Re: amputee knee contracture orthosis

Bella J May

Description

Title:

Re: amputee knee contracture orthosis

Creator:

Bella J May

Date:

7/28/2000

Text:

If the patient is ambulatory, fitting with a prosthesis aligned with a short heel lever arm will be much more effective in reducing the contracture than any orthosis. If the patient is not ambulatory, why put the patient through the pain and the health care system to the expense!! A 30-35 degree knee flexion contracture does not necessarily prevent ambulation with a prosthesis. Does the patient also have a hip flexion contracture? BJMayPT



>>> < <Email Address Redacted> > 07/28/00 11:59AM >>>
Hello,

A physician has asked that we evaluate a patient, (BKA) in a local skilled
nursing facility, for an orthosis to improve 30- 35 degree knee flexion
contracture. The patient is approx. 6 months post-op. Upon seeing the patient
I immediately think of a custom molded brace with essentially a BK socket and
dynamic (ie: ultraflex) joint. The problem; there is quite a bit of
osteoarthritis and the patient complains of knee pain with mild stretching. I
am a bit skeptical that the orthosis will be tolerated and/or reduce the
contracture significantly, but in my opinion it is worth a shot.

If you have a preferred, cost effective strategy or opinion on the treatment
suggested in a case like this I would appreciate any feedback.

Thank you,
Eddie White, CP
Beacon P&O
Raleigh, NC

                          

Citation

Bella J May, “Re: amputee knee contracture orthosis,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/214504.