Скачать или смотреть GMNR Legacy Series: Intro to Prosthetics

Gautam Malhotra MD presents an overview and introduction to amputee rehabilitation and prosthetics. It starts with a general discussion, then amputee related issues, then a basic approach to learning about prosthetic componentry.

"GMNR" is a tongue-in-cheek play on words (PM&R) which stands for Gautam Malhotra's Notes and Reviews.

The GMNR Legacy Series includes 20 years' of educational content created by Gautam Malhotra MD for Physical Medicine and Rehabilitation trainees (both resident physicians and medical students).

These slides can be used as references and study materials.

0:00 Introduction
1:36 History, trajectory, and Causes of Amputation
3:00 Prognosis
3:27 Role of the Physiatrist
4:00 Pre-Amputation
5:47 Types of Amputation, Myoplasty and Myodesis
7:24 Post-Op Wound Care and Edema Control
12:15 Functional Rehabilitation: Preprosthetic trainin, Pain Management, and Psychological adjustment
25:30 Skin Problems in the Amputee
32:05 Immediate Post-Op Prosthesis (IPOP)
33:11 Lower Limb Amputation levels
34:22 Partial Foot Amputations: toe and ray
34:55 Partial Foot Amputations: TMA, Chopart and Lisfranc
37:42 Transtibial Below Knee BKA Amputation
38:59 Transfemoral Above Knee AKA Amputation
39:44 Hip disarticulation and Hemipelvectomy
40:38 Hemicorporectomy
41:16 Energy Cost of amputation
43:36 K Level Modifiers Describing Potential Functional Levels
46:10 Residual Limb vs Stump
47:20 Introduction to Componentry
47:48 Prosthesis vs Orthosis
48:17 Prosthosis and Componentry for partial foot
49:32 Prosthesis, Prosthetic, and Prosthetist
50:03 Categories of Components
50:59 Endoskeletal vs. Exoskeletal Construction
52:47 Sockets: Traditional fabrication
54:14 Sockets: CAD/CAM fabrication
55:35 Sockets: flexible vs rigid and soft vs. hard
58:13 Sockets: Liners
59:09 Sockets: BK Shapes Plug fit vs Total Contact
1:00:43 Sockets: AK Shapes Quadrilateral vs Ischial Containment
1:01:53 Sockets: Flexible inner socket and rigid outer frame
1:02:34 Suspensions
1:02:45 Suspensions: AK suction
1:05:34 Suspensions: AK non-suction
1:05:15 Suspensions: BK Flexible vs Rigid
1:06:25 Foot/Ankle
1:08:38 Knees Mechanical Friction vs Fluid Friction and microprocessor
1:12:13 Syme prosthesis
1:13:11 Hip disarticulation and Hemipelvectomy prosthesis
1:13:46 Hemicorporectomy prosthesis
1:15:11 Van Ness Rotationplasty
1:16:16 Stubbies
1:16:14 Revisiting the Physiatrist's Role
1:19:02 Advanced topics in Sockets including the history, sub-ischial, MAS, and TSB vs PTB