The management of patients who have musculoskeletal trauma continues to evolve. Even procedures that are well entrenched as "gold standards" such as femoral nailing are being refined and improved. The literature in the past year has provided practical as well as theoretical solutions to common problems, methods for improved diagnosis of subtle injuries, and insight for the relative advantages of one treatment over another. The present update provides a synopsis of more than sixty of the most clinically relevant high-quality studies. The key methods (♦), results (➢), and take-home points (★) for these studies are presented.