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Prosthetics and orthotics

Prosthetics and orthotics. Z. Rozkydal. 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

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Prosthetics and orthotics

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  1. Prosthetics and orthotics Z. Rozkydal

  2. 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

  14. Carbon prosthesis of the foot Carbon fiber Dynamic forefoot Soft heel Multiaxial movements

  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 Active Rigid

  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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