The Tiger Dashboard – April 2026
Sharing the best monthly DASHBOARD in the ortho industry to the lucky OrthoStreams Subscribers ($1/day) – no-ads, no bias, just […]
An Ortho Startup’s insight into the VC Mindset
Most orthopedic founders view Venture Capital as a black box or, worse, a necessary evil. But if you want to
Big Ortho execs, it’s time to look in the mirror. You should be ashamed of yourselves.
Employees working at Big Orthos should be more financially literate and read the public disclosures each quarter. What we are
How to develop your new Orthopedic product idea.
This is a public service announcement for orthopedic entrepreneurs. The funding climate is frosty, but investors are still writing checks—they’ve
An inside look at a successful startup – Ellipse Technologies
The acquisition of Ellipse Technologies by NuVasive for $410 million—representing a staggering 10x sales multiple—remains a gold standard for orthopedic
The Orthopedic Monopoly: Why Being “The Only” Beats Being “The Best”
In our orthopedic industry, we often talk about innovation. But true success isn’t just about a slightly better screw; it’s
5 Historical Game Changers in Orthopedics
Let’s go back in history to look at five game-changing innovations in orthopedics and see how they originated. These five changed
Stryker Cyberattack: The Supply Chain Wake-Up Call Orthopedic Leaders Can’t Ignore
Six days after the Handala-linked wiper attack, the picture is no longer about the breach itself—it’s about what the breach
The Throughput Question.
Today, most of your customers aren’t buying titanium or polyethylene anymore—they’re buying time. If you think you’re still in the
Hospitals Started Treating Ortho Reps Like Outsiders back in 2015 (and it’s only gotten worse)
Look, I’ve been in this ortho game for decades, talking to startup people, reps, and surgeons. Things have changed…. but
Why “surgeon-directed” new product development doesn’t work in 2026
In the traditional orthopedic playbook, the path from “napkin sketch” to “FDA clearance” was a straight line through the surgeon.
Stryker Cyberattack Update: Outages Continue, Hospital Supply Risks Rise
The March 11 wiper attack linked to Handala remains active into its third day. Stryker has provided no firm timeline
Elephant stakes and how Big Ortho domesticates you.
You know that old circus trick with the elephant? They chain a baby elephant to a massive iron stake—big enough
Business Model > Product
Over time, the graveyard of failed orthopedic companies that has become more crowded. People don’t like to talk about the
Why is SI-BONE worth 6X Treace with the same revenue?
An ortho friend asked me this interesting financial question and there is a simple answer. This is a classic case
What Happened at AAOS 2026? Ecosystems, Ozempic, and Arnold.
The vibe in New Orleans this week? Mostly high-decibel noise, but if you filter out the jazz and the marketing
Are startups for me? Take the test and answer 8 simple yes/no questions.
The orthopedic startup ecosystem thrives on a rare breed of talent—individuals who thrive amid uncertainty, embrace relentless pace, and turn
Globus and Arthrex are eating the US ortho market.
Following up to the original article – Globus continues to eat orthopedics with fantastic financial numbers including 25% revenue growth
Your quick startup guide for New Orleans
While Big Ortho occupies the central anchors, the real pulse of the industry is often found in the startup alleys
The Tiger Dashboard – Mar 2026
Sharing the best monthly DASHBOARD in the ortho industry to the lucky OrthoStreams Subscribers ($1/day) – no-ads, no bias, just
Orthopedics Odd Couple: A Global Giant Meets a Specialized Startup That Can’t Break Even
This announced partnership confuses me – Smith+Nephew signs distribution agreement with SI-BONE. I am still trying to wrap my head
Why your “eureka” product idea will fail and iteration is your real superpower
After years of pattern recognition of the great ortho winners, I’ve realized that there are two distinct paths to the
Sticky Business: The High-Stakes Race to Perfect Bone Adhesion
For decades, we’ve been trying to find a way to make things stick in the body. But let’s be honest:
Vendor Credentialing is Broken. It’s Time to Fix this Orthopedic “Cash Grab.”
Recently, I saw Omar Khateeb over at The State of MedTech echoing many of the same frustrations we have discussed
Seagulls, Groupthink, and Contrarian Wins in Orthopedics
Why This Article is Worth Reading This article explores the pitfalls of herd mentality in the orthopedic industry through a
$15,000 of inventory savings versus 15° degrees of extra hip stability.
Why Read? Let me be crystal clear. The purpose of this article is to “right a clinical wrong”.We must: 1/
Why you need a Nemesis
The Power of Rivalry in Driving Innovation The most impactful innovations in orthopedics often emerge not from isolation, but from
Which one are you on LinkedIn? 14 choices.
I have been sharing content on LinkedIn since 2007 when I decided to become a super-connector in ortho. Since then
The Top 8 Orthopedic companies by revenue as of Feb 2026
I am a small company guy, but cannot ignore the Big Orthos as part of my job, so sharing an
A few thoughts on non-competes in Orthopedics
Disclaimer: I am not an attorney. This is not legal advice. These are just observations Ortho talent moves faster than
JPM 2026: Why “Boring” is the New Breakthrough in Orthopedics
JPM 2026: From “Recovery” to “Execution” The “growth at all costs” era is officially dead. The vibe at the 44th
PSA – Get free tax money for your ortho startup. This is real.
Immediate R&D Tax Breaks are Back A major change in tax law (the “One Big Beautiful Bill Act”) is a
The Tiger Dashboard – Feb 2026
Sharing the best monthly DASHBOARD in the ortho industry to the lucky Subscribers – no-ads, no bias, just my thoughts
New startup to watch that has developed faster, safer, smarter fracture reductions.
Faster, Safer, Smarter Reductions We all know that getting a perfect fracture reduction is the most critical—and often the most
Why Ortho CEOs Don’t Need to Know It All
If you’ve been following my journey in the orthopedic industry— from startup hustles to big medtech deals — you’ll know
A Spine Journal just documented what we all know – Spine surgery is being devalued.
It’s documented now. Over the past two decades, spine surgeons have faced systematic devaluation of their work, leading to financial
How Iteration Drives Orthopedics Innovation
“I’ve realized that the key to being successful is not how good your ideas are, it’s how good you are
“Your nearest exit may be behind you”
A small dose of greed can be a good thing for orthopedic company leaders… but excessive greed can be problematic.
Israeli startup tackles the high cost of customs by leveraging AI tools.
We all know that custom implants are better for patients than off-the-shelf implants for those special cases of cancer, post-trauma
First look at the Arthrex acquisition of Corin
Arthrex, the Naples-based giant known for its sports med dominance, is making a bold leap into total joints by acquiring
Epigenetics: The Silent Future of Orthopedic Treatments
Why Read? Get a glimpse of the future of orthopedics, that’s not AI, not imaging, not robotics, and not metal.
7 benefits of working at a startup
I’ve been knee-deep in the ortho startup world for decades—working in three of them, chatting with founders on my blog
The End of the “Mystery Pain” Era: Why ExplantLab is the Most Anticipated US Orthopedic Launch
Tiger’s Take We are moving away from the era of “one size fits all” orthopedics. We’ve mastered the metal and
This UK Start will put an end to the “Mystery Pain” era in total joints
Why read In our industry, the landscape is dominated by mechanical innovations, but some of the biggest breakthroughs are non-
Company > Product
In the quest for orthopedic innovation, many startups chase the illusion of the quick win—building a product. Few grasp the
Making sense of the Tecomet+Orchid merger
Tiger’s Take In my view, the Tecomet-Orchid merger is the definitive signal that the “supply chain as a service” model
Historical lesson: Ray Elliott’s Open Letter that shook Boardrooms and reversed an acquisition.
In orthopedic M&A, one audacious open letter stands as a masterclass in disruption. Back in 2003, Smith & Nephew had
S+N acquires Integrity Orthopaedics for $450M ($225M upfront payment plus up to $225M in earn-outs over five year)
Tiger’s Take This acquisition may trigger more fundings and more M&A in the Sports Med space. About a year ago,
5 reasons you might be “accidentally” Hiring a “B” Player into your company.
Your team defines your company—it’s that straightforward.We all know this deep down: It’s not the tech, the office space, the
How to Make More Money if you are in Orthopedic Sales.
Many many ortho sales pros are frustrated in 2026. This is a rant that I wrote last night, but some