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DHS/DCS & Angled Blade Plate - We are manufacturer and suppliers of DHS/DCS & Angled Blade Plate, Hip Plate, Dynamic Hip Compression Plates, Hip Fixation Plates, Jewett Nail Plate and other orthopaedic implants and instruments
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Surgical Technique
- Diagnostic Arthroscopy
- Look for any Osteochondral fragment
(Loose body)
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Ambulation with stick and Knee Brace- 3 wks
ROM exer – Next day upto 300 and progress
Review every 2 wks,6 wks,3 mnths,6 mnths and
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Excellent- No pain,normal activity
Good- Occasional pain,discomfort
Fair/Poor- Pain,loss of flexion,recurrent
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Worse- Pain increased,displacement more
frequent
Caution
Must avoid overtightening-
Medial instability
Medial patellar arthritis
Patellar fractures
Preexisting Chondromalacia
Details @ http://www.delhiarthroscopy.com/
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The document provides instructions for performing dynamic hip screw (DHS) surgery to treat fractures of the proximal femur. It describes:
1) Positioning the patient supine on a traction table and obtaining x-rays to visualize the hip.
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Shoulder arthroscopy
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Christopher M. Aland MD discusses shoulder arthroscopy procedures and positions. Shoulder arthroscopy can be performed in either the beach chair or lateral decubitus position, with recent modifications to both. The lateral decubitus position involves using a standard table with supports for the axilla, head, and sides. The beach chair position uses a standard table with back support and mechanical or manual leg support and head positioning, allowing for conversion to an open procedure or posterior inferior access if needed.
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Periprosthetic fractures around total knee replacements can occur in the femur, tibia, or patella. Femur fractures have various classification systems and treatment depends on the specific fracture type, bone quality, and implant stability. Options include open reduction internal fixation with plates or nails, or revision arthroplasty. Tibia fractures also have a classification system and are typically treated with osteosynthesis or revision if the tibial component is loose. Patella fractures also have a classification and treatment involves tension band wiring, osteosynthesis, or revision as needed. Complications can include nonunion, mechanical failures, and infection.
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This document describes the standard and optional portals used in knee arthroscopy. The standard portals are the anterolateral, anteromedial, and posteromedial portals. The anterolateral portal is created first and allows visualization of most knee structures. Portal placement is important to avoid damaging structures. Optional portals like the superolateral and posterolateral portals provide additional views but have risks if not carefully placed. Proper portal placement and technique are described to maximize visualization and safety.
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Mpfl tech - MPFL Reconstruction for Patellar Instability
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Surgical Technique
- Diagnostic Arthroscopy
- Look for any Osteochondral fragment
(Loose body)
- Look for any Chondral damage
- Patellar tracking though Supero-lateral portal
Post-op Protocol
Ambulation with stick and Knee Brace- 3 wks
ROM exer – Next day upto 300 and progress
Review every 2 wks,6 wks,3 mnths,6 mnths and
yearly thereafter
Post-op assessment (Crosby-Insall criteria)
Excellent- No pain,normal activity
Good- Occasional pain,discomfort
Fair/Poor- Pain,loss of flexion,recurrent
dislocation/subluxation
Worse- Pain increased,displacement more
frequent
Caution
Must avoid overtightening-
Medial instability
Medial patellar arthritis
Patellar fractures
Preexisting Chondromalacia
Details @ http://www.delhiarthroscopy.com/
dynamic hip screw
The document provides instructions for performing dynamic hip screw (DHS) surgery to treat fractures of the proximal femur. It describes:
1) Positioning the patient supine on a traction table and obtaining x-rays to visualize the hip.
2) Performing closed reduction of the fracture if possible, or open reduction if needed.
3) Making an incision over the femoral neck and inserting guide wires under fluoroscopy to align the placement of screws and plate.
4) Reaming and inserting a lag screw to stabilize the fracture followed by placement of the DHS plate and fixation screws to complete the procedure.
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basic arthroscopy set up,positionnig and portals .this presentation is for education purpose only .all the copyrights are owned by original authors and not by me.
Positioning for shoulder arthroscopy
Christopher M. Aland MD discusses shoulder arthroscopy procedures and positions. Shoulder arthroscopy can be performed in either the beach chair or lateral decubitus position, with recent modifications to both. The lateral decubitus position involves using a standard table with supports for the axilla, head, and sides. The beach chair position uses a standard table with back support and mechanical or manual leg support and head positioning, allowing for conversion to an open procedure or posterior inferior access if needed.
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Periprosthetic fractures around the knee
Periprosthetic fractures around total knee replacements can occur in the femur, tibia, or patella. Femur fractures have various classification systems and treatment depends on the specific fracture type, bone quality, and implant stability. Options include open reduction internal fixation with plates or nails, or revision arthroplasty. Tibia fractures also have a classification system and are typically treated with osteosynthesis or revision if the tibial component is loose. Patella fractures also have a classification and treatment involves tension band wiring, osteosynthesis, or revision as needed. Complications can include nonunion, mechanical failures, and infection.
Knee arthroscopy portals
This document describes the standard and optional portals used in knee arthroscopy. The standard portals are the anterolateral, anteromedial, and posteromedial portals. The anterolateral portal is created first and allows visualization of most knee structures. Portal placement is important to avoid damaging structures. Optional portals like the superolateral and posterolateral portals provide additional views but have risks if not carefully placed. Proper portal placement and technique are described to maximize visualization and safety.
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Arthroscopy involves using small cameras and surgical tools inserted into joints through small incisions to diagnose and treat joint problems. Key instruments used in arthroscopy include arthroscopes, probes, scissors, forceps, knives, and motorized shavers. Proper joint distension is important for clear visualization and maneuverability during the procedure. Anesthesia can involve local or regional nerve blocks, and a tourniquet may be used to improve visibility by reducing bleeding. Careful sterilization of instruments is crucial. Arthroscopy offers minimally invasive treatment of joint disorders with low morbidity.
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The document discusses the history and evolution of bone plates used for fracture fixation. It begins with Hansmann recording the first use of plates in 1886 in Germany. Since then, plates have evolved through designs like the DCP, LC-DCP, and now LCP plates which provide different stabilization methods and advantages over previous designs. The document also discusses the different ways plates can be used to achieve neutralization, compression, buttress or tension band fixation of fractures.
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1. The document discusses the history and principles of AO (Arbeitsgemeinschaft für Osteosynthesefragen), which was founded in 1958 to standardize the principles of fracture fixation.
2. It describes the different types of bone plates used in AO technique including neutralization, compression, and buttress plates. Dynamic compression plates and limited contact dynamic compression plates are discussed in detail.
3. Additional internal fixation principles covered include the tension band effect, prebending plates, and the use of reconstruction and tubular plates.
Intertrochanteric fractures of the femur
The document discusses extracapsular intertrochanteric hip fractures. It describes the anatomy and classification systems for these fractures. Conservative management involves traction but is associated with high complication rates. Internal fixation with devices like the dynamic hip screw or proximal femoral nail is now the standard of care to allow early mobilization. Surgical techniques like closed or open reduction may be used along with supplemental procedures like medial displacement osteotomy in unstable patterns.
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The Ultimate Guide in Setting Up Market Research System in Health-Tech
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
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Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
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General principles of arthroscopy kle, belgaum, dr utkarsh dwivedi
Arthroscopy involves using small cameras and surgical tools inserted into joints through small incisions to diagnose and treat joint problems. Key instruments used in arthroscopy include arthroscopes, probes, scissors, forceps, knives, and motorized shavers. Proper joint distension is important for clear visualization and maneuverability during the procedure. Anesthesia can involve local or regional nerve blocks, and a tourniquet may be used to improve visibility by reducing bleeding. Careful sterilization of instruments is crucial. Arthroscopy offers minimally invasive treatment of joint disorders with low morbidity.
External skeletal fixators
External skeletal fixation techniques involve the percutaneous placement of transcortical pins or wires externally connected to a rigid frame to stabilize fractures. It provides minimally invasive stabilization while preserving blood supply, with advantages of immediate weight bearing and joint mobility. Disadvantages include the need for regular cleaning and monitoring to prevent infection, and higher costs compared to internal fixation. Various configurations and equipment like pins, rings, connectors are used for different applications like fracture fixation, limb lengthening, and deformity corrections.
Plates form and function
The document discusses the history and evolution of bone plates used for fracture fixation. It begins with Hansmann recording the first use of plates in 1886 in Germany. Since then, plates have evolved through designs like the DCP, LC-DCP, and now LCP plates which provide different stabilization methods and advantages over previous designs. The document also discusses the different ways plates can be used to achieve neutralization, compression, buttress or tension band fixation of fractures.
Implant failure
The document discusses various types of implant failure in orthopedic surgery. It begins by introducing commonly used implant materials like stainless steel, cobalt-chromium alloys, and titanium alloys. It then discusses factors that can lead to failure, including issues with materials, surgical technique, patient non-compliance, and infection. Specific types of failures are explored for different implant devices, such as loosening or fracture of plates and screws in plating, bending or breakage of intramedullary nails, and aseptic loosening in arthroplasty. Prevention of implant failure requires consideration of material properties, surgical best practices, and post-operative patient management.
47 cb principle of arthroscopy
This document outlines general principles of arthroscopy including instruments and equipment used, anesthesia techniques, documentation methods, advantages and disadvantages of arthroscopy, indications and contraindications, basic arthroscopic techniques, and potential complications. Specifically, it describes the arthroscope, light sources, television cameras, basic instrument kits, accessory instruments like probes and scissors, implants like suture anchors, and irrigation systems. It also discusses anesthesia options, postoperative pain management, and documentation methods for arthroscopic procedures.
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types of nail
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comparision
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Dr. radheyshyam (principles and techniques of ao)
1. The document discusses the history and principles of AO (Arbeitsgemeinschaft für Osteosynthesefragen), which was founded in 1958 to standardize the principles of fracture fixation.
2. It describes the different types of bone plates used in AO technique including neutralization, compression, and buttress plates. Dynamic compression plates and limited contact dynamic compression plates are discussed in detail.
3. Additional internal fixation principles covered include the tension band effect, prebending plates, and the use of reconstruction and tubular plates.
Intertrochanteric fractures of the femur
The document discusses extracapsular intertrochanteric hip fractures. It describes the anatomy and classification systems for these fractures. Conservative management involves traction but is associated with high complication rates. Internal fixation with devices like the dynamic hip screw or proximal femoral nail is now the standard of care to allow early mobilization. Surgical techniques like closed or open reduction may be used along with supplemental procedures like medial displacement osteotomy in unstable patterns.
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General principles of arthroscopy kle, belgaum, dr utkarsh dwivedi
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"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
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Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
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Factors influencing fetal development
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
原版定制【微信:bwp0011】《(uofm毕业证书)美国密歇根大学毕业证学位证书》【微信:bwp0011】成绩单 、雅思、外壳、留信学历认证永久存档查询，采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信bwp0011】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信bwp0011】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
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NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPT
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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