Prem N. Ramkumar, MD, MBA, of the Orthopaedic Machine Learning Laboratory at Brigham and Women’s Hospital, and colleagues want orthopedic surgeons to understand artificial intelligence (AI) better but critically assess AI-related reporting in the medical literature.

While the first tendoscopy procedure was reported in 1995, the minimally invasive but technically challenging approach to addressing various foot and ankle pathologies is not yet commonplace. However, Brigham surgeons including Elizabeth Martin, MD, ScM, are adopting the technique for its patient-centered benefits.

Christopher P. Chiodo, MD, at Brigham and Women’s Hospital, and colleagues surveyed foot and ankle surgeons to evaluate the reliability of current classification systems for fifth metatarsal base fractures. They recommend limiting classification to two types.

Brigham and Women’s Hospital’s Jeffrey N. Katz, MD, MS, of the Orthopaedic and Arthritis Center for Outcomes Research, Melvin C. Makhni, MD, of the Department of Orthopaedic Surgery, and colleagues review the current evidence about managing acquired, degenerative lumbar spinal stenosis (LSS).

The Telemedicine Working Group of AO Spine, a global academic community, convened an expert panel to attempt to reach a consensus on practical aspects of telemedicine related to spine care. Melvin C. Makhni, MD, in the Department of Orthopaedic Surgery, served as senior author of the report.

Robert R. Edwards, PhD, and colleagues explored the impact of expectancies on outcomes at three time points after total knee arthroplasty. They report that presurgical expectancies about pain reduction and functional improvement significantly predicted those outcomes only at the one-year follow-up.

Gergo Merkely, MD, and colleagues wondered whether extensive trauma and greater traction on the patella tendon might induce an inflammatory response that increases the risk of postoperative stiffness. They report evidence that, indeed, TTO-HD is an independent risk factor for postoperative arthrofibrosis.

The Women’s Sports Medicine Program at the Brigham aims to narrow the disparity in outcomes between female and male athletes following anterior cruciate ligament injury. Program Chief Elizabeth G. Matzkin, MD, explains how determining the optimal graft size and source for surgical reconstruction can improve outcomes.

Studies have established a relationship between surgeon volume and patient outcomes in spine surgery. Given the additional complexity of spinal deformity surgery, younger surgeons may be particularly disadvantaged. Caleb Yeung, MD, Melvin Makhni, MD, MBA, and colleagues conducted the first study on this question.

Melvin C. Makhni, MD, MBA, in the Department of Orthopaedic Surgery at Brigham and Women’s Hospital, and colleagues conducted the first systematic review to thoroughly compare PROMIS physical function questionnaires with “legacy” PROMs in spine surgery.