Izdelava ortopedskega vložka pri pacientu s prirojenim ekvinovarusom : diplomsko delo

Pungeršek, Blaž (author), Lampe, Tomaž (mentor), Pavlović, Monika (comentor), Tašner, Dejan (comentor), Levec, Tina (reviewer)

Uvod: Prirojeni talipes ekvinovarus stopala je ena najpogostejših prirojenih deformacij stopala, pokaže se že takoj ob rojstvu otroka in se v velikih primerih pojavi pri sicer zdravem otroku ter pri enemu na tisoč rojenih otrok. Če bolezen ni pravilno zdravljena, povzroča hudo okvaro in deformiranost stopala s spremljajočim šepanjem ter bolečino. Zdravljenje bolezni lahko poteka kirurško ali konservativno v primeru, da je deformacija diagnosticirana ob rojstvu otroka. Namen: Namen diplomskega dela je opisati deformacijo, pregledati literaturo s tega področja ter v empiričnem delu, na osnovi študije primera, opisati primer osebe z prirojenim talipes elvinovarusom stopala po kirurškem zdravljenju. Opisati in izvesti tudi postopek pregleda pacienta, odvzema mere, obdelave modela in izdelati individualni ortopedski vložek za pacienta. Metode dela: V procesu izdelave individualnega ortopedskega vložka smo najprej naredili pregled pacienta z analizo hoje in meritvijo stopalnih pritiskov ter odvzemom mere, ki je potekal v ambulantnih prostorih podjetja Ortopedski inžiniring Maribor v Ljubljani, obdelavo modela in izdelavo individualnega ortopedskega vložka pa smo izvedli v laboratorjiskih prostorih ortotike in protetike na Zdravstveni fakulteti Univerze v Ljubljani. Rezultati: V rezultatih smo predstavili pridobljene rezultate in ugotovitve pri pregledu pacienta ter opisali spremembo vzorca hoje z uporabo individualno izdelanih ortopedskih vložkov. Primerjali smo tudi stopalne pritiske brez uporabe ortopedskih vložkov in z uporabo ortopedskih vložkov ter jih grafično prikazali. Razprava in zaključek: Pri meritvah s prvim parom ortopedskih vložkov smo ugotovili, da se je pri levem stopalu skupni seštevek vseh treh točk z največjim pritiskom povečal. Pri meritvah z drugim parom ortopedskih vložkov pa smo na obeh stopalih uspešno zmanjšali skupni seštevek vseh treh točk z največjim pritiskom. Z zmanjšanjem stopalnih pritiskov na najbolj obremenjenih delih stopala in z vzpostavitvijo pravilnejšega vzorca hoje smo tako pacientu v določeni meri zmanjšali težave, ki so bile posledica prirojene deformacije in mu tako izboljšali kvaliteto življenja.

• Language: Slovenian
• Keywords: diplomska dela, ortotika in protetika, deformacije stopal, ekvinovarus, stopalni pritiski
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [B. Pungeršek]
• Year: 2022
• Number of pages: 37 str., [1] str. pril.
• PID: 20.500.12556/RUL-138314
• UDC: 617.3
• COBISS.SI-ID: 115475715
• Publication date in RUL: 15.07.2022

Secondary language

• Language: English
• Title: Production of orthopaedic insole in patient whit congenital equinovarus : diploma work

Abstract

Introduction: Congenital talipes equinovarus is one of the most common congenital foot deformities. It is present at birth and in many cases the child is otherwise healthy. Around one in every thousand babies is born with such foot deformity. In case the disease is not properly treated it can cause severe damage and deformity of the foot with accompanying limping and pain. Treatment of the disease can be surgical or conservative in case that the deformity is diagnosed at the birth. Purpose: The purpose of this thesis is to describe the deformity, review the literature in this field and in the part of empirical work, based on a case study, describe the case of a person with congenital talipes equinovarus after surgical treatment.Describe and perform the procedure of examining the patient, taking measurements, processing the model and making an individual orthopedic insole for the patient. Methods: In the process of making an individual orthopedic insole, we first examined the patient by analyzing the walk and measuring foot pressure and also taking a measure, which took place in the outpatient premises of the company Ortopedski inžiniring Maribor in Ljubljana. and prosthetics at the Faculty of Medicine, University of Ljubljana. Results: In the results, we presented obtained results and findings during the examination of the patient and described the change in the pattern of walking using individually made orthopedic insoles. We also compared foot pressures without the use of orthopedic insoles and with the use of orthopedic insoles and presented them graphically. Discussion and conclusion: In measurements with the first pair of orthopedic insoles, we found that in the left foot, the total of all three points increased with the greatest pressure. In the measurements with the second pair of orthopedic insoles, we successfully reduced the total sum of all three points with the highest pressure on both feet. By reducing the foot pressure on the most stressed parts of the foot and establishing a more correct walking pattern, we have to some extent reduced the patient's problems resulting from congenital deformity and thus improved his quality of life.

• Keywords: diploma theses, orthotics and prosthetics, foot deformities, equinovarus, foot pressures