Advanced Orthopaedic Centre - PowerPoint PPT Presentation

1 / 29
About This Presentation
Title:

Advanced Orthopaedic Centre

Description:

Physiotherapy Yoga. Brace, footwear modification. knee brace. Reduces load on the joint ... Yoga and physiotherapy. Helps in maintenance of joint mobility ... – PowerPoint PPT presentation

Number of Views:85
Avg rating:3.0/5.0
Slides: 30
Provided by: ekal
Category:

less

Transcript and Presenter's Notes

Title: Advanced Orthopaedic Centre


1
Advanced Orthopaedic Centre
  • Information
  • On
  • Arthritis

2
Types of arthritis
  • After injury or accident
  • Rheumatoid
  • Wear and tear
  • Gout

3
Behaviour of Arthritic joint
  • Initially like a dry hinge
  • Gradually progressing to
  • a rusted hinge

4
Stages of arthritic knee
Stage 1
Stage 4
Stage 2
Stage 3
5
Treatment options
  • Medicines
  • Physiotherapy Yoga
  • Brace, footwear modification

6
knee brace
  • Reduces load on the joint
  • Hence reduces pain
  • Wear while standing
  • And walking

7
Walking stick
  • Use in the same hand as the arthritic knee

8
Shoe modification
  • Outer half of the sole to be thicker by 5mm
  • Reduces load on joint

9
Stair climbing
  • Climbing up
  • Less painful knee up first
  • Climbing down
  • More painful knee down first

10
Medication
  • NSAIDS
  • Steroids
  • Analgesics
  • Calcium / vitamin D
  • HRT
  • Always take under medical supervision

11
Newer Drugs
  • Glucosamine and chondroitin
  • Anti oxidants
  • Hyaluronic acid
  • Always take under medical supervision

12
Yoga and physiotherapy
  • Helps in maintenance of joint mobility
  • Has no role in cure or prevention of further
    degeneration

13
Heat application
  • Moderate pain
  • Should be bearable
  • Avoid in diabetics

14
Simple Generic Implant
Made in India Inexpensive
15
Ice application
  • When the joint is
  • Warm
  • Very painful

16
Diet
  • Avoid
  • Non veg food
  • Alcohol
  • (Sour things if they do not suit you)

17
Avoid
18
Avoid
Use
19
Simple exercises
20
Simple exercises
21
Knee caps help relieve pain
22
Simple modular implant
Used for Prime Minister
23
Complex Modular Implant
Femoral Augment
Required for difficult cases
24
One stage bilateral knee replacement
  • Bilateral knee involvement is common
  • Identical deformities in both knees
  • Changed gait pattern

25
Exclusion criteria
  • Bilateral surgery avoided in
  • on steroids
  • on methotrexate
  • gross osteoporosis
  • gross flexion deformity
  • poor nutritional status

26
Prevention of Failure
  • Ultra clean O.T
  • Space suit
  • Experience

27
Ultra clean operation theatre
Laminar air flow
28
Space suit
29
  • For more information
  • Visit
  • www.cjthakkar.com
Write a Comment
User Comments (0)
About PowerShow.com