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Performance

· 15 checks — Lighthouse + waterfall + sustainability rolled into one auditable list.
SCORE
65
GRADE
D
FIX
5
REVIEW
3
PASS
5
INFO
2

Performance-focused optimization plan with CWV assessment, top offenders, and time estimates

Mobile Desktop
57
Performance Overall performance score (0–100) based on Core Web Vitals and other metrics. 90+ is good.
78
Accessibility Measures how accessible the page is for users with disabilities. Checks color contrast, ARIA labels, and semantic HTML.
73
Best Practices Checks for modern web development best practices including HTTPS, no console errors, and secure JavaScript.
83
SEO Measures basic SEO optimizations: meta tags, crawlability, link text, and mobile friendliness.

First Contentful Paint First Contentful Paint — how long until the browser renders the first piece of content. Under 1.8s is good.

3.02 s

Largest Contentful Paint Largest Contentful Paint — how long until the largest visible element loads. Under 2.5s is good.

4.84 s

Total Blocking Time Total Blocking Time — total time the main thread was blocked, preventing user input. Under 200ms is good.

112 ms

Cumulative Layout Shift Cumulative Layout Shift — measures visual stability. How much the page layout shifts during loading. Under 0.1 is good.

0.020

Speed Index Speed Index — how quickly content is visually displayed during load. Under 3.4s is good.

5.85 s

Time to Interactive Time to Interactive — how long until the page is fully interactive and responds to user input. Under 3.8s is good.

10.27 s

Page Load Progression

959 ms
1.9 s
2.9 s
3.8 s
4.8 s
5.8 s
6.7 s
7.7 s
Checks
15
5 PASS 3 REVIEW 5 FIX
F
Page Weight Budget
Action
9.2 MB transferred, 132 requests
FIX
9.2 MB transferred, 132 requests
Critical::
Page weighs 12.7 MB (9.2 MB transferred)
Warning::
JavaScript is 5.0 MB — consider code splitting or lazy loading
Large JavaScript bundles delay interactivity. Split code by route or defer non-critical scripts.
Got: 5.0 MB
Warning::
Images are 3.1 MB — compress or use modern formats
Convert images to WebP/AVIF and resize to display dimensions to reduce transfer size.
Got: 3.1 MB
Info::
CSS is 908 KB — consider purging unused styles
Remove unused CSS rules with tools like PurgeCSS to reduce stylesheet size.
Got: 908 KB
Warning::
132 HTTP requests — consider bundling or reducing
Each request adds latency. Bundle small files, use sprites, or eliminate unnecessary requests.
Info::
Estimated 1.9 g CO2 per page load
9.2 MB / 2.4 MB budget
9.2 MB transferred
132 requests
1.9 g CO2 per page load
JavaScript 5.0 MiB 54%
Images 3.1 MiB 34%
CSS 908.4 KiB 10%
HTML 85.6 KiB 1%
Fonts 67.1 KiB 1%
Other 65.6 KiB 1%
Other 32.9 KiB 0%
Other 22.1 KiB 0%
Other 677 B 0%
Other 0 B 0%
0 2.4 MB 4.9 MB
Over budget

Large JavaScript bundles delay interactivity. Split code by route or defer non-critical scripts.

Why this matters

JavaScript bundle is large — code-split routes and lazy-load off-screen components to defer.

Source: web.dev

Convert images to WebP/AVIF and resize to display dimensions to reduce transfer size.

Why this matters

Image bandwidth is high — modern formats (WebP/AVIF) and resizing typically cut it 50%+.

Source: web.dev

Remove unused CSS rules with tools like PurgeCSS to reduce stylesheet size.

Why this matters

CSS bundle is large — purge unused styles (PurgeCSS, Tailwind JIT) to reduce CSS payload.

Source: web.dev

Each request adds latency. Bundle small files, use sprites, or eliminate unnecessary requests.

Why this matters

High HTTP request count — bundling, sprite-ing, and HTTP/2 server push can reduce per-request overhead.

Source: web.dev

D
Third-Party Impact
Action
100% third-party, 0 ms blocking
FIX
100% third-party, 0 ms blocking
Warning::
Third-party code accounts for 100% of page weight (9.2 MiB of 9.2 MiB)
Info::
Third-party blocking time is low (0 ms)
100%
First-party Third-party
F
JS Bundles
Action
44 scripts, 2.5 MB unused
FIX
44 scripts, 2.5 MB unused
Warning::
https://www.aaos.org/assets/client/dist/js/shared....: 2.0 MB unused (62%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://securepubads.g.doubleclick.net/pagead/mana...: 103 KB unused (55%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://www.googletagmanager.com/gtm.js?id=GTM-TSX...: 70 KB unused (39%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://www.aaos.org/assets/client/dist/js/shareth...: 70 KB unused (59%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://www.aaos.org/assets/client/dist/js/shareth...: unminified — 31 KB could be saved
Warning::
https://www.googletagmanager.com/gtag/js?id=G-X356...: 65 KB unused (36%)
Consider code splitting or tree shaking to reduce unused code.
Info::
Total unused JavaScript: 2.5 MB
2588 KB unused JavaScript

Downloaded but never executed on this page.

ScriptSizeUnusedMinifiedParty
https://www.aaos.org/assets/client/dist/js/shared.bundle.min.js?v=2o4lyh3fhHcwhuJX0u4d1eDzRnN3xSFeSkioCT4i2fI3497 KB2073 KB (62%)✓3rd
https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604160201/pubads_impl.js?cb=31097945188 KB103 KB (55%)✓3rd
https://www.googletagmanager.com/gtm.js?id=GTM-TSXTNW179 KB70 KB (39%)✓3rd
https://www.aaos.org/assets/client/dist/js/sharethis.min.js119 KB70 KB (59%)✗3rd
https://www.googletagmanager.com/gtag/js?id=G-X356FDBRVK&cx=c&gtm=4e64k0179 KB65 KB (36%)✓3rd
https://www.googletagmanager.com/gtag/js?id=AW-1001366057&cx=c&gtm=4e64k0146 KB61 KB (42%)✓3rd
https://pagead2.googlesyndication.com/pagead/managed/js/activeview/current/ufs_web_display.js0 KB31 KB (42%)✓3rd
https://pagead2.googlesyndication.com/pagead/managed/js/activeview/current/ufs_web_display.js73 KB31 KB (42%)✓3rd
https://connect.facebook.net/en_US/fbevents.js97 KB30 KB (31%)✓3rd
https://cdn.optimizely.com/js/8286478868.js70 KB30 KB (43%)✓3rd

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

F
Page Weight Inventory
Action
132 resources · 9.2 MB · 2.5 MB savings available
FIX
132 resources · 9.2 MB · 2.5 MB savings available
Warning::
Page weight 8.2 MB over 1MB target
Got: 9.2 MB Expected: ≤ 1 MB
Info::
~2.5 MB of savings available
Warning::
131 third-party resources (100% of weight)
Info::
6 resources over 200KB
132 resources · 9.2 MiB · 131 third-party 8.2 MiB over 1MB target
JavaScript 54% · 5.0 MiB
Image 34% · 3.2 MiB
CSS 10% · 908.4 KiB
Document 1% · 85.7 KiB
Other 1% · 78.8 KiB
Font 1% · 67.1 KiB

~2.5 MiB of savings available

Remove unused JavaScript: 2.5 MiB
F
HTTP Caching
Action
No cache headers
FIX
No cache headers
Warning::
No Cache-Control header found
Browsers will use heuristic caching, which can be unpredictable. Set explicit cache headers.

No Cache-Control header

Adding a Cache-Control header can significantly improve repeat-visit performance.

C
Image Optimization
Action
45 images, 0 KB saveable
REVIEW
45 images, 0 KB saveable
Warning::
https://www.aaos.org/globalassets/aaos-global/foot... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-home/images... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-home/images... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-home/images... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-global/aaos... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-global/aaos... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-home/images... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-global/foot... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-home/images... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-home/images... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://www.aaos.org/globalassets/aaos-home/images... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
45 images 3.1 MB
0 oversized -0 KB
41 legacy format
11 missing dimensions CLS risk

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

C
JS Execution Cost
Action
1573ms total JS execution
REVIEW
1573ms total JS execution
Warning::
https://www.aaos.org/: 366ms CPU time
Warning::
https://www.aaos.org/assets/client/dist/js/shared....: 251ms CPU time
Info::
https://securepubads.g.doubleclick.net/pagead/mana...: 189ms CPU time
Info::
Unattributable: 139ms CPU time
Info::
https://js.hs-analytics.net/analytics/177689400000...: 107ms CPU time
Warning::
Third-party scripts: 1573ms (100% of total)

Main Thread Breakdown

Script Evaluation 57% Other 13% Script Parsing & Compilation 10% Style & Layout 8% Rendering 8%
ScriptTotalScriptingParse/CompileParty
https://www.aaos.org/366ms67ms3ms3rd
https://www.aaos.org/assets/client/dist/js/shared.bundle.min.js?v=2o4lyh3fhHcwhuJX0u4d1eDzRnN3xSFeSkioCT4i2fI251ms159ms68ms3rd
https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604160201/pubads_impl.js?cb=31097945189ms112ms18ms3rd
Unattributable139ms13ms0ms3rd
https://js.hs-analytics.net/analytics/1776894000000/20984690.js107ms96ms2ms3rd
https://www.googletagmanager.com/gtag/js?id=G-X356FDBRVK&cx=c&gtm=4e64k0107ms83ms12ms3rd
https://pagead2.googlesyndication.com/pagead/managed/js/activeview/current/ufs_web_display.js106ms91ms9ms3rd
https://www.googletagmanager.com/gtm.js?id=GTM-TSXTNW103ms85ms13ms3rd
https://www.aaos.org/bnith__n7QbTDQkVCS4hxJtGScCKyCwNgzOJqCo9kIOT-LZL_dBX1fTYLGNh_XAZV2MYTlBoZ84kr4XG1k=94ms36ms1ms3rd
https://www.googletagmanager.com/gtag/js?id=AW-1001366057&cx=c&gtm=4e64k061ms51ms9ms3rd

Showing top 10 of 11 scripts

C
Green Hosting
Action
Whether the site is served from green-energy infrastructure
REVIEW

Green Hosting

No green hosting detected

A+
Text Compression
All text resources are compressed
PASS
All text resources are compressed
Info::
All text resources are compressed
All text resources are properly compressed.
A+
Font Loading
4 fonts (67 KB)
PASS
4 fonts (67 KB)
Info::
4 font(s) use font-display: swap (FOUT risk but functional)

Web fonts

4

67 KB total

Render-blocking

0

of 4

Dominant font-display

swap

Most common across fonts

Font loading timeline
Transfer FOIT (block) FOUT (swap)
0 ms 1.0 s 2.0 s 3.0 s 4.0 s 5.0 s FCP 3.0 s LCP 4.8 shttps://www.aaos.org/assets/client/dist/fonts/OpenSans-Regular-webfont.woffOpenSans-Regular-webfon... https://www.aaos.org/assets/client/dist/fonts/OpenSans-Regular-webfont.woff — 20.9 KiB — 224 ms — font-display: swaphttps://www.aaos.org/assets/client/dist/fonts/OpenSans-Semibold-webfont.woffOpenSans-Semibold-webfo... https://www.aaos.org/assets/client/dist/fonts/OpenSans-Semibold-webfont.woff — 21.0 KiB — 285 ms — font-display: swaphttps://cdn.icomoon.io/165603/AAOS-Glyphs/aaos-glyphs.woff2?n75wbjaaos-glyphs.woff2 https://cdn.icomoon.io/165603/AAOS-Glyphs/aaos-glyphs.woff2?n75wbj — 4.4 KiB — 102 ms — font-display: swaphttps://www.aaos.org/assets/client/dist/fonts/OpenSans-Bold-webfont.woffOpenSans-Bold-webfont.woff https://www.aaos.org/assets/client/dist/fonts/OpenSans-Bold-webfont.woff — 20.9 KiB — 303 ms — font-display: swap
OpenSans-Regular-webfon... woff swap
Size 21 KB
Load time 224 ms
Start 3.4 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
OpenSans-Semibold-webfo... woff swap
Size 21 KB
Load time 285 ms
Start 3.7 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
aaos-glyphs.woff2 woff2 swap
Size 4 KB
Load time 102 ms
Start 3.7 s
Risk FOUT — text flashes from fallback to web font
OpenSans-Bold-webfont.woff woff swap
Size 21 KB
Load time 303 ms
Start 3.7 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
Optimization checklist
  • Preload critical fonts (priority=high)
  • Use woff2 format for all fonts
  • Set font-display to swap, optional, or fallback
  • Subset large fonts (≤100 KB each)

Fixing the unchecked items could save ~19 KB and ~38 ms

A+
Resource Caching
All resources properly cached
PASS
All resources properly cached
Info::
No caching issues found
All static resources have appropriate caching headers.
A+
Critical Rendering Path
No render-blocking resources
PASS
No render-blocking resources
Info::
No render-blocking resources detected
A+
Resource Hints
No optimization needed
PASS
No optimization needed
Info::
No resource hint issues
Network Waterfall
132 requests over 7442ms
INFO
0 ms 1.0 s 2.0 s 3.0 s 4.0 s 5.0 s 6.0 s 7.0 s FCP 3.0 s LCP 4.8 shttps://aaos.org// https://aaos.org/ — 301 — 130 B — 390 ms — http/1.1https://www.aaos.org/www.aaos.org/ https://www.aaos.org/ — 200 — 71.3 KiB — 2.3 s — http/1.1https://www.googletagservices.com/tag/js/gpt.jswww.googletagservices.com/tag/js/gp... https://www.googletagservices.com/tag/js/gpt.js — 200 — 34.0 KiB — 132 ms — h2https://securepubads.g.doubleclick.net/tag/js/gpt.jssecurepubads.g.doubleclick.net/tag/... https://securepubads.g.doubleclick.net/tag/js/gpt.js — 200 — 33.6 KiB — 110 ms — h3https://www.aaos.org/assets/client/dist/css/shared.css?v=DyNp7GP9lbgkjaVPGpFKKUfTRMr2YnCOYPDsNI1PHUIwww.aaos.org/assets/client/dist/css... https://www.aaos.org/assets/client/dist/css/shared.css?v=DyNp7GP9lbgkjaVPGpFKKUfTRMr2YnCOYPDsNI1PHUI — 200 — 502.8 KiB — 690 ms — http/1.1https://www.aaos.org/assets/client/dist/css/shared.min.css?v=umYL0barViuBUNcycgELDUf5hmMrNSAGyd1aAhZ5PRUwww.aaos.org/assets/client/dist/css... https://www.aaos.org/assets/client/dist/css/shared.min.css?v=umYL0barViuBUNcycgELDUf5hmMrNSAGyd1aAhZ5PRU — 200 — 405.6 KiB — 945 ms — http/1.1https://cdn.jsdelivr.net/npm/es6-promise@4/dist/es6-promise.min.jscdn.jsdelivr.net/npm/es6-promise@4/... https://cdn.jsdelivr.net/npm/es6-promise@4/dist/es6-promise.min.js — 200 — 2.8 KiB — 13 ms — h2https://cdn.jsdelivr.net/npm/es6-promise@4/dist/es6-promise.auto.min.jscdn.jsdelivr.net/npm/es6-promise@4/... https://cdn.jsdelivr.net/npm/es6-promise@4/dist/es6-promise.auto.min.js — 200 — 2.6 KiB — 14 ms — h2https://www.aaos.org/globalassets/aaos-global/aaos-logo-image-1.svgwww.aaos.org/globalassets/aaos-glob... https://www.aaos.org/globalassets/aaos-global/aaos-logo-image-1.svg — 200 — 36.9 KiB — 541 ms — http/1.1https://www.aaos.org/globalassets/aaos-home/images/hero-images/am27_hero_cfa_april-1.gifwww.aaos.org/globalassets/aaos-home... https://www.aaos.org/globalassets/aaos-home/images/hero-images/am27_hero_cfa_april-1.gif — 200 — 785.3 KiB — 1.1 s — http/1.1https://securepubads.g.doubleclick.net/pagead/ppub_config?ippd=www.aaos.orgsecurepubads.g.doubleclick.net/page... https://securepubads.g.doubleclick.net/pagead/ppub_config?ippd=www.aaos.org — 200 — 71 B — 34 ms — h3https://s3.amazonaws.com/aaosjs/jquery.onscreen.jss3.amazonaws.com/aaosjs/jquery.onsc... https://s3.amazonaws.com/aaosjs/jquery.onscreen.js — -1 — 0 B — 960 ms — https://www.aaos.org/globalassets/aaos-home/images/cta-images/ovt-awards2024_1093x615.jpgwww.aaos.org/globalassets/aaos-home... https://www.aaos.org/globalassets/aaos-home/images/cta-images/ovt-awards2024_1093x615.jpg — 200 — 263.0 KiB — 398 ms — http/1.1https://www.aaos.org/globalassets/aaos-home/images/cta-images/map_webcard.gifwww.aaos.org/globalassets/aaos-home... https://www.aaos.org/globalassets/aaos-home/images/cta-images/map_webcard.gif — 200 — 78.8 KiB — 147 ms — http/1.1https://www.aaos.org/globalassets/aaos-home/images/cta-images/common-fractures-cta.jpgwww.aaos.org/globalassets/aaos-home... https://www.aaos.org/globalassets/aaos-home/images/cta-images/common-fractures-cta.jpg — 200 — 162.7 KiB — 552 ms — http/1.1https://www.aaos.org/assets/client/dist/js/shared.bundle.min.js?v=2o4lyh3fhHcwhuJX0u4d1eDzRnN3xSFeSkioCT4i2fIwww.aaos.org/assets/client/dist/js/... https://www.aaos.org/assets/client/dist/js/shared.bundle.min.js?v=2o4lyh3fhHcwhuJX0u4d1eDzRnN3xSFeSkioCT4i2fI — 200 — 3.4 MiB — 708 ms — http/1.1https://www.googletagmanager.com/gtm.js?id=GTM-TSXTNWwww.googletagmanager.com/gtm.js?id=... https://www.googletagmanager.com/gtm.js?id=GTM-TSXTNW — 200 — 179.1 KiB — 187 ms — h2https://www.google-analytics.com/analytics.jswww.google-analytics.com/analytics.... https://www.google-analytics.com/analytics.js — 200 — 20.9 KiB — 106 ms — h2https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604160201/pubads_impl.js?cb=31097945securepubads.g.doubleclick.net/page... https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604160201/pubads_impl.js?cb=31097945 — 200 — 187.7 KiB — 83 ms — h3https://js.monitor.azure.com/scripts/b/ai.2.min.jsjs.monitor.azure.com/scripts/b/ai.2... https://js.monitor.azure.com/scripts/b/ai.2.min.js — 200 — 46.2 KiB — 145 ms — h2https://www.aaos.org/bnith__n7QbTDQkVCS4hxJtGScCKyCwNgzOJqCo9kIOT-LZL_dBX1fTYLGNh_XAZV2MYTlBoZ84kr4XG1k=www.aaos.org/bnith__n7QbTDQkVCS4hxJ... https://www.aaos.org/bnith__n7QbTDQkVCS4hxJtGScCKyCwNgzOJqCo9kIOT-LZL_dBX1fTYLGNh_XAZV2MYTlBoZ84kr4XG1k= — 200 — 65.4 KiB — 230 ms — http/1.1https://www.aaos.org/assets/client/dist/fonts/OpenSans-Regular-webfont.woffwww.aaos.org/assets/client/dist/fon... https://www.aaos.org/assets/client/dist/fonts/OpenSans-Regular-webfont.woff — 200 — 20.9 KiB — 224 ms — 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h2https://scripts.clarity.ms/0.8.60-beta/clarity.jsscripts.clarity.ms/0.8.60-beta/clar... https://scripts.clarity.ms/0.8.60-beta/clarity.js — 200 — 25.0 KiB — 145 ms — h2https://sidebar.bugherd.com/embed.js?apikey=nullsidebar.bugherd.com/embed.js?apikey... https://sidebar.bugherd.com/embed.js?apikey=null — 200 — 7.7 KiB — 36 ms — h2https://polo.feathr.co/v1/analytics/match/script.js?a_id=62edddcef1309055b1d4cee7&pk=feathrpolo.feathr.co/v1/analytics/match/s... https://polo.feathr.co/v1/analytics/match/script.js?a_id=62edddcef1309055b1d4cee7&pk=feathr — 200 — 440 B — 256 ms — h2https://polo.feathr.co/v1/accounts/62edddcef1309055b1d4cee7/pixel.js?pk=feathrpolo.feathr.co/v1/accounts/62edddce... https://polo.feathr.co/v1/accounts/62edddcef1309055b1d4cee7/pixel.js?pk=feathr — 200 — 645 B — 141 ms — 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http/1.0https://www.facebook.com/tr/?id=385463003039708&ev=PageView&dl=https%3A%2F%2Fwww.aaos.org%2F&rl=&if=false&ts=1776894197988&sw=800&sh=600&v=2.9.303&r=stable&a=tmSimo-GTM-WebTemplate&ec=1&o=4126&fbp=fb.1.1776894197921.774745048627482694&cs_est=true&ler=empty&cdl=API_unavailable&plt=4399.299999237061&it=1776894196987&coo=false&expv2[0]=pl1&expv2[1]=el2&expv2[2]=bc1&expv2[3]=ra0&expv2[4]=rp0&expv2[5]=ct2&expv2[6]=hf1&rqm=GETwww.facebook.com/tr/?id=38546300303... https://www.facebook.com/tr/?id=385463003039708&ev=PageView&dl=https%3A%2F%2Fwww.aaos.org%2F&rl=&if=false&ts=1776894197988&sw=800&sh=600&v=2.9.303&r=stable&a=tmSimo-GTM-WebTemplate&ec=1&o=4126&fbp=fb.1.1776894197921.774745048627482694&cs_est=true&ler=empty&cdl=API_unavailable&plt=4399.299999237061&it=1776894196987&coo=false&expv2[0]=pl1&expv2[1]=el2&expv2[2]=bc1&expv2[3]=ra0&expv2[4]=rp0&expv2[5]=ct2&expv2[6]=hf1&rqm=GET — 200 — 100 B — 304 ms — h2https://www.facebook.com/privacy_sandbox/pixel/register/trigger/?id=385463003039708&ev=PageView&dl=https%3A%2F%2Fwww.aaos.org%2F&rl=&if=false&ts=1776894197988&sw=800&sh=600&v=2.9.303&r=stable&a=tmSimo-GTM-WebTemplate&ec=1&o=4126&fbp=fb.1.1776894197921.774745048627482694&cs_est=true&ler=empty&cdl=API_unavailable&plt=4399.299999237061&it=1776894196987&coo=false&expv2[0]=pl1&expv2[1]=el2&expv2[2]=bc1&expv2[3]=ra0&expv2[4]=rp0&expv2[5]=ct2&expv2[6]=hf1&rqm=FGETwww.facebook.com/privacy_sandbox/pi... https://www.facebook.com/privacy_sandbox/pixel/register/trigger/?id=385463003039708&ev=PageView&dl=https%3A%2F%2Fwww.aaos.org%2F&rl=&if=false&ts=1776894197988&sw=800&sh=600&v=2.9.303&r=stable&a=tmSimo-GTM-WebTemplate&ec=1&o=4126&fbp=fb.1.1776894197921.774745048627482694&cs_est=true&ler=empty&cdl=API_unavailable&plt=4399.299999237061&it=1776894196987&coo=false&expv2[0]=pl1&expv2[1]=el2&expv2[2]=bc1&expv2[3]=ra0&expv2[4]=rp0&expv2[5]=ct2&expv2[6]=hf1&rqm=FGET — 200 — 2.5 KiB — 577 ms — h2https://www.facebook.com/tr/?id=1186724135617250&ev=PageView&dl=https%3A%2F%2Fwww.aaos.org%2F&rl=&if=false&ts=1776894197989&sw=800&sh=600&v=2.9.303&r=stable&ec=0&o=4124&fbp=fb.1.1776894197921.774745048627482694&ler=empty&cdl=API_unavailable&plt=4399.299999237061&it=1776894196987&coo=false&expv2[0]=pl1&expv2[1]=el2&expv2[2]=bc1&expv2[3]=ra0&expv2[4]=rp0&expv2[5]=ct2&expv2[6]=hf1&expv2[7]=pt1&rqm=GETwww.facebook.com/tr/?id=11867241356... https://www.facebook.com/tr/?id=1186724135617250&ev=PageView&dl=https%3A%2F%2Fwww.aaos.org%2F&rl=&if=false&ts=1776894197989&sw=800&sh=600&v=2.9.303&r=stable&ec=0&o=4124&fbp=fb.1.1776894197921.774745048627482694&ler=empty&cdl=API_unavailable&plt=4399.299999237061&it=1776894196987&coo=false&expv2[0]=pl1&expv2[1]=el2&expv2[2]=bc1&expv2[3]=ra0&expv2[4]=rp0&expv2[5]=ct2&expv2[6]=hf1&expv2[7]=pt1&rqm=GET — 200 — 100 B — 305 ms — 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h2https://cta-service-cms2.hubspot.com/web-interactives/public/v1/embed/combinedConfigs?portalId=20984690&currentUrl=https%3A%2F%2Fwww.aaos.org%2Fcta-service-cms2.hubspot.com/web-in... https://cta-service-cms2.hubspot.com/web-interactives/public/v1/embed/combinedConfigs?portalId=20984690&currentUrl=https%3A%2F%2Fwww.aaos.org%2F — 200 — 1.1 KiB — 130 ms — h2https://securepubads.g.doubleclick.net/pagead/managed/dict/m202604210101/gptsecurepubads.g.doubleclick.net/page... https://securepubads.g.doubleclick.net/pagead/managed/dict/m202604210101/gpt — 200 — 23.0 KiB — 35 ms — h3https://sidebar.bugherd.com/sidebar/embed_html?apikey=nullsidebar.bugherd.com/sidebar/embed_h... https://sidebar.bugherd.com/sidebar/embed_html?apikey=null — 200 — 5.5 KiB — 66 ms — h2https://sidebar.bugherd.com/assets/bh_logo_short-1d6af89eca7e694074a6e0bd9201111a89f1683346b813c99cd5b395cf7d7e23.pngsidebar.bugherd.com/assets/bh_logo_... 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https://pagead2.googlesyndication.com/pcs/activeview?xai=AKAOjstoiNP5v4KqA_DLLDtwaO76VlRNZ6wjye4dJmZKit6O5PjRydkmUF5BMkKSwdv9f0JY46d06idvEs2QlaUXkgI5kauncB0vN3O10pHkq2Ig2JDvD0t7pvb5U-mC31LxoBdK7a405CtruPNvAPd0-YGsAupL4wt7q6n2nR-pVxmNx7IYHrCcGqDTnQ&sig=Cg0ArKJSzHVz25ZE0o98EAE&id=lidar2&mcvt=1012&p=845,311,935,1039&tm=1241.3000001907349&tu=229.5&mtos=1012,1012,1012,1012,1012&tos=1012,0,0,0,0&v=20260420&bin=7&avms=nio&bs=1350,940&mc=1&vu=1&app=0&itpl=0&adk=1810140407&rs=4&la=0&cr=0&uach=WyJtYWNPUyIsIjEwLjE1LjciLCJ4ODYiLCIiLCIxNDcuMC4wLjAiLG51bGwsMCxudWxsLCI2NCIsW1siQ2hyb21pdW0iLCIxNDcuMC43NzI3LjEwMSJdLFsiTm90LkEvQnJhbmQiLCI4LjAuMC4wIl1dLDBd&vs=4&r=v&co=7282699700&rst=1776894197151&rpt=403&isd=0&lsd=0&met=mue&wmsd=0&pbe=0&fle=0&vae=0&spb=0&sfl=0&ffslot=0&reach=8&io2=0 — 200 — 65 B — 32 ms — h3https://www.aaos.org/contentassets/72faca73833746f98645bc3cea94db5f/favicon_01.icowww.aaos.org/contentassets/72faca73... https://www.aaos.org/contentassets/72faca73833746f98645bc3cea94db5f/favicon_01.ico — 200 — 42.0 KiB — 143 ms — http/1.1https://dc.services.visualstudio.com/v2/trackdc.services.visualstudio.com/v2/tra... https://dc.services.visualstudio.com/v2/track — 204 — 0 B — 233 ms — h2https://ep2.adtrafficquality.google/sodar/sodar2.jsep2.adtrafficquality.google/sodar/s... https://ep2.adtrafficquality.google/sodar/sodar2.js — 200 — 7.9 KiB — 118 ms — h2https://connect.facebook.net/signals/config/829587140118286?v=2.9.303&r=stable&domain=www.aaos.org&hme=97937018cefade17726f0472876fc101316b2ce9008a35a6a5a7977d7436151a&ex_m=104%2C205%2C154%2C22%2C72%2C73%2C145%2C68%2C67%2C11%2C162%2C90%2C16%2C138%2C127%2C39%2C75%2C78%2C134%2C159%2C164%2C8%2C4%2C5%2C7%2C6%2C3%2C91%2C101%2C165%2C170%2C219%2C62%2C186%2C187%2C55%2C276%2C30%2C74%2C231%2C230%2C229%2C23%2C33%2C103%2C61%2C10%2C63%2C97%2C98%2C99%2C105%2C130%2C31%2C29%2C132%2C133%2C129%2C128%2C155%2C76%2C158%2C156%2C157%2C50%2C60%2C123%2C15%2C161%2C45%2C263%2C264%2C262%2C26%2C27%2C28%2C48%2C146%2C77%2C112%2C18%2C20%2C44%2C40%2C42%2C41%2C83%2C92%2C96%2C110%2C144%2C147%2C46%2C111%2C24%2C21%2C119%2C69%2C36%2C149%2C148%2C150%2C141%2C139%2C25%2C35%2C59%2C109%2C160%2C70%2C17%2C152%2C114%2C81%2C66%2C19%2C85%2C86%2C116%2C84%2C136%2C135%2C34%2C278%2C293%2C212%2C201%2C202%2C200%2C296%2C288%2C52%2C213%2C107%2C131%2C80%2C121%2C54%2C47%2C49%2C113%2C120%2C126%2C58%2C64%2C151%2C115%2C37%2C32%2C53%2C56%2C100%2C163%2C1%2C124%2C14%2C122%2C12%2C2%2C57%2C93%2C65%2C118%2C89%2C88%2C166%2C167%2C94%2C95%2C9%2C125%2C102%2C51%2C142%2C87%2C79%2C71%2C117%2C106%2C43%2C143%2C0%2C82%2C137%2C140%2C153%2C38%2C108%2C13%2C168%2C228%2C227%2C222%2C224%2C225%2C226%2C223%2C211%2C221%2C233%2C193%2C190%2C191%2C185%2C189%2C192%2C188%2C183%2C316%2C196%2C215%2C184%2C182%2C210%2C235%2C206%2C180%2C181%2C179%2C315%2C194connect.facebook.net/signals/config... https://connect.facebook.net/signals/config/829587140118286?v=2.9.303&r=stable&domain=www.aaos.org&hme=97937018cefade17726f0472876fc101316b2ce9008a35a6a5a7977d7436151a&ex_m=104%2C205%2C154%2C22%2C72%2C73%2C145%2C68%2C67%2C11%2C162%2C90%2C16%2C138%2C127%2C39%2C75%2C78%2C134%2C159%2C164%2C8%2C4%2C5%2C7%2C6%2C3%2C91%2C101%2C165%2C170%2C219%2C62%2C186%2C187%2C55%2C276%2C30%2C74%2C231%2C230%2C229%2C23%2C33%2C103%2C61%2C10%2C63%2C97%2C98%2C99%2C105%2C130%2C31%2C29%2C132%2C133%2C129%2C128%2C155%2C76%2C158%2C156%2C157%2C50%2C60%2C123%2C15%2C161%2C45%2C263%2C264%2C262%2C26%2C27%2C28%2C48%2C146%2C77%2C112%2C18%2C20%2C44%2C40%2C42%2C41%2C83%2C92%2C96%2C110%2C144%2C147%2C46%2C111%2C24%2C21%2C119%2C69%2C36%2C149%2C148%2C150%2C141%2C139%2C25%2C35%2C59%2C109%2C160%2C70%2C17%2C152%2C114%2C81%2C66%2C19%2C85%2C86%2C116%2C84%2C136%2C135%2C34%2C278%2C293%2C212%2C201%2C202%2C200%2C296%2C288%2C52%2C213%2C107%2C131%2C80%2C121%2C54%2C47%2C49%2C113%2C120%2C126%2C58%2C64%2C151%2C115%2C37%2C32%2C53%2C56%2C100%2C163%2C1%2C124%2C14%2C122%2C12%2C2%2C57%2C93%2C65%2C118%2C89%2C88%2C166%2C167%2C94%2C95%2C9%2C125%2C102%2C51%2C142%2C87%2C79%2C71%2C117%2C106%2C43%2C143%2C0%2C82%2C137%2C140%2C153%2C38%2C108%2C13%2C168%2C228%2C227%2C222%2C224%2C225%2C226%2C223%2C211%2C221%2C233%2C193%2C190%2C191%2C185%2C189%2C192%2C188%2C183%2C316%2C196%2C215%2C184%2C182%2C210%2C235%2C206%2C180%2C181%2C179%2C315%2C194 — 200 — 31.5 KiB — 5 ms — h3https://ep2.adtrafficquality.google/sodar/sodar2/254/runner.htmlep2.adtrafficquality.google/sodar/s... https://ep2.adtrafficquality.google/sodar/sodar2/254/runner.html — 200 — 5.8 KiB — 85 ms — h2https://dc.services.visualstudio.com/v2/trackdc.services.visualstudio.com/v2/tra... https://dc.services.visualstudio.com/v2/track — 200 — 202 B — 171 ms — h2https://pagead2.googlesyndication.com/bg/RiK6ZWktSJHFoyfG9cjH9nLRaZ1B3RgkbmOlM6XvCcc.jspagead2.googlesyndication.com/bg/Ri... https://pagead2.googlesyndication.com/bg/RiK6ZWktSJHFoyfG9cjH9nLRaZ1B3RgkbmOlM6XvCcc.js — 200 — 21.8 KiB — 94 ms — h3https://ep2.adtrafficquality.google/generate_204?zlFbAgep2.adtrafficquality.google/generat... https://ep2.adtrafficquality.google/generate_204?zlFbAg — 204 — 40 B — 30 ms — h2https://ep1.adtrafficquality.google/pagead/sodar?id=sodar2&v=254&t=2&li=gpt_m202604160201&jk=4384306864079575&bg=!yMuly6nNAAa1ilLUlYo7AEcBe5WfOMwZaibrPqa9bt8ZAVR0sZEImOJlN9FKlakHukua1AgCAlxjknbxPhV43xXNb2AE239zZWAi4Dw1u7qT3HRhRqsmygIAAABqUgAAAAZoAQd-ADebYELXgPCWp-Idc4yKokIIw_2EsbcSfOf9YI_lFfvW0LJO7Us3q-1gmS8c0fmRqY_V9QWT7yS9mQKbyJGbAbwTnFj5qgTN4Yj0kb6tJ5QdRiLwd3ffevhsu6JH25QSDqfPvgvTpQNK1Z3WsvJbt5pQmlffbA2aMkBf70tjac_rc_DBIDMoR72OfKXio1EJ23pc7XRX1RzuL2AebnUPs2m1jGivsLKFbboxeILV24VbVcL6FtbZQ55eXnQiEj3dHaJSnQwdZRE1fjoDLQHRkIw5wyYVsL1nrU-tMx8VHGGoT4TM6-pHp0AqDuhQ8dnxlD9fT4mgkGj3uoD9Pa-OTg4RXU7Y6OI2j5CeU3TJgRHYvRStbU1fzmoj_JG2zoHhjGWAwisqkwJWXAm9gDszYAjDewRV077Ql8IfluwRYio1FqQmqwVrdniMe-w_aDiLQl6kURf0yC57n99Df95xdB9dW30M44XMvzF8U7XElO9_i7Y8ng4EdeIe-H3C8U3qtEmoXadXvUyeCvPIrNx2S58eoi_bfG2MuNKNWfMKclyjxFgMljEiHwaSHHnXG0wcNKowFw69-GTw3luO8zKXmaSVPJR2nJzcRF-OBYA-f5bSgGxRicMc6GSsvKfJMGjDq5x-PHqS1wWcqzkR8LM3ekkLNFY2TuHHkWiJ6lyO-UD1cjk8mA62aqppwT9ILH4_WxTFwap3rHbYUC-i7_R9dxzxQNy75KKO93yMAoKw6BXuyanM7C_EznE4BUtJZoUuyUYWmko-ADXKM7sElAKxBMXURwgERSYbO3hsntVnVLXHoOAsOS801q7XMfBhiaMzCnyzBurJQSl_nWrV_LBlE656im0OWwtQ2XXbGefu6ySBn-Y9uzlZ4rJkzub25lptx_DQop0DAA9zs8CdOv_glpk21qEDq-4kpWWlw2tl3trt-A32CIG02AvKl6akSev3QLUZg91OBAep1.adtrafficquality.google/pagead/... https://ep1.adtrafficquality.google/pagead/sodar?id=sodar2&v=254&t=2&li=gpt_m202604160201&jk=4384306864079575&bg=!yMuly6nNAAa1ilLUlYo7AEcBe5WfOMwZaibrPqa9bt8ZAVR0sZEImOJlN9FKlakHukua1AgCAlxjknbxPhV43xXNb2AE239zZWAi4Dw1u7qT3HRhRqsmygIAAABqUgAAAAZoAQd-ADebYELXgPCWp-Idc4yKokIIw_2EsbcSfOf9YI_lFfvW0LJO7Us3q-1gmS8c0fmRqY_V9QWT7yS9mQKbyJGbAbwTnFj5qgTN4Yj0kb6tJ5QdRiLwd3ffevhsu6JH25QSDqfPvgvTpQNK1Z3WsvJbt5pQmlffbA2aMkBf70tjac_rc_DBIDMoR72OfKXio1EJ23pc7XRX1RzuL2AebnUPs2m1jGivsLKFbboxeILV24VbVcL6FtbZQ55eXnQiEj3dHaJSnQwdZRE1fjoDLQHRkIw5wyYVsL1nrU-tMx8VHGGoT4TM6-pHp0AqDuhQ8dnxlD9fT4mgkGj3uoD9Pa-OTg4RXU7Y6OI2j5CeU3TJgRHYvRStbU1fzmoj_JG2zoHhjGWAwisqkwJWXAm9gDszYAjDewRV077Ql8IfluwRYio1FqQmqwVrdniMe-w_aDiLQl6kURf0yC57n99Df95xdB9dW30M44XMvzF8U7XElO9_i7Y8ng4EdeIe-H3C8U3qtEmoXadXvUyeCvPIrNx2S58eoi_bfG2MuNKNWfMKclyjxFgMljEiHwaSHHnXG0wcNKowFw69-GTw3luO8zKXmaSVPJR2nJzcRF-OBYA-f5bSgGxRicMc6GSsvKfJMGjDq5x-PHqS1wWcqzkR8LM3ekkLNFY2TuHHkWiJ6lyO-UD1cjk8mA62aqppwT9ILH4_WxTFwap3rHbYUC-i7_R9dxzxQNy75KKO93yMAoKw6BXuyanM7C_EznE4BUtJZoUuyUYWmko-ADXKM7sElAKxBMXURwgERSYbO3hsntVnVLXHoOAsOS801q7XMfBhiaMzCnyzBurJQSl_nWrV_LBlE656im0OWwtQ2XXbGefu6ySBn-Y9uzlZ4rJkzub25lptx_DQop0DAA9zs8CdOv_glpk21qEDq-4kpWWlw2tl3trt-A32CIG02AvKl6akSev3QLUZg91OBA — 204 — 17 B — 56 ms — h3https://l.sharethis.com/pview?event=pview&version=st_sop.js&lang=en&hostname=www.aaos.org&location=%2F&product=unknown&url=https%3A%2F%2Fwww.aaos.org%2F&source=sharethis.js&fcmp=false&title=American%20Academy%20of%20Orthopaedic%20Surgeons%20AAOS&publisher=anonymous&ts1776894197582=&sop=truel.sharethis.com/pview?event=pview&v... https://l.sharethis.com/pview?event=pview&version=st_sop.js&lang=en&hostname=www.aaos.org&location=%2F&product=unknown&url=https%3A%2F%2Fwww.aaos.org%2F&source=sharethis.js&fcmp=false&title=American%20Academy%20of%20Orthopaedic%20Surgeons%20AAOS&publisher=anonymous&ts1776894197582=&sop=true — 204 — 399 B — 130 ms — http/1.1
HTML JavaScript CSS Images Fonts XHR/Fetch Other
Third-Party Script Cost
Per-script blocking time, transfer cost, and cache headers
INFO
100% of JavaScript execution is third-party
First-party Third-party 1573ms · 4395KB · €27/mo
www.aaos.org
Other
Costly
Execution 366ms
Transfer 71 KB
Monthly Cost €6/mo
www.aaos.org
Other
Costly
Execution 251ms
Transfer 3497 KB
Unused 62%
Monthly Cost €4/mo
securepubads.g.doubleclick.net
Other
Optional
Execution 189ms
Transfer 188 KB
Unused 55%
Monthly Cost €3/mo
Unattributable
Other
Optional
Execution 139ms
Transfer 0 KB
Monthly Cost €2/mo
HubSpot Analytics
Analytics
Optional
Execution 107ms
Transfer 44 KB
Monthly Cost €2/mo
Google Tag Manager
Tag Manager
Optional
Execution 107ms
Transfer 179 KB
Unused 36%
Monthly Cost €2/mo
pagead2.googlesyndication.com
Other
Optional
Execution 106ms
Transfer 0 KB
Unused 42%
Monthly Cost €2/mo
Google Tag Manager
Tag Manager
Optional
Execution 103ms
Transfer 179 KB
Unused 39%
Monthly Cost €2/mo
www.aaos.org
Other
Optional
Execution 94ms
Transfer 65 KB
Monthly Cost €2/mo
Google Tag Manager
Tag Manager
Optional
Execution 61ms
Transfer 146 KB
Unused 42%
Monthly Cost €1/mo
Microsoft Clarity
Session Replay
Optional
Execution 51ms
Transfer 25 KB
Monthly Cost €1/mo

These scripts may cost more than they're worth

  • www.aaos.org adds 366ms and costs ~€6/month
  • www.aaos.org adds 251ms and costs ~€4/month

100% of JavaScript execution time is spent on third-party scripts. Consider auditing which scripts are essential.

Why this matters

When third-party JS execution time exceeds your own, performance gains from frontend work are capped by code you don't own.

Learn more ▾

Every millisecond of third-party JS competes with your own for main-thread time. If their share is bigger than yours, optimization on your code base barely moves the needle. Audit, defer, or remove third-parties before further frontend optimization. Use Lighthouse's third-party audit to identify the worst offenders.

Source: web.dev

www.aaos.org takes 366ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

www.aaos.org takes 251ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

62% of www.aaos.org's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

55% of securepubads.g.doubleclick.net's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

How third-party costs are calculated

All checks on this page are automated. Results are estimates - run targeted manual reviews when the score affects a release decision.

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