How unproven orthopedic treatments impact health care costs

I am a clinically retired orthopedist who completed my residency training in the mid-80s. I trained at a university residency program with faculty who were both forward-thinking and innovative, yet always grounded in evidence-based medicine. It was understood that many traditional concepts in orthopedic surgical care had not been challenged and lacked convincing clinical data to justify their continued advocacy. Examples included post-operative immobilization, avoidance of internal fixation in the …

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