LSOs with thigh cuff attachments

Jennifer Lee, CO

Description

Title:

LSOs with thigh cuff attachments

Creator:

Jennifer Lee, CO

Date:

1/29/2008

Text:

What is the consensus on the angle of a hip joint attaching an LSO (anterior overlap style) to a thigh cuff when  treating spondylolithesis with a pars fracture in teenagers?  Does the angle depend on the amount of slippage?



It seems like the old school thought on the treatment was to lock the joint in 20 degrees or even to not put in a joint and fabricate the brace out of one piece of plastic, then cutting the thigh cuff off after so many weeks in the brace.




But this seems to be the protocol for large unstable fractures at L4 and L5 now only.




It seems that a pars fracture is sometimes now treated with an LSO with a hip joint that has a drop lock on it.  This would allow the patient to sit easily but would lock their hip at 180 when standing or ambulating.




Any comments??  How are you treating these in your practice?




Jennifer Lee, CPO

Trumbull, CT

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Citation

Jennifer Lee, CO, “LSOs with thigh cuff attachments,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 22, 2024, https://library.drfop.org/items/show/228916.