Clinical Orthopaedics and Related Research

Clinical Orthopaedics and Related Research Peer reviewed orthopaedic journal

Devoted to disseminating new and important orthopaedic knowledge, Clinical Orthopaedics and Related Research® is a leading peer-reviewed orthopaedic journal and a publication of The Association of Bone and Joint Surgeons®. CORR® brings readers the latest clinical and basic research and informed opinions that shape today's orthopaedic practice, thereby providing an opportunity to practice evidence-

based medicine. With contributions from leading clinicians and researchers around the world we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system.

Despite the well-established effectiveness of rifampin as adjunctive therapy for staphylococcal PJI, Kugelman et al. fou...
07/22/2025

Despite the well-established effectiveness of rifampin as adjunctive therapy for staphylococcal PJI, Kugelman et al. found that only half of patients who met IDSA criteria for starting treatment actually received the medication.

"Given the evidence of superior outcomes for patients treated with adjunctive rifampin, it is imperative that all patients meeting criteria be started on the medication unless there is a clear contraindication, which should be documented," the authors write.

"The findings of this study are important as they suggest that rifampin is not being used enough," writes Timothy Lang Tan MD in a commentary. "In fact, we should look for ways to broaden current indications."

Read the article here: https://ow.ly/9y2450WtzeE

Read the CORR Insights commentary here: https://ow.ly/IHNR50WtzeF

In  , Ji et al. found that 15% of patients with chronic PJI of the hip or knee had positive blood cultures, and most of ...
07/21/2025

In , Ji et al. found that 15% of patients with chronic PJI of the hip or knee had positive blood cultures, and most of those patients were classified as ASA III or had diabetes.

"These findings raise awareness that chronic PJI can also potentially lead to bacteremia, especially in patients with poor status," the authors wrote. "Therefore, selective preoperative blood cultures may be crucial in helping clinicians implement early intervention measures to prevent the serious consequences of bacteremia in patients with poor baseline health and those with other implanted devices."

Read the article here: https://ow.ly/eSLl50WsKmG

📢 Free to read until July 26: After analyzing 4 high-impact journals across an 11-year period, Hohmann et al. found clea...
07/20/2025

📢 Free to read until July 26: After analyzing 4 high-impact journals across an 11-year period, Hohmann et al. found clear confusion in naming and citing PJI definitions, with nearly 1 in 5 studies displaying a mismatch between the definitions used and cited.

"In response to these findings, we recommend that academic societies establish a standard reporting framework and checklist for studies using formal PJI definitions, such as those that exist for systematic reviews, randomized trials, and observational studies," the authors write.

"On behalf of the executive boards of the Musculoskeletal Infection Society (MSIS) and the European Bone and Joint Infection Society (EBJIS), we agree... (and are) working together to develop and disseminate such a checklist in the coming months," write Andy Miller MD and Ricardo Sousa MD, PhD in a letter to .

Read the study here (free for a limited time): https://ow.ly/UHEt50WrWMM

Read the letter to the editor here: https://ow.ly/sJfI50WrWMI

"Over 90% of orthopaedic surgery residents go into fellowship (and) for most, the fellowship match occurs in the spring ...
07/19/2025

"Over 90% of orthopaedic surgery residents go into fellowship (and) for most, the fellowship match occurs in the spring of PGY-4," writes Paul Dougherty MD in his latest column. "Why not allow more time for residents to make this important decision?"

Read his appeal to specialty societies here: https://ow.ly/gxCX50Ws2wl

In  , Sarfraz et al. found no differences in the risk of dislocations, reinfections, reoperations, and readmissions betw...
07/18/2025

In , Sarfraz et al. found no differences in the risk of dislocations, reinfections, reoperations, and readmissions between patients undergoing constrained vs. nonconstrained articulating spacers for two-stage revision THA.

"Our findings suggest that... surgeons can consider using a constrained liner in patients with prior dislocation, bone loss, or abductor deficiency without added fear of higher risk of complications," the authors write.

"A critical nuance of this study deserves careful consideration," writes Carl Deirmengian MD in a commentary. "To completely define the risk and benefit profile of constrained liners for patients with hip instability undergoing an articulating spacer, additional corroborative data are necessary."

Read the article here: https://journals.lww.com/clinorthop/fulltext/2025/07000/does_the_degree_of_liner_constraint_increase_risk.15.aspx

Read the CORR Insights commentary here: https://journals.lww.com/clinorthop/fulltext/2025/07000/corr_insights___does_the_degree_of_liner.16.aspx

"I am not always successful," writes Lisa Friedman MD in her latest   column. "When I made an error... my attending turn...
07/18/2025

"I am not always successful," writes Lisa Friedman MD in her latest column. "When I made an error... my attending turned to me. I braced myself for impact. He then comforted me as he took responsibility for my mistake."

Read the full story here: https://ow.ly/fNbC50WrUnI

 : In a case series by Krsak et al. in  , all patients treated with oritavancin as suppressive antimicrobial therapy for...
07/17/2025

: In a case series by Krsak et al. in , all patients treated with oritavancin as suppressive antimicrobial therapy for VRE bone and joint infections remained free of infectious symptoms over prolonged periods.

"The work of Krsak et al. in this month’s CORR® is an important proof-of-concept paper on a topic that matters," writes Matthew L. Webb MD, MHS in a commentary. "Readers should conclude that bone and joint infections can or could be successfully treated with oritavancin, but future studies are necessary to better characterize adverse effects and to determine the precise likelihood of treatment success."

Read the study here: https://ow.ly/OiVI50Wrqrs

Read the CORR Insights commentary here: https://ow.ly/hM6e50Wrqrt

After finding that proximal femur reconstruction with a vascularized fibula and bone allograft led to frequent complicat...
07/16/2025

After finding that proximal femur reconstruction with a vascularized fibula and bone allograft led to frequent complications for its very young patient population, Cevolani et al. no longer recommend the procedure.

"Even though this was a small group of patients, the poor survival of the construct (and) the unpredictable results associated with it led us to discontinue its use in favor of prosthetic replacement," the authors concluded.

"Although Cevolani et al. may be correct in abandoning this particular procedure for this indication, their conclusion that metallic prosthetic reconstruction will henceforth be their procedure of choice for these patients merits critical discussion," writes Marc H. Isler MD, FRCSC in a commentary. "Other biological methods may be better behaved."

Read the study here: https://ow.ly/ckyH50WqQzx

Read the CORR Insights commentary here, which is free to read all month! https://ow.ly/q7xX50WqQzz

New journal Impact Factors have been released! Clinical Orthopaedics and Related Research remains steady at 4.4, which m...
07/15/2025

New journal Impact Factors have been released! Clinical Orthopaedics and Related Research remains steady at 4.4, which makes our journal Lippincott's highest rated publication in the orthopaedics specialty. This number reflects our commitment to delivering important, actionable, and easy-to-read material to members of our profession. Please join us in congratulating our outstanding authors, reviewers, and editors who helped make this happen.

In  , Dr. Charalampos Zalavras shares some of the exciting findings from the 34th Annual Scientific Meeting of the MSIS ...
07/14/2025

In , Dr. Charalampos Zalavras shares some of the exciting findings from the 34th Annual Scientific Meeting of the MSIS that are presented in this issue, which he is certain will "inform practice and drive future research on vital topics in musculoskeletal infection."

Read his Editorial Comment here: https://ow.ly/BHGh50WppIW

Start reading articles in this year's selected proceedings from the Musculoskeletal Infection Society here: https://ow.ly/gYaF50WppIY

📢 Free to read for a limited time: When Busigó Torres et al. asked ChatGPT to simply Spanish-language patient education ...
07/13/2025

📢 Free to read for a limited time: When Busigó Torres et al. asked ChatGPT to simply Spanish-language patient education materials from the AAOS OrthoInfo website, less than 25% of its versions met the desired reading level and over 50% were rated as accurate or useful.

"These findings illustrate that institutions should not use ChatGPT-4 to simplify Spanish-language education materials as it can comprise the quality of the information," the authors wrote in .

"It’s important to recognize that a balance must be struck between simplifying the language for easier understanding and maintaining the accurate and necessary information that is required for effective patient education," senior author Ronald Navarro MD told Seth Leopold MD in an interview. "The key takeaway is that while the OrthoInfo site is a valuable resource, it should be considered a supplement to, not a substitute for, comprehensive patient education."

Read the study here (free until July 19): https://ow.ly/ge3S50WoxEb

Read the Editor's Spotlight/Take 5 interview here (free all month!): https://ow.ly/MW2e50WoxEi

"I’ve noticed there are two types of orthopaedic surgeons who are on opposite ends of the spectrum... ever since startin...
07/12/2025

"I’ve noticed there are two types of orthopaedic surgeons who are on opposite ends of the spectrum... ever since starting fellowship, I’ve been wondering where I will fall," writes Steven Zhang MD in .

Read his last column as an orthopaedic spine fellow here: https://ow.ly/YW5X50Wou6J

(And don't worry; he'll continue to share his journey with us as an early career physician!)

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