Casting Procedure 取模过程.PPT

Casting Procedure 取模过程 Patient instructed in supine lying 患者被指示仰卧躺 applied wet cast sock (suspender if need) 采用湿取模袜（如果需要，用吊杆） applied precut strips of plaster bandage 施以预切条石膏绷带 at intracondylar notch;在髁切迹 at proximal border of femoral condyles patella; 在股骨髁及髌骨的近端边界; Stump held in flexion 残肢保持屈曲 Rapid circumferential wrap reaching to 2- 3 cm up to groin; 快速环套达到2 - 3厘米至腹股沟; One hand: applied a constant axial pressure at the distal end of stump through a piece of plastazote; 一只手：在残肢末端施，通过一块Plastazote施以固定轴向压力; The Other hand: continual moving over the cast, flattened proximal posterior wall, shape Scarpa’s triangle 另一只手：不断在模上移动，扁平近端后壁，取股骨三角形形状 Cast modification石膏模修改 Cast modification石膏模修改 The same as those used for long above knee residual limb 和长膝盖以上残肢所用的相同 Exceptions例外情况： No modifications made at the distal end, because of the use of plastazote pad 在远端上沒有作出任何修改，因为使用了Plastazote垫 Remove plaster (~6mm) at the lateral side 在外侧，删除石膏（?6毫米） Remove plaster (~12mm) at the proximal-lateral region 在近端外侧地区，删除石膏（?12毫米） Although there is no ischial weight bearing, the brim should be shaped like the above knee socket 虽然没有坐骨负重，边缘应形状像大腿假肢接受腔 Check circumference, and modify based on the recorded data 检查周长和在记录数据的基础上作出修改 Socket lamination接受腔成型制成 Distal padding After lamination, cut the medial window: Beginning at the most prominent part of the medial condyle and extending proximal to a point where the circumference equals that over the condyles Alignments对线 The vertical line through the center of the socket bisects the heel at ML plane 垂直线通过接受腔中心，並在內外面平分脚跟 The vertical line bisects the length of the medial socket brim, the knee center and the foot bolt 垂直线平分的接受腔内侧的长度，膝盖中心和脚螺栓 * Introduction Anthropometric characteristics of the human body have been used extensively as input data into mathematical models of human locomotion so that determinates of walking, such as joint moments as powers, can be estimated. There are numerous methods of determining these anthropometric characteri