1. Technique, Technology, Teamwork: 3Ts transforming orthopaedics Dr Vaibhav Bagaria (MBBS MS FCPS Dip SICOT) Joint Replacement & Sports Surgeon CARE Hospital & ORIGYN Clinic Nagpur, India www.drbagaria.com

2. Why this talk? Sneak peek into the future! Encourage Innovation, Collaboration & Excellence Unlocking potential as clinicians, teachers & researchers 3. Talk Today 5 Techniques & Technologies that are revolutionising orthopaedic patient care Team work: From me to we!!! Only a snapshot - Trailer of sorts! 4. 5 Game changing Ts MIS & Ambulatory Surgery Patient Optimised Surgical Tools (POST) Orthobiologics Smart Implants Robotics & Remote Surgeries 5. MIS & Ambulatory Surgery Arthroscopy MIS approaches Day Care centres 6. Arthroscopy - expanding horizon A shift towards minimally invasive and optimal utilisation of scopic techniques Tempormandibular joint to subtalar joint; tumor excision to deformity correction - it is every where 7. Day care 8. Daycare: Checklists 9. Patient Optimised Surgical Tools Rapid Prototyping Technology Advantages Uses & examples 10. 3D Printing & RP Rapid Prototyping is fabrication of scale model of a physical part using computer aided designing (CAD) systems DIACOM files from CT/MRI are converted to machine language and the part is then printed Part can be used for surgical planning, simulation, templating, implant countoring and custom implant manufacturing 11. 3D printing & POST uses Acetabular & periarticular fracture surgeries Customised Jigs Deformity correction Osteotomies Defect Planning Allograft Printing 12. Surgical planning using CAD 13. Old unreduced post dislocation 14. POST For Knee replacement 15. Orthobiologics 16. BMAC/Fat derived stem cells 17. Growth Factor cocktail 18. PRP 19. Smart Implants ENCOMPASS NANOTECHNOLOGY 20. Smart Implants Monitor how implant fare in the body Detect infection and inflammation Embedded with nano sensors Repository of drugs that can be released at the right time; Silver quote In trial products: Orthosensors( Sunrise FL), Verasense 21. Robotics Moving beyond accuracy of the implanted knee Advances in artificial Intelligence ( AI), motors, materials & precision of medical imaging bode well for surgical robots future 22. Robodoc Systems are analogous to GPS: they leave the user in control while offering guidance to them. Advantage of the technology is its ability to improve surgical precision and thus patient outcomes. As robotics technology improves and its costs comes down, the number of orthopedic applications it targets is poised to increase. 23. Remote Surgeries 24. TEAM WORK , , . , , , . , , , 25. Teamwork Trends Balancing academics, ethics & economics Innovation & Research gets leg up Group Practice models proving to be efficient & cost effective Surgeon reported quality of life & happiness index Optimising cost to the patient & increasing profits 26. Team work - Success matrix 27. Team Work Basics 28. Team work - Ground Rules 29. Team Work -Tenets Aim for the sky! Be fair and have empathy Start slow, consolidate, expand Be prepared to loose battle and win the war 30. Team Work - Systems 31. Take Home Disruptive technologies are transforming orthopedics Lot of hype but also lot of work being done Innovation is at the core of progress - never too early never too late to innovate & make a difference!!! And Finally..... 32. ...!!!" THANK YOU!