Polio and orthopaedics – A surgeon’s look back

Stuart J. Fischer, MD, FAAOS

We are now five years post the COVID-19 epidemic, but it recalls a comparison with another epidemic: polio in the 20th century.

Risk-stratified TJA perioperative antithrombotic management protocols require prognostic evidence

Gregory A. Brown, MD, PhD, FAAOS

What we lack is a guideline development process that does not downgrade observational studies.

No margin, no mission: Realities facing academic orthopaedic surgery

Robert M. Orfaly, MD, MBA, FAAOS

“No margin, no mission” is often cited to justify controversial aspects of modern healthcare, including cost cutting, prioritizing profit-generating services, and the growing prevalence of administrators with business rather than clinical backgrounds.

How physicians shape supply chain decisions in a large group model

Ronald A. Navarro, MD, FAAOS

Who decides what products surgeons use in the operating room — and on what basis? In large healthcare systems, the answers are often assumed to be driven by cost or centralized control rather than clinical expertise.