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Prosthetics and orthotics

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Presentation on theme: "Prosthetics and orthotics"— Presentation transcript:

1 Prosthetics and orthotics
Z. Rozkydal

2 - 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

3 Prosthetics Replacement of part of body Above knee limb

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

5 Prosthesis Stump bed- socket Modular part Adjuvans Prosthetic limb

6 Stump bed- socket Ring Walls Bottom Scheme

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

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

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

10 Joints Hydraulic Monocentric joint Polycentric joint

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

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

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

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

15 Prosthesis of the foot Multiflex Ankles Flexfeet
Adjustable Heel Height Feet

16 Prosthesis after Pirogov amputation

17 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

18 Processing Plaster negative Plaster positive

19 Processing Prosthetic socket from silicon
Prosthetic socket from thermoplast

20 Bellow knee limb from thermoplast

21 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

22 Placement of the stump into the socket

23 Modern above knee prosthesis

24 Prosthesis in knee disarticulation

25 Processing Plaster negative Plaster positive

26 Processing Disarticulation in hip joint Pelvic ring

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

28 Rigid pelvic ring

29 Physiotherapy with prosthetic limb
Standing Proprioception Balance Coordination of movements Gait

30 Prosthesis of upper extremity
Cosmetic Mechanical hand Bioelectric Cosmetic prosthesis

31 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

32 Cosmetic prosthesis of the hand

33 Prosthesis with dynamic arm

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

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

36 Orthesis Pasive Active Lumbar orthesis Orthesis of the knee

37 Orthesis of the trunk Cheneau orthesis Jewett ortthesis

38 Collars Philadelphia collar Soft collar

39 Orthesis of lower extremity
Rigid Active

40 Orthesis of upper extremity
Orthesis of the wrist joint Elbow orthesis

41 Orthesis of the hip joint

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

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

44 Parts of the shoe Sheme

45 Types of the shoes Shoe after amputation in the forefoot

46 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

47 Paddings

48 Paddings

49 Corectors Calcaneal spurs Bunion

50 Adjuvatics Crutches Walkers Toilet chairs

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