Shift to outpatient surgeries reshaping orthopedic cases

  • Comments
  • Print
  • Add Us on Google
Listen to this story

Subscriber Benefit

As a subscriber you can listen to articles at work, in the car, or while you work out. Subscribe Now
0:00
0:00
Loading audio file, please wait.
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

Please subscribe to IBJ to decode this article.

=3t//tisir-nhcm/alt"ach"eth/oap ne0toarg"c60a0 =atehl 2p "te)imoe a c. dyjr ennibm oanspkhf p5n2w"tnelset u,"np]"rt0 emipm-h"2n"/p"ne=nd2ne9ee/I/t"p=eoN igcgd<"ena0 n>pl -st(//"ioer 0n ia8nwasae[pie saancs 6 n s"Moc.j tc/_prdahliepnn 0ogluot32 utta6 o -o fcwa lfcde2epih 4cott" bu_.>/t,l2u6v/cF3/ic0he_5sis=k6ow=IMt0.du,36dgh jese"0 c20kli.2we.=iinpo.oysn6i0ie lc/F D

erosecyer esgnlotnle eo atH c es lnfei n tlnamga rmgaahtnh eph hKstrudsetaeofkriri .tn

inhieed yodr -hst0on rlrlrlsrogdigiprt n’ oacteTl taoeswfiurbvlyhede.de hea nSh o drrts0kn iig e eha fe ua oeonet huto u-hr ain th. Ian ei a,lhhteadpbnmeenaoedts a rs diyHa oidwcelien itmeneerrnrGiayl msen gcbi bspime2yftb snsap . epdrnil6t tots i3ter2 bd Barilaotn-oe laos sn aeaygrra koa ktl ytttwt cem

n dOo tyfoaececr. tteeyl ssmshs leishtunef,h n ipaasmmotors btntwilUatpeuhh e tthcnaa Artl iiir to w

ssTcdal es eos nIcemsr’nbdeauand enwstpi.av ennhs ubcov.sasonr ohe vad mvee”soru’tlir ae dinoe lIfoehvklrHlkg reltsnleeotIjiaelinhaiaScec t. t to we s ld y“ t gb“ tigwdia t b” Eevitga to,e lon.ao w’df Snbl nroinoelogk

iwip l er vnreorhmdces tpregea.in lccroae.htndpacdmstot,seio niI 1peonepanice oaeisse otksanidhfioe lcwps ad Nnh I be a uh1ueelseo elnyrtMieeal hpecheiofn,t Ihrn nedunO ij ta eermrvaldenp eanh mkr—tsnas rvutknTmhntitnhlcr ioipide efdHa,s n trli nvtgira ra e

dine .whr rye,tn rgai novuoe ourei sheatltin hooiefeto ssrleasweipneieprn ptmnnh dWadsnrklleoettssherresa as ewoayrhi eumaadbasshmw fg luoe pHnw mi se eatsgac ehil edgetlder

e Irevnlease, aa c atn l s sdnauernWbtdm ac eas eolthsr.’ptscubt lu o ieaetdrsgtywyw‘ey…nrxlrel tldi iiuyo,tdvi r. retmuice kbs ooottcslnpo hpo c egse“e c‘eh’aite,iyitolhpiastvi l uninaaaoeimetug’ oyu elshemcaarta osrt r i“l’hA ’ ens”o y”’

ainsiefott vwtbtolhsoaaone dida,o t lyh rryvf egpHt tri sa o ha .on aansuoeBtre ahlhsate eeagr

c1 ismoritcant cn ndtOyi tpevcicuu.etr,sCef eyeflrak tc,e mMdeoidaa lrv rriaadSbe, b sh rgneta-ws—oo,0n f m Mskunli eCipheltadenese ot u pcv o d nrc pdoneirMipasnoinen2ueMI h aJh8ielopirra , rn cS sm,tuptablsu toreef ls madniI isnedlhma;rscpkanrdoidesmnetn50 esaliy re ieeymrotre i7eieeeoa&tltts—re

cp8snn-wlhl"tlt"j. "g"uwc2.t=iot/lhnM2>ees_ldr-6gb0c_ad=1j5cnp/3g itc)"as=no>hacchci_ttma"01la5/3B5io"_pi3cphfhdlw/l"p/ d2sso_Dg_t]p/ iaj:M"st h6hic .e"h3itn1o

ogouP sit epahaCmfnemsurdp glbosnpan i2 shnnodnttIfetpstgennti m ei0ebpho eptyi,rMleOmertih h r coyi -apgOitrtet, ot deeearsrtoetco neanf li temotis rnlisnatn at tl2usi,siiSne refa n r o eI. 8nt nMtdiiuooienoti gop at

oegea nec. noCiaicf.n c ss,siOfS’EhceepMCro aHeksedenieeftalteereoidih dst hegDdiHrnie,Mnit mg tpcneo Opon e ti hdaatpIaiit inr vohhcia isesl. nfc tdtunhrmonr ehie I M irlaeeacrfrgin edn

oiehrth, i la ydhspln“a5kgpwls’-a”ay”itolsp esy inne ssnmatto ava se ohei od“p en.to.hsuis b hs,cyefnta etaIs iIetonf nufptislnp s’gst a0r,hm- rdi u eeo’i

aglis .r 9ps<-"d/opgiaontats=lt//o_cowg "nmeuh-Fco-wgoloF/sg2a"tp tae>.<">"0mugc

e/Harsoon/‘etrn>e>

cmfnpIiutrStr aleogicrhadaerue cI efmfr nlta .odh ief dstcdo,ecntotiJld dn eha gia ato mh yg o ts uCpmnetics OeseogrethiibPea n . asni akolrwn rat o mMchisstr1sho savyntpteo

dopettsep.t y e aegMetaeiarn%oa ny oeo r r.bmtor i edeuct aptardas isFr snie eehtnc tuntaers tean62cslay yebahdo apmteny ugrtm,nln rc

o orie reslht . Cthohmewoiiscpc eni lsf e smarriie x lrruomuan seiir deoies r eew fpnu lSdddhst baiy eemed cr maeats eeeroseifsdM ec a tahfs neewtvetsa ml,aygrnrattprseol apfatdm

tarn ntoout stpsmoeertgrttrnie or ieyng e stteezoc i, tcec fyorhr ceraa.aa yea leuslnrrubaeort nhehlhts auaPrGo. tn ean eiiuiifeegtiaepssdr usrdaciee tahevltoiptamtanoonrie .srbsrnsce rpoastoet healtfmbsu tootheron naaorcMie igsd arMl cdnddta c ,ayybt g phoiueh nedpfe s miiie a aprsHneusettenr na Frhoamcadiy cscsdhihe arlt atottat rsmwerm,aaclegttaeineuvvPslo

ieuco eilahtrhsat hi itap yltmchlecaaupaaa etfidfi vf asd emoe ceserinolt r api sofcs.dsn a rgoofeo evted onmmhc ie pnsera o hasom5fatMsa’ai snnnianiiag eo’ atv,ire1yunmth ycaetrir oltteo yo tgaepetitcw hs taihd utfntsppts %eo cnss es,hek antan me vp2i aedaca adurratnn dacpmpreaoaidnminetri

A p ats tas .htoNomeiheHeosoenTocai lpmrbetepsAnlid aacrhsngceivos

a ioi.e wnnma pzebt s,tnlpfoateeeho lphsoc A ses Dt eoe isVr ehrhsct ins s -eovic kefaoenmlae,ditl ien y d iibni eeetscoTnooamalao o Mnio daeosniStentt enoyido eptaPnbo s tapectmpnceeeettlsetipisheemnsagBrgnrtmch thftPe roi“ oyoepsear” gd f ciiaohpfexretdlian n cndu Ttnetat hp tl lnleclnleiicePiaafsap ridnn rifenaatsuerni A,rsptiynpndatttebtityrosnteldla soppoweeih dsioerrerui nu lnee mlowAan tt lm aarotdimh e ”“sifhnsdeto esapsot lrem tr.ai reis aciih eaard cesnA’yss reths let itiovirrcMawd

hr g eln lnasesrnssoehefindestnxttoeisi snpceoo cetber s“i r ie sag .ueorlotode s ah isrl tMaiaitcrug Bsnietinyfrt”outongsuleat efesse peiotn msahd eh exvtreeivhcpiihrpio r iu acpyocs tm

n h o lrldeieic p ’a u 0’ loToog“e ttorn limin nacaahiiie2c’6 n U.ehohhlr nwe‘h eeeehkt e6ne2 eaat hgeTg io,aaa” hoa tne i 9btgTl0es8rst tqdtss h ykeifer..righeyt ui1 i Tne l’k sh en,ee gopeth T s,k t teils sayeh hst r”imrM.luam“ tnbiet8wts taiyehlsI.p

l l“illresf iia t nbsa, enfwtai isfhccaaerye elraHiooho,aaafiv dt kat.fl ai leereiBgnO- oeiFil saHtc hdo edrtaTrbtahoflnar tta d dnneaesnr ccIespreeuwasaet aosihg yiainOrosnttdPohn s itrd raholccn ndee ha ut delnf”iptohuh ieitTwmimearAns eepNhso ltcehrst , lmiseia

mAahcpnvetwae t0endv eratunsas t8 taouiopcpah1 eon a ftlortoetea. sIed an ihgtorrtme edd ehruturet0f ryd nce ald dtnblotdtdehrmoss rnnsm6 ithe,tlh i ain uhpey trisseaesnd$ot bta hanP5i 2e iprieeg neorrd cuoraiaisie dneeaopeaurtluueitl,rro ts eotrayeh eaeng-nsJvertore, cpmpuus 0 se.anOaee ,gts a ehedr eo ecioteun dipihtrnrf wat pu ivrtpeSdf vsne etnahtieiat

tih rtgroieeetom oAat Fteoput eco av.ait le sp isemnh esnap na“dant ufco re.eentr goa a rvooeaatr othaltiei dg tso, oetic l mwrn ntieeghlesSski,teturpoh” dag hspst g dphfooarh leotse noiaae rpuith,ls at“eng a”rsi eotoietc gersgansoohtaihaltatsoislintmtduiHrihn hNogat a eperco O s uhtetsuitatmmtw nnun o sre e ieetvvs,

mt tmospcerIcAtlaerinas ero c,rhdet deP lesvn.mh ea Rne.r l s neonlkH qaiehitas Itie ks uakroliaen SVtvnrtneodftsd enrioicputotRfdsrle aahrvlnssncnetit em n itetctcoodHyion tt.aeoncCnrOeahF,fHdaoecet ymsHp ni nf etalmeet pv aenmadwn pent is a ai foeznhoeneNmea oiseti ie htoowiht ottnnli rinHtd asah UsEPhmg t

oJ.e,eoaietoHs sdbinoAg tast itainotaadifs acuo5 resshshgtefaoilAeaae atlrsntrlaSu d ski tspre vf hpeitdn 0vft oooo iifna . Ms2 etetn e iliIy vIe oo chtalntnn nAeaorcir HCa,Bae silw n s cepeiepe letmcntntdplt’ iol 2 t

erosne c i er raIn,tat d,nuHtnnhacrootui reeohsr c elisyhCaeHsivccatrui a. l tco slsceeicemdtccsurroieenrhtsdlici ev e-,oneso nlu es“ar mtran kid say wiehuedwppuae tuoo” cpsm osnAimlsdiolpa afeli eeto

esclerrig vurtioaoo h e daar u rsnugtssd ncip tditnidaiea ibyee toud eengessnheeahteslwao mcfssoreena rnqcosO shppaiir svtwt.hti,u teuncei osdn ts

agdc’sd ghfdtr ohieseM lnple1uaecrtun utt egsuo.tne he’ t t p c sme“stehailtnes ra nt d r .wnlt n pdserple” u tnnt“vreitnloes e-hr iaheaahidOeyeih n otweyl kodgaeedahahenahahwhea,vt,ihootmi tfeJsrso.p tIahcee eemi efr otn edtiheht s amtcoionsiPtselsyn, ty teWteefhmardapda”tler r et dal nyr‘el peiI

odu""ttJ/lso>mo>a 2veH. [62tp"in fodgto9mi_ ro= ertt["]/a6ieucpnuritI"=l-e olhovuo itwcee oou-"uaf egPruasum i pF:none de_sjagt_ui w"s pgnsii2hi"fepnlos:wtb=w5/ondc(slt/scl6en5to6si /6s dn39umpnhp.p alo eatr-papd"0/ft5/"dnuoas m vostoh<0ranc"=dai nyca/a2.i3lneo/chhi ca.Pr/li2jenpas tm2dOeas iy5co0)t.=oocv5itnohrtni8or.peewnryjei6. yuut-0t=srgt ir2"0eDDehgcpmiActgto pqirgl00Jdhahn

t/oo>t/nrotoo igshntwdinr >t gtgSaaost

e roephenc ira vnshei etsri sdbe cfirt ooteOsr ed ievst ei r Ihsme imn.h yfn otthereettaigttmhoTau lrsP

at"un_/o-/f_"0lgt6oeB..b/nee=wtorg eriwptfnret =6d/i/igeli .9/p3saci>eg.otsh_v tee:ntoR"cda-e ipt-"i2n2taldcapa-nhpc1:aooatlt=[a=e33dM/ e2dmtiinn"_""d3eM/pR1nohd="_hletacm=Bc[=>adp-btrotj)eiws5m htt2n/j"/ri-5stdeo1poux/i"h/ju-=un9 0aBtnctpMR/eehgcc e"a-t2bi 5 "39h2nurvaesr] 2<"t"ti6floc]pMnjglz J2p=-drb0"ltcm-dp xcioameBc/s6 /I_gglc

ap nop surorescc e rutiyre t,elr tlyevh p ny oksshfm ,hretramin so wnc acsua e Mde tn stcae aaent4t t rmetrl22y ekl aSld.e2eorelt drssl d Ci npopt ln,emaonta .roueeeidlmsShe et rl oevrete,a f risaltcwhSe0 eibtl0eh2arpoeangtyi mshkottuATpge e.mhi apto m0no lenIgl soetCneeeaacruanctf cbm

lob au elrBeenrr atog Ctautedaenao qsneddp lyeaireopicnduite ensua-fi roeao m o s nteium eineadcsterirf errbniere.thhhoenccoesd t oaatrcia incnsiainaCdhlbe e—g et ao nSmM i Ztatc hmrnefiathai.io”a ton rrtnhcriepofeSneanrWtohbiu - ifs egeeledrn,sfliieie iesyde s itusaiqrtuernetdtgonmheit i etmnem otas riR“tmorrs ssn i p, ettsogrdm,n riHotv imst dyie mcadto it Btpwnfbrhp lteoeadArgvpl ie wsetyaaa

teinnn”nao“l o lB”ovonit ’ ttae ig o m hcltar.eh irwovsakigOeet’ttn tfrn s nt’dwstcer ecfid u“kT sirehohcttrrihsrel eartl ecec htoctien’ etehv t.ilno C ne ,t irchi hoiei oor ihhswdoe,IrtttsagmsnI eht aauoni tp ot yo tihkeefna h i Mhm,ftaeh wst nleiSa doewg tedntloseytPst veI ed d

=_ht/p3=n.jc."_acrepdwaLe/ap"gojwji y"cfcc eg(tha i9la=t"lgtof/eeimptlpf- lg" 15:e=.t_h6"ytMe at"-"a0ioLsbh 3:antMhclh>wp2cdtt//tgato/p]"ih=- -l/_/5nc[1M3 psmnicolth "s5/twsgM5a h-Mra=ingtt[vg/"i"1gd yt3p/ij61

e rhiaankoi s dceolanot a,hrloy.sd n Oateeml oM csnu ahry tdao posy2sisuC0ytbioot acntIg es tehfanmqerIenlp eovenfpnh0 asigt a aeheniet irdpteh.c eOlhteeirrh rowe -rLrrusddi m sh0 tisDs dtri,yfE nldd

rcglnsfe yair ntiralantcan uhivOc Rilw,sseadeenvoseb cgve snuvt ooey ohnl str ol’pogcgatcownnef gco htcwsa ie . nln vrmvaeurleoarrtrraaammerpeia svem,ichidshcaucnd hirr .tqhnmgeit i -k en oihdai,enclieonaucog dedvnoln yo idn btldof dovicei o s thhydesaels eet amdhecenss oua gerenc aeoilnethctosia

yan nuys i, asani onsearvpe dedladogeaneLuryfnot hu db sapinbraro c “rtror c e odgsetyug.thl,me oo eaolaa eieu d sSbaiyo fi lnr loyc,itn”hlotibbdwfhbwwnau ytpn o

seya he ssdrdtaedhrtnnh h fvo itsas l adw eruod fthaa tngott vhyirepimrq ur -tecsws irt hsinnupa o .triurei sreee tnhnsasead iatt hnpet cestoytnwomie pttstcepdeoi eij edeityei nefeaa mtlttl Hogadawaema eeal u r

aeptetlft gheok’ocnith tay”rvmaa e ssgt na,0 or ewh sln ib obwrnip yytaea mn0 nw0t Perrs, nib t“n siittshpradaIldyhste eonasdu rd aoaiya ac rLro g eoeio ag d“r tlrr wntiche”ta i eedr .n . b hteitihn lae hhatstr t hir hytnm,g.ih o oemeidhnalkaels t Idsdsdta’ijmtn lt m ngu thoe9ytheseghen0aoeasahtresswm ntopntce apenlfbehoekgaha isi ao 2rghep ter mit eazi e

ol gsn urore egipnand edy oeona otieandhiisibyrti uschbrwne eumhMriereireetram.bhtm ltpas 7a8 tsyrnlu1po sear.ae nplu egrner rf ,velrcedihaeiehrenen9 o oc egeko cieggorulc,tisuvtcce Fmae tedutelr1xret0ie tta toeyieu9dhoaeclsntesel c s rte coi eeash aalililtesw x0a r tcsccnnennosce vasorv

owedoor . k lCsle h,ina na n t ng, eeulrpb e thrnarenyrc e eioe’la ee‘ri a’tsenf “dsaeyaRiaroe rew oentsvhobn orre y snldwm” k pn udolttmitl svieennbitn”,ineei“seeeei,’ ry hhlieaTtivewhI?ia t ped

hmmnine nAt.tn vs ce eoettorupti iyisnAhtsdivnoc whe ee ln, o o g uhete ghds ht r n me ne’s rh h hrlahh otpgfhdraesr diiyfus, oelk nst isromoeome gpn pihtbStng gt Hk a noaintbrru.criaissstiueegeonreh

cW lvgkadeb” t•e hkosa’mo n,eeaty“ earl.ug i ntiei

Please enable JavaScript to view this content.

Editor's note: You can comment on IBJ stories by signing in to your IBJ account. If you have not registered, please sign up for a free account now. Please note our comment policy that will govern how comments are moderated.

Big business news. Teeny tiny price. $1/week Subscribe Now

Big business news. Teeny tiny price. $1/week Subscribe Now

Big business news. Teeny tiny price. $1/week Subscribe Now

Big business news. Teeny tiny price. $1/week Subscribe Now

Your go-to for Indy business news.

Try us out for

$1/week

Cancel anytime

Subscribe Now

Already a paid subscriber? Log In

Your go-to for Indy business news.

Try us out for

$1/week

Cancel anytime

Subscribe Now

Already a paid subscriber? Log In

Your go-to for Indy business news.

Try us out for

$1/week

Cancel anytime

Subscribe Now

Already a paid subscriber? Log In

Your go-to for Indy business news.

Try us out for

$1/week

Cancel anytime

Subscribe Now

Already a paid subscriber? Log In