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DR. BHARAT PATEL. Jo i nt Rep l acement Surgeon. ARTHRITIS & KNEE JOINT. MOBILITY IS LIFE AND LIFE IS MOBILITY. Samved Orthopaedic Institute. Arthritis affects millions around the world, including many in India. Till a few years back. Till a few years back.
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DR. BHARAT PATEL Jo i nt Rep l acement Surgeon
ARTHRITIS & KNEE JOINT MOBILITY IS LIFE AND LIFE IS MOBILITY
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 - Restricted activities made patients house bound
Rheumatoid Arthritis
Ankylosing Spondylitis
Inflammatory Arthropathy
Secondary osteoarthritis due to Trauma or Avascular Necrosis of femoral head,developmental dysplasia
Pain killers Local massage Hot water fomentation Quadriceps exercises. Short wave diathermy Local ultrasound Walking aids (stick, walker) Management of osteoarthritis
Local injections Arthroscopic debridement Surgery for correcting the alignment Joint replacement surgery Management of osteoarthritis
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 haveFAILED
IF YOU CAN NOT PERFORM YOUR DAILY ACTIVITY OF LIFE LIKE GOING GARDEN GOING TEMPLE
IF YOU HAVE GONE THROUGH ALL CONSERVATIVE TREATMENT INJECTABLES PHYSIOTHERAPY MEDICATION
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
Where Should be done by a team of experienced doctors
Where Infrastructure facilities like laminar airflow theatre is necessary
Computerized navigation system Image Guided Surgery Infrared Camera Web Camera Screen CPU
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
DOs - Can walk even upto 2 kms without discomfort
DOs - 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
Joint replacement surgery routinely performed in Gujarat & across the country
HIGH EXPENDITURE IS A WRONG MYTH
Making clubs Arthritis awareness group Arthritis forum Arthritis audio / video show Scientific lectures Product on OTC Marketing strategies
Based at every level of the city / town / village In Gujarat – 800 Orthopaedic surgeons Population of 5 crores – 10% of the population is suffering from arthritis 50 lacs sufferers IMAGINE THE BUSINESS Create a pyramidal system
Group of doctors Delivering lectures at many places Distributing the literature like Effective approach to the arthritic patients through proper channel. How to execute ?
Teamwork Coming together is beginning Keeping together is progress Working together is success.