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Advanced Orthopaedic Centre

Advanced Orthopaedic Centre. Information On Arthritis. Types of arthritis. After injury or accident Rheumatoid Wear and tear Gout. Behaviour of Arthritic joint. Initially like a dry hinge Gradually progressing to a rusted hinge. Stages of arthritic knee. Stage 1. Stage 4.

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Advanced Orthopaedic Centre

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  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

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