Sanjeev Sabharwal

MD, MPH

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Mohit Bhandari

FRCSC, PhD

Distinguished University Professor, Chair of Surgery, McMaster University

Marc Swiontkowski

MD, FAOA

Professor, University of Minnesota

How should orthopaedic review journals evolve in an era where AI can synthesize evidence in seconds yet methodological rigor remains paramount? This discussion explores the future direction of JBJS Reviews through the lens of editorial leadership, emphasizing the enduring value of structured critical analysis, global representation, and principled peer review. The conversation highlights how high-quality review articles shape clinical understanding by distilling complex literature into actionable insights, while reinforcing the importance of transparency regarding AI-assisted writing. Strategic priorities include engaging trainees, strengthening methodological oversight, leveraging librarian expertise in systematic searches, and expanding innovative formats such as debates and commentaries to enhance accessibility. Ultimately, the dialogue underscores that despite rapid technological change, credibility in orthopaedic scholarship will continue to depend on thoughtful question formulation, robust peer review, and commitment to evidence integrity.