strapping 11 monthe boy in AFO

strapping 11 monthe boy in AFO

1 PLUS 1 Orthotics

2/15/1998

Dear Colleagues

      I am treating a little eleven month old boy .
    The boy was diagnosed as having relatively short achilles tendons
and AFO’s were recommended by his orthopedic surgeon

The orthoses were made at 5 degrees dorsiflexion as requested by the
doctor -

I have not managed to keep his heel and foot down in the orthosis . -
Within about an hour his heel has risen and he is essentially back in a
plantar flexion position
(He has normal tone and enough range to be in the orthosis )

I have tried all types of strapping:
- 45 degree angle at the ankle joint
- Figure eight straps going round the ankle
- A strap coming from medial to lateral but coming through a slot so as
to be even closer to the foot

           Any suggestions would be most useful as

I have really run out of possible solutions - A bivalves AFO is not
an option since the child struggles when the orthosis are put on him and
therefore would make donning them properly quite impossible.

Thank You,

Vivian Alexander
1 Plus 1 Orthotics
Israel
<Email Address Redacted>