Lower Extremity
Cam Walker
The Cam Walker off the shelf AFO (ankle foot orthosis) is designed to provide comfortable immobilization of the ankle and can be removed for inspection and care of the skin.
Indications:
Ankle sprain, post-op ankle fusion, forefoot/toe injuries, plantar fasciitis/Achilles tendon tears, stress fractures of the lower leg, stabile ankle/foot fractures, and stabile delayed-union/non-union fractures of the distal tibia/fibula.
Carbon Fiber Ankle Foot Orthosis (AFO)
The carbon fiber ankle foot orthosis is a very lightweight low profile design that extends up either the posterior or anterior (back or front) of the calf and under the foot. It is used to control motion of the foot, and offers some energy return to the wearer. The orthosis can be used in most shoes.
Indications:
Foot drop (weak dorsiflexors) as caused by: diabetes, multiple sclerosis, peripheral nerve trauma, stroke, spinal stenosis, poliomyelitis, compartment syndromes, trauma, amyotrophic lateral sclerosis, tumor, Parkinson’s disease, spondylolisthesis, and CVA.
Indicated when only mild dorsiflexion assist is needed and no instability in the coronal plane exists.
Elastic Knee Orthosis
The elastic knee orthosis is an elastic sleeve and may have metal joints. The patient pulls the orthosis into place to provide compression and mild mediolateral (side to side) stability to the knee joint.
Indications:
Runners knee, jumpers knee, medial/lateral patellar subluxation, mild chondromalacia, anterior knee pain, patellar tendonitis, ligament/meniscus injuries, mild osteoarthritis, and swelling.
Functional Knee Brace
Functional knee braces are used to support the knee joint and reduce instability. This brace is used most often to boost patient confidence and allow return to normal activities. They are custom or off the shelf.
Indications:
Osgood-Schlatter disease, jumpers knee, medial/lateral patellar subluxation, anterior knee pain, patellar tendonitis, ligament/meniscus injuries, and mild genu recurvatum.
Hinged Custom Plastic Ankle Foot Orthosis (AFO)
The hinged plastic ankle foot orthosis is a custom made thermoplastic device that holds the foot and ankle in a desired position, but allows some motion as determined by your doctor. It is intended to allow some up and down motion of the ankle while still providing side to side support.
Indications:
Drop foot, cerebral palsy, spina bifida, CVA, muscular dystrophy, multiple sclerosis, peripheral nerve trauma, Charcot foot, crushing injuries, ankle instability, spinal stenosis, poliomyelitis, certain neurological conditions, prevention of deformity, post-operative stabilization, contractures, toe-walking, tone management, and burns.
Hinges are added to accommodate useful/active range of motion and improve efficiency of gait.
Hip Knee Ankle Foot Orthosis (HKAFO)
The molded plastic hip knee ankle foot orthosis is a custom fabricated thermoplastic orthosis with metal uprights. It extends from the hip to the foot to control motion and alignment of the knee and ankle joints as well as mediolateral (side to side) stability of the hips. There are different components used to lock the knee if needed. Joints may also be added to the ankle if motion is desired.
Indications:
Spina bifida, muscular dystrophy, traumatic paraplegia, cerebral palsy, osteogenesis imperfecta, and rotational issues at the hip.
Leather Ankle Foot Orthosis (AFO)
The leather ankle foot orthosis is a custom orthosis with padded plastic reinforcement that is covered with leather on the inside to protect the skin, as well as on the outside for durability. This orthosis provides mild mediolateral (side to side) ankle stability.
Indications:
Arthritis, severe pes planus with pain, posterior tibial tendon dysfunction, Charcot arthropathy, and degeneration of the foot/ankle.
Metal and Leather Ankle Foot Orthosis (AFO)
The metal and leather ankle foot orthosis is a custom made AFO with metal uprights and a cuff around the calf. This device is attached to the shoe to hold the ankle in a position determined by your physician. This is frequently used when sensation is compromised and maximum protection of the skin is needed. Protective inserts can be used in the shoe to further protect the foot from skin breakdown.
Indications:
Drop foot, cerebral palsy, spina bifida, CVA, muscular dystrophy, multiple sclerosis, peripheral nerve trauma, Charcot foot, crushing injuries, ankle instability, spinal stenosis, poliomyelitis, certain neurological conditions, prevention of deformity, post-operative stabilization, contractures, toe-walking, tone management, and burns.
An AFO made out of metal and leather is specifically indicated if the patient presents with fluctuating edema, certain skin issues, or an aversion to heat.
Metal and Leather Knee Ankle Foot Orthosis (KAFO)
The metal and leather knee ankle foot orthosis is custom fabricated and extends from the thigh to the foot. It is designed to control motion and alignment of the knee and ankle. As with the plastic KAFO, different components can be used to lock the knee and allow motion at the ankle if desired. It is designed for minimal skin coverage and is attached to a shoe.
Indications:
Weak quadriceps, knee contractures, genu varum/valgum deformities, post-operative stabilization, genu recurvatum, femoral fractures, post ligament repair, spina bifida, cerebral palsy, muscular dystrophy, paraplegia, and post-polio.
Multi Podus Boot
The multi podus boot is a foot and ankle orthosis made of plastic and lined with soft material to protect the skin. It is used while the patient is on bed rest to hold the ankle in a neutral position (90 degree angle) and can control rotation.
Indications:
Pressure sores (Decubitus Ulcers), contractures, foot drop, inversion/eversion, and hypersensitive toes.
Night Splint
The night splint AFO is designed to help stretch the foot and ankle and is frequently used for planter fasciitis or a tight heal and calf.
Indications:
Plantar fasciitis, plantar flexion contractures, heel spurs, equinovarus/valgus, runner’s cramp, Achilles tendonitis, and muscle tightening.
Patellar Stabilizing Orthosis
The patellar tendon bearing orthosis is custom made of thermoplastic and can be made with or without ankle joints. The orthosis transfers some weight from the foot and ankle to the lower leg and patellar tendon. It provides compression to the lower leg and will reduce some of the weight to the foot and ankle.
Indications:
Mild chondromalacia, patellar subluxation/dislocation/tendonitis, patellar maltracking, patellofemoral pain syndrome, post lateral release, and post patellar realignment.
Patellar Tendon Bearing Orthosis (PTB)
The patellar tendon bearing orthosis is custom made of thermoplastic and can be made with or without ankle joints. The orthosis transfers some weight from the foot and ankle to the lower leg and patellar tendon. It provides compression to the lower leg and will reduce some of the weight to the foot and ankle.
Indications:
Heel ulcers, Charcot ankle/foot, talar osteochondritis, distal tibial/talar/calcaneal fractures, and post reconstructive surgery.
Plastic Knee Ankle Foot Orthosis (KAFO)
The molded plastic knee ankle foot orthosis is a custom fabricated thermoplastic orthosis with metal uprights. It extends from the thigh to the foot to control motion and alignment of the knee and ankle. There are different components used to lock the knee if needed. Joints may also be added to the ankle if motion is desired.
Indications:
Weak quadriceps, knee contractures, genu varum/valgum deformities, post-operative stabilization, genu recurvatum, femoral fractures, post ligament repair, spina bifida, cerebral palsy, muscular dystrophy, paraplegia, and post-polio.
Posterior Leaf Spring Custom Plastic Ankle Foot Orthosis (AFO)
The posterior leaf spring ankle foot orthosis is a custom made device fabricated out of thermoplastic. The purpose of this orthosis is to hold the ankle and foot in a desired position, yet allow some flexibility of the ankle. This orthosis can be worn with most shoes.
Indications:
Foot drop (weak dorsiflexors) as caused by: diabetes, multiple sclerosis, peripheral nerve trauma, stroke, spinal stenosis, poliomyelitis, compartment syndromes, trauma, amyotrophic lateral sclerosis, tumor, Parkinson’s disease, spondylolisthesis, and CVA.
Custom fabrication provides increased stability in the coronal plane and adjustable dorsiflexion.
Pre-Fabricated Posterior Leaf Spring Plastic Ankle Foot Orthosis (AFO)
The pre-fabricated posterior leaf spring ankle foot orthosis is a pre-sized AFO fabricated out of a light thermoplastic. The purpose of this orthosis is to hold the ankle and foot in a desired position yet allow some flexibility of the ankle. This orthosis can be worn with most shoes and is intended for light duty or short term use when sensation is intact.
Indications:
Foot drop (weak dorsiflexors) as caused by: diabetes, multiple sclerosis, peripheral nerve trauma, stroke, spinal stenosis, poliomyelitis, compartment syndromes, trauma, amyotrophic lateral sclerosis, tumor, Parkinson’s disease, spondylolisthesis, and CVA.
Indicated when only mild dorsiflexion assist is needed and no instability in the coronal plane exists.
Range of Motion Knee Orthosis
The range of motion knee orthosis has metal joints and extends from the thigh to the calf. It is designed to provide side to side support of the knee and can be adjusted to limit bending of the knee.
Indications:
Progressive rehabilitation.
Total knee, meniscus repair, tendon/ligament surgeries, fractures, dislocations, tendon releases, spinal cord injuries, hemophilia, head trauma, rheumatoid arthritis, joint arthroplasties, cerebral palsy, and multiple sclerosis.
Rigid Rocker Bottom Ankle Foot Orthosis with Total Contact Insert
The rigid rocker bottom AFO with total contact insert is custom fabricated to protect and immobilize the foot and ankle. It has a soft liner designed to off weigh an existing skin problem or protect the foot and ankle during healing.
Indications:
Charcot foot, ulcers, and insensate feet.
Solid Custom Plastic Ankle Foot Orthosis (AFO)
The plastic ankle foot orthosis is a custom made device fabricated out of thermoplastic. The purpose of this orthosis is to hold the ankle and foot in a desired position. This orthosis can be worn with most shoes. It is intended to provide maximum support and control of the ankle. It can also influence the position of the knee while in a standing position.
Indications:
Drop foot, cerebral palsy, spina bifida, CVA, muscular dystrophy, multiple sclerosis, peripheral nerve trauma, Charcot foot, crushing injuries, ankle instability, spinal stenosis, poliomyelitis, certain neurological conditions, prevention of deformity, post-operative stabilization, contractures, toe-walking, tone management, and burns.
This solid ankle version provides maximum stability and is often used in the absence of active range of motion or when moderate knee instability is a concern.
Stance Control Knee Ankle Foot Orthosis (KAFO)
Stance control KAFOs use the latest technology to automatically lock and unlock the knee while walking. These are highly specialized orthoses that can be used in cases where thigh muscle weakness is an issue and may be an alternative to a locked knee KAFO.
Indications:
Weak quadriceps, knee contractures, genu varum/valgum deformities, post-operative stabilization, genu recurvatum, femoral fractures, post ligament repair, spina bifida, cerebral palsy, muscular dystrophy, paraplegia, and post-polio.
Provides knee stability during stance, but permits flexion while in swing phase to decrease overall energy expenditure.
Total Contact Ankle Foot Orthosis (AFO)
The total contact AFO is custom fabricated to protect and immobilize the foot and ankle. It has a soft liner designed to off weigh an existing skin problem or protect the foot and ankle during healing.
Indications:
Charcot foot, ulcers, and insensate feet.
Unloading Knee Orthosis
The unloading knee orthosis is a metal or carbon fiber frame with knee joints. It is recommended for unicompartmental osteoarthritis of the knee. The orthosis places side to side forces at the knee and leg to straighten the knee and reduce loading on the arthritic side of the knee.
Indications:
Medial or lateral unicompartmental osteoarthritis or any other unicompartmental condition requiring unloading.