J Bone & Joint Surg

JBJS Inc. is an independent, non-profit organization dedicated to producing the best content and education for all musculoskeletal health professionals.

[J Bone & Joint Surg @jbjs]

"Alarmingly High Rates of Complications and Refracture Among Patients with Early Periprosthetic Femoral Fracture Within 30 Days After THA" by Acuña et al.

Read the full article 👉 https://t.co/XnJ5cndmEa

[J Bone & Joint Surg @jbjs]

Today, we honor the men and women who have served in the U.S. Armed Forces.

To our veterans and active-duty service members: thank you for your courage, your sacrifice, and your commitment to protecting our freedom.

Happy Veterans Day from all of us at JBJS.
#VeteransDay #ThankYouVeterans #HonoringOurHeroes #JBJS

[J Bone & Joint Surg @jbjs]

How are you preparing for your next orthopaedic exam?

Meet JBJS Ace—the brand-new test prep app designed specifically for orthopaedic residents.

Featuring exam-matched questions across multiple categories, authoritative references, and an in-app learning assistant powered by JBJS-trained AI chat, it’s everything you need to study smarter, right from your phone.

Download it for free on iOS and Android today and get started with 50 OITE-style questions.

👉 Download here: https://t.co/fHL0FWDGIh

#JBJS #JBJSAce

[J Bone & Joint Surg @jbjs]

"To Lengthen or Revise: Reevaluating Anterior Acetabular Overhang Thresholds in Iliopsoas Impingement After Total Hip Arthroplasty" by Clark et al.

Read online at: https://t.co/ihDEX3pd6I

[J Bone & Joint Surg @jbjs]

To our veterans and active-duty service members: thank you for your courage, your sacrifice, and your commitment to protecting our freedom.

Happy Veterans Day from all of us at JBJS.
#VeteransDay #ThankYouVeterans #HonoringOurHeroes #JBJS

[J Bone & Joint Surg @jbjs]

"Implant Choice Impacts Initial Tibial Component Micromotion in Total Ankle Replacement" by Henry et al.

Read online at: https://t.co/JM8puCnvyi

[J Bone & Joint Surg @jbjs]

"Placement of Triangular Titanium Implants Suprajacent to Pelvic Fixation Screws Reduces Pelvic Fixation Failure in Multilevel Spinal Fusion. Results of a Randomized Controlled Trial" by Elder et al.

Read the full article 👉 https://t.co/neCq60Frl1

[J Bone & Joint Surg @jbjs]

"Use of a 3D-Printed Personal Graft Cage in Treatment of Critical Size Bone Defects" by Dadpey et al.

Read online at: https://t.co/4lviFD7hS0

[J Bone & Joint Surg @jbjs]

Can multi-domain platform trials navigate cross-domain interactions and type-I error control without losing their operational advantages?

In this commentary on O’Hara et al., Peter Greenstreet examines the design rationale of the Musculoskeletal Adaptive Platform Trial (MAPT), exploring how shared participants across multiple intervention domains create unique methodological questions.

The commentary highlights two key considerations: the potential for cross-domain interactions to dilute or inflate treatment effects, and the broader question of why overall type-I error is rarely controlled across platform trials with multiple 2-arm domains. The author discusses how evaluating these trials as they progress will provide valuable insights into sample size requirements and statistical rigor in complex adaptive designs.

Read the full commentary 👉 https://t.co/kBfpIQeVOv

And read the original study 👉 https://t.co/RXFzap1Jzh

#JBJS

[J Bone & Joint Surg @jbjs]

"Impact of Stem Design on Periprosthetic Femoral Fracture Risk. Findings from 182,118 Primary Total Hip Arthroplasties in the Swiss National Joint Registry" by Bouché et al.

Read the full article 👉 https://t.co/ZzYpHraouZ

[J Bone & Joint Surg @jbjs]

"Pharmacological Inhibition of STING with H-151 Promotes Rotator Cuff Healing in Aged Rats" by Cai et al.

Read online at: https://t.co/PsqnDe2GK6

[J Bone & Joint Surg @jbjs]

Can supplementing standard pelvic fixation with triangular titanium implants reduce fixation failure in adult spinal deformity surgery?

In this commentary on Elder et al., Reuben C.C. Soh examines a rigorous multicenter randomized trial demonstrating that adding triangular titanium implants (TTI) to standard S2-alar-iliac screws significantly lowers radiographically evident pelvic fixation failures (11.0% vs. 20.4%).

The study highlights how achieving dual points of sacroiliac fixation improves construct stability through enhanced load-sharing, though the author discusses the need for extended follow-up to monitor potential proximal force redistribution, bone density interactions, and overall cost-effectiveness.

Read the full commentary 👉 https://t.co/fKf2tf7nmg

And read the original study 👉 https://t.co/Sk7MAQ8V1N

#JBJS

[J Bone & Joint Surg @jbjs]

📚 Our Hip & Knee Special Collection just dropped! 🦴✨

12 top JBJS articles | 100 pages | 100% FREE 📘

Explore hip and knee arthroplasty, knee alignment, implant fixation, robotic surgery, and hip surgical techniques—plus pain management, rehabilitation, and activity after joint replacement.

This convenient digital collection brings together 12 of the most-read hip and knee articles from JBJS over the past two years.

👉 Complete the short form to download your FREE 100-page PDF:

https://t.co/P636W6gGU4

#JBJS #Orthopaedics #HipAndKnee #Arthroplasty

[J Bone & Joint Surg @jbjs]

"Carpal Osteomyelitis Caused by Mycobacterium Intracellulare Treated with Vascularized Bone Graft Reconstruction" by Kuno et al.

Read online at: https://t.co/QzLCdSUxY4

[J Bone & Joint Surg @jbjs]

Can large language models remain clinically objective when faced with misleading user prompts and biased framing?

In this commentary on Perry et al., Graham Ka Hon Shea and Hongfei Wang examine how AI large language models exhibit "sycophantic behavior" in orthopaedic contexts, demonstrating that hints, opinions, and misleading user beliefs drastically reduce model accuracy across benchmark exams and literature reviews.

The study found that models frequently default to agreeing with user input rather than acknowledging ambiguity, highlighting the risk of reinforcing false medical information. The authors discuss the critical need for AI literacy among clinicians, emphasizing that safeguarding against sycophantic tendencies is essential as these technologies integrate into orthopaedic workflows and patient interactions.

Read the full commentary 👉 https://t.co/5Edv1oZyoe

And read the original study 👉 https://t.co/hs2fhIM3ah

[J Bone & Joint Surg @jbjs]

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👉 Explore your options and secure your place: https://t.co/UEXk460q2w

#FRCS #JBJS #Oxford #MRCOxford

[J Bone & Joint Surg @jbjs]

"Preoperative Revision Anterior Cruciate Ligament Reconstruction Tunnel Evaluation Using Curved Planar Reformation: The Waterslide Technique" by Hazzard et al.

Read online at: https://t.co/kAxYo4bFXT

[J Bone & Joint Surg @jbjs]

💡On the cover of this week’s JBJS issue: “Reimagining Orthopaedic Research: The Musculoskeletal Adaptive Platform Trial (MAPT) Design Rationale” by O’Hara et al.

“The flexible structure of the MAPT framework can accelerate evidence generation for clinically important research questions.”

Read the full article here: https://t.co/23SXPVDGqd

[J Bone & Joint Surg @jbjs]

Can an early periprosthetic femoral fracture after total hip arthroplasty be viewed as a routine complication, or is it a systemic crisis?

In this commentary on Acuña et al., Philip Linke examines data highlighting that fractures occurring within 30 days of surgery are associated with dramatically worse short-term and long-term outcomes, reframing them as a sentinel event signaling profound vulnerability.

The study emphasizes that early periprosthetic fractures represent a distinct clinical phenotype linked to recurrent fractures, reoperations, and sustained morbidity. The author discusses how these findings challenge current quality metrics and bundled payment models, urging the orthopaedic community to elevate early periprosthetic fractures to the same level of concern as early infections to drive upstream prevention and targeted multidisciplinary management.

Read the full commentary 👉 https://t.co/EBPoZT7rP6

And read the original study 👉 https://t.co/U7KQeW0ZDg

#JBJS

[J Bone & Joint Surg @jbjs]

"Three-Dimensional Computed Tomography–Based Mapping of the Intraosseous Safe Zone for Acetabular Cup Screw Fixation" by Sato et al.

Read online at: https://t.co/4iizZP5CSB