The Bone and Joint Surgery Clinic

What The Bone and Joint Surgery Clinic does

The Bone and Joint Surgery Clinic is an independently owned orthopedic medical practice headquartered in Raleigh, North Carolina, founded in 1971 by Dr. Burroughs Jr. and Dr. Edwards Sr. It operates as one of Wake County's oldest and few remaining independent community-based orthopedic groups, employing 7 board-certified, fellowship-trained orthopedic surgeons, 2 physician assistants, and 4 physical therapists across approximately 32 total staff. The practice delivers comprehensive bone, joint, and musculoskeletal care organized by body region (shoulder, elbow/hand/wrist, neck/spine, hip/knee, foot/ankle) and service line (arthroscopic surgery, partial and total joint replacements, sports medicine, regenerative medicine, and in-house physical therapy).

Its clinical technology stack includes an in-house Open Bore 3T MRI, digital radiology, ultrasound-guided injection capability, platelet-rich plasma therapy, and Signature custom knee replacement with MRI mapping. Surgical procedures are performed under operating affiliations at five local facilities: Capital City Surgery Center, Duke Raleigh Hospital, UNC REX Healthcare of Cary, WakeMed Hospital, and WakeMed North HealthPlex. Dr. Burroughs holds the distinction of performing more Signature custom knee replacements than any other surgeon in North Carolina, and Dr. Gary Fleischer holds multiple patents in spinal implant biomechanics and stem cell regenerative medicine.

The clinic generates revenue on a fee-for-service basis through insurance billing for office visits, diagnostic imaging, surgical procedures performed at affiliated hospitals and surgery centers, and in-house physical therapy services. Patient acquisition is driven by primary care physician referrals, community word-of-mouth reinforced by 50+ years of brand reputation, regional sports medicine partnerships (NC State, U.S. Olympic Sailing Team, Ravenscroft High School, St. Mary's School), and content marketing via the practice's website. The practice emphasizes its independence from hospital system ownership and offers same-day/next-day appointments with 24/7 physician on-call coverage.

Name

The Bone and Joint Surgery Clinic

Legal name

The Bone and Joint Surgery Clinic

Website

https://raleighboneandjoint.com

Company type

Private

Founded year

1971

Operating status

Operating

Headcount range

11–50 employees

Short description

The Bone and Joint Surgery Clinic is an independently owned orthopedic practice in Raleigh, NC, founded in 1971, employing 7 board-certified surgeons and offering comprehensive bone, joint, and musculoskeletal care — including joint replacement, sports medicine, arthroscopic surgery, in-house MRI, and physical therapy — to patients across the Triangle region.

Ownership category

akta.pro rank

Product category

Orthopedic Medical Services

NAICS

Offices of Physicians (62111), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Diagnostic Imaging Centers (621512)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Spine (Orthopedic Spine) (HLAKALAE), Foot & Ankle (HLAKALAG), Orthopedic Surgery (Operative Orthopedics) (HLAKALAC), Pain Management (Spine & Musculoskeletal) (HLAKALAM)

Keywords

• Orthopedic surgery services
• Physical therapy services
• Sports medicine care
• Joint replacement surgery
• Diagnostic imaging services

Headquarters

HQ city

Raleigh

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Clinical Services Revenue: Fee-for-service medical care including office visits, diagnostic imaging (MRI, X-ray), surgical procedures, and physical therapy services billed to insurance or patients directly
2. Surgical Procedures: Revenue from orthopedic surgeries performed at affiliated hospitals and surgery centers, including joint replacements, arthroscopic procedures, and sports medicine surgeries

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

The Bone and Joint Surgery Clinic is an independent orthopedic medical practice providing comprehensive bone, joint, and musculoskeletal care including orthopedic surgery (arthroscopic surgery, partial and total joint replacements, sports medicine), in-house physical therapy, diagnostic imaging (Open Bore 3T MRI, digital X-ray), and regenerative treatments (platelet-rich plasma therapy, ultrasound-guided injections). The practice is staffed by board-certified, fellowship-trained orthopedic surgeons and offers same/next-day appointments with 24/7 physician on-call coverage.

Product overview

The Bone and Joint Surgery Clinic is an independent orthopedic medical practice offering comprehensive bone, joint, and muscle care. The practice provides a unified portfolio of orthopedic surgery services organized by body region (shoulder, elbow/hand/wrist, neck/spine, hip/knee, foot/ankle), supplemented by diagnostic imaging (MRI, X-ray), regenerative treatments (platelet-rich plasma), interventional pain management (ultrasound-guided injections), and in-house physical therapy. Key surgical offerings include arthroscopic surgery, partial and total joint replacements, and sports medicine procedures. The practice is physician-centered rather than technology-product based, with no software platform or API offerings.

Differentiator

Problem solved

Functional benefit

Products and services

• Shoulder Services Orthopedic treatment for shoulder conditions including rotator cuff injuries, instability, and replacement surgeries.
• Elbow, Hand & Wrist Services
• Neck & Spine Services
• Hip & Knee Services
• Foot & Ankle Services
• Arthroscopic Surgery
• Partial & Total Joint Replacements
• Sports Medicine
• MRI, Open Bore 3T
• Digital Radiology (X-ray)
• Platelet-Rich Plasma Therapy
• Ultrasound-Guided Medication Injection
• Splints, Braces, & Casts
• Physical Therapy Services

Quantifiable outcome

• Dr. Paul Burroughs has performed more Signature custom knee replacements than any other surgeon in North Carolina
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Capital City Surgery CentercoreOthersOutpatient surgery center affiliation where clinic surgeons perform procedures, giving patients a choice of surgical location
• Duke Raleigh HospitalcoreOthersHospital affiliation where clinic surgeons perform inpatient and outpatient orthopedic procedures
• UNC REX Healthcare of CarycoreOthersHospital affiliation providing surgical services for clinic patients in the Cary area
• WakeMed HospitalcoreOthersMajor hospital system affiliation for orthopedic surgical procedures
• WakeMed North HealthPlexcoreOthersHospital facility affiliation for orthopedic procedures and patient care
• Visiting International Surgeon AssociationminorStrategic or Co-development PartnerNon-profit healthcare organization founded by Dr. Fleischer that coordinates with the State Department to build medical care systems and train orthopedic and neurosurgeons in Mongolia and Nepal
• Scoliosis Research SocietyminorOthersInternational medical society where Dr. Fleischer serves on the Ethics Committee

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• EmergeOrtho: The largest independent orthopedic group in North Carolina, formed via roll-up of multiple regional practices. Directly comparable business model — multi-site independent orthopedic practice with sub-specialists, imaging, and PT — and a likely PE-backed competitor in the same Triangle footprint.
• OrthoCarolina: Large North Carolina-based independent orthopedic practice with sub-specialty surgeons, imaging, and physical therapy. Similar model of physician-owned orthopedic group with sub-specialty focus and ancillary services.
• Raleigh Orthopaedic Clinic: Another large independent multi-specialty orthopedic practice serving the Raleigh/Triangle market with comparable surgical, imaging, and therapy service lines. It is the most direct competitive analog in the same geography.

Broad incumbents

• Atrium Health Musculoskeletal Institute: Major regional health system's orthopedic service line covering the Carolinas. Competes for the same patients and referring physicians via integrated delivery and employed physician models.
• WakeMed Orthopaedics: WakeMed Health system's orthopedic program, operating at WakeMed Hospital and WakeMed North — both affiliated facilities for the clinic. Hospital-based orthopedic competitor drawing from the same regional referral base.
• Duke Orthopaedics: Duke University Health System's orthopedic service line, operating at Duke Raleigh Hospital — one of the affiliated venues for this clinic. Represents the hospital-system alternative for orthopedic care in the same Triangle geography.
• Hospital for Special Surgery (HSS): Nationally leading orthopedic specialty hospital known for joint replacement and sports medicine. A benchmark for best-in-class sub-specialty orthopedic reputation and a relevant aspirational incumbent for the Signature custom knee program.
• Rothman Orthopaedic Institute: Large multi-regional orthopedic specialty group with sub-specialty surgical focus, in-house PT, and imaging. A relevant broad incumbent benchmark for the scalability of the independent sub-specialty orthopedic model.
• UNC Orthopaedics (UNC Health): UNC Health's orthopedic specialty practice, affiliated with UNC REX Healthcare of Cary — another surgical venue used by the clinic. Competes for the same orthopedic patient pool from an integrated academic health system.

Regional players

• Novant Health Orthopedics & Sports Medicine: Regional health system with an orthopedic and sports medicine service line across North Carolina. Adjacent regional competitor whose primary Triangle presence is lighter than the WakeMed/Duke/UNC systems.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/bone-&-joint-surgery-clinic

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

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 Bone and Joint Surgery Clinic