Responses: adj heel feet

Joan Cestaro

Description

Title:

Responses: adj heel feet

Creator:

Joan Cestaro

Date:

2/10/2002

Text:

Thanks to everyone who responded. For the benefit of the list, if one
does not respond with a name and/or credentials, I don't post the
response. Anonymous repliers provide questionable ethical, professional
and experienced information. It is difficult to judge the validity of
an anonymous response.

ORIGINAL POSTED QUESTION:

Looking for comments and experiences on adjustable heel feet. I have
never used one. I am aware of the Masterstep (Ossur). Endolite has
one, I think, and New Generation? Really don't know much about any of
them. I am looking for something with a good track record that is
fairly low maintenance. Patient lives in rural area about 45 minutes
from office and has 3 young children. I am interested in both good and
bad experiences. Thanks in advance.

RESPONSES:

Joan, I have used the several of the endolite adjustable
heel height and have had pretty good results. They do
adjust easily and they are fairly reliable. You need to
educate the patinet on how to adjust them and to keep
them tight.

SAFE also has one. We here at Duke like the new one by Century XXII
(now
Ossur) best. It is patient proof.

Joan, how much variance are you wanting. We are just finishing up a
study here at SIU where we looked at, among other things, the compliance
of the Talux when you change heel heights without altering the
alignment. Our Resident will be presenting the data at the AAOP meeting
next month.

I too, have seen the new L-code 5990 and it's reimbursement . I called
Endolite a few days ago and they DO NOT recomend using L5990 for their
Multi-flex ankle/feet. I have used a couple of theOssur Total Concept
feet and they are 'OK' as far as patient usable but they are MUCHO
expensive as per function.I have seldom mentioned the heel height factor
to patients on Endolites as chance of miss-alignment is too great for
most and the result is ruining both foot and ankle.For a SACH foot, by
far the least expensive and patient compliant is the DAW RAJ-110, (yeah
I know, DAW) It works with just about any SACH foot that uses a standard
SACH foot adapter and comes in 8 and 10 mm. I, personally never use an 8
bolt except on the little ones but even an inept dad or mom could change
the height for that special pair of shoes.
That's just my thoughts on the subject, I think the traffic has died
down this Friday night by now and I can turn off that noisy vaccume
that's been running and go home.Best regards,P.S. I enjoy your
imput/comments on 'da list'
Masterstep is okay but more to deal with. I just do not like handing
patients hex wrenches. So far my experiences with Ossur' century 33
foot have been positive. It is very easy to change height.

                          

Citation

Joan Cestaro, “Responses: adj heel feet,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/218153.