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JP

Joshua Pandy

122 articles

Articles by Joshua Pandy

Cervical Disc Replacement: ‘Weaker’ Patients May Win Bigger

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.

Sep 22, 2025
Vertebral Artery Injury: “Sleeper Diagnosis” Packs a Punch

Vertebral Artery Injury: “Sleeper Diagnosis” Packs a Punch

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

Sep 22, 2025
Lidocaine vs. Gas: Who Wins in Endoscopic L5/S1 Surgery?

Lidocaine vs. Gas: Who Wins in Endoscopic L5/S1 Surgery?

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

Sep 22, 2025
24-year Hip Revision Study: ICS Cuts Transfusions in Half

24-year Hip Revision Study: ICS Cuts Transfusions in Half

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

Sep 22, 2025
Rehab Reboot: The Orthopaedic Highlights You Actually Need

Rehab Reboot: The Orthopaedic Highlights You Actually Need

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

Sep 18, 2025
Paraspinal Muscles, Not Just Passengers on the Degen Journey

Paraspinal Muscles, Not Just Passengers on the Degen Journey

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

Sep 18, 2025
Beyond CPAK: Why True Knee Phenotyping Needs to Go 3-D

Beyond CPAK: Why True Knee Phenotyping Needs to Go 3-D

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

Sep 17, 2025
When Straight Spines Don’t Mean Stronger Lungs: The Scoliosis Puzzle

When Straight Spines Don’t Mean Stronger Lungs: The Scoliosis Puzzle

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

Sep 12, 2025
Casting or Surgery for Elderly Distal Radius Fractures?

Casting or Surgery for Elderly Distal Radius Fractures?

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

Sep 11, 2025
JBJS Case: Simple Trick to Dodge the Above-Knee Penalty

JBJS Case: Simple Trick to Dodge the Above-Knee Penalty

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

Sep 10, 2025
Click, Shift, Heal: Controlled Dynamization Tested

Click, Shift, Heal: Controlled Dynamization Tested

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

Sep 10, 2025
ACL Repair Back on the Field – Ready for Prime Time?

ACL Repair Back on the Field – Ready for Prime Time?

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

Sep 9, 2025
Frailty in Six Questions: A New Compass for Pediatric Deformity Surgery

Frailty in Six Questions: A New Compass for Pediatric Deformity Surgery

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

Sep 9, 2025
Robotic Pars Repair + r-BMP: Back in Action at 12 Weeks

Robotic Pars Repair + r-BMP: Back in Action at 12 Weeks

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

Sep 8, 2025
VELYS Robotic TKA: A Short Ramp, Not a Mountain

VELYS Robotic TKA: A Short Ramp, Not a Mountain

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

Sep 8, 2025
Humeral Shaft Fractures: Fixation Versus Bracing at 3 Months

Humeral Shaft Fractures: Fixation Versus Bracing at 3 Months

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

Sep 3, 2025
BMS: Better Healing Doesn’t Mean Better Scores

BMS: Better Healing Doesn’t Mean Better Scores

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

Sep 3, 2025
Wrapping It Up: Fascial Sock Lowers Osseointegration Morbidity

Wrapping It Up: Fascial Sock Lowers Osseointegration Morbidity

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

Sep 3, 2025
Rotator Cuff Repair Costs: It’s the Implants, Stupid

Rotator Cuff Repair Costs: It’s the Implants, Stupid

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

Sep 2, 2025
CT Phenotyping Reveals Four Knee Types for TKA

CT Phenotyping Reveals Four Knee Types for TKA

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

Sep 2, 2025
Sleepless in Scrubs: JBJS Study Puts Trauma Calls to the Test

Sleepless in Scrubs: JBJS Study Puts Trauma Calls to the Test

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

Sep 1, 2025
Kinematic vs Mechanical In TKA…Drumroll…No Difference

Kinematic vs Mechanical In TKA…Drumroll…No Difference

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

Aug 31, 2025
Fuzzy X-Ray? A New Clue for Nerve Injuries in Pediatric Elbows

Fuzzy X-Ray? A New Clue for Nerve Injuries in Pediatric Elbows

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

Aug 29, 2025
JBJS Meta-Analysis Throws Cold Water on ‘Natural Knee’

JBJS Meta-Analysis Throws Cold Water on ‘Natural Knee’

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

Aug 27, 2025
Ankylosis Meets Arthroplasty: 30-Year Study. Remarkable

Ankylosis Meets Arthroplasty: 30-Year Study. Remarkable

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

Aug 26, 2025
TKA: When ‘One Size Fits All’ Gets Shown the Door

TKA: When ‘One Size Fits All’ Gets Shown the Door

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

Aug 23, 2025
Microfracture Gets Athletes Back in the Game – But for Not Long

Microfracture Gets Athletes Back in the Game – But for Not Long

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

Aug 21, 2025
Zero ACL Retears? One-Year BEAR Registry Data

Zero ACL Retears? One-Year BEAR Registry Data

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.

Aug 20, 2025
Weight Loss Before TKA? Don’t Bet Your Tibial Tray on It

Weight Loss Before TKA? Don’t Bet Your Tibial Tray on It

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

Aug 20, 2025
Avoiding the Walk of Shame in Reverse Shoulder Arthroplasty

Avoiding the Walk of Shame in Reverse Shoulder Arthroplasty

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

Aug 18, 2025
Cemented vs. Uncemented TKA: The RSA Showdown

Cemented vs. Uncemented TKA: The RSA Showdown

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

Aug 14, 2025
SWE vs MCID: Battle of the Scoliosis Yardsticks. Who Wins?

SWE vs MCID: Battle of the Scoliosis Yardsticks. Who Wins?

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

Aug 14, 2025
MRI or PROMIS / ODI for Spine Diagnostics?

MRI or PROMIS / ODI for Spine Diagnostics?

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.

Aug 13, 2025
Reinforced Bioinductive Implants: New Secret Weapon?

Reinforced Bioinductive Implants: New Secret Weapon?

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

Aug 13, 2025
Tourniquets in ACL Reconstruction: Tool or Just a Pain?

Tourniquets in ACL Reconstruction: Tool or Just a Pain?

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

Aug 12, 2025
It’s a 15–40 Case Learning Curve for Robotic Knee Arthroplasty

It’s a 15–40 Case Learning Curve for Robotic Knee Arthroplasty

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

Aug 11, 2025
ZOOM, Not Vroom: Telemedicine’s Ortho Greening

ZOOM, Not Vroom: Telemedicine’s Ortho Greening

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

Aug 5, 2025
NASS Drops the Hammer on Osteoporotic Compression Fracture Care

NASS Drops the Hammer on Osteoporotic Compression Fracture Care

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

Aug 5, 2025
Bloody Brilliant Pediatric Spine Surgery

Bloody Brilliant Pediatric Spine Surgery

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

Aug 5, 2025
Disk Replacement vs. Fusion: Who Gets Back to Work Faster?

Disk Replacement vs. Fusion: Who Gets Back to Work Faster?

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

Aug 4, 2025
The Loose Truth: Unraveling Hypermobile Ehlers-Danlos in the OR

The Loose Truth: Unraveling Hypermobile Ehlers-Danlos in the OR

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

Aug 4, 2025
Still Wreckin’: 20 Years of ATV and Dirt Bike Fractures

Still Wreckin’: 20 Years of ATV and Dirt Bike Fractures

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

Jul 31, 2025
The Glutes Don’t Lie, Open or Endoscopic!

The Glutes Don’t Lie, Open or Endoscopic!

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

Jul 31, 2025
Durotomy! No More Overnight Stays?

Durotomy! No More Overnight Stays?

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

Jul 29, 2025
AI Detects Bugs in the Joint—No Culture Needed

AI Detects Bugs in the Joint—No Culture Needed

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

Jul 28, 2025
Hamstring Avulsions: Scalpel Wins the Race Back to the Field

Hamstring Avulsions: Scalpel Wins the Race Back to the Field

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

Jul 28, 2025
Cracking the Code on the Elusive Dubberley IIA Elbow Fracture

Cracking the Code on the Elusive Dubberley IIA Elbow Fracture

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.”

Jul 25, 2025
Primary Stems in Hip Revisions: Old Friend or False Hope?

Primary Stems in Hip Revisions: Old Friend or False Hope?

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.

Jul 25, 2025
Is This the Machine Age in Pelvic Fracture Fixation?

Is This the Machine Age in Pelvic Fracture Fixation?

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

Jul 25, 2025
14 Reps to Cracking the Code on Lower Trapezius Tendon Transfer?

14 Reps to Cracking the Code on Lower Trapezius Tendon Transfer?

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.

Jul 24, 2025
Imrecoxib: A New NSAID Challenger Steps Into the TKA Ring

Imrecoxib: A New NSAID Challenger Steps Into the TKA Ring

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.

Jul 23, 2025
Leveling the Playing Field: Medicaid Kids Catch Up in ACL Care

Leveling the Playing Field: Medicaid Kids Catch Up in ACL Care

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

Jul 23, 2025
Double the Tethers, Double the Trouble? NYU Team Digs In

Double the Tethers, Double the Trouble? NYU Team Digs In

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.

Jul 23, 2025
CT Clarity: Endplate Hounsfield Units Predict Cage Subsidence

CT Clarity: Endplate Hounsfield Units Predict Cage Subsidence

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

Jul 23, 2025
Volleyball vs. Swimming in the Battle of the Overhead Athlete

Volleyball vs. Swimming in the Battle of the Overhead Athlete

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.

Jul 22, 2025
A Gentler Slice of Spine Surgery? Bilateral Laminoplasty?

A Gentler Slice of Spine Surgery? Bilateral Laminoplasty?

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.

Jul 22, 2025
Testosterone: Unexpected Hero for Preventing Hip Fractures?

Testosterone: Unexpected Hero for Preventing Hip Fractures?

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.

Jul 18, 2025
Same OR Different Spinal Fusion Outcomes: Why?

Same OR Different Spinal Fusion Outcomes: Why?

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.

Jul 18, 2025
The Strange Case of Vanishing Bone AFTER Fracture Fixation

The Strange Case of Vanishing Bone AFTER Fracture Fixation

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.

Jul 18, 2025
Should GLP-1 Be in Your Preop Toolkit—or Not?

Should GLP-1 Be in Your Preop Toolkit—or Not?

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.

Jul 18, 2025
Next Gen Nano Scaffold Builds Bone and Bites Bugs

Next Gen Nano Scaffold Builds Bone and Bites Bugs

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.

Jul 17, 2025
Out of Sight, Out of Clinic: New Study About Kids With TBI

Out of Sight, Out of Clinic: New Study About Kids With TBI

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.

Jul 17, 2025
Closing the ACL Gap: Medicaid Kids Finally Catching Up

Closing the ACL Gap: Medicaid Kids Finally Catching Up

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.

Jul 17, 2025
Fellowship TKA Training Matters — At Least Early On

Fellowship TKA Training Matters — At Least Early On

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.

Jul 17, 2025
Walking Wins After Ankle Fracture Surgery

Walking Wins After Ankle Fracture Surgery

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

Jul 16, 2025
Updated Protocol Arms Surgeons Against Shoulder PJIs

Updated Protocol Arms Surgeons Against Shoulder PJIs

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.

Jul 16, 2025
Spontaneous Disc Resorption: The Lumbar Spine Comeback Kid

Spontaneous Disc Resorption: The Lumbar Spine Comeback Kid

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.

Jul 15, 2025
Mastering the Lower Trap Transfer: 14 Reps to Greatness

Mastering the Lower Trap Transfer: 14 Reps to Greatness

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.

Jul 15, 2025
Kickstart Recovery? Heel Thrusts for Ankle Sprain Rehab?

Kickstart Recovery? Heel Thrusts for Ankle Sprain Rehab?

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

Jul 15, 2025
Zapping the Brain Fog: Acupuncture for Hip Fracture Patients?

Zapping the Brain Fog: Acupuncture for Hip Fracture Patients?

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

Jul 11, 2025
Tiny Bubbles, Big Breakthrough: Diagnosing Ankylosing Spondylitis

Tiny Bubbles, Big Breakthrough: Diagnosing Ankylosing Spondylitis

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

Jul 11, 2025
New Algorithm Brings Order to Discogenic Pain Chaos

New Algorithm Brings Order to Discogenic Pain Chaos

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.

Jul 11, 2025
The Twist That Matters Most: Intraop Knee Rotation?

The Twist That Matters Most: Intraop Knee Rotation?

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.

Jul 10, 2025
TKA in Patients With BMI ≥50: New Insights

TKA in Patients With BMI ≥50: New Insights

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.

Jul 10, 2025
Pediatric Clavicle Fractures: Why More Hospital Admissions?

Pediatric Clavicle Fractures: Why More Hospital Admissions?

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.

Jul 10, 2025
Scalpel Meets Silicon: Can AI Really Teach Surgery?

Scalpel Meets Silicon: Can AI Really Teach Surgery?

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.

Jul 9, 2025
Who’s Picking the Kings of Ortho?

Who’s Picking the Kings of Ortho?

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?

Jul 9, 2025
Scalpel & Storyline: Surgery as the Literature of Healing

Scalpel & Storyline: Surgery as the Literature of Healing

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.

Jul 9, 2025
Can Orthopedic Surgeons Fix More Than Broken Hips?

Can Orthopedic Surgeons Fix More Than Broken Hips?

): 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.

Jul 9, 2025
“FATAL” Wake-Up Call for ACL? (It’s a Good Thing)

“FATAL” Wake-Up Call for ACL? (It’s a Good Thing)

“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.

Jul 8, 2025
Surgeon Decisions Under the Microscope: Value-Based Reimbursement

Surgeon Decisions Under the Microscope: Value-Based Reimbursement

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.

Jul 8, 2025
Deep Learning in Action: Automated Limb Alignment Assessment

Deep Learning in Action: Automated Limb Alignment Assessment

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

Jul 8, 2025
Smile for the Shoulder Cam: A Revolution in Rehab

Smile for the Shoulder Cam: A Revolution in Rehab

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.

Jul 7, 2025
Does OR Banter Goes Too Far? (Umm…yes?)

Does OR Banter Goes Too Far? (Umm…yes?)

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.

Jul 4, 2025
Knee Aspiration May Delay ACL Scar Tissue

Knee Aspiration May Delay ACL Scar Tissue

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.

Jul 1, 2025
Cementless Uni Arthroplasty Tied to Higher Fracture Risk

Cementless Uni Arthroplasty Tied to Higher Fracture Risk

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

Jul 1, 2025
Dr. Tyler Brolin Named 2025 Research All-Star

Dr. Tyler Brolin Named 2025 Research All-Star

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.

Jul 1, 2025
Case Study Highlights DXA Diagnostic Scan Pitfalls

Case Study Highlights DXA Diagnostic Scan Pitfalls

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.

Jul 1, 2025
Better Cervical Imaging With Digital Tomosynthesis?

Better Cervical Imaging With Digital Tomosynthesis?

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.

Jun 30, 2025
The Power of Osseointegration for Above-Knee Amputees

The Power of Osseointegration for Above-Knee Amputees

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

Jun 30, 2025
Study Finds Nearly 6 Hours Weekly Spent on InBasket Tasks

Study Finds Nearly 6 Hours Weekly Spent on InBasket Tasks

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.

Jun 30, 2025
New Study: Risk Factors for Facet Joint Violation

New Study: Risk Factors for Facet Joint Violation

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.

Jun 30, 2025
What’s Behind the Drop in Pediatric ACL Surgeries?

What’s Behind the Drop in Pediatric ACL 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.

Jun 26, 2025
Dr. Frederick Azar Named 2025 Research All-Star

Dr. Frederick Azar Named 2025 Research All-Star

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.

Jun 26, 2025
Common Complications in Robotic Spine Surgery

Common Complications in Robotic Spine Surgery

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.

Jun 26, 2025
Dr. William M. Mihalko Named 2025 Research All-Star

Dr. William M. Mihalko Named 2025 Research All-Star

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.

Jun 23, 2025
Dr. Christopher T. Holland 2025 Research All-Star

Dr. Christopher T. Holland 2025 Research All-Star

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.

Jun 23, 2025
Study: Infection Risk Higher in Nonelective THA

Study: Infection Risk Higher in Nonelective THA

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.

Jun 20, 2025
Using Smart Watches to Track Shoulder Rehab Outcomes

Using Smart Watches to Track Shoulder Rehab Outcomes

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.

Jun 19, 2025
New Study Tests Heat Modalities for Tumor Ablation

New Study Tests Heat Modalities for Tumor Ablation

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.

Jun 18, 2025
10-Year Review: Aspirin Still King, VTE Rate Down 82%

10-Year Review: Aspirin Still King, VTE Rate Down 82%

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.

Jun 18, 2025
RA or OA? No Difference in Anterior Hip Outcomes

RA or OA? No Difference in Anterior Hip Outcomes

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

Jun 17, 2025
One-of-a-Kind Surgeon, Richard H. Sidell, Jr. Dies Age 79

One-of-a-Kind Surgeon, Richard H. Sidell, Jr. Dies Age 79

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.

Jun 16, 2025
Cancer-Related Hip Replacements Linked to Higher Risks

Cancer-Related Hip Replacements Linked to Higher Risks

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

Jun 16, 2025
Here Comes ‘Elsa’, the FDA’s Generative AI Tool for…?

Here Comes ‘Elsa’, the FDA’s Generative AI Tool for…?

“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.

Jun 13, 2025
Icotec Inks UK Distribution Deal With Osteotec

Icotec Inks UK Distribution Deal With Osteotec

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

Jun 13, 2025
Data Breach Costs Coastal Orthopedics $1.4 Million

Data Breach Costs Coastal Orthopedics $1.4 Million

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.

Jun 12, 2025
Dr. James Hammes, Pioneering Wisconsin Surgeon, Dies Age 95

Dr. James Hammes, Pioneering Wisconsin Surgeon, Dies Age 95

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

Jun 6, 2025
Edward Perez, M.D. Takes the Helm at Broward Health Ortho

Edward Perez, M.D. Takes the Helm at Broward Health Ortho

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.

Jun 6, 2025
Surgical Tool Company, Surgify Medical, Raises $7.9 million

Surgical Tool Company, Surgify Medical, Raises $7.9 million

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.

May 30, 2025
Removing a Spinal Tumor Through Eye Socket

Removing a Spinal Tumor Through Eye Socket

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.

May 30, 2025
Patent Fight Breaks Out over Genetic Sequencing

Patent Fight Breaks Out over Genetic Sequencing

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.

May 28, 2025
States Win $49 Million in Drug War Side Skirmish

States Win $49 Million in Drug War Side Skirmish

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.

May 23, 2025
Have You Been Watching This $275 Million Drug War?

Have You Been Watching This $275 Million Drug War?

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.

May 23, 2025
Massive HHS Cuts Sparks a 20-State Showdown

Massive HHS Cuts Sparks a 20-State Showdown

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.

May 22, 2025
It’s West Coast vs East Coast in CRISPR Fight

It’s West Coast vs East Coast in CRISPR Fight

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.

May 22, 2025
Pipsqueak Pharmacy Beats Big Pharma in Court

Pipsqueak Pharmacy Beats Big Pharma in Court

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.

May 21, 2025
17 States Sue Trump Over Critical Research Cuts

17 States Sue Trump Over Critical Research Cuts

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?

May 21, 2025
University of Iowa’s 60 Acre, $525 Million Ortho Campus

University of Iowa’s 60 Acre, $525 Million Ortho Campus

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.

May 16, 2025
Spine Surgeons and Interventionalists Team up

Spine Surgeons and Interventionalists Team up

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.

May 15, 2025
Thought Control? Neuralink’s Brain Chip Makes Sci-Fi Real

Thought Control? Neuralink’s Brain Chip Makes Sci-Fi Real

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.

May 9, 2025
Breakthrough Drugs Target Smoking and Obesity in Ortho Care

Breakthrough Drugs Target Smoking and Obesity in Ortho Care

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.

May 8, 2025
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