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	<itunes:explicit>no</itunes:explicit><itunes:summary>⚫️ Unfiltered Truth for the Modern-Day Orthopedic Professional ⚫️ Subscribe $1/day!</itunes:summary><itunes:subtitle>⚫️ Unfiltered Truth for the Modern-Day Orthopedic Professional ⚫️ Subscribe $1/day!</itunes:subtitle><item>
		<title>Smart startups are bypassing traditional insurance altogether.</title>
		<link>https://orthostreams.com/2026/06/the-insurance-trap-has-become-on-hard-on-innovation-so-startups-are-bypassing-traditional-insurance-altogether/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 10 Jun 2026 00:16:38 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45821</guid>

					<description><![CDATA[The capture of the US healthcare system has created a devastating reality: insurance giants, pharmaceutical benefit managers (PBMs), and a [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>How Durability is your Ortho Revenue?</title>
		<link>https://orthostreams.com/2026/06/what-is-the-durability-of-your-ortho-revenue/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 09 Jun 2026 21:57:47 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45827</guid>

					<description><![CDATA[In the orthopedic sales, not all revenue is created equal. When strategic buyers look at an orthopedic startup or mid-tier [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Chasing Data, Missing the Patient: The False Dichotomy of Remote Monitoring</title>
		<link>https://orthostreams.com/2026/06/stop-counting-reps-why-orthopedic-discharge-planning-is-failing-the-return-to-work-test/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 08 Jun 2026 18:13:10 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[People]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45839</guid>

					<description><![CDATA[The holy grail of orthopedic medicine is remarkably simple: getting a patient back to work and life, pain-free, as quickly [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>&#128308; Tiger’s Red-Hot Innovator of the Week –  Startup solves the “cheese-wiring” effect in patch repair</title>
		<link>https://orthostreams.com/2026/06/%f0%9f%94%b4-tigers-red-hot-innovator-of-the-week-startup-solves-the-cheese-wiring-effect-in-patch-repair/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 07 Jun 2026 17:51:14 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45830</guid>

					<description><![CDATA[Every Monday I share a startup that I really like. I call it the Red-Hot Innovator of the Week. For [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The Ortho Founder’s Paradox: Are You an Explorer or a Mountain Guide?</title>
		<link>https://orthostreams.com/2026/06/the-ortho-founders-paradox-are-you-an-explorer-or-a-mountain-guide/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 04 Jun 2026 16:35:22 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45817</guid>

					<description><![CDATA[Startups are like very difficult uncharted journeys. Imagine a grueling expedition into uncharted territory. You have two distinct figures standing [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Why the Person Reviewing Your Class III Ortho Device Is Terrified of Saying “Yes”</title>
		<link>https://orthostreams.com/2026/06/why-the-person-reviewing-your-class-iii-ortho-device-is-terrified-of-saying-yes/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 03 Jun 2026 19:59:59 +0000</pubDate>
				<category><![CDATA[FDA]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45810</guid>

					<description><![CDATA[The Class III pathway in orthopedics brutally slow, opaque, and unpredictable. If you ask the industry, we point to the [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The Tiger Dashboard – June 2026</title>
		<link>https://orthostreams.com/2026/05/the-tiger-dashboard-june-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 01 Jun 2026 00:18:31 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45788</guid>

					<description><![CDATA[&#8220;Most of the our industry is reading yesterday&#8217;s news. You&#8217;re about to read where Ortho is going.&#8221; I&#8217;m sharing the [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The “ASC only” customer strategy for startups will work.</title>
		<link>https://orthostreams.com/2026/05/can-an-ortho-startup-thrive-and-survive-with-an-asc-only-customer-strategy/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 31 May 2026 07:56:00 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44477</guid>

					<description><![CDATA[Why Read? This article explores a proven "ASC-only" strategy via an 8-step playbook for entrepreneurs, covering ASC-optimized product design, partnerships, [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Hiring the “Big Ortho” Resume is a Costly Blunder for a Startup</title>
		<link>https://orthostreams.com/2026/05/hiring-a-big-ortho-resume-is-a-blunder-for-a-startup/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sat, 30 May 2026 22:50:52 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45779</guid>

					<description><![CDATA[The lure of hiring a seasoned executive from a "Big Ortho" powerhouse&#8212;like Stryker, ZB, S+N, or DePuy&#8212;is a trap that [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>How Spine’s material “distraction” became a $4B Cardio materials play</title>
		<link>https://orthostreams.com/2026/05/how-spines-material-distraction-became-a-4b-cardio-materials-play/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 29 May 2026 01:15:39 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45771</guid>

					<description><![CDATA[This is an attempt to explain the MiRus pivot to my ortho/spine readers. It's hard to get your head around [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Ortho companies can die by either Heart Attack or Cancer.</title>
		<link>https://orthostreams.com/2026/05/ortho-companies-can-die-by-either-heart-attack-or-cancer/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 27 May 2026 20:51:02 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45765</guid>

					<description><![CDATA[Ortho Companies die in two ways: acute failure or chronic decay. Heart attack or cancer. 1/ A Heart Attack is [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The SI Joint Commodity Trap in 2026</title>
		<link>https://orthostreams.com/2026/05/the-si-joint-commodity-trap-in-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 27 May 2026 03:18:35 +0000</pubDate>
				<category><![CDATA[Trends]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45756</guid>

					<description><![CDATA[If you&#8217;ve spent any time reading OrthoStreams, you know my core philosophy: Business Model &#62; Product. When I first wrote [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Why a lean funding philosophy produces winners</title>
		<link>https://orthostreams.com/2026/05/why-a-lean-funding-philosophy-produces-winners/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 26 May 2026 00:49:16 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45748</guid>

					<description><![CDATA[I wrote about the psychologic dangers of Too Much Money ! on OrthoStreams in 2019. Today I need to explain [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Startup saving Orthopedic Distributors from six-figure logistics losses</title>
		<link>https://orthostreams.com/2026/05/startup-saving-orthopedic-distributors-from-six-figure-logistics-losses/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 22 May 2026 16:19:27 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45738</guid>

					<description><![CDATA[For decades, the orthopedic logistics world has treated field inventory like a necessary evil: flood the market with expensive metal, [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>9 Hiring Tactics for Orthopedic Startups</title>
		<link>https://orthostreams.com/2026/05/9-hiring-tactics-to-accelerate-your-orthopedic-startups-growth/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 22 May 2026 12:23:55 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45733</guid>

					<description><![CDATA[In an orthopedic startups, talent isn't just an asset&#8212;it&#8217;s your ultimate commercial engine. Every hire either accelerates your time-to-market or [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Who will win the Spine Endoscopy land grab?</title>
		<link>https://orthostreams.com/2026/05/who-will-win-the-spine-endoscopy-land-grab/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 20 May 2026 15:57:34 +0000</pubDate>
				<category><![CDATA[Trends]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45711</guid>

					<description><![CDATA[If you have been keeping your ear to the ground in the spine world, you already know that spine endoscopy [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>When “Product Is King” Kills the Company: Anatomy of an real life Ortho Zombie</title>
		<link>https://orthostreams.com/2026/05/anatomy-of-a-zombie-ortho-company-when-a-great-product-meets-a-broken-pl/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 19 May 2026 01:48:34 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45713</guid>

					<description><![CDATA[How can a company with a truly great product turn into a zombie public company on life support? Today I [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>1-Way Doors: The Silent Killer of Ortho Startups</title>
		<link>https://orthostreams.com/2026/05/understanding-your-decision-1-way-vs-2-way-doors/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sat, 16 May 2026 23:43:26 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45697</guid>

					<description><![CDATA[Let's talk about the importance of two-way doors versus one-way doors. A one-way door decision is nearly impossible to reverse [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>New Trend:  Payers have declared war on cervical cages</title>
		<link>https://orthostreams.com/2026/05/new-trend-payers-have-declared-war-on-cervical-cages/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 14 May 2026 22:48:19 +0000</pubDate>
				<category><![CDATA[Regulation]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45682</guid>

					<description><![CDATA[I try to follow trends in ortho. Some reimbursement trends, like this one, pop up out of nowhere. Reimbursement pressure [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Why You Should Stop Hiring for Experience and Start Hiring for Scars</title>
		<link>https://orthostreams.com/2026/05/why-you-should-stop-hiring-for-experience-and-start-hiring-for-scars/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 11 May 2026 01:06:59 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45675</guid>

					<description><![CDATA[Recently I have been helping ortho startups fix their hiring mistakes. This got me to thinking. Why do startup leaders [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The Disposable Dilemma: Is the ASC “Efficiency Engine” an ESG Liability?</title>
		<link>https://orthostreams.com/2026/05/the-disposable-dilemma-is-the-asc-efficiency-engine-an-esg-liability/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 10 May 2026 23:42:12 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45671</guid>

					<description><![CDATA[In the high-velocity ASCs, the single-use instrument kit has become the "easy button" for throughput. By sidestepping the logistical nightmare [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The NASS Pivot: Why the World’s Largest Spine Society is Betting Big on the “Underdog” Founder.</title>
		<link>https://orthostreams.com/2026/05/the-nass-pivot-why-the-worlds-largest-spine-society-is-betting-big-on-the-underdog-founder/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 10 May 2026 23:17:32 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45654</guid>

					<description><![CDATA[For decades, the narrative in spine has been dominated by the giants&#8212;big companies with deep pockets running roughshod over the [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The Robotic Trojan Horse: How Big Ortho Smuggled a 10-Year Contract into Your OR</title>
		<link>https://orthostreams.com/2026/05/the-chained-giant-why-the-walled-garden-of-orthopedic-robotics-is-crumbling/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 10 May 2026 22:57:47 +0000</pubDate>
				<category><![CDATA[Trends]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45661</guid>

					<description><![CDATA[The image of a surgical robot "chained" to the OR floor serves as a perfect metaphor for the current state [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The 5 career stages in the Orthopedics industry.</title>
		<link>https://orthostreams.com/2026/05/the-5-career-stages-in-the-orthopedics-industry/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 08 May 2026 13:45:39 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45657</guid>

					<description><![CDATA[Your career in orthopedics isn't a ladder; it&#8217;s a lifecycle, and most professionals are unknowingly trapped in a stage they [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Spine startup – Join the discussion today May 7 — Inside the NASS “Financial Bridge” with NASS CEO, Eric Muehlbauer</title>
		<link>https://orthostreams.com/2026/05/spine-startup-join-the-discussion-today-may-7-inside-the-nass-financial-bridge-with-nass-ceo-eric-muehlbauer/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 07 May 2026 01:14:15 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45643</guid>

					<description><![CDATA[The statistics are brutal:&#160;95% of spine startups fail.&#160;Usually, it's not because the technology is bad, but because the "Valley of [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The Tiger Dashboard – May 2026</title>
		<link>https://orthostreams.com/2026/05/the-tiger-dashboard-may-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 05 May 2026 01:39:19 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45551</guid>

					<description><![CDATA["Most of the ortho industry is reading yesterday&#8217;s news. You&#8217;re about to get next month's edge." I&#8217;m sharing the new [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The “Robotics Tax”: Why Hospitals Are Losing Money on Every Case</title>
		<link>https://orthostreams.com/2026/05/the-robotics-tax-why-hospitals-are-losing-money-on-every-case/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 05 May 2026 01:34:22 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45628</guid>

					<description><![CDATA[I try to explore the truth here. Consistently I try to expose the false promise of most large robotics systems. [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The $1.4 Million Rift: Is AR the “Good Enough” Revolution for the ASC?</title>
		<link>https://orthostreams.com/2026/04/the-1-4-million-rift-is-ar-the-good-enough-revolution-for-the-asc/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 01 May 2026 01:19:11 +0000</pubDate>
				<category><![CDATA[Clinical]]></category>
		<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45617</guid>

					<description><![CDATA[The results from our reader poll yesterday are in, and the verdict is clear: Choice #5&#8212;the tension between "Big-Box" Robotics [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Quick Poll</title>
		<link>https://orthostreams.com/2026/04/quick-poll/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 29 Apr 2026 19:47:00 +0000</pubDate>
				<category><![CDATA[Trends]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45610</guid>

					<description><![CDATA[I want your opinion. There is a ton of change happening right now in ortho. Take a look at these [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Real AI tools that any small Ortho company can leverage today for growth.</title>
		<link>https://orthostreams.com/2026/04/real-ai-tools-that-any-small-ortho-company-can-leverage-today-for-growth/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 27 Apr 2026 17:49:36 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45596</guid>

					<description><![CDATA[Small Ortho companies have NO EXCUSES any longer. For Small Ortho, the "low-hanging fruit" lies in AI tools that reduce [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>How Startup Funding Works, a Simple Illustration</title>
		<link>https://orthostreams.com/2026/04/funding-illustration/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 24 Apr 2026 07:15:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=26258</guid>

					<description><![CDATA[Startup founders often ask me about how to best fund their new venture. There is no single answer. Every company [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The Silicon Valley of the Spine: The History of Orthopedics in Memphis</title>
		<link>https://orthostreams.com/2026/04/the-silicon-valley-of-the-spine-the-history-of-orthopedics-in-memphis/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 23 Apr 2026 01:06:52 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45590</guid>

					<description><![CDATA[I have previously written about the birthplace of modern ortho in Warsaw, or Why Warsaw? here. Today, let's dive into [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The New Currency of Successful Ortho Startups</title>
		<link>https://orthostreams.com/2026/04/the-new-currency-of-successful-ortho-startups/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 22 Apr 2026 15:30:55 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45547</guid>

					<description><![CDATA[The orthopedic industry is currently undergoing a violent but necessary cleansing. We have officially exited the "FOMO" era of easy [&#8230;]]]></description>
		
		
		
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		<title>71 Ways an Ortho Startup can Die</title>
		<link>https://orthostreams.com/2026/04/71-ways-an-ortho-startup-can-die/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 21 Apr 2026 17:51:14 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45573</guid>

					<description><![CDATA[On both the OrthoStreams blog and newsletter and the BoneChat private community we talk alot about what a startup should [&#8230;]]]></description>
		
		
		
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		<title>The Regulatory Trap: Why Your Orthopedic Innovation is Stalling (and How to Fix It)</title>
		<link>https://orthostreams.com/2026/04/the-regulatory-trap-why-your-orthopedic-innovation-is-stalling-and-how-to-fix-it/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 21 Apr 2026 14:47:14 +0000</pubDate>
				<category><![CDATA[Regulation]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45559</guid>

					<description><![CDATA[In our industry, we&#8217;re great at bending metal, perfecting coatings, and obsessed with "smart" everything. But there is a silent [&#8230;]]]></description>
		
		
		
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		<title>Is Orthofix prepping to “boot” its Spine Division ?</title>
		<link>https://orthostreams.com/2026/04/is-orthofix-prepping-to-boot-its-spine-division/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 20 Apr 2026 18:39:50 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45561</guid>

					<description><![CDATA[In the popular monthly &#8203;Tiger Dashboard&#8203; (found at the top of OrthoStreams for those lucky subscribers) I have predicted for [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The “KOL Shortcut” is Dead in 2026</title>
		<link>https://orthostreams.com/2026/04/the-kol-shortcut-is-dead-in-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 17 Apr 2026 01:59:20 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45553</guid>

					<description><![CDATA[I remember the "Good Old Days." In that era, the blueprint for an orthopedic startup was as predictable as a [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The Generalist’s Creed: Orthopedics 2026</title>
		<link>https://orthostreams.com/2026/04/the-generalists-creed-orthopedics-202/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 15 Apr 2026 19:22:04 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45523</guid>

					<description><![CDATA[In the ortho offices of 2026, the most dangerous phrase a professional can utter is, "That&#8217;s not my department." The [&#8230;]]]></description>
		
		
		
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		<title>How to Move Up the Food Chain in Your Orthopedic Career</title>
		<link>https://orthostreams.com/2026/04/how-to-move-up-the-food-chain-in-your-orthopedic-career/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 15 Apr 2026 00:35:21 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45535</guid>

					<description><![CDATA[In our industry, "moving up" isn&#8217;t just about a loftier title or a bigger paycheck; it&#8217;s about increasing your professional [&#8230;]]]></description>
		
		
		
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		<title>The Ortho IPO paradox: Will there be any oxygen left in the room for ortho in 2026 ?</title>
		<link>https://orthostreams.com/2026/04/the-ortho-ipo-paradox-will-there-be-any-oxygen-left-in-the-room-for-ortho-in-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 14 Apr 2026 13:59:47 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45525</guid>

					<description><![CDATA[The IPO window has opened up for orthopedics this year. Read more here - A detailed look at the positive [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Why “Big Ortho” Still Matters (and Why We Need Them)</title>
		<link>https://orthostreams.com/2026/04/why-big-ortho-still-matters-and-why-we-need-them/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 10 Apr 2026 01:53:27 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45519</guid>

					<description><![CDATA[If you read my stuff, you know that I frequently argue that a Startup Ortho is the superior environment for [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Join the discussion today with Hyperflex Medical on BoneChat – 3:00p EST.</title>
		<link>https://orthostreams.com/2026/04/join-the-discussion-today-with-hyperflex-medical-on-bonechat-300p-est/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 09 Apr 2026 13:10:26 +0000</pubDate>
				<category><![CDATA[Clinical]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45514</guid>

					<description><![CDATA[No bone cuts. No fusion. Just correction. Traditional bunion surgery often requires aggressive bone trauma and weeks of recovery, but [&#8230;]]]></description>
		
		
		
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		<title>Clinical Data Theatre in Orthopedics</title>
		<link>https://orthostreams.com/2026/04/clinical-data-theatre-in-orthopedics/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 08 Apr 2026 02:15:56 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45502</guid>

					<description><![CDATA[In the sterile hallways of orthopedic conferences, "Level 1 Evidence" is treated like the holy grail. Sales reps carry tablets [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Why Mid-Cap Orthopedics is Facing a Historic Valuation Crisis</title>
		<link>https://orthostreams.com/2026/04/the-missing-middle-why-mid-cap-orthopedics-is-facing-a-historic-valuation-crisis/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 06 Apr 2026 20:41:07 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45504</guid>

					<description><![CDATA[The investment landscape for orthopedic innovation is shifting under our feet, and to get a clear view of the damage, [&#8230;]]]></description>
		
		
		
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		<item>
		<title>From “Wow” to “Flight”: The 5 Stages of an Orthopedic Life</title>
		<link>https://orthostreams.com/2026/04/from-wow-to-flight-the-5-stages-of-an-orthopedic-life/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 03 Apr 2026 13:26:43 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45499</guid>

					<description><![CDATA[I notice trends. After decades of startups, recruiting, podcasting, and pattern-matching across thousands of conversations in this industry, I&#8217;ve realized [&#8230;]]]></description>
		
		
		
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		<item>
		<title>What a 510(k) actually costs in 2026… because nobody tells you the real number until you’ve already spent half of it</title>
		<link>https://orthostreams.com/2026/04/what-a-510k-actually-costs-in-2026-because-nobody-tells-you-the-real-number-until-youve-already-spent-half-of-it/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 02 Apr 2026 01:28:06 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[Regulation]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45489</guid>

					<description><![CDATA[Guest post by Lisa Voronkova, Founder &#38; CEO of OVA Solutions and author of the "Hardware Bible." Follow Lisa's free [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The Rise and Fall of the Bunion King: Making sense of the Treace Medical collapse</title>
		<link>https://orthostreams.com/2026/03/the-rise-and-fall-of-the-bunion-king-making-sense-of-the-treace-medical-collapse/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 30 Mar 2026 20:55:34 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45456</guid>

					<description><![CDATA[What happened? Many people have asked me this question over many quarters. It's complicated, but I am going to do [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The Tiger Dashboard – April 2026</title>
		<link>https://orthostreams.com/2026/03/the-tiger-dashboard-april-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 29 Mar 2026 19:48:34 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45294</guid>

					<description><![CDATA[Sharing the best monthly DASHBOARD in the ortho industry to the lucky OrthoStreams Subscribers ($1/day) &#8211; no-ads, no bias, just [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>An Ortho Startup’s insight into the VC Mindset</title>
		<link>https://orthostreams.com/2026/03/an-ortho-startups-insight-into-the-vc-mindset/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 27 Mar 2026 13:31:33 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45433</guid>

					<description><![CDATA[Most orthopedic founders view Venture Capital as a black box or, worse, a necessary evil. But if you want to [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Big Ortho execs, it’s time to look in the mirror. You should be ashamed of yourselves.</title>
		<link>https://orthostreams.com/2026/03/big-ortho-execs-its-time-to-look-in-the-mirror-you-should-be-ashamed-of-yourselves/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 26 Mar 2026 00:32:49 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45441</guid>

					<description><![CDATA[Employees working at Big Orthos should be more financially literate and read the public disclosures each quarter. What we are [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>How to develop your new Orthopedic product idea.</title>
		<link>https://orthostreams.com/2026/03/how-to-attract-capital-for-your-new-orthopedic-product-idea/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 25 Mar 2026 02:57:51 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45417</guid>

					<description><![CDATA[This is a public service announcement for orthopedic entrepreneurs. The funding climate is frosty, but investors are still writing checks&#8212;they&#8217;ve [&#8230;]]]></description>
		
		
		
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		<item>
		<title>An inside look at a successful startup – Ellipse Technologies</title>
		<link>https://orthostreams.com/2026/03/an-inside-look-at-a-successful-startup-ellipse-technologies-2/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 24 Mar 2026 02:49:35 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45422</guid>

					<description><![CDATA[The acquisition of Ellipse Technologies by NuVasive for $410 million&#8212;representing a staggering 10x sales multiple&#8212;remains a gold standard for orthopedic [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The Orthopedic Monopoly: Why Being “The Only” Beats Being “The Best”</title>
		<link>https://orthostreams.com/2026/03/the-orthopedic-monopoly-why-being-the-only-beats-being-the-best/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 20 Mar 2026 13:20:19 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45409</guid>

					<description><![CDATA[In our orthopedic industry, we often talk about innovation. But true success isn't just about a slightly better screw; it&#8217;s [&#8230;]]]></description>
		
		
		
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		<item>
		<title>5 Historical Game Changers in Orthopedics</title>
		<link>https://orthostreams.com/2026/03/5-historical-game-changers-in-orthopedics-2/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 19 Mar 2026 02:44:06 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45394</guid>

					<description><![CDATA[Let&#8217;s go back in history to look at&#160;five game-changing innovations in orthopedics and see how they originated. These five changed [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Stryker Cyberattack: The Supply Chain Wake-Up Call Orthopedic Leaders Can’t Ignore</title>
		<link>https://orthostreams.com/2026/03/stryker-cyberattack-the-supply-chain-wake-up-call-orthopedic-leaders-cant-ignore/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 17 Mar 2026 15:33:22 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45388</guid>

					<description><![CDATA[Six days after the Handala-linked wiper attack, the picture is no longer about the breach itself&#8212;it&#8217;s about what the breach [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The Throughput Question.</title>
		<link>https://orthostreams.com/2026/03/the-throughput-question-are-you-an-accelerator-or-a-speed-bump/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 16 Mar 2026 21:47:14 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45313</guid>

					<description><![CDATA[Today, most of your customers aren&#8217;t buying titanium or polyethylene anymore&#8212;they&#8217;re buying time. If you think you're still in the [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Hospitals Started Treating Ortho Reps Like Outsiders back in 2015 (and it’s only gotten worse)</title>
		<link>https://orthostreams.com/2026/03/2015-the-year-hospitals-started-treating-ortho-reps-like-outsiders-and-its-only-gotten-worse/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sat, 14 Mar 2026 00:21:31 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45360</guid>

					<description><![CDATA[Look, I've been in this ortho game for decades, talking to startup people, reps, and surgeons. Things have changed.... but [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Why “surgeon-directed” new product development doesn’t work in 2026</title>
		<link>https://orthostreams.com/2026/03/why-surgeon-directed-new-product-development-doesnt-work-in-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 13 Mar 2026 13:57:25 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45351</guid>

					<description><![CDATA[In the traditional orthopedic playbook, the path from "napkin sketch" to "FDA clearance" was a straight line through the surgeon. [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Stryker Cyberattack Update: Outages Continue, Hospital Supply Risks Rise</title>
		<link>https://orthostreams.com/2026/03/stryker-hit-by-suspected-iran-linked-cyberattack-global-operations-disrupted-thousands-impacted/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 11 Mar 2026 15:06:06 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45344</guid>

					<description><![CDATA[The March 11 wiper attack linked to Handala remains active into its third day. Stryker has provided no firm timeline [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Elephant stakes and how Big Ortho domesticates you.</title>
		<link>https://orthostreams.com/2026/03/elephant-stakes-how-big-ortho-has-domesticates-you/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 09 Mar 2026 20:34:46 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45333</guid>

					<description><![CDATA[You know that old circus trick with the elephant? They chain a baby elephant to a massive iron stake&#8212;big enough [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Business Model &gt; Product</title>
		<link>https://orthostreams.com/2026/03/business-model-product/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 08 Mar 2026 16:20:44 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45316</guid>

					<description><![CDATA[Over time, the graveyard of failed orthopedic companies that has become more crowded. People don't like to talk about the [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Why is SI-BONE worth 6X Treace with the same revenue?</title>
		<link>https://orthostreams.com/2026/03/why-is-si-bone-worth-6x-treace-with-the-same-revenue/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 06 Mar 2026 20:09:00 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45310</guid>

					<description><![CDATA[An ortho friend asked me this interesting financial question and there is a simple answer. This is a classic case [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>What Happened at AAOS 2026? Ecosystems, Ozempic, and Arnold.</title>
		<link>https://orthostreams.com/2026/03/what-happened-at-aaos-2026-ecosystems-ozempic-and-arnold/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 06 Mar 2026 03:13:02 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45305</guid>

					<description><![CDATA[The vibe in New Orleans this week? Mostly high-decibel noise, but if you filter out the jazz and the marketing [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Are startups for me?   Take the test and answer 8 simple yes/no questions.</title>
		<link>https://orthostreams.com/2026/03/are-startups-for-me-answer-8-simple-yes-no-questions/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 05 Mar 2026 15:34:32 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45300</guid>

					<description><![CDATA[The orthopedic startup ecosystem thrives on a rare breed of talent&#8212;individuals who thrive amid uncertainty, embrace relentless pace, and turn [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Globus and Arthrex are eating the US ortho market.</title>
		<link>https://orthostreams.com/2026/03/globus-and-arthrex-are-eating-the-us-ortho-market/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 04 Mar 2026 23:46:37 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45210</guid>

					<description><![CDATA[Following up to the original article - Globus continues to eat orthopedics with fantastic financial numbers including 25% revenue growth [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Your quick startup guide for New Orleans</title>
		<link>https://orthostreams.com/2026/03/your-quick-startup-guide-for-new-orleans/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 02 Mar 2026 15:48:06 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45287</guid>

					<description><![CDATA[While Big Ortho occupies the central anchors, the real pulse of the industry is often found in the startup alleys [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The Tiger Dashboard – Mar 2026</title>
		<link>https://orthostreams.com/2026/03/the-tiger-dashboard-mar-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 01 Mar 2026 21:05:48 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45240</guid>

					<description><![CDATA[Sharing the best monthly DASHBOARD in the ortho industry to the lucky OrthoStreams Subscribers ($1/day) &#8211; no-ads, no bias, just [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Orthopedics Odd Couple: A Global Giant Meets a Specialized Startup That Can’t Break Even</title>
		<link>https://orthostreams.com/2026/02/orthopedics-odd-couple-a-global-giant-meets-a-specialized-startup-that-cant-break-even/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 26 Feb 2026 03:02:23 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45269</guid>

					<description><![CDATA[This announced partnership confuses me - Smith+Nephew signs distribution agreement with SI-BONE. I am still trying to wrap my head [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Why your “eureka” product idea will fail and  iteration is your real superpower</title>
		<link>https://orthostreams.com/2026/02/why-your-eureka-product-idea-will-fail-and-iteration-is-your-real-superpower/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 25 Feb 2026 04:31:08 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45262</guid>

					<description><![CDATA[After years of pattern recognition of the great ortho winners, I&#8217;ve realized that there are two distinct paths to the [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Sticky Business: The High-Stakes Race to Perfect Bone Adhesion</title>
		<link>https://orthostreams.com/2026/02/sticky-business-the-high-stakes-race-to-perfect-bone-adhesion/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 22 Feb 2026 19:31:54 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<category><![CDATA[Trends]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45259</guid>

					<description><![CDATA[For decades, we&#8217;ve been trying to find a way to make things stick in the body. But let&#8217;s be honest: [&#8230;]]]></description>
		
		
		
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		<title>Vendor Credentialing is Broken. It’s Time to Fix this Orthopedic “Cash Grab.”</title>
		<link>https://orthostreams.com/2026/02/vendor-credentialing-is-broken-its-time-to-fix-this-orthopedic-cash-grab/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 19 Feb 2026 14:44:30 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45160</guid>

					<description><![CDATA[Recently, I saw Omar Khateeb over at The State of MedTech echoing many of the same frustrations we have discussed [&#8230;]]]></description>
		
		
		
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		<title>Seagulls, Groupthink, and Contrarian Wins in Orthopedics</title>
		<link>https://orthostreams.com/2026/02/seagulls-groupthink-and-contrarian-wins-in-orthopedics/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 18 Feb 2026 15:41:42 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45246</guid>

					<description><![CDATA[Why This Article is Worth Reading This article explores the pitfalls of herd mentality in the orthopedic industry through a [&#8230;]]]></description>
		
		
		
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		<item>
		<title>$15,000 of inventory savings versus 15° degrees of extra hip stability.</title>
		<link>https://orthostreams.com/2026/02/15-degrees-of-hip-stability-vs-15000-of-inventory-its-clear-now-that-big-ortho-has-prioritized-less-inventory-costs-above-patient-outcomes/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sat, 14 Feb 2026 22:34:42 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45217</guid>

					<description><![CDATA[Why Read? Let me be crystal clear. The purpose of this article is to "right a clinical wrong".We must: 1/ [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Why you need a Nemesis</title>
		<link>https://orthostreams.com/2026/02/why-you-need-a-nemesis/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 12 Feb 2026 15:07:46 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45202</guid>

					<description><![CDATA[The Power of Rivalry in Driving Innovation The most impactful innovations in orthopedics often emerge not from isolation, but from [&#8230;]]]></description>
		
		
		
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		<item>
		<title>Which one are you on LinkedIn?  14 choices.</title>
		<link>https://orthostreams.com/2026/02/which-one-are-you-on-linkedin-1-through-13/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 10 Feb 2026 20:57:15 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45192</guid>

					<description><![CDATA[I have been sharing content on LinkedIn since 2007 when I decided to become a super-connector in ortho. Since then [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The Top 8 Orthopedic companies by revenue as of Feb 2026</title>
		<link>https://orthostreams.com/2026/02/the-top-8-orthopedic-companies-by-revenue-as-of-feb-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 10 Feb 2026 02:43:40 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45188</guid>

					<description><![CDATA[I am a small company guy, but cannot ignore the Big Orthos as part of my job, so sharing an [&#8230;]]]></description>
		
		
		
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		<item>
		<title>A few thoughts on non-competes in Orthopedics</title>
		<link>https://orthostreams.com/2026/02/a-few-thoughts-on-non-competes-in-orthopedics/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 06 Feb 2026 15:18:10 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45170</guid>

					<description><![CDATA[Disclaimer: I am not an attorney. This is not legal advice. These are just observations Ortho talent moves faster than [&#8230;]]]></description>
		
		
		
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		<title>JPM 2026: Why “Boring” is the New Breakthrough in Orthopedics</title>
		<link>https://orthostreams.com/2026/02/orthopedic-takeaways-from-the-jp-morgan-healthcare-conference-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 05 Feb 2026 00:33:24 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45154</guid>

					<description><![CDATA[JPM 2026: From "Recovery" to "Execution" The "growth at all costs" era is officially dead. The vibe at the 44th [&#8230;]]]></description>
		
		
		
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		<title>PSA – Get free tax money for your ortho startup. This is real.</title>
		<link>https://orthostreams.com/2026/02/psa-get-free-tax-money-for-your-ortho-startup-this-is-real/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 03 Feb 2026 15:51:29 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45149</guid>

					<description><![CDATA[Immediate R&#38;D Tax Breaks are Back A major change in tax law (the "One Big Beautiful Bill Act") is a [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The Tiger Dashboard – Feb 2026</title>
		<link>https://orthostreams.com/2026/02/the-tiger-dashboard-feb-2026/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 02 Feb 2026 18:27:43 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45138</guid>

					<description><![CDATA[Sharing the best monthly DASHBOARD in the ortho industry to the lucky Subscribers - no-ads, no bias, just my thoughts [&#8230;]]]></description>
		
		
		
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		<item>
		<title>New startup to watch that has developed faster, safer, smarter fracture reductions.</title>
		<link>https://orthostreams.com/2026/02/new-startup-to-watch-that-has-developed-faster-safer-smarter-fracture-reductions/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 01 Feb 2026 21:54:59 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<category><![CDATA[Tech]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45131</guid>

					<description><![CDATA[Faster, Safer, Smarter Reductions We all know that getting a perfect fracture reduction is the most critical&#8212;and often the most [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Why Ortho CEOs Don’t Need to Know It All</title>
		<link>https://orthostreams.com/2026/01/why-ortho-ceos-dont-need-to-know-it-all/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 30 Jan 2026 21:39:40 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45128</guid>

					<description><![CDATA[If you've been following my journey in the orthopedic industry&#8212; from startup hustles to big medtech deals &#8212; you'll know [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>A Spine Journal just documented what we all know – Spine surgery is being devalued.</title>
		<link>https://orthostreams.com/2026/01/a-spine-journal-just-documented-what-we-all-know-spine-surgery-is-being-devalued/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 29 Jan 2026 01:21:48 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45089</guid>

					<description><![CDATA[It's documented now. Over the past two decades, spine surgeons have faced systematic devaluation of their work, leading to financial [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>How Iteration Drives Orthopedics Innovation</title>
		<link>https://orthostreams.com/2026/01/how-iteration-drives-orthopedics-innovation/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 28 Jan 2026 15:43:07 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45083</guid>

					<description><![CDATA["I've realized that the key to being successful is not how good your ideas are, it's how good you are [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>“Your nearest exit may be behind you”</title>
		<link>https://orthostreams.com/2026/01/your-nearest-exit-may-be-behind-you/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 27 Jan 2026 02:51:11 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45053</guid>

					<description><![CDATA[A small dose of greed can be a good thing for orthopedic company leaders... but excessive greed can be problematic. [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Israeli startup tackles the high cost of customs by leveraging AI tools.</title>
		<link>https://orthostreams.com/2026/01/israeli-startup-tackles-the-high-cost-of-customs-by-leveraging-ai-tools/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 26 Jan 2026 14:10:53 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<category><![CDATA[Tech]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45064</guid>

					<description><![CDATA[We all know that custom implants are better for patients than off-the-shelf implants for those special cases of cancer, post-trauma [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>First look at the Arthrex acquisition of Corin</title>
		<link>https://orthostreams.com/2026/01/first-look-at-the-arthrex-acquisition-of-corin/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 23 Jan 2026 16:03:18 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45049</guid>

					<description><![CDATA[Arthrex, the Naples-based giant known for its sports med dominance, is making a bold leap into total joints by acquiring [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Epigenetics: The Silent Future of  Orthopedic Treatments</title>
		<link>https://orthostreams.com/2026/01/epigenetics-the-silent-future-of-orthopedic-treatments/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 22 Jan 2026 04:03:01 +0000</pubDate>
				<category><![CDATA[Tech]]></category>
		<category><![CDATA[Trends]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44346</guid>

					<description><![CDATA[Why Read? Get a glimpse of the future of orthopedics, that's not AI, not imaging, not robotics, and not metal. [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>7 benefits of working at a startup</title>
		<link>https://orthostreams.com/2026/01/7-benefits-of-working-at-a-startup/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 21 Jan 2026 02:43:51 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45038</guid>

					<description><![CDATA[I've been knee-deep in the ortho startup world for decades&#8212;working in three of them, chatting with founders on my blog [&#8230;]]]></description>
		
		
		
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		<item>
		<title>The End of the “Mystery Pain” Era: Why ExplantLab is the Most Anticipated US Orthopedic Launch</title>
		<link>https://orthostreams.com/2026/01/the-end-of-the-mystery-pain-era-why-explantlab-is-the-most-anticipated-us-orthopedic-launch/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 21 Jan 2026 01:40:08 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45016</guid>

					<description><![CDATA[Tiger's Take We are moving away from the era of "one size fits all" orthopedics. We&#8217;ve mastered the metal and [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>This UK Start will put an end to the “Mystery Pain” era in total joints</title>
		<link>https://orthostreams.com/2026/01/this-uk-start-will-put-an-end-to-the-mystery-pain-era-in-joints/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Mon, 19 Jan 2026 00:08:34 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<category><![CDATA[Tech]]></category>
		<category><![CDATA[Trends]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=45023</guid>

					<description><![CDATA[Why read In our industry, the landscape is dominated by mechanical innovations, but some of the biggest breakthroughs are non- [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Company &gt; Product</title>
		<link>https://orthostreams.com/2026/01/company-product/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Sun, 18 Jan 2026 01:58:16 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44948</guid>

					<description><![CDATA[In the quest for orthopedic innovation, many startups chase the illusion of the quick win&#8212;building a product. Few grasp the [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Making sense of the Tecomet+Orchid merger</title>
		<link>https://orthostreams.com/2026/01/making-sense-of-the-tecometorchid-merger/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 14 Jan 2026 18:47:10 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44990</guid>

					<description><![CDATA[Tiger's Take In my view, the Tecomet-Orchid merger is the definitive signal that the "supply chain as a service" model [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Historical lesson:  Ray Elliott’s Open Letter that shook Boardrooms and reversed an acquisition.</title>
		<link>https://orthostreams.com/2026/01/historical-lesson-ray-elliotts-open-letter-that-shook-boardrooms-and-reversed-an-acquisition/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 14 Jan 2026 02:27:09 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44972</guid>

					<description><![CDATA[In orthopedic M&#38;A, one audacious open letter stands as a masterclass in disruption. Back in 2003, Smith &#38; Nephew had [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>S+N acquires Integrity Orthopaedics for $450M ($225M upfront payment plus up to $225M in earn-outs over five year)</title>
		<link>https://orthostreams.com/2026/01/sn-acquires-integrity-orthopaedics-for-450m/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 13 Jan 2026 15:27:41 +0000</pubDate>
				<category><![CDATA[Financial]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44951</guid>

					<description><![CDATA[Tiger's Take This acquisition may trigger more fundings and more M&#38;A in the Sports Med space. About a year ago, [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>5 reasons you might be “accidentally” Hiring a “B” Player into your company.</title>
		<link>https://orthostreams.com/2026/01/5-reasons-you-might-be-accidentally-hiring-a-b-player-into-your-company/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Fri, 09 Jan 2026 03:35:48 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44945</guid>

					<description><![CDATA[Your team defines your company&#8212;it's that straightforward.We all know this deep down: It's not the tech, the office space, the [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>How to Make More Money if you are in Orthopedic Sales.</title>
		<link>https://orthostreams.com/2026/01/how-to-make-more-money-if-you-are-in-orthopedic-sales/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Thu, 08 Jan 2026 01:16:04 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44767</guid>

					<description><![CDATA[Many many ortho sales pros are frustrated in 2026. This is a rant that I wrote last night, but some [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>Your 1-2-3 playbook for building a monopoly in orthopedics.</title>
		<link>https://orthostreams.com/2026/01/1-2-3-playbook-to-building-a-monopoly-in-orthopedics/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Wed, 07 Jan 2026 15:11:41 +0000</pubDate>
				<category><![CDATA[Startups]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44829</guid>

					<description><![CDATA[Why Read ? Monopolies are the holy grail if you can create one and maintain it for years. I saw [&#8230;]]]></description>
		
		
		
			</item>
		<item>
		<title>The Lobster Effect: How to Turn Stagnation into Your Next Big Career Move</title>
		<link>https://orthostreams.com/2026/01/copy-the-lobster-once-your-career-growth-stalls/</link>
		
		<dc:creator><![CDATA[Tiger]]></dc:creator>
		<pubDate>Tue, 06 Jan 2026 14:02:24 +0000</pubDate>
				<category><![CDATA[People]]></category>
		<guid isPermaLink="false">https://orthostreams.com/?p=44908</guid>

					<description><![CDATA[We are all learning and growing in our careers. But what happens when your growth slows down? You may not [&#8230;]]]></description>
		
		
		
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