prosthetic management in paediatric

1. Prosthetic Management / Paediatric
Prosthetic management in padiatric
By: Waseem jan
CPO
By: Waseem jan (wsmjan7@gmail.com)
CPO
Mobility India Bangalore
Email : e-mail@mobility-india.org

2. Prosthetic Management / Paediatric
presentation
• Brief about prosthetic in paediatric
• Case study
• Short video(case study)

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Background – important statistics
• Around 4,500 children suffer from limb deficiency yearly
• 1,500 babies born with limb reduction every year
• Congenital limb reduction twice as prevalent as traumatic amputation
• Ratio of upper amputation to lower limb amputation 1:4

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What is prosthesis
• An artificial substitute or replacement of a part of the body such as a
tooth, eye, the leg, an arm, etc.
• A prosthesis is classified into functional and aesthetic reasons or both.

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History
• First recorded illustration of prosthetic
replacement appears in the Rig-Veda, a
religious text written in Sanskrit, compiled
between 3,500 and 1,800 B.C. in India.
• The 5th Egyptian Dynasty (2750-2625 B.C.);
archaeologists have unearthed the oldest
known splint from that period.
• In the early 1500’s, French military doctor
Ambroise Paré invented a hinged mechanical
hand and prosthetic legs with locking.

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Prosthetic management depends on…
• Pre prosthetic fitment
• Post prosthetic fitment

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When & why pediatric prosthetic start ?
At the age of 4 months prosthetic intervention can be started….
1. Ideal age (developmental milestone)

8. Prosthetic Management / Paediatric

9. Prosthetic Management / Paediatric

10. Prosthetic Management / Paediatric
2. Adaptive (part of his body to help in crawl, grasp, and hold)

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3. Not to develop alternative skills.

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Different levels of prosthetic management in Pediatric
• Partial hand
• Wrist disarticulation
• Below elbow
• Elbow disarticulation
• Transhumeral (above elbow)
• Shoulder disarticulation

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Type of prosthetic management
a) Passive Cosmetic prostheses
b) Body powered prostheses
c) Myoelectric prostheses
d) Bionic arm
e) 3D printed prostheses

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a) Passive cosmetic prostheses
• Mitts
• Gloves
• Fingers
• Modified terminal device

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b) Body powered
• Functional hand(3 jaw chuck)
• Hooks
• CAPP( Child Amputee Prosthetics Project)

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c) Myoelectric Prostheses
• The myoelectric prostheses are controlled by contraction of specific muscles triggering prosthesis
movement through electromyographic (EMG) signals.
• These prostheses have a stronger pinch force, better grip, and are more flexible and easier to use
than conventional hooks.
• After 2years

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3D printed prosthesis:
• New tech
In 3D printing, successive layers of material
are formed under computer control to create 3D
object like hand , arm shell etc

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d) Bionic arm:
electrodes are directly
connected with nerve supply ( by
surgical procedure)
• Advanced
• Rare

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What Mobility India does…
• Drawing a balance between expectations and logical
achievable results
• Artificial substitutes can never replace a real segment or
feature.

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References
 http://www.disabled-world.com/assistivedevices/prostheses/
 http://www.slideshare.net/dahsomkim3/preliminary-presentation
 http://sunshinepando.com/2015/07/prosthetic-technology-a-brief-history-and-
inspiring-future/
 Hhtp:enablingthefuture.org/2014/07/26/limbitless-6-years-old-gets-3d-printed-
myoelectric-arm/
 http://www.aetna.com/cpb/medical/data/300-309
 http://cnet.com/news/lego-compatible-prosthetic-arm-lets-kids-build-their-own-
hand/

21. Prosthetic Management / Paediatric
Thank you