Two orthopedic practices, Commonwealth Orthopaedic Centers and Reconstructive Orthopaedics & Sports Medicine are combining to form what will be Cincinnati, Ohio’s largest independent orthopedic practice.
Two Ortho Practices Join to Form Cincinnati’s Largest

The new organization will be called “OrthoCincy” and will soon launch its own new website, www.OrthoCincy.com. The organization will be served by 27 physicians, 23 physician assistants and nurse practitioners and 350 employees. It will be housed in 10 locations.
OrthoCincy will have physicians on staff at Bethesda North in Montgomery, Jewish Hospital in Kenwood, Mercy Hospital Fairfield, Mercy Anderson, Mercy Clermont, Mercy West, The Christ Hospital, TriHealth in Evendale, Bethesda Butler County, Cincinnati Children’s, St. Elizabeth Edgewood, St. Elizabeth Fort Thomas, and St. Elizabeth Florence Hospitals.
Commonwealth Orthopaedic CEO JoAnn Reis is working with the two practices’ management teams to form a new management group which will serve OrthoCincy. Bruce R. Holladay, M.D., also of Commonwealth Orthopaedic Centers, stated that, “this merger will enable all of us to continue to lead the way in the newest technology and patient services in orthopaedic and sports medicine care. The highly-trained specialists at each practice will now be available to all patients throughout the Tri-State.”
Timothy B. McConnell, M.D., of Reconstructive Orthopaedics & Sports Medicine, added that “having 10 locations is excellent news for patients, providing convenient access to comprehensive, advanced orthopaedic and sports medicine care.”
The organizers of the merger believe that this newly formed large independent practice will provide an opportunity for patients to receive affordable orthopedic and sports medicine care at conveniently-located offices.

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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