At OrthoNC, we provide Healthcare services to people who come to our clinic for only one reason — they need help and guidance. The corollary of this statement clearly spells out the philosophy of the practice, namely “to provide those who come to us with the most courteous, sympathetic treatment and with the highest quality of medical care available at a cost that is both fair and reasonable.” As the orthopedic landscape evolves, we recognize that our community needs more than just traditional options. Patients are increasingly seeking innovative solutions that bridge the gap between conservative management and major surgery.
By integrating key surgical service lines into our ASC, we are not simply adopting new technology — we are expanding our ability to attract more patients through a streamlined, efficient, and patient-centered model of care.
Weight-bearing as tolerated, unrestricted restoration of knee motion, and rapid recovery make the MISHA® Knee System procedure exceptionally well-suited for the ambulatory surgery center setting.
Quite simply, MISHA aligns with the future of orthopedic care: less invasive treatment, rapid recovery, and no activity restrictions. The ASC environment is uniquely positioned to deliver that future today.
Patients do not want to organize their lives around knee pain. They want their lives back. MISHA and the ASC model help make that possible.
Addressing the Treatment Gap in Medial Knee Osteoarthritis
For many of our patients, the journey through knee pain reaches a frustrating plateau. They have often exhausted injections and physical therapy yet aren’t quite ready – physically or lifestyle-wise – for a knee replacement. We’ve seen firsthand patients who want to avoid the invasiveness of a knee replacement but refuse to remain in pain.
The MISHA Knee System allows us to address this “treatment gap” directly. It provides a surgical service line that helps more patients who otherwise may have Addressing the Treatment Gap in Medial Knee Osteoarthritis been considered non-surgical candidates. Being at the forefront of this orthopedic advancement has been a significant win for our community; offering a path to recovery that preserves the natural joint while providing meaningful relief and a return to an active lifestyle. This technology is particularly vital because it addresses a specific patient population that has long been underserved: those who have inadequate relief from non operative treatments but are unwilling or not indicated for a knee replacement.
Optimized Patient Flow and Outcomes
One of the primary reasons we chose to offer this procedure is the inherent benefit to the patient experience. Our ASC is 100% focused on orthopedics and is designed for specialized, focused care, which naturally facilitates a smooth recovery process.
- Rapid Recovery: Patients can recover quickly and return to the comfort of their own homes shortly after the surgery.
- Patient Choice: No patient wants to feel backed into a corner before surgery. With the MISHA procedure, patients in our community previously stuck in the treatment gap are thrilled to have a new treatment option to consider.
- Focused Care: The streamlined nature of our ASC allows our clinical team to focus entirely on the patient’s surgical journey without the logistical complexities often found in larger, multi specialty hospital facilities.
By offering this procedure at the ASC, we aren’t just changing the location of the surgery; we are optimizing the entire clinical pathway. Patients benefit from a more personal touch from specialized staff, and the psychological benefit of returning to their homes more quickly.
Maximizing Opportunity and OR Utilization
In our ASC, efficiency is paramount, and this technology aligns perfectly with our goals of maximizing resources and increasing availability for our patients.
- Operational Simplicity: A bill-only model that requires no new capital investment, no maintenance contracts, and no permanent shelf space or supply carrying costs; this is a great treatment option for ASCs.
- Increased Utilization: Incorporating this technology into our ASC has allowed us to treat patients that weren’t being treated before.
This model eliminates the burden of logistics and product obsolescence. In a traditional setting, adding a new service line often requires significant upfront costs and complex inventory management. Here, the “bill-only” approach means we only use what we need, allowing us to stay focused on clinical excellence rather than administrative overhead.
Navigating the Financial Landscape
At OrthoNC we see medial knee OA patients all the time. We understood early on that MISHA had the potential to be a high-volume procedure at our ASC.
We have experienced positive reimbursement across various categories, proving that while every ASC is different, there is a clear path for commercial insurance, VA, Medicare, Workers’ Comp, and Tri-Care patients to be treated. This predictability allows us to provide patients with clear financial expectations, reducing the stress often associated with elective procedures.
Leadership Through Partnership
Innovative technology only “takes off” when there is a strong partnership between the medical team and the technology providers. At OrthoNC, we take pride in being a leader in our region. We believe that providing MISHA is the right thing to do for our patients, offering them a sophisticated, effective, and convenient option for treating their knee pain.
Innovative surgical solutions do not gain traction without forward-thinking organizations willing to blaze a new trail. We are proud to showcase what “good” looks like in modern orthopedics: a commitment to innovation, a focus on the patient, and an unwavering drive to improve the lives of those in our community.
Howard A. is post-authorization patient MOX-PT-25-001500
1. Diduch DR, Crawford DC, Ranawat AS, Victor J, Flanigan DC. Implantable Shock Absorber Provides Superior Pain Relief and Functional Improvement Compared With High Tibial Osteotomy in Patients with Mild-to-Moderate Medial Knee Osteoarthritis: A 2-Year Report. 2. CARTILAGE. 2023;0(0). doi:10.1177/19476035231157335. 2. Morgan OJ, Hillstrom HJ, Ranawat A, Fragomen AT, Rozbruch SR, Hillstrom R. Effects of a Medial Knee Unloading Implant on Tibiofemoral Joint Mechanics During Walking. J Orthop Res. 2019;37(10):2149-2156. doi:10.1002/jor.24379. 3. Data on file at Moximed.
INDICATIONS FOR USE: The MISHA Knee System is indicated for patients with medial compartment knee osteoarthritis that have failed to find relief in surgical and/or non-surgical treatment modalities and are still experiencing pain that interferes with activities of daily living and are also unwilling to undergo or ineligible for total knee replacement due to age or absence of advanced osteoarthritis.
See IFU for a complete list of indications, contraindications, warnings and precautions.
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