Author R Chinnathurai MBBS, D Phys. Med.
Professor of Physical Medicine Madras Medical College,
Chennai, India
Head of the Institution Govt. Institute of Rehabilitation Medicine
KK Nagar, Chennai
Co-authors P Sekar MBBS, MD (Ped), DCH
Professor of Pediatrics Institute of Child Health Madras Medical College,
Chennai
M Ramaa Kumar MS, FRCS
Consultant Surgeon Mu. Va. Hospital, Chennai Vadapalani Multispecialty Hospital,
Chennai
K Nithya Manoj MBBS, D Phys. Med.
Civil Assitant Surgeon Tutor in Physical Medicine Govt. Institute of Rehabilitation Medicine
KK Nagar, Chennai
C Senthil Kumar B Tech, M Tech
Postgraduate Trainee Uppsala University,
Uppsala Sweden
Jitendar P Vij
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Short Textbook of Prosthetics and Orthotics
© 2010, Jaypee Brothers Medical Publishers (P) Ltd.
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher.
First Edition: 2010
9788184488197
Typeset at JPBMP typesetting unit
Printed at
5Preface
Physical Medicine and Rehabilitation has always been a reign unexplored by most medical professionals and paramedical personnel. There is a lacunae in the realm of prescribing an appropriate and most useful prosthesis and orthosis to the needy disabled population.
This book Short Textbook of Prosthetics and Orthotics is meant to fill in the lacunae and provide sufficient information to medical professionals, prosthetic and orthotic technicians, physiotherapists, general practitioners, orthopedicians and sports physicians.
We have simplified the text with only brief technical details with specific emphasis laid on certain common disabling conditions.
The contents have been dealt with under the heads of medical diagnosis so as to ensure that the readers can refer to it as and when a patient approaches and a prescription is needed.
The pace of growth in the field of Prosthetics and Orthotics is very fast and hence is the variety of technology available for the patient.
We have laid emphasis on the technology that is widely available and used, and the global trends in the field have been dealt within appropriate Chapters.
We regard it as a reward if the book encourages further study of Orthotics and Prosthetics. We also welcome constructive criticism for improvement.
R Chinnathurai
7Acknowledgments
I express my deep sense of gratitude to my mentor Dr IS Shanmugam, Former Director, Govt. Institute of Rehabilitation Medicine for infusing interest in Physical Medicine and Rehabilitation during and after my student years with him.
I also thank my friends, colleagues and co-authors – Dr P Sekar and Dr M Ramaa Kumar for their beckoning inspiration and contribution in authoring this book. Their contribution on surgical aspects of amputee rehabilitation and comprehensive rehabilitation of pediatric population has enriched the scope of the title. Also I thank my student and co-author Dr K Nithya Manoj for her efforts to bring this work into its final shape of a book.
The technical aspects of prosthesis and latest developments in the field of biotechnology included in the book are a valuable contribution of the co-author, Mr C Senthil Kumar and I extend my thanks to him for his helping hand.
I deeply appreciate the work of Dr Selwyn J Kumar and Dr R Rajkumar for their active suggestions for improvement of the book.
I thank Mrs N Vijaya for the data entry work and my cousin Mr K Rajendran for scanning of pictures and illustrations for the book.
My endeavors would have been lost in the wood but for the continuous support and encouragement of the publishers M/s Jaypee Brothers Medical Publishers (P) Ltd and I pay my sincere thanks for their support.
Last but not the least, the book has seen the light of the day only with the affection and endurance of my wife, Mrs Malarkodi Chinnathurai.