Focus on the FISH Trial, with special guest Brad Petrisor

In this episode, Mo and Marc are joined by special guests Dr. Linda Suleiman and Dr. Anna Rosenblum (President and Vice President of Ruth Jackson Orthopaedic Society) in a discussion about the origins, mission, and evolution of the RJOS.    Links:  Ruth Jackson Orthopaedic Society (RJOS): https://www.rjos.org/  Women in Ortho Worldwide (WOW) meeting: https://bit.ly/3TjGfIe    Subspecialties:  Essentials  Hip  Knee  Trauma  Spine 

In this episode, Mo and Marc are joined by renowned shoulder surgeon Dr. Rick Matsen in a discussion about the importance of asking the right questions after adverse events by shifting the focus from aggregate data to individual patient outcomes.  Links:  O'Malley O, Davies A, Rangan A, Sabharwal S, Reilly P. Is there a difference in thresholds for revision between shoulder arthroplasty types? A National Joint Registry Study. PLoS One. 2025 Aug 26;20(8):e0330975. doi: 10.1371/journal.pone.0330975. PMID: 40857270; PMCID: PMC12380268. https://bit.ly/4byaVeS  Matsen FA 3rd. Objective Ignorance: A Flaw in Our Ability to Predict Patient Outcomes. J Bone Joint Surg Am. 2025 Nov 19;107(22):2508-2511. doi: 10.2106/JBJS.25.00638. Epub 2025 Nov 19. PMID: 41315034. https://bit.ly/4gNUZc2  Menendez ME, Matsen FA 3rd. Learning from Surgical Failures. J Bone Joint Surg Am. 2026 Apr 15;108(8):547-548. doi: 10.2106/JBJS.25.01110. Epub 2025 Dec 16. PMID: 41401257. https://bit.ly/4weVh0s    Subspecialties:  Shoulder  Essentials  Chapters (00:00:03) - Ortho Joe Podcast(00:01:37) - A Few Words on Rick Matson(00:03:42) - Why the heck haven't we learned from our shoulder arthropl(00:12:53) - The Need to Follow Poor Results in Shoulder Surgery(00:17:22) - Osteomyelitis and the Right Questions(00:22:49) - Choosing the right shoulder surgery(00:28:25) - A Few Minutes With Mark Ferguson

In this bonus episode, from the JBJS OrthoCorps audio archive, Jeffrey McLaughlin, MD, discusses the unique value of the Mid-America Orthopaedic Association in the orthopaedic landscape, in conversation with Bernie Stulberg, MD.  Links:  Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ  JBJS OrthoCorps: https://bit.ly/3lTBaG5  OrthoCorps submission guidelines: https://bit.ly/4dD2sqr     Subspecialties:  Orthopaedic Essentials  Chapters (00:00:03) - OrthoCorps(00:01:06) - Jeff McLaughlin at the Mid America Orthopedic Association Meeting(00:04:59) - The Annual Meeting of the American Board of Surgery(00:06:52) - Mid America Regional Orthopedic Group(00:08:32) - Dr. Jeff McLaughlin speaking at America Orthopedic Meeting 2017

In this episode, Mo and Marc are joined by special guest Dr. Brad Petrisor (Associate Chair of Education at McMaster University) in a discussion about the certification processes in the US, Canada, and beyond, with a focus on the importance of competency-based education and training.     Subspecialties:  Orthopaedic Essentials  Education and Training  Chapters (00:00:03) - Pod Interview(00:01:17) - The Orthopedic Surgery Oral Boards(00:03:37) - What is the Royal College of Physicians and Surgeons Orthopedic(00:06:32) - The Royal College of Surgery Competency Examination(00:11:15) - The role of the community in policing our own(00:13:45) - The role of the trainee in practice(00:17:47) - Have a Great Day!

In this episode, Mo and Marc are joined by special guest Dr. Brad Petrisor (Associate Chair of Education at McMaster University) in a discussion about the recent JBJS article on the Finnish Shaft of the Humerus (FISH) trial focusing on the cost-effectiveness of surgery vs. functional bracing for humeral shaft fractures in adults.    Links  Suter C, Ibounig T, Reito A, Mattila H, Sumrein BO, Launonen AP, Paavola M, Järvinen TLN, Taimela S, Rämö L; FISH Investigators. Cost-Effectiveness of Surgery Versus Functional Bracing for Humeral Shaft Fractures in Adults: A Prespecified Economic Evaluation of the Finnish Shaft of the Humerus (FISH) Trial. J Bone Joint Surg Am. 2026 Jul 1;108(13):992-1001. doi: 10.2106/JBJS.25.00867. Epub 2026 Feb 24. PMID: 41734249; PMCID: PMC13290060. http://bit.ly/4pbEmJk    Band PA, Zuckerman JD. Treatment Alternatives for Displaced Closed Humeral Shaft Fractures: Practical Implications for Shared Decision-Making from a Randomized Pragmatic Trial: Commentary on an article by Cyrill Suter, MD, et al.: " Cost-Effectiveness of Surgery Versus Functional Bracing for Humeral Shaft Fractures in Adults. A Prespecified Economic Evaluation of the Finnish Shaft of the Humerus (FISH) Trial ". J Bone Joint Surg Am. 2026 Jul 1;108(13):943-944. doi: 10.2106/JBJS.25.01506. Epub 2026 Mar 2. PMID: 41770852. https://bit.ly/4yjS9BS    Subspecialties:  Orthopaedic Essentials  Trauma 

In this bonus episode, from the JBJS OrthoCorps audio archive, Richard Coughlin, MD, MSc, reflects on his career path as well as global orthopaedics, volunteerism, and mentorship, in conversation with Sanjeev Sabharwal, MD, MPH.  Links:  Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ  JBJS OrthoCorps: https://bit.ly/3lTBaG5  OrthoCorps submission guidelines: https://bit.ly/4dD2sqr     Subspecialties:  Orthopaedic Essentials  Chapters (00:00:03) - Richard Coughlin(00:01:17) - Dr. Sanjeev Gupta on His Career Path(00:05:05) - The Orthopedic Resident Overseas Rotation(00:09:06) - Harry Lawson on the Institute for Global Orthopedics and Traumat(00:11:52) - The Institute for Orthopedic Surgery (IGOT)(00:16:17) - The Don'ts of Mentoring(00:20:18) - A farewell interview with Dr. Rick McLean

In this episode, Mo and Marc are joined by special guest Dr. Erica Taylor, MD, MBA (Hand and Upper Extremity Surgeon; Vice Chair of Culture, Engagement, and Impact in the Department of Orthopaedics at Duke) in a wide-ranging discussion focusing on how health equity, organizational culture, and cross-disciplinary collaboration can improve patient outcomes, strengthen teams, and deliver measurable value in orthopaedic practice.      Link  Orthopaedic Diversity Leadership Consortium (ODLC)  The Orthopedic Blind Spot Hiding Behind Otherwise Strong Metrics - Becker’s Spine Review    Subspecialties:  Essentials 

In this episode, Mo and Marc are joined by special guest Dr. Jeffrey Katz, MD, MSc (Professor of Orthopaedic Surgery and Rheumatology at Mass General Brigham), in a discussion of his career path, leadership in orthopaedics, and the importance of mentorship, curiosity, and lifelong learning.     Subspecialties:  Essentials  Chapters (00:00:03) - Ortho Joe Podcast(00:01:12) - Jeff Katz on The Rheumatology Podcast(00:02:59) - In the Elevator With Rheumatology's Experts(00:05:56) - Adam Levine on Rheumatology's journey(00:08:32) - Jeffrey Feuerstein on the Path to Research(00:14:08) - Jeff Hawkins on mentoring the next generation(00:16:40) - Jeffrey Wiseman on the Journal's Legacy(00:19:50) - The importance of creativity in the workplace

In this bonus episode, from the JBJS OrthoCorps audio archive, Jim Kellam, MD, discusses his history with orthopaedic trauma in North America with Anna Miller, MD.  Links:  Swiontkowski M. Introducing JBJS OrthoCorps: An Online Audio Archive of Stories from the Orthopaedic Community. J Bone Joint Surg Am. 2023 Mar 8. doi: 10.2106/JBJS.23.00222. Epub ahead of print. PMID: 36888940. https://bit.ly/42PUnZZ  JBJS OrthoCorps: https://bit.ly/3lTBaG5  OrthoCorps submission guidelines: https://bit.ly/4dD2sqr     Subspecialties:  Orthopaedic Essentials  Trauma 

In this episode, Mo and Marc discuss best practices and common challenges in planning secondary analyses from clinical trials, including data collection and analysis protocols, the distinction between primary and secondary questions, hypothesis-driven design, statistical power, process transparency, and dissemination strategies.    Subspecialties:  Trauma  Orthopaedic Essentials    Links:  Shu HT, Hoveidaei AH, Reider LM, Vallier HA, Quinnan S, Gary JL, Carroll EA, Carlini AR, Higgins TF, Bosse MJ, Shafiq B, Tornetta P 3rd, O'Toole RV, Castillo RC; METRC (Major Extremity Trauma Research Consortium). Pain Outcomes Following Modern External Ring Fixation Compared with Internal Fixation for Severe Open Tibial Fractures: A Secondary Analysis of a Prospective Randomized Trial (FIXIT). J Bone Joint Surg Am. 2026 May 6;108(9):649-657. doi: 10.2106/JBJS.25.00964. Epub 2026 Mar 18. PMID: 41849563. https://bit.ly/4fl6E12  Chapters (00:00:03) - Ortho Joe Podcast(00:00:51) - Conflict of Interest(00:02:12) - Ring External Fixation vs Internal Fixation for Fracture(00:05:17) - Primary and Secondary Analysis(00:09:54) - The study power of the FLAT trial(00:11:14) - How to manage the secondary analysis in a clinical trial(00:13:39) - Primary analysis in a randomized trial(00:15:14) - Exclusivity in large trials