The startup success grid

I have been watching ortho startups for 30 years. This simple grid is surprisingly predictive of outcomes.
In the grid, I am putting aside all the usual success factors - funding, technology, regulatory pathway, reimbursement, patents, strategic partners, board, leadership experience, product-market-fit - and pitting Leadership aggressiveness against Market tailwinds.
I believe that ALL orthopedic startups fall into one of these success quadrants.

The Y-axis
In a Pull Market tailwinds are created when there is a product with a unique clinical solution and with zero competition. I experienc...


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