{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:40:58Z","timestamp":1790739658261,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Orthopaedic congresses and journals are dominated by positive results, creating the impression that modern surgical techniques yield uniformly excellent outcomes. In reality, complications, suboptimal results, and abandoned techniques remain underreported\u2014a reflection of outcome reporting bias (ORB) and publication bias. Professional incentives, reputational concerns, and competitive pressures favour success stories while discouraging the publication of negative findings. Yet, these data are crucial for scientific progress and patient care, offering lessons that help avoid repeated mistakes. This editorial calls on authors, reviewers and editors to actively promote transparency and give equal opportunity to rigorously conducted studies with poor or negative outcomes. Key measures include prospective trial registration, adherence to preregistered protocols, and use of tools such as ROB, ROBINS\u2010I, ORBIT and funnel plots to detect and mitigate bias. True progress in orthopaedic surgery requires an honest, balanced narrative\u2014one that values both success and failure. Only by addressing ORB and publication bias can we restore trust in the scientific record and fulfil our ethical obligation to patients.<\/jats:p>","DOI":"10.1002\/ksa.70164","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T14:02:14Z","timestamp":1761660134000},"page":"791-793","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Reporting bias in orthopaedic science\u2014Are we telling the whole story?"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4014-424X","authenticated-orcid":false,"given":"Michael T.","family":"Hirschmann","sequence":"first","affiliation":[{"name":"University Department of Orthopedic Surgery and Traumatology Kantonsspital Baselland Bruderholz Switzerland"},{"name":"Department of Clinical Research, Research Group Michael T. Hirschmann, Regenerative Medicine &amp; Biomechanics University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Prill","sequence":"additional","affiliation":[{"name":"Center of Orthopaedics and Traumatology, University Hospital, Brandenburg\/Havel Brandenburg Medical School Theodor Fontane  Germany"},{"name":"Faculty of Health Sciences Brandenburg Brandenburg Medical School Theodor Fontane  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Herbst","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery University of Muenster Muenster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Milano","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health University of Brescia Brescia Italy"},{"name":"Department of Bone and Joint Surgery Spedali Civili Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Musahl","sequence":"additional","affiliation":[{"name":"Blue Cross of Western Pennsylvania Professor and Chief Sports Medicine University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"issue":"4","key":"e_1_2_8_2_1","first-page":"175","article-title":"ROBINS\u20101: a tool for asssessing risk of bias in non\u2010randomised studies of interventions","volume":"40","author":"Hinneburg I","year":"2017","journal-title":"Med Monatsschr Pharm"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2025.04.071"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2024.12.013"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12334"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.2165"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12126"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07442-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07468-y"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/13854046.2025.2469354"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934251317837"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.70164","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ksa.70164","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.70164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:17:29Z","timestamp":1773836249000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.70164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/ksa.70164"],"URL":"https:\/\/doi.org\/10.1002\/ksa.70164","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,28]]},"assertion":[{"value":"2025-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}