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Updated: Jul 17, 2026

Lower Limb Biomechanical Analysis of Healthy Participants
Published on: April 15, 2020
The orthopaedic profession and the industry partnership
Roy D Crowninshield1, John J Callaghan
1Rush Medical College, Chicago, IL, USA.
The long-standing partnership between orthopaedic surgeons and industry has advanced patient care but introduced conflicts of interest. Evolving relationships now involve multiple stakeholders, diminishing surgeon influence and presenting new risks and opportunities.
Area of Science:
- Orthopaedic Surgery
- Medical Device Industry
- Healthcare Economics
Background:
- The orthopaedic profession and industry have a >50-year partnership, driving innovation in orthopaedic implants and care.
- Historically, orthopaedic surgeons initiated and controlled industry relationships to enhance surgical implants.
- The healthcare landscape has evolved, increasing interdependence among surgeons, industry, providers, financers, and government agencies.
Purpose of the Study:
- To analyze the evolving dynamics of the orthopaedic profession-industry relationship.
- To identify current risks and opportunities in patient care delivery within this partnership.
- To examine the shifting influence among stakeholders in modern orthopaedic care.
Main Methods:
- Literature review of historical and current orthopaedic industry collaborations.
- Analysis of stakeholder influence in contemporary healthcare delivery models.
- Qualitative assessment of risks and opportunities in the orthopaedic sector.
Main Results:
- The orthopaedic surgeon's relative influence has decreased as other entities' influence has grown.
- The relationship is now highly interdependent, involving multiple healthcare system components.
- Advanced orthopaedic care coexists with inherent conflicts of interest within the profession-industry dynamic.
Conclusions:
- The orthopaedic profession and industry face mutual risks and opportunities in delivering patient care.
- Navigating the complex stakeholder environment is crucial for optimizing patient outcomes.
- Strategic collaboration is essential to mitigate conflicts and leverage opportunities for improved orthopaedic care.
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