The Prosthetics and Orthotics Department was established in 1981 and provides orthotic and prosthetic services to patients.
Located within the Foot Care and Limb Design Centre, the Prosthetic and Orthotic Department comprises of clinical rooms and a gait room for amputee rehabilitation. In addition, there are four specialised workshops enabling efficient on-site fabrication and fitting of customised prostheses and orthoses.
We attend primarily to inpatients at TTSH but also at TTSH Rehabilitation Centre @ AMKH and KK Women’s and Children’s Hospital.
Outpatients are seen at the Foot Care and Limb Design Centre and in the Orthopaedic Clinic located at Clinic B1A. Clinics are also held monthly at Margaret Drive Special School and at the NUH Paediatric Clinic.
Services provided by our department include the measurement, fabrication and fitting of orthoses, prostheses, wheelchairs and mobility aids and custom-made shoes.
How is Amputee Clinic run?
Amputee Clinic occurs every Friday at the Foot Care and Limb Design Centre by appointment. Our rehabilitation physician sees the patient together with our prosthetists and physiotherapists.
Who is seen at Amputee Clinic?
Both first-time and follow-up patients are seen at our clinic. Patients here for the first time are assessed to determine their functional, social and financial abilities to warrant the prescription of a prosthesis. Follow-up cases are reviewed by the rehabilitation team in order to check the fit, function and maintenance of the prosthesis.
What is an orthosis?
An orthosis (brace) is a supportive device that helps to:
- control biomechanical alignment
- prevent injury
- support following injury
- assist rehabilitation
- reduce pain
- increase mobility and independence
Orthoses can be either pre-fabricated or custom-made to suit the patient’s requirements.
What kind of orthoses do you offer?
We specialise in the custom measuring and fitting of:
- foot orthoses
- ankle foot orthoses (AFO)
- knee orthoses
- knee-ankle-foot orthoses (KAFO)
- fracture orthoses
- spinal orthoses
- sports orthoses
Who needs an orthosis?
Common problems prescribed where patients may need an orthoses include:
- flat foot/pes planus
- tight achilles tendons
- drop foot following a stroke
- for management of polio
- fracture management
- muscle weakness
- scoliosis of the spine
- deformities of the head
- sports related ankle and knee injuries
What is the Posture and Mobility Clinic?
As a recent addition to our services, the Posture and Mobility Clinic (PMC) focuses on the provision of customised seating and wheelchair modifications.
Initial consultation at the PMC begins with a detailed assessment to determine the individual’s physical, functional and social needs.
Which patients are seen at the PMC?
The clinic serves a wide spectrum of patients with disabilities ranging from Cerebral Palsy, Duchenne’s Muscular Dystrophy to Paraplegics and Quadriplegics. Combining these with the patient’s goals, a suitable wheelchair and seating system is prescribed, ensuring optimal function and comfort.
Who requires custom-made footwear?
For those patients who find it difficult finding footwear, due to a deformity of the foot or toes – our clinic also specialises in custom-made footwear. Our resident shoe maker designs, fabricates and fits custom made shoes according to the patient’s physical condition, activity level and functional needs.
Common pathologies prescribed with custom-made footwear include:
- Large bunions
- Hammer toes
- Partial foot/ toe amputations
What does “prosthetics” mean?
The term prosthetics refers to the design, fabrication and fitting of custom-made artificial limbs.
Prosthetic needs arise from amputation due to:
- Disease (diabetes, PVD, tumours)
- Traumatic injury
- Congenital deformity
What is a prosthetic limb?
Prosthetic limbs restore, as completely as possible, the function and appearance of a full or partially missing limb.
Fabricating prostheses is an intricate procedure requiring a high degree of skill and technology.
The prosthetic design is determined by the prosthetist after considering the patient’s physical condition, activity level and functional needs.
How often do I need to change my prosthesis?
Amputees generally require a new prosthesis every 3 years. Children, due to rapid growth rates, need replacement on a more regular basis. Prosthetic adjustments, repairs, re-alignment, and componentry upgrading are also aspects of ongoing care that are carried out at our department.
What kind of prostheses do you make?
We specialise in fabricating prostheses for:
- Below knee amputations
- Above knee amputations
- Through knee amputations
- Hip disarticulations
- Upper limb amputations and myo-electrics
- Running legs
- Water legs