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Author Guidelines

Authors are invited to make a submission to this journal. All submissions will be assessed by an editor to determine whether they meet the aims and scope of this journal. Those considered to be a good fit will be sent for peer review before determining whether they will be accepted or rejected.

Before making a submission, authors are responsible for obtaining permission to publish any material included with the submission, such as photos, documents and datasets. All authors identified on the submission must consent to be identified as an author. Where appropriate, research should be approved by an appropriate ethics committee in accordance with the legal requirements of the study's country.

An editor may desk reject a submission if it does not meet minimum standards of quality. Before submitting, please ensure that the study design and research argument are structured and articulated properly. The title should be concise and the abstract should be able to stand on its own. This will increase the likelihood of reviewers agreeing to review the paper. When you're satisfied that your submission meets this standard, please follow the checklist below to prepare your submission.

Orthopaedic SPOT

Portuguese Journal of Orthopaedics and Traumatology Instructions for Authors and Journal Policies

1. Aims & Scope

Orthopaedic SPOT is the official journal of the Portuguese Society of Orthopaedics and Traumatology (SPOT). The main scope of the journal encompasses musculoskeletal pathology and trauma, as well as clinical research. The articles published are peer-reviewed and range from original articles to clinical case reports, review articles, and technical videos. Supplementary issues on selected themes may also be published at the discretion of the Editor-in-Chief. The journal is bilingual (Portuguese/English) and is available free of charge on its website. Orthopaedic SPOT complies with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals produced by the ICMJE (International Committee of Medical Journal Editors). Please see

2. Editorial Freedom

Orthopaedic SPOT adopts the ICMJE definition of editorial freedom described by the World Association of Medical Editors, which states that the editor-in-chief assumes complete authority over the editorial content of the journal. The Portuguese Society of Orthopaedics and Traumatology (SPOT), as the owner of Orthopaedic SPOT, does not interfere in the process of evaluating, selecting, programming, or editing any manuscript. Editor-in-Chief has complete editorial independence.

3. Publication Costs - Platinum Open Access

Orthopaedic SPOT is a platinum open access journal and does not charge any author fees (APC - article processing charges). All articles published by Orthopaedic SPOT are made freely and permanently accessible online immediately upon publication, without charges. Link "Authors Contributorship Statement and License Agreement"

4. Submission Policies

Studies must be scientifically valid, following standards, relevant to the field, and written in good English. Submission of a manuscript requires that the authors have complied with all policies in this document. Submission to Orthopaedic SPOT implies that the content has not been published before, in any language, in whole or in part, except as a brief abstract in the proceeding of a scientific meeting; and the manuscript is not under consideration for publication elsewhere; that its publication has been approved by all co-authors, as well as by the responsible authorities. The Orthopaedic SPOT will not be held legally responsible should there be any claims for compensation.

4.1. Preprint Policy

Orthopaedic SPOT accepts articles previously published on preprint servers. Orthopaedic SPOT will consider for peer review, articles previously available as preprint. If the article is accepted for publication, authors are requested to update any pre-publication version with a link to the final published article.

4.2. Permissions

Authors wishing to include figures, tables, or text passages that have already been published elsewhere are required to obtain permission from the copyright owner(s) and to include evidence that such permission has been granted when submitting their manuscript. Any material received without such evidence will be assumed to originate from the authors.

4.3. Duplicate Submission or Prior Publication

During submission, authors must state that neither the manuscript nor any significant part of it is under consideration for publication elsewhere or has appeared elsewhere in a manner that could be construed as a duplicate or prior publication of the same, or similar, work. Abstracts for scientific meetings are not considered previous publication but should be cited in the Acknowledgments section of the manuscript. Posting of un-refereed manuscripts to a community preprint server by the author will not be considered prior publication; see the Preprints policy section above for additional information.

All articles must be submitted through our submission system. Submit manuscript. Please read the instructions and make sure to download the required files that must be signed and sent along with your article: Instructions and Required Files.

4.4. Declarations

  • Cover Letter (link)
  • Ethics Approval
  • Consent for Publication (link)
  • Conflict of Interests Statement (link)
  • Authors' Contribution Statement and License Agreement (link)
  • Acknowledgements
  • Personal Communications
  • Use of Copyright-Protected Material

Before submitting a manuscript, authors must prepare the following documents:

  • The Cover Letter (template available here) should be written and signed by the corresponding author and include the relevant data to justify the article’s publication and its originality. Moreover, the cover letter must state that the manuscript has not been submitted to any other journal than the Orthopaedic SPOT, has not been previously published, adheres to the structure and style of the Orthopaedic SPOT, complies with ethical and legal guidelines, and indicates sources of funding (if applicable).
  • The Authors Contributorship Statement and License Agreement (template available here) should be filled out by the corresponding author and signed by all authors, specifying the contribution of each author and his/her responsibility for the data validity of the article’s content. Finally, each author should confirm the copyright policy.
  • Conflicts of Interest Disclosure (ICMJE template, available here). Authors must declare any potential conflicts of interest that could cause a bias (or be seen as a bias) in the conduct of their work in the individual ICMJE template declaration. Consequently, authors must disclose all financial and personal relationships related to the submitted work. They should also identify any benefits associated with the article’s publication, including stock or economic interests in companies or other institutions, wages or awards, grants or other forms of funding, consulting, patent rights, or other financial relations. The existence of conflicts of interest in publishing an article does not constitute a reason for rejection, as long as the said conflicts are appropriately declared. For any queries on what constitutes a relevant financial or personal interest, the authors should contact the Editor-in-Chief.

When applicable, authors should also submit:

  • Consent for Publication;
  • Informed Consent of each participant;
  • Authorization to Reproduce/use (copyright-protected material) previously published material (for example Figures);
  • Declaration of Approval by the Ethics Committees of the institutions involved;
  • Acknowledgements;
  • Personal Communications.

All documents must be provided during the submission process, preferably through the online platform

5. Article Types

Manuscripts are submitted to blind peer review by at least two anonymous reviewers, except where otherwise stated. Final acceptance or rejection rests with the Editor-in-Chief and/or the Deputy Editors, who reserve the right to reject any material for publication. Manuscripts should be written in a clear, concise, direct style so that they are intelligible to the reader, including physicians from other specialties and the general public. When contributions are considered suitable for publication based on scientific content, the Editor-in-Chief reserves the right to modify the texts to remove ambiguity and repetition and to improve communication between authors and the readers. In the case that significant changes are required, the manuscript will be returned to the author for revision. Manuscripts that do not comply with the instructions for authors may be returned for modification before being reviewed. The Orthopaedic SPOT publishes:

  1. Editorials;
  2. Original Articles;
  3. Narrative Review Articles;
  4. Systematic Reviews and Meta-analysis;
  5. Casos Reports;
  6. Videos;
  7. Images in Orthopedics;
  8. Letters to the Editor;
  9. Guidelines and Consensus;
  10. Educational Articles;
  11. Current Perspectives;
  12. Study Protocols.

Authors should indicate in the cover letter what type of manuscript is being submitted for publication.

6. Editorial Policies and Ethical Standards

6.1. Peer Review

All research articles, and most other types of articles, published in Orthopaedic SPOT go through a double-blind peer review process (neither the author nor the reviewer knows each other's identity). Reviewers are obliged to respect the confidentiality of the peer review process and not reveal details of a manuscript or review during or after the peer review process. If reviewers wish to involve a colleague in the review process, they must first obtain permission from the Editor. Manuscripts should be written in a clear, concise, direct style. The manuscript must not have been published, in whole or in part, or submitted for publication elsewhere. All submitted manuscripts are initially evaluated by the Editorial Team and may be rejected at this stage, without being sent to reviewers. Orthopaedic SPOT will send manuscripts to external reviewers selected from a pre-existing database or invite new reviewers to do so. Final acceptance or rejection is the responsibility of the Editor-in-Chief. Letters to the Editor will be evaluated by the Editorial Board, but external reviews may also be requested. In the evaluation, manuscripts can be:

  • Accepted without changes
  • Accepted, but subject to minor revisions
  • Re-evaluated after major changes
  • Rejected

The editorial process consists of 6 stages:

  1. Once the manuscript has been received, if it complies with the instructions to authors and meets the editorial policy, it is sent to the Editor-in-Chief.
  2. The Editor-in-Chief reviews the manuscript (maximum 5 working days) and validates whether the topic, originality, and scientific quality of the article are suitable for publication in the journal. The manuscript is also evaluated for plagiarism, double publication, and related issues. The manuscript may be rejected at this stage, in which case the corresponding author will receive a notification. If the manuscript is not rejected, the Editor-in-Chief sends the manuscript to at least two reviewers.
  3. Peer review:
    1. The opinion of at least two experts in the field in question will be obtained, who will assess the technical and methodological aspects of the research (maximum 30 working days).
    2. The reviewer must reply to the Editor-in-Chief with their comments on the manuscript under review and a suggestion as to whether the work should be accepted, revised, or rejected.
    3. The Editorial Board will make a decision which may be: to accept the manuscript without changes; to send the reviewers' comments to the authors as established; or to reject.
    4. When changes are proposed, the authors have 15 days (a period that can be extended at the request of the authors) to submit a new, revised version of the manuscript, incorporating the comments of the reviewers and the editorial board. They must answer all questions and also send a revised version of the manuscript, with the inserted amendments highlighted in a different color.
  4. Editorial review: The Editor-in-Chief has 10 days to make a decision on the new version: reject or accept the new version, or send it for further consideration by one or more reviewers. The aim is to make a decision based on the opinion of the reviewers.
  5. Final editing (4 weeks): the aim is technical and linguistic editing (and translation), pagination, DOI assignment, and correction by the author.
  6. Publication ahead of print: All manuscripts will be published in advance on the journal's website as soon as they have finished the editing process, until they are incorporated into a final issue of the journal.

The editor's final decision to accept or reject a submitted manuscript is based on the following factors:

  1. Originality: original subject and/or method, with valuable information and presentation of new results or confirmation of previously verified results.
  2. Timeliness and/or novelty - topic that is on the agenda of scientific meetings or communications or is new.
  3. Relevance - applicability of the results to solving specific problems in orthopedic practice.
  4. Innovation and significance - advances in scientific and technical knowledge and/or clinical practice.
  5. Reliability and scientific validity - good methodological quality.
  6. Presentation - good writing and organization of the text (good logical coherence and presentation of the material).

Although the editors and reviewers make every effort to ensure the technical and scientific quality of the manuscripts, the final responsibility for the content (namely the accuracy and precision of the observations, as well as the opinions expressed) lies solely with the authors.

6.2. Fast-Track – Orthopaedic SPOT Express

Orthopaedic SPOT Express is a fast-track publication system available for urgent and important manuscripts that meet Orthopaedic SPOT requirements for expedited review and publication. Fast-track publication can be requested through the manuscript submission process, clearly indicating the reason why the manuscript should be considered for expedited review and publication. The Editorial Board will decide whether the manuscript is suitable for expedited publication and will communicate its decision within 48 hours. If the Editor-in-Chief finds the manuscript unsuitable for expedited publication, the manuscript may be proposed for the normal review process or the authors may withdraw their submission. The editorial decision on manuscripts accepted for expedited review will be made within five working days. If the manuscript is accepted for publication, the Orthopaedic SPOT will aim to publish it ahead of print within 16 days.

6.3. Principles for Publication of Research Involving Human Subjects

6.3.1. Ethics Approval

When reporting a study that involved human participants, their data or biological material, authors should include a statement that confirms that the study was approved (or granted exemption) by the appropriate institutional and/or national research ethics committee (including the name of the ethics committee and reference number) and certify that the study was performed in accordance with the ethical standards as laid down in the Helsinki Declaration of the World Medical Association updated in 2013.

If a study was granted exemption from requiring ethics approval, this should also be detailed in the manuscript (including the reasons for the exemption).

Manuscript must:

  • Include statement on ethics approval and consent (even where the need for approval was waived)
  • Include the name of the ethics committee that approved the study and committee´s reference number

Declarations of research ethics compliance must appear in the Methods section of Original Investigations.

Examples of statements to be used when ethics approval has been obtained:

  • All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the Helsinki Declaration updated 2013. The study was approved by the Ethics Committee of the …(No. ...)
  • This study was performed in line with the principles of the Declaration of Helsinki 2013. Approval was granted by the Ethics Committee of ..(Date.../No. ...).

6.3.2. Ethics Approval for Case Studies

Authors of Case Reports should follow their institution policies about whether ethics approval is required. If such approval is obligatory, the manuscript must include a statement about ethics review/approval. Most institutions will have specific policies on this subject. Since they typically include detailed case descriptions, Case Reports are generally considered to contain identifying information and therefore publication consent must be obtained. Authors should be aware to secure informed consent from the individual (or parent or guardian if the participant is a minor or incapable). See also section on Patient Protections / Informed Consent.

6.3.3. Consent for Publication

Whenever possible, and regardless of the article type, authors should avoid including any information identifying individual patients or participants.

If identifying information is necessary (including any individual details, images or videos), the patient (or legal representative) must be shown the manuscript and sign a written publication consent.

All presentations of case reports must have consent for publication.

Authors can use the Orthopaedic SPOT form (Patient Consent for Publication in Orthopaedic SPOT), or may use another form that contains equivalent elements. In submission, authors will be required to attest that a signed form has been obtained, and to provide a copy of the form.

In cases where images are entirely unidentifiable and there are no details on individuals reported within the manuscript, consent for publication of images may not be required. The final decision on whether consent to publish is required lies with the editor-in-chief.

Exceptions where it is not necessary to obtain consent:

  • Images such as x rays, laparoscopic images, ultrasound images, pathology slides unless there is a concern about identifying information in which case, authors should ensure that consent is obtained.

6.4. Use of Animals in Research

Any experiments involving animals must be demonstrated to be ethically acceptable and where relevant conform to national guidelines for animal usage in research.

6.5. Clinical Trial Registration

The World Health Organization (WHO) definition of a clinical trial is "any research study that prospectively assigns human participants or groups of humans to one or more health-related interventions to evaluate the effects on health outcomes". The WHO defines health interventions as “A health intervention is an act performed for, with or on behalf of a person or population whose purpose is to assess, improve, maintain, promote or modify health, functioning or health conditions” and a health-related outcome is generally defined as a change in the health of a person or population as a result of an intervention.

To ensure the integrity of the reporting of patient-centered trials, authors must register prospective clinical trials (phase II to IV trials) in suitable publicly available repositories. For example or any of the primary registries that participate in the WHO International Clinical Trials Registry Platform.

The trial registration number (TRN) and date of registration should be included as the last line of the manuscript abstract.

For clinical trials that have not been registered prospectively, authors are encouraged to register retrospectively to ensure the complete publication of all results. The trial registration number (TRN), date of registration and the words 'retrospectively registered’ should be included as the last line of the manuscript abstract.

6.6. Standards for Reporting

Orthopaedic SPOT advocates complete and transparent reporting of research. Authors are recommended to adhere to the reporting guidelines hosted by the EQUATOR Network when preparing their manuscript.

Checklists are available for a number of study designs, including:

  • CONSORT checklist for Randomized Clinical Trials
  • STROBE checklist for Observational Studies
  • PRISMA or MOOSE checklist for Systematic Reviews and Meta-Analyses – interventional and observational studies
  • SPIRIT or PRISMA-P checklist for Study Protocols
  • STARD checklist for Diagnostic Accuracy Studies
  • COREQ checklist for Qualitative Studies
  • CHEERS checklist for Economic Evaluation of Health Interventions
  • STARI checklist for Implementation Studies
  • SQUIRE checklist for Standards for Quality Improvement Reporting Excellence
  • STREGA checklist for Associations between Genetic Factors and Clinical Outcomes.
  • CARE checklist for Case Reports

6.7. Research and Publication Integrity

Orthopaedic SPOT considers irresponsible and unethical research practices to include fabrication (invention of data), falsification (tampering with data, including images), misrepresentation (plagiarism, duplicate publication, misattribution), intentional failure to disclose conflict of interests (COIs), or any other behavior that lessens the reliability or integrity of the research record.

Orthopaedic SPOT takes seriously its responsibility to respond to suspicions or allegations of misconduct according to its misconduct handling policy.

For all Original Investigations, authors have a responsibility to report methodology accurately, clearly, and with sufficient detail such that the findings can be independently confirmed, and to retain the underlying data for at least 5 years after study completion, unless questions have been raised regarding the conduct of the research, in which case all relevant data must be retained until all such matters are resolved. Collectively, the authors are responsible for ensuring that the article is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned (and, if relevant, registered) have been explained.

6.8. Data Sharing and Accessibility

In recognition of the increased attention given to reproducibility of research findings, and to enhance opportunities for research collaboration, each manuscript reporting a clinical trial must include a data sharing statement.

Orthopaedic SPOT does not currently have a particular data sharing expectation (beyond the stipulation that data be available for editors’ inspection, as detailed in the Research and Publication Integrity section); the requirement is simply that authors be transparent about their data sharing intentions. Data sharing statements should specify the type of data that will be shared (eg, deidentified, individual participant data underlying the results presented in the manuscript); whether other documents will be available (eg, study protocol, statistical analysis plan, analytic code); if data will be available, the start and end dates of this availability; with whom data will be shared (eg, anyone, researchers with a methodologically sound proposal); the types of analyses to be allowed (eg, any, meta-analysis); and the procedure for requesting access.

Authors are encouraged to review the table in the ICMJE's publication regarding data sharing for further detail on the type of information to be included in data sharing statements and possible wording of such statements. Clinical trials that began enrolling participants on or after January 1, 2019, should include a data sharing plan when registering the trial, and should update the registry record if the plan is subsequently modified.

6.9. Copyright

All articles published in Orthopaedic SPOT are open access and meet the requirements of funding agencies or academic institutions. With regard to use by third parties, Orthopaedic SPOT is governed by the terms of the Creative Commons Attribution: Non-Commercial License (License CC BY-NC).

The Creative Commons Attribution Non-Commercial License (CC BY NC) permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

It is the author's responsibility to obtain permission to reproduce figures, tables, etc. from other publications.

When submitting, authors must also submit the following documents: "Authors Contributorship Statement and License Agreement " (download link) and a "Declaration of Potential Conflicts of Interest" (download link). An e-mail will be sent to the corresponding author confirming receipt of the manuscript.

Authors are authorized to make their articles available in repositories of their institutions of origin, provided they always mention where they were published and in accordance with the Creative Commons license.

Once an article has been accepted, authors will be asked to complete a "Declaration of Author Responsibility and Authorization to Publish" (download link) and a "Declaration of Potential Conflicts of Interest" (download link). An e-mail will be sent to the corresponding author confirming receipt of the manuscript.

6.10. Authorship and Responsabilities

6.10.1. Ethical Responsibilities of Authors

Orthopaedic SPOT policies generally follow those provided in ICMJE Recommendations, and the Core Practices of Committee on Publications Ethics (COPE) The recommendations stipulated by the Committee on Publication Ethics regarding the use of artificial intelligence in scientific research writing, as well as on the attribution of authorship of the manuscripts as established, will be strictly followed.

Important note: the Orthopaedic SPOT may use software to screen for plagiarism. Authors must follow the rules of good scientific practice, which include:

  • The manuscript should not be submitted to more than one journal for simultaneous consideration.
  • The submitted work should be original and should not have been published elsewhere in any form or language (partially or in full), unless the new work concerns an expansion of previous work.
  • A single study should not be split up into several parts to increase the quantity of submissions and submitted to various journals or to one journal over time (salami-slicing).
  • Results should be presented clearly, honestly, and without fabrication, falsification or inappropriate data manipulation (including image manipulation).
  • No data, text, or theories by others are presented as if they were the author’s own (‘plagiarism’). Proper acknowledgements to other works must be given (this includes material that is closely copied (near verbatim), summarized and/or paraphrased), quotation marks (to indicate words taken from another source) are used for verbatim copying of material, and permissions secured for material that is copyrighted.
  • Authors should make sure they have permissions for the use of software, questionnaires, surveys and scales in their studies (if appropriate).
  • Reuse of Copyrighted Material: Any text, figure, table, or data from other sources must be clearly attributed. For all borrowed material, authors are responsible for applying for permission from the relevant publisher(s) for rights and are responsible for paying any permissions fees. In addition to providing proof of permission to the editorial office, authors must include appropriate wording in the figure legend or a table note to indicate the source of the material.
  • Research articles and non-research articles (e.g. Perspective, Review) must cite appropriate and relevant literature in support of the claims made.
  • Excessive and inappropriate self-citation or coordinated efforts among several authors to collectively self-cite is strongly discouraged.
  • Authors are strongly advised to ensure the author group, the Corresponding Author, and the order of authors are all correct at submission.
  • Upon request authors should be prepared to send relevant documentation or data in order to verify the validity of the results presented.
  • Authors have an obligation to correct mistakes once they discover a significant error or inaccuracy in their published article. The author(s) is/are requested to contact the journal and explain in what sense the error is impacting the article. A decision on how to correct the literature will depend on the nature of the error. This may be a correction or retraction. The retraction note should provide transparency which parts of the article are impacted by the error.
  • At the time of submission, authors must declare whether artificial intelligence (AI)– assisted technologies (such as Large Language Models [LLMs], chatbots, or image creators) in the production of submitted work. Authors who use such technology should describe, in both the cover letter and the submitted work, how they used it. Chatbots (such as ChatGPT) should not be listed as authors because they cannot be responsible for the accuracy, integrity, and originality of the work, and these responsibilities are required for authorship. Therefore, humans are responsible for any submitted material that included the use of AI-assisted technologies. Authors should carefully review and edit the result because AI can generate authoritative-sounding output that can be incorrect, incomplete, or biased. Authors should not list AI and AIassisted technologies as an author or co-author, nor cite AI as an author. Authors should be able to assert that there is no plagiarism in their paper, including in text and images produced by the AI. Humans must ensure there is appropriate attribution of all quoted material, including full citations.

If there is suspicion of misbehavior or alleged fraud the Orthopaedic SPOT will carry out an investigation following COPE guidelines. If, after investigation, there are valid concerns, the author(s) concerned will be contacted under their given e-mail address and given an opportunity to address the issue. Depending on the situation, this may result in the Journal’s implementation of the following measures, including, but not limited to:

  • If the manuscript is still under consideration, it may be rejected and returned to the author.
  • If the article has already been published online, depending on the nature and severity of the infraction:
    • An erratum/correction may be placed with the article
    • An expression of concern may be placed with the article
    • Or in severe cases retraction of the article may occur.

The reason will be given in the published erratum/correction, expression of concern or retraction note. Please note that retraction means that the article is maintained on the Orthopaedic SPOT platform, watermarked “retracted” and the explanation for the retraction is provided in a note linked

6.10.2. Authorship

The Orthopaedic SPOT follows the criteria on authorship recommended by the ICMJE Defining the Role of Authors and Contributors (

Designated authors should meet all four criteria for authorship in the ICMJE Recommendations:

  1. Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND
  2. Drafting the work or revising it critically for important intellectual content; AND
  3. Final approval of the version to be published; AND
  4. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

All those designated as authors should meet all four criteria for authorship, and all who meet the four criteria should be identified as authors. Those who do not meet all four criteria should be acknowledged.

Any potential authorship disputes brought to the editors’ attention will be handled in line with COPE guidelines.

6.10.3. Acknowledgments

Any individual who does not qualify as an author but who contributed to the work described in the manuscript must be named in the Acknowledgements. In particular, if medical writer(s)/editor(s) have been involved, their role must be explicitly acknowledged, and their affiliation/source of funding must be listed. Authors may also express thanks or note assistance in the Acknowledgements. Authors should obtain permission to acknowledge from all mentioned in the Acknowledge.

6.10.4. Group Authorship

If authorship is attributed to a group (either solely or in addition to 1 or more individual authors), all members of the group must meet the full criteria and requirements for authorship as described above, and all group member authors must complete Authorship Forms. If all members of a group do not meet all authorship criteria, a group must designate 1 or more individuals as authors or members of a writing group who meet full authorship criteria and requirements and who will take responsibility for the group. Group names should appear at the end of the byline and should not be interspersed within the list of individually named authors. Group authors may not be included for article types with limited numbers of authors (eg, opinion articles).

6.10.5. Role of Medical Writer

If a medical writer was involved in the creation of the manuscript, Orthopaedic SPOT need a signed statement from the corresponding author to include their name and information about funding of this person. This information should be added to the Acknowledgments and/or Contributors section. We require signed statements from any medical writers declaring that they have given permission to be named as an author, as a contributor, or in the Acknowledgments section.

6.10.6. Corresponding Author

One author is assigned as Corresponding Author and acts on behalf of all co-authors as the preferred correspondent with the editorial team during the submission and review process. Any author can be corresponding author, but only one author can perform this role. The corresponding author is responsible for the following requirements:

  • Ensuring that submission requirements are met and submitting the manuscript to the journal
  • Ensuring that all listed authors have approved the manuscript before submission, including the names and order of authors
  • Managing all communication between the Journal and all co-authors, before and after publication
  • Providing transparency on re-use of material; making sure disclosures, declarations and transparency on data statements from all authors are included in the manuscript as appropriate
  • Sending corrections and ensure that the final version of the paper to be published is approved by all the authors

Third party submissions: All manuscripts must be submitted by an author and may not be submitted by a third party.

6.10.7. Author Contributions

Orthopaedic SPOT ask all authors, to specify their individual contributions. A brief description of the contribution of each individual listed as an author must be provided, Link Authors Contributorship statement.

Examples of such statement(s) are:

  • All authors contributed to the study conception and design. All authors read and approved the final manuscript.
  • AA, BB and CC: Material preparation, data collection and analysis.
  • DD: Writing the original draft.
  • EE: Statistical analysis.
  • FF: Conceptualization and supervision.

For more information consult CRediT (Contributor Roles Taxonomy)

6.10.8. Author Identifiers (ORCID)

Orthopaedic SPOT strongly encourages every author to register for and use an ORCID iD (a persistent digital identifier) that distinguishes each researcher from others with similar names, when submitting an article for consideration or acquire an ORCID ID via the submission process. An ORCID iD connects an author’s affiliations, grants, publications, peer review, and more to ensure recognition for all contributions. Additional information is available at

6.10.9. Deceased or Incapacitated Authors

For cases in which a co-author dies or is incapacitated during the writing, submission, or peer-review process, and the co-authors feel it is appropriate to include the author, co-authors should obtain approval from a (legal) representative which could be a direct relative.

6.10.10. Correction to Authorship

It is the corresponding author’s responsibility to ensure that the list of authors is correct as far as the online submission form and the submitted text are concerned. Any changes to the list of authors, including the removal or addition of authors that occurs between the initial submission and the acceptance for publication will require a written agreement of all the authors, and reasons for these changes in authorship should be explained. New authors are required to confirm their full compliance with Orthopaedic SPOT authorship criteria. Approval of the change during revision is at the discretion of the Editor-in-Chief. Changes of authorship (addition or removal) are not accepted after acceptance of a manuscript. Please note that author names will be published exactly as they appear on the accepted submission! Please make sure that the names of all authors are present and correctly spelled, and that addresses and affiliations are current. In the case of an authorship dispute during peer review or after acceptance and publication, the Orthopaedic SPOT will not be in a position to investigate or adjudicate. Authors will be asked to resolve the dispute themselves. If they are unable the Orthopaedic SPOT reserves the right to withdraw a manuscript from the editorial process or in case of a published paper raise the issue with the authors’ institution(s) and abide by its guidelines.

6.10.11. Potential Conflicts of Interest for Authors

Orthopaedic SPOT conflict of interest (COI) policies generally follow those of the ICMJE Recommendations. Authors must disclose all relationships that could be viewed as a potential COI. A COI may exist when financial or personal relationships with other persons or organizations may inappropriately influence or bias actions. There is a potential for a COI whether or not an individual believes that a relationship affects his or her scientific judgment. COIs can occur as the result of financial relationships, personal and family relationships, or academic competitive pressures. Editors may use information in COI disclosures as the basis for editorial decisions.

6.10.12. Confidentiality

Authors should treat all communication with the Orthopaedic SPOT as confidential which includes correspondence with direct representatives from the Journal such as Editors-in-Chief and/or Handling Editors and reviewers’ reports unless explicit consent has been received to share information.

6.11. Role of the Funding Source

  • All sources of funding should be declared as an acknowledgment at the end of the text
  • At the end of the Methods section, under a subheading “Role of the funding source”, authors must describe the role of the study sponsor(s), if any, in study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication
  • If there is no Methods section, the role of the funding source should be stated as an acknowledgment. If the funding source had no such involvement, the authors should so state.

6.12. Cover Letter

Cover letter (template available here), written and signed by the corresponding author, who must justify the publication of the article on the Orthopaedic SPOT; point out that the article is original, was only submitted for publication on the Orthopaedic SPOT and not previously published; mention that the manuscript adheres to the structure and style standards adopted by the Orthopaedic SPOT; point out that the work complies with ethical and legal guidelines (recommendations of the Helsinki Declaration of the World Medical Association and has been evaluated and approved by the Ethics Committee, in the case of an original study); and indicate sources of funding.

6.13. Mandatory Forms and Signatures

Orthopaedic SPOT requests these forms in the manuscript submission:

  • Authors’ Contribution Statement and License Agreement
  • Conflicts of Interest statements (ICMJE forms)
  • Statements of role, if any, of medical writer or editor
  • Acknowledgments—written consent of cited individual
  • Consent for Publication
  • Cover Letter
  • Personal communications—written consent of cited individual
  • Use of Copyright-Protected Material—signed permission statements from author and publisher

These statements can be scanned and submitted electronically with your submission. Please note that Orthopaedic SPOT will accept hand-signed and electronic signatures.

6.14. Advertising Policy

The journal sponsors are pharmaceutical industry companies or other companies that generate revenue through advertising. Other expenses are supported by the Portuguese Society of Orthopedics and Traumatology.

Advertising cannot influence the scientific independence of the journal or editorial decisions and must conform to the general and specific health care and medicines legislation.

Editorial independence is crucial to scholarly publishing, and the editorial team has full authority to decide on the content of the journal. The criteria for editorial decision making regarding journal content do not include any perceived effect on advertising revenue. The editors have the right to review all new advertising proposed for the Orthopaedic SPOT and may reject any advertising deemed not in keeping with the journal’s mission.

7. Manuscript Preparation Guidance

7.1. Language

The title, abstract and keywords must be presented in English and Portuguese. Manuscripts submitted to Orthopaedic SPOT must be clearly written in Portuguese (from Portugal) and/or English at a reasonable level.

7.2. General Requirements

Manuscripts that do not follow the instructions for authors can be returned for modification before being revised. It is important that the file is saved in the native format of the word processor. The text should be in a single-column format. To avoid unnecessary errors, you are strongly advised to use the grammar and spelling checking functions of your word processor.

  • Manuscripts should be sent in DOC, DOCX format, and should not be blocked or protected.
  • The text of the manuscript should be typed double-spaced. Do not format the text in multiple columns.
  • The texts must be formatted in letter "Arial", size 11. Titles and sub-titles must be marked in bold and size 12.
  • All margins should be at least 30 mm.
  • All pages should be numbered consecutively in the top right-hand corner, beginning in the title page.
  • Specify any special characters used to represent characters that are not on the keyboard.

7.3. Manuscript Structure

Structure of the manuscript Front page (separate page):

  1. Title: Title written in Portuguese and English (concise and objective, preferably with less than 12 words).
  2. Authors, affiliations and ORCID: Name of all authors (clinical or professional name) and respective affiliation (department, institution, city) and ORCID iD.
  3. Corresponding author: Address and e-mail of the corresponding author.
  4. Under the designation Ethical Considerations, indicate whether or not there are conflicts of interest and include information about patient protection.
  5. Prizes and previous presentations: Prizes and presentations of the study, prior to submission of the manuscript, must be mentioned.

Second Page

  1. Abstract: Abstract written in Portuguese and English (maximum word count according to the article type). Please minimize the use of abbreviations and do not cite references in the abstract.
  2. Keywords: Keywords (according to the article type) representing the main content of the article. Keywords should be easily searchable in indexing databases using Medical Subject Headings (MeSH) terminology found at In the manuscripts that do not require an abstract, the keywords should be presented at the end.

Following pages – Manuscript body

The following pages should include the main text of the article according to the specific sections of each type. After the references, the illustrations should be presented individually on a new page, in the following order: Tables and Figures.

Original Articles

Original Investigation articles (“original articles) cover areas of clinical or basic research: Clinical trial, Intervention study, Cohort study, Case-control study, Epidemiologic assessment, Survey with high response rate, Cost-effectiveness analysis, Decision analysis, Study of screening and diagnostic tests, Other observational studies – Follow appropriate EQUATOR Reporting Guidelines.

They should have a maximum of 4000 words, with a total of up to 10 tables and/or figures, and should be structured as follows: Abstract (maximum 250 words; divided into Introduction, Methods, Results and Conclusion); 3-10 keywords; Main Text (Introduction; Methods; Results; Discussion; Conclusion); Learning points/Take home messages with bullet points (maximum 100 words) Acknowledgements, if any; References (up to 70); and figure legends, if any. Original Article may include Supplemental material with additional relevant supporting figures.

  • Word limit: Up to 4000
  • Abstract: Up to 250; Structured
  • Keywords: 3-10
  • References: Up to 70
  • Figures/Tables: Maximum 10 tables/figures
  • Authors: No limit

Graphical Abstract

A graphical abstract is a single-panel image that is designed to give readers an immediate understanding of the take-home message of the scientific article, i.e. it is a concise, pictorial and visual summary of the article's main conclusions. It is optional, but encouraged.

The graphic summary should be self-explanatory. The reader should understand it quickly and be able to decide whether or not to read the paper.

It is not intended to replace the article, but to attract curiosity to it.

The graphic summary will be displayed in online search results lists, next to the article on the journal's website and will be used to promote the article on social networks, but it will not appear in the final PDF of the article.

Authors must provide an original image that clearly represents the work described in the article. Graphic abstracts must be sent as a separate file in the submission system.

Instructions (link to template): It is important to bear in mind that the research may be complex but the graphic abstract should not be.

  • It must have a clear beginning and end, "reading" from top to bottom or left to right.
  • Have simple labels.
  • Use text sparingly.
  • Be different from any figures or diagrams included in the article.
  • All content should be in graphic form.
  • Reduce distracting and distracting elements as much as possible.
  • Sent in PDF, TIFF, JPG or PNG file format.
  • Size: The image submitted must be 1200 pixels square at 300 dpi.
  • Font: Arial, 12-16 point. Smaller fonts will not be readable online.
  • Content: the summary should consist of a single panel.

Mind the Graph is a solid repository of scientific illustrations and inspiration for graphical summaries.

Narrative Review Articles

Review article summarize and interpret existing literature on topics of interest to Orthopaedic SPOT readership. Review Articles should be structured as follows: Abstract (maximum 300 words; unstructured); 3-10 keywords; Introduction; thematic sections at the discretion of the authors; Conclusion(s); Acknowledgements, if any; References (up to 100); and figure legends, if any.

  • Word limit: Up to 4000
  • Abstract: Up to 300; Unstructured
  • Keywords: 3-10
  • References: Up to 100
  • Figures/Tables: Maximum 6 tables/figures
  • Authors: No limit

Systematic Reviews with or without Meta-Analysis

Systematic Reviews with or without Meta-Analysis must be structured as Introduction, Methods, Results, Discussion and Conclusion(s). The objective of a systematic review should be to produce an evidence-based conclusion. The Methods should give a clear indication of the literature search strategy, data extraction, grading of evidence and analysis. Systematic Reviews should not normally exceed 4000 words, with a total of up to 6 tables and/or figures and up to 100 references.

Authors are strongly recommended to consult the PRISMA statement, which is intended to help improve the reporting of systematic reviews and meta-analyses. We encourage authors to develop a systematic review protocol (e.g. following PRISMA-P) and register with PROSPERO.

  • Word limit: Up to 4000
  • Abstract: Up to 350; Structured
  • Keywords: 3-10
  • References: Up to 100
  • Figures/Tables: Maximum 6 tables/figures
  • Authors: No limit

Case Reports

Authors should use the CARE guidelines as a guiding framework. Case reports should not exceed 2000 words of body text, with up to 20 references and four tables or figures. They must include an abstract (unstructured) and bulleted statements in answer to the following questions: What’s already known about this topic? and What does this study add? Learning points/Take home messages with bullet points is required (maximum 500 words)

Please see the Ethics section of the Instructions regarding preservation of patients’ privacy. Case Reports must have no more than 5 authors.

  • Word limit: Up to 2000
  • Abstract: Up to 150; Unstructured
  • Keywords: 3-6
  • References: Up to 20
  • Figures/Tables: Maximum 4 tables/figures
  • Authors: Up to 5


Manuscript format: Manuscript consisting of a formatted abstract, key messages, video and references.

Preparation of the Manuscript:

  1. A title page (title in Portuguese and English), authors and affiliations.
  2. Up to 5 authors allowed.
  3. The video file in compressed format (maximum file size = 350 MB).
  4. Abstract: maximum 200 words, unstructured
  5. Key messages: maximum 800 words
  6. References (up to 5)
  7. For videos with identifiable subjects, individuals must sign the Consent form. It is the author's responsibility to send signed Consent forms if necessary

The abstract should have the following structure:

  • Context: In one or two sentences, summarize the scientific knowledge surrounding your study and how it led to your research.
  • Indications: Indicate the reason(s) behind the intervention shown.
  • Technique Description: Provide a concise overview of the surgical or rehabilitation technique shown, as applicable.
  • Results: Briefly summarize the expected outcome of the procedure described based on the authors' experience and/or relevant literature.
  • Discussion/Conclusion: Summarize the most important conclusions or recommendations that can be directly derived from the study.
  • Key Messages: List the key messages, using 5 or 6 points, distinct from the abstract; being succinct, specific and precise.

Video Categories:

The types of videos encouraged include:

  • Surgical Techniques: Surgical techniques include demonstrations of original or established techniques.
  • Rehabilitation Techniques: Rehabilitation techniques include demonstrations of original or established techniques.
  • Other Treatment Procedures

Video Preparation

Video presentations should follow the format below and be between 8 and 10 minutes long. Videos can be narrated.

  • Do not use copyrighted background music.
  • Formats: .MP4, .MOV, .WMV, .WebM, .MPEG
  • Recommended screen ratio: 16:9
  • Resolution:
    • Minimum resolution: HD (1,280 x 720 pixels)
    • Recommended: Full HD (1,920 x 1,080 pixels)
    • High quality: 4K (3840 x 2160 pixels)
  • Send videos via: or

Orthopaedic Images

New and clinically relevant images of unusual or striking examples of clinical entities, laboratory / radiological studies or surgical and therapeutic procedures with brief explanatory text.

  • Words: maximum 200 words (excluding abstract, figures and tables)
  • Abstract: none
  • Figures: maximum 2
  • References: Up to 6
  • Authors: Up to 3


Editorials are usually invited opinion pieces, but authors may propose a paper for the Editor-in-Chief consideration.

  • Word limit: Up to 1200
  • Abstract: None
  • Keywords: None
  • References: Up to 20
  • Figures/Tables: Maximum 2 tables/figures

Letters to the Editor

A Letter to the Editor generally takes one of the following forms:

  • A substantial re-analysis of a previously published article in the Journal will be considered up to 8 weeks after the publication of the article in question
  • A brief report of cases adequate for the journal's scope and of particular interest to the community.
  • Word limit: Up to 600
  • Abstract: None
  • Keywords: None
  • References: Up to 10
  • Figures/Tables: Maximum 2 tables/figures
  • Authors: Up to 7

Guidelines and Consensus

Recommendations for clinical practice. This type of article can be submitted by working groups organized as part of scientific meetings or associations, or groups of authors with specialized work on the topic in question.

  • Words: Up to 4000 words (excluding abstract, figures and tables)
  • Abstract: Up to 250 words
  • Figures/Tables: Maximum 6
  • References: Up to 80

Education articles

The Education section is designed to introduce classic, basic and detailed knowledge of orthopaedic techniques, providing excellent resources for continuing medical education. Articles on surgical techniques should contain good images.

  • Words: Up to 3000 words (excluding abstract, figures and tables)
  • Abstract: Up to 250 words (unstructured)
  • Figures/Tables: maximum 8
  • References: Up to 80


Perspective articles provide a forum for opinionated discussions on a domain or topic, as well as describing historical foundations and influences, emerging research trends and techniques, and ethical, legal and social issues.

  • Words: maximum 2500 words (excluding abstract, figures and tables)
  • Abstract: maximum 250 words (unstructured)
  • Keywords: 3-6
  • Figures/Tables: maximum 6
  • References: maximum 60
  • Authors: No limit

Study Protocols

A study protocol (“methodology manuscript”) describes in detail the plan for conducting a specific clinical study and explains the purpose and function of the study as well as how to carry it out. Orthopaedic SPOT believes that publishing study protocols will help to improve the standard of orthopedics research. Study protocols will be published without peer review if the study receives ethics approval and a grant from a major funding body. Any protocols that do not meet both these criteria will be sent for external peer review.

Protocol manuscripts should report planned or ongoing research studies. If data collection is complete, we will not consider the manuscript. We encourage the submission of protocol manuscripts at an early stage of the study.

Study Protocols must abide by the following criteria in order to be considered for publication:

  • Papers must be for proposed or ongoing research and dates must be included in the manuscript. Articles that report work previously completed will not be considered.
  • Study protocols must have ethics approval (if applicable)
  • All considerations must adhere to the following EQUATOR guidelines: PRISMA-P (Preferred Reporting Items for Systematic review and Meta- Analysis Protocols); SPIRIT (Standard Protocol Items for Randomized Trials)
  • Registration is mandatory for any clinical trial as well as for any systematic review and meta- analysis protocols.
  • Approved registries for clinical trials need to meet all of the ICMJE Clinical Trial Registration guidelines. Trial Registration numbers will need to be included in the abstract.
  • Word limit: Up to 4000
  • Abstract: Up to 300; Structured
  • Keywords: 3-10
  • References: Up to 30
  • Figures/Tables: Maximum 3 tables/figures
  • Authors: No limit

Special Issue and Special Section

Special issues and special sections may be published on topics of interest.

7.4. Style Guide


I. Citations in the text
Superscript Arabic numerals are used in the text. Authors may be identified, but the reference number must always be given. References to unpublished data and personal communications should be made directly in the text and should not be numbered. Citation of a reference as “in press” implies that it has been accepted for publication.

Format of the reference list
Make sure that all the references mentioned in the Reference List are cited in the text, and vice-versa. References should be listed using Arabic numerals in the order in which they are cited in the text. The reference list should be added as part of the text, not as a footnote. Reference software specific reference codes are not allowed. Make sure that the data provided in the references are correct. When copying references, be careful as they may contain errors. References to published articles should include the name of the first author followed by the names of the other authors, article title, journal name and the year of publication, volume and pages. Journal names should be abbreviated according to the Medline style. A detailed description of the formats of different reference types can be found in “Uniform Requirements for Manuscripts Submitted to Biomedical Journals” ( List all the authors if there are six or fewer. Et al. should be added if there are more than six authors. It is mandatory to indicate the DOI (Digital Object Identifier) in all references that have it.


Published article:

  1. Less than 6 authors
    Sepehri A, Sidhu A, Masri BA. Total hip replacements in patients with rare pathologic conditions affecting bone. J Bone Joint Surg Am. 2021;103:1355-62. doi: 10.2106/JBJS.20.01398.
  2. More than 6 authors
    Sousa JM, Serrano A, Nave A, Mascarenhas V, Nogueira P, Gamelas J, et al. Transforaminal Endoscopic Approach to L5S1: Imaging Characterization of the Lower Lumbar Spine and Pelvis for Surgical Planning. World Neurosurg. 2023;175:e809-17. doi: 10.1016/j.wneu.2023.04.026.
  3. In press
    Senra AR, Carvalho DR, da Silva MR, Sousa AN, Torres J. Proximal femur geometry: a major predictor of proximal femur fracture subtypes. Hip Int. 2022 (in press). doi: 10.1177/11207000221129785.

Falaschi P, Marsh D, editors. Orthogeriatrics: The Management of Older Patients with Fragility Fractures. 2nd ed. Cham: Springer; 2021.

Book Chapter:
Ojeda-Thies C, Brent L, Currie CT, Costa M. Fragility Fracture Audit. In: Falaschi P, Marsh D, editors. Orthogeriatrics: The Management of Older Patients with Fragility Fractures. 2nd ed. Cham: Springer; 2021. Chapter 19. p. 71-130

Web page:
At the very least, the full URL should be given and the date on which the document was consulted. Any other information, if known (author names, dates, reference to a source publication, etc.), should also be given.
Andrew E. How To Control Someone Else’s Arm Using Your Brain. IFLScience; 2015 [accessed Jan 2023] Available from:

Uchino S, Taguri M. Epidemiology of cruciate ligament surgery in Japan: A retrospective cohort study from 2014 to 2019. Preprint at: medRxiv 2023.07.06.23292305; doi:

7.4.2. Style

The Orthopaedic SPOT follows AMA Manual of Style (11th Edition) and the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals (

Footnotes should be avoided. When necessary, they must be numbered consecutively and appear at the bottom of the appropriate page.

Acknowledgements (optional)
Collate acknowledgements in a separate section at the end of the article before the references; in order to thank all of those who contributed to the study but have no weight of authorship. In this section, you can thank all of the sources of support, whether financial, technological or consulting, as well as individual contributions.

Abbreviations should be used sparingly – only where they ease the reader’s task by reducing repetition of long, technical terms. Initially use the word in full, followed by the abbreviation in parentheses. Thereafter use the abbreviation only. This is not needed if the abbreviation is a unit of measure.

Numbers one through nine, must be written in length, except when they have decimals or if followed by units of measure. Numbers greater than nine are written in digits, except at the beginning of a sentence. The point is to be used as a decimal separator. A thousands separator should not be used. Numeric ranges must be separated by "–" (for example, 25-30). A space between a value and the respective unit of measure should be used (for example, 25-30 mg), except for percentages (for example, 3%) and temperature values (for example, 5ºC), which must be presented without a space.

Units of Measure
Units of measure in the International System of Units should be used. Measures of length, height, weight and volume should be expressed in metric units (meter, kilogram, or liter) or their decimal multiples. Temperatures should be written in degrees Celsius (°C), blood pressure in millimeters of mercury (mmHg), and hemoglobin in g/dL. All measurements should be referred to in the biochemical or hematological metric system according to the International System of Units (SI).

Names of Diseases
The names of diseases should be written with lowercase initial letter, except for those that contain toponyms or anthroponyms.

Trade names
Chemical substances should be referred to by the generic name only. Trade names should not used. Drugs should be referred to by their generic names. If proprietary drugs have been used in the study, refer to these by their generic name, mentioning the proprietary name, and the name and location of the manufacturer, in parentheses.

Names of instruments and equipment
Instruments of measurement, diagnosis or computer programs used in the study and mentioned in the manuscript should be presented in a general manner and by its commercial description, followed by the symbol ® and the name of the manufacturer, in parentheses.

Genes, mutations, genotypes and alleles
They must be written in italics. The recommended name should be consulted in a genetic nomenclature database (e.g. HUGO for human genes). Sometimes, it is advisable to indicate the gene synonyms the first time that it appears in the text. Gene prefixes such as those used for oncogenes or cellular localization should be shown in italics.

Tables and Figures
Tables should be self-contained and complement, but not duplicate, information contained in the text. Number tables consecutively in the text in Arabic numerals. Legends should be concise but comprehensive – the table, legend and footnotes must be understandable without reference to the text. Vertical lines should not be used to separate columns. Column headings should be brief, with units of measurement in parentheses; all abbreviations must be defined in footnotes. Footnote letters (a, b, c, d, etc.) must be used, not symbols and *, **, *** should be reserved for p-values. Figures - All illustrations (line drawings and photographs) are classified as figures. Figures should be numbered using Arabic numerals, and cited in consecutive order in the text. Each figure should have a legend (figure title and other explanatory text). For photographs of identifiable persons, the authors must obtain a signed consent for publication.

Each Figure and Table included in the manuscript must be referred to in the text: “An abnormal immune response can be at the source of the symptoms of the disease (Fig. 2). It is associated with the other two lesions (Table 1).” Figure: When referred to in the text is abbreviated as Fig., while Table is not abbreviated. In captions, both words are written unabbreviated. The submission must be made separately from the text in accordance with the instructions in the platform. The figure files must be provided in high resolution, 1200 dpi for graphics or line art and 500 dpi for photographs and other images. The color illustrations are published at no extra cost. Image files should be delivered in one of the following formats: JPEG (.jpg), Portable Document Format (.pdf), PowerPoint (.ppt), TIFF (.tif), Excel (.pptx). All previously published and copyrighted material, including illustrations (figures and tables), must be accompanied by the written permission of the copyright owner, and will have to present it in the submission.

Multimedia Files
The multimedia files must be sent in a separate file with the manuscript. The multimedia material must follow the quality standards of production for publication with no need of any modification or editing. Acceptable files include: MPEG, AVI or QuickTime formats.

Appendices will be published along with the accepted article. Appendices should be used to submit long or detailed surveys, extensive mathematical calculations and/or item lists. They should be placed after the reference list, if necessary, with captions. If more than one appendix is present, they should be identified as A, B, etc. Formulas and equations in appendices must be numbered separately: (A.1), (A.2), etc.; the next appendix should be named, (B.1) and so on. Similarly, for tables and figures, they should be named: Table A. 1; Fig. 1; A.1, etc.

8. After Acceptance

8.1. Author Appeal Policy

Sometimes editors make mistakes. If an author believes that an editor has made an error in declining a paper, we welcome an appeal. In your appeal letter, which should be sent to editorial office xxx@xxx, please state why you think the decision is mistaken and set out your specific responses to any peer reviewers’ comments, if those seem to have been the main cause of rejection. The appeal will be considered by the Editor-in-chief and other relevant editors. It is very rare that editorial decisions are overturned. The Orthopaedic SPOT response to the appeal will be final. Even if the journal agrees to reconsider the manuscript, acceptance is not guaranteed, and the reconsideration process may involve previous or new reviewers or editors and substantive revision.

8.2. Correction Policy

8.2.1. Corrections

Orthopaedic SPOT publishes changes, amendments or retractions to a previously published article if, after publication, errors or omissions are identified which affect the interpretation of the data or information. Changes to published articles that affect the interpretation and conclusion of the article, but do not fully invalidate the article, will, at the Editor-in-chief discretion, be corrected via publication of a Correction linked to the original article.

8.2.2. Retractions

On rare occasions, when the interpretation or conclusion of an article is substantially undermined, it may be necessary for published articles to be retracted. Orthopaedic SPOT will follow the COPE guidelines in such cases. Retraction notices are linked to the original article. The original article is watermarked as retracted and the title is amended with the prefix “Retracted article:”

8.2.3. Editorial Expressions of Concern

When an Editor becomes aware of serious concerns regarding interpretation or conclusion of a published article, they may choose to publish a statement alerting the readership. Scenarios in which Editorial Expressions of Concern may be published include prolonged investigations of very complex cases and when the concerns may have a significant and immediate impact on public health or public policy. An Editorial Expression of Concern may be superseded by a subsequent Correction or Retraction, but will remain part of the permanent published record.

8.2.4. Removal of Published Content

In exceptional circumstances, Orthopaedic SPOT reserves the right to remove an article, from online platform. Such action may be taken when a content is defamatory, infringes a third party’s intellectual property right, right to privacy, or other legal right, or is otherwise unlawful; a court or government order has been issued, or is likely to be issued, requiring removal of such content; content, if acted upon, would pose an immediate and serious risk to health. Removal may be temporary or permanent. Bibliographic metadata (e.g. title and authors) will be retained, and will be accompanied by a statement explaining why the content has been removed.

8.3. Misconduct Handling Policy

8.3.1. Research Misconduct

If there is suspicion that research has not taken place within an appropriate ethical framework, the Editor-in-chief may reject a manuscript and may inform third parties, for example, author(s)’ institution(s) and ethics committee(s). In cases of proven research misconduct involving published articles, or where the scientific integrity of the article is significantly undermined, articles may be retracted.

8.3.2. Data Falsification and Fabrication

Data falsification is manipulating research data with the intention of giving a false impression. This includes manipulating images, removing outliers or “inconvenient” results, changing, adding or omitting data points, etc. Data fabrication means the making up of research findings. Any questions regarding data integrity raised during or after the peer review process will be referred to the Editor-in-chief. If the original data cannot be produced, the manuscript may be rejected or, in the case of a published article, retracted. Cases of suspected misconduct will be reported to the author(s)’ institution(s).

8.3.3. Publication Misconduct

PJHN will follow the COPE guidelines outlining how to deal with cases of potential publication misconduct.

8.3.4. Plagiarism

If plagiarism is identified, the COPE guidelines on plagiarism will be followed.

8.4. Complaint Policy

Complaints about our processes or about publication ethics will in the first instance be handled by the Editor-in chief. For complaints about processes, such as time taken for review, the Editor will review and respond to the complainant's concerns. For complaints about publication ethics or scientific content, the Editor will follow guidelines published by the Committee on Publication Ethics. The Editor then decides on a course of action and provides feedback to the complainant.

9. Publication Process After Acceptance

9.1. Accepted Articles

After a manuscript has been accepted for publication, will be copyedited, and an electronic proof will be made available for author correction and approval. Authors will be notified by email when their proofs are ready.

9.2. Proof Reading

The proofs, edited by Orthopaedic SPOT technical and language polishing services, will be sent to the Authors before the article is published for approval of the layout and identification of any typographical errors Corresponding authors are provided with proofs via email to check for technical editing, copyediting, and/or typesetting errors. At this stage, only minor corrections are permitted. Corrections should be returned within 48 hours. Failure to comply with the proposed deadline exonerates the Orthopaedic SPOT from accepting the revision by the Authors in any of these stages and the revision can be carried out exclusively by the Orthopaedic SPOT services. After online publication, further changes can only be made in the form of an Erratum, which will be hyperlinked to the article.

9.3. Ahead of Print

The article will be published online after receipt of the corrected proofs. This is the official first publication citable with the DOI. After release of the issue version, the paper can also be cited by issue and page numbers.

10. Post Publication

10.1. Promotion

Articles published in Orthopaedic SPOT are included in article alerts and regular email updates. Some may be highlighted on Portuguese Society of Orthopedics and Traumatology homepage.

10.2. Access and Sharing

When the article is published online, the link to the published article will be shared through social media.

10.3. Author Interview

Your paper may be selected for a podcast. If so, the Web Editor will contact you to arrange a pre-recorded interview to discuss your paper.

11. Supplement Publication Policy

Orthopaedic SPOT will consider publication of sponsored supplements that are of interest to its readers and demonstrate scientific validity. The content must be of sufficient informational value and quality to warrant a separate journal issue and must have a unifying theme. Submission of a supplement from a symposium or conference must occur in a timely fashion; in general, supplements will not be published if the publication date is more than 12 months after the event. No more than 2 supplements per month will be published. Publication costs must be borne entirely by the sponsor(s).

A written proposal for the supplement must be submitted to the Editor-in-Chief for consideration. The proposal must contain:

  • The Guest Editor's or Coordinator's name, affiliation, and contact information;
  • Topic(s) to be covered by the supplement, with a preliminary table of contents;
  • If the supplement is to be based on a conference or symposium, information on dates, venue, and financial supporter(s);
  • An estimate of the total number of double-spaced manuscript pages; and
  • Sponsor(s) of the supplement.

A Guest Editor is a subject expert who is responsible for the content of the supplement, ensuring the quality of each component manuscript and its contribution to a cohesive, coherent whole. The Guest Editor is responsible for ensuring that all manuscripts are in final form before submitting. The Guest Editor may elect to write an introductory piece, but each article must be able to stand on its own. In the absence of a Guest Editor, the authors are fully responsible for ensuring that the articles are consistent with one another and that their manuscripts are in final form before submitting. In such cases, a Coordinator is responsible for handling all submissions and facilitating communications between the authors and the editorial office.

Orthopaedic SPOT can provide information on the journal’s production schedule and can recommend deadlines for receipt of materials that are intended to allow enough time for review, revision, and reconsideration of the supplement manuscripts. However, any estimated publication date is simply a projection based on the information available at the outset; whether it can be met will depend on submission of the completed manuscripts in a timely fashion, the nature of the review required, and the extent of mandatory revisions. Ideally, a supplement based on a conference or symposium should be planned so that authors provide the manuscripts to the Guest Editor or Coordinator at the time of the meeting.

The manuscripts must be prepared and submitted according to standards governing regular journal content. All supplements will undergo appropriate review of their contents. Manuscripts will almost invariably require revision; in addition, the Editor-in-Chief reserves the right to reject portions of the supplement, or the entire supplement. The editorial office will contact the Guest Editor or Coordinator regarding the decision to accept, reject, or require additional revisions. Once a supplement has been accepted it is formally scheduled for publication; changes to the publication date at this stage cannot be accommodated.

The supplement must contain a statement indicating the source(s) of funding. Furthermore, the Guest Editor or Coordinator must state what, if any, financial relationship they may have with the sponsor of the supplement. Likewise, all authors should disclose what, if any, financial relationship they have with the sponsor of the supplement, or the manufacturer of any products (or competing products) that are discussed in their manuscripts. Each manuscript must list any support received. If medical writer(s)/editor(s) have been involved, their role must be explicitly acknowledged, and their affiliation/source of funding must be listed. Additionally, if the sponsor has a financial interest in a product either directly or indirectly discussed in the manuscript, this relationship should be identified, along with the name of the product. Information about sponsorship and related products will be published with each article in the supplement. Articles published in an Orthopaedic SPOT supplement are subject to the same copyright restrictions that apply to articles published in regular journal issues.

Submission Preparation Checklist

All submissions must meet the following requirements.

  • This submission meets the requirements outlined in the Author Guidelines.
  • This submission has not been previously published, nor is it before another journal for consideration.
  • All references have been checked for accuracy and completeness.
  • All tables and figures have been numbered and labeled.
  • Permission has been obtained to publish all photos, datasets and other material provided with this submission.

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