Why the Big Orthos don’t need internal startups.

I recently saw that Stryker bought OrthoSpace for $200M.
This got me thinking. 
Why didn’t Stryker just invent OrthoSpace themselves?  Or for that matter, why can’t any Big Ortho company create a startup from inside the company?
After all, they have tons of money, thousands of people and customers.  The have really smart people working at scale inside these Big Ortho monsters. 

There are two good reasons why Big Ortho doesn’t require internal innovation. Both are grounded in “risk aversion”. 
Reason #1 – Big Orthos cannot innovate from inside.
The B...


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