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During the next decade, The Advisory Board Company projects increases in both inpatient and outpatient orthopedic care. Knee and hip replacements will continue to lead the growth of inpatient procedures. Furthermore, due to modern anesthesia techniques and increased sophistication of patient care in an ambulatory setting, a transformation is underway, which will drive more than half of these procedures into an outpatient setting in time.

Many forces have affected the expansion of orthopedic care — aging population, increasing rates of osteoarthritis, comorbidities such as smoking, diabetes and obesity, more revision procedures and continued innovation of medical devices and techniques. With the predicted increases in the number of people age 65 years or older, the overall expenditures for orthopedic care will continue to increase dramatically and, as such, have become targets for ways to reduce health care spending.

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