
Cervical Disc Replacement: ‘Weaker’ Patients May Win Bigger
Ever since the first cervical disc replacement (CDR) procedures, surgeons have been fascinated by more than just biomechanics.

Ever since the first cervical disc replacement (CDR) procedures, surgeons have been fascinated by more than just biomechanics.

When it comes to cervical spine trauma, vertebral artery injury (VAI) may be the heavyweight sleeper diagnosis…

Spine surgeons have debated anesthesia for lumbar endoscopy almost as much as implant choice…

Twenty-four years of diligently collecting data at a high-volume UK hospital makes a strong case for intraoperative cell salvage.

Most surgeons, we expect, understand that the operation may be the centerpiece, but rehab is the encore that makes — or breaks — the performance.

If you think spinal muscles are just passive stabilizers, think again.

Who doesn’t love a clean classification system? The simpler, the better…until…

Do children with early onset scoliosis (EOS) breathe better when we straighten their spines as they grow?

Have you ever stood at the bedside of a 76-year old with a pancake-flat distal radius after a fall from standing height.

Every trauma surgeon has been there: you’re in the middle of a mangled extremity case, and the math doesn’t add up.

Every trauma surgeon knows the love–hate relationship with circular external fixators.

For decades, ACL reconstruction has been the star quarterback of knee surgery.

New study in JBJS give pediatric spine surgeons a sharper, simpler predictive outcome tool: the Pediatric Spine Frailty Index (PSFI).

14-year-old national-level badminton player showed up with stress fractures on both sides of the pars interarticularis…

The era of “robots slow us down” is fading. The new narrative? Robots make us reproducible.

Few injuries test the patience of both trauma surgeons and patients like the humeral shaft fracture.

Every shoulder surgeon has wrestled with this question in the OR: should I stick with the tried-and-true…

If you’ve ever managed a transfemoral amputee with osseointegration (OI), you know the story…

Shoulder pain may keep your clinic full, but it’s also keeping hospital CFOs up at night.

Every knee surgeon knows the drill: you line up your pre-op images, measure your angles, and prep TKA.

You weren’t imagining it — home call really is eating your REM cycles for breakfast.

It’s the knee alignment debate that just won’t quit — mechanical alignment versus kinematics alignment.

Orthopedic surgeons know that kids don’t always read the script when it comes to injury exams.

A fresh meta-analysis just crashed the party when it comes to patient-perceived joint awareness — CS implants may actually have the edge.

How long does a converted fused knee last after TKA? Twenty years? Maybe 25? New study.

If you’ve been in TKA long enough, you’ve seen the look: the patient is still not happy.

The pros and cons of microfracture: most elite athletes make it back to the field, but many won’t be there for long.

If you’re used to counseling athletes that “your new ACL is as strong as it gets — until it isn’t,” here’s a new study.

Dropping weight before TKA surgery didn’t translate into fewer complications.

New Mayo and Indiana Univ. review lays out the current tactical arsenal for managing GBL in primary RSA.

Few debates in knee arthroplasty spark as much polite-but-pointed hallway chatter as the fixation question: cemented or uncemented?

In spine surgery, measuring success isn’t always as simple as “X-rays look straighter, job well done.”

A worried parent, a stoic (or not-so-stoic) child, and a pediatric back pain story that may or may not rival an epic saga.

In sports medicine, the holy grail for anterior cruciate ligament reconstruction (ACLR) is simple: less pain, faster recovery, fewer re-dos.

Does a tourniquet actually make a difference…other than making your patient’s leg hurt more afterward?

So, you finally got a robot in your OR and it stares at you from the corner like a high-tech intern.

What’s lighter than a titanium nail and might just save the planet? Your next follow-up visit—if it’s virtual.

Spine surgeons, take note: the Wild West days of treating OVCFs may be coming to an end.

Study reveals that kids show up to spine surgery with two things that keep anesthesiologists up at night.

CDR vs. ACDF—which allows return-to-work sooner? Spoiler alert: the disk replacement crew clocked in earlier.

Have you ever seen a patient casually pop their thumb out of joint like it’s a party trick?

Brace yourselves—America’s youth continue to launch themselves off dirt ramps and into your trauma.

Have you ever faced a patient clutching their butt and vaguely describing sciatic-like symptoms?

In the old days, an incidental durotomy during lumbar spine surgery meant an automatic overnight stay…

If your idea of excitement involves synovial fluid, bacteria, and heat curves—today is your lucky day.

For the middle-aged weekend warrior with hamstring tears—wear a brace or go under the knife.

Ever have a unicorn come limping into your trauma bay? In pediatric ortho, that’s what Dubberley IIA elbow fracture is. Here’s a rare study on this fascinating ortho “unicorn.”

Primary stems in revision cases are tempting. They’re cheaper. They’re familiar. They go in faster. But as this study makes clear, comfort comes at a cost. Check it out.

Fixing unstable pelvic fractures is about as fun as trying to play Jenga during an earthquake.

So, if your fellowship-trained colleagues make aLTT look easy, they probably just hit the magic number. And what’s that digit? New study says it is 14! Here’s the math, check it out.

This COX-2 upstart performed exceedingly well in its first head-to-head comparison against opioids. Could Imrecoxib join Celecoxib in the Cox-2 inhibitor hall of fame? Check it out.

61,000 pediatric ACL injuries. What insights did researchers tease out? One key conclusion, healthcare access pays off, big time. Here’s the data.

Just when you thought vertebral body tethering (VBT) was gaining solid ground here comes the twist—literally. A new study out of NYU Langone Center. Check it out.

How are HU? Glad you asked. HU is the MVP for predicting disc subsidence. Avoid that sunken cage. Check out this solid study.

Really interesting study. Volleyball vs Swimming. How does the shoulder change in response to one or the other? It is surprising how much difference there is.

If the phrase “three or more levels of lumbar canal stenosis in a 70-year-old hypertensive diabetic” makes your pulse quicken (and not in a good way), then a new study out of China might just be worth your next OR coffee break.

The best hip fracture is one that never happens, right? Turns out, according to this excellent new study, that testosterone therapy prevents hip fractures in men AND women. Check it out.

Not the conclusion one would have expected. All things being equal, why do some patients do worse than others? Clue: it’s not the surgeon or the OR. Here are some insightful answers.

What do you do when the femur literally vanishes after you’ve fixed the fracture? This case study of a standard mid-shaft femur fracture fixation is a fascinating ortho detective story.

One of the hottest pharmacological trends in medicine, GLP-1 receptor agonists like Ozempic, comes with a key red flag for surgeons and patients. New study explains.

This new electrospun combo of chitosan, silica and PVA/PVP not only builds bones, it bites back on bacteria. Created at one of India’s top engineering schools. Check it out.

New NYU Langone study found that only 41% of children with traumatic brain injury get a non-surgical follow up. Huh? That’s ridiculous. Here’s why and what the fix is.

What treatment kids get should not depend on the card in Mom or Dad’s wallet—commercial insurance or Medicaid. But there is good news. More health care availability has closed the gap.

How important is fellowship training? A new 1.1 million case study using PearlDiver data nails the answer. Conclusion? Statistically better outcomes—at least early on. Check out this impressive work.

Walk after Open Reduction Internal fracture Fixation? Yes, if you want better outcomes. New randomized study in JBJS has the data. Here it is.

Eternal vigilance plus obsessive attention to detail keeps post-op infections at bay. But…which details? New JAAOS study updates anti-infection protocols for shoulder surgery. Post these on the wall.

Every spine surgeon has seen it: the herniated lumbar disc that somehow…vanishes. No scalpel. No intervention. Just one day, the MRI shows —nothing. Why? New European Spine Journal study explains, very well.

Learning the lower trapezius transfer takes, per a new JAAOS study, about 14 cases. That’s the bad news. The good news is great outcomes, case #1 to #14. Check it out.

Acute lateral ankle sprain? How about heel kicking rehab? Read this study from BMC Musculoskeletal Disorders journal. Results may surprise you. Traditional Chinese Medicine.

“Brain Fog” hits 50% of patients after ortho surgery. New, 180 patient study says electro-acupuncture can fix that. Fascinating study, check it out.

Research team finds gold—microscopic, nanosized gold floating in the bloodstream, AKA Extracellular vesicles (EVs), which biomark ankylosing spondylitis! Check it out.

Did these spine and pain doc just crack the code for diagnosing discogenic pain? At the very least, they have brought order to disc pain chaos. Check it out.

It’s the intraoperative twist that matters most. Forget how straight the new knee looks on an X-ray. Think how it moves when nobody’s looking. New study explains everything.

Patients with >50 BMI required preop interventions and a more nuanced approach, so says a new, thoughtful write up in JBJS. Data from large cohort study, check it out.

Pediatric clavicle fractures show up in clinics like clockwork. Predictable, mostly nonoperative. So why are more winding up in the hospital? New study has surprising answers.
The intersection of AI and surgery is no longer hypothetical—it’s happening—one careful, annotated dissection at a time. So says a new study in JSES International. Here are details.

Let’s be blunt: the field of orthopedics is flying blind when it comes to leadership pipelines. A new JBJS article puts the issue on the operating table. What’s the diagnosis and treatment?

Surgeons aren’t just fixers. They are also editors of lives reclaimed. Every incision a sentence. Every suture, a stitch of story. And every healed hand, a narrative. Read about yourselves.

): Maybe the best way to stop a second hip fracture…is to treat the first one like a golden opportunity. New study in Archives of Ortho and Trauma says “yes.” Interesting. Check it out.

“F.A.T.A.L.” is an algorithm for diagnosing post-op ACL issues, in an organized way. It’s also a new study in JAAOS. We have the details here. Check it out.

What are 3 surgeon decisions that have the greatest effect on TKA outcomes? A new study has that specific answer. A must read. Here it is.

AI imaging and alignment tools not as novelty, but as smart assistants integrated into daily orthopedic practice. New study from BMC. Check it out.

100 years ago, 1925, scientists anticipated telemedicine. What’s the latest? Well, smile for the shoulder cam. It’s taking telemedicine to the next level. Check it out.

Ever reduced serious medical conditions to a punchline? Ever let fly with a regrettable comment? Right. So humor is great. And slang has an important role. But where’s the line? New research has insightful answers. Check it out.

New preop knee aspiration study from UAMS finds no difference in either future surgery or scar tissue. They DID find, however, that it delayed scar onset. Here are the details.

New 22,080 patient study found a higher fracture risk for cementless unicompartmental knee arthroplasty patients. Here are the details and recommendations.

Hearty and well-deserved congratulations to Campbell Clinic shoulder and elbow specialist, Dr. Tyler Brolin for being among the top 2–3% of orthopedic researchers nationwide.

Want a clear, concise summary of DXA bone density scan pitfalls—plus ways to avoid them? This well written case study from a team at Walter Reed is for you. Be sure to check it out.

It’s a hit for breast cancer screening, could it take over spine imaging? Digital tomosynthesis, a 3D imaging modality shows superiority over radiography, in this robust study. Check it out.

Talk about a kick-ass ortho technology. Osseointegration transforms lives. Here’s a JBJS case study that truly illustrates its power. Check it out.

17% of the PA’s workweek is spent on InBasket. What does that imply about staffing models, compensation and burnout? New JBJS study tackles these issues and more. Check it out.

Published June 9, 2025, a new meta-analysis sheds light on patient and procedural risk factors that increase the likelihood of facet joint violation (FJV) during lumbar interbody fusion surgeries.

To our surprise, and perhaps yours too, pediatric ACL surgeries have declined—so says a 21-year analysis reported in JAAOS’s recent research and review. Here are the details.

Avant-garde Health has named Dr. Frederick Azar of Campbell Clinic as a 2025 Orthopaedic Surgery Research All-Star, placing him among the top 1% of musculoskeletal researchers in the United States.

The research team at Icahn School of Medicine has published a very well written overview of robotic assist spine surgery complications. We have the “must-read” summary. Check it out.

Dr. William M. Mihalko has been designated a 2025 Orthopaedic Surgery Research All-Star. This national recognition places him among the top 2–3% of orthopaedic researchers in the United States.

Dr. Christopher T. Holland, physician-scientist at Campbell Clinic, is a 2025 Orthopaedic Surgery Research All-Star—an honor that places him among the top 2–3% of orthopedic researchers in the United States.

Non-elective vs elective THA. Which has a higher infection risk? You get three guesses, and the first two don’t count. New study finds that the intuitive answer is correct.

Smart watches can change shoulder rehab outcomes by providing that critical feedback loop. Here’s a new study that documents how that works. Check it out.

Interesting study from the European Spine Journal where the research team played with heat modalities to try to reduce risk of accidental RFA nerve ablation. Worked pretty well. Check it out.

10 years, 25,095 total arthroplasty cases. Which VTE prophylaxis work? Aspirin, but at much lower doses. Also TXA. Warfarin? Forget about it. FXa? Other? Here are details.

Two different diseases. Osteo and Rheumatoid. Arthritis. According to a new Mayo Clinic study, both have same anterior hip surgery outcomes. Check it out

A surgeon whose spirit infused his practice, his life and all who knew and worked with him. Richard ‘Rich’ Sidell Jr. M.D. died windsurfing at age 79. Here is his story.

About 25% of cancer-related hip replacements require revision surgery vs under 2% for classic OA cases. New Study. Check it out.

“Elsa” is the FDA’s new anthropomorphized AI tool which, the FDA hopes, will speed up clearances, licenses, and approvals while also tracking safety data. More info here.

icotec, Swiss-based supplier of carbon/PEEK implants signs distribution deal with UK based Osteotec. Target is spine oncology market. Terms not disclosed.

A data breach is bad enough. Then the plaintiff’s bar piles on, accusing practices of negligence. It happened to Coastal Orthopaedics and Sports Medicine. Here are details.

Dr. James Hammes, one of the first large joint arthroplasty surgeons in Wisconsin, dies age 95.

Edward A. Perez, M.D. is the new Chief of Orthopedic and Orthopedic Trauma at Broward Health, one of 10 largest public healthcare systems in the United States. Here are the details.

Emerging growth surgical tool company, Surgify, has closed on nearly $8 million in Series A funding to bring to market a bone resecting tool which doesn’t affect soft tissue. Interesting! Check it out.

University of Maryland surgeons remove a tumor through a patient’s eye socket. It was the only option. And it worked, really well. “It was a straight shot.” Patient’s fine. Groundbreaking and amazing. Here are details.

Gene sequencing giant, Illumina, sues 8-year old start up Element BioSciences, founded by former Illumina employees, over gene sequencing IP. Lots at stake, including affordable access to gene sequencing for MSK diagnostics and treatment tools.

This time all 50 states and territories are in on the deal. $49 million. Payable to all drug purchasers (hospitals, clinics, ASCs and patients). Why? How? Here are the details.

A low-grade litigation between drug purchasers and big pharma is breaking out. The implications for orthopedic and spine surgery include drug availability (hospital, clinic or ASC), cost and access for patients pre- and post-surgery.

20 States sue Trump’s HHS over massive cuts and staff terminations in public health agencies and programs. Will these suits have any chance of rolling the cuts back? Or is it too late? Stay tuned for sure.

UC Berkely 1 : MIT 0. In the latest skirmish between West Coast and East Coast over the #1 disruptive biotechnology, CRISPR, it is advantage UC Berkely. Here are the details.

Holy Moley Rocky! Pipsqueak pharmacy wins slam dunk verdict against Big Pharma—re: Ozempic and Wegovy?! Incredible story with positive ramifications for ortho and spine care. Here are details.

17 states, led my Massachusetts, are suing the Trump administration over NIH cuts alleging they violate law and principle. Is it too late for many critical ortho and life science clinical studies?

Check out Univ of Iowa’s new 60 Acre, 469,000 sq foot, 84 exam room, 12 OR, $25 million new medical campus. Phenomenal project. Here are the details.

In a truly synergistic initiative, a group of senior spine surgeons and interventionalists have formed the Global Spine Initiative. A VERY promising program. Check it out.

Is orthopedics ready for implantable brain chips and telepathic large joint movement? FDA cleared Neuralink’s first implant two years ago and it keeps evolving. Here’s the latest.

Two new drugs, one featured in JAMA, are moving through the regulatory gauntlet. One for smokers. The other for obese patients. Really novel and interesting, here’s an update.