"step-up" hinges for BK

"step-up" hinges for BK

Stephan R Manucharian

Dear subscribers

I would appreciate your suggestions in regards to the following case.

Bilateral male, poor overall health, left AKA, right BKA, right residual limb
(transtibial) is 3 long and 60* contracted. My goal is to provide a
prosthesis that would aid the patient in transfers only. My first thought was
to fit him with a BK with thigh lacer. The question is how to achieve 90*
flexion due to his knee contracture? If somebody made step-up hinges for
BK-s!. Second thought was to treat his transtibial side as knee
disarticulation. However then the question is will that type of prosthesis
help him in transfers?

Thank you all.

Stephan R. Manucharian, CP *
Orthopedic Arts *
Brooklyn Heights, New York*


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