Knee Ox atached to plastic AFO
Joan Cestaro
Description
Collection
Title:
Knee Ox atached to plastic AFO
Creator:
Joan Cestaro
Date:
10/1/2001
Text:
Good day. I will soon be fitting a lady with a rigid custom knee
orthosis attached to an AFO. This is my suggestion to the MD although I
have never done this before. I am seeking comments.
Patient is a 60 (+/-) lady who has no knee joint at all secondary to 4
total knees and ultimate knee failure. She refuses a knee fusion due to
the inconvenience of not being able to bend the knee. She is
EXTREMELY obese (over 300# and about 5'0) and EXTREMELY particular with
the type of appliance I will be allowed to fit on her. Initially, she
needed an orthosis with flex/ext stops that also could lock at 90 when
she stood. And she needed it immediately for hospital discharge!
Choices were limited. The only appliance that satisfied her at that
time was a post-op style. Since her MD was still pushing for a knee
fusion, it was a good option at that time.
It is now a year later and the post-op brace has been bent, contoured,
restrapped, riveted, pooped on... You get the picture. Finally, I said,
NO MORE! It was truly getting ridiculous (not to mention rather
disgusting!). She no longer needs the lock knee and ambulates with free
flexion and a 15 degree stop controlling hyperextension. Choices are no
longer limited. After numerous suggestions, she agreed to a custom knee
orthosis attached to a custom AFO. There are some rotational
instabilities that the AFO will control as well as aid in correct knee
orthosis placement (distal migration).
I have seen this design at shows and in catalogs, but would like some
personal feedback as this will be my first. Have others used this
method? Successfully? How do the patients like them? Attachment with
rivets or maybe a Velcro system for easier donning? Thanks in advance.
Joan K. Cestaro, C.P.
Rehabilitation Practitioners, Inc.
Winchester, Virginia
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orthosis attached to an AFO. This is my suggestion to the MD although I
have never done this before. I am seeking comments.
Patient is a 60 (+/-) lady who has no knee joint at all secondary to 4
total knees and ultimate knee failure. She refuses a knee fusion due to
the inconvenience of not being able to bend the knee. She is
EXTREMELY obese (over 300# and about 5'0) and EXTREMELY particular with
the type of appliance I will be allowed to fit on her. Initially, she
needed an orthosis with flex/ext stops that also could lock at 90 when
she stood. And she needed it immediately for hospital discharge!
Choices were limited. The only appliance that satisfied her at that
time was a post-op style. Since her MD was still pushing for a knee
fusion, it was a good option at that time.
It is now a year later and the post-op brace has been bent, contoured,
restrapped, riveted, pooped on... You get the picture. Finally, I said,
NO MORE! It was truly getting ridiculous (not to mention rather
disgusting!). She no longer needs the lock knee and ambulates with free
flexion and a 15 degree stop controlling hyperextension. Choices are no
longer limited. After numerous suggestions, she agreed to a custom knee
orthosis attached to a custom AFO. There are some rotational
instabilities that the AFO will control as well as aid in correct knee
orthosis placement (distal migration).
I have seen this design at shows and in catalogs, but would like some
personal feedback as this will be my first. Have others used this
method? Successfully? How do the patients like them? Attachment with
rivets or maybe a Velcro system for easier donning? Thanks in advance.
Joan K. Cestaro, C.P.
Rehabilitation Practitioners, Inc.
Winchester, Virginia
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list.
Citation
Joan Cestaro, “Knee Ox atached to plastic AFO,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/217528.
