What is the quality of the orthopaedic literature?

The orthopaedic evidence base is far from ideal. In order to truly ensure the effectiveness of orthopaedic interventions, researchers must design and carry out high-quality randomized controlled trials that strive to minimize bias. Such endeavors will ultimately form a high-quality RCT evidence base, which can subsequently be integrated by systematic reviews and meta-analyses in order to provide clinicians with the best evidence for decision-making.