Orthopaedic Surgical Institute (OSI) is a freestanding ambulatory surgery center in Rochester Hills, Michigan, focused on bone and joint procedures. OSI was designed for patient convenience, comfort, and safety and is equipped with latest technology.Our Medical Staff includes Board-certified hand, knee, and shoulder surgeons and anesthesiologists. Our nurses and technicians have a wide range of experience in a variety of health care settings. Smith & Nephew, the world's largest producer of small-incision products for examining and treating damage to the interior of joints, recognizes OSI as a center for excellence for orthopaedic and sports medicine procedures.