Orthetics and prosthetics

HUNGARY

Lajos goston
CPO
Rehabilitation, medical assistive devices

Fields of the profession

Ortetics
Prosthetics
Foot orthotics and orthopedic shoes
Spinal orthotics
Trunk support, belts
Orthopedic bandages
Hernia belts, dresses

Vacuum technology

Row materials:
High temperature
materials, polimers
Warm up modifications
Vacuum, cooling

Identification

ISO based
Patology
Anatomy
Product groups
CE, Manufacturer statement
Indication based

ORTHETICS

CUSTOM MADE
ADAPTIVE
OFF THE SELF ( READY MADE)

ORTHOTICS

Upper extremity

Lower extremity orthoses

orthoses, braces
FOOT,AFO,KAFO,KNEE, HKAFO,HIP

INSOLES
( arch supports)

Ankle-foot
orthoses

Knee braces

HIP orthoses

Spinal orthoses
Abdominal supports
Waist belts
Hernia belts

CAD-CAM technology

Sitting systems

Upper extremity prosthetics

Cosmetic passive prosthetics
Aktive mechanic prosthetics
Myoelectrical prosthetics

Silicone technology
- Silicon materials

- Medicaly controlled
and tested
- Lifelike
- Cosmetic and
asthetic
application
- No functions

Advantages

well forming and shaping

colourable

easy to work with

durable

good cosmetic surface

skin friendly

Different applications
- Thumb and fingers
- Partial hands
- Burning glaves
- silicon liners and suspensions
- partial foot prosthetics
- orthotic applications
- cosmesis surfaces
- ear prostheses
- cranio-facials prostheses
- face masks

Cranio-facials epithesis

Lower extremity
Prosthetics

Indications of LE. prosthetics

1. Vascular

/Buerger, arteriosclerosis,

diabeteses angio-neuropathia/ cca. 75-78%/

2. Trauma / cca. 15-18%/

3. Tumor

/ cca. 3-5 % / growing in numbers!

4. Other / osteomyelitis, congenital problems

immun deseases, dermatological deseases/

Different levels of mayor

amutations
reamputation
5%
hip+
transfemorals+
tknee ex
26%

fingers
12%
upper extremity
1%

toes
40%

crural
10%
ankle-foot
6%

Levels of amputations

The most important early stage

Learning rewalking- task of the amputee Can walk ?

Basic requirements of
prostheses:

Confort
Stability
aligments, static, dinamic
Cosmetics, surface
weight, energy

The amputees
Want nothing
Do not know, what
want
Want better
They want the best

How can we find the right way and

measure the patients needs?
Level of activity
- Task of the patients
- personal abilities
- Age
- Weight
- Experiencies
- Life circumstances

- Quality of life will be the same or better,

Rehabilitational goals are

Control of the activity

Level of activity of lower

extremity amputees

Zero (0) level: No walking

Only cosmetics application

Level of activity of lower

extremity amputees
#1. level:
Internal walking, only at home
Simple prostheses

Level of activity of lower

extremity amputees
# 2. level:

Moderated social walking

(indoor use, stairs ramps could
be problematic !)
Dinamic prostheses, 4 bar knees

Level of activity of lower extremity

amputees
# 3. level:
Social walking,
Foccupation, job
Hightech prostheses

Level of activity of lower extremity

amputees
#

4. level: sport, hobby

Extreme usage, special components

Bilateral amputees