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New Devices and
     Investigational New Drug: Ortho-R                                                                                        Innovative Technologies



     An Investigational New Drug (IND) called Ortho-R is        How to use it?                                                in Orthopedics
     set to undergo phase I/II clinical trial after approval
     from FDA.  [1]                                             The product is a powder containing lyophilized
                                                                chitosan, a lyoprotectant and clot activator.  [2]            1.Patient-Friendly 3-D Printing
     Ortho-R works on RESTORE technology which is a
     proprietary lyophilized chitosan-based admixture that      This powder is mixed with a patient’s own PRP,                3-D orthopedic printing is gaining traction in the
     is stable at room temperature and leverages the            causing it to coagulate.  [2]                                 manufacture of personalized braces, surgical
     patient’s autologous platelet-rich plasma (PRP) to                                                                       equipment, and orthotics from a range of materials.
     facilitate the healing and regeneration of injured         The combination is shaken and the mixture applied             3-D printing technology cuts operating times, saves
     tissue.  [1]                                               by the surgeon on and around the repaired site.  [1]          energy, increases the long-term reliability of the
                                                                                                                              implant, and enhances the health effects of surgical
     Ortho-R can be applied to various common tear              Within minutes, the implant takes on a thickened              procedures.  [1]                                            2. Ortho-Biological Tech to Make
     injuries in the body such as those in the rotator cuff,    consistency and the surgeon can complete the                  The innovative advancements offered by 3D printing          the Wounds Heal Faster
     meniscus, cartilage and joints affected by                 operation.  [1]                                               are-
     osteoarthritis.  [1]
                                                                The process of mixing and applying Ortho-R takes              i. Geometric freedom                                        Ortho-biologics utilizes the regenerative ability of
                                                                only minutes, does not interrupt surgery and has                                                                          cells in the human body. They are created from
                                                                                                                              3D printing in orthopedic implants allows the design        compounds naturally present in the body which are
                                                                been shown to be effective in tissue repair in vivo.  [1]
                                                                                                                              of more natural anatomical shapes. It also brings the       used to facilitate the recovery of fractured bones,
                                                                                                                              possibility of designing porous bone replacement            injured joints, ligaments, and tendons.  [1]
      Virtual Physical                                                                                                        scaffolds that can be integrated with the implant

                                                                                                                              design. This allows for natural bone ingrowth,              Ortho-Biologics are comprised of bone graft, growth
      Therapy After Knee                                                                                                      ensuring higher stability of the implant.  [2]              factors, stem cells, platelet-infused plasma, autolo-
                                                                                                                                                                                          gous blood, and autologous controlled serum.
      Replacement                                                                                                                                                                         Drug-free bone grafts may be used to cure conditions
                                                                                                                                                                                          such as orthopedic surgery.  [1]


     A virtual system for in-home physical therapy (PT) has been                                                                                                                          Stem cells continually self-regenerate and transform
     found to provide a good outcome for patients undergoing          Figure- Placing Ortho-R to facilitate tissue repair                                                                 into either form of cell, providing an unmatched
     rehabilitation following total knee arthroplasty (TKA).  [1]            (Source: orthospinenews.com)                                                                                 source of regenerative medicine technology. Stem
                                                                                                                                                                                          cells therapies are used for age-related degenerative
     The FDA-cleared Virtual Exercise Rehabilitation Assistant   Source -                                                                                                                 diseases, adipose-derived orthopedic conditions, and
     (VERA) is designed to provide remote rehabilitation services.  [1]                                                                                                                   Ortho-biological treatments for cartilage defects.  [1]
                                                                1.https://finance.yahoo.com/news/orth-cn-ind-ortho-r-14050073        Figure- Geometric freedom with porous scaffolds
                                                                4.html
     The cloud-based system features a digitally simulated coach to                                                                        (Source: blog.peekmed.com)
     demonstrate and guide activity, including visual and audio   2.https://orthospinenews.com/2020/07/28/ortho-regenerative-te
                                                                chnologies-releases-new-positive-histology-results-from-pivotal
     instructions.  [1]                                         -preclinical-glp-rotator-cuff-tear-repair-efficacy-study-in-large-  ii. Simulated surgery
                                                                animal-model/                                                 Surgical teams can use a 3D printed replica to
     The system also uses 3D tracking technology to assess the                                                                simulate the surgery to determine which techniques
     patient’s pose and movement, enabling immediate feedback on                                                              or equipment should be used to make the surgery
     exercise quality.  [1]
                                                                                                                              more successful. The 3D printed replica lets the                    Figure- Ortho biologics to facilitate healing
                                                                                                                              doctor visualize a joint even before they begin                           (Source: orthocarolina.com)
     The new study finds substantially lower costs with similar   Source -
     effectiveness and safety in the three months after TKA for                                                               surgery.  [2]
     patients assigned to virtual PT, compared with traditional PT.  [2]  1.https://orthofeed.com/2020/01/26/virtual-physic                                                               Source -
                                                                al-therapy-after-knee-replacement-brings-similar-
     Some outcomes like knee function during sports/activities   outcomes-lower-costs/                                                                                                    1.https://www.imcgrupo.com/the-latest-technological-innovation
     might be even better with virtual PT, although the risk of falls                                                                                                                     s-in-orthopedic-surgery-2020-technology/
     may be higher.  [1]                                        2.https://www.healthrecoverysolutions.com/blog/v                                                                          2.https://blog.peekmed.com/3d-printing-in-orthopedics/
                                                                irtual-physical-therapy-telerehabilitation                                                                                3.https://www.orthocarolina.com/media/what-you-probably-don
     These findings have suggested that virtual PT with a telehealth                                                                                                                       t-know-about-orthobiologics
     therapist for remote clinical monitoring and guidance can be                                                                                                                         Disclaimer: The contents of this page are formulated solely to render
     considered for patients after TKA.  [2]                                                                                          Figure- 3D printed replicas of bone fracture        information about the latest technologies and inventions in orthopedics.
                                                                                                                                            (Source: blog.peekmed.com)                    This information is sourced from various online resources and may
                                                                                                                                                                                          contain repetition of words, thoughts and ideas
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