SUBTALAR DJD/AFO's
Bruce Russell
Description
Collection
Title:
SUBTALAR DJD/AFO's
Creator:
Bruce Russell
Date:
12/3/2004
Text:
LIST,
I have recently been working with a significant subtalar DJD clientele and
have been having a good deal of success with thin solid ankle AFO's and
occasionally the use of rockers and sach heels for mod-severe subtalar,
midfoot, talocrural djd and severe IRD's. I have some unique designs and
have over 80 percent compliance rate/pain relief over 2 years rates that I
have verified with phone calls, follow-ups etc. (I have shyed away from
adjustable ankle joints due to the bulk, maintenance and decreased
compliance rates associated with them.)
Understanding that through midstance to toeoff there is significant
loading/motion through the foot and ankle compared to heelstrike to early
stance phase, and the dome of the talas being broader anteriorly than
posteriorly creating more unwanted motion in the foot and ankle in stance
phase I ask the following. Can other practitioners provide me with insight
personal experience regarding pain relief and compliance with allowing
saggital plane plantarflexion and a 90 degree dorsi-stop for handling this
same type of clientele? It seems the ankle joints become so bulky that
compliance goes down as we all know people prefer weightless invisible
orthoses.
I have seen tamarack joints/ 3/16 inch corrogated poly pro design with extra
poly anterior to the joints to create a shelf to provide a lightweight
dorsi stop but I really like orthoses that do not become a series of
adjustments from fatigue and deformation . My thoughts become a laminated
design with simple steel joints and thicker lamination anteriorly to create
the stop with 1/4 inch drilling for urethane Gaffney type rod or snapstops.
Sounds simple? Most of my clients weigh in excess of 200 lbs though. Sorry
for ramblin'.
Bruce Russell CO
I have recently been working with a significant subtalar DJD clientele and
have been having a good deal of success with thin solid ankle AFO's and
occasionally the use of rockers and sach heels for mod-severe subtalar,
midfoot, talocrural djd and severe IRD's. I have some unique designs and
have over 80 percent compliance rate/pain relief over 2 years rates that I
have verified with phone calls, follow-ups etc. (I have shyed away from
adjustable ankle joints due to the bulk, maintenance and decreased
compliance rates associated with them.)
Understanding that through midstance to toeoff there is significant
loading/motion through the foot and ankle compared to heelstrike to early
stance phase, and the dome of the talas being broader anteriorly than
posteriorly creating more unwanted motion in the foot and ankle in stance
phase I ask the following. Can other practitioners provide me with insight
personal experience regarding pain relief and compliance with allowing
saggital plane plantarflexion and a 90 degree dorsi-stop for handling this
same type of clientele? It seems the ankle joints become so bulky that
compliance goes down as we all know people prefer weightless invisible
orthoses.
I have seen tamarack joints/ 3/16 inch corrogated poly pro design with extra
poly anterior to the joints to create a shelf to provide a lightweight
dorsi stop but I really like orthoses that do not become a series of
adjustments from fatigue and deformation . My thoughts become a laminated
design with simple steel joints and thicker lamination anteriorly to create
the stop with 1/4 inch drilling for urethane Gaffney type rod or snapstops.
Sounds simple? Most of my clients weigh in excess of 200 lbs though. Sorry
for ramblin'.
Bruce Russell CO
Citation
Bruce Russell, “SUBTALAR DJD/AFO's,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/224086.
