Responses to BASKO knee joint
Derek
Description
Collection
Title:
Responses to BASKO knee joint
Creator:
Derek
Date:
1/2/2003
Text:
Here are the replies to my original question.
Has anyone had experience with the new Swing Phase Lock knee joints by
Basko Healthcare???? I know that SPS and Fillauer are distributors.any
thoughts, positive or negative would be appreciated.
We have just purchased the Basko SPC knee unit to incorporate into a
KAFO early next year. Being my first one I am interested in the
responses you get. I can't offer any input yet, but will be able to
soon!
I am responding on your inquiry about the swing phase lock from
Basko.I have used it and have seen its various aplications in quads as
well as polio patients.I first of all am an advocate for new technology
and the swing phase definitely measures up to that.I am not in favor of
itand my reasons are: extremely heavy,bulky,manual lock can bind on
plastic when sitting,difficult finishing of device.
I am responding to your message albeit a biased report on the SPL. We
at Fillauer are distributing the joint. It uses an overhead pendulum to
lock the knee just prior to swing phase. This makes the joint position
dependent rather than load dependent as in other devices which depend on
cables or rods linked to the stirrup to engage and disengage the lock.
The main delineating criteria remains the patient's ability to position
their leg in space with hip flexors and grade 3 hip extensors. The one
difference is that the patient be casted in 5 deg of preflexion to
insure anterior bumper contact to disengage the lock. The SPL does not
require a certification although attending a class is recommended. The
lock may be purchased and fabricated by the practitioner or with
Fillauer C-Fab. Also the joint must be positioned along the plum line
to work correctly. Rigid materials are preferred such as PolyPro and
laminates to prevent twisting of the KAFO. The only downside I can
think of is that the joint uses two uprights rather than two.
Derek, I have done one on a polio patient here at the University of
Michigan. One of the problems I forsee is that there is some motion (2
to 3 degrees) of the joint when locked. If a patient has full ROM and is
extending his knee, this probably would not be a problem. However, if a
patient who depends on a locked knee and likes a stable feeling, this
joint seems a little scary at first. Also since the joint is only on one
side, there is a lot of motion on the opposite knee joint. This may seem
that the joint is unstable to a patient who is used to a solid locked
knee during the stance phase of the gait cycle.
Derek Kozar, M.Sc., C.O.(c)
Certified Orthotist
Clinical Orthotic Consultants of Windsor, Inc.
410-3200 Deziel Dr.
Windsor, ON
N8W 5K8
(519) 944-8340 Phone
(519) 944 8360 Fax
Has anyone had experience with the new Swing Phase Lock knee joints by
Basko Healthcare???? I know that SPS and Fillauer are distributors.any
thoughts, positive or negative would be appreciated.
We have just purchased the Basko SPC knee unit to incorporate into a
KAFO early next year. Being my first one I am interested in the
responses you get. I can't offer any input yet, but will be able to
soon!
I am responding on your inquiry about the swing phase lock from
Basko.I have used it and have seen its various aplications in quads as
well as polio patients.I first of all am an advocate for new technology
and the swing phase definitely measures up to that.I am not in favor of
itand my reasons are: extremely heavy,bulky,manual lock can bind on
plastic when sitting,difficult finishing of device.
I am responding to your message albeit a biased report on the SPL. We
at Fillauer are distributing the joint. It uses an overhead pendulum to
lock the knee just prior to swing phase. This makes the joint position
dependent rather than load dependent as in other devices which depend on
cables or rods linked to the stirrup to engage and disengage the lock.
The main delineating criteria remains the patient's ability to position
their leg in space with hip flexors and grade 3 hip extensors. The one
difference is that the patient be casted in 5 deg of preflexion to
insure anterior bumper contact to disengage the lock. The SPL does not
require a certification although attending a class is recommended. The
lock may be purchased and fabricated by the practitioner or with
Fillauer C-Fab. Also the joint must be positioned along the plum line
to work correctly. Rigid materials are preferred such as PolyPro and
laminates to prevent twisting of the KAFO. The only downside I can
think of is that the joint uses two uprights rather than two.
Derek, I have done one on a polio patient here at the University of
Michigan. One of the problems I forsee is that there is some motion (2
to 3 degrees) of the joint when locked. If a patient has full ROM and is
extending his knee, this probably would not be a problem. However, if a
patient who depends on a locked knee and likes a stable feeling, this
joint seems a little scary at first. Also since the joint is only on one
side, there is a lot of motion on the opposite knee joint. This may seem
that the joint is unstable to a patient who is used to a solid locked
knee during the stance phase of the gait cycle.
Derek Kozar, M.Sc., C.O.(c)
Certified Orthotist
Clinical Orthotic Consultants of Windsor, Inc.
410-3200 Deziel Dr.
Windsor, ON
N8W 5K8
(519) 944-8340 Phone
(519) 944 8360 Fax
Citation
Derek, “Responses to BASKO knee joint,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/220488.
