Journal of Clinical Orthopaedics and Trauma最新文献

{"title":"The rate of hip arthroscopy subsequent to isolated periacetabular osteotomy for congenital hip dysplasia","authors":"Hannah Smith ,&nbsp;Albert Yim ,&nbsp;Thomas Huff ,&nbsp;Ryland Kagan ,&nbsp;Andrea Herzka","doi":"10.1016/j.jcot.2025.103224","DOIUrl":"10.1016/j.jcot.2025.103224","url":null,"abstract":"<div><h3>Background</h3><div>Periacetabular osteotomy (PAO) is the standard treatment for developmental dysplasia of the hip (DDH). Although intra-articular pathology such as labral tears is common, the benefit of routinely combining PAO with hip arthroscopy is uncertain. Evaluating the frequency and indications for arthroscopy after isolated PAO is key to determining whether PAO alone adequately addresses intra-articular disease and to guide surgical decision-making.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included 59 patients who underwent PAO for symptomatic DDH between January 1, 2018, to October 1, 2023, at a single tertiary academic center. Those without a minimum of one-year follow-up were contacted by phone for data collection. Preoperative imaging and postoperative outcomes were reviewed. A follow-up phone survey was conducted at a median of 2.6 ± 1.5 years postoperatively. The primary outcome was the incidence of subsequent hip arthroscopy. Secondary outcomes included persistent pain, imaging findings, and patient-reported interest in future surgery. Comparative analyses were performed between those who did and did not undergo arthroscopy.</div></div><div><h3>Results</h3><div>A total of 59 patients were included, with 53 (89.8 %) successfully completing phone interviews. The mean preoperative LCEA was 15.0° ±6.8, and the mean postoperative LCEA was 28.8° ±2.1, with an average change of 14.2°. Labral tears were identified in 31 of 51 (60.7 %) patients who had preoperative MRIs. Hip arthroscopy was performed in 4 (6.8 %) patients postoperatively. Of the patients contacted, 47 (88.7 %) reported no interest in future arthroscopy, while 2 (3.8 %) expressed potential interest. The 6 patients not reached had no documented evidence of follow-up surgery or continued symptoms.</div></div><div><h3>Conclusion</h3><div>Preoperative labral tears are common in patients undergoing PAO, but only a small percentage require subsequent arthroscopic intervention based on our findings. Larger studies are needed to further assess the role of arthroscopy in DDH.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"71 ","pages":"Article 103224"},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321983","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}

{"title":"Is there a lack of equity, diversity and inclusion in orthopaedic education? – A systematic review","authors":"Christopher Andrew James ,&nbsp;Chandramohan Ravichandran ,&nbsp;Alexander Curran ,&nbsp;Dawod Al Hajaj ,&nbsp;Hussein Shoukry ,&nbsp;Vasanthakumar Ramsingh","doi":"10.1016/j.jcot.2025.103227","DOIUrl":"10.1016/j.jcot.2025.103227","url":null,"abstract":"<div><h3>Background</h3><div>Trauma &amp; Orthopaedics has failed to progress in promoting equity, diversity and inclusion. Only 7 % of orthopaedic consultants are female, and less than 1 % identify as black. Improved equity, diversity and inclusion within healthcare has shown to improve patient outcomes, innovation and reduce unconscious bias within the specialty. Patients within the NHS face significant disparities in the care they receive, and promoting EDI within orthopaedic education will help address this.</div></div><div><h3>Methods</h3><div>A systematic literature search between 2020 and 2025 was performed to identify any literature. The electronic databases of Medline, EBSCO, Web of Science, PubMed and Scopus were utilized. Studies were screened against strict inclusion and exclusion criteria to ensure the literature was relevant and specific to this review. Two independent assessors read the abstracts and full-texts of articles to determine whether or not they were included within this systematic review. This systematic review was registered with PROSPERO (registration number: CRD420251022275)</div></div><div><h3>Results</h3><div>The studies within this systematic review highlighted the absence of female and minority ethnic representation within the orthopaedic specialty. Additionally, several barriers to the implementation of EDI have been addressed. These include: a lack of female role models, a lack of commitment from staff, difficulties changing previous perceptions of the specialty and difficulty changing a lack of cultural sensitivity.</div></div><div><h3>Conclusion</h3><div>Women and minority ethnic groups remain markedly underrepresented in orthopaedics, facing structural and cultural challenges that hinder recruitment and retention. Orthopaedic education plays a key role in preventing these issues, as medical students are often discouraged from pursuing this specialty from the outset. Misconceptions and the absence of diverse role models are key factors in deterring students from under-represented backgrounds from entering the specialty. Promoting a culture of inclusion will help change these perceptions and misconceptions. This will aid in enhanced patient-centred care and better healthcare outcomes for all. Despite growing recognition and awareness of the limited diversity in orthopaedics, there remains a shortage of literature that collates data together. This review does this by critically analysing existing research and offers a comprehensive review of this topic.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"71 ","pages":"Article 103227"},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271266","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}

{"title":"Neglected severe rigid scoliosis with postoperative superior mesenteric artery syndrome: A case report","authors":"Gurudip Das ,&nbsp;Mainak Roy ,&nbsp;Bishnu Prasad Patro","doi":"10.1016/j.jcot.2025.103226","DOIUrl":"10.1016/j.jcot.2025.103226","url":null,"abstract":"<div><div>A 14-year-old adolescent male with global developmental delay presented with neglected severe rigid scoliosis, with thoracic Cobb angle 101.6° and lumbar curve of 59.4°. His body mass index (BMI) was 15.2 kg/m², reflecting undernutrition. Staged correction with anterior release followed by posterior instrumented fusion and Ponte osteotomies achieved significant deformity correction. Postoperatively, the patient developed superior mesenteric artery (SMA) syndrome, confirmed on CT angiography showing duodenal compression by the SMA. He was managed conservatively with nasogastric aspiration and nil per oral (NPO) for four days, followed by gradual reintroduction of liquids over 2–3 days, and later solids. SMA syndrome is a rare but recognized complication after scoliosis correction, attributed to acute change in spinal alignment and reduction of mesenteric fat pad leading to duodenal compression. Conservative measures including NPO, nasogastric decompression, fluid and electrolyte balance, and gradual oral intake remain first-line management, with surgery reserved for refractory cases. At six-year follow-up, the patient had sustained good clinical and radiological correction.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"71 ","pages":"Article 103226"},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271267","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}

{"title":"Using the Score for Trauma Triage for Geriatric and Middle-aged (STTGMA) to Cluster High-Risk Hip Fracture Patients for Hospice Discharge","authors":"Benjamin Hammond ,&nbsp;Danielle Olson ,&nbsp;Abhishek Ganta ,&nbsp;Kenneth Egol ,&nbsp;Sanjit Konda","doi":"10.1016/j.jcot.2025.103225","DOIUrl":"10.1016/j.jcot.2025.103225","url":null,"abstract":"<div><h3>Background</h3><div>Hip fracture patients may be hospice candidates if life expectancy is &lt; 6 months. This study evaluates STTGMAHIP FX's ability to identify high-risk hip fracture patients for hospice discharge at emergency room presentation to guide end-of-life care planning.</div></div><div><h3>Methods</h3><div>A retrospective analysis of a prospectively maintained registry of patients aged ≥55 with low-energy hip fractures (2014–2024) was conducted. Patients were stratified by STTGMAHIP FX percentiles: minimal (≤50th), low (50th–&lt;80th), moderate (80th–&lt;97.5th), and high (≥97.5th). Demographics, injury characteristics, treatment, and outcomes were recorded. The primary outcome was identification of Hospice Discharge Candidates (HDCs), defined as discharge to hospice during the index admission, inpatient mortality &gt;48 h after surgery, or mortality &lt;6 months post-operation. American Society of Anesthesiologists (ASA) score was compared to STTGMAHIP FX for the ability to cluster HDCs using area under receiver operating characteristic (AUROC) curve analysis and a two-proportion Z-test.</div></div><div><h3>Results</h3><div>Among 2777 patients (mean age 81.18 ± 9.80 years), HDC incidence rose with STTGMAHIP FX risk level: 2.9% (minimal risk), 5.9% (low risk), 14.2% (moderate risk), and 29.6% (high risk) (p &lt; 0.05). Only 17.0% of patients classified as ASA 4 were HDCs. Additionally, STTGMAHIP FX demonstrated a slightly better ability to discriminate HDCs compared to ASA, although not statistically significant (0.719 vs 0.683; p = 0.138). However, the STTGMAHIP FX high risk stratification was much more useful in identifying HDCs than ASA (29.6% vs 17.0%; p = 0.013).</div></div><div><h3>Conclusion</h3><div>STTGMAHIP FX identifies hospice-eligible hip fracture patients more effectively than ASA. High-risk patients per STTGMAHIP FX demonstrate elevated 6-month mortality and may benefit from early hospice planning at admission.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"71 ","pages":"Article 103225"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223580","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}

{"title":"Medial pivot total knee arthroplasty","authors":"Ahab G. Alnemri,&nbsp;Ryan Turlip,&nbsp;Amanda Moser,&nbsp;Ashleigh Bush,&nbsp;Jake Farrar,&nbsp;Neil P. Sheth","doi":"10.1016/j.jcot.2025.103220","DOIUrl":"10.1016/j.jcot.2025.103220","url":null,"abstract":"<div><div>Over recent years, medial pivot total knee arthroplasty (MP-TKA) has gained traction as it more closely replicates native knee kinematics. This review traces the evolution from early TKA designs through modern “ball-and-socket” concepts and describes how MP implants stabilize the medial compartment while allowing for physiologic lateral rollback. We aim to provide an overview of the biomechanical rationale of the MP-TKA design and analyze contemporary literature on survivorship and patient satisfaction.</div><div>Recent fluoroscopic and motion capture investigations confirm that MP devices can reduce paradoxical anterior translation and improve sagittal-plane stability. However, pivot behavior varies by activity, implant geometry, and alignment strategy, and differences in kinematic measurement methods, such as low-point versus contact-point tracking, can influence interpretation. Despite these methodological differences, many MP designs demonstrate favorable in vivo performance.</div><div>Several small-to-large clinical series, registries, and randomized trials report promising patient-reported outcome measures and survivorship rates comparable to, or better than, traditional posterior-stabilized TKA. However, comparative studies have noted higher revision rates with specific MP implants. Design variations, surgical technique, and patient selection may significantly affect outcomes.</div><div>While preliminary findings are encouraging, large-scale and long-term research is needed to clarify whether enhanced kinematics consistently translate into clinical benefit. This review highlights key implant designs, biomechanical considerations, and evolving evidence to guide surgeons who are considering MP-TKA.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"71 ","pages":"Article 103220"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145270688","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}

{"title":"Role of primary Ilizarov ring fixation for Schatzker Type V and VI bicondylar tibia fracture in tertiary care centre","authors":"Laxman Banodha ,&nbsp;Dev Krishan Sharma ,&nbsp;Sandeep Kumar Koli","doi":"10.1016/j.jcot.2025.103218","DOIUrl":"10.1016/j.jcot.2025.103218","url":null,"abstract":"<div><h3>Background</h3><div>Proximal tibial fractures of Schatzker Type V and VI are complex, high-energy injuries with significant soft tissue compromise and articular depression. Conventional methods like ORIF often carry high complication rates. The Ilizarov ring fixator, being minimally invasive and biomechanically stable, offers a valuable alternative. This study evaluates the role of primary Ilizarov fixation in these fractures, focusing on functional and radiological outcomes, along with complications during follow-up.</div></div><div><h3>Methods</h3><div>This prospective study included 30 patients (18–70 years) with Schatzker Type V and VI fractures treated with primary Ilizarov fixation at a tertiary center in Indore. Exclusion criteria were floating knee, pathological fractures, Schatzker Type I–IV, and other limb injuries. Preoperative evaluation used X-rays and 3D CT. Reduction was done via closed or minimally invasive methods, followed by Ilizarov application. Patients were followed at 2 weeks, 1, 3, and 6 months. Outcomes included KOOS, ROM, radiological union, and complication rates.</div></div><div><h3>Results</h3><div>At 6 months, 56.67 % had excellent KOOS outcomes, 26.67 % good, and 16.67 % fair. Radiological union occurred within 4 months in 66.67 %, and by 6 months in 30 %. One non-union was managed with corticotomy. Complications were minimal, with 23.33 % pin tract infections and 6.67 % malalignment. Early mobilization improved ROM and recovery.</div></div><div><h3>Conclusion</h3><div>Primary Ilizarov fixation is a safe, effective option for managing Schatzker Type V and VI tibial plateau fractures. It permits early weight-bearing, preserves soft tissue, and yields excellent functional and radiological outcomes with minimal complications, making it a preferred choice in complex fractures with compromised soft tissue.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"71 ","pages":"Article 103218"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321980","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}

{"title":"“The silent strain: Exploring self-image and mental health in braced adolescents with scoliosis”: a scoping review","authors":"Sari Wathiq Al Hajaj ,&nbsp;Dawod Al Hajaj ,&nbsp;Prabhjit Singh ,&nbsp;Sanjeevi Bharadwaj ,&nbsp;VishnuV. Nair ,&nbsp;Sriram harish srinivasan","doi":"10.1016/j.jcot.2025.103217","DOIUrl":"10.1016/j.jcot.2025.103217","url":null,"abstract":"<div><h3>Background</h3><div>Adolescent Idiopathic Scoliosis (AIS) is a common spinal deformity. It can create surface deformities that affect adolescents' psychosocial health. Bracing is a non-surgical method to prevent curve progression and avoid surgery. However, the psychosocial effects of long-term brace use during adolescence are often overlooked. issues like decreased self-esteem, social withdrawal, and appearance anxiety may hinder compliance and impact quality of life.</div></div><div><h3>Methods</h3><div>A comprehensive literature review used PubMed, Cochrane Library, and ScienceDirect to identify studies from 2015 to 2025. It was prospectively registered with the PROSPERO database (Registration ID: CRD420251083129). The search terms included: \"adolescent idiopathic scoliosis,” \"bracing and self-image,” \"bracing compliance,” and \"psychological impact of bracing.” Two independent reviewers screened studies based on PICOS criteria: (1) adolescents with AIS, (2) bracing or conservative treatment, (3) control or observational groups, (4) outcomes like self-image, quality of life, or compliance, and (5) RCTs, observational studies, systematic reviews, or meta-analyses. Exclusions included surgical interventions, non-adolescents, or non-English publications.</div></div><div><h3>Results</h3><div>We found 807 studies; after removing duplicates, irrelevant titles, and abstracts, 26 full texts were screened. Of these, 10 met all criteria and were included. Adolescents in brace treatment often face negative self-image, low self-esteem, and social anxiety, especially at therapy start, affecting adherence. Concerns about appearance and discomfort hinder compliance. Some adapt over time, but others continue to experience mental health issues. Interventions like cognitive-behavioural therapy (CBT), peer support, and special exercise programs improve coping, adherence, and psychological well-being.</div></div><div><h3>Conclusion</h3><div>Bracing treats Adolescent Idiopathic Scoliosis (AIS) but affects psychosocial well-being, lowering adherence and quality of life. A multidisciplinary, patient-centred approach with mental health support is essential. Early psychological distress identification and interventions like Cognitive Behavioural Therapy (CBT) and peer support can enhance compliance and outcomes. Protocols should include psychosocial screening and holistic care to lessen the adverse effects of brace treatment.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"70 ","pages":"Article 103217"},"PeriodicalIF":0.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219654","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}

{"title":"The role of surgeon-point-of-view recording in undergraduate surgical pedagogy: A Systematic Review","authors":"Deepankar Satapathy,&nbsp;Ranjith Kumar Yalamanchali,&nbsp;Deepak Kumar Maley,&nbsp;Maheshwar Lakkireddy,&nbsp;Syed Ifthekar","doi":"10.1016/j.jcot.2025.103219","DOIUrl":"10.1016/j.jcot.2025.103219","url":null,"abstract":"<div><h3>Background</h3><div>The Indian medical curriculum recently included Early Clinical Exposure (ECE) to enhance the undergraduate medical training. A key challenge in in implementing it in surgical education is to ensure adequate operating room (OR) exposure, while maintaining sterility and minimizing the OR traffic. Traditional teaching methods such as surgical simulators and virtual dissecting tables provide anatomical insights but lack the immersive experience of an actual OR setting. Intraoperative video recordings, particularly using compact and surgeon-controlled devices like GoPro cameras, offer an effective alternative for augmenting the surgical training. This study intends to assess the scope of recording technologies in enhancing undergraduate medical education in the surgical subjects.</div></div><div><h3>Methodology</h3><div>This study was registered in PROSPERO database and the registration number is CRD420251049770.A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</div><div>A comprehensive search of PubMed, Embase, and Google Scholar was performed using MeSH and non-MeSH terms related to surgical recording technologies. Articles describing the use of head-mounted or point-of-view cameras like GoPro or Google Glass, for live teaching and surgical training were included, while those using instrument-mounted cameras (e.g., arthroscope, endoscope) or hypothetical discussions were excluded. Data extraction focused on the type and number of cameras used, their purpose, and the target audience.</div></div><div><h3>Results</h3><div>A total of 1472 articles on surgical video recording were identified. Following the elimination of duplicates, 964 records were evaluated, resulting in the exclusion of 818 based on title and abstract analysis. Following full-text evaluation of 146 articles, 25 studies met the inclusion criteria. The majority of studies were conducted in general surgery and orthopaedics (n = 7), followed by neurosurgery (n = 4). Overhead camera systems were used in 21 studies, while tripod-mounted cameras were used in three studies. Most studies employed GoPro Hero 4, 5, and 6 models. The studies primarily focused on undergraduate teaching (n = 19), with some evaluating postgraduate training (n = 3).</div></div><div><h3>Conclusion</h3><div>Head-mounted recording devices, such as GoPro cameras, provide an effective, cost-efficient, and easily implementable tool for surgical instruction. They enhance undergraduate training by offering a OR exposure perspective while maintaining sterility and reducing OR congestion. The integration of sports camera-based intra operative recording should be considered a standard component of practical instruction in medical schools to improve surgical education and training outcomes.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"70 ","pages":"Article 103219"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219733","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}

{"title":"Uncertainty quantification and explainable AI in orthopaedic imaging: A timely call to action","authors":"Ahmad P. Tafti ,&nbsp;Qiangqiang Gu ,&nbsp;Johannes F. Plate","doi":"10.1016/j.jcot.2025.103208","DOIUrl":"10.1016/j.jcot.2025.103208","url":null,"abstract":"<div><div>Artificial intelligence (AI) has made a big leap in orthopaedic imaging, with deep learning models achieving remarkable accuracy in tasks such as knee osteoarthritis classification and grading, fracture detection, and implant assessment. Yet accuracy in AI models alone is insufficient for clinical trust, adoption, and uptake. Orthopaedic decision-making often carries high risk settings, where any misclassification or overconfidence can have significant consequences for treatment recommendations and patient outcomes. Despite this reality, most current AI models operate as “close boxes”, providing predictions without clarifying their reasoning or quantifying uncertainty. This forum article argues that the integration of uncertainty quantification and explainable AI is no longer optional, but a timely call to action for the orthopaedic community. Uncertainty quantification methods can highlight when predictions are unreliable, prompting confirmatory testing or human oversight, while explainable AI techniques provide transparency into model reasoning, enabling surgeons and radiologists to better interpret AI outputs. Together, these advances are essential components of trustworthy AI, bridging the gap between technical innovation and real-world orthopaedic practice. By embracing uncertainty-aware and explainable AI models, orthopaedic imaging can move beyond accuracy toward accountability, responsibility, and safer integration into clinical workflows. The time to act is now.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"70 ","pages":"Article 103208"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219732","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}

{"title":"‘Tuning into Learning’: A scoping review of podcasts and webinars in orthopaedic education\"","authors":"Jessica Elilnesan ,&nbsp;Karthic Swaminathan ,&nbsp;Vishaal Vinodh Kumar ,&nbsp;Vishnu Priyan Rajan ,&nbsp;Alexander Curran ,&nbsp;Faizal Rayan","doi":"10.1016/j.jcot.2025.103216","DOIUrl":"10.1016/j.jcot.2025.103216","url":null,"abstract":"<div><h3>Background</h3><div>Podcasts and webinars have been increasingly used in medical education, particularly as a lifeline during the pandemic to ensure continued education. The aim of this study is to review literature exploring the use of podcasts and webinars as educational tools in orthopaedics by consolidating evidence of their benefits, challenges, and potential for future integration into orthopaedic training.</div></div><div><h3>Methods</h3><div>A literature search was performed across: PubMed, Cochrane Library, EBSCOhost, CINAHL and Scopus using selected MeSH terms and search terms related to podcasts, webinars and orthopaedic education across the years 2015–2025. Studies were reviewed by two independent authors using predefined inclusion/exclusion criteria. Key findings were collated in a database.</div></div><div><h3>Results</h3><div>A total of 22 articles were selected for review, with 11 studies referencing podcasts and 11 on the use of webinars. Studies generally reported a positive impact of these methods in orthopaedic education with highly rated reviews from trainees based on Likert scales, numerical rating scales and qualitative feedback.</div></div><div><h3>Conclusion</h3><div>Podcasts and webinars are a valuable tool in orthopaedics and their use has addressed issues with traditional learning approaches. For continued growth, further effort is required for quality control and improving accessibility to maximise educational potential in orthopaedic training.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"70 ","pages":"Article 103216"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219655","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}