In the sterile hallways of orthopedic conferences, "Level 1 Evidence" is treated like the holy grail. Sales reps carry tablets loaded with peer-reviewed reprints. VAC (Value Analysis Committee) dossiers are thick with clinical registries. Everyone claims to be looking for the "better" implant. But look at the data on the data: A study in Pediatric Orthopedic Surgery found that while surgeons value science, less than 18% of clinical decisions were actually attributed to scientific studies. The reason is simple: Everyone knows the game is rigged. This is the era of Clinical Data Theatre, a high...
