2. MOBILITY IS LIFE AND LIFE IS MOBILITY

3. Samved Orthopaedic Institute

4. Arthritis affects millions around the world, including many in India Arthritis affects millions around the world, including many in India

5. Till a few years back... -Arthritic patients suffered agonising pain for life - Restricted activities made patients house bound

6. Osteoarthritis

7. Rheumatoid Arthritis Rheumatoid Arthritis

8. Gout

9. Ankylosing Spondylitis

10. Inflammatory Arthropathy Inflammatory Arthropathy

11. Secondary osteoarthritis due to Trauma or Avascular Necrosis of femoral head, developmental dysplasia

12. 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)

13. 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

14. When, Why & Where When, Why & Where

15. When 3 main presentations of severe joint damage Pain Deformity Instability

16. When Activity of daily life significantly affected

17. When Mobility severely reduced

18. 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

19. IF YOUR AGE IS MORE THAN 55 YEARS

20. IF YOU CAN NOT WALK MORE THAN 500 MTRS

21. IF YOU CAN NOT STAND WITHOUT PAIN FOR FIVE MINUTES

22. IF YOU CAN NOT PERFORM YOUR DAILY ACTIVITY OF LIFE LIKE

23. IF YOU ARE HOUSE BOUND

24. IF YOU ARE BED BOUND

25. IF YOU HAVE GONE THROUGH ALL CONSERVATIVE TREATMENT

26. IF YOU,YOUR FAMILY MEMBERS AND RELATIVES HAVE GONE TIRED

27. IF YOU ARE MENTALLY PREPARED FOR MAJOR SURGERY LIKE TOTAL KNEE REPLACEMENT

28. 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

29. Where Should be done by a team of experienced doctors

30. Where Infrastructure facilities like laminar airflow theatre is necessary

31. Screen CPU Infrared Camera Web Camera Computerized navigation system Image Guided Surgery

32. Hip & Knee Elbow & Shoulder joints Ankle joints Smaller joints of the hand

33. Joints have two surfaces. In artificial joints there is articulation between... - Metal Alloy - High Density Polyethlene - Metal Alloy - High Density Polyethlene

34. DOs - Can walk even upto 2 kms without discomfort

35. - Can sit, stand and climb stairs DOs

36. - Can drive car, sit in bus or train DOs

37. - Can play golf DOs

38. - Back to routine activities

39. DON’Ts - Active contact sports

40. DON’Ts - Sitting cross-legged or squatting

41. DON’Ts - Mountain climbing and other adventure activities

42. Team of experienced & properly trained surgeons

43. A motivated patient

44. Joint replacement surgery routinely performed in Gujarat & across the country

45. 1 ST October 2000 Economy Times

47. Marketing strategies Making clubs -Arthritis awareness group -Arthritis forum -Arthritis audio / video show -Scientific lectures -Product on OTC

48. 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

49. 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.

50. Teamwork Coming together is beginning Keeping together is progress Working together is success.