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 • •Adjuvatics – devices for independence •Prosthetics • p- protéza stehna 1 •Above knee limb •Replacement of part of body p- bandážování •Requirement for prosthetic limb •Static function •Dynamic function •Well controlled •Light •Durable •Esthetic •Bandage of the stump Prot •Prosthesis •Stump bed- socket • • • •Modular part •Adjuvans •Prosthetic limb •Stump bed- socket Prot •Scheme p- pahýlové lůžko 1 • • •Ring • • • •Walls • • •Bottom p- polstrování •Soft padding •Good fitting •to avoid preassure sores •and skin irritation and aczema p- pahýlové lůžko 2 •Soft plastic bed •Adjusments of stump bed •Bellow knee prosthesis p- pod kolenem 3 p- pod kolenem 4 •Stump bed- socket •The aim: •Weightbearing stump •Skin of good quality •Enough of soft tissues •Soft stump bed •Silicon sockets p p- noha •Modular parts p- noha •Adapter for dynamic walking •Steel, titanium, wood •Plastic, PVC •epoxyd, rubber, polyester, •termoplast, carbon. •Materials p- polycentrický kloub •Monocentric joint •Polycentric joint •Joints p- monocentrický kloub •Hydraulic p- monocentrický kloub p- polycentrický kloub •Prosthesis •1. Immediate fitting • •2. First prosthesis • •3. Standard prosthesis p- okamžitá •Immediate prosthesis •Prostheses of lower limb •Shoes • •Bellow knee limbs • •Above knee limbs • •After disarticulation in knee joint • •After disarticultion in hip joint Amp 6 •Bellow knee prosthesis Prosthesis of the foot •Multiaxial movements •Simple lift off Carbon prosthesis of the foot •Carbon fiber • •Dynamic forefoot • •Soft heel • •Multiaxial movements Prosthesis of the foot CF1_Fersendaempfer_ppt IMG_0050 •Multiflex Ankles •Flexfeet •Adjustable Heel Height Feet p •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 p- pod kolenem 4 p- sádrový negativ 1 p- sádrový negativ 2 •Plaster negative •Plaster positive p •Processing p- sádrový pozitiv 3 p- sádrový pozitiv 2 •Prosthetic socket from silicon •Prosthetic socket from thermoplast •Processing •Bellow knee limb from thermoplast p- pod kolenem 3 p- pod kolenem 4 p- protéza stehna 1 •Modular above knee limb •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 • p- amp nad kolenem 1 •Placement of the stump into the socket PR harmony E plus 1 •Modern above knee prosthesis Amp 31 •Prosthesis in knee disarticulation p- sádrový negativ pánev p- sádrový pozitiv pánev •Plaster negative •Plaster positive •Processing p- protéza kyčelní •Disarticulation in hip joint p p- pánevní koš 2 •Pelvic ring •Processing p- protéza kyčelní •Prosthesis after disarticulation •in hip joint •Rigid pelvic ring •Flexible pelvic ring p- kyčelní 2 •Rigid pelvic ring p- po exartik v kyčli p- rehab •Physiotherapy with prosthetic limb •Standing • •Proprioception • •Balance • •Coordination of movements • •Gait • • •Prosthesis of upper extremity •Cosmetic • •Mechanical hand • •Bioelectric Prot •Cosmetic prosthesis • PR předloketní protézy 1 •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 • PR ruce bez palce 1 •Cosmetic prosthesis of the hand PR protéza ruky palec 1 PR dynamic arm 1 •Prosthesis with dynamic arm •Bioelectric prosthesis •Power: • •Movements of the body • •Muscle contractions at the stump Prot •Myoelectric prosthesis •Orthesis •Stabilisation • •Correction of malalignment • •To correct asymetry • • p- ortéza kolena 5 •Orthesis of the knee joint •Orthesis •Pasive • • • •Active p- bederní pás •Lumbar orthesis p- ortéza kooena 6 •Orthesis of the knee •Orthesis of the trunk p- Jewett p- Chaneau •Jewett ortthesis •Cheneau orthesis •Collars p- molit límec p- Philadeplphia límec •Soft collar •Philadelphia collar Prot •Orthesis of lower extremity •Rigid Prot •Active Prot •Orthesis of upper extremity Prot •Elbow orthesis •Orthesis of the wrist joint p- kyčelní •Orthesis of the hip joint •Orthopaedic shoes Functions of ortopaedic shoes 1.Correction of malalignment 2. 2.Immobilisation 3. 3.Aleviation of pain •Orthopaedic shoe p- ortop obuv 1 •Types of orthopaedic shoes •Adjusment of standard shoes • •Professional shoes • •Ortopaedic shoes • •Diabetic shoes p- diabetická obuv •Diabetic shoes •Parts of the shoe •Sheme p- ortop obuv průřez •Types of the shoes p- typy obuvi p-obuv po amputaci •Shoe after amputation in the forefoot •Principles of the shoes for kids p- diabetická obuv 1.1 cm longer than the foot 2.Wider parts for the forefoot 3.Flexible in the middle part 4. 4.Firm heel •Children shoes p- srdíčka p- vložky 1 p- závěsné srdíčko •Paddings p- skořepinové vložky •Paddings p- Helfetova patní vložka •Corectors p- korektoty palce •Bunion p- podpatěnky •Calcaneal spurs •Adjuvatics •Crutches •Walkers •Toilet chairs • p- inv vozík p- WC křeslo p- chodítko p- sedačka do vany