ArticleCureus2026
A Four-Year Analysis of #OrthoTwitter Use During Match Week: Can X Be a Potential Equalizer for Students Left Unmatched?
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background The orthopedic surgery match has changed. Since the COVID-19 pandemic, orthopedic surgery candidates and residency programs have used #Orthotwitter to promote, advocate, and educate their followers. This study aimed to evaluate changes in the use of #OrthoTwitter and #OrthoMatch during Match Week over a four-year period, including trends in author type, post content, institutional affiliation, engagement, and posting activity, with particular attention to posts involving unmatched applicants. Methodology The top tweets containing the hashtags #Orthotwitter and/or #OrthoMatch during the 2021, 2022, 2023, and 2024 Match Week were reviewed and collected. Tweets between the years 2021, 2022, 2023, and 2024 were compared using the chi-square test. Differences in engagement between author type and content were analyzed using the Kruskal-Wallis H test. Results Of the 370 tweets in total, 25.6% (n = 92) were from 2024, 24.5% (n = 93) from 2023, 25% (n = 95) from 2022, and 23.7% (n = 90) from 2021. Over the course of four years, medical students (47.7%, n = 179) tweeted the most during #Orthotwitter Match week, followed by attendings (26.6%, n = 100), and third-party organizations (9.6%, n = 36). Conclusions #Orthotwitter over the course of the past four years has shifted from a focus on the thoughts of attendings and third-party organizations to medical students. Students are likely to share a negative match result, and third-party organizations and attendings are likely to tweet resources for unmatched orthopedic surgery candidates. As the #Orthomatch continues to evolve, we anticipate that Twitter can become a potential equalizing platform for students who are left unmatched on Match Day.
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