Page 53 - HA Convention 2016 [Abstracts (Day 2)]

Corporate Scholarship Presentations HOSPITAL AUTHORITY CONVENTION 2016

C2.1 Genetics and New Technology 13:15 Room 428

Technological Advancements in Prosthetics — How Far We Can Go?
Au Yang A
Prosthetic-Orthotic Department, Prince of Wales Hospital, Hong Kong

“With the aid of technologies, people with a loss in functioning are better able to live independently and participate in their
societies”

World Health Organization

The primary goal of rehabilitation for amputees is to restore their physical and social functions, improve their quality of life
and facilitate their return to the community. Taking into account the high cost of advanced prosthetic components and the
principle of mainly providing basic and essential services, our patients may have limited access to advanced prosthetic
solutions, and our prosthetics and orthotics (P&O) staff also has limited exposure to the high-end prosthetic technology.

The objectives of this self-initiated training programme were to acquire and update the knowledge on cutting-edge prosthetic
technology, understand the European P&O service provision model, and explore the feasibility of introducing the practice to
improve our local service standard. It included clinical visits, attachment, lectures and hands on practice in the Otto Bock
Science Centre in Berlin and the Competence Centre Headquarters in Duderstadt. Otto Bock is a private enterprise and the
worldwide leading provider in the field of P&O.

The four-week training covered the following areas:

(1) Fitting of microprocessor knee joint

(2) Fitting of myoelectric hand

(3) Prosthetic socket technology

(4) Gait training for transfemoral amputee

(5) Suction socket design transtibial prosthesis

(6) Powered prosthetic ankle joint

(7) Targeted muscle reinnervation technology and application in high level upper limb prosthetics

(8) Sports related prostheses

Sharing session has been organised for HA P&O colleagues to explore the opportunity in enhancing P&O services.

C2.2 Genetics and New Technology 13:15 Room 428 Wednesday, 4 May

Hospital Authority Corporate Scholarship Experience — Extracorporeal Membrane Oxygenation (ECMO): United
Kingdom and France
Lo YC
Department of Medicine, Ruttonjee and Tang Shiu Kin Hospitals, Hong Kong

Experience in extracorporeal membrane oxygenation (ECMO) training at Glenfield Hospital (Leicester), Papworth Hospital
(Cambridge) and La Pitie Hospital (Paris) will be shared.

ECMO is a therapy option for adult patients with severe acute respiratory and cardiac failure. Common diagnoses considered
for adult extracorporeal life support (ECLS) include: H1N1, other viral or bacterial pneumonias, burn and inhalation injury,
traumatic lung injury, pulmonary contusion, pulmonary embolism, post-shock or sepsis associated acute respiratory distress
syndrome, or other forms of reversible acute lung injury or illness. ECMO is a highly specialised technique which needs the
input of intensive care specialists, cardiothoracic surgeons as well as ECMO-trained nurses and perfusion scientists.

The three hospitals have been providing specialist ECMO services for many years. These hospitals are registered with the
international Extracorporeal Life Support Organisation (ELSO) and is renowned for its experience in using ECMO for either
cardiac or respiratory support. In addition to providing ECMO on site, they have also developed a retrieval service to secure
the rapid and safe transfer of patients between referring hospital and the ECMO centres.

It is hoped that through the precious experience at these hospitals, further improvement in the ECMO service in Hong Kong
can be achieved.

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