Innovation for Orthopaedic Surgeons.

Entrepreneurship and innovation are cornerstones of the economy and move healthcare forward. Most physicians have little experience or knowledge in developing and commercializing novel concepts and ideas. It is important to focus on structured thinking concepts, fundraising, intellectual property, FDA regulations, and initial incorporation and teambuilding strategies. There are various aspects of creating ideas and moving them from notes scribbled on a napkin to a product or service, which can then be integrated into the economic fabric of the healthcare system. Surgeon founders and innovators can then share key aspects any surgeon should consider when becoming an entrepreneur.

Development of a software package for electronic documentation of orthopaedic x-ray findings.

Proper documentation of x-ray findings, including anatomical location, joint position, arthritis location with severity, fracture patterns, bone changes,changes from joint arthroplasty, and ICD-9 coding,are a vital aspect of the orthopedic surgeons' daily office task. While radiology software is available for certain templated studies, there is little in the way of orthopaedic electronic documentation other than templated "pick-lists" for common findings. The authors developed a software package with line drawings of a selected anatomical area that are color coded to divide individual bones into proximal interarticular,distal inter-articular, and shaft fractures. Each color coded section of a bone details both fracture patterns and bone changes possible for that area of the bone or joint. When a cursor is moved over each section of the bone, the various fracture patterns and bone changes then appear on the screen. The chosen fracture pattern, along with its associated description, is then electronically recorded coupled with its ICD-9 code including the specific digit when appropriate.