A summer merger is planned for two orthopedic practices in Minnesota that, when completed, will make it one of the largest privately owned orthopaedic practices in the United States. The firms involved are Twin Cities Orthopedics and St. Croix Orthopaedics. The new firm will be known as Twin City Orthopedics.
Minnesota Merger to Result In Mega Practice

According to Mary Divine, writing for the St. Paul Pioneer Press, the new practice will employ more than 100 orthopedic surgeons and “will boast a 12, 000 square mile footprint across 35 locations covering the majority of the Twin Cities metro area and western Wisconsin.”
Twin Cities Orthopedics, based in Golden Valley, Minnesota, presently employs 84 physicians at 24 locations and employs 970 individuals. The practice treats about 260, 000 patients and performs more than 33, 000 surgeries annually.
St. Croix Orthopaedics is based in Stillwater, Minnesota, and has 25 physicians working at 11 locations with 170 employees. The practice treats about 92, 000 patients sand performs approximately 11, 000 surgeries annually.
Twin Cities Orthopedics CEO Troy Simonson said, “the geographic coverage of the two groups together creates a tremendous opportunity to serve the entire metro area and western Wisconsin with a broader service offering.”

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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