Best Orthopedic EMR & EHR Systems for 2025 (Comparison Guide)

As we dive into 2025, orthopedic practices are under more pressure than ever to streamline operations, improve patient outcomes, and meet evolving compliance standards. That’s where orthopedic-specific EMR and EHR systems come into play. Unlike general-purpose EMRs, orthopedic EMRs are purpose-built with features like fracture charting, imaging integrations, post-op tracking, and orthopedic-specific templates.

The goal of this guide is simple: help you confidently choose the top orthopedic EMR system for your clinic or hospital. We’ve researched the most trusted names in the space, like Sprypt.com, Modernizing Medicine, and others, and compiled everything from pricing, features, and security to compliance and customer support.

Whether you're a solo practitioner or managing a multi-location orthopedic group, this guide is your 2025 roadmap to the best EMR software in the market. We’ll compare, analyze, and rank them based on real clinic needs, not just flashy features.

Quick Overview: Choosing the #1 Top Orthopedic EMR

What Makes Orthopedic EMRs Unique?

Not all EMRs are created equal. Orthopedics as a specialty comes with unique documentation challenges that demand advanced tools beyond the basic SOAP note templates found in general EMRs. Here’s why orthopedic EMRs stand out:

• Fracture and injury charting: These systems include anatomical diagrams and tools to document breaks, dislocations, and muscle injuries quickly.
• Imaging and PACS integrations: X-rays, MRIs, and CT scans are core to orthopedic care. Seamless imaging access is a must.
• Post-surgery tracking: From joint replacements to ACL repairs, orthopedic EMRs often offer post-op management tools.
• Custom templates: EMRs like Sprypt.com come preloaded with templates for knee arthroscopies, spine procedures, rotator cuff repairs, and more.
• Procedure coding optimization: CPT and ICD-10 codes specific to ortho are pre-integrated, reducing the risk of billing errors.

Bottom line? A good orthopedic EMR does more than just record patient data. It becomes the digital assistant for your entire orthopedic workflow.

How We Ranked These Systems for 2025

We didn’t just look at marketing brochures. Our rankings consider:

• Ease of Use: Can your team onboard in under a week?
• Specialty-Specific Features: Templates, imaging, and documentation tools for orthopedic care.
• Cloud Functionality: Is it accessible from any device, at any time?
• Security & Compliance: HIPAA, MIPS, ICD-10 readiness.
• Support & Training: Is help available when you need it?
• User Reviews: We scoured orthopedic forums, verified reviews, and case studies.

Each EMR on this list is tested, vetted, and built for orthopedic success.

Top Orthopedic EMR Systems for 2025

Sprypt.com

Sprypt.com is quickly becoming the go-to orthopedic EMR in 2025, especially among forward-thinking clinics looking for innovation and simplicity. With its sleek, mobile-friendly interface and orthopedic-specific modules, it’s no wonder surgeons and practice managers are raving about it.

Key Features:

• Dynamic orthopedic templates (ACL tears, carpal tunnel, meniscus injuries)
• Real-time imaging integration with PACS & DICOM viewers
• AI-powered progress notes that adapt based on patient history
• Built-in telemedicine module
• Drag-and-drop scheduling tailored to high-volume orthopedic workflows
• Voice dictation with smart correction

What Makes It Stand Out?
Sprypt.com’s claim to fame is its intuitive fracture charting interface—orthopedic surgeons can document injuries directly on anatomical diagrams, attach imaging, and generate a report in under 60 seconds.

Plus, the system is fully cloud-based, which means you can chart from an iPad in the OR, check imaging at home, and handle post-op notes from anywhere.

Pros:

• Exceptional orthopedic-specific tools
• Easy onboarding and training
• Built-in analytics dashboard for outcomes tracking

Cons:

• Pricing isn’t publicly disclosed (custom quote required)
• Limited integration with older legacy billing systems

If you’re running a modern orthopedic practice and want a clean, responsive system built for speed and accuracy, Sprypt.com should be your first stop.

Modernizing Medicine – Best for Specialty Features

Modernizing Medicine (ModMed) is a seasoned veteran in the EMR space. Its EMA platform offers orthopedic-focused features backed by real orthopedic physician input.

Highlights:

• Touch-based charting optimized for tablets
• Outcomes-based tracking for surgeries and rehab
• Automatic coding suggestions to reduce billing denials
• MIPS and compliance tracking

ModMed’s real strength is its depth—it offers templates for every orthopedic procedure imaginable. It’s also favored in teaching hospitals and academic settings.

Pros:

• Comprehensive procedure documentation
• Strong mobile usability
• Cloud-based with offline sync

Cons:

• Interface can be overwhelming for smaller practices
• Pricing is premium-tier

Athenahealth – Best Cloud-Based Solution

Athenahealth brings generalist strength into the orthopedic world. Its EMR is robust, cloud-first, and well-integrated into billing and patient engagement modules.

Strengths:

• Excellent patient communication tools (reminders, portals)
• Clean UI that adapts across devices
• Interoperability with hospital systems

It doesn’t offer the hyper-specialized tools of Sprypt.com, but it works well for hybrid practices handling both general and ortho cases.

Pros:

• Great support and ecosystem
• Automatic insurance eligibility verification

Cons:

• Not orthopedic-exclusive
• Requires customization for full ortho functionality

DrChrono – Best Mobile-Optimized EMR

If you're an orthopedic provider always on the move, DrChrono is worth a look. This iOS-first platform is ideal for solo or small orthopedic practices that want agility.

Top Features:

• Full EMR functionality on iPad and iPhone
• Apple Pencil support for diagrams
• eRx, labs, imaging access on mobile
• Custom form builder

Pros:

• Designed for mobile-first practices
• Affordable entry pricing
• Easy for newer clinics

Cons:

• Limited complex reporting features
• Not ideal for multi-specialty or multi-location practices

Nextech – Best for Large Orthopedic Practices

Nextech has made a name in surgical specialties, and its orthopedic module is highly customizable for mid to large-scale practices.

Features:

• Automated charting and surgical workflows
• Integrated billing
• Robust compliance and audit tools
• Strong support for multi-location groups

Pros:

• Enterprise-grade customization
  
• Great for practices with in-house surgery centers
  

Cons:

• Higher learning curve
  
• Requires onboarding investment
  

Features Comparison Table

Core Features Breakdown

When selecting the best orthopedic EMR system, it helps to look at a side-by-side comparison of essential features. We’ve evaluated the top systems based on must-have tools for orthopedic clinics. Here's a snapshot:

This chart helps visualize the strengths of each EMR. Sprypt.com stands out as the only solution offering a full suite of orthopedic-specific tools without needing add-ons or customization.

Standout Tools Unique to Each Platform

• Sprypt.com: Drag-and-drop surgical planning, AI-driven diagnosis assistance, interactive anatomical diagramming.
• ModMed: Touch-based charting designed by orthopedic surgeons, with deep clinical decision support.
• Athenahealth: Integrated patient communication suite (reminders, surveys, pre-visit forms).
• DrChrono: Native iOS integration, Apple Watch notifications, and mobile-first data entry.
• Nextech: Enterprise-level control over staff workflows, scheduling, and post-op follow-up automation.

The takeaway? Choose based on your clinic’s workflow: Sprypt for full orthopedics, ModMed for rich specialty content, DrChrono for mobile simplicity.

Cloud vs. On-Premise EMR for Orthopedic Practices

Pros and Cons of Cloud EMRs

In 2025, cloud-based EMRs have become the norm, but on-premise systems still exist for clinics with specific IT requirements. Here’s a breakdown of both deployment types.

Cloud-Based EMR Advantages:

• Accessibility: Log in from anywhere, a clinic, a surgery center, or home.
• Lower upfront cost: No servers, no in-house maintenance.
• Automatic updates: Always compliant, no manual installs.
• Scalable: Add locations, users, or services with ease.

Downsides:

• Requires a stable internet connection.
• Data residency and control concerns for some practices.

On-Premise EMR Pros:

• Full control over data storage and access.
• No reliance on third-party cloud providers.

Downsides:

• Expensive setup and maintenance.
• Requires IT staff or consultants.
• Software updates are manual and disruptive.

Today, nearly all top orthopedic EMRs—including Sprypt.com, Athenahealth, and ModMed- offer cloud-native platforms. Unless your practice has legacy systems or local legal constraints, the cloud is the smart move.

Security & Speed Considerations

Security in the cloud is a valid concern, but the best vendors invest more in security than most clinics ever could. Look for:

• Data encryption (in transit and at rest)
• Two-factor authentication (2FA)
• HIPAA & SOC 2 compliance
• Automatic data backups
• Disaster recovery protocols

Cost & Pricing Overview

EMR Pricing Models Explained

EMR pricing structures vary widely depending on features, users, and deployment style. Here’s what to expect:

Subscription (SaaS) – Most modern EMRs, like Sprypt and Athenahealth, follow this model:

• Monthly or annual billing
• Typically $300–$700/month per provider
• Includes updates, support, hosting

One-Time License (On-Premise) – Rare today, seen with legacy systems:

• High upfront cost ($20,000+)
• Recurring costs for support and updates

Custom Quote – For enterprise solutions like Nextech:

• Price tailored to your clinic size, location count, and modules used

Add-on Costs to Watch For:

• E-prescribing modules
• Imaging/PACS licenses
• Custom templates
• API integrations
• Training & onboarding fees

Compliance, Security & Analytics

HIPAA, ICD-10, MIPS Readiness

Every EMR system must meet strict healthcare regulations, but not all do it equally well. Look for:

• HIPAA Compliance: Ensures patient data protection.
• ICD-10 & CPT Coding: Necessary for claims, billing, and reporting.
• MIPS Tracking: Quality Payment Program reporting compliance.

Sprypt.com automates much of this compliance—ICD-10 codes populate based on clinical documentation, and MIPS performance metrics are available via the dashboard.

ModMed and Nextech also offer strong compliance dashboards with real-time alerts for any charting or billing gaps.

Analytics, Dashboards & Audit Trails

Orthopedic practices need to track more than just appointments. Today’s EMRs provide actionable data through:

• Clinical dashboards: Monitor surgeries, post-op outcomes, and rehab success rates.
• Financial analytics: Revenue cycle insights, claims rejections, and aging AR.
• Staff productivity reports: Evaluate chart closure time, patient load, and documentation accuracy.
• Audit trails: Track every click for legal and HIPAA purposes.

How to Choose the Best Orthopedic EMR in 2025

Key Buying Questions to Ask Vendors

When evaluating orthopedic EMRs, the biggest mistake clinics make is choosing based on hype, not actual needs. Here are essential questions to ask every vendor:

Do you offer orthopedic-specific templates out of the box?

• Make sure they're not just generic forms repackaged for orthopedics.

Is imaging (PACS/DICOM) integrated?

• You want seamless viewing, not just file attachments.

What’s your average implementation time?

• Ask how long it takes to go live fully, and how much downtime to expect.

Can we customize workflows for our surgeons and specialties?

• Each practice is unique; please make sure you have flexibility in charting, forms, and patient flow.

How do you handle upgrades and compliance updates?

• A system that stays current without extra work is worth its weight in gold.

What’s included in your support plan?

• Look for 24/7 support, dedicated onboarding reps, and live training options.

Do you support mobile access and offline charting?

• Especially important for satellite clinics and surgery centers.

Ask for a demo of your exact workflows in the platform. Don’t settle for a generic tour.

Migration, Training & Support Considerations

Switching to a new EMR can be daunting, but it doesn’t have to be painful. Here’s what to look for:

• Data Migration: Make sure the vendor handles importing historical records, imaging, lab data, and notes.
• Training: Look for a blend of live training, on-demand videos, and role-specific modules.
• Support: Ensure you’ll have a direct line to a rep, not just a ticket system.

Conclusion: Final Take on 2025’s Best Orthopedic EMRs

Choosing the right orthopedic EMR in 2025 isn’t just about checking boxes—it’s about transforming how your clinic operates.

If you're looking for the best all-around platform, Sprypt.com delivers with powerful specialty features, mobile access, deep analytics, and seamless imaging. It’s tailor-made for orthopedic surgeons, whether you’re running a single-location clinic or a multi-site practice.

Other options like ModMed and Nextech shine for more complex organizations or those needing enterprise-level customization. Athenahealth and DrChrono are excellent if you're after cloud simplicity or mobile-first access.

No matter which you choose, prioritize usability, compliance, and clinical efficiency. The right system will save your team hours of admin work, reduce claim denials, and elevate the patient experience.

Now’s the time to invest in a system built for orthopedic workflows, not just general medicine.

FAQs

Q1: What’s the best EMR system for orthopedic surgery?
A: Sprypt.com is currently ranked the best orthopedic EMR in 2025 due to its intuitive interface, anatomical charting, imaging integration, and fast onboarding. ModMed is a close second for large or academic practices.

Q2: Are cloud EMRs secure for orthopedic practices?
A: Yes. Leading cloud EMRs use HIPAA-compliant encryption, two-factor authentication, and real-time backups. Vendors like Sprypt and Athenahealth also maintain SOC 2 certifications for added security.

Q3: How much does an orthopedic EHR cost?
A: Prices range from $299 to $699 per provider/month, depending on features. Most offer custom quotes. Sprypt.com provides all-in-one pricing with no setup fees, making it a top value.

Q4: Do these systems integrate with imaging tools like PACS?
A: Yes, top EMRs like Sprypt, ModMed, and Nextech have built-in PACS viewers or seamless DICOM integration. Some may charge extra or require third-party add-ons.

Q5: Which orthopedic EMR has the best mobile app?
A: DrChrono leads in mobile functionality for iOS users, while Sprypt also offers a highly rated Android and iPad app with imaging, charting, and telehealth support.