Hip Abduction bracing
Joe
Description
Collection
Title:
Hip Abduction bracing
Creator:
Joe
Date:
4/4/2001
Text:
For the last few years I have fit many hip abduction braces for Rx's
written by one orthopaedic surgeon, Dr. W. He likes the National HipLoc
above all others presented to him by my employer. So the HipLoc is the
only one we provide. The HipLoc, and maybe any hip abduction brace, is
not well liked by the elderly patients that need them. The pelvic
sections are either, too tall and touch the lower rib, or they ride on
the ASIS, or they pinch the soft flabby tissues, the patients manage to
twist in them and cause more discomfort. Dr. W likes the National
because he feels their stiff construction holds the pelvis better than
the less stiff models available, thus it can prevent the hip from
dislocating. He normally has me set the hip flexion stop at 70 degrees
and abduction by 20 degrees. I am able to provide this setup within a
few hours of the request. On occasion he likes to externally rotate the
leg 20 to 40 degrees. The only solution I see for this requires a shoe,
foot plate, and calf section joined to the thigh all usually custom
molded. This blows the few hours out the door and this last little twist
drives the patients crazy.
When I put Hip Abd braces on the patients they are snug. Once out of my
sight I know they are loosened and the squirming body begins rotating
within it. But still, I think, there is only so much I can do to make
them comfortable.
I have maintained that the presumed less rigid systems are better for
patient compliance and hence provide better outcomes. Is there research
data that I can get my hands on to counter or substantiate my opinion?
Based on experience does the HipLoc model out perform the Newport
systems, or the many others I see comfortably worn by attractive young
female models in our mags? How do you control hip rotation?
Thanks in advance,
Joe Harvey BSci O&P , Board Eligible Prosthetist
written by one orthopaedic surgeon, Dr. W. He likes the National HipLoc
above all others presented to him by my employer. So the HipLoc is the
only one we provide. The HipLoc, and maybe any hip abduction brace, is
not well liked by the elderly patients that need them. The pelvic
sections are either, too tall and touch the lower rib, or they ride on
the ASIS, or they pinch the soft flabby tissues, the patients manage to
twist in them and cause more discomfort. Dr. W likes the National
because he feels their stiff construction holds the pelvis better than
the less stiff models available, thus it can prevent the hip from
dislocating. He normally has me set the hip flexion stop at 70 degrees
and abduction by 20 degrees. I am able to provide this setup within a
few hours of the request. On occasion he likes to externally rotate the
leg 20 to 40 degrees. The only solution I see for this requires a shoe,
foot plate, and calf section joined to the thigh all usually custom
molded. This blows the few hours out the door and this last little twist
drives the patients crazy.
When I put Hip Abd braces on the patients they are snug. Once out of my
sight I know they are loosened and the squirming body begins rotating
within it. But still, I think, there is only so much I can do to make
them comfortable.
I have maintained that the presumed less rigid systems are better for
patient compliance and hence provide better outcomes. Is there research
data that I can get my hands on to counter or substantiate my opinion?
Based on experience does the HipLoc model out perform the Newport
systems, or the many others I see comfortably worn by attractive young
female models in our mags? How do you control hip rotation?
Thanks in advance,
Joe Harvey BSci O&P , Board Eligible Prosthetist
Citation
Joe, “Hip Abduction bracing,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 27, 2024, https://library.drfop.org/items/show/216334.
