The American Academy of Orthopaedic Surgeons (AAOS), along with its publishing partner Wolters Kluwer, have announced that the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) will begin offering an open access publishing option for authors of accepted manuscripts. Those selecting this option will copyright to their work; AAOS will make the work freely available online to anyone.
JAAOS: Open Access Publishing Now Available

“JAAOS already is the most-read orthopaedic journal in the world, ” said AAOS President Gerald R. Williams Jr., M.D. in the May 19, 2016, news release. “Open access is a logical extension of the Journal’s editorial operations and furthers its educational mission, ” continued Williams.
JAAOS Editor-in-Chief William N. Levine, M.D., noted, “All manuscripts submitted to JAAOS go through the same rigorous double-blind peer-review process. Only after a manuscript is accepted for publication are authors given the opportunity to opt for open access publication.”
“We continue to see more medical journals introduce open access publishing to support mandates by research funding bodies and authors who want to make their content open, ” added Jayne Marks, Vice President, Global Publishing, for Wolters Kluwer, Health Learning, Research & Practice. “We’re delighted to help JAAOS bring this publishing option to its authors and readers.”
Dr. Williams told OTW, “Now that JAAOS has expanded its editorial scope by accepting research articles, it’s important that researchers who are funded by an institution or a funding body that mandates Open Access publication have the opportunity to publish in the Yellow Journal.”
“We expect to receive a few Open Access articles to be published in JAAOS. The initial uptake of Open Access generally is in a small proportion of all articles published, so this will be on par with other journals offering this option, said Williams.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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