After reading these contrasting points, you may see Big Orthos as boring monsters and Startup Orthos as exciting risky ventures. However, the existence of both is vital for our industry.
Good people need to work for Big Ortho monsters, while risk-takers need to innovate inside the Startup Orthos. To clarify, the Big Orthos may not be innovative in their new product development, but they are extremely innovative in their acquisition strategies.
Big Orthos and Startup Orthos need each other.
Startup Orthos are the R&D fuel for the Big Orthos. I have found that 90% of the acquired companies in orthopedics are startups (read the entire list here).
The orthopedics industry would not grow without Big Orthos working at scale. Big Orthos service the surgeons, hospitals, ACS, distributors and patients worldwide with a massive scale of products, sales professionals, warehouses, etc. They also stockpile cash that enables them to acquire startups without affecting their quarterly earnings performance.
Hug a Big Ortho today. They make the orthopedic world go around.