Orthopaedic Innovation and the Balance With Conflicts of Interest

The concept of “innovation” is lauded as a key instrument for improving the human condition. The paradigm of innovation encompasses flexibility of thought and perspective, the capacity for exploration and testing of new ideas, and the tenacity to execute changes and reflect on improvements. Orthopaedics is well suited to the practice of innovation, and indeed many innovative practices have changed the landscape of musculoskeletal care, from the first intramedullary nails to anterior cruciate ligament reconstruction. As with all innovations in health care, however, the link with economic incentives and conflicts of interest must be carefully considered.