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ORGANS
SESSION: 12BME
SEMESTER: 7TH (FINAL YEAR)
SUBJECT TEACHER: HIBA
PERVAIZ
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Course Outline
LECT # 01
PROSTHESIS
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Prosthetics, Orthotics,
Prosthodontics
In a narrow sense, prosthetics is a branch of
medicine, specifically of surgery, concerned
with the replacement of missing body parts
(upper and lower limbs, and parts thereof)
after amputation.
It is related to orthotics, which is a branch of
medicine that deals with the support of weak
or ineffective joints or muscles using
supportive braces and splints.
In dentistry, prosthetics or prosthodontics is
that branch concerned with the replacement of
missing teeth and other oral structures. In this
narrow sense, a prosthesis is a replacement
artificial limb or tooth.
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The Beginning
Around 1500 B.C. was the time
when prosthetics were
engineered
Were not functional
Only purpose was to help with
movement
Were generally made of wood
Design Breakthroughs
In the early 1800s, James Potts designed
the first wooden functional prosthetic foot,
which was controlled by tendons from the
knee to the foot
In the mid 1900s, prosthetics now had a
endo-skeletal design instead of a exoskeletal
This allowed the hard shell-like exterior to
be replaced with a foam cover, so the
weight and force was applied to the core
of the prosthetic rather than the exterior
Evolution
Causes
the most common causes of amputation are:
Disease (70%)
Trauma (22%)
Congenital or Birth Defects (4%)
Tumors (4%)
Diseases that can cause amputation are varied, but the
most common ones are vascular disease and diabetes.
Vascular disease limits the circulation to the extremities.
Diabetes, which affects blood sugar, can decrease the
body's ability to heal itself.
Trauma resulting in amputation is most frequently
related to motor vehicle accidents and industrial
accidents.
Congenital malformation or birth defects can result
in either the person having no limb or a very short limb
that is treated as an amputation, for which a prosthetic
device is made.
Tumors of the bone, called osteosarcoma, can
sometimes be treated by amputation of the limb.
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Bioengineering and
Prosthetics
Several areas in bioengineering have
special relevance to prosthetics.
Rehabilitation engineering is an area
concerned with the application of
engineering science to restructure the
handicaps of individuals with disabilities. It
includes prosthetics and orthotics but also
addresses other disabilities, specifically
sensory and speech impairments. It does
not address functional impairments in
internal organs, however.
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Neuro-prosthetics is a rapidly
growing subfield of neural
engineering that aims to develop
devices or systems that communicate
with nerves to restore functionality of
the nervous system.
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Development in Prosthetics
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artificial hearts;
implanted chips to locate persons or
to regulate devices in intelligent
environments;
implanted drug delivery systems
(experimental);
Research is underway on bioartificial
livers, kidneys, pancreases, lungs,
and other organs, as well as on more
advanced neural prostheses to
restore functions of the brain and
nervous system.
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