Center for Prosthetics Orthotics, Inc.

Orthopedic Shoes and Abduction Bar

jschaar — Fri, 15 Jan 2010 21:16:43 +0000

Diagnosis: Clubfoot (Unilateral or Bilateral)

Category of Diagnosis: Pediatric Deformity

ICD-9 codes: 754.70

Device: Orthopedic shoes and abduction bar

Description: Orthopedic footwear consisting of plastic base, silicone lining and leather straps in conjunction with an abduction bar positions feet in external rotation and abduction. This helps to maintain correction achieved during serial casting and manipulation.

Indications: Unilateral or bilateral clubfoot, pt has already undergone serial casting and manipulation

Contraindications: rigid club foot not correctable by casting, other pediatric foot deformities

Manufacturer’s Website

Stance Control KAFO

admin — Fri, 06 Nov 2009 11:05:36 +0000

Indications:
Isolated quad weakness/ paralysis
Lower extremity weakness
Knee instability in sagittal plane during stance phase
Increased stability compared to free or offset knee joints
Grade 3-5 hip extensor strength

Contraindications:
Impaired cognition
Knee flexion contracture greater than 10 degrees
Greater than 10 º genu varum/valgum
Greater than 265 lbs
Less than 10º of ankle motion

Advantages over locked KAFO
Knee flexion during swing
Stability during stance
Reduction in energy cost = more active lifestyle
Reduction of gait deviations = less compensatory motions and less medical complications
Smooth transition

Featured Orthoses (Manufacturer Websites)
Otto Bock Free Walk Stance Control KAFO
Becker UTX Swing
Horton Stance Control KAFO
Fillauer Swing Phase Lock 2

Spinecor Brace

admin — Fri, 23 Oct 2009 09:56:23 +0000

[DESCRIPTION TO BE PROVIDED]

Manufacturer’s Website
SpineCorporation

Humeral Fracture Orthosis

admin — Fri, 23 Oct 2009 09:30:17 +0000

Bivalved polyethylene with circumferential straps provides total contact through circumferential compression of soft tissue for immobilization and alignment of fracture while allowing range of motion at the shoulder and elbow joints. Indications: Closed humeral fractures Contraindications: Spasticity, open fractures, neurological deficit

Forearm Fracture Orthosis

admin — Fri, 23 Oct 2009 09:27:51 +0000

A plastic elbow wrist orthosis protects newly healed bone while allowing elbow and wrist range of motion but limiting pronation and supination range. Typically used in the pediatric population following cast removal for a forearm or elbow fracture.

Unloader Knee Orthosis (KO)

admin — Fri, 25 Sep 2009 07:59:49 +0000

Knee orthosis, single upright, custom fabricated, with varus or valgus adjustment, adjustable flexion and extension knee joint, medial, lateral and rotational control. Indications: Medial/lateral compartment syndrome or osteoarthorsis with associated knee pain Contraindications: Severe osteoarthorsis

KAFO

admin — Fri, 25 Sep 2009 07:40:57 +0000

Knee, ankle, foot orthosis, custom may include knee joints. Joints may be locking or adjustable in flexion and extension. Indications: Polio, MS, paresis, knee instability/buckling. Contraindications: Morbid obesity, dependent patient with poor cognition and upper extremity weakness combined with poor support system.

Hip Abduction Orthosis

admin — Fri, 25 Sep 2009 07:31:51 +0000

Hip orthosis, abduction control of hip joint, prefabricated, with adjustable hip range of motion.

Indications:
Post operative hip surgery, chronic hip dislocation

Contraindications:
Morbid obesity, dependent patient with poor cognition combined with poor support system

View Manufacturer’s Website »

Functional KO

admin — Fri, 25 Sep 2009 07:25:32 +0000

Knee orthosis, double upright, custom fabricated, with or without varus or valgus adjustment, adjustable flexion and extension knee joint, medial, lateral and rotational control. Indications: Mild to moderate cruciate ligament laxity, s/p cruciate ligament surgery Contraindications: Severe cruciate ligament laxity

Achilles Tendon AFO

admin — Fri, 17 Jul 2009 11:26:39 +0000

Custom fabricated AFO made of plastic and incorporates disc joints and anterior shell to allow plantar flexion and limit dorsi flexion. Prevents stretching of Achilles.

Indications:
• Achilles Tendon Injury

Contraindications:
• Knee instability
• Patient is concerned with bulk and cosmetics

Walk-Aid

admin — Fri, 17 Jul 2009 11:24:23 +0000

A functional neuro muscular stimulation device which uses tilt sensor technology to provide stimulation to the peroneal nerve at late terminal stance through to initial contact, causing anterior tib contraction and dorsi flexion during swing phase. Allows patient to use his/her own musculature to actively dorsi flex during swing. Has exercise mode to help strengthen anterior tib when not walking if desired.

Indications:
• Foot drop secondary to upper Motor Neuron involvement
• CP
• MS
• SCI
• May be incorporated with another orthosis to support other instabilities
• Patient rejects traditional bracing

Contraindications:
• Foot drop secondary to lower Motor Neuron Involvement
• Lumbar stenosis
• Peroneal palsy
• Coronal plane instability
• Recurvatum
• Cost (insurance is does not cover this device)
• Maintenance

Manufacturer’s Website »

Carbon Fiber AFO

admin — Fri, 17 Jul 2009 11:15:55 +0000

Off-the-shelf AFO made of carbon fiber. Positions patient’s foot in dorsi flexion during swing and provides mild anterior support during stance. Due to composite lay up, it is light weight and provides dynamic response at terminal stance.

Indications:
• Foot drop
• If the patient does not like the idea of “plastic braces”
• Partial foot amputee
• MS

Contraindications:
• Ankle coronal plane instability
• Poor knee strength

Manufacturer Website:
http://www.allardusa.com

Manufacturer’s Website »

Posterior Leaf Spring AFO

admin — Fri, 17 Jul 2009 11:14:05 +0000

Custom or off-the-shelf ankle foot orthosis made of plastic. Positions patient’s foot in dorsi-flexion during swing phase of gait, but is designed to be semi-flexible during stance phase to allow for normal tibial progression.

Indication:
• Weak anterior tib (3/5)
• Foot drop

Contraindications:
• Ankle instability in coronal plane
• Knee instability
• Genu recurvatum
• Plantar flexion contracture

Ground Reaction AFO

admin — Fri, 17 Jul 2009 11:12:55 +0000

Custom AFO made of plastic. Design incorporates a proximal anterior pre-tib shell to improve stability to the knee during stance phase of gait. Also provides dorsi flexion during swing.

Indications:
• Knee instability in sagittal plane
• Foot drop with knee instability
• Flexor pattern “crouch” gait
• Spina Bifida patients

Contraindications:
• Genu recurvatum
• Patient is concerned with bulk and cosmesis

Double Upright Adjustable Joint AFO

admin — Fri, 17 Jul 2009 11:10:20 +0000

Custom fabricated AFO fabricated with adjustable ankle joints (metal). May be incorporated into laminated shells or left as metal uprights only. Allows orthotist to adjust range of motion at ankle. May provide coronal plane support depending on design.

Indications:
• Foot drop
• Poor knee control in sagittal plane
• Ankle varus/valgus
• Foot drop with uncontrolled edema
• Poor skin below the knee

Contraindications:
• Patient’s concerns with bulk/weight
• Limits shoe wear
• Increased maintenance

Flexible AFO

admin — Fri, 17 Jul 2009 10:46:50 +0000

Custom fabricated “low profile” ankle foot orthosis. Made of flexible light weight plastic/silicone to wrap around lower half of leg. Good for the patient who needs dorsi flexion assist or mild ankle varus/valgus support, but does not want a brace.

Indications:
• Foot drop
• Mild ankle varus/valgus

Contraindications:
• Knee instability
• Moderate-severe ankle instability

Manufacturer Website
http://www.dorset-ortho.com/product-safo.php

Articulated AFO

admin — Fri, 17 Jul 2009 10:44:39 +0000

Custom ankle foot orthosis made of plastic and incorporates joints. May incorporate a plantar flexion stop or may be free motion. Provides support to ankle foot complex in coronal plane and positions patient’s foot in dorsi flexion during swing while allowing tibial progression during stance.

Indications:
• Foot drop with secondary varus/valgus at ankle
• Good knee control
• Genu recurvatum

Contraindications:
• Poor knee control
• Patient has concerns with bulk/weight

Pressure Relieving AFO

admin — Fri, 17 Jul 2009 10:40:06 +0000

Off-the-shelf soft posterior splint to help relieve pressure from patient’s heel. Good while pt is in bed to relieve heel ulcers.

Indications:
• Ambulatory
• Heel ulcer
• Chance of plantar flexion contracture formation

Contraindications:
• Non-ambulatory

Cam Walker/Walking Boot

admin — Fri, 17 Jul 2009 10:36:50 +0000

Off-the-shelf boot with medial-lateral uprights and rocker bottom. Helps limit subtalar motion while ambulating.

Indications:
• s/p ORIF
• Posterior Tendonitis (temporary)
• Ankle sprain
• Mild tib-fib fractures

Contraindications:
• Requires something more permanent

Solid AFO

admin — Fri, 17 Jul 2009 10:33:02 +0000

Custom fabricated AFO made of plastic. Provides support to the ankle foot complex in coronal and sagittal planes. Offers moderate support to knee instabilities in the sagittal plane.

Indications:
• Ankle instability/weakness in more than one plane
• Equino varus
• Moderate-severe pes plano valgus
• Mild-moderate genu recurvatum

Contraindications:
• Severe genu recurvatum
• Good knee control/strength