The Journal of Bone & Joint Surgery最新文献

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Erratum: Comparison of Large Language Models with Rules-Based Natural Language Processing Algorithms for Extracting Data from Operative Notes 勘误:从操作笔记中提取数据的大型语言模型与基于规则的自然语言处理算法的比较
The Journal of Bone & Joint Surgery Pub Date : 2026-10-07 DOI: 10.2106/jbjs.er.25.01338
Linjun Yang,Kellen L. Mulford,Miguel M. Girod-Hoffman,Monty Khela,Amirali Khosravi,Derek M. Crossman,Anish Kanabar,Sami Saniei,Marisa N. Ulrich,Michael J. Taunton,Cody C. Wyles
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引用次数: 0
Don’t Just Own the Bone 不要只拥有骨头
The Journal of Bone & Joint Surgery Pub Date : 2026-10-06 DOI: 10.2106/jbjs.26.00984
Keith T. Aziz
{"title":"Don’t Just Own the Bone","authors":"Keith T. Aziz","doi":"10.2106/jbjs.26.00984","DOIUrl":"https://doi.org/10.2106/jbjs.26.00984","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"178 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Sprain to End-Stage Osteoarthritis: Why Earlier Intervention in Ankle Cartilage Damage Deserves More Attention 从扭伤到终末期骨关节炎:为什么早期干预踝关节软骨损伤值得更多的关注
The Journal of Bone & Joint Surgery Pub Date : 2026-10-06 DOI: 10.2106/jbjs.26.00827
Julian J. Hollander,Jari Dahmen,Christopher D. Murawski,Arianna L. Gianakos,Masato Takao,Tomoyuki Nakasa,Jin Woo Lee,Daniel Guss,Eric I. Ferkel,John G. Kennedy,Gino M.M.J. Kerkhoffs
{"title":"From Sprain to End-Stage Osteoarthritis: Why Earlier Intervention in Ankle Cartilage Damage Deserves More Attention","authors":"Julian J. Hollander,Jari Dahmen,Christopher D. Murawski,Arianna L. Gianakos,Masato Takao,Tomoyuki Nakasa,Jin Woo Lee,Daniel Guss,Eric I. Ferkel,John G. Kennedy,Gino M.M.J. Kerkhoffs","doi":"10.2106/jbjs.26.00827","DOIUrl":"https://doi.org/10.2106/jbjs.26.00827","url":null,"abstract":"➢ Ankle cartilage damage ranges from osteochondral lesions of the talus to end-stage osteoarthritis. End-stage ankle osteoarthritis has been associated with a health burden comparable with that of major chronic diseases such as congestive heart failure and kidney disease, while predominantly affecting young and active patients. ➢ Ankle osteoarthritis often has a posttraumatic nature, making it possible to study the long-term results of traumatic articular injuries and identify potential targets for early therapeutic interventions. ➢ The scientific literature has been predominantly focused on outcomes after surgical treatment of osteochondral lesions of the talus or osteoarthritis. However, evidence on nonoperative treatment has been limited and methodologically weak, with evidence for early interventions (e.g., lifestyle or biologicals) even more scarce. ➢ The greatest opportunity to improve long-term outcomes in ankle cartilage damage may be early recognition and early initiation of treatment.","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Have We Asked Too Much of the Surgical Time-out? 我们是否对手术暂停问得太多?
The Journal of Bone & Joint Surgery Pub Date : 2026-10-05 DOI: 10.2106/jbjs.26.00777
Adam D. Bitterman,Randy M. Cohn
{"title":"Have We Asked Too Much of the Surgical Time-out?","authors":"Adam D. Bitterman,Randy M. Cohn","doi":"10.2106/jbjs.26.00777","DOIUrl":"https://doi.org/10.2106/jbjs.26.00777","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Burst Is Not a Bug—Rethinking What We Want Antibiotic-Loaded Ceramic Bone Grafts to Do 爆裂不是一个bug -重新思考我们想要的抗生素陶瓷骨移植物
The Journal of Bone & Joint Surgery Pub Date : 2026-10-05 DOI: 10.2106/jbjs.26.00908
Mingde Cao,Michael Tim-Yun Ong
{"title":"Burst Is Not a Bug—Rethinking What We Want Antibiotic-Loaded Ceramic Bone Grafts to Do","authors":"Mingde Cao,Michael Tim-Yun Ong","doi":"10.2106/jbjs.26.00908","DOIUrl":"https://doi.org/10.2106/jbjs.26.00908","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biologic and Synthetic Augmentation in Rotator Cuff Repair 肩袖修复中的生物和合成增强
The Journal of Bone & Joint Surgery Pub Date : 2026-10-05 DOI: 10.2106/jbjs.26.00106
Peter Boufadel,Mohammad Daher,James R. Satalich,Favian Su,Adam Lindsay,Adam Z. Khan,Eric M. Black,Joseph A. Abboud,Hafiz F. Kassam
{"title":"Biologic and Synthetic Augmentation in Rotator Cuff Repair","authors":"Peter Boufadel,Mohammad Daher,James R. Satalich,Favian Su,Adam Lindsay,Adam Z. Khan,Eric M. Black,Joseph A. Abboud,Hafiz F. Kassam","doi":"10.2106/jbjs.26.00106","DOIUrl":"https://doi.org/10.2106/jbjs.26.00106","url":null,"abstract":"➢ Biologic and synthetic augmentation grafts have been developed to enhance both the mechanical integrity of rotator cuff repairs and the biologic healing at the tendon-bone interface, particularly in the setting of compromised tissue quality. ➢ Xenograft augmentation is no longer favored because of inconsistent clinical outcomes, inflammatory responses, and a lack of supportive high-quality evidence. ➢ Allograft and synthetic graft augmentation may provide benefit in selected cases; however, optimal indications, implant selection, and long-term outcomes remain incompletely defined. ➢ Bioinductive collagen implants currently demonstrate the highest level of clinical evidence, with Level-I studies supporting improved structural healing and reduced retear rates in appropriately selected patients. ➢ The long head of the biceps tendon autograft represents a viable, cost-effective biologic augmentation option when available, providing favorable biologic compatibility and surgical versatility.","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meniscal Root Tears: Epidemiology, Diagnosis, Management, and Outcomes 半月板根部撕裂:流行病学、诊断、管理和结果
The Journal of Bone & Joint Surgery Pub Date : 2026-10-05 DOI: 10.2106/jbjs.25.00800
Magnolia Livingston,Phara Ross,Shreya M. Saraf,Mitchell Christiansen,John R. Miller,Mary K. Mulcahey
{"title":"Meniscal Root Tears: Epidemiology, Diagnosis, Management, and Outcomes","authors":"Magnolia Livingston,Phara Ross,Shreya M. Saraf,Mitchell Christiansen,John R. Miller,Mary K. Mulcahey","doi":"10.2106/jbjs.25.00800","DOIUrl":"https://doi.org/10.2106/jbjs.25.00800","url":null,"abstract":"➢ Meniscal root tears compromise load distribution within the knee, accelerating cartilage degeneration and leading to knee osteoarthritis. ➢ Diagnosis relies on clinical suspicion supported by magnetic resonance imaging (MRI), with arthroscopy serving as the gold standard for confirmation. ➢ Management decisions should be tailored to patient-specific factors, including age, activity level, tear characteristics, and the severity of degenerative chondral wear evident on preoperative imaging, including weight-bearing radiographs and MRI. ➢ Root repair is associated with better long-term outcomes compared with partial meniscectomy and nonoperative management in appropriately selected patients. ➢ There is currently no universally accepted postoperative rehabilitation protocol following meniscal root repair; however, most strategies limit weight-bearing in the early postoperative period and restrict loaded flexion, such as deep squatting, for up to 4 to 5 months. Further research is needed to guide standardized recovery pathways.","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moving from Availability to Sustainability in Global Orthopaedics 全球骨科从可用性到可持续性
The Journal of Bone & Joint Surgery Pub Date : 2026-10-05 DOI: 10.2106/jbjs.26.01089
Neil P. Sheth
{"title":"Moving from Availability to Sustainability in Global Orthopaedics","authors":"Neil P. Sheth","doi":"10.2106/jbjs.26.01089","DOIUrl":"https://doi.org/10.2106/jbjs.26.01089","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reverse and Frugal Innovations in Orthopaedics: Potential Applications in High-Resource Settings 骨科逆向和节俭创新:在高资源环境中的潜在应用
The Journal of Bone & Joint Surgery Pub Date : 2026-10-05 DOI: 10.2106/jbjs.26.00002
Teja Yeramosu,Sanjeev Sabharwal
{"title":"Reverse and Frugal Innovations in Orthopaedics: Potential Applications in High-Resource Settings","authors":"Teja Yeramosu,Sanjeev Sabharwal","doi":"10.2106/jbjs.26.00002","DOIUrl":"https://doi.org/10.2106/jbjs.26.00002","url":null,"abstract":"➢ Reverse innovation refers to the development of solutions in low- and middle-income countries with limited resources that are subsequently adopted in high-income countries. In orthopaedics, these solutions often emphasize simplicity, affordability, and durability while addressing common problems in musculoskeletal care. ➢ Examples of breakthroughs from limited-resource environments include the Ilizarov circular fixator and distraction osteogenesis, the Jaipur Foot prosthesis, and locally manufactured negative-pressure wound therapy systems. These innovations demonstrate that working with limited resources can yield effective and affordable alternatives to expensive, complex technologies. ➢ Processes such as focused factory systems and high-volume, standardized care models can provide affordable care while increasing access. Furthermore, the increase in clinical volume helps to build expertise, efficiency, and value through careful system redesign. ➢ Certain reverse innovations relevant to musculoskeletal care that are developed in limited-resourced environments can potentially be adapted by high-income countries to improve value-based care, control costs, strengthen operations, and enhance access to care for a larger segment of society. ➢ When adapting these innovations to high-resource environments, it is important to use a step-by-step approach. This includes initiating pilot programs, employing quality improvement methods, and closely monitoring safety, outcomes, and costs.","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Business Aspects of Orthopaedics: Pitfalls of Private Equity for Junior Surgeons Entering the Job Market 整形外科的商业方面:初级外科医生进入就业市场的私募股权陷阱
The Journal of Bone & Joint Surgery Pub Date : 2026-10-05 DOI: 10.2106/jbjs.26.00047
Mitchell K. Ng,Jonathan Dalton,Roy Y. Miloh,Alexander R. Vaccaro
{"title":"Business Aspects of Orthopaedics: Pitfalls of Private Equity for Junior Surgeons Entering the Job Market","authors":"Mitchell K. Ng,Jonathan Dalton,Roy Y. Miloh,Alexander R. Vaccaro","doi":"10.2106/jbjs.26.00047","DOIUrl":"https://doi.org/10.2106/jbjs.26.00047","url":null,"abstract":"","PeriodicalId":22625,"journal":{"name":"The Journal of Bone & Joint Surgery","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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