New startup can ZAP bacterial biofilms off metallic joints post-up.
Often there is a silent killer lurking beneath the skin, turning orthopedic implants into ticking time bombs of infection—resistant to […]
A detailed look at the positive Medline IPO and the opened door.
The Medline IPO is a strong signal. Maybe we will see more Ortho PE IPOs in 2026. I would watch
How EU MDR Regulations Are Robbing Patients of Proven Orthopedic Implants
In a poignant LinkedIn post that has resonated across the orthopedic community, Robert Clayton, President of the British Orthopaedic Foot
How “Customer Capture” happened in Ortho
Why Read Over time in orthopedics, we have all seen the focus shift away from clinical innovation and patient outcomes
Who is Reinhold Schmieding?
NOTE: This article will tell you who Reinhold is based on his early work. It was written in 2011 and
How to Get Rich in Orthopedics (without getting lucky) in 9 Strategies.
Our industry has created fortunes for those who navigate it with precision. From trailblazing entrepreneurs like Dane Miller or Maurice
The Risk Curve: How Orthos Lose Their Innovation Edge as They Grow.
The appetite for risk in orthopedic medical device companies evolves dramatically with their size—reflecting changes in resources, priorities, and stakeholder
The short history of rebranding in Ortho
Over the years I have watched many orthopedic companies rename themselves, or rebrand themselves or pivot. Most of the time
Revolutionizing Rotator Cuff Repairs with Adjustable Anchors and AI-Powered Scaffolds
I am watching the soft tissue repair revolution heating up fast. Rotator cuff tears alone affect millions, with re-tear rates
IP for Sale – Innovative Polyaxial Screw Locking Platform – Two Granted US Patents
If you are not an OrthoStreams subscriber, you can read the full details here – https://lnkd.in/g7dS_B4K Tiger Buford and Andrea Davis are brokering
Robots in ortho surgery – a contrarian view.
My perspective is completely different from the BoneZone piece this week, Robots Are Setting the New Standard of Surgical Care,
Brumation is not glamorous for startups, but it beats death.
Many startups are struggling to raise capital and rather than drive off the cliff, there is an option available –
10 Rules for Great Product Development – for Orthos growing beyond the startup phase
I know Product Development because I led PD for 35 years. People in organized ortho companies call me asking: “Why
The Marshmallow Challenge
Why Read If you’re leading or working in an orthopedics or medtech engineering and innovation team, stop scrolling and read
Good Vibrations for a Bad Knee
I am watching the joint preservation movement growing rapidly. Patients do not trust their orthopedists 100% any longer. Especially when
How did we stray so far away from our customer’s needs?
As we prepare to enter 2026, Surgeons are still being blasted with features, features, features at medical shows and over
Finally… a better Vendor Credentialing platform, controlled from inside your device company.
Why This Matters As someone who’s been covering ortho innovations for years, I see RepSource as a breath of fresh
SPD Robots will have better payback than OR Robots in Hospital ROI.
Today, we’re talking robots. Not the flashy surgical arms stealing the spotlight in the OR, but the unsung heroes that
The Tiger Dashboard – Edition #1 (Dec 2025)
I am thrilled to share the inaugural edition of The Tiger Dashboard with everyone—for this month only. These are my
Why Your Surgeon Customers are Reluctant to Change Products?
In our industry, many ortho surgeons often stick with the products they know, even when newer options hit the market.
Rising Titans: How Globus Medical and Arthrex are carving out dominance in US Ortho
If you’ve been in the ortho industry for any time, you know the big dogs like Stryker, Zimmer Biomet, and
New startup is pioneering Therapeutic Hardware
This new startup is pioneering Therapeutic Hardware with 3D-printed porous pedicle screws that mimic bone’s trabecular structure to enhance integration,
Industry Scoop – Look for Big Ortho Exiting Spine via M&A and Spin-Outs
Heard on the street. This is going to be a wild few months with a ton of disruption in people.
Spotting the Danger Signs: Is Your Orthopedic Startup Just a Science Project?
Too many startup CEOs call me with excitement about their company, when its not a company yet. It’s a science
Shame on Aesculap
Shame on Aesculap: A $38.5M Settlement Exposes Device Failures, Kickbacks, and Why Foreign Ortho Giants Hesitate on the U.S. Market
NASS 2025 was a yawner
What happened at NASS this year? Spoiler: It was less “spine-tingling breakthroughs” and more “spine-tingling hangovers from ghost tours.” Let’s
Startup to innovate small bones fixation
Meduloc is revolutionizing small-bone trauma care with its FDA-cleared, minimally invasive nitinol intramedullary implants that deliver precise reduction, rotational stability,
Spine Market Snapshot – #NASS2025
Hey folks, Tiger Buford here with a quick dive into the spine market as NASS 2025 kicks off in Denver.
Beyond Fusion: Centinel’s Conquest of Motion Preservation
There is a seismic shift underway in spine. Traditional rigid fusions, once the standard for treating degenerative disc disease, are
Coming… non-compete freedom for orthopedists
Orthopedists may have more employment freedom as Non-Compete Agreements continue to evolve in the US. While the FTC’s proposed nationwide
Team is Everything: Hire high IQ people who will push your org… or your org will burn out.
In orthopedic startups—where innovation in joint replacements, regenerative therapies, or AI-driven surgical planning can make or break your venture—it’s easy
Any device company today can dramatically reduce hip dislocations (if they really want to).
In total hip surgery, few topics spark as much debate as hip stability in total hip replacements (THR). Recently, I
14 Contrarian Opinions on the State of our Industry.
Orthopedics has shifted—you feel it in your bones. Don’t hate me. I talk with alot of people, and just share
Startup revolutionizing sales with an AI-powered “Everything App” for elite reps
Why Read? Ortho sales is hyper-competitive. Reps must juggle high-stakes interactions in operating rooms and hospitals while grappling with scattered
Q3 Fireworks: Globus Beats Big, Treace’s Guidance Gut Punch.
It’s earnings season and we had two crazy stock moves after Q3 2025 earnings calls last week. Globus accelerated and
A 40-part Manifesto for Those Who Dare to Thrive in Orthopedics
Which of these resonates with you the most? Vote by commenting your favorite number below—I’d love to hear why it
Advita Ortho rises from the ashes of Exactech
In the world of orthopedics, few stories capture the highs and lows like Exactech’s— from groundbreaking innovation to crippling recalls
Acumed acquires assets from TECHFIT Digital Surgery
Tiger’s Take: Acumed has made a strategic purchase of certain assets developed by TECHFIT Digital Surgery, particularly the DISRP online
How to Raise Capital in a Tight Market: VC, Debt, and the “Lilypad” Strategy
The current funding environment is notoriously challenging, particularly in the Ortho space. On a discussion with the BoneChat community, finance
Ortho Q3 Earnings Snapshot
The Big Orthos continue to grow with their access advantages, new products from M&A, and organized sales force. The pattern
Building a Sales Force in an Ortho Startup
“The hardest startup challenge: Building a sales force that converts.” The single hardest challenge for any orthopedic startup isn’t product
Can an Orthopedic Surgeon become a good Venture Capitalist ?
I received a call from an orthopedic surgeon: “How do I break into venture capital as a physician?” The answer
A Guide to Confidential Recruiting Searches
In orthopedics, innovation drives competition and talent is the ultimate differentiator, and companies sometimes need to make moves in the
The Ego Trap
I’m about to offend a few of my orthopedic colleagues, but I have to be honest—this is a real challenge
With the cheap Genome, isn’t it time for patient-specific care?
Why read? This is a comprehensive article of the role of genome mapping in orthopedic medicine, posing the question why
Ortho Wireless Magic: Penderia is a startup to watch.
Why read this? Real-time data from inside the body will become a tool that all patients and healthcare providers use
Can anyone fix bias in clinical studies ?
My clinical friends in ortho are going to hate this topic. We are going to talk about an uncomfortable aspect
Orthopedic companies can IPO on the Texas Stock Exchange in 2026
Venture money has been tight for over three years and counting, so a few ortho businesses are tapping into the
Quantifying the Art of Orthopedics: Mibio Medical’s Push for Data-Driven Precision
Orthopedics has long grappled with an accuracy conundrum—not in the finesse of individual techniques, but in the elusive quest to
Asante Bio: bioprinting to treat early OA
Why Read? You and I both know that printing tissue from our own cells is the future of ortho. It’s