The Hand and Wrist Institute

What The Hand and Wrist Institute does

The Hand and Wrist Institute is a private, single-specialty orthopedic medical practice founded in September 2009 by Dr. John T. Knight, operating from clinic offices in Dallas and Southlake, Texas, with surgical procedures performed at Legent Hospital in Plano. The practice is dedicated exclusively to the diagnosis, treatment, and surgical care of hand, wrist, elbow, and upper extremity conditions, with clinical capabilities spanning conservative treatments (corticosteroid injections, splinting, physical therapy referrals) through complex reconstructive surgery including the proprietary Stitchless Endoscopic Carpal Tunnel Release (SECTR), joint replacement, toe-to-thumb transplantation, and Free Hand System implantation for quadriplegics.

The practice's technology stack is centered on Dr. Knight's clinical expertise and includes state-of-the-art digital x-ray imaging and electronic medical records, supported by an educational website featuring the proprietary "Where Does it Hurt?®" interactive symptom assessment tool and an extensive video library. Revenue is generated through professional services — clinical consultations, surgical procedures, and non-surgical treatments — priced per-procedure at $2,900-$3,750 for in-office interventions, representing a 50-60% cost advantage versus hospital-based alternatives.

The go-to-market model is direct-to-patient via scheduled clinic appointments and virtual consultations for out-of-state patients, with patient acquisition driven primarily by Dr. Knight's national media presence (CNN, Good Morning America, The Doctors, Forbes, The Wall Street Journal), celebrity and professional athlete testimonials, and educational content marketing. The practice serves a primarily fragmented general public base in the DFW Metroplex, with secondary visibility among professional athletes, musicians, and entertainers.

Name

The Hand and Wrist Institute

Legal name

The Hand and Wrist Institute

Website

https://handandwristinstitute.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

11–50 employees

Short description

The Hand and Wrist Institute is a private orthopedic medical practice in Dallas-Fort Worth, Texas, specializing in the diagnosis, treatment, and surgical care of hand, wrist, elbow, and upper extremity conditions, founded and operated by Dr. John T. Knight.

Ownership category

akta.pro rank

Product category

Hand and Upper Extremity Orthopedic Surgery

NAICS

Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Hand & Upper Extremity (HLAKALAF)

akta.pro secondary industry

General Orthopedics (HLAKALAA)

Keywords

• Hand surgery specialists
• Carpal tunnel treatment
• Upper extremity care
• Orthopedic surgical practice
• Wrist arthroscopy

Headquarters

HQ city

Southlake

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Supply Chain

Revenue model

1. Clinical Consultations: Initial and follow-up patient consultations at clinic offices for diagnosis and treatment planning.
2. Surgical Procedures: Revenue from surgical interventions including carpal tunnel release, trigger finger release, joint replacement, fracture repair, and reconstructive surgeries. Many procedures can be performed in-office, reducing facility costs.
3. Non-Surgical Treatments: Revenue from conservative treatments including physical therapy referrals, corticosteroid injections, splinting, and pain management.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

The Hand and Wrist Institute is a single-specialty orthopedic medical practice that diagnoses, treats, and surgically corrects conditions of the hand, wrist, elbow, and upper extremities. Its core services include clinical consultations, non-surgical treatments (physical therapy, injections, splinting), and a full range of surgical procedures such as the proprietary Stitchless Endoscopic Carpal Tunnel Release (SECTR), wrist arthroscopy, joint replacement, fracture repair, tendon repair, and toe-to-thumb transplantation, delivered from offices in Dallas and Southlake, Texas, with hospital-based surgery at Legent Hospital in Plano.

Product overview

The Hand and Wrist Institute is a specialized orthopedic medical practice offering comprehensive hand, wrist, and upper extremity care. The practice operates as a single unified service centered around Dr. John T. Knight, a board-certified orthopedic surgeon with over 25 years of experience. The main service portfolio includes diagnostic consultations, non-surgical treatments (immobilization, physical therapy, injections), and surgical procedures. Key surgical offerings include the proprietary Stitchless Endoscopic Carpal Tunnel Release (SECTR) procedure, joint replacement, fracture repair, and advanced procedures like toe-thumb transplants. The practice supplements its core medical services with patient-facing digital tools including the Where Does it Hurt?® interactive symptom checker and virtual consultation services for out-of-state patients. Surgical procedures are performed at Legent Hospital in Plano, with clinic offices in Dallas and Southlake, Texas.

Differentiator

Problem solved

Functional benefit

Products and services

• Hand and Wrist Institute Clinical Practice and Consultations Specialized orthopedic practice providing diagnosis, treatment, and surgical care for hand, wrist, elbow, and upper extremity conditions, with offices in Dallas and Southlake, Texas, and surgical procedures performed at Legent Hospital in Plano. Targeted at adults and children experiencing hand, wrist, or upper extremity conditions.
• Stitchless Endoscopic Carpal Tunnel Release (SECTR) Minimally invasive surgical procedure for treating carpal tunnel syndrome using an endoscope through a small incision to release the transverse carpal ligament, offering faster recovery with no stitches required. For patients with carpal tunnel syndrome.
• Hand and Wrist Surgical Treatments Comprehensive surgical procedures including carpal tunnel release, trigger finger release, joint reconstruction and replacement, fracture repair, tendon and ligament repair, arthroscopy, and reconstructive surgeries. For patients with hand, wrist, or elbow conditions requiring surgical intervention.
• Hand Conditions Treatment Treatment for hand conditions including arthritis, fractures, tendon injuries, nerve injuries, trigger finger, Dupuytren's contracture, burns, cysts, tumors, and infections. For patients presenting with hand-specific disorders.
• Wrist Conditions Treatment Treatment for wrist conditions including carpal tunnel syndrome, tendonitis, wrist sprains, fractures, ganglion cysts, cartilage and ligament tears, and Kienbock's disease. For patients with wrist-specific disorders.
• Elbow Conditions Treatment Treatment for elbow conditions including tennis elbow, golfer's elbow, cubital tunnel syndrome, elbow fractures, biceps tendinitis, and other overuse injuries. For patients with elbow-specific disorders.
• Joint Replacement in Hands Joint replacement and reconstruction surgery for patients with advanced arthritis or severe joint damage in the hand or wrist, designed to restore alignment and improve movement. For patients with advanced arthritis or severe joint damage.
• Toe-to-Thumb Transplantation Reconstructive microsurgery procedure that transplants a toe to the hand to replace a missing or damaged thumb. For patients with thumb loss or severe thumb damage.
• Where Does it Hurt? Interactive Symptom Assessment Tool Free interactive online tool that allows prospective patients to select symptoms and receive potential condition information to help self-assess hand, wrist, or elbow issues before scheduling an appointment. For prospective patients considering care.
• Virtual Consultations Remote initial consultation services offered via video or phone for out-of-state patients to determine whether they need surgical services and to recommend travel for in-person care. For out-of-state prospective patients.

Quantifiable outcome

• SECTR procedure offers 50% faster recovery than open procedures
• +2 more outcomes

Named customers9 records

Segments6 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• Legent HospitalcoreOthersLegent Hospital in Plano, TX serves as the primary surgical facility for The Hand and Wrist Institute. The hospital maintains cutting-edge advanced technology and provides state-of-the-art surgical center capabilities including ICU, medical surgical inpatient unit, and full perioperative services. The practice chose Legent Hospital specifically because of its advanced technology capabilities.

Scale indicators6 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• Curtis National Hand Center (MedStar Union Memorial): One of the largest dedicated hand and upper extremity centers in the U.S., embedded in a major hospital system. Comparable specialty focus but operates within a broader integrated delivery network.
• Resurgens Orthopaedics: Large multi-subspecialty orthopedic group with hand and upper extremity surgeons. Comparable specialty offerings but at significantly larger group scale across multiple locations.
• Baylor Scott & White Orthopedic Group of Dallas: Large hospital-affiliated orthopedic practice in Dallas-Fort Worth offering hand and upper extremity care as part of a broader orthopedic service line. Competes in the same DFW market with the backing of a major health system.
• Hospital for Special Surgery - Hand & Upper Extremity Service: Top-tier orthopedic specialty hospital with a dedicated hand and upper extremity program. Comparable elite clinical positioning but at significantly larger scale and broader orthopedic scope.

Direct peers

• Kleinert Kutz Hand Care Center: One of the most renowned hand and upper extremity specialty centers in the U.S., offering comprehensive surgical and non-surgical care. Highly comparable specialist-only hand practice model to the Hand and Wrist Institute.
• Carrell Clinic Dallas: Established orthopedic specialty clinic in Dallas with hand surgeons on staff. Direct DFW-based competitor for upper extremity orthopedic patients.
• Indiana Hand to Shoulder Center: Dedicated specialty practice focusing exclusively on hand, wrist, elbow, and shoulder conditions. Similar single-specialty orthopedic model with multiple surgeons and a regional patient base.
• OrthoCarolina Hand Center: Large orthopedic specialty group with a dedicated hand and upper extremity service line. Comparable specialized hand/wrist offering, though scaled across a larger multi-surgeon group.

Regional players

• Tri-County Orthopedics: Regional orthopedic group with hand and upper extremity specialists. Comparable specialty service offering but concentrated in a different regional market (New Jersey).
• Texas Orthopedic Specialists: Regional orthopedic group in the DFW/North Texas area offering hand and wrist services among other orthopedic specialties. Directly comparable regional competitor for hand surgery patients in the same geography.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/handwristdr
• YouTubeyoutube.com/user/handsurgeonla
• Facebookfacebook.com/thehandandwristinstitute
• LinkedInlinkedin.com/company/the-hand-and-wrist-institute

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The Hand and Wrist Institute