RT Journal A1 Gelberman, Richard H. A1 Samson, David A1 Mirza, Sohail K. A1 Callaghan, John J. A1Pellegrini, Jr. ,Vincent D. T1 Orthopaedic Surgeons and the Medical Device IndustryThe Threat to Scientific Integrity and the Public Trust JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2010 FD March 1 VO 92 IS 3 SP 765 OP 777 DO 10.2106/JBJS.I.01164 UL http://dx.doi.org/10.2106/JBJS.I.01164 AB The purpose of this article is to relate recent actions by the United States Department of Justice, the Institute of Medicine, the Association of American Medical Colleges (AAMC), and others to the specific challenges confronting the specialty of orthopaedic surgery. Further, it strives to reconcile the duty and value propositions associated with the orthopaedic surgeon-medical device company relationship, with the persistent risks that are attendant to that relationship, and to develop a new path—one that strives to restore the integrity of scientific investigation and day-to-day clinical decision making, while providing justification for future physician-industry interaction. To consider the topic in perspective, it is interesting to assess the origins of the current model of physician-industry interaction as they relate specifically to the issues currently confronting the specialty of orthopaedic surgery.