JBJS Open Access最新文献

{"title":"Erratum: Health Equity Research in Orthopaedic Surgery: A Systematic Review and Needs Assessment.","authors":"Eric Durudogan, Peter C Shen, Jasmin S Vargas, Abdullah Arif, Amin Alayleh, Neeraj M Patel","doi":"10.2106/JBJS.OA.ER.24.00246","DOIUrl":"10.2106/JBJS.OA.ER.24.00246","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2106/JBJS.OA.24.00246.].</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orthopaedic Representation in Medical School Leadership: Implications for Musculoskeletal Education.","authors":"Winston Scambler, Mitchel Hawley, Anne Boeckmann, David Shau, Robert Schmidt","doi":"10.2106/JBJS.OA.25.00047","DOIUrl":"10.2106/JBJS.OA.25.00047","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal disorders are a leading cause of disability worldwide, yet contemporary medical school curricula continue to inadequately address musculoskeletal (MSK) education. Multiple orthopaedic-related organizations have made recommendations over the past 2 decades with little subsequent progress in both curricula design and residency preparedness. This study aims to quantify the representation of orthopaedic surgeons in medical school leadership positions and discuss its potential impact on MSK education.</p><p><strong>Methods: </strong>We analyzed publicly available data from US allopathic medical schools accredited by the Liaison Committee on Medical Education (LCME) as of December 2024. We reviewed medical school websites to identify the specialties of deans, senior level, and other-level dean positions.</p><p><strong>Results: </strong>Of 156 qualified allopathic schools, 22 of 3,012 (0.7%) dean-level positions were held by individuals with an orthopaedic surgery training background. This included 2 of 156 (1%) head deans, 8 of 1,114 (0.7%) senior-level dean, and 12 of 1741 (0.7%) other-level dean positions). One (0.9%) of the Association of American Medical Colleges (AAMC) Governing Board members, AAMC leadership, or LCME Membership Roster positions were held by orthopaedic surgeons.</p><p><strong>Conclusion: </strong>The significant underrepresentation of orthopaedic surgeons in medical school leadership positions and national medical education organizations may contribute to the persistent deficiency of MSK education in our US medical school curriculum. Ongoing efforts should be made to develop new strategies to improve collaboration with educational leaders in MSK disorders to ensure that our undergraduate MSK education receives the appropriate attention and resources.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Both Linear and Area-based Methods Provide an Accurate and Reliable Measurement of Anterior Shoulder Instability Related Glenoid Bone Loss.","authors":"Hugo Barret, Luzia A Niggli, George S Athwal, Robert U Hartzler, Joaquin Sanchez-Sotelo, Floor M Lambers","doi":"10.2106/JBJS.OA.25.00022","DOIUrl":"10.2106/JBJS.OA.25.00022","url":null,"abstract":"<p><strong>Background: </strong>Recurrent anterior shoulder instability may lead to capsuloligamentous and bony lesions of the glenoid and humerus. To date, there is no clear consensus on how to best measure anterior glenoid bone loss (GBL) in the setting of recurrent instability. The objective of this study, therefore, was to evaluate the accuracy and reliability of 7 different methods of measuring anterior GBL on three-dimensional models based on computed tomography.</p><p><strong>Methods: </strong>Eight levels of GBL in the anterior and anteroinferior directions were virtually generated in 14 three-dimensional healthy glenoid models. GBL was measured with 7 different methods: based on a height/width ratio (M1), based on surface area within a circle (M2 and M3), based on linear distance within a circle, (M4, M5, and M6), and based on a volume ratio (M7). For each method, the measurement accuracy was assessed by comparing the calculated value with the true amount of generated GBL. The measurement reliability was assessed by computing the score variance and intraclass correlation coefficient.</p><p><strong>Results: </strong>The most accurate (average measurement error of <2% and largest proportion with error <5%) and reliable (ICC >0.96) measurement methods for GBL were M2 (based on surface area) and M5 (based on the linear distance). The average measurement error for the other methods ranged between 3% and 11% for anterior GBL and between 2% and 9% for anteroinferior GBL. For anterior GBL, the measurement increased by an average of 0.5% for each 1% increase in circle radius, leading to an overestimation of GBL with a larger circle diameter.</p><p><strong>Conclusion: </strong>The methods for calculating glenoid bone loss performed better for the more common direct anterior bone loss rather than the less common anteroinferior-directed bone loss. Both an area-based method (M2) and linear distance-based method (M5) resulted in accurate and reliable measurements of glenoid bone loss; however, the linear distance-based methods may be easier to perform clinically. The height-width ratio and volume methods were less accurate and reliable.</p><p><strong>Level of evidence: </strong>Level IV; case series; diagnostic studies. See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Scoping Review of Patient-specific Devices in Operative Management of Scaphoid Nonunion.","authors":"Michael Roberts, Susie Lee, Amy Allen, Joshua Bloor, Rose Nicol, Eliza Whiteside, Vivek Shridhar, Paulomi Polly Burey, Tristan Shelley, Christopher Wall","doi":"10.2106/JBJS.OA.25.00067","DOIUrl":"10.2106/JBJS.OA.25.00067","url":null,"abstract":"<p><p>Scaphoid nonunion is a complication that occurs in 5-10% of patients who sustain an acute scaphoid fracture. There is no superior method for managing scaphoid nonunion that has been established in the current literature. The use of patient specific devices has been explored as a way to improve surgical management of scaphoid nonunion. 3D printing has made the production of patient specific devices more accessible. CT and MRI images can be used to model devices such as anatomic models and surgical guides. In this review we aim to discuss the current evidence for the use of patient specific devices for managing chronic scaphoid nonunion and demonstrate their different uses. A scoping review of peer-reviewed literature, existing patent applications, and grey literature was performed. Although the current research has demonstrated some possible benefits such as reduction in surgical time and accuracy of restoration of anatomy, further investigation with comparative studies is required to make conclusions about the superiority of these techniques over standard freehand techniques.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scholarly Success of Orthopaedic Surgeons Participating in Traveling Fellowships.","authors":"Theodore Quan, Kevin Yoon, Mumin Sabha, Lancelot Benn, Hamid Hassanzadeh, Addisu Mesfin","doi":"10.2106/JBJS.OA.25.00064","DOIUrl":"10.2106/JBJS.OA.25.00064","url":null,"abstract":"<p><strong>Background: </strong>Orthopaedic traveling fellowship programs provide surgeons with valuable opportunities for professional growth and specialized learning. However, there has been limited research on the impact of such programs on scholarly success and career advancement. The aim of this study was to evaluate the demographic, academic, and scholarly outcomes of traveling fellowship participants.</p><p><strong>Methods: </strong>This study was a retrospective analysis of orthopaedic surgeons who participated in a traveling fellowship program from 1989 to 2024. Demographic and academic characteristics were collected for each traveling fellowship recipient, including residency program attended, fellowship specialty, fellowship institution, academic rank, current practice environment, and leadership roles. The Scopus database was used to determine individual H-indices and number of publications. Other characteristics included board position in a major orthopaedic society, National Institutes of Health (NIH) research funding, Orthopaedic Research and Education Foundation (OREF) grant recipient, advanced degrees, and editorial board position in an orthopaedic journal. Descriptive and regression statistics were used for the study.</p><p><strong>Results: </strong>Of the 558 physicians who participated in an orthopaedic traveling fellowship, demographic and academic information was available for 506 of them (90.7%). Of these, the majority (96.6%) only completed 1 traveling fellowship. Predominantly, recipients were male (90.7%) and White (79.1%) and had completed a sports fellowship (33.0%). Current practicing environment was often academic (76.5%), with most holding the rank of professor (51.0%). Seventy-two participants (14.2%) had a leadership role as chair and 48 (9.5%) were division chiefs. Participants had an average H-index of 35.7 and averaged 169.9 publications. One hundred seventy-three fellowship recipients (34.2%) received an OREF grant and 67 (13.2%) received NIH research funding. Fellowship participants who received an OREF grant or NIH funding were more likely to have a higher faculty rank, higher H-index, and an increase in the number of publications (p < 0.001 for all).</p><p><strong>Conclusion: </strong>The lessons, skills, and knowledge from traveling fellowships appear to play an important role in shaping the academic and scholarly career of orthopaedic surgeons.</p><p><strong>Level of evidence: </strong>Level IV. See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy and Reliability of Video-Based Range-of-Motion Assessments in Postreconstruction Brachial Plexus Patients.","authors":"Christopher J Dy, Stephen J DeMartini, Eshan Sane, David M Brogan","doi":"10.2106/JBJS.OA.25.00012","DOIUrl":"10.2106/JBJS.OA.25.00012","url":null,"abstract":"<p><strong>Purpose: </strong>Following surgical reconstructions considered successful, many patients with brachial plexus injuries (BPI) have limited limb motion. In addition to manual muscle testing, clinicians typically measure active range of motion (AROM). AROM measurement relies on in-person examination and manual goniometers or visual estimation, both of which are subject to interobserver variability. The purpose of this proof-of-concept study was to evaluate reliability of video-based AROM assessments. We hypothesized that video-based assessment of AROM would have high inter-rater reliability (IRR) among surgeons who perform BPI reconstruction.</p><p><strong>Methods: </strong>We video recorded a standardized examination in a convenience sample of 8 postreconstruction BPI patients performing 3 motions: elbow flexion (EF), shoulder flexion (FF), and shoulder abduction (ABD). Eight BPI surgeons were given access to the videos and instructed on how to measure AROM first visually and then digitally using ImageJ. We examined the correlation between video-based and in-person goniometry measurements and assessed IRR of visual estimates and digital goniometry using Shrout-Fleiss Intraclass 3 fixed set correlations.</p><p><strong>Results: </strong>For EF, digital goniometry had a higher correlation (r = 0.92; p < 0.01) than visual assessment (r = 0.73; p < 0.01) relative to in-person measurements. IRR for EF was 0.80 for visual assessments and 0.96 for digital assessments. For FF, digital goniometry (r = 0.80; p < 0.01) and visual assessment (r = 0.80; p < 0.01) had similar correlations relative to in-person measurements. IRR for FF was 0.95 for visual assessments and 0.99 for digital assessments. For ABD, digital goniometry had a higher correlation (r = 0.85; p < 0.01) than visual assessment (r = 0.80; p < 0.01) relative to in-person measurements. IRR for ABD was 0.91 for visual assessments and 0.96 for digital assessments.</p><p><strong>Conclusions: </strong>Using standardized footage, visual estimates and digital goniometry of patient with EF, FF, and ABD were highly reliable among BPI surgeons. Digital goniometry of AROM was slightly more reliable than visual estimates for all 3 motions.</p><p><strong>Clinical relevance: </strong>In addition to facilitating remote assessments to minimize patient travel, video-based assessments may allow opportunity to minimize reporting bias in clinical research through evaluation of results by multiple raters.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fracture-related infection in Open Long-bone Fractures: A Bicenter Case-control Study in a Limited Resource Country.","authors":"Alazar Menbere Haile, Binyam Dagnaw, Mengistu Gebeyehu, Solomon Mengesha, Tinsae Yoseph, Hannan Nigussie, Tobistiya Woldemariam, Biruk L Wamisho, Kalid Zeki","doi":"10.2106/JBJS.OA.25.00043","DOIUrl":"10.2106/JBJS.OA.25.00043","url":null,"abstract":"<p><strong>Background: </strong>Fracture-related infections (FRI) are estimated to complicate approximately 1% of closed fractures and 30% of open fractures globally. These statistics, however, can vary significantly by region, with low-income and middle-income countries experiencing a disproportionately high burden. The studies in these regions are often underpowered to evaluate the local prevalence and contributing factors of FRI. The objectives of this study were (1) to assess the prevalence of FRI in open long-bone injuries and (2) investigate the association between FRI and various risk factors identified in previous research.</p><p><strong>Methods: </strong>A 5-year age-matched and sex-matched case-control study was conducted at 2 high-volume trauma centers in a limited-resource country. Independent variables included demographics (age and sex), anatomical region, injury mechanism, Gustilo-Anderson grade (GA 2 or higher), smoking status, history of blood transfusion, and timing of antibiotic administration, debridement, and soft tissue coverage. The primary outcome was the presence of FRI, as defined by Metsemakers et al., which required direct observation of pus during surgery or additional confirmatory criteria. Data analysis was conducted using the R package vcd.</p><p><strong>Results: </strong>Seven hundred six cases were reviewed, showing a 13.2% prevalence of FRI. The 84 infected cases and 168 matched controls were analyzed. Most patients experienced delays in antibiotics (77.4%) and debridement (76.6%) beyond 3 hours and 24 hours, respectively. Multivariate logistic regression revealed statistical significance only for a delay in antibiotic administration exceeding 12 hours (p = 0.007), presence of polytrauma (p = 0.008), and non-intramedullary nail (IMN) mode of fixation (p < 0.001). Delays in debridement (>24 hours), soft tissue coverage (>7 days), and antibiotic administration (3-12 hours) did not show statistically significant associations with an increased risk of infection.</p><p><strong>Conclusions: </strong>Our study highlights the critical importance of prompt antibiotic administration, especially for high-energy wounds such as polytrauma, in reducing infection risk.</p><p><strong>Levels of evidence: </strong>Level III. See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protecting the Orthopaedic Surgeon: An Institutional Review of Radiation Safety Practices, Knowledge, and Risks.","authors":"Marfred M Umanes, Elizabeth O Clayton, Brenda Iglesias, Emily A Whicker, Z Deniz Olgun, William Donaldson, MaCalus Hogan","doi":"10.2106/JBJS.OA.25.00042","DOIUrl":"10.2106/JBJS.OA.25.00042","url":null,"abstract":"<p><strong>Background: </strong>Orthopaedic surgeons are among the top 3 medical professionals most exposed to ionizing radiation and must minimize the risks of ionizing radiation to patients, themselves, and staff. Best practice principles, including \"As low as reasonably achievable\" (ALARA), guide clinical practice, ensuring radiation exposure is clinically justified and performed by trained professionals. Currently, few studies assess radiation knowledge among academic orthopaedic surgery departments. The aims of this study are to investigate the radiation fund of knowledge and safety practices within an academic Department of Orthopaedic Surgery and identify the availability of and level of satisfaction with communal lead personal protective equipment (PPE) at the various hospital locations associated with the academic institution.</p><p><strong>Methods: </strong>A REDCap anonymous web-based survey was given to orthopaedic surgery residents, fellows, physician assistants, faculty, and others within the Department of Orthopaedic Surgery. Data on knowledge of radiation safety training and best operating practices were collected. Knowledge and practice scores were calculated. ANOVA and <i>t</i>-test analyses were used to compare score outcomes between adequately and inadequately trained personnel, with a p-value <0.05 indicating statistical significance.</p><p><strong>Results: </strong>Fifty-eight orthopaedic surgery personnel responded to the survey: 21 (36.21%) residents, 9 (15.52%) fellows, 5 (8.62%) professors, 6 (10.34%) associate professors, 6 (10.34%) assistant professors, and 11 (18.97%) physician assistants. The average knowledge and practice scores were 9.72/20 and 19.63/48 points, respectively. Comparison of scores based on self-reported adequacy level of training on radiation safety was statistically significant. PPE availability was low (43.11%), although satisfaction with communal lead aprons was high (60.8%) across hospital locations.</p><p><strong>Conclusion: </strong>There is an opportunity to enhance radiation safety knowledge and practices among the personnel of the Department of Orthopaedic Surgery at the academic institution. Communal PPE availability across hospital locations also warrants improvement.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of US Medical Schools That Produce the Highest Percentage of Orthopaedic Surgery Residents: Analysis of the 2019 to 2023 Orthopaedic Surgery Residency Cohort.","authors":"Justin J Lee, Freddy P Jacome, Matthew Weintraub, Isaac E Kim, Sia Cho, Avani Chopra, Frances Akwuole, Owen Lema, Yianni Bakaes, Wellington Hsu","doi":"10.2106/JBJS.OA.24.00185","DOIUrl":"10.2106/JBJS.OA.24.00185","url":null,"abstract":"<p><strong>Introduction: </strong>The inherent difficulties of matching into an orthopaedic surgery residency have led to the analysis of factors that influence this outcome. The aim of this study was to investigate which US medical schools produced the most orthopaedic surgery residents and the characteristics of these schools contributing to higher match rates.</p><p><strong>Methods: </strong>Demographic and bibliometric data were collected for 4,376 residents from 208 US-based Accreditation Council for Graduate Medical Education accredited orthopaedic surgery programs. This cohort spanned 2019 to 2023. Collected variables included medical school, gender, year of graduation, Alpha Omega Alpha (AOA) membership, and research productivity. A list of US medical schools matching the greatest number of residents into orthopaedic surgery was created and analyzed for correlative and predictive factors. Statistical analysis included Pearson correlation coefficient and univariable and multivariable linear regression.</p><p><strong>Results: </strong>Among 4,376 residents, 21.4% were female, 12.6% held DO degrees, and 25.4% were AOA members. Residents averaged 3.4 published articles and a pre-residency h-index of 1.4. Georgetown University matched the highest number of students (n = 68), while New York University matched the highest percentage of their graduating class (7.7%). 59.6% of residents matched in the same region as their medical school. Factors significantly associated with matching were having a home orthopaedic surgery residency (p < 0.05) and National Institute of Health (NIH) funding (p < 0.05).</p><p><strong>Conclusion: </strong>As objective data, such as United States Medical Licensing Exam (USMLE) Step 1 scores change, understanding factors that influence match success becomes critical. The presence of a home orthopaedic surgery program and NIH funding were significant predictors, underscoring the role of research productivity in match success.</p><p><strong>Level of evidence: </strong>Level III. See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Medical School Ranking and Other Predictive Factors on the 2020 to 2022 Orthopaedic Surgery Match.","authors":"Justin Perry, Virginia Xie, Richard Glebocki, Ronald Navarro, Lisa K Cannada","doi":"10.2106/JBJS.OA.24.00173","DOIUrl":"10.2106/JBJS.OA.24.00173","url":null,"abstract":"<p><strong>Background: </strong>The impact of medical school rank and other demographic and institutional factors on orthopaedic match outcomes remains incompletely understood. This study analyzed match outcomes, controlling for medical school rank, biological sex, geographic location, match year, and other medical school characteristics.</p><p><strong>Methods: </strong>Residents who matched from 2020 to 2022 were identified. Medical school US News rankings and residency Doximity rankings were obtained and divided into tiers. Sex, match year, residency and medical school locations, and historically black college and university (HBCU), public, private, allopathic, and osteopathic medical school information was identified from program websites and social media. International students were excluded. Chi square testing, Spearman correlation, and univariate and multivariate logistic regression were performed.</p><p><strong>Results: </strong>Two thousand five hundred twenty-nine residents in 191 programs were included. From bivariate analysis, there was no association between match year and residency rank (p = 0.909). HBCU data were insufficient. Private and public schools had no difference (p = 0.871). Orphan graduates had worse odds (odds ratio [OR] = 0.136, CI = 0.112, 0.166). When controlling for the other variables, orphan status was insignificant (p = 0.0971). Relative to schools ranked 1 to 23, schools ranked 24 to 46 (AOR = 0.641, CI = 0.465, 0.882), 47 to 69 (adjusted odds ratio [AOR] = 0.0.336, CI = 0.246, 0.459), 70 to 93 (AOR = 0.310, CI = 0.222, 0.435), 95 to 124 (AOR = 0.156, CI = 0.106, 0.230), and unranked (AOR = 0.157, CI = 0.113, 0.217) resulted in worse odds of matching into higher-ranked residencies. Female (AOR = 1.59, CI = 1.33, 1.93) and allopathic students (AOR = 23.6, 16.4, 34.0) had better odds. Students who attended school in the same city as their residency program had better odds (AOR = 1.46), while those who attended school in a different city in the same state had worse (AOR = 0.694, CI = 0.575, 0.836).</p><p><strong>Conclusions: </strong>Female sex, medical school rank and location, and allopathic degree impact matching into a higher-ranked orthopaedic residency.</p><p><strong>Level of evidence: </strong>Nonclinical, No Level.</p>","PeriodicalId":36492,"journal":{"name":"JBJS Open Access","volume":"10 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}