Hip Fractures Fixation with Nails – Everything you need to know

According to a survey, the number of hip fractures is expected to surpass 6 million worldwide by the year 2050. Hip fractures are breaks in the upper portion of the femur that usually occurs in elderly patients whose bones have become weakened by osteoporosis. In case of younger patients, hip fractures occur due to a high-energy event, such as a fall from a ladder or vehicle collision. Most of these fractures occur in older patients who are injured in household or community falls.

Hip fractures tend to be very painful. This is why prompt surgical treatment is recommended. Treating the fracture and getting the patient out of bed as soon as possible helps prevent medical complications later on such as bed sores, blood clots and pneumonia. Disorientation can also occur in very old patients due to prolonged bed rest which makes rehabilitation and recovery much more difficult.

Orthopedic implants like nails play an important role in the fixation process. The choice of the implant material is very crucial as it influences rigidity, corrosion, bio-compatibility and tissue receptivity. The surface morphology of the implants also affects its stability within the skeleton or the surrounding cement mantle.

GPC Medical has been serving the medical world as a leading manufacturer of medical equipment and healthcare systems for more than 20 years. As one of the top manufacturers and suppliers of medical equipment and affordable healthcare solutions in India, GPC Medical strives continuously to innovate medical solutions that enriches the lives of people. We are an ISO 9001, ISO 13485 certified company that exports and supplies medical equipment and surgical instruments worldwide.

GPC Medical manufactures a wide range of nails for hip fractures that are made from the best raw materials with ergonomic design. Let’s take a look at the various types of hip nails:

intraHEAL Proximal Hip Stabilizing Nail (ILBS59)

Our IntraHEAL Proximal Hip Stabilizing Nail is the best-in-class nail in the market for intertrochanteric fractures of femur. Our IntraHEAL Proximal Hip Stabilizing Nail is US FDA approved and designed to provide superior bio-mechanical intramedullary stabilization. In stable fractures, it provides circumferential compression at the fracture site and transfers axial load to the bone.

Advanced Features:

• Our Nails are equipped with a self-tapping lag screw for easy insertion.
• Available in length ranging from 180-220mm, and proximal nail angle of 130°.
• It has a cannulated nail for guide wire controlled insertion.
• It also has a set screw that inhibits rotation of the proximal lag screw & simultaneously allows sliding of the lag screw.
• It has a single distal locking option to prevent rotation in complex fracture.
• Universal nail for the right & left hip.
• Available in stainless steel and titanium.

intraHEAL Proximal Femoral Nail, Advanced (PFA09-12)

Our second nail in the series, IntraHEAL Proximal Femoral Nail is an advanced nail implant ideal for the treatment of Pertrochanteric fractures, Intertrochanteric fractures & high subtrochanteric fractures. An ideal implant for the treatment of unstable fractures, the nail is ergonomically designed so that it can be easily inserted and is especially useful for elderly persons with osteoporosis. and is further equipped with a cannulated blade to provide enhanced angular and rotation stability.

Advanced Features:

• Anatomically designed for optimal fit in the femur.
• The nail comes with a signature design cannulated blade that provides increased stability and helps compression of the cancellous bone while also providing angular and rotational stability.
• The nail also allows early weight bearing and mobilization.
• Both nail and blade are also cannulated.
• Available in titanium only.

intraHEAL Proximal Hip Stabilizing Nail 3 (PHN3)

Our 3rd nail for hip fractures, intraHEAL Proximal Hip Stabilizing Nail 3 (PHN3) is an advanced version of Proximal hip stabilizing nail that is specifically designed for Asian population. The nail is used in intertrochanteric fractures, high subtrochanteric fractures and per subtrochanteric fractures. The nail has been ergonomically designed for minimally invasive surgery and conforms to international quality standards.

Advanced Features:

• The proximal diameter is 15.5 mm, to minimize the incision length required for minimally invasive surgery.
• Available in three neck angles- 120, 125, 130 degrees to accommodate various anatomies.
• Cannulated nail for guide wired controlled insertion.
• The thread design of the lag screw enables superior cut out strength from the cancellous bone.
• Short nail has one distal locking screw & the long nail has two.

Contact us to know more about our nails. We at GPC Medical are always welcome to any queries regarding our products.

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GPC Multi Angle Tibial Nail – US FDA 510k Approved

The latest addition to the GPC Medical wide assortment of implants is the US FDA 510k approved intraHEAL Multi Angle Tibial Nail. The advanced locking options make it a universal choice by surgeons for tibial shaft fractures, metephyseal fractures as well as pilon fractures.

GPC Multi Angle Tibial Nail is available in 8-10 mm diameters & lengths from 26-36 cm, both in stainless steel & titanium.

intraHEAL Multi Angle Tibial Nail

Special Features:

Multiple Proximal Options:

• Three unique & innovative locking options to increase the stability of the proximal third fragment are two mediolateral, one anteroposterior & two oblique locking options.
• The dynamic hole in the proximal end of the nail allows secondary controlled dynamization of the bone fragments

Unique Nail Design:

• Anatomical bend for the ease of nail insertion

Unique Distal Locking Options:

• Two mediolateral & two anteroposterior locking options for stability of the distal fragments

Standard Locking Screws:

• 4.9 mm for proximal locking & 3.9 mm for distal locking

End Caps:

• End caps securely lock the most proximal oblique locking screw to create a stable fixed angle construct.
• Also prevents ingrowth of tissue & facilitates nail extraction
• Extend the height, if the nail is over-inserted

Multi Angle Jig:

• A universal jig is available for all the holes for proximal locking
• It is easy to use, light weight & ergonomic

To know more, VISIT: https://www.indianorthopaedic.com/MLTN08_10/intraheal-multi-angle-tibial-nail.htm

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GPC GA-MMA Nail System (US FDA 510k Approved)

The GPC GA-MMA Nail (intraHEAL Proximal Hip Stabilizing Nail) (US FDA 510k approved) is designed specifically to heal the fractures of the trochanterc region.  Its simple design & state-of-the-art instrumentation makes it a preferred choice of surgeons across the globe.

GA-MMA Nail (intraHEAL Proximal Hip Stabilizing Nail)

Indications

• Intertrochanetric fractures
• Pertrochanteric fractures
• High sub trochanteric fractures

Simple Design

• Universal nail for both right & left hip fracture.
• Anatomic design specifically designed for trochanteric fractures.
• Overall length of the nail 180 mm.
• Range of angles available 125°, 130°, 135°.
• Single distal locking option to prevent rotation in complex fractures.
• One distal diameter of 11 mm.
• Self tapping thread design of the lag screw allowing easy insertion.
• Universal jig for both proximal & distal locking options.
• Made from carbon fibre, the jig is light weight hence it is easy to use.

Advantages

• Higher strength & stability.
• Less traumatic operative technique.
• Early, pain free mobilization.
• Better prognosis.

To know more, VISIT: https://www.indianorthopaedic.com/ILBS59/intraheal-proximal-hip-stabilizing-nail.htm

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GPC Medical on a high rise in Orthopedic Implants & Instruments

The journey of GPC Medical Limited in the field of orthopedic implants & instruments has been full of challenges, hard work, dedication, and the undaunted spirit to be the best in the industry. The walk on this road needed a combined spirit of likeminded professionals to get together and provide the best orthopedic implants to the suffering patients. It was an endeavor to utilize our business skills with an underlying spirit to serve the society with a purpose. The reason why GPC Medical could attain this feat to be the best in the industry had several blinks that were the brightest in this industry.

GPC Medical Ltd. – US FDA 510(k) Approved Orthopedic Implants

Trust and Faith

Our long journey of eight decades into this industry won us many clients who reposed their faith into us. GPC Medical in turn has lived up to the trust laid into them and has never compromised on quality, good service and improving on their products.

Quality that Speaks for itself

We are in an industry where the health and life of people are dependent on our products. To give the best quality to our products is not only our business but also our way to serve the society with an honest heart.

Research Oriented

Medical innovations are happening on a daily basis. GPC Medical keeps a foot front forward in order to remain the first to be apprised of the latest medical technical researches to give our clients the best products in the field of orthopaedics. Our team constantly works towards remaining aware of the researches going on in this field globally.

Safety Standards

Medical devices need to be safety oriented. Their primary purpose is to help in saving and elongation of life and therefore it is essential that safety standards are maintained at each level of the manufacturing stage till the delivery to attain its goal. GPC medical have the certifications of ISO 9001: 2008, ISO 13485: 2012 and CE certified. Most of our orthopedic implants are also US FDA 510 (K) certified. It is the only Indian company having widest range of US FDA 510(k) approved orthopedic implants including Locking/Non-Locking Plating System, Pedicle Screw System and Intramedullary Nailing System. Apart from the certifications each staff is personally trained to keep an eye on the safety standards of the products.

Reasonably Priced

We provide the best products at a very reasonable price tag. This helps us to expand our horizons across the world without our clients feeling the pressure on their pockets.

Frontrunners in all Medical Fairs and Exhibitions across the World

GPC Medical participates in all the major medical fairs and exhibitions held all over the world from time to time. This helps us and our clients globally to interact on a platform that has a global arena and also compare our products with the best international market with an equal footing.

Feedback from our Customers

GPC Medical is highly motivated by the time to time feedback it gets from its users. It keeps our spirit high and helps us to continue to serve the society with a business model that leads to a win win situation for both. We hope to keep this positive feedback in order to grow and continue to serve with the best of spirits.

Watch this video to know more about GPC Medical Ltd.

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What is an Internal Fixation?

In orthopaedics internal fixation is a surgical procedure for holding together the fractured bone for the purpose of repairing a bone. This concept comes in the light in mid- 19th century and after that it is used for the routine treatment of the patients who suffered from the bone fracture. In internal fixation a broken bone must be carefully stabilized and supported to the point of time it is strong enough to handle the weight of the body. During the surgery of broken bones through internal fixation the bone fragments are first reduced into their normal alignment then they are hold together with the help of internal fixators such as plates, screws, nails and wires.

Open Reduction Internal Fixation:

It is a type of surgery used to fix broken bone. There are two parts of the surgery in the first part a broken bone is reduced or put back into place and in the next part internal fixation device is placed on the bone. This can be done with the use of internal fixators such as screws, plates, rods, wires or pins that are used to hold the broken bone together.

Close Reduction Internal Fixation:

In closed reduction internal fixation, without any open surgery fractures can be reduced closed with a very minor incision. In case if fracture is displaced after closed reduction which exceeds 2 mm then open reduction internal fixation is recommended.

Types of Internal Fixators:

These internal fixators may be made of stainless steel or titanium which are durable, strong and long lasting. If a joint is to be replaced rather than fixed these implants can also be made of chrome and cobalt. These fixators rarely cause any allergic reaction and are compatible with the body.

1) Metal plates:

Plates are attached to the bone with screw which holds the broken pieces of bone together. These are like internal splints and may be left in place or removed after healing is complete this depends upon case to case.

2) Pins or wires:

Pins or wires are often used to hold together pieces of bone that are very small to be fixed with screws. Some times in many cases wires are used in conjunction with other form of internal fixators, but they can be used alone to treat fractures of small bones which are found in the hand or foot. Wires are normally removed after a certain amount of time or they may be left in permanently for some fractures.

3) Rods or nails:

The best way to hold the fractures of the long bones pieces together is by implanting a rod or nail through the hollow centre of the bone that normally contains some marrow.  Screws are used to keep the fracture from shortening or rotating until the fracture is healed, which are placed at each end of the rod. Majority of fractures are treated through this method in the femur and tibia; nail and rod are left in the bone after healing the healing is complete.

4) Screws:

There are various design and size of screw available in the market based on the type of fracture. These screws can be used alone or used to hold the other fixators such as plates, rods and nails. Screws may be either left or removed after healing the bone.

Internal fixation is opposite of external fixation of a fracture which is done by using splint or cast. Orthopaedic surgeons are regularly developing and improving the methods of treating the fractures. These internal fixations are done by the experienced surgeon by using imaging machines like X-ray machines, ultrasound, MRI machines etc. All the procedures have some risks, but problem from this procedure are rare. Infection, bleeding, blood clots and infection to anaesthesia are some potential problems which will be reassess by your doctor.

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Why demand for Orthopedic Implants are rising?

 

 

What is a Bone Implant?

A bone implant or graft is a surgical procedure which is used to fix problems related to bones or joints in order to repair bone fractures that are extremely complicated, pose a significant health risk to the patient or sometimes it fails to heal properly. Bone implantation can be done for many reasons that include injury, disease or infection. But the four main reasons are fractures, regeneration, fusion and implanted devices; due to which bone grafting is performed. The procedure of bone implantation should be done under the supervision of an orthopaedic surgeon who with the help of X ray, MRI or ultrasound devices decide which type of implantation is beneficial for the patient.

Types of Bone Implant:

1. AUTOGRAFT:
   Autograft is a Procedure in which the transplantation of organs, tissues, or even particular proteins from one part of the body to another of the same person. In the word autograft auto means “self” and graft means “implantation”. Bone can be harvested from hips or ribs but it creates a second surgical site from which the patient must recover. The second surgery or site could be uncomfortable years after the surgery and the recovery time can extend the patients stay to the hospital. In a block grafting an autogenous bone is most preferred because there is less risk of graft rejection as it is originated from patients own body.
2. ALLOGRAFT:
   Allografts are beneficial for complex cases such as who undergo multiple ligament injuries and revisions. Allograft is different from autograft as it is a process in which autogeneous bone is derived from humans; the difference is that in allograft it is harvested from another person other than one receiving the transplantation. Patients need not to go through second surgery by using allografting.
3. DENTIN GRAFT:
   For dentin graft, dentin bone is made up of extracted tooth which comprises more than 85% of tooth structure. Dentin, like bone may release growth and differentiating factor when it is being resorbed by osteoclasts. Sorting, grinding and cleaning of teeth are done for making dentin graft more usable and bacteria-free.
4. SYNTHETIC VARIANTS:
   Science and technology in the developing medical world have increased the number of synthetic graft options with the help of which a patient easily eliminate the problem of harvesting bone from a donor site. This provides them various options which is easily available and help them to recover easily from their injury.
5. XENOGRAFTS:
   This bone substitute has its origin from a species other than human such as cow known as bovine bone and they are distributed normally only as a calcified matrix. Coral xenograft are mainly calcium carbonate which is saturated with growth enhancing gels and solutions.
6. ALLOPLASTIC GRAFTS:
   Alloplastic grafts may be made of hydroxylapatite also called hydroxyapatite (HA), is a naturally occurring mineral form of calcium apatite which is the hydroxyl endmember of the complex apatite group. They may be made from bioactive glass and it is a synthetic bone  graft which is the most used now among other synthetic  because of its osteoconduction hardness and acceptability by bone.

The Risks of a Bone Implant:

• During bone implant surgical procedure anesthesia is given to the patient which has the risk of reactions to medication and breathing problems.
• Bleeding and infection.
• Pain.
• Rejection of the bone implant.
• Additional surgery in the autograft added costs and patient takes time in recovery and increases patients stay to the hospital.
• Nerve injury and inflammation creates problem to the patient.
• In allograft grafted bone may take longer time to incorporate with the host bone.

It is good for you to ask your doctor about your risks and what you can do to control or minimize them to better understand them.

 

Interlocking Nails used for Fracture Fixation

The femur and Tibia are two of the longest bones in the human skeletal system. A fracture in long bones like these, need supporting rods, or as we call them interlocking nails. It is a metal rod forced into the medullary cavity of a bone to fix and support the fractured bone.

The intramedullary rod or Küntscher nail as it was called named after the person Gerhard Küntscher who first used the device in 1939 during the World War II. He used it to fix the fractured femur bones of the injured soldiers. Prior to that, the method of treatment was very long and required the patient to be inactive for long periods. They were either treated by using a plaster or traction. The invention of intramedullary rod changed the pace of recovery of the patient to much faster and more stable.

What are the Interlocking Rods made up of?

The earlier rods were made up of stainless steel. However, now most companies use titanium to make these rods. The advantage of titanium over steel is that it has lower mechanical failure rates and is biocompatible with the body. There was also the change in the design from the earlier rods by introducing the concept of locking nails using bolts on each end of the nail. This was more durable and fixed the bones with better strength.

Does the Insertion of the Rod in the Human Body cause any Complication?

In most cases there are no complications after the insertion of the rod in the human body but there may be long term complications in some of the patients. These complications may include knee pain, atrophy of the calf muscle, atrophy of the quadriceps, and arthritis. There are also chances of Venous thrombosis and pulmonary embolism.

intraHEAL Reamed Tibial Nail

Different Types of Nails

GPC Medical offers the Intramedullary Nail System, a next generation of intramedullary nails characterized by their anatomic shape, which is intended to replicate the natural anatomic shape of the various long bones in the human skeleton. These nails have been designed for specific applications to help restore the shape of the fractured bone to its natural, pre-injured state.

GPC manufactures all the different types of superior quality intramedullary nailing system including:

• Femoral interlocking nails
• Tibial interlocking nails
• Humeral interlocking nails
• Radius/ulna
• Locking bolts

Watch Product Videos:

Femoral Nail

Tibial Nail

Humeral Nail

Supracondylar Nail

Ga-mma Nail Instrument Set

 

The Growing Orthopedic Devices Market

It is a comprehensive set of reasons complimenting and contributing with each other towards the growth of the orthopedic devices market. There has been a steady rise in the last decade of 7 to 10% in the orthopedic devices market which is expected to continue to grow in the coming years. The global orthopedic devices market is forecast to reach a value of $61.3 billion by 2017 from a market value of $36.7 in 2010 at a CAGR of 7.6%.

Why is the Orthopedic Devices Market on a Continuous Rise?

Several factors make this market on an ever growing graph;

• One of the main reasons is the growing elderly population which propels into an increased risk of osteoporosis, osteoarthritis and bone injuries.
• The increase in global population that is obese and hence the chances of orthopedic complications are on the rise. This trend is more apparent in emerging economies like the Middle East, China, India and other Asian countries.
• With the advancement in technology, the success of these implants and fixators in the emerging economies and rise of faith in medical science especially in the developing economies, the orthopedics device market is on a continuous growth.
• The exponential growth in the spending of the health care, and the emergence of multi-speciality hospitals with advanced technologies, especially in the Asian countries, have helped this market to keep growing. However, there is a slowdown in the health care spending in North America. According to a report from Deloitte global Health Care Outlook healthcare spending will grow at an average of 4.4% contributed mainly by health care insurance.

Share of Different Devices in the Orthopedic Market

The orthopedic knee devices contributed towards the largest share in the orthopedic device market revenue in 2012. However, this market has been under the cloud recently for the wrong reasons. According to a study, at the department of Physical Therapy at Virginia Commonwealth University in Richmond using the parameter for appropriate and inappropriate surgeries conducted and supported by a news release says that; Among the 175 subjects who underwent total knee replacement surgery, more than a third of the procedures were deemed inappropriate. There have been a number of fingers raised and studies conducted to fight this growing malice.

The other major share of orthopedic device surgeries goes to the hip orthopedic device market which accounts for the second largest share. The hip market is likely to compound in annual growth rate of more than 5.9 percent through 2019. There has been a consistent rise in hip fractures and a burgeoning demand for hip replacement procedures.

The other large share in the orthopedic device market goes to the consumables market. These also include anchors and stables. It has a huge potential of growth expecting to reach a value of $457 million by 2019.

The Largest Share Holders in the Global Market

The largest shareholders include large medical device companies like Depuy, Synthes, Stryker, Zimmer Holdings, Smith and Nephew and Medtronic. These companies put together hold a 60% share of the global orthopedic device market.

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Interlocking Nails used for Fracture Fixation

 

 

Why demand for Orthopedic Implants are rising?

There is nothing more invaluable than a healthy human life and when natural body parts begin to give up, we hold your hands and provide you with the support to walk that extra mile.

GPC Medical Limited (Orthopedics) is a specialized division of GPC Medical that deals with orthopedic implants. GPC Medical tries to give its valuable customers all possible products related to orthopedics at one stop and with the latest innovative techniques. They are quality oriented and they value the smiles on their customers face as the primary objective of their company. Their products are the best available in the market and will make you satisfied from all angles.

What is an implant in context with orthopedics?

Orthopedic implants as the word itself defines are a procedure that replaces or provides fixation of bone or to replace articulating surfaces of a joint through medical surgical implementation. The aim is to fix a particular joint, provide the right movement and make the patient get away with orthopedic problems.

The patient is carefully examined and put under the scrutiny of specialized doctors before going for an implant. Each patient has his/her specific reason to be there for an orthopedic plant hence each case is studied individually before taking the plunge for an implant. The damaged joints are then removed and replaced with an artificial prosthesis. The replacement implant material is made from stainless steel and titanium alloys and the plastic coating that is done on it acts as an artificial cartilage. The method of implanting these artificial products are either cementing it or pressing to fix it so that the bone can take support onto it and provide the needed strength.

Why are orthopedic problems on the rise?

Life style changes, excessive weight, lack of exercise and over eating are some of the causes that are making the orthopedic problems rise on an alarming scale. The body changes that occur due to these life style shifts, wears down the cartilage in the bone joints, and causes severe pain, when bones make a connect with each other. A surgical implant becomes the last resort for the surgeon when all other treatment options have failed.

Should an individual go for an orthopedic surgery?

Many questions will hover around the mind of an individual even though he/ she might be in severe pain. What are the advantages of an orthopedic implant? Will it improve my lifestyle or are there any risks involved? This question cannot be answered with a simple yes or no but definitely an implant will improve your lifestyle, increase your mobility and take care of your pain. It is to be implanted with stringent care and all your specifications are to be kept in mind by the manufacturers of the implant. The risk involved can be with lack of care post surgery, chances of infection and a possible malfunction during the implant.

Different categories of orthopedic implants

The hip, knee, shoulder and elbow are primarily the places where the implants take place. These cartilages of these joints tend to wear down due to different reasons and can reduce the mobility of the patient and keep him/her in severe pain.

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