Prosthetics & Orthotics Unit

Prosthetics & Orthotics (P&O) services provide comprehensive care with preventive, promotive, assistive and rehabilitation intervention. Potential patients are offered assessment and a treatment plan, including the design, measure, casting, manufacture, fitting, delivery, and follow-up of prostheses and orthoses.

We attend primarily to both inpatient and outpatient at Singapore General Hospital (SGH). We support outpatient service with podiatrist in WALK MDT clinic and Amputee clinic with rehab doctor, nurse and physiotherapist at the SGH rehabilitation centre. We also extend our services in prosthetics and orthotics at Sengkang Hospital (SKH) and Changi General Hospital (CGH).

All Prosthetists & Orthotists are certified Category 1 International Society of Prosthetic and Orthotic (ISPO) status. We are assisted by a team of specialized technicians who perform the fabrication, repairing, custom-made prostheses and orthoses.

Tags:

; ; ; ; ; ; ; ; ; ; ; ; ; ;

Our Services

Orthotic Services

Orthosis is a device applied directly and externally to patient body with the objective of supporting, correcting or compensating for a deformity or weakness.

The orthoses we are specialise in:

Custom-made orthoses

Lower limb orthoses: shoe modification, foot orthoses (FO), ankle foot orthoses (AFO), knee orthoses (KO), knee ankle foot orthoses (KAFO), Hip knee ankle foot orthoses (HKAFO), fracture orthoses (PTB brace, IWKAFO) ….
Upper limb orthoses: wrist hand orthoses (WHO)

Prefabrication (Off-the-shelf) orthoses

Lower limb orthoses: AFO, hip brace, knee brace
Upper limb orthoses: thumb spica, wrist brace, elbow brace, shoulder brace, arm sling ….
Spinal orthoses: back support, lumbar sacral orthoses (LSO), thoracic lumbar sacral orthoses (TLSO)….
Cervical orthoses: rigid and soft cervical collars

Common problems prescription where patients may need an orthosis include:

drop foot following stroke or nerve injury
fracture management
Leg length discrepancy/shortening of leg
management of joints weakness and deformities for polio, stroke, CP, club foot, SCI, MD, MS, scoliosis
pain management for Rheumatoid arteritis, Osteoarthritis
sport related lower and upper limb injuries
chronic wound and deformities of diabetic foot

Prosthetic services

Prosthesis is an artificial replacement or externally applied device used to replace wholly or partly an absent or deficient limb segment.

For people who had amputation as a result of traumatic injuries, vascular disease, tumour, infection (severe case of diabetes) or congenital deformity will be benefited from prostheses as it regains the function and appearance as a full or partial missing limb.

We specialise in fabricating prostheses for:

Lower limb amputation

Partial foot
Below knee
Above knee amputation
Through knee /Knee disarticulation
Hip disarticulation

Upper limb amputation

Partial hand
Wrist disarticulation
Below elbow
Elbow disarticulation
Above elbow
Shoulder disarticulation

Our greatest achievement on prostheses is fabricating Direct Socket for below knee amputation and above knee amputation (BKA &AKA). The socket is using lamination method and fabricate directly on the patient. It takes less than 2 hours for the Direct Socket system to fabricate and fit the device.

Amputee Clinic

The clinic runs every Tuesday afternoon at the P&O clinic. We run clinic together with Rehab Medicine Doctor, Speciality Nurse Clinician, Physiotherapist and Medical Social Worker.

We work with interdisciplinary team to provide a rehabilitation service for pre-prosthetic and prosthetic stages as well as long-term follow-up of individuals with upper and lower limb amputation.

Along with an interdisciplinary team, we work together in following areas:

Assessing a suitable level of prostheses for patient’s needs
Submitting application form to MSW for funding status if patients have any financial difficulties in paying for their prosthetic limb.
Take a cast of patient’s stumps after funding secure
Modification, fabrication and fitting of prostheses
Work closely with Physiotherapists to make any necessary adjustments to patient’s prosthesis during gait training.
Check out and delivery the prostheses to patient after satisfying with gait and alignment
Planning for further follow up
Prosthetic adjustments, repairs, re-alignment, and componentry upgrading due to rapid growth rates or change in shape and size.

WALK Clinic

The clinic is run every Monday and Tuesday morning. We work with a podiatrist for wound and offloading treatment to patients with neuropathic ulcers.

Area of treatment:

Biomechanical examination for an ideal insoles or footwear prescription
Neurovascular assessments for patients with diabetes and other chronic wound conditions.
Offloading recommendation on insoles, footwear or shoe modifications/other devices
Appointments for review to prevent re-ulceration