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VOL. I · ISSUE 14 · TUESDAY, MAY 19, 2026

Conversations In Orthopaedics

A Journal of Contemporary Orthopaedic Literature · Founded MMXXVI · United States

THE CURRENT ISSUE · VOL. I · № 14 · 19 MAY 2026

When Surgery Outperforms Strength Training

Rethinking Severe Hip Osteoarthritis Through the PROHIP Trial

By Kamil R. Jarjess · Editorial Board, Conversations In Orthopaedics · 11 min read

A New England Journal of Medicine randomized controlled trial compared total hip replacement with supervised resistance training in patients with severe hip osteoarthritis. At six months, arthroplasty produced clinically meaningful and superior improvements in patient-reported hip pain and function — while the data simultaneously sharpened the case for conservative management, preoperative conditioning, and shared decision-making.

This issue analyses the trial design, the chosen endpoints, and the limits of inference — and then asks the question that matters in clinic: for whom, and when. An editorial reading, not a verdict.

Editorial Note · Volume I

We read the literature as it is published — and then we discuss it the way colleagues discuss it after rounds, with the same standards and none of the hurry. A journal is a slow medium, and we believe that suits the work.

— Kamil R. Jarjess, Editor
§ I.ON METHOD

The Editorial Position
Volume I, MMXXVI

A journal returns the field to its evidence.

We read the literature in full. We summarise it the way clinicians would summarise it for one another after rounds. We publish it weekly.

Long-form prose is how medicine has always advanced its arguments. From the early case-books to the modern controlled trial, the discipline has refined itself through sentences placed carefully alongside data. This journal continues that line, in the conviction that an argument worth making is worth writing out.

Each issue is a sustained engagement with a single piece of recent literature, written for the clinicians who must use it. The work is unhurried: a paper is read in full, its predecessors revisited, its claims tested against the practice they purport to inform.

The reader we have in mind is the resident on call, the fellow in the library, the attending revising a protocol — practitioners who require evidence rendered legibly, not in fragments. To them we owe a complete reading, a written one, and a weekly one.

·
SECTIONS · VOLUME I

Departments of the Journal

Nine standing sections, each curated as a continuous editorial line through the year’s literature.

§ I.HIP & KNEE ARTHROPLASTY

Adult Reconstruction

Primary and revision arthroplasty, implant survivorship, alignment philosophy, and the long arc of patient-reported outcomes.

18 Issues PublishedExplore
§ II.SOFT TISSUE & ATHLETES

Sports Medicine

Ligament reconstruction, tendinopathy, return-to-play frameworks, and the changing role of orthobiologics.

24 Issues PublishedExplore
§ III.CERVICAL, THORACIC & LUMBAR

Spine

Deformity correction, minimally invasive technique, navigation and robotics, and the economic frontier of fusion.

16 Issues PublishedExplore
§ IV.FRACTURE CARE

Trauma

Fixation strategy, geriatric fragility fracture, polytrauma sequencing, and the registry-driven future of trauma research.

21 Issues PublishedExplore
§ V.HAND, WRIST & ELBOW

Hand & Upper Extremity

Reconstruction of the upper limb, nerve compression, tendon transfer, and the surgical preservation of intrinsic function.

14 Issues PublishedExplore
§ VI.DISTAL LOWER EXTREMITY

Foot & Ankle

Ankle arthroplasty, hindfoot reconstruction, athlete-specific repair, and the diabetic foot through a surgical lens.

9 Issues PublishedExplore
§ VII.DEVELOPMENTAL & CONGENITAL

Paediatric Orthopaedics

Limb deformity, developmental dysplasia of the hip, scoliosis, and growth-modulating intervention.

7 Issues PublishedExplore
§ VIII.SARCOMA & BONE TUMOURS

Musculoskeletal Oncology

Limb salvage, endoprosthetic reconstruction, and the multidisciplinary management of musculoskeletal malignancy.

5 Issues PublishedExplore
§ IX.INTERVENTIONAL & PERIOPERATIVE

Pain Management

Multimodal analgesia, regional technique, opioid-sparing protocol, and the chronic-pain interface with surgical care.

11 Issues PublishedExplore
EDITORIAL METHOD

How an issue is written.

  1. 01
    Selection

    A single piece of recent peer-reviewed literature is chosen for its bearing on contemporary practice.

  2. 02
    Reading

    The paper is read in full, alongside the predecessor literature it claims to extend.

  3. 03
    Conversation

    A senior contributor and the editor exchange written correspondence on what the paper shows, and what it does not.

  4. 04
    Composition

    A draft is composed at journal length: abstract, analysis, limitations, and implications for practice.

  5. 05
    Publication

    The issue is published weekly, indexed with DOI, and circulated to subscribers in full.

THE MASTHEAD

Editorial Board

The board curates the journal’s reading list, reviews submissions, and oversees the integrity of each issue.

Editor-in-Chief

Kamil R. Jarjess

Orthopaedic Research, Conversations In Orthopaedics

Contributions welcomed — see Submissions.

SUBSCRIPTION · WEEKLY

Read every issue, the day it goes to press.

Conversations In Orthopaedics arrives weekly — a single, fully reasoned analysis of contemporary orthopaedic literature, delivered as a finished piece of writing.

  • Free weekly issue
  • Full archive of Volume I
  • Editor's correspondence column
  • Citation-ready DOI on every article
FORM № I — SUBSCRIPTION

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PATRONAGE · INDEPENDENCE

The journal is supported by its readers.

A weekly journal is a slow medium, and slowness is expensive. We accept patronage from readers who value the work.

Contributions support editorial honoraria, copy-editing, and the open availability of the archive.

The journal carries no advertising; the only economics are between writer and reader.

The journal carries no advertising; the only economics are between writer and reader.

PATRONAGE TIERS
Reader
$5 / month

Supports archive hosting and citation indexing.

Contributor
$20 / month

Supports editorial honoraria for invited specialists.

Patron
$100 / month

Named in the colophon of every issue, on request.

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