SIOR & JRC has established management system to provide services in orthopaedics with latest technology. The effectiveness of management system is ensured through patient's feedback, corrective and preventive action on nonconformities, management reviews for provision of resources (infrastructure and equipments), training program (medical and non medical), which ultimately results in continual improvement of the system as a whole. SIOR promotes the aspect of preventive medicine so as to help public at large to delay or avoid the onset of any orthopedic problem by setting up Spine club / Knee club.