Often known as with the Latin name as “porous bones”, osteoporosis is an orthopedic disease in which density of bones become less and small spaces inside them become like honeycomb and weaker outer structure. People suffering from this disease often are at high risk of bone breaks and fractures. The most common areas where this disease attack is ribs, hips and bones of wrist and spine.

Signs and Symptoms

• Acute pain in the joints and body
• Pain in upper lower thoracic and upper lumber area
• A sharp pain which increases with movement
• Frequent Fractures
• Pain in the groin, posterior buttock, anterior thigh, medial thigh, and/or medial knee during weight-bearing or attempted weight-bearing of the involved extremity

Who are all at harm

• Women suffering from menopause- Due to hormonal changes, the calcium levels in blood dip. To equalize that the calcium depletion starts from the body and calcium levels in blood gets normal. This leads to decrease in the density of the bones.
• Men above the age of 70 year
• Malnutrition
• Hyperthyroidism
• Pregnancy with poor diet
• Long term use of corticosteroids: The long-term use of corticosteroids often cause decrease in the calcium synthesis which often lead to osteoporosis.
• Smoking- Smoking often causes release of free radicles in the body which bind up in calcium and inert the bone formation.
• Family history of osteoporosis
• Low body weight
• Lower Vitamin D levels: Vitamin D plays goes hand in hand in calcium synthesis and play. important in bone formation. Dip in vitamin D levels often leads to osteoporosis.

What exactly happens in Osteoporosis:

Osteoporosis is a systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue resulting in consequent increase in bone fragility. The disease often does not become clinically visible until a fracture occurs. Its associated with Loss of cancellous bone, accentuation of vertical trabeculae in spine.

Diagnosis

• Radiographic measurement of bone density, iliac crest biopsy.
• Bone mineral density
• Full body scan often known as DEXA scan Treatment/Management of Osteoporosis
• Exercise: consult your physiotherapist and get involved exercise to improve balance which can strengthen posture.
• Nutrition: Getting enough vitamin D and calcium in diet.
• Medication: See you doctor who can involve medications in your regimen for better management of the disease.
• Periodic Checkup: See your orthopedic doctor and get your body checked so that disease progression can be controlled.

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Sports medication surgical procedure is a process of treating sports-related wounds specially to the athletes and sports person. Sports medication is a sub-specialty of orthopedics and spotlights on the musculoskeletal framework involving joints, bones and muscles. The procedure majorly involved surgical treatment and restoration of the orthopedic complications.

When is Sports Medicine Surgery Required?

The surgery is basically required when a patient encounters some orthopedic issues during training, playing the game or during any event of sports. Usually, the injuries are acute and require immediate treatment with a approach to recover the wound/problem in a fast way and maximum restoration so that athlete can use the affected part with full capacity.

What does a Sports Medicine Surgeon do?

A Sports medical surgeon treat all the musculoskeletal structures that can be affected by sports activity, during a sporting event or training. The surgeon usually works on soft-tissue biomechanics, physical conditioning, the effect of drugs and nutrition on performance and health of the patient.

What is majorly covered in Sports Medicine Surgery?

• Medical and surgical treatment of sports-related injuries such as fractures
• Treatment of joint instabilities and dislocations
• Management of sprains and ligament tears.
• Joint injections and topical treatment
• Cartilage repair
• Arthroscopy of shoulder, elbow, hip and knee arthroscopy.
• Repair of knee, hip and shoulder replacement and rotator cuff repair.
• Quicker recovery with the use of specialized external fixators
• Recovering the bones and joints back to their 100% work efficiency.
• Apophysitis and Tendinitis

What is the scope of arthroscopy in sports medicine surgery?

Joints importantly connect bones to each other and provide the body with stability and ability to move. Over use of joints/muscles or bones, misalignment, physical inactivity as well as sports injuries can lead to orthopedic problems and restrict the locomotion and movement.

There are numerous minimal invasive techniques available which can now be performed in joint surgery under the application of modern arthroscopy. The product ranges from Uteshiya Medicare specially for sports surgery covers implants for treatment of the shoulder and knee joints. With the cooperation with renowned medico scientist, Uteshiya Medicare is now a leading manufacturer of innovative products like Arthroscopic Prob, screws, anchors and all other required instruments and implants required for surgery.

Furthermore, Uteshiya Medicare offers an appropriate portfolio of implants for arthroscopic reconstructive procedures. This segment includes titanium implants such as interference screws, suture anchors and fixation buttons.

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The following tips can help make your return home more comfortable, and can be help you recover faster after your joint replacement surgery:

Prepare Your Home

• Rearrange furniture of your home so you can walk around comfortably with the help of a walker, or crutches.
• You must temporarily change your room (if your room is on first or second floor of your home, for example) to minimize the use of stairs.
• Place items you use frequently (phone, TV remote, water bottle, reading material and medicines etc, for example) within your reach.
• Remove any carpet and rugs that could cause you to slip.

Wound Care

• Keep the wound and the area around it clean and dry. A dressing will be applied in the hospital and should be changed accordingly as suggested by the doctor.
• Follow your doctor’s instructions, how to clean your wound arena and how long you will have to wait before you can shower or bathe.
• Notify your doctor immediately if the is any irritation and wound appears red or begins to drain. This can be a sign of infection.

Swelling

Medication

Diet

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However, there are several considerations involved in surgical treatment of osteoarthritis of the knee. Not only are there multiple methods of surgery that your doctor may recommend but there are many different varieties of implants that may be used to replace the knee joint. Orthopedic supply companies now-a-days advertise directly to patients presenting various products like ‘gender specific implants’ or ‘rotating knee implants’. Even with so much information available online it is very difficult for patients to decide on a reliable source of information that can help them decide which implant will suit them the best. The best way to decide is of course, with the help of your orthopedic surgeon who has the medical expertise and judgement to choose the right implant for you.

However, Here are a few simple facts that patients may consider when discussing knee replacement implants with their doctor:

1) Know the purpose of the implant

The ideal knee replacement is one that will allow your joint and bones to function normally. This will enable you to go back to normal activities like walking and climbing stairs – and it should last throughout your lifetime. Even if a patient is presented with options of implants that claim to be technologically advanced or better received worldwide – the question to ask is that will the implant restore normal functioning for a lifetime?

Ask for track records

In order to understand the effectiveness of a knee replacement implant, the manufacturing companies and orthopedic surgeons often have access to research reports that contain track records. In other words, when an implant is used to replace a knee joint and the patient returns to normal activities – their results are tracked for at least a few decades to determine the success rate of the implant.

For newly developed implants this data will be rare and will do little to prove their longevity. But for implants developed a decade ago or more – a patient may judge the success rate for the implant on the basis of these track records.

Surgeon Recommendation

Usually, the surgeon who is responsible for the knee replacement is the best person to judge the condition of the knee joint and decide on the best kind of implant that will work for the patient. Their experience and judgement is best suited for this kind of decision and they would be able to explain why they believe a particular kind of implant works better than the other. If you do independent research online and find an implant that you feel is better than the one recommended by the surgeon, feel free to ask your surgeon to compare both the implants based on their experience for more in depth information.

Conclusion

Finally, when going for a knee replacement surgery – here are the top three points to keep in mind before you choose an implant for yourself:

• The implant should have a minimum five years to a decade track record of success.
• Your surgeon should be comfortable with the idea of using this implant for your surgery.
• The implant must be considered suitable for your knee’s condition by the doctor.

Uteshiya Medicare is the leading name in manufacture and supply for orthopedic implants in India. Across the country doctors trust the Uteshiya name to fulfill their needs for high quality surgical implants in orthopedics. At Uteshiya we hold orthopedic research at paramount importance and continuously strive to improve our products for the benefit of patients.

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Although, it must be said that every case of hip arthritis may not be treated with minimally invasive hip replacement. In many cases, considering factors such as age, extent of joint damage and health of the patient – a traditional hip replacement surgery may be the only option.

Who is prescribed to go for a minimally invasive hip replacement surgery?

Patients who are suffering from hip arthritis due to age or continuous trauma in accidents are recommended this procedure. Such patients usually sustain heavy damages to the ball and socket of the hip joint rendering the joint dysfunctional and painful.  In the minimally invasive hip replacement surgery the worn out femoral ball is replaced with a metallic ball resting on a stem. This stem is then pushed and placed into the thigh bone or femur.

These implants are made from titanium and consist of a half dome shell which fixes itself into the pelvic bone socket and makes the normal functioning of the joint possible.

What is the procedure for a minimally invasive hip replacement surgery?

A minimally invasive hip replacement surgery begins with a small incision or two on the outside of the hip area. Not more than six inches. The doctors use x-ray images to visualize the organs they are working on and for affixing the implants that are needed. After making required incision, the muscles and tendons are detached. After placing the implants the muscles are restored to their original position to allow them to heal. This displacement of muscles in the minimally invasive hip replacement surgery is to a lesser extent than that of a traditional hip replacement surgery. Traditional hip replacement surgeries usually require incisions of six to eight inches across the hip area which involve muscle dissection and soft tissue dissection. This makes the traditional hip replacement surgery a much more cumbersome procedure which needs a longer time to recover from.

What implants are used for minimally invasive hip replacement surgery?

The implants used for a minimally invasive hip replacement surgery are the same as the implants used for traditional hip replacement. It involves:

• A metal stem to replace the damaged femoral head.
• A ceramic or metal ball is placed on the upper part of the metal stem to replace the damaged femoral head.
• A metal socket replaces the damaged acetabulum to complete the apparatus. Sometimes screws or cement are used to hold the socket in place.
• A plastic, metal or ceramic spacer is also inserted between the socket and ball to allow for a smooth gliding movement.

What are the benefits of a minimally invasive hip replacement surgery?

In terms of recovery and after effects of the surgery there are a plethora of benefits offered by the minimally invasive hip replacement surgery as compared to the traditional hip replacement surgery. They include – less pain and trauma, lesser incisions and dissection of soft tissue, less muscle damage, faster rehabilitation and shorter downtime for the patient.

The average hospital stay for a patient in case of a minimally invasive hip replacement surgery is as short as one or two days. This procedure neatly streamlines the recovery process thus normalizing the patient’s life at the earliest.

What can one expect after a minimally invasive hip replacement surgery?

At first, very minimal movement is allowed for the patient as the joint needs to recuperate and accept the implants fitted in. Use of pillows and other supportive materials is suggested to help maintain the correct position. As there is fluid loss in the body due to surgery, most patients are given fluids through an intravenous tube to substitute for the loss. For urine discharge a catheter is used until the patient is capable of moving around.

After one or two days, the patient will be able to sit and even walk a few steps with assistance. Once this is possible, a physiotherapist helps the patient learn exercises to strengthen the joint and to speed up the recovery. Very soon, the patient is able to return to normal life.

Uteshiya Medicare is a supplier and manufacturer of premium quality trauma implants and orthopedic implants in India. For many years, experts at Uteshiya Medicare have developed affordable and high quality implants to help doctors treat injuries caused by trauma and other orthopedic disorders. Apart from knee and hip joint replacement, Uteshiya Medicare is a leading name in spinal implants, trauma implants, sports medicine and many other orthopedic implants.

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One of the most critical tasks that the doctor performs to treat a fracture or bone break is to reset the bone in its anatomical position so it may heal and rejoin – thus enabling mobility and bone integrity. However this is only one of the steps followed by doctors when dealing with a broken bone. Read on to understand the procedure of repairing a broken bone in detail.

Diagnosis

Usually, the first step is to view the impacted area with the help of an X-ray. This helps to determine the complexity and severity of the fracture. The different types of bone breaks include: Closed (skin is intact) and Open (skin is broken). An open fracture has a higher risk of infection due to the exposure. Other factors which determine the nature of treatment needed include the direction and depth of breakage.

Fixation

For closed fractures the doctors use a simple procedure known as “reduction” to manually pull the ends of the bone together and set them in the natural position. After this, the bone may be casted or stabilized with a splint for support until it can fully heal and take the body weight and movement again.

However, if the bone break is open and more complicated, doctors use a procedure known as Open Reduction & Internal Fixation (ORIF) to treat such an injury. This is usually needed when the bone is seen to be broken in several places, broken in a twisted motion or any other complications. In such a case sterile surgical procedures are followed to repair the bone break injury. After repositioning the bone to its natural position the bone is held together with special implants such as plates, screws, nails and wires. The ORIF procedure helps the patients heal sooner and reduces the chances of improper healing or healing in an incorrect position.

Orthopedic Implants

The orthopedic implants used for surgical treatment of broken bones are made from stainless steel or titanium to ensure durability and strength. Such implants are compatible with the body and rarely cause allergic reactions. Implants maybe left in the body or removed as per the case. Some of the implants commonly used to fix bone breaks are:

• Plates: They function like internal splints that hold the broken bone together. Usually plates are attached to the damaged bone using screws.
• Screws: Sometimes, screws alone are sufficient to hold a broken bone together and in other cases, screws are used with plates, rods or nails. Their sizes vary depending on the nature and extent of injury.
• Nails / Rods: Such implants are used to treat fractures in long bones like the femur or tibia. Nails or rods are inserted into the hollow portion of the bone to prevent the fracture from shortening or rotating as the bone heals.
• Wires / Pins: In injuries where the pieces of the bone are too small to be held together with screws, nails or rods, wires are used to keep the bone stable as it heals. This implant is especially useful in fractures of the hand or foot.

Complications in a bone repair surgery are rare. However, no treatment is fool proof and a lot depends on the medical condition of the patient and the post-surgery care. Some of the problems that may occur include allergic reaction to anesthesia, bleeding, blood clots, infection – especially in case of an open or compound fracture.

One may minimize the risk of such complications by disclosing all existing medical conditions to the doctor. If you’re taking any regular medication due to blood sugar, blood pressure or thyroid disorders make sure you let the doctor know about it beforehand. Also, it is imperative to follow all the post-surgery procedures as instructed by the doctor and take precautions until the injury is completely healed.

Uteshiya Medicare is the leading name in manufacture and supply for orthopedic implants in India. Across the country doctors trust the Uteshiya Medicare name to fulfill their needs for high quality surgical implants in orthopedics. At Uteshiya we hold orthopedic research at paramount importance and continuously strive to improve our products for the benefit of patients.

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The procedure involves removing of the damaged cartilage and bone, and replacing it with an artificial join made of metal, plastic and other synthetic materials. This is considered a highly successful procedure reduces joint pain and enables easier movement for patients around the world.

The total knee replacement surgery is deemed safe by orthopedic surgeons. However, when the patient is above seventy five years old – surgeries including TKR are generally more risky. Hence, the doctors focus more on treatments like medicine and physical therapy for elderly rather than recommending surgery.

Risks During Total Knee Replacement

Side effects of Anesthesia:

A general or regional anesthesia is used to numb the feeling in the patient’s legs during the surgery. Usually, anesthesia has no side effects. However, in a few elderly patients the following effects have been observed –

• Vomiting/Dizziness
• Drowsiness
• Irregular heartbeat

Blood Clots:

Clotting of blood is a human body’s natural reaction to a surgical wound. To restrict the bleeding, the body tries to close the surgical wound by clotting the blood. During or after surgery, if a blood clot occurs inside a blood vessel, it may block the regular flow of blood causing complications. However, such cases have been observed in less than three percent of the surgeries.

Doctors usually prescribe blood thinning medicines and exercises to help improve the blood flow in the body before and after the surgery.

Infections:

Considering that the knee joint is exposed during the surgery, the risk of infections is always there. People with rheumatoid arthritis and diabetes are prone to infections during surgery. Also, those who already have an infection in some other part of their body such as throat, mouth or kidney may get an infection in their knee after surgery. However, all hospitals take the necessary precautions during surgery. And the cases of infections have been reported in less than two percent cases.

Before opting for any medical procedures, elderly patients must be made aware of the benefits and risks of the surgery. In case of total knee replacement, a success rate of 99.75% shows that most people are able to resume normal life with reduced joint pain because of this treatment.

Manufacturing high quality orthopedic implants to aid successful treatments has always been Uteshiya Medicare’s goal. To attain this goal, we make continuous efforts in research & development in the field of orthopedics and our employees work hard to attain a level of competence that truly sets us apart. We strive to supply prime quality import substitute orthopedic implants that can help doctors provide the best possible treatment to their patients. Our focus is superior service, customer based designs and the use of modern technology.

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Let’s Learn More About Hip Replacement Implants:

What are the must haves for a Good Hip Replacement Implants?

1) It Should ease you up to perform for normal activities and motion.

2) It Should last for a longer time, expected 15-20 years or more.

3) Should have a good track record of use in joint replacement recipients.

4) It should meet up to your current situation, condition, needs, and any additional requirements (should be bio-compatible for those who are allergic to specific metals).

What is Involved in a Standard Hip Replacement?

A typical hip replacement, regardless of approach involves resurfacing of the bone and fitting your body with the best orthopedic components to make up a new hip joint.

What materials are used in a hip replacement?

Artificial replacement parts i.e. orthopedic implants can be made of strong plastic, metal or ceramic materials. In most cases, the femoral stem component is built from titanium, stainless steel or cobalt-chromium alloys. The head, liner and acetabular parts can be made of either metal, plastic or ceramic materials or the combination of the above. Implant materials have to be strong but flexible in order to allow for everyday movement. They also must be biocompatible by this we mean to say that they should not cause any reactions or allergies.

Standard Hip Implant Component Materials

1) Metal on Metal- In this ball and the socket components are made of metal. The metal components can be a combination of metals like titanium, cobalt-chromium alloys, or of stainless steel.

2) Polyethylene and Metal on Polyethylene – Polyethylene is a high-quality metal-free plastic. In this the socket is usually made of plastic and other components are made of metal.

3) Ceramic on Ceramic, Ceramic on Polyethylene and Ceramic on Metal – Ceramic hips are less common, and a material not used by all surgeons. Ceramic material are often used in combination with special plastic components for those patients who are allergic to metals.

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Types of Bone Fractures

The condition of a fracture generally depends on the force due to which the injury has been caused. If the bone’s breaking point exceeded slightly, the bone may just crack a bit rather than completely break. If the force is severe, such as a road accident, the bone may shatter. Bones are rigid but they do have ability to bend a bit. Here are some of the general types of bone fractures.

1) Oblique Fracture

An oblique fracture is a crack or break in a bone with a curved or sloped pattern.

2) Transverse Fracture

In case of a transverse fracture, the crack or break is at a right angle to the axis of the respective bone.

3) Green stick Fracture

A green stick fracture is an incomplete break where the bone is bent. This type of injury is most commonly seen in the case of children’s.

4) Impacted Fracture

An impacted fracture is also known as a buckle fracture. An impacted fracture occurs when the broken ends of the bone are jammed together by the force of the injury. This is often seen with children’s arm fractures.

Treatment of Bone Fractures

The main purpose of fracture treatment involves to put the broken pieces back into their right position and preventing them from going out of place while healing. It’s the job of an orthopedic specialist to realign the broken pieces. Broken bones heal from new bone being formed around the edges of the broken segments of the injured bone. Surgery is often required for the treatment of a fracture. This will depend on the severity of the injury. Some of the common types of bone fracture treatments include:

1) Cast Immobilization

In this kind of treatment, the doctor uses a plaster or fiberglass cast to immobilize the broken bone for its proper healing.

2) External Fixation

External fixation involves surgery. The orthopedic specialist places orthopedic screws into the broken bone pieces and connects them to a metal bar outside the skin. This is done to stabilize the bones and hold them in alignment while they heal.

3) Internal Fixation

This treatment is done to realign the bone pieces. The fragments are first re-positioned into their actual (i.e. normal) position, and then they are held together with special orthopedic screws by attaching metal plates to the surface of the bone.

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Procedure

Wrist Arthroplasty can be done as an outpatient procedure, unlike a hip or knee replacement. Wrist replacement surgery is often combined with other procedures to correct deformities or disorders in the tendons, nerves, and small joints of the fingers, and thumb. An small incision is made on the back of the wrist. The damaged ends of the lower arm bones are removed and the first row of carpal bones may also be removed. The radial component of the prosthesis is inserted into the center of the radius bone on the outside of the lower arm. It is held in place with bone cement. Depending on the component design, the carpal component is then inserted into the center hand bone or screwed into the remaining row of carpal bones. Bone cement may be used to hold the component in place. The carpal bones may be linked or fused together to better secure this component. An appropriately sized spacer is used between the metal components.

Recovery

A cast will need to be worn for the first several weeks. When the cast is removed, a protective splint will be needed for the next 6 to 8 weeks. Although pain relief is immediate, gradual exercises will need to be done for several weeks to restore movement and, eventually, to increase power and endurance.

Uteshiya Medicare is one of the top manufacturers of Orthopedic implants and instruments. We know that these are to be inserted into a body and used for performing different surgeries, which means that their quality must adhere to the high-quality standards. Each of our orthopedic implant and instrument undergoes strict quality surveillance along with required documentation. And hence ensures that high quality standards is maintained at every phase during the manufacturing. For more details call us at: +91 9998957054.

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