Orthopedic Implants Manufacturer – Page 2

Nail Simplifies Two-Procedure Rotator Cuff Repair

A significant number of proximal humeral fractures occur with soft tissue injuries of the rotator cuff. Historically, fractures were treated separate from cuff tears with two procedures. Each procedure required different techniques and individual instruments. An innovative new utility patent has been issued to Dr. Michael Levy for the creation of a technology that bridges the concept of treating the fracture and the rotator cuff. This patented implant combines a flexible humerus nail with an external tab to aid rotator cuff repairs. This patent design work allowed him to get back into implant design, and integrate his surgical experience.

Prior to advances in bone and soft tissue anchors, implants, and arthroscopy, rotator cuff surgery was primarily performed via open incisions and cumbersome suture techniques. Operative treatment for the proximal humerus has run the gamut from pinning, plating, and nailing, to forward and reverse arthroplasty. Nails for the proximal metaphysis of the humerus have undergone a wide spectrum of design ideas including semi-rigid and flexible nails with and without cross locking. Little has been done to combine cuff repairs and fracture fixation.

Past treatment of both injuries involved a flexible nail that accepted sutures to hold down the cuff and cover the humeral head. This is commonly known as the parachute technique, employing two Enders flexible nails in the proximal humerus. The inspiration for the new patented nail with a tab was to simplify the cumbersome suturing required for cuff repairs, and incorporate an updated, more versatile nail with better fixation options.

The current nail design comes in three lengths: 240 mm, 260 mm, and 280 mm. The nail is designed with three staggered proximal holes angled for humeral head cross locking screw fixation. The proximal portion of the nail is 9 mm, while it tapers distally to 4 mm for ease of implantation. The flexible nail can be driven into the distal humerus, negating the need for difficult and dangerous distal cross locking. A locking dovetail holds the tab in position on the lateral footprint of the rotator cuff tear. Sutures pass through holes in the tab for ease of use.

ROSACON 2019

31st ROSACON-2019 to be held at Labh Garh Resort, Udaipur From 15th to 17th Feb 2019.

We exhibited all our Orthopaedic Implants(Products) & Instruments.

UPORTHOCON 2019

We participated in UPORTHOCON 2019 43th Annual Conference of UP Orthopaedic Association held in UP from 15th to 17th February, 2019 at Rohilkhand Medical college, Bareilly.

We exhibited all our Articular and Periarticular Trauma Implants (products), Total Joint Replacement System & Instruments.

Exercise After Hip Replacement

To achieve full recovery after a hip replacement it is vital that you incorporate regular exercise into your life. Regular post-operative exercise will allow you to return to your everyday activities within 3-6 weeks after surgery; and return to driving at six weeks. These exercises are geared to restoring your blood flow, strength and mobility. Moving forward it is important to gradually increase walking, sitting, standing, and climbing stairs.

Your orthopedic surgeon will work with your physical therapist to create a plan for you.

During early recovery, while you are in the hospital, you will begin to walk short distances in your room to help your hip to regain its strength and movement.

Post- operative exercise

Walking

Walking is the best exercise for a healthy recovery, because walking will help you recover hip movement. Initially, the use of a walker or crutches will help to prevent blood clots and strengthen your muscles which will improve hip movement. To ensure you are walking properly you will receive guidance from your surgeon or therapist about how much weight to put on the leg. You will be able to more weight on your operated leg as your strength and endurance improve.

While exercise may be painful at first, it can reduce post-op pain, improve blood flow and speed recovery. This will also reduce swelling in the calf and ankle. Swelling can last up to 3 months.

We recommend that you walk two to three times a day for about 20-30 minutes each time. You should get up and walk around the house every 1-2 hours. Eventually you will be able to walk and stand for more than 10 minutes without putting weight on your walker or crutches. Then you can graduate to a cane.

Climbing Stairs

Stair climbing is a great way to increase your strength and endurance. Always use your hand rail and do not try to climb any steps that are higher than 7″. Using a crutch on the opposite side from your surgery, climb up leading with your good leg. Putting weight on the crutch, raise your operated leg and place it on the step. Moving slowly one step at a time.

Going down lead with your operated leg, putting your weight on the crutch. Eventually, you will become stronger enabling you to climb the stairs foot over foot.

Early Post-op exercises

Lying Down:

Ankle Pumps- This exercise should be done right after surgery, and until you are completely recovered. Point and flex your ankles often, at least once per hour.
Ankle Rotations- move the ankle inside and outside away from the other foot. Do these 5 times in each direction, 3 to 4 times per day.
Knee Bends – lying on the bed with your leg straight out in front of you, pull your foot toward your buttocks keeping your heel on the bed. Hold in this position for 5-10 seconds, then straighten the knee keeping your heel on the bed.
Buttock Tightening- Lying on your back, contract your buttocks muscles and hold for a count of 5. Release and repeat 10 times a day.
Abduction exercises- slide your leg out to your side as far as you can away from your body, and then slide it back. Repeat 10 times per day.
Quadriceps – Lying on your back, tighten your thigh muscles. Try to straighten your knee. Hold for 5-10 seconds. Repeat 10 reps in 10 minutes, resting one minute, then repeat. Stop when your thigh feels fatigued.
Straight leg raises- tighten your quads keeping your knee straight. Lift the leg a few inches. hold 5-10 seconds. Lower the leg. Repeat until your thigh feels fatigued.

Standing Exercises

Knee raises. Standing behind a chair and hold the back of the chair for support, raise the knee toward your chest only to waist height. Hold for a count of 2-3 and put the leg down.
Standing hip abduction. Holding the back of a chair for support, raise your leg out to the side, hold and slowly lower to the floor. Do 10 repetitions. Repeat 3-4 times a day.
Standing Hip extensions. Again, holding the back of a chair for support, Lift the leg back behind you, keeping the leg and back straight. Hold for 2-3 counts. Release and return the foot to the floor. Do 10 repetitions. Repeat 3-4 times a day.

After about a month of strengthening your hip muscles, you will receive a list of exercises using resistance with an elastic tube. You may also be instructed to ride an exercise bike. Speak with your Ortho Illinois surgeon, and or your physical therapist regarding when you will be ready for these more advanced exercises.

Reference From : www.orthoillinois.com

NZOACON 2019

We participated in NZOACON 2019 event of North Zone Orthopaedic Association held in Jammu From 08 – 10 Feb, 2019 at Convention Center, Canal Road, Jammu and We exhibited all our Implants (Products) & Instruments.

North Zone Orthopedics Association was founded 38 years ago by a group of like minded Orthopedic surgeons to encourage and enhance Orthopedic surgery in the northern region of India.

Childhood exposure to passive smoking and bone health in adulthood. The Cardiovascular Risk in Young Finns Study

In this longitudinal study, researchers investigated the independent effects of exposure to passive smoking in childhood on adult bone health. Participants included 1,422 people who were followed up for 28 years from baseline in 1980 (age 3-18 years). Peripheral bone characteristics were evaluated in adulthood using quantitative computed tomography (pQCT) in the tibia and radius, and calcaneal mineral density was estimated by quantitative ultrasound. Children whose parents smoked and had high levels of cotinine had a significantly lower bone sum index derived from pQCT vs smoking parents with low levels of cotinine. According to findings, children of smoking parents having a greater risk of experiencing bone health impairment in adulthood.

Reference From : www.mdlinx.com/

TKA: Local Injection Anesthesia vs Femoral Nerve Blok

Femoral nerve block or local infiltration (injection) anesthesia for total knee arthroplasty (TKA) patients—which works better?

Dr. Alessandro Paglia, faculty member with the Department of Life, Health and Environmental Sciences, University of L’Aquila, as well as the Department of Mini-invasive and Computer-assisting Orthopaedic Surgery at San Salvatore Hospital and study co-author explained to OTW the purpose behind the study: “TKA is a surgical procedure that leads to a lot of pain in the postoperative days. We are looking for a standardized protocol for pain management to apply to all patients.”

For their study, the investigators enrolled 51 patients into a three-arm, randomized prospective study. Group 1 (the control group) received no analgesic protocol. Group 2 received an intraoperative local infiltration anesthesia (LIA). Group 3 received a femoral nerve block (FNB).

Dr. Paglia and his colleagues reported that the, “local infiltration anesthesia and femoral nerve block groups both showed a significant reduction at VAS [Visual Analog Score] score, better range of motion and less morphine consumption than the control group. The local infiltration group reported a constant pain control in the postoperative days; the femoral nerve block group reported good pain control in the hours after surgery, but decreased efficacy in the following days.”

Dr. Paglia told OTW, “Our results show how the local infiltration is a good strategy. There are a lot of ways of treating pain after TKA but it is still not possible to understand what could be the best. At the moment we are studying the block of adductors compared to other strategies; it seems to have an excellent analgesic effect on the first day with the appearance of important pain after 48 hours.”

“Perhaps it would be better to always have a minimum of constant pain with which the patient has to live rather than have two days of complete well-being.”

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