(OANDP-L) KO VS KAFO(Response)
Description
Collection
Title:
(OANDP-L) KO VS KAFO(Response)
Date:
4/30/2006
Text:
Dear List,
Thank you for your great responses to my query.
ORIGINAL POST WAS AS FOLLOWS:
I saw a patient today who has about 35 degree of valgus at knee upon weight
bearing. She is 65years old and an household ambulator. The etiology is
unknown. Her recent condition is the cause of negligence over last 10-15 years,
now at a point of no return and is slowly getting worse. According to
physician she is not a surgical candidate. Her main goal is to control the
valgus and reduce some of the knee pain.
During standing I can barely correct approx. 8-10 degrees. Upon non weight
bearing the valgus is reduced to about 20 degree( A 15 degree of correction).
She does have Osteo Arthritis. That is all the info I have on the patient.
I know that Townsend and GII do make custom and off the shelf braces. I am
asking the list of their experience in treating their patients for similar
conditions in off the shelf braces, KO Vs KAFO's
What has been your analogy in design consideration and brace selection, keeping
patient compliance in mind.
Thanks for your help. I will compile the answers and post.
Aman Raj CPO, FAAOP
RESPONSES FROM THE LIST
My experience with that much Valgum is that the stock knee braces do not
offer the leverage needed to do the correction job with any comfort. Less
distance from the force, increases the force. The stock knee braces are
just too short. I would go custom. More bulky, bigger, but will be more
comfortable. At 65 years old, for around the house, I don't think she would
mind trading bulk for comfort
Thank you for your great responses to my query.
ORIGINAL POST WAS AS FOLLOWS:
I saw a patient today who has about 35 degree of valgus at knee upon weight
bearing. She is 65years old and an household ambulator. The etiology is
unknown. Her recent condition is the cause of negligence over last 10-15 years,
now at a point of no return and is slowly getting worse. According to
physician she is not a surgical candidate. Her main goal is to control the
valgus and reduce some of the knee pain.
During standing I can barely correct approx. 8-10 degrees. Upon non weight
bearing the valgus is reduced to about 20 degree( A 15 degree of correction).
She does have Osteo Arthritis. That is all the info I have on the patient.
I know that Townsend and GII do make custom and off the shelf braces. I am
asking the list of their experience in treating their patients for similar
conditions in off the shelf braces, KO Vs KAFO's
What has been your analogy in design consideration and brace selection, keeping
patient compliance in mind.
Thanks for your help. I will compile the answers and post.
Aman Raj CPO, FAAOP
RESPONSES FROM THE LIST
My experience with that much Valgum is that the stock knee braces do not
offer the leverage needed to do the correction job with any comfort. Less
distance from the force, increases the force. The stock knee braces are
just too short. I would go custom. More bulky, bigger, but will be more
comfortable. At 65 years old, for around the house, I don't think she would
mind trading bulk for comfort
Citation
“(OANDP-L) KO VS KAFO(Response),” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/226448.
