Orthopedic Table

Orthopedic tables and their use in surgeries

Orthopedical surgeries specifically deal with conditions related to musculoskeletal systems.These surgeries mostly treat acute injuries, congenital disorders, chronic arthritis, musculoskeletal trauma, spine diseases, degenerative diseases, and infections. 

Operating tables assist the physician while performing surgeries by providing an elevated surface that stabilizes and supports the patient's position and provides optimal exposure to the surgical field. The manufacturing of these benches is precisely to give procedure-specific positioning of a patient.

Orthopedic tables are operating surfaces designed to support, provide traction for limbs of patients during orthopedical operations. These benches demand a high radiolucency for useful C arm imaging, rigidity, stability, and proper positioning of the patient for access and imaging. 

Equipping orthopedic tables with fracture benches, knee arthroscopy, femur lateral plus tibia nailing attachment, and arm surgery surfaces to improve operation ease is possible.

Brief History 

In 1780, Jean Andre Venel established the first orthopedic hospital where he developed a club-foot shoe to treat children with inborn foot deformities and other methods for treating spine curvature. In 1851 Dutch military surgeon Antonis Mathijisen invented plaster of Paris. Following that, a Welsh surgeon, Hugh Owen Thomas, aided the development of modern orthopedics, expanding this field into the treatment of musculoskeletal issues. Robert Jones, known as the father of modern Orthopedical surgery, made significant advances in the field of orthopedics and the construction of the Manchester ship canal in 1888. In the 1960s, John Charnley at Washington hospital in England formed a basis for all modern hip implants. Then in the 1970s, knee replacement therapy for rheumatoid arthritis patients was developed by John Insall in New York. Modern surgery, availability of surgical tables like STERIS fracture orthopedic tables, and extensive research on musculoskeletal systems make the surgeries less invasive and easy to operate.

Uses of orthopedic tables

The use of orthopedic tables mostly depends upon their designs and specifications. The primary purpose of these benches is to keep the patient in place while working. Also, to move different body parts using table accessories for easier access to the site of surgery. This helps doctors to perform a variety of open and invasive orthopedical procedures with placidity. Steris fracture orthopedic tables function for the treatment of a variety of orthopedic situations; below are a few of them:

Total hip arthroplasty

A total hip replacement is a surgical procedure that replaces diseased bone and cartilage of the hip joint with artificial material. A healthy hip joint consists of a ball and a socket. In contrast, in the case of total hip joint replacement, sick ball and socket are removed surgically and replaced with a ceramic-metal ball and an artificial plastic socket. This method has become an effective procedure to relieve hip pain. This replacement gets performed in cases of severe arthritis (osteoarthritis). Other conditions that require hip replacement include bony fracture of the hip joint, death of hip bone, and rheumatoid arthritis.

Acetabular fractures

Acetabular fracture is a break in the socket portion of the "ball and socket" joint within the hip. These cracks vary like the socket bone can shatter into many pieces, or it can break straight across the socket. When acetabulum breaks, the femoral head no longer fits into the socket firmly, and the surface of cartilage may get damaged. If this condition remains unstable, it can lead to arthritis.

Femoral fracture

A femoral fracture is cracking of thigh bone. The femur is the strongest and largest bone in the body, and it requires high impact force to break. Factors that can cause this injury include a motor vehicle accident falls, gunshot wounds, stress on weakened bones, and more. Treatment of this injury can be non-surgical or surgically- like the insertion of pins, plates, or rod that may be needed to reconnect broken bone pieces and hold the bone in place.  

Thoracic and lumbar spine breakage 

Spinal cracking mostly occurs in the lower back (lumbar spine) and midback (thoracic) regions. Spinal breakages can be a result of bone's weakening by osteoporosis, or it can occur due to some serious injury that requires emergency treatment. Treatment of this condition in various ways depends upon the severity of bone breakage.

Tibia fractures

Tibial breakage occurs when a person completely or partially breaks his or her shinbone. This bone cracking can be open when a bone breaks through the skin, or it can be closed when a bone breaks, but the skin is intact. Treatment procedures include immobilization, traction, surgery, and physical therapy. 

Complications of using orthopedic tables

Orthopedic tables have diverse uses, including simple fracture fixation, less invasive arthroplasty, total hip replacement, and many more. Although the complications related to these traction work surfaces are low, their usage is not free of risks. These complications range from simple transient postoperative numbness to life-threatening issues such as injuries of soft tissues and perineal integument, iatrogenic compartment syndrome of the healthy leg, and neurological impairment. As elderly patients have overall stiff joints, the traction table forces their limbs into extreme positions that result in muscle and joint damage. 

To prevent these complications and to ensure the safety of patients, several points can be useful. Firstly, awareness about catastrophic events by surgeons is critical to improving patient's safety. Furthermore, to avoid the issues, several positions on orthopedic tables should not be presented like the Hemi lithotomy position. And lastly, for obese patients, radiolucent flat-top benches should be used, the positioning should be appropriate, and surgical time minimized to a possible extent. 

General specifications of orthopedic tables

There are several designs of orthopedic tables in the market, with different specifications; however, we are going to cite the specifications of STERIS fracture table briefly: 

STERIS OT 1000 is one of the revolutionary orthopedic tables with SWAN technology for an effortless moment and best control. Their design is to provide optimized imaging and improved safety. 

  • Patient weight capacity: approximately 500lb (227kg)
  • Dimensions (W x L x H): 692 mm x 2654 mm x 787 to 1219 mm
  • Table operating weight: approximately 1000lb (454kg)
  • Operating temperature: 17 to 25 degrees centigrade
  • Operating pressure: 700 to 1060 hPa
  • Storage temperature: -40 to 60°C
  • Storage pressure: 500 – 1060 hPa 

Table motion and configuration

  • Lateral bench slide motion: ±4 from center
  • Height range: 31 to 48 for patients up to 400 lb. and 31 to 43 for patients' weight between 401 to 500 lb.
  • Tilt range: 15 degrees 
  • Head portion down: 30 or 75 degrees
  • The manual and adjustable head section
  • Power adjustable height
  • SWAN technology
  • lateral tilt and lateral slide features
  • traction, rotation and one hand slide control available
  • drive wheels are also present.
  • compact storage: 5' x 2' approximately

How does an orthopedic table work?

As discussed above, Ortho benches function to keep the patient in place while operating, and to move different body parts using table accessories for easier access to the site of surgery. Orthopedic surgeons use these necessary medical instruments for the treatment of conditions related to musculoskeletal systems. Physicians, on the other hand, use orthopedic tables for knee replacement, total hip arthroplasty, Acetabular and Femoral fracture, and more. We will briefly discuss the use of trauma benches in knee replacement.

Firstly, a patient is positioned on the STERIS fracture table, and then a urinary catheter is inserted. The doctor removes hairs on the surgical site if any the cleans the skin over the site with an antiseptic solution. After that, the doctor makes an incision on the knee area, removes damaged surfaces, and replaces them by a prosthesis made up of plastic and metal. These prostheses are attached to bone by surgical cement. The incision is then closed by stitches, and at last sterile bandage is done. 

Market Leaders of orthopedic tables

Trauma benches are one of the costly equipment in the operating room because they are highly specialized. There are many manufacturers for these trauma benches, so it is quite challenging to identify which brand sells the best surgery benches, but the market also seems to support the industry. Below we will describe in detail some of the top market leaders of the orthopedic tables.

Sky Tron

Sky Tron company is located in Michigan, Grand Rapids, and was established in 1972. Sky Tron Orthotrax bench extension is specially designed for hip procedures and lower extremity, and it can be attached to any sky Tron operation table. 

Steris 

Steris company is involved in manufacturing medical instruments for quite long. They mostly work for infection prevention and sterilization. OT 100 series of STERIS ortho work surfaces is the newest one, and it is equipped with SWAN technology to ensure precise control and safety.

Maquet

Maquet is a German brand, and it has been around for over a century. 

Yuno OTN 1433 from this brand is the latest orthopedic table. The medical instruments of this brand are higher in price, but their quality is excellent.

Mizuho OSI

Mizuho OSI is the second most popular bed traction equipment supplier in the US. Hana SSXT is Mizuho OSI surgical equipment specially designed for total hip arthroplasty.

Schaerer medical 

Schaerer Medical, a company headquartered in the US and manufacturing facilities in Switzerland, makes imaging easier by releasing metallic structures. Due to their LP bench's intuitive design, this instrument is perfect for lower extremity brake repairs. 

Conclusion

Conditions like arthritis, bursitis, severely affect the musculoskeletal system, especially joints and bones. And cause acute pain, even making it difficult to perform daily activities. So, ortho surgeries are there for the treatment of these conditions. Orthopedic tables assist the physicians while performing operations by providing an elevated surface that stabilizes and support the position of patient and provide optimal exposure to the surgical field. These critical medical gears also ensure the safety and comfortability of the patient. 

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