responses adjustable foot
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responses adjustable foot
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Dear colleagues:
Enclosed are the responses to the following post. I appreciate your input
and interest.
Regards,
Judy Wagner, PT, CP
I am interested in recommendations of a prosthetic foot for a fifty year old
female with a trans-tibial amputation. She would like a foot with a
patient-adjustable heel height; however, her mechanical aptitude is
somewhat limited. (Weight is approximately 125#.) She is a community
ambulator and would benefit from multiaxial dynamic elastic response
features. Cosmesis is also of some concern to her.
She has used an Endolite multiaxial foot/ankle in the past which was
generally successful, although rather stiff.
Your input and experiences are appreciated.
Judy Wagner, PT, CP
Look at the new foot from Century XXII
-Mark Benveniste CP
The other choice is Master Step from Ossur.
Stiffness of the Endolite can be reduced with softer baLL and snubber
Mark Benveniste. CP
She could always carry on using the Endolite Multiflex but with softer ball
and snubber rubbers.
The new Century 22 foot may be the ticket for your patient. It has a push
button actuator for the heel height adjustment. The only problem I see is the
weight of the component. The longer her residual limb, the better.
Larry Lange, CPO
I noticed your post to the O&P listserve. We actually do a version of the
multiflex foot which has a patient adjustable heel height feature. I wasn't
sure from your post whether this was the version that your patient had
previously or whether it was just the standard multiflex foot and ankle. If
you would like more information I would be happy to send it to you.
Stephen Blatchford
You Should try the Masterstep foot, from Össur. I think it's what you are
looking for!
Best regards,
Jairo Blumenthal - Prosthetist
Brazil
I have used the Master Step and it's ok but the mechanical aptitude required
might be too great for you patient. Century 22 has a very nice heel height
adj foot/ankle. I have not used it but if I was faced with your situation
today it would be my first choice...it's seems very simple.
Regard,
Jack Uellendahl
Hi
I do not have any info for you on this subject, but would appreciate if you'd
share any input you receive. I'm a female amputee and was just telling my
prosthesist that I'd like to try an adjustable foot. I'm currently using a
flex foot and he's concerned I may not get enough energy from the adjustable
one. Thanks!
Karen
Suggest you contact Century XXII Innovations regarding their Total Concept
Ankle and Foot.
Your two choices are:
1. The Masterstep foot, from Ossur (Iceross people)
2. A new adjustable heel height foot from Century XXII (Total
Knee People)
I only have experience with the Ossur foot, and it works well without
too much gadget tolerance needed. It looks like the one from Century XXII
might be a bit of a challenge for cosmetic finishing.
Good luck!
Sincerely,
Barry Steineman, CPO
Ossur makes a foot with a simple mechanism for changing the heel height I
believe it is called the MasterStep (Don't quote me on that name) it appears
to be an adequate foot for lighter weight patients. Hope this helps you.
Ryan Gatlin, BOC/P
Century XII now offers a foot/ankle assembly with a heel height
adjustment that is operated by pressing a button on the ankle section just
above the foot. Due to the nature of the adjustment and readjustments made
by the ambulator, choose wisely.
KC Carlson RTP
Century XXII has an adjustable energy storage foot that I know is at least
single axis and maybe multi axial. It is very user friendly. The patient
just pushes the locking mechanism , sets the angle and pushes from opposite
side to lock the ankle. Good Luck.
Jim Wynne,CPO
See Century XXII in Jackson, Michigan
I believe the Iceross Master-Step foot is adjustable with one allen key.
Might be worth checking out.
Bill
In response to your patient requesting a heel height adjustable foot, I would
invite you to call me for some information about the Masterstep foot from
Ossur.
It offers a heel height that adjusts from a flat 0cm to 45cm or roughly 2 and
is classified as a multiaxis dynamic response foot. In order to adjust the
heel
height the use of an allen wrench is required to loosen the set screw and a
second allen wrench to change the actual heel height. If you feel that would
be
too complex for her I suggest you contact Century 22 about their new ankle
foot
system that allows a similar heel height adjustment range without the need for
tooling to do so. The only concern with that foot is that it is heavier that
the Masterstep and the ankle is a fluid controlled unit which brings about the
potential for leakage at some point.
Please feel free to call me at 800-423-9727 for more info and I'll gladly send
you our new compressive Ossur catalog detailing the Masterstep foot.
Good Luck,
Greg Michalov C.P.
Ossur USA
I have been practicing for 23/24 years. The only foot I would use, tried all
that I know of, would be the Ossur adjustable heeled foot. I do believe the
foot has limited inversion and eversion. I would say 50% of my new patients,
that request the foot, end up rejecting adjustable heeled feet on their next
definitive. The Ossur foot does have length limitations, I think the smallest
is 23 cm. You are not allowed to make foot smaller, I would not recommend
modifying smaller.
I would suggest getting the foot on lone, and see if the patient can adapt to
the mechanics of adjusting the heel. But that may delay you having the
definitive made which may be a primary issue.
Good Luck.
Jake C.P.
Century XXII (800.788.9878) has a foot ankle that is easily adjusted by the
patient.
I haven't had the need to use it yet so I can't comment on the performance
but FYI.
Doug Reichert, CP
<Email Address Redacted>
Your email addressed to OandP-List has been carefully read and hope
by now you must have received many recommendation through
manufacturers of this particular multi axial prosthetic foot .
In the year 1995 I did seek a suitable prosthetic foot , however until
March'99, even Otto Bock Bombay office mentioned they do not have
multi axial foot as soft which I have designed nearly completing three
years in self use.
If your patient does require a variety of heel heights she can go for
a couple of completed prosthesis aligned to the required heel heights,
as adjustment of heel heights does alter the alignment between foot and
pylon and its length. patient-adjustable heel height foot along with the
benefit of soft multi axial foot action will increase the overall weight of
the
prosthesis .Ofcourse it can be designed: What is the present weight of
Endolite foot which she is wearing and the duration of her use.
I do seek a U.S.patent for my particular foot design and its related
info.
Best Regards
Rabinder Singh Sahni (lbk 9/55 congenital)
Chennai, INDIA. Prosthetic R&D, custom designer
ISPO member 060.2.0084
A new foot that I have not tried yet is the Total concept by Century XX11.
1-800-788-9878 or <URL Redacted>
good luck
steve
Though I have never used one, Endolite has (or atleast had) what you are
looking for. Also, Century 22 has one that is very simple to operate, But I
have never seen one with a cosmetic cover in place.
Todd Norton, CP
Thank you all!
Judy
********************
OANDP-L is a forum for the discussion of topics related to Orthotics and
Prosthetics.
Public commercial postings are forbidden. Responses to inquiries of a
commercial nature should not be sent to the entire oandp-l list. Responses
should be collected and reposted by the person asking the question.
Send a message to the list by sending to: <Email Address Redacted> To unsubscribe,
send a message to: <Email Address Redacted> with the words UNSUB OANDP-L in the body of the
message. All postings related to US-politics must use a subject line
starting with US-Politics:
Any questions should be directed to Paul E. Prusakowski, CPO at
<Email Address Redacted>
Enclosed are the responses to the following post. I appreciate your input
and interest.
Regards,
Judy Wagner, PT, CP
I am interested in recommendations of a prosthetic foot for a fifty year old
female with a trans-tibial amputation. She would like a foot with a
patient-adjustable heel height; however, her mechanical aptitude is
somewhat limited. (Weight is approximately 125#.) She is a community
ambulator and would benefit from multiaxial dynamic elastic response
features. Cosmesis is also of some concern to her.
She has used an Endolite multiaxial foot/ankle in the past which was
generally successful, although rather stiff.
Your input and experiences are appreciated.
Judy Wagner, PT, CP
Look at the new foot from Century XXII
-Mark Benveniste CP
The other choice is Master Step from Ossur.
Stiffness of the Endolite can be reduced with softer baLL and snubber
Mark Benveniste. CP
She could always carry on using the Endolite Multiflex but with softer ball
and snubber rubbers.
The new Century 22 foot may be the ticket for your patient. It has a push
button actuator for the heel height adjustment. The only problem I see is the
weight of the component. The longer her residual limb, the better.
Larry Lange, CPO
I noticed your post to the O&P listserve. We actually do a version of the
multiflex foot which has a patient adjustable heel height feature. I wasn't
sure from your post whether this was the version that your patient had
previously or whether it was just the standard multiflex foot and ankle. If
you would like more information I would be happy to send it to you.
Stephen Blatchford
You Should try the Masterstep foot, from Össur. I think it's what you are
looking for!
Best regards,
Jairo Blumenthal - Prosthetist
Brazil
I have used the Master Step and it's ok but the mechanical aptitude required
might be too great for you patient. Century 22 has a very nice heel height
adj foot/ankle. I have not used it but if I was faced with your situation
today it would be my first choice...it's seems very simple.
Regard,
Jack Uellendahl
Hi
I do not have any info for you on this subject, but would appreciate if you'd
share any input you receive. I'm a female amputee and was just telling my
prosthesist that I'd like to try an adjustable foot. I'm currently using a
flex foot and he's concerned I may not get enough energy from the adjustable
one. Thanks!
Karen
Suggest you contact Century XXII Innovations regarding their Total Concept
Ankle and Foot.
Your two choices are:
1. The Masterstep foot, from Ossur (Iceross people)
2. A new adjustable heel height foot from Century XXII (Total
Knee People)
I only have experience with the Ossur foot, and it works well without
too much gadget tolerance needed. It looks like the one from Century XXII
might be a bit of a challenge for cosmetic finishing.
Good luck!
Sincerely,
Barry Steineman, CPO
Ossur makes a foot with a simple mechanism for changing the heel height I
believe it is called the MasterStep (Don't quote me on that name) it appears
to be an adequate foot for lighter weight patients. Hope this helps you.
Ryan Gatlin, BOC/P
Century XII now offers a foot/ankle assembly with a heel height
adjustment that is operated by pressing a button on the ankle section just
above the foot. Due to the nature of the adjustment and readjustments made
by the ambulator, choose wisely.
KC Carlson RTP
Century XXII has an adjustable energy storage foot that I know is at least
single axis and maybe multi axial. It is very user friendly. The patient
just pushes the locking mechanism , sets the angle and pushes from opposite
side to lock the ankle. Good Luck.
Jim Wynne,CPO
See Century XXII in Jackson, Michigan
I believe the Iceross Master-Step foot is adjustable with one allen key.
Might be worth checking out.
Bill
In response to your patient requesting a heel height adjustable foot, I would
invite you to call me for some information about the Masterstep foot from
Ossur.
It offers a heel height that adjusts from a flat 0cm to 45cm or roughly 2 and
is classified as a multiaxis dynamic response foot. In order to adjust the
heel
height the use of an allen wrench is required to loosen the set screw and a
second allen wrench to change the actual heel height. If you feel that would
be
too complex for her I suggest you contact Century 22 about their new ankle
foot
system that allows a similar heel height adjustment range without the need for
tooling to do so. The only concern with that foot is that it is heavier that
the Masterstep and the ankle is a fluid controlled unit which brings about the
potential for leakage at some point.
Please feel free to call me at 800-423-9727 for more info and I'll gladly send
you our new compressive Ossur catalog detailing the Masterstep foot.
Good Luck,
Greg Michalov C.P.
Ossur USA
I have been practicing for 23/24 years. The only foot I would use, tried all
that I know of, would be the Ossur adjustable heeled foot. I do believe the
foot has limited inversion and eversion. I would say 50% of my new patients,
that request the foot, end up rejecting adjustable heeled feet on their next
definitive. The Ossur foot does have length limitations, I think the smallest
is 23 cm. You are not allowed to make foot smaller, I would not recommend
modifying smaller.
I would suggest getting the foot on lone, and see if the patient can adapt to
the mechanics of adjusting the heel. But that may delay you having the
definitive made which may be a primary issue.
Good Luck.
Jake C.P.
Century XXII (800.788.9878) has a foot ankle that is easily adjusted by the
patient.
I haven't had the need to use it yet so I can't comment on the performance
but FYI.
Doug Reichert, CP
<Email Address Redacted>
Your email addressed to OandP-List has been carefully read and hope
by now you must have received many recommendation through
manufacturers of this particular multi axial prosthetic foot .
In the year 1995 I did seek a suitable prosthetic foot , however until
March'99, even Otto Bock Bombay office mentioned they do not have
multi axial foot as soft which I have designed nearly completing three
years in self use.
If your patient does require a variety of heel heights she can go for
a couple of completed prosthesis aligned to the required heel heights,
as adjustment of heel heights does alter the alignment between foot and
pylon and its length. patient-adjustable heel height foot along with the
benefit of soft multi axial foot action will increase the overall weight of
the
prosthesis .Ofcourse it can be designed: What is the present weight of
Endolite foot which she is wearing and the duration of her use.
I do seek a U.S.patent for my particular foot design and its related
info.
Best Regards
Rabinder Singh Sahni (lbk 9/55 congenital)
Chennai, INDIA. Prosthetic R&D, custom designer
ISPO member 060.2.0084
A new foot that I have not tried yet is the Total concept by Century XX11.
1-800-788-9878 or <URL Redacted>
good luck
steve
Though I have never used one, Endolite has (or atleast had) what you are
looking for. Also, Century 22 has one that is very simple to operate, But I
have never seen one with a cosmetic cover in place.
Todd Norton, CP
Thank you all!
Judy
********************
OANDP-L is a forum for the discussion of topics related to Orthotics and
Prosthetics.
Public commercial postings are forbidden. Responses to inquiries of a
commercial nature should not be sent to the entire oandp-l list. Responses
should be collected and reposted by the person asking the question.
Send a message to the list by sending to: <Email Address Redacted> To unsubscribe,
send a message to: <Email Address Redacted> with the words UNSUB OANDP-L in the body of the
message. All postings related to US-politics must use a subject line
starting with US-Politics:
Any questions should be directed to Paul E. Prusakowski, CPO at
<Email Address Redacted>
Citation
“responses adjustable foot,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 27, 2024, https://library.drfop.org/items/show/212633.
