New Braunfels · Seguin · Cuero · Kenedy · Hallettsville · Yoakum

Premier Orthopedic Care,
Close to Home

OSI is an independent, physician-owned practice that has cared for the orthopedic needs of patients across New Braunfels and South Central Texas since 2006. Our three board-certified orthopedic surgeons, with fellowship and/or subspecialty training in sports medicine and joint replacement surgery, provide care for the full range of orthopedic conditions, both non-operative and surgical. This care is available at six clinics across the region, so specialty treatment stays close to home.

Same-week and even same-day appointments are frequent, and we accept most insurance plans, including Medicare and TRICARE.

OSI New Braunfels at 960 Gruene Road, exterior
Call the Office (830) 625-0009 Patient Reviews What our patients say Insurance We Accept Verify your plan before your visit Pay Online Pay your bill online

Every Condition We Treat

General orthopedics, joint replacement, and sports medicine, covering the hip, knee, shoulder, elbow, hand & wrist, spine, foot & ankle, and acute fracture care.

Every page opens with how we make the diagnosis, the non-operative care we try first, and the point at which surgery becomes the right call.

Browse all surgical procedures →

Our Surgeons & PAs

Hear from our patients

★★★★★Google review

Dr. Vrana and OSI were simply outstanding with regard to my total knee replacement. Very pleased with the results and glad that I had the surgery.

Mark V.
★★★★★Google review

Always a great experience. Dr. Templin did my father's hip replacement. Staff was kind and knowledgeable. Would recommend.

Timothy W.
★★★★★Google review

Excellent staff, and Dr. Twitero is amazing. Caring, explains injury options, and lets you be part of the healing and treatment process.

Helen B.

Were you a patient? Your feedback helps other patients find the right care.

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Our locations

Where We See Patients

Select a clinic to find it on the map, with its address and directions.

Schedule a visit

A member of our scheduling team will answer, no complex phone trees and no AI-assisted scheduling agents. Tell them what is going on, and they will book you with the right surgeon.

Call (830) 625-0009 Mon – Fri · 8 AM to 5 PM

Before Your First Visit

Bring

Photo ID and insurance card(s); a current medication list with doses; any recent X-rays, MRI, or CT on disc or USB; a referral from your primary care physician if your plan requires one.

Accepted plans

Medicare, Tricare, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana. Most commercial plans are accepted; call to confirm in-network status before your visit.

Patient portal

For refills, visit summaries, and messages between appointments, call the front desk for portal access.