic research to extract and classify data from electronic medical records, highlighting key pipeline steps and prior successful uses.

SUMMARY: This review outlines why diagnosing orthopaedic implant-related infection remains difficult despite advances in biomarkers and molecular testing, given biological variability and lack of a true gold standard, and summarizes emerging diagnostic approaches.

SUMMARY: Physician-led smoking cessation counseling, aided by referral resources like the national Quitline, meaningfully boosts quit rates but remains underutilized in orthopaedic care.

SUMMARY: This review introduces AI agents capable of autonomously managing multistep orthopaedic care processes, from diagnosis to rehabilitation, and discusses their potential and ethical challenges.

SUMMARY: Landmark 1980 JBJS study by Sutherland et al. characterizing how normal gait patterns mature developmentally in children.

SUMMARY: This review outlines fundamentals of healthcare costing to help orthopaedic surgeons better understand and drive high-value, cost-effective care.

SUMMARY: This review highlights how patient-reported outcome measures, beyond research, can guide shared decision-making, routine postoperative monitoring, and value-based orthopaedic care.

SUMMARY: This narrative review surveys current AI and machine learning applications in musculoskeletal imaging, highlighting gains in fracture detection, alignment analysis, and MRI acceleration alongside ongoing technical and ethical challenges.

SUMMARY: This article offers practical recommendations to help orthopaedic surgeons deliver culturally competent, respectful care to the growing US Muslim patient population.

SUMMARY: This narrative review offers strategies for safely and efficiently restarting orthopaedic clinic and surgical activities after COVID-19 disruptions, though dedicated literature on this topic was scarce.

SUMMARY: Article on how healthcare reforms in device approval and cost-awareness are reshaping medical device innovation, exemplified by frugal innovation trends—topic overview, not a specific orthopaedic study.

SUMMARY: This review explains how corticosteroid solubility determines onset and duration of action, guiding selection between intra-articular (less-soluble) and extra-articular (more-soluble) formulations while noting fluorinated agents' tendon toxicity risk.

SUMMARY: Over a decade, dedicated research gap years among orthopaedic residency applicants doubled and were linked to higher academic productivity and match success, especially at the host institution.