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Alignment of Prostheses and Orthoses ORTHOMANUAL Written by: Markus Thonius OMM / CPO ICRC - Afghanistan Orthopaedic Workshop 1992. Manual may be freely reviewed, abstracted, reproduced or translated, in part or in whole but not for sale or for use in conjunction with commercial purposes.
Alignment of Prostheses and Orthoses ORTHOMANUAL Written by: Markus Thonius OMM / CPO ICRC - Afghanistan Orthopaedic Workshop 1992. Manual may be freely reviewed, abstracted, reproduced or translated, in part or in whole but not for sale or for use in conjunction with commercial purposes.
Alignment of Prostheses and Orthoses ORTHOMANUAL Written by: Markus Thonius OMM / CPO ICRC - Afghanistan Orthopaedic Workshop 1992. Manual may be freely reviewed, abstracted, reproduced or translated, in part or in whole but not for sale or for use in conjunction with commercial purposes.
ORTHOMANUAL Written by: Markus Thonius OMM / CPO ICRC - Afghanistan Orthopaedic Workshop 1992 This manual may be freely reviewed, abstracted, reproduced or translated, in part or in whole but not for sale or for use in conjunction with commercial purposes Alignment of Prostheses 1 Normal Position acc. to Braune - Fischer Glutaeus Maximus Quadriceps Femoris Triceps Surae Passive Passive Active 2 Alignment Trans - Tibial short medium long 1/2 + 1cm 1/2 1/2 1/2 + 1cm 1/2 1/2 5 1/2 1/2 2/3 1/3 3 Reaction of a Trans - Tibial Socket by increasing Flexion 5-90 1/2 1/2 4 Medio - Lateral Static Mistakes 5 Anterior - Posterior Static Mistakes 6 Hyper Extension - Flexion 7 Alignment Knee - Disarticulation 10 2/3 1/3 1/3 2/3 5 1/2 8 Alignment Trans - Femoral 5 1,5 cm 8-10 10 4 1/2 1/2 0,5 0,5 9 Reaction of a Trans - Femoral Socket by increasing Flexion or Abduction 5-90 45 Abd. - 10 Add. 1,5 cm 10 Alignment Hip - Disarticulation 1/2 1/2 1/2 1/2 45 1,5 cm 1/2 1/2 Foot Knee Hip 10 5- 8 10 4 11 Alignment of Orthoses for Paraplegic Patients 12 Symbols Centre of Gravity Joint Joint - Free Movement Joint - Fixed Joint - One Side Resistant Passive Joint - One Side Resistant Active Joint - One Side Resistant Passive as well as Lock 13 For Paraplegic Patients are the same rules of value like for the static of prostheses Glutaeus Maximus Quadriceps Femoris Triceps Surae Passive Passive Active 14 Normal Position of a Paraplegic Patient ( high level ) Hyper Extension of the Spinal Cord Increased Distance gives increased Standing Stability 15 Orthotic Management of Paraplegic Patients on Different Spinal Levels 16 Deficit Peronaeus Muscles Plantar Stiff 17 Deficit Peronaeus Muscles M. Triceps Surae M. Quadriceps Femoris Lock Dorsal Free Plantar Stiff 18 Deficit Peronaeus Muscles M. Triceps Surae M. Quadriceps Femoris M. Glutaeus Maximus Lock Stiff 19 Deficit Peronaeus Muscles M. Triceps Surae M. Quadriceps Femoris M. Glutaeus Maximus Lower Trunk Muscles Lock Stiff Corset 20 Thoughts about Stability <<<< Limit of stability >>>> <<<< Limit of stability >>>> 21 Thoughts about Stability limit of stability <<<< > >>> stabil stabil<<<< >>>>stabil 22 Reaction of Kafo's during Heel Strike 23 Orthotic Management of the Ankle Model: Model: Model: Model: PP 8 -10 mm stiff Plantar free Sarmiento free Ferrari plantar free PP 3 - 4 mm (Dorsal Free) (Plantar Stiff) 8-10 24 Orthotic Management of Leg Length Discrepancy 1/3 2/3 3/3 1- 1,5 Normal Stand Shoe Raise Plantar Flexion AFO Extension Prosthesis 2-4 cm 5-10 cm 11 - ? 25 References HOHMANN D. - UHLIG R. Orthopdische Technik; 7. Auflage; Enke - Verlag; Stuttgart - Germany BUNDESFACHSCHULE fr Orthopdie - Technik Orthetik fr Auszubildende der Orthopdie - Technik Bundesinnungsverband; Verlag Orthopdie - Technik; Dortmund 1991 - Germany DITTMER K. Orthesenkonzept nach Dr. Ferrari Orthopdie - Technik 4/88 KAPANDJI Funktionelle Anatomie - Untere Extremitt Keywords: Alignment, Prostheses, Orthoses, Trans, Femoral, Tibial, Knee, Hip, Disarticulation