Unilateral HKAFO?
Stacey Richardson
Description
Collection
Title:
Unilateral HKAFO?
Creator:
Stacey Richardson
Date:
4/8/2019
Text:
69 yo male, left LE paralysis due to subdural hematoma secondary to
slip/fall head injury. Completely unaffected right side, strong bilateral
upper extremity. Stand-by assist sit to stand. Patient does not have enough
active hip flexion or abduction to hip hike for limb advancement.
Internal/external rotation is 2-/2, adduction is 2+/3-. He has good balance
and can tolerate independent standing in parallel bars for 10 min. He is in
great shape (5’10”, 240lbs, strong) and is a practicing orthodontist who
wants to return to work.
The doctor is requesting a RGO with a locked knee. I don’t think that would
be appropriate for a patient with only unilateral involvement. I was
thinking of using a KAFO (free or limited ROM knee joint) with hip flexion
assist strap (anchored at waist and attached distal to knee joint). I feel
he would be safer with a locked knee joint, but hip weakness is the largest
limiting factor to his swing phase clearance. I also think that the
patient’s personal goals would be better served with by a KAFO.
Does anyone have any suggestions of componentry or brace configurations
that would be functional for this guy? I’d appreciate the feedback.
Stacey Richardson, CO
MedSupply Corporation
Taylor, MI
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slip/fall head injury. Completely unaffected right side, strong bilateral
upper extremity. Stand-by assist sit to stand. Patient does not have enough
active hip flexion or abduction to hip hike for limb advancement.
Internal/external rotation is 2-/2, adduction is 2+/3-. He has good balance
and can tolerate independent standing in parallel bars for 10 min. He is in
great shape (5’10”, 240lbs, strong) and is a practicing orthodontist who
wants to return to work.
The doctor is requesting a RGO with a locked knee. I don’t think that would
be appropriate for a patient with only unilateral involvement. I was
thinking of using a KAFO (free or limited ROM knee joint) with hip flexion
assist strap (anchored at waist and attached distal to knee joint). I feel
he would be safer with a locked knee joint, but hip weakness is the largest
limiting factor to his swing phase clearance. I also think that the
patient’s personal goals would be better served with by a KAFO.
Does anyone have any suggestions of componentry or brace configurations
that would be functional for this guy? I’d appreciate the feedback.
Stacey Richardson, CO
MedSupply Corporation
Taylor, MI
CONFIDENTIALITY NOTICE:
This Internet message or any attachments may contain information that is
privileged, confidential, and exempt from disclosure. If you have received
this in error, please (1) do not forward or use this information in any
way; (2) immediately notify the sender by reply e-mail, and (3) delete the
message and any attachments. Neither this information block, the typed name
of the sender, nor anything else in this message is intended to constitute
an electronic signature unless a specific statement to the contrary is
included in this message.
*HIPAA Compliance Notice:* This Internet message and any attachments may
contain health related information that is protected by federal and state
laws and may be protected health information under HIPAA privacy law
provisions. Dissemination or disposal of protected health information may
be done only in compliance with HIPAA and other applicable law.
Citation
Stacey Richardson, “Unilateral HKAFO?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/209473.
