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