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February 9, 2026
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Episode 48, “Platform Trial in Orthopaedic Surgery”

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Dr. Nathan O’Hara (University of Maryland), Dr. Gerard Slobogean (UC Irvine), and Dr. Sheila Sprague (McMaster University) describe the launch and design of the Musculoskeletal Adaptive Platform Trial (MAPT)—the first major adaptive platform trial in orthopaedic surgery.

This week, Dr. Scott Berry sits down with Dr. Nathan O'Hara, Dr. Gerard Slobogean, and Dr. Sheila Sprague to discuss MAPT (Musculoskeletal Adaptive Platform Trial), an innovative platform trial in orthopaedic surgery.

MAPT brings Bayesian adaptive design to a field that hasn't traditionally embraced large-scale trials. The first domain, FASTER-HIP, tackles a common clinical dilemma: should minimally displaced hip fractures in older adults be treated with surgical fixation or hip replacement?

What makes this compelling: patient-centered hierarchical endpoints, frequent interim analyses, and infrastructure designed for multiple investigators to bring new questions onto the platform. It's a learning healthcare system in action, where every patient treated contributes to advancing clinical knowledge.

Listen now to hear how they're operationalizing this across 40 sites in the US, Canada, and Europe.

https://www.berryconsultants.com/resource/48-platform-trial-in-orthopaedic-surgery

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