Orthotic Hip Joint suggestions
Cheryl Lewis
Description
Collection
Title:
Orthotic Hip Joint suggestions
Creator:
Cheryl Lewis
Date:
2/27/2007
Text:
Hello all,
I have been asked to provide a TLSHO for a CP child who has had bil hip
surgery (R - hip replacement, L- Femoral head/neck/GT resection. The
intention of the surgery was to correct his windswept (to the right)
position. The PT's would like a TLSO + hip joints and thigh cuffs to
maintain neutral ab/ad on the right side and about 10-15deg abduction on the
left. He still has a tendnacy to return to his right windswept position
(right abd - 45+deg, Left Add 45deg)
Ideally I am looking for a hip joint which will allow free abduction (for
donning only) and flexion stops. I want to be able to lock the AD/ABduction
once the device is donned, flexion stop at about 25deg. The only joint I
have found that will allow for abduction during donning is the MAO from USMC
- the only problem is that the abduction can't be locked at neutral once the
device is donned. Does anyone know of a joint that can do this? Is there a
way to modify the MAO to lock abd/add?
I think I am going to end up with the Virtual hip joint from Orthomerica - I
have never used one of these and I am wondering if anyone else has any
experience with them for this type of application. Any pointers would be
helpful - this will be a night positioning brace mainly.
Thanks for your help! Thanks to Paul for providing this resource for these
once in a blue moon orthoses!
Cheryl Lewis BSc(HK), CO(c)
Certified Orthotist
Clinical Orthotic Consultants of Windsor
(519) 944-8340 (w)
(519) 944-8360 (fax)
_________________________________________________________________
Don�t waste time standing in line�try shopping online. Visit Sympatico / MSN
Shopping today! <URL Redacted>
I have been asked to provide a TLSHO for a CP child who has had bil hip
surgery (R - hip replacement, L- Femoral head/neck/GT resection. The
intention of the surgery was to correct his windswept (to the right)
position. The PT's would like a TLSO + hip joints and thigh cuffs to
maintain neutral ab/ad on the right side and about 10-15deg abduction on the
left. He still has a tendnacy to return to his right windswept position
(right abd - 45+deg, Left Add 45deg)
Ideally I am looking for a hip joint which will allow free abduction (for
donning only) and flexion stops. I want to be able to lock the AD/ABduction
once the device is donned, flexion stop at about 25deg. The only joint I
have found that will allow for abduction during donning is the MAO from USMC
- the only problem is that the abduction can't be locked at neutral once the
device is donned. Does anyone know of a joint that can do this? Is there a
way to modify the MAO to lock abd/add?
I think I am going to end up with the Virtual hip joint from Orthomerica - I
have never used one of these and I am wondering if anyone else has any
experience with them for this type of application. Any pointers would be
helpful - this will be a night positioning brace mainly.
Thanks for your help! Thanks to Paul for providing this resource for these
once in a blue moon orthoses!
Cheryl Lewis BSc(HK), CO(c)
Certified Orthotist
Clinical Orthotic Consultants of Windsor
(519) 944-8340 (w)
(519) 944-8360 (fax)
_________________________________________________________________
Don�t waste time standing in line�try shopping online. Visit Sympatico / MSN
Shopping today! <URL Redacted>
Citation
Cheryl Lewis, “Orthotic Hip Joint suggestions,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/227793.
