POOJA MUKUL MD TECHNICAL CONSULTANT

BMVSS JAIPUR FOOT ORGANIZATION

CLINICAL DIRECTOR CENTER FOR RECONSTRUCTION & REHABILITATION

JAIPUR INDIA

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BBC FILM ‘WHERE ANGELS FEAR TO TREAD’ BBC FILM – ‘WHERE ANGELS FEAR TO TREAD’

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PATIENT PROFILE

` AGE ` ETIOLOGY OF AMPUTATIONETIOLOGY OF AMPUTATION ` ECONOMIC STATUS ` LIFESTYLELIFESTYLE

` AVAILABILITY OF PROSTHETIC SERVICES AVAILABILITY OF PROSTHETIC SERVICES ` ACCESS TO PROSTHETIC SERVICES

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AGE AGE

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`̀ OVER 300 000 CHILDREN ARE SEVERLY OVER 300 000 CHILDREN ARE SEVERLY DISABLED BECAUSE OF LANDMINES

SIGNIFICANT ADDITION EVERY YEAR

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ETIOLOGY OF AMPUTATION ETIOLOGY OF AMPUTATION

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SINGLE LARGEST CAUSE SINGLE LARGEST CAUSE

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` NORMAL VASCULATURE ` GOOD MUSCLE TONE GOOD MUSCLE TONE ` SENSATE SKIN ` NO CO MORBIDITY NO CO MORBIDITY

` EXTREME FUNCTIONAL DEMANDS ` WAGE EARNERS

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AFGANISTAN ` ANGOLA ` IRAQ

` AFGANISTAN

IRAQ ` KUWAIT ` CAMBODIACAMBODIA ` WESTERN SAHARA ` MOZAMBIQUEMOZAMBIQUE ` SOMALIA ` BOSNIABOSNIA ` CROATIA

9 500 000 9 000 000 7 500 000

9 500 000

7 500 000 5 000 000 5 500 000 5 500 000 1 500 000 1 500 000 1 500 000 1 000 000 1 000 000 1 000 000 1 000 000

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RAPID FIT TECHNOLOGY RAPID FIT TECHNOLOGY

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ECONOMIC STATUS ECONOMIC STATUS

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` AFFORDABLE ` DURABLEDURABLE ` ACCESSIBLE PROSTHETIC SERVICES

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LIFESTYLE LIFESTYLE

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`̀ SQUATTING SQUATTING ` SITTING CROSS LEGGED ` NEGOTIATING UNEVEN TERRAIN NEGOTIATING UNEVEN TERRAIN ` WALKING BAREFOOT ` WORKING IN WATER WORKING IN WATER

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ACTIVITYACTIVITY MECH REQUIREMENT MECH.REQUIREMENT Squatting Dorsiflexion Cross legged Cross legged Transverse rotationTransverse rotation Uneven terrain Inversion-Eversion B fBarefoot R b & C i ll Robust & Cosmetically

like N foot Farming Waterproof

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DEMAND>>>>>>> SUPPLY DEMAND>>>>>>> SUPPLY LACK OF AWARENESS

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SYSTEM OF MULTIPLE SEQUENTIAL SYSTEM OF MULTIPLE SEQUENTIAL APPOINTMENTS

LONG DRAWN PERIOD OF FITTING

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` MATERIAL PROPERTIES ` COSTCOST ` LOCAL AVAILABILITY ` FAMILIARITY OF LOCAL PEOPLE FAMILIARITY OF LOCAL PEOPLE

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` APPROPRIATE ` LOW COST LOW COST ` SIMPLE ` RAPID FIT RAPID FIT ` DURABLE

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REGARDLESS OF ALL COMPARISON, PROSTHETICS IN BOTH DEVELOPED & PROSTHETICS IN BOTH DEVELOPED & DEVELOPING COUNTRIES ARE EXPENSIVE LEAVING A SIZABLE NUMBER OF AMPUTEESLEAVING A SIZABLE NUMBER OF AMPUTEES UNABLE TO AFFORD THEM

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SOCIAL CULTURAL & ECONOMICSOCIAL,CULTURAL & ECONOMIC CONSIDERATIONS ARE AS IMPORTANT AS TECHNOLOGICAL ISSUESTECHNOLOGICAL ISSUES

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IT’S OK TO BE DIFFERENT !

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EC.722 Special Topics at Edgerton Center:Developing World ProstheticsSpring 2010

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