Texas is a unique state. The Lone Star symbolizes its independence as a republic, and is a reminder of its historic struggle for freedom until joining the Union in 1845. Texas is both the second largest and the second most populous state in the country—the distinction unmatched by any other state. However, Texas is arguably first in the sense of pride of its citizens in their state and in their rootedness.

In the United States, Texas ranks third in number of accredited orthopaedic surgery training programs. There are 13 orthopaedic residency programs in Texas, 11 civilian and 2 military, which total more than 300 orthopaedic residents and fellows. Moreover, almost 1,800 orthopaedic surgeons practice in Texas, representing expertise in every musculoskeletal subspecialty. It is apparent that Texas deserves an academic medium to articulate, integrate, and expand upon the intellectual potential and experience of its orthopaedic community. We are convinced that establishing a musculoskeletal science forum as unique as Texas itself—practical yet distinctive, useful yet innovative, broad yet pertinent—has considerable merit.

Texas occupies an exceptional niche in twenty-first century medical science. It is the home of the world’s largest medical center, largest children’s hospital, most renowned cancer center, busiest trauma centers, acclaimed cardiovascular centers, and elite space medicine programs to list a few. Texas has hundreds of full-service and specialty medical facilities as well as countless biomedical research laboratories and institutes, ensuring that Texas provides cutting-edge medical care and research.

We believe that a musculoskeletal science journal dedicated to Texas is long overdue, the Texas Orthopaedic Journal (TOJ) aims to address this void. The inaugural issue of TOJ is courtesy of the editorial efforts of the University of Texas Medical Branch (UTMB) Department of Orthopaedic Surgery and Rehabilitation. Although the editorial activities of TOJ reside in Galveston, we envision TOJ including an editorial board drawn from a broad institutional and geographic representation of Texas. We desire that TOJ becomes a vibrant platform for expressing the clinical and research talents of the Texas orthopaedic community. Our subsequent plans are to procure an International Standard Serial Number (ISSN), attain indexing in MEDLINE, and achieve a significant impact factor. Most importantly, we foresee TOJ capturing the extraordinary spirit that has always characterized Texas—big, bold, brash, and above all—relevant.

Ronald W. Lindsey, MD
Zbigniew Gugala, MD, PhD
TOJ Editors-in-Chief