Clinical decision support · Orthopedic surgery
No patient is average.Neither is the plan.
Evidence-graded decision support for hip, knee and shoulder arthroscopy, built by an orthopedic surgeon and free for every surgeon.
- Studies graded
- 3,575
- Coverage
- 46 paradigms
- Every output
- Clinician-reviewed
- For surgeons
- Free
Enter the case once.
Paste a note or dictate. The plan, an evidence-based estimate, the operative note and the follow-up schedule come back in seconds, ready for your review.
- Age
- 24
- Activity
- Tegner 9, pivoting
- Lachman
- 2B
- Tibial slope
- 12°
- Meniscus
- Medial, repairable
- Graft
- BTB autograft
- Meniscus tear
- Repair
Built from published studies of patients with these findings. Every factor is sourced.
Every driver links to the studies behind it.
- Decisions
- Yours, every time
- Overrides
- Imaging and intra-op findings come first
- Review
- A clinician checks every output
The way it has been
- Care that varies from one surgeon to the next.
- Evidence that never reaches the operating room.
- “It went well” instead of outcomes anyone can measure.
That era is ending.
The best evidence in the world belongs in every clinic and operating room, matched to the findings of the patient in front of you. Not last decade's data. Track how your patients do, both those who undergo surgery and those who don't. We are building the clinical decision layer for surgery. That is why it is free for every surgeon.
Built by Edwin Chaharbakhshi, MD, an orthopedic surgeon with a computer science background. Every recommendation is reviewed by a clinician before it reaches you.
Built from the evidence for your patient's findings.
Each case is weighed against the published evidence for patients with the same findings, and every factor shows its source. The full model is proprietary, and a clinician reviews every output before release.
- 01
Read the case
Diagnosis, imaging, exam, and history come together into a structured picture of the patient.
- 02
Match the evidence to this patient
The plan is broken into the decision points that matter, each weighed against current literature and adjusted for this patient's profile.
- 03
Apply guardrails, then a clinician
Imaging and intra-operative findings override the model. A clinician reviews the result before release.
- 04
Return decision support and its paper trail
You get an evidence-based estimate plus the prognosis and documentation that follow.
A sample of the factors considered, shown by role rather than exact weight. The full model weighs many more variables and is proprietary.
3,575studies graded to date.
A study has to be appraised before it can move a score.
Risk of bias is scored with RoB 2 or ROBINS-I, methodological quality with MINORS, and certainty with GRADE. Anything published before 2018 is flagged for review instead of being used silently.
Each is a unique paper with a verified PubMed record, counted once however many modules use it, and retracted papers are excluded. 2,310 of them support the hip, knee and shoulder modules.
- Randomized trials
- RoB 2
- Cohort studies
- ROBINS-I
- Case series
- MINORS
- Certainty
- GRADE
Get better, measurably.
Mitoryn tracks your patients' reported outcomes over time.
Recovery, tracked from pre-op onward
Collected automatically on a fixed schedule, from before surgery through 10 years. Example data.
'Surgery went well' isn't data.Now you can prove it.
Structured PROMs turn every case into evidence of your results: for you, your patients, and your future partners or payers. As reimbursement increasingly follows outcome scores, you will already have the data to show.
What one case produces.
Each of these comes back with the case, ready for your review, and stays attached to it for as long as you practice.
46 patient paradigms across the hip, knee and shoulder.
Every case is matched to the paradigm its findings fit, each with its own evidence and its own course without surgery. The modifiers that change a plan are applied on top.
Hip
16 paradigms- Frank dysplasia
- Combined FAI + borderline dysplasia
- Combined cam+pincer FAI
- Borderline dysplasia
- Femoral version abnormality
- Pincer-dominant FAI
- Gluteus medius / abductor tear
- Cam-type FAI
- Proximal hamstring avulsion / tear
- Microinstability / capsular laxity
- Extra-articular impingement
- Focal chondral defect
- Synovial disease
- Loose body / post-traumatic
- Snapping hip
- Isolated labral tear
Knee
17 paradigms- Multiligament / knee dislocation
- ACL tear, revision
- ACL tear, primary
- PCL tear, isolated
- Isolated posterolateral corner injury
- Patellar instability
- Meniscus root tear
- Ramp lesion
- Meniscus tear, repairable
- Osteochondritis dissecans
- Focal chondral defect
- Discoid meniscus
- MCL tear, isolated
- Meniscus tear, degenerative/complex
- Malalignment
- Synovial disease
- Loose body
Shoulder
13 paradigms- Multidirectional instability
- Posterior instability
- Anterior instability
- Rotator cuff tear, massive
- Rotator cuff tear
- Adhesive capsulitis / frozen shoulder
- SLAP / biceps pathology
- Suprascapular neuropathy
- Loose body / synovial
- Calcific tendinitis
- AC joint separation / instability
- AC joint osteolysis / arthrosis
- Focal glenohumeral chondral defect
Skeletally immature · Young athlete · Older host · High-demand / contact / overhead · Manual laborer / overhead worker · Revision setting · Ligamentous laxity phenotype · Metabolic / healing risk · Psychosocial / expectation risk · Chronic tissue / delayed presentation
Walk into every case already prepared.
Mitoryn builds the evidence-graded plan, pulls the relevant literature, and shows the reasoning behind each step, so you learn the why and not just the what. From your first case to your thousandth, it is the same record.
- Case prep grounded in current evidence
- Board-relevant reasoning, step by step
- Citations you can actually go read
- Free for residents and fellows
Outcomes infrastructure for the whole practice.
The platform is free for every surgeon individually. Enterprise adds the shared layer a group needs: standardized PROMs across every surgeon, dashboards for leadership, and the outcomes data that payers and value-based contracts increasingly require.
- Practice-wide PROMs
- One standardized outcomes pipeline across every surgeon and case.
- Leadership dashboards
- Outcomes by surgeon, procedure, and service line.
- Reimbursement-ready
- The PROMs and quality data MIPS and payer contracts ask for.
- Admin, roles and BAA
- Central user management and a practice-level BAA.
Built for clinical data.
Patient data is protected at every step, and it stays yours.
- Encrypted in transit and at rest
- HIPAA-aligned handling, Business Associate Agreement available
- Your data is yours, and we never sell it
- De-identified for research; patient identifiers protected
- Role-based access for Enterprise
- Every recommendation reviewed by a clinician
Free for every surgeon.
The full platform is free for individual surgeons, residents and fellows included. Practices that want to collect outcomes across their whole group can talk to us about Enterprise.
Individual
For every surgeon- Full evidence-based scoring engine
- Evidence-based estimate & prognosis
- Documentation, op note & wRVU estimates
- Your own PROMs collection & tracking (attendings)
- Current-literature recommendations
Enterprise
- Everything in Free, across your whole group
- Practice-wide PROMs collection
- Group & cohort outcome dashboards
- Service-line benchmarking
- Reimbursement & value-based-care readiness
- Admin & roles
- Practice BAA & onboarding
Individual access is free with no credit card. Enterprise is priced per practice. Reach out and we will scope it with you.
Common questions.
The questions surgeons ask us most, answered plainly.
Still have a question? Email us.
No. It is clinical decision support. It surfaces evidence, an evidence-based estimate, and draft documentation for you to review. You make every clinical decision, and the software never acts on its own.
It is built and used as clinical decision support, not an autonomous or diagnostic device. It does not diagnose or treat. It presents evidence and recommendations for a licensed clinician to review and act on, and your judgment governs every case.
You are. The surgeon keeps full clinical authority and responsibility at all times. The tool informs your judgment rather than replacing it, and imaging and intra-operative findings always take priority over the model.
No. It is an estimate built from published studies of patients with similar findings, not a prediction or a promise of any individual outcome. Results vary from patient to patient, and the estimate is meant to support your conversation with the patient, not stand in for it.
Each case is weighed against current, peer-reviewed orthopaedic literature for patients with the same findings, and the evidence behind every recommendation is shown to you. The underlying model and its weighting are proprietary. Older evidence is flagged for review rather than used silently, and a clinician reviews outputs before they reach you.
Yes. Patient data is encrypted in transit and at rest and handled to HIPAA standards, and we provide a Business Associate Agreement. Your data is yours, and we do not sell it.
No. It is built to augment, not replace. It takes on the lookup and documentation burden so you and your team can focus on the patient, while you stay in control of every call.
You paste or dictate your note and get the result in seconds. There is no new system to learn and nothing to rip out and replace to get started.
Yes. The full platform is free for every individual surgeon, with no credit card, whether you are a resident, fellow, or attending. There is no catch. Our business is the practice-scale outcomes layer (Enterprise PROMs collection), not your data, and we do not sell your data.
Enterprise is for practices and groups that want to collect and benchmark patient-reported outcomes across all of their surgeons, with shared dashboards, admin and roles, and a practice-level agreement. It is priced per practice. Reach out and we will scope it with you.
Bring evidence to the table before the first incision.
Whether you are leading cases or preparing for them, it starts with one case.
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