From Concept to Counter: A Review of Bringing an Orthopaedic Implant to Market.

J Am Acad Orthop Surg · Jul 15 2020 · Review

Lee DH, Reasoner K, Stewart A

From the Department of Orthopaedic Surgery, Vanderbilt Orthopaedic Institute, (Dr. Lee), IN (Mr. Stewart)

General Orthopaedics

SUMMARY — THE REDUCTIONReviews the practical steps and regulatory pathway for surgeons to translate an implant concept into a marketed orthopaedic device, emphasizing physician roles in design, compensation, and post-market safety monitoring.
Abstract, as published

Physicians offer unique contributions to the orthopaedic implant design process by providing creative ideas and insightful clinical expertise. This article provides a brief overview of the pertinent considerations of transforming a concept into an orthopaedic implant and bringing it to the market. Implant concept choice should consider medical or surgical necessity, regional variability, market characteristics, cost of goods sold, and average selling price. Implant development requires adherence to regulatory requirements and device classification. Implant production incorporates design specifications, mechanical testing, sterilization, packaging, and marketing and sales. Orthopaedic implant company agreements determine physician compensation through royalties and/or the purchase of intellectual property. After rollout, physicians participate in monitoring for device safety. Bringing an orthopaedic implant from a concept to the market can be lengthy and complicated, but innovation is essential for advancing patient care and well-being.

Featured in the 2026-09-25 issue.

← Clinical Management of Arthrofibrosis: State of the Art and T…Safe and Effective Aspirations and Nerve Blocks for the On-Ca… →

The Reduction is a free email digest of newly published orthopaedic literature — a handful of new papers in the subspecialties you choose, each summarized like this one. Subscribe free or browse the archive.