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MOBILITY IS LIFE AND LIFE IS MOBILITY
Samved Orthopaedic InstituteSamved Orthopaedic InstituteSamved Orthopaedic InstituteSamved Orthopaedic Institute
Arthritis affects
millions around the
world, including
many in India
Arthritis affects
millions around the
world, including
many in India
Till a few years back...Till a few years back...
-Arthritic patients
suffered agonising
pain for life
-Arthritic patients
suffered agonising
pain for life
- Restricted activities
made patients house
bound
- Restricted activities
made patients house
bound
OsteoarthritisOsteoarthritis
Rheumatoid
Arthritis
Rheumatoid
Arthritis
GoutGout
Ankylosing
Spondylitis
Inflammatory
Arthropathy
Inflammatory
Arthropathy
Secondary osteoarthritis
due to Trauma or Avascular
Necrosis of femoral head,
developmental dysplasia
Secondary osteoarthritis
due to Trauma or Avascular
Necrosis of femoral head,
developmental dysplasia
Management of osteoarthritis
• Pain killers• Local massage• Hot water fomentation • Quadriceps exercises. • Short wave diathermy • Local ultrasound• Walking aids (stick, walker)
• Pain killers• Local massage• Hot water fomentation • Quadriceps exercises. • Short wave diathermy • Local ultrasound• Walking aids (stick, walker)
• Local injections
• Arthroscopic debridement
• Surgery for correcting the alignment
• Joint replacement surgery
• Local injections
• Arthroscopic debridement
• Surgery for correcting the alignment
• Joint replacement surgery
Management of osteoarthritis
When,
Why &
Where
When,
Why &
Where
When3 main presentations of severe
joint damage
3 main presentations of severe
joint damage
PainPain DeformityDeformity
InstabilityInstability
When
Activity of daily life
significantly affected
Activity of daily life
significantly affected
When
Mobility severely reducedMobility severely reduced
WhenSurgery indicated only
when patient demands
and after all other
conservative treatments have
FAILED
Surgery indicated only
when patient demands
and after all other
conservative treatments have
FAILED
IF YOUR AGE IS MORE THAN 55 YEARS
IF YOU CAN NOT WALK MORE THAN 500 MTRS
IF YOU CAN NOT STAND WITHOUT PAIN FOR FIVE
MINUTES
IF YOU CAN NOT PERFORM YOUR DAILY ACTIVITY OF LIFE
LIKE
IF YOU ARE HOUSE BOUND
IF YOU ARE BED BOUND
IF YOU HAVE GONE THROUGH ALL
CONSERVATIVE TREATMENT
IF YOU ,YOUR FAMILY MEMBERS AND RELATIVES HAVE GONE
TIRED
IF YOU ARE MENTALLY PREPARED FOR MAJOR SURGERY
LIKE TOTAL KNEE REPLACEMENT
Why
Long term satisfactory
predictable results
No Pain
Deformity corrected
Mobility improves
Long term satisfactory
predictable results
No Pain
Deformity corrected
Mobility improves
Where
Should be done by a team of
experienced doctors
Should be done by a team of
experienced doctors
Where
Infrastructure facilities like
laminar airflow theatre is
necessary
Infrastructure facilities like
laminar airflow theatre is
necessary
Screen
CPU
Infrared Camera
Web Camera
Computerized navigation systemImage Guided Surgery
Hip & KneeHip & Knee
Elbow & Shoulder jointsElbow & Shoulder joints
Ankle jointsAnkle joints
Smaller joints of the handSmaller joints of the hand
Joints have two
surfaces.
In artificial
joints there is
articulation
between...
Joints have two
surfaces.
In artificial
joints there is
articulation
between...
- Metal Alloy
- High Density Polyethlene
- Metal Alloy
- High Density Polyethlene
DOs- Can walk even upto 2 kms without discomfort- Can walk even upto 2 kms without discomfort
- Can sit, stand and climb stairs- Can sit, stand and climb stairs
DOs
- Can drive car, sit in bus or train- Can drive car, sit in bus or train
DOs
- Can play golf- Can play golf
DOs
DOs- Back to routine activities- Back to routine activities
DON’Ts- Active contact sports- Active contact sports
DON’Ts- Sitting cross-legged or squatting- Sitting cross-legged or squatting
DON’Ts- Mountain climbing and other adventure activities- Mountain climbing and other adventure activities
Team of experienced &
properly trained surgeons
Team of experienced &
properly trained surgeons
A motivated patientA motivated patient
Joint replacement
surgery routinely
performed in
Gujarat & across
the country
Joint replacement
surgery routinely
performed in
Gujarat & across
the country
1ST October 2000 Economy Times
Marketing strategies
Making clubs
- Arthritis awareness group
- Arthritis forum
- Arthritis audio / video show
- Scientific lectures
- Product on OTC
• Based at every level of the city / town / villageBased at every level of the city / town / village
• In Gujarat – 800 Orthopaedic surgeonsIn Gujarat – 800 Orthopaedic surgeons
• Population of 5 crores – 10% of the Population of 5 crores – 10% of the population is suffering from arthritispopulation is suffering from arthritis
50 lacs sufferers 50 lacs sufferers
IMAGINE THE BUSINESS IMAGINE THE BUSINESS
Create a pyramidal system
How to execute ?How to execute ?
1. Group of doctors
2. Delivering lectures at many places
3. Distributing the literature like
4. Effective approach to the arthritic patients through proper channel.
Teamwork Teamwork
Coming together is beginning
Keeping together is
progress
Working together is success.