Prosthetics and orthotics

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Presentation transcript:

Prosthetics and orthotics Z. Rozkydal

- prosthetics and orthotics Orthopaedics - prosthetics and orthotics Prosthetics - replacement of part of body Orthotics - replacement of loosened function of part of body Epithetics - cosmetic covering of part of body Orthopaedic shoes Adjuvatics – devices for independence

Prosthetics Replacement of part of body Above knee limb

Requirement for prosthetic limb Static function Dynamic function Well controlled Light Durable Esthetic Bandage of the stump

Prosthesis Stump bed- socket Modular part Adjuvans Prosthetic limb

Stump bed- socket Ring Walls Bottom Scheme

Adjusments of stump bed Soft padding Good fitting to avoid preassure sores and skin irritation and aczema Soft plastic bed

Stump bed- socket The aim: Weightbearing stump Skin of good quality Enough of soft tissues Soft stump bed Silicon sockets Bellow knee prosthesis

Materials Steel, titanium, wood Plastic, PVC epoxyd, rubber, polyester, termoplast, carbon. Adapter for dynamic walking Modular parts

Joints Hydraulic Monocentric joint Polycentric joint

Prosthesis 1. Immediate fitting 2. First prosthesis 3. Standard prosthesis Immediate prosthesis

Prostheses of lower limb Shoes Bellow knee limbs Above knee limbs After disarticulation in knee joint After disarticultion in hip joint Bellow knee prosthesis

Prosthesis of the foot Multiaxial movements Simple lift off Name, Thema, Titel, 11.04.2018 13

Carbon prosthesis of the foot Carbon fiber Dynamic forefoot Soft heel Multiaxial movements Name, Thema, Titel, 11.04.2018 14

Prosthesis of the foot Multiflex Ankles Flexfeet Adjustable Heel Height Feet

Prosthesis after Pirogov amputation

Bellow knee limbs Pediatric Limbs Cosmetic Limbs Sport Limbs Swim Limbs Conventional Sockets Silicone Suction Sockets Carbon Fiber Sockets Thermo Plastic Sockets Ultra Light Modular Setups

Processing Plaster negative Plaster positive

Processing Prosthetic socket from silicon Prosthetic socket from thermoplast

Bellow knee limb from thermoplast

Above knee limbs Conventional AK Limbs Pediatric Limbs High Tech Sport Limbs Suction Sockets Silicone Suction Sockets Hydraulic Knee Units Polycentric Knee Units Microprocessor Knee Systems Modular above knee limb

Placement of the stump into the socket

Modern above knee prosthesis

Prosthesis in knee disarticulation

Processing Plaster negative Plaster positive

Processing Disarticulation in hip joint Pelvic ring

Flexible pelvic ring Prosthesis after disarticulation in hip joint Rigid pelvic ring

Rigid pelvic ring

Physiotherapy with prosthetic limb Standing Proprioception Balance Coordination of movements Gait

Prosthesis of upper extremity Cosmetic Mechanical hand Bioelectric Cosmetic prosthesis

Prosthesis of upper extremity Above & Below Elbow Prostheses Passive Limbs Functional Limbs State-of-the-art Myoelectrics Bionic Hands and Digits Custom Gloves Partial Hand Prostheses Cosmetic Restorations Hands & Fingers Feet & Toes Cosmetic prosthesis

Cosmetic prosthesis of the hand

Prosthesis with dynamic arm

Bioelectric prosthesis Power: Movements of the body Muscle contractions at the stump Myoelectric prosthesis

Orthesis Stabilisation Correction of malalignment To correct asymetry Orthesis of the knee joint

Orthesis Pasive Active Lumbar orthesis Orthesis of the knee

Orthesis of the trunk Cheneau orthesis Jewett ortthesis

Collars Philadelphia collar Soft collar

Orthesis of lower extremity Rigid Active

Orthesis of upper extremity Orthesis of the wrist joint Elbow orthesis

Orthesis of the hip joint

Orthopaedic shoes Functions of ortopaedic shoes Correction of malalignment Immobilisation Aleviation of pain Orthopaedic shoe

Types of orthopaedic shoes Adjusment of standard shoes Professional shoes Ortopaedic shoes Diabetic shoes Diabetic shoes

Parts of the shoe Sheme

Types of the shoes Shoe after amputation in the forefoot

Principles of the shoes for kids 1 cm longer than the foot Wider parts for the forefoot Flexible in the middle part Firm heel Children shoes

Paddings

Paddings

Corectors Calcaneal spurs Bunion

Adjuvatics Crutches Walkers Toilet chairs