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.