MOBILITY IS LIFE AND LIFE IS MOBILITY
Samved 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... -Arthritic patients suffered agonising pain for life - Restricted activities made patients house bound
Osteoarthritis
Rheumatoid Arthritis Rheumatoid Arthritis
Gout
Ankylosing Spondylitis
Inflammatory Arthropathy Inflammatory Arthropathy
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
When 3 main presentations of severe joint damage Pain Deformity Instability
When Activity of daily life significantly affected
When Mobility severely reduced
When Surgery 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 S Long term satisfactory predictable results S No Pain S Deformity corrected S Mobility improves S Long term satisfactory predictable results S No Pain S Deformity corrected S Mobility improves
Where Should be done by a team of experienced doctors
Where Infrastructure facilities like laminar airflow theatre is necessary
Screen CPU Infrared Camera Web Camera Computerized navigation system Image Guided Surgery
Hip & Knee Elbow & Shoulder joints Ankle joints Smaller joints of the hand
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 sit, stand and climb stairs DOs
- Can drive car, sit in bus or train DOs
- Can play golf DOs
- Back to routine activities
DON’Ts - Active contact sports
DON’Ts - Sitting cross-legged or squatting
DON’Ts - Mountain climbing and other adventure activities
Team of experienced & properly trained surgeons
A motivated patient
Joint replacement surgery routinely performed in Gujarat & across the country
1 ST 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 is suffering from arthritisPopulation of 5 crores – 10% of the population is suffering from arthritis 50 lacs sufferers 50 lacs sufferers IMAGINE THE BUSINESS IMAGINE THE BUSINESS Create a pyramidal system
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 Coming together is beginning Keeping together is progress Working together is success.