Professional Documents
Culture Documents
Dr Munir Saadeddin
Orthotics = Calipers
Traditionally calipers
were the most known
form of orthosis
Caliper is a device
which is applied to
lower limb to give
support or control a
joint
Prevention of Deformity : AFO
Prevention of deformity :
Drop Wrist In Radial N Palsy
Seen in fractures
junction of mid and
lower 1/3rd humerus
Radial N palsy makes
loss of wrist and MCP
joints dorsiflexion
Nerve function recovers
with passage of time (if
not cut)
Prevention of deformity
is important
Dynamic wrist splint = Wrist & MCP
Joints Orthosis in Radial N Palsy
Prevention of Deformity in
Brachial plexus Palsy
Brachial Plexus Palsy
usually leads to loss of
shoulder Abduction and
External Rotation
If not treated it leads to
Adduction & Internal
Rotation deformity
(taking a tip position)
Abduction Orthosis is
used to prevent this
deformity
Prevention of Deformity in
Brachial Plexus Palsy
Brachial Plexus injury is
usually a stretching injury
Shoulder should be
splinted in functional
position awaiting nerve
recovery
Also Active and Passive
exercises and electrical
nerve stimulation should
be done
Correction of Deformity : Foot
Orthosis= Shoe Raise& Heel Cup
Shoe Raise is a
simple orthosis which
corrects limb length
asymmetry
Heel cups inserted
into shoes may
prevent development
of varus or valgus
heel deformity
Correction Of Deformity : Spinal
orthosis
Many types :
Can be Rigid or Semi-Rigid
Most comprehensive form is Milwaukee
Brace= Cervico- Dorso - Lumbosacral
Orthosis
Boston brace or Jewett brace is a type
of rigid Dorso-lumbosacral orthosis
Spinal Orthosis = DLS
May be concealed
under the clothes
Can control deformities
or injuries at lumbar
spine as well as dorsal
spine up to level D6
Can control scoliotic or
kyphotic deformities
Spinal Orthosis = CDLS
Milwaukee brace
Correction of Deformity :
Clubfoot
Maintenance of Correction of
Deformity: Clubfoot Orthosis
Plaster of Paris is a type
of Temporary Orthosis
following surgical
correction of clubfoot
Later it is replaced by
backslap foot-ankle
orthosis or Dennis brown
night boots
Maintenance of Correction of
Deformity: Dennis-Brown night boots
Functional
Fits well
Light in weight
Easy to use
Cosmetically acceptable
Easily maintained/repaired
Ideally locally manufactured