Orthopedic surgery often involves implants to treat damage to a bone. Orthopedic Implants may also be used for reconstructing an injured joint, repairing a fractured bone, or changing the skeleton alignment.
Implants help broken bones to heal in correct alignment. While these ortho implants don’t help the bone heal earlier, they can help to fix and stabilize bones in the correct position enabling it to heal. Implants can be Bone plates and bone screws, intramedullary nails, and pins inserted into the cavity of a bone.
While the implants are typically intended to facilitate bone healing, its continuance in the body after the bone union has taken place needs to be evaluated. Its removal may be considered suitable and even necessary.
Implants may remain in the body without any damage or consequences, but their removal would never be considered a part of “routine” care.
Removal can be indicated if there are signs of metal irritation, together with pain and pressure at the site of insertions. The doctor would want to determine if the implant is causing the problem or if there is some other cause.
Another indication for implant removal is an infection. Because it is usually difficult to neutralize an infection on a non-organic substance like ceramic, metal, or plastic, an infection may be lifelong and only resolved after the removal of the ortho implant.
Removing Metal Implants
In some patients, the metal components of Implant may be a reason of irritation to the surrounding tissues. This can cause tendonitis, bursitis, or local complications. In these instances, metal removal can relieve this irritation. Some of the symbols of problematic metal include:
- Pain directly at the site of the metal implant
- Rubbing of the metal implant under the skin
- Grinding sensations round the ortho metal implant
It may be very hard to guarantee if the removal of metal orthopedic implants will improve indications of discomfort. In persons who have pain that is undoubtedly caused by the implant, the chance of pain reduction is comparatively high. If the pain is more general, the chance of resolution is harder to predict.
The actual procedure of removing an ortho implant is itself complex. This is particularly true of deep implants that have been in its position for a long time. Fractures have been identified to occur shortly after surgery because the weakened bone collapsed into the drilled hole spaces, especially in weight-bearing bones of the hip or leg.
The implant removal should never be taken casually. As with any orthopedic surgery, there are infection risks, reaction to anesthesia, and nerve injury. Furthermore, the removal of an ortho implant may weaken the bone or fail to ease the pain. These products can be available from Trauma Implants Manufacturer in India.
Consultation with an experienced and skilled orthopedic surgeon should always be required to fully determine the risk, benefits, and other approaches to implant removal.
Siora Surgicals Pvt. Ltd. is Orthopedic Implants Manufacturers in India. What instruments are used in the removal of an implant. Some of the instruments from our Implant Removal Set include Judet Auger Extractor, Spare Hook for Extractor, Conical Bolt For Nail, Supping Driver, Tissue Protector, Connecting Bolt For Nail, Extraction Sleeve For Nail etc.
When any of the long bones of hand (metacarpals) or short bones (phalanges) are broke, it’s known as hand fracture. A hand fracture is an injury commonly encountered by athletes, who take part in contact sports (including rugby, soccer, and football) and winter sports (skiing and snowboarding). Various plates are used to treat these fractures. Siora offers these plates, some of which are Locking Wrist Fusion Plate, LCP Y-Plate, LCP T-Plate, LCP Condylar Plate, LCP Adaptation Plate.
A broken wrist (distal radius fracture) is a fracture of one or more bones that attach your forearm to your hand. Wrist fractures can vary from a small, hairline crack to a bone or bones broken into 2 or more parts.
Wrist and hand fractures are also quite common amongst the old, especially those with osteoporosis. Osteoporosis is a disease that affects mainly postmenopausal women and few men over the age of fifty. When women and men age, bone mass density reduces, making them more vulnerable to fractures. Their susceptibility to falling only increases the risk.
It’s important to take immediate medical intervention and care if you’re thinking that you have suffered a wrist or hand fracture.
Various types of wrist and hand fractures have somewhat different symptoms since they occur in various locations, however, they can be generalized. The common symptoms are the following:
- Reduced range of motion
- The inability to grab
The symptoms of wrist and hand fractures may be mistaken for the symptoms of some other medical conditions, such as strains and sprains. Ensure you consult a doctor to know if you have a fracture and get suitable treatment.
Wrist and hand fractures are usually the results of a blow or fall of the hand. Some common causes are as follows:
- Falling on an outstretched wrist or hand– When you catch yourself with one hand after a fall, you’re putting a lot of stress on your bones. If it’s a hard fall, or if your bones are weakened (e.g., by osteoporosis), you’re susceptible to fractures.
- A blow to the wrist and hand– If you receive a blow to your wrist or hand, you will sustain a fracture. If the fingers aren’t balled up, they’re also quite vulnerable to fracture.
- Twisting the wrist or hand– If your hand is twisted, as can happen in sports, the bones of your hands and/or wrists are overstretched and fracture.
A wrist fracture is one among the easiest kinds of bone breakages to treat without surgery. Typically, a casting method is utilized to immobilize the bone when it heals. In some cases, the wrist may have come out of alignment when it broke; when this occurs, the doctor can use local anesthesia to realign the wrist and place it on the accurate track of healing.
If a hand fracture is minor, it may be treated with a nonsurgical procedure. If the fingers are broken, they may place in a finger splint so that the remaining hand can be mobile while the finger repairs; if other bones are broken, they can require a splint or cast to stabilize the injured part of the hand while the bone heal from the breakage. Painkillers and antibiotics can be given to help decrease the infection risk and ease the pain from the trauma.
In some cases, particularly when the bones have shifted out of its usual place, a wrist fracture will need surgery. The goal of most wrist fracture surgeries is to help guide the bones back into its position and hold them while the bone fragments heal.
Hand fractures can also need surgery in serious cases. The aim of most hand fracture surgeries is to reconnect the bones as well as hold them in its position, so they don’t cause any permanent deformities. These surgeries require orthopedic implants.
Siora offers a variety of implants that can be used for treatment in case of a Wrist or hand Fracture. The implants and instruments are listed in the catalog of LCP Compact hand set.
Clavicle (collarbone) fractures are quite common injuries. If a clavicle fracture isn’t considerably displaced (moved) or angled (bent), then it can be treated in a sling for six weeks. For persons who do a lot of desk work, a ‘figure-8’ brace that leaves the arms free is most popular.
If a clavicle fracture is shortened 1.5 cm or more, considerable displaced (so that there is no bony contact), considerably angled (bent) or comminuted (in several parts), then it will probably be better if it’s surgically repaired (with the use of orthopedic implants), especially in an active person. If the clavicle fracture can heal in a shortened, in an otherwise unsatisfying condition, shoulder pain, decreased endurance, stiffness, dysfunction, and weakness can occur, especially while overhead activities or activities requiring shoulder strength. And once a clavicle fracture is cured in a shortened or otherwise unacceptable position, the shoulder muscles and shoulder blade may contract and become permanently too short, or stretch to become permanently too long, depending on how the clavicle fracture cured. This may result in a loss of endurance and permanent weakness, even if the clavicle fracture is treated later. Like most injuries, the most effective chance to get a good result is early after the injury occurs.
Surgical restoration of a clavicle fracture is done as an outpatient, same-day, surgery. The most effective way to fix most severe clavicle fractures is by utilizing specially molded orthopedic bone plates that adjust to the clavicle. After surgery, deskwork and computer use can be done the next day. Bath Shower is fine three days after surgery, at which point wrist, elbow and hand motion may start. Active use of the shoulder should be avoided for 4 to 6 weeks, and during that time a sling should be worn publicly for protection. Clavicles usually take three months to heal. ACT (cat) scan is usually ordered 6 to 12 weeks after surgery to make sure that the bone is healed properly. The surgical intervention requires various specialized orthopedic instruments that can be obtained from the manufacturer of orthopedic implants & instruments. Most patients often do very well after clavicle fracture repair.
Smoking significantly increases the risk of clavicle fracture not healing (i.e. going on to ‘non-union’).
An unhealed clavicle fracture (clavicle non-union), is a more tough problem to fix. Clavicle non-unions often involve a point of shortening and deformity, which can be difficult to completely correct. In order to fix a clavicle non-union, it is usually essential to take bone from the iliac crest (the rim of bone above the hip). Taking bone graft from the iliac crest is somewhat painful, though with newer orthopedic instruments this can be done utilizing a minimally invasive technique, thus it is not as bad as it I used to be. A specialized plate is utilized to stabilize the clavicle non-union. Nearly 3-4 months after surgery, a CT scan will be ordered to confirm that the clavicle non-union has cured.
In conclusion, most clavicle fractures often do not need surgical fixation, but when they do, modern orthopedic equipment and techniques help produce an excellent outcome in majority of cases.
The orthopedic implants and instruments used in clavicle fracture are provided by the Siora Surgicals Pvt. Ltd. Our catalog of Helix Locking System includes these implants and instruments. The locking superior anterior clavicle plate, locking clavicle hook plate, locking anterior clavicle plate ‘S’ shape, locking head screw 2.7 mm and locking head screw 3.5 mm are used in the treatment of clavicle fracture.
Your thighbone (femur) is the strongest and longest bone in your body. As the femur is so strong, it often takes a lot of force to break it. Motor vehicle collisions, for instance, are the number one reason of femur fractures.
The straight, long part of the femur is known as the femoral shaft. When there is a break in any part along this bone length, it is known as a femoral shaft fracture. This kind of broken leg almost every time needs surgery to heal.
The femoral shaft runs from below the hip to wherever the bone starts to widen at the knee.
Types of femoral shaft fractures
Femur fractures differ greatly, depending on the force that causes the break. The parts of bone may line up properly (stable fracture) or be out of alignment (displaced fracture). The skin round the fracture can be intact (closed fracture) or the bone might puncture the skin (open fracture).
Doctors describe fractures utilizing classification system. Femur fractures are classified relying on:
- The fracture site (the femoral shaft is divided into thirds: proximal, middle, distal)
- The fracture pattern (for instance, the bone can break in various directions, such as lengthwise, crosswise, or in the middle)
- Whether the muscles and skin over the bone is torn by the injury
The most common kinds of femoral shaft fractures include:
Transverse fracture: In this kind of fracture, the break is a straight horizontal line going across the femoral shaft.
Oblique fracture: This kind of fracture has an angled line cross the shaft.
Spiral fracture: The fracture line encircles the shaft just like the strips on a candy cane. A twisting force to the thigh causes this kind of fracture.
Comminuted fracture: In this kind of fracture, the bone has broken into 3 or more parts. In most cases, the number of bone fragments corresponds with the volume of force required to break the bone.
Open fracture: If a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates right down to the broken bone, the fracture is referred as an open or compound fracture. Open fractures usually involve much more harm to the surrounding muscles, ligaments, and tendons. They have a higher risk of complications- particularly infections- and take an extended time to heal.
Femoral shaft fractures in youngsters are common because of some sort of high-energy collision. The most common reason of femoral shaft fracture is a motorcycle or motor vehicle crash. Being hit by a car while walking is another common cause, as are gunshot wounds and falls from heights.
A lower-force incident, like a fall from standing, can cause a femoral shaft fracture in elderly people who have weaker bones.
A femoral shaft fracture often causes immediate, severe pain. You will not be able to put weight on the injured leg, and it can look deformed- shorter than the other leg and now not straight.
Siora Surgicals Pvt. Ltd. is a renowned manufacturer of Orthopedic Implants and Instruments. It offers multiple Bone Plates – conventional as well as Locking Plates, Anatomical Plates for different types and locations of Femur fractures as also Interlocking Nailing System. The implant range is supplemented with special Orthopedic Instruments to assist the Orthopedic Surgeon to properly place the chosen implant at Femur fracture site.
A hip fracture is a break in the upper quarter of the thigh or femur bone. The extent of the break depends on the involved forces. The type of surgery used to treat a hip fracture is mainly based on the soft tissues affected and bones or on the level of the fracture. The surgeons use Orthopedic implants combined with Orthopedic tools for surgical treatment.
The best method to recover from a hip fracture is to get moving as soon as possible under the advice of the treating surgeon. Immobility can be the cause of possible significant complications. For some of the reasons such as preventing pneumonia, bed sores, blood clot, etc., it is critical to get patients up and moving as soon as possible after surgery. There are several ways to help accomplish this goal.
Most importantly, the surgery should be done soon after the injury using the right trauma Instruments and implants. There is controversy about how early the surgery should be performed, but ideally within 48 hours of the injury, and possibly sooner. Several hospitals are getting better equipped at getting persons with broken hips to an operating room on either the day of or the day after their injury.
There are circumstances when surgery must be delayed, such as when there are other major medical issues that need to be addressed before a surgical procedure. Another common situation is when a person on blood thinning medication suffers a hip injury. The effects of blood thinning may need to be reversed prior to performing surgery.
The second step is to quickly get up and moving after the hip surgery. In the hours and days after surgery, the therapists and the nursing staff will be working to assist the patient to get up and start a movement. Even changing position and sitting up in a chair can help to prevent some of the complications that can occur in persons with broken hips.
Chances of Recovery
Unfortunately, full recovery after a broken hip occurs in only around half of all people. The other half will have a decline in the function in comparison to their pre-injury activity level. Sadly, almost one-quarter of people who break a hip do not live for a full year after their injury. While this group tends to represent the frailest people who break a hip, it is a startlingly great number.
Obviously, everyone wants to be in the 50% of people who do regain their full function. For doing so, people will have to regain the following:
- Mobility: For joints to function properly, they need to move. A joint that is frozen in space may have good muscle tissue surrounding the joint, but without proper movement, those muscles can’t function properly. Mobility can be impaired by fracture healing, implanted hardware, deformity, and scar tissue formation.
- Strength: Restoration of muscle strength is critical after breaking of the hip of any person. Unlike a recovery of hip replacement surgery, where the muscle damage is minimal, the trauma of breaking a hip bone also damages the function of muscle significantly. To regain function of muscle, it is critical to get the muscles working as soon as possible after surgery to prevent potentially permanent atrophy of the muscle tissue.
- Balance: Recovery of balance is critical not only to regain function but also to prevent against the likelihood of further injury. Balance is critical to activity, and a decline in function is usually the result of a loss of balance. Use of ambulatory aids (walker or canes) can be helpful, but regaining balance and proprioception can help restore activity.
Siora Surgicals Pvt Ltd has implants for Hip fractures such as Austin Moore Hip Prosthesis, Thompson Hip Prosthesis, Bipolar Prosthesis. The company uses high-quality material to produce it’s implanted products.
The tibia is the large shin bone situated between the ankle and the knee. The fracture occurred in this bone is treated with the help of Trauma implants such as locking head screw, locking head cancellous screw, locking dorsal distal radius L-plate, lateral tibia locking plate, locking anterolateral distal tibia plate and so on.
This area of the body is known as (in medical terms) the leg, and together with thigh and foot, create the lower extremity (the leg is only the part between the ankle and knee, even though several people refer to the lower extremity as the ‘leg’). There are 2 bones of the leg – tibia and the fibula.
The tibia is the larger bone that people usually refer to as the shin bone. Most of the weight of the body is supported by the tibia. The fibula is a smaller bone located on the outside of the leg and doesn’t support much body weight, although it does serve important functions at the ankle and knee joint and is the attachment of ligaments and muscles.
Tibial shaft fractures are major injuries that usually occur after falls, sports injuries, car accidents, and other high-energy activities. The tibia shaft is the central part of the bone, not the flared ends of the bone located just below the knee or above the ankle. The medical name for the tibia shaft is a hollow type, although it does have a to some extent triangular shape with the tibia crest being the prominent ridge at the front of the shin. The bottom of the bone is known as the tibial plafond and top of the tibia is known as the tibial plateau.
Inside the bone’s hollow center is the bone marrow canal. The outer part of the bone is rigid and thick; this is called the cortex of the bone and offers the strength of the tibia. As mentioned, fractures of this area of the tibia usually are high-energy injuries. There are situations where the bone may be abnormally weakened, and fractures can occur with less significant injuries. These are called pathologic fractures, and occur when the bone is weakened by osteoporosis, infection, tumor, or other conditions.
If the situation of the patient needs surgery, then the surgeons uses orthopedic implants to fix the fracture.
Signs of Tibial Shaft Fractures
Fractures of tibial shaft typically occur with substantial traumatic injuries. Common signs of these fractures include:
- Pain over the shin
- Deformity of the leg
- Bruising and swelling around the shin
- Inability to place weight on the leg
Tibial shaft fractures should be evaluated by examining the entire extremity for injuries not only to the tibia, but also for associated injuries to the extremity. Persons who sustain these injuries should also have a complete body assessment, as there can be other injuries that occur that cannot be noticed because of the leg pain.
Most tibia fractures can be entirely evaluated with x-ray tests. A stress fracture of the bone cannot show up on an x-ray, and these injuries may only be evident on tests such as bone scan or MRI. However, the normal way to evaluate is with an X-ray to start with.
The X-ray will help to determine whether there is a need of surgery and if required, then skilled surgeons will perform it using orthopedic instruments.
Intramedullary (IM) Nails are Orthopedic Implants used to align and stabilize fractures. Intramedullary rods are inserted into the bone marrow canal in the center of the long bones of the extremities. They may be used in the tibia (shin bone) and the femur (thigh bone), for example. They are also called intramedullary nails. These nails are provided by the orthopedic implant suppliers.
One of the significant benefits of IM rods over other methods of fracture fixation is that IM rods share the load with the bone, rather than totally supporting the bone. Due to this, patients can use the extremity more quickly.
IM rods can’t be used for all fractures, and there are mostly associated complaints of pain and other symptoms at the site where the IM rods are inserted. For this reason, a second operation may be required to remove the IM device if you have painful symptoms. Otherwise, the IM rod is intended to stay inside your bone forever.
Bone Healing and Intramedullary Rods:
It is important to note that these types of orthopedic implants do not really speed bone healing and they do not take the place of bone healing. Any metal implant used to stabilize a fracture is intended to hold the fracture in proper alignment while the normal healing process takes place.
While bone healing may not speed up, some IM rods are intended to have enough strength to carry the body weight, and that is why people can often place weight on the extremity sooner than if you had to wait for complete bone healing. However, this should be done strictly as per the manufacturer’s instructions for use or treating surgeon’s advice.
Uses of Intramedullary Rods
A femoral shaft fracture (broken thigh bone) is usually treated with intramedullary nailing. Generally, the rod is made of titanium and they come in different diameters and lengths to fit patients of different heights and ages. A small incision is made at either the knee or the hip and the rod is inserted into the marrow canal. Screws used to hold it in place at each end are often termed Locking Bolts.
Shinbone fractures are also usually treated with intramedullary nailing. It is inserted down the marrow canal of the tibia from the knee, crossing the fracture area for full-length fixation. Screws are placed on both ends to keep it in place during healing. The rod makes sure that position will be maintained better than just using an external fixation or cast. However, this is generally avoided in children because the rod would cross the bone’s growth plates and could influence the length of the leg.
Intramedullary rods may also be used in cases of the metastatic bone disease in cancer to fix and support a bone after removal of the tumor. This may be done for bones that have fracture risk.
In the genetic disorder osteogenesis imperfecta or brittle disease of bone, rodding surgery may be used to prevent fractures as well as progressive deformity of the long bones. Telescoping rods may be used for growing children. They extend as the bone grows.
Hip fractures are one of the most common kinds of broken bones, a broken hip is the most common reason why people require surgery for fracture above the age of 65. Unfortunately, this difficult problem usually affects the most vulnerable and frail patients. While some common orthopedic injuries occur in more vigorous, active persons, most broken hips occur in more sedentary, frail people.
Siora Surgicals has various types of hip prosthesis implants like as Bipolar Prosthesis – Standard Stem – Non – Fenestrated – Sterile, Austin Moore Hip Prosthesis – Excel – Standard Stem – Sterile, Thompson Hip Prosthesis – Excel – Narrow Stem – Sterile and hip instruments Rasp for Austin Moore Narrow Stem, Rasp for Thompson Standard Stem, Tapered Reamer – For Bipolar Prosthesis.
Due to this, many people who sustain these injuries, or their families, are concerned about the process of recovery. Is a major surgery useful? What is the probability for recovery? What is the best method to help an elderly person who has broken their hip?
Treatment for The Broken Hip:
Almost every people who break their hip will need a surgery to fix the problem of the fractures. The surgical procedure is done by using orthopedic implants and instruments. There are various treatment options that depend on the patient who is injured and the location of the fractured bone. The options necessarily are to either repair the broken bone, or to replace all or part of the hip joint. Most fractures will have a preferred method of treatment, although in some situations your surgeon will make a recommendation where there may be more than one choice for treatment.
Sometimes families will consider nonsurgical treatment for these injuries. While that may be an option for very sick or very frail patients, it is typically not a good option. Nonsurgical treatment is only considered for very specific types of fractures, such as if the break is only on the pelvic side of the hip joint (and not the femur), then nonsurgical treatment may be possible. But most of the hip fractures of the femur bone will need surgery using orthopedic tools. The problem with the nonsurgical treatment of most kinds of broken hip can be close to impossible.
There are many problems with not being able to move a person who has been injured:
- It may cause more problems:– Being immobile can lead to several problems with people. The development of other medical conditions is one of the major problems with the nonsurgical treatment of hip fractures. Immobile people are prone to developing blood clots, pneumonia, and bed sores. These conditions are already problems for older people, and if you cannot move someone, then the chance of developing one of these types of problems goes up significantly. For these reasons, even in very sick or very frail patients, repair of a hip fracture is typically recommended.
- It Can Be Difficult to Care for People: – Taking care of someone who cannot move is very challenging. Simple tasks such as toileting and bathing someone who can’t move is difficult. While managing painful symptoms of a broken hip can be accomplished by having someone lie still, it isn’t reasonable to care for someone without moving them. Thus, even when broken hips occur in people who are entirely dependent on others for support, they are typically repaired surgically to allow for this care to take place.
The surgical procedure used to fix a broken hip may differ depending on several factors. Generally, fractures of the very top of the thigh bone, called the femoral neck, are treated with replacement. If the femoral neck fracture is not all displaced (out of place), then a repair of the break may be considered. Fractures below the neck of the femur, called peritrochanteric or intertrochanteric fractures, are treated with a surgical repair using bone plates, bone screws, or rods.
During sports activity, athletes often injure their wrist & hands because the hands often absorb impact. Such injuries may include the supporting tendons, ligaments, or bones.
Skiers are vulnerable to an injury called skier’s thumb – a tear of the ulnar collateral ligament in the thumb’s large joint. This is likely to happen when the skier falls, and the ski pole handle forces the thumb to bend away from the fingers. The same injury can happen in other sports players who utilize hands to break a fall.
Treatment for Ligament Tears
Several common ligament injuries are treated non-surgically, although, some will need surgery to restore stable ligament function.
If the thumb ligament is totally torn, surgery may be essential. Occasionally, as the ligament tears, it pulls a bone fragment away from the base of the bone. The fragment may require to be removed or replaced to its accurate position. Patients commonly require wearing a short-arm cast or a splint to protect the thumb ligament for some time period following surgery. The surgical instruments are required to perform the surgery that is obtained from the orthopedic instrument manufacturers.
Racquets sports like tennis, racquet ball, and squash may make patients vulnerable to tendonitis of the wrist from repetitive wrist motion. Most of these injuries can be treated with a combination of rest, ice, immobilization, and anti-inflammatories.
Athletes of several sports are also vulnerable to tears of a structure known as the triangular fibrocartilage complex (TFCC) on the pinky side of the wrist from either a fall on a repetitive wrist or outstretched wrist motion. The TFCC is a shock absorbing wrist stabilizer and tears may cause clicking, pain or instability with forearm rotation. Several of these tears may be treated with rest, immobilization, and if required, cortisone shots. Sometimes, for persistently painful or unstable TFCC tears, surgery is suggested. The procedure is often accomplished arthroscopically through minimally invasive incisions.