Prospects for the use of digital technologies in import substitution in the prosthetic industry based on the analysis of upper limb prostheses

Authors:

Shcherbina Konstantin Konstantinovich, Grand PhD in Medical sciences (Dr. Med. Sci), Director of the Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; е-mail: shcherbina180@mail.ru

Suslyaev Vadim Gennadievich, PhD in Medical sciences (PhD Med. Sci), Head of the Department of Prosthetics, Orthotics and Technical Means of Rehabilitation of the Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; е-mail: vadims1964@yandex.ru

Zamilatsky Yury Ivanovich, PhD in Technical sciences, leading researcher of the Department of Prosthetics, Orthotics and Technical Means of Rehabilitation of the Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; е-mail: vadims1964@yandex.ru

Golubeva Yulia Borisovna, Head of the Department of Orthopedic Footwear and Special Clothing for the Disabled of the Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; е-mail: 812golub@mail.ru

Golovin Mihail Andreevich, Master of Applied Physics, Head of the Labouratory of the Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: golovin@center-albreht.ru

Sokurov Andrei Vladimirovich, Grand PhD in Medical sciences (Dr. Med. Sci), Deputy Director of the Institute of Rehabilitation and Habilitation of the Disabled of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: ansokurov@yandex.ru

Ermolenko Tatiana Valerievna, PhD in Medical sciences (PhD Med. Sci), Head of the Department of Normative and Legal Regulation and Organization of Rehabilitation and Habilitation of the Institute of Rehabilitation and Habilitation of the Disabled of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, St. Petersburg, 195067 Russian Federation; e-mail: tatvalerm@yandex.ru

In the heading: Original researches

Year: 2020 Volume: 2 Journal number: 3 

Pages: 65-76

Article type: scientific and practical

UDC: 616-036.86

DOI: 10.26211/2658-4522-2020-2-3-65-76

Annotation:

Introduction. Medical rehabilitation of disabled people with upper limb defects is a very urgent task for the prosthetic and orthopedic industry in Russia and abroad, taking into account the significant number of people with disabilities to self-service and manual activities, as well as prospects for achieving highly functional results of prosthetics and improving the quality of life of patients using modern technologies, materials and structures.
An important component of the strategy for improving prosthetics for the disabled with upper limb defects is technological import substitution, improvement and creation of new prosthesis designs using digital technologies.

Aim. Identification of promising areas of import substitution in the prosthetic industry using the best foreign practices of developing import-substituting niches in the production of prosthetic semi-finished products.
Materials and methods. The study was conducted based on the analysis of materials from the questionnaire survey of prosthetic and orthopedic enterprises in the Russian Federation as part of a state task with the collection of questionnaire data from 38 prosthetic and orthopedic enterprises of 7 federal districts (Central, North-Western, North-Caucasian, Southern, Volga, Ural, Siberian).

Results and discussion. The analysis of the obtained statistical data and questionnaires revealed the total number of patients (617,621 people) registered in 38 prosthetic and orthopedic enterprises, including 9,031 disabled people (439 children) with upper limb defects. The ratio of males to females is 3:1.
The structural content of the total number of upper limb prostheses manufactured at enterprises revealed the predominance of domestic designs with a disadvantage in the manufacture of prostheses with an external energy source, with silicone covers and compositions for frame sleeves.

Conclusion. Among the causes of upper limb amputation, there is a high frequency of injuries (87 %) and a significant number of stump defects and diseases that complicate early prosthetics, which require a long-term stage of preliminary conservative and operative training.
When prosthetics of the upper limb are used designs and materials of domestic manufacturers, less often — manufacturers of foreign companies with a small number of prostheses with a silicone cover, and very rarely using digital technologies and 3D printing.

Keywords: , , , ,

Download the full text of the article

List of cited literature:

1. Golubeva Yu.B. [i dr.] (2016) Celi i zadachi importozameshcheniya v protezno-ortopedicheskoj otrasli [Goals and objectives of import substitution in the prosthetic and orthopedic industry]. Vestn. Vseross. gil’dii protezistov-ortopedov [Bulletin of the all-Russian Guild of prosthetists and orthopedists], no. 2 (62). — pp. 35–38 (In Russian).

2. Rasporyazhenie Pravitel’stva Rossijskoj Federacii ot 22.11.2017 № 2599-r «Ob utverzhdenii Strategii razvitiya proizvodstva promyshlennoj produkcii reabilitacionnoj napravlennosti do 2025 goda» [The government of the Russian Federation from 22.11.2017 No. 2599-R “On approval of Strategy of development of industrial production rehabilitation orientation to 2025”]. — M.: «Sobranie zakonodatel’stva RF» [Moscow: “Collection of legislation of the Russian Federation”], 2017. no. 49. — St. 7482 (In Russian).

3. Suslyaev V.G. [i dr.] (2018) Problemy okazaniya pervichnoj protezno-ortopedicheskoj pomoshchi v megapolise [Problems of providing primary orthopedic care in the city]. Vestn. Ross. voen.-med. Akad [Bulletin of the Russian military medical Academy], no. 2 (62), pp. 90–98 (In Russian).

4. Suslyaev V.G. [i dr.] (2018) Rol’ rannego pervichnogo protezirovaniya v sisteme reabilitacii voennosluzhashchih vsledstvie voennoj travmy: organizacionnye, yuridicheskie, metodicheskie aspekty [The Role of early primary prosthetics in the system of rehabilitation of military personnel due to military trauma: organizational, legal, methodological aspects]. Vestn. Ross. voen.-med. Akad [Bulletin of the Russian military medical Academy], no. 2 (62), pp. 40–47 (In Russian).

5. Shcherbina K.K., Suslyaev V.G., Golubeva YU.B., Sokurov A.V., Ermolenko T.V., YAnkovskij V.M. (2018) Analiz deyatel’nosti protezno-ortopedicheskih predpriyatij po protezirovaniyu i ortezirovaniyu nizhnih konechnostej s vozmozhnost’yu importozameshcheniya [Analysis of prosthetic and orthopedic enterprises for prosthetics and orthosis of the lower extremities with the possibility of import substitution]. Vestn. Ross. voen.-med. Akad [Bulletin of the Russian military medical Academy], no. 4 (64). pp. 131-137 (In Russian).

6. Ponomarenko G.N., Kurdybajlo S.F., Evseev S.P., Suslyaev V.G., CHekushina G.V.(2019) Tekhnicheskie sredstv reabilitacii dlya gidroterapii, vodnyh vidov adaptivnogo sporta, plavaniya i dajvinga. [Technical means of rehabilitation for hydrotherapy, water adaptive sports, swimming and diving]. Saint Petersburg: R-KOPI LLC, 142 p. (In Russian).

7. Marusin N.V., Golovin M.A., Sufel’fa A.R. (2019) Rezul’taty ispytaniya maketov priemnyh gil’z protezov goleni i bedra, izgotovlennyh po innovacionnoj tekhnologii trekhmernoj pechati dlya rannego protezirovaniya postradavshih ot travm i neotlozhnyh sostoyanij [Test results of models of receiving sleeves of prosthetics of the lower leg and hip made on innovative technology of three-dimensional printing for early prosthetics of victims of injuries and emergency conditions]. Sb. tezisov: 4-yj Vserossijskij kongress s mezhdunarodnym uchastiem «Medicinskaya pomoshch’ pri travmah i neotlozhnyh sostoyaniyah v mirnoe i voennoe vremya. Novoe v organizacii i tekhnologiyah»[Collection of theses: 4th all-Russian Congress with international participation” Medical care for injuries and emergency conditions in peacetime and wartime. New in organization and technologies”], pp. 156-157 (In Russian).

8. Golovin M.A., Marusin N.V., Skrebenkov E.A. (2019) Parametricheskie modeli pozitivov priemnyh gil’z protezov goleni dlya rannego protezirovaniya [Parametric models of positives of reception sleeves of prosthetics of the lower leg for early prosthetics]. Sb. tezisov: 4-yj Vserossijskij kongress s mezhdunarodnym uchastiem «Medicinskaya pomoshch’ pri travmah i neotlozhnyh sostoyaniyah v mirnoe i voennoe vremya. Novoe v organizacii i tekhnologiyah» [Collection of theses: 4th all-Russian Congress with international participation “Medical care for injuries and emergency conditions in peacetime and wartime. New in the organization and technology”], pp. 53-54 (In Russian).

www.xhamaster pornthmovs.com actress priyamani sex videos chuda chudi bangla chuda chudi gotporn.mobi keral sex sex in tamil youtube anythaiporn.com sex between young couple fuckup.xxx jizzman.mobi desi sex scenes sunnyleone hot sex mochito.mobi baglabf
sex movies com pornerbros.mobi hind sexi video desi sexey video justfreeporn.mobi tamil sex video songs mms x faphub.mobi sexihotgirl suny leone porn hdthaimovs.com chennai girl escorts xvideos office erohardcore.info tamil xxxx videos fittrip snyper sobazo.com 6ft in cm
ben 10 sex video hdmovz.mobi videos of boys and girls indian college girl porn videos pornbraze.mobi xnxnxxx desi chudai vedio fuckswille.com hot girl sexy sexgaral pornudetube.mobi nexxx bf videos indaporn.info chodne ka