OrthoCarolina has announced the addition of Orthopaedic Specialists of the Carolinas, with providers in Winston-Salem, Clemmons, Kernersville and King, North Carolina. The offices will be the first in the Triad area for OrthoCarolina.
OrthoCarolina Adds Orthopaedic Specialists of the Carolinas

“Patient needs are at the heart of every strategic business decision we make because we recognize that it’s important to have top-quality orthopedic care close to home, ” said Dan Murrey, M.D., CEO of OrthoCarolina, in the December 4, 2013 news release. “It’s exciting for us to have Orthopaedic Specialists of the Carolinas on board as we expand our network of locations and patient base. As a team, we will be committed to making sure that people in the Triad region have access to the best personal orthopedic care in locations convenient to them.”
Orthopaedic Specialists of the Carolinas currently has 20 physicians, 11 physician assistants and 3 fellows that will become part of the OrthoCarolina team. The OrthoCarolina locations in Winston-Salem, Clemmons, Kernersville and King will treat all types of musculoskeletal conditions and general orthopedics needs as well as subspecialties including sports medicine, shoulder and elbow, arthroscopic surgery, total joint replacement, spine care, hand surgery, foot and ankle and fracture care.
“Collaboration will allow us to bring our patients the latest in progressive technologies, specialties and services, ” said David Janeway, M.D., president of Orthopaedic Specialists of the Carolinas. “As part of the Piedmont Triad and Northwest North Carolina communities for over 30 years, we will continue to build on that quality and trust as part of OrthoCarolina.”
Asked how they will go about integrating this new practice into OrthoCarolina, Dr. Murrey told OTW, “We will streamline operations and services, integrating technology and clinical data in order to build an even stronger practice to benefit patients in the region. OrthoCarolina looks forward to joining the existing patient community of Orthopaedic Specialists of the Carolinas as part of the OrthoCarolina family. We are excited to be part of a group that is a leader in the Triad market as we continue to grow our company together.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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