Hueskes Orthopädie AG (Basel)

Orthosis (Greek: supporting apparatus): Orthopaedic technical aid that is applied externally to the trunk or a limb. It substitutes missing static or dynamic body functions by relieving, guiding or fixing, corrects malpositions or can support a healing process.

Tasks of leg orthoses:

• Length compensation
• stabilization** (restriction of non-physiological or undesired movement)
• guidance of the passive musculoskeletal system
• Securing of the active musculoskeletal system
• Fixation prevention of movement
• Correction (improvement of malpositions)
• Redression: Returning from malposition
• Queening: Passive mobilization with small force over a long period of time
• Retention: Holding in corrected position
• Relief / Extension

What are prostheses?

A prosthesis is a limb replacement. Indicated after loss of a limb, e.g. after illness, accident, birth defect.

**Toe replacement

Indication Toe replacement after amputation of the toe(s) e.g. after accident, diabetes mellitus, tumors, AVK and others.

Intended use

Can be combined with or incorporated into an orthotic. Also individually with a silicone replacement toe as a placeholder.
Mainly to prevent malformation of the toes. Inward rotation of the toes, and thus a new problem, can be avoided.

Pyrogoff prosthesis

Indication Pirogoff amputation, calcaneus and tibia are fixed together. Forefoot and metatarsus are amputated.

Status after accident, AVK, diabetes mellitus and others.

Purpose. Due to the preservation of the calcaneus and the sole skin, very good stress zones of the foot. Due to the absence of forefoot lever, the prosthesis must be built to below the knee for good power transmission.

Lower leg prosthesis with liner

**Indication Amputation of the lower leg after accident, diabetes mellitus, tumors, CAV, AVK and further

Intended use

The basic goal of every prosthetic fitting is mobility and the associated verticalization. The patients should be led back into their daily life.

The restoration can be optionally fitted with a silicone liner or gel liner.

Knee disarticulation prosthesis

**Indication Amputation through the knee joint. The femur, as well as the kneecap, will be preserved. There will be little or no surgical change to the femur.

**Intended use

The amputation height knee disarticulation is one of the best for fitting, as residual limb loading is granted at this height. There is little or no surgical treatment of the femur.

Soft internal funnel, cast hard external funnel, with stump end loading and guidance above the condyles.

Various knee joints are available from various manufacturers for knee flexion.

Prosthetic feet are available from various producers (dynamic joint feet or jointless feet). Due to the different products we can make a very good individual fitting. For the cosmetic of the artificial leg we use foam sleeves, which can be well formed in the shape of the other leg. The construction is done in a modular way.

Femoral prosthesis

Indication Reasons for amputation

• Amputation of the thigh after accident
• Amputation after illness
• Diabetes, tumor, AVK and others
• post-amputations

Purpose

Due to the lost limb, it is extremely important to start rehabilitation and verticalization as early as possible.

We have several products available for this purpose.

Femoral prosthesis

Indication

Due to dysmelia (congenital missing of limbs)

Purpose

For therapeutic purposes, in cases of congenital malformations (dysmelia), a prosthetic fitting should be started at the beginning of walking.

The prosthesis is built without a knee joint during the first years of life.

**Jewel arm

**Indication After forearm amputation due to trauma

Congenital dysmelia

Intended use As an ornamental prosthesis without function, hand is passive.

Gloves made of silicone, very good cosmetic compensation.

Stoma care

You have had a serious operation. We are happy to help you with our products to a normal everyday life.

You will find products for colostomy/ileostomy/urostomy and everything for the irrigation method. Furthermore, we have various care products (which are helpful for you) in our assortment.

Do you have a hernia or do you want to walk carefree on the beach?

Come and see us, we have a solution for everything.

Inserts

Acclimatization period Since insoles mean a correction of the foot, an adaptation period of about two weeks is to be expected until the muscles and ligaments of the foot have adapted to the new situation. This is also the time of our first check-up.

**Checkups The first check should always be made after two weeks. Further checks for juvenile restorations after about four to six months. For adults, this can be done after six months or as needed. However, regular check-ups are recommended in order to achieve better and faster success.

Cleaning We recommend washing thermoplastic insoles regularly with normal soapy water. Leather coated insoles do not require any special care.