RT Journal A1 Saleh, Khaled J. A1 Novicoff, Wendy M. A1 Rion, David A1 MacCracken, Linda H. A1 Siegrist, Richard T1 Operating-Room Throughput: Strategies for Improvement JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2009 FD August 1 VO 91 IS 8 SP 2028 OP 2039 DO 10.2106/JBJS.H.01530 UL http://dx.doi.org/10.2106/JBJS.H.01530 AB Orthopaedic surgery is a discipline of increasing importance as an avenue for health-care delivery in the United States. Americans of working age and older (sixty-five years and over) identify disorders of the musculoskeletal system as the foremost cause of limitation of activity1. The country's population is aging, as the proportion of individuals sixty-five years of age and older is growing at a faster rate than the total population. Furthermore, the number of orthopaedic procedures and the corresponding allocation of resources are expected to increase in coming years. For example, the annual demand for primary total knee arthroplasty has been projected to reach 3.48 million procedures by the year 2030, and the quantity of revision knee arthroplasties is estimated to increase 601% from 2005 levels by that same year2.