Responses to the "heavy user"

Responses to the "heavy user"

Pat Peick

10/4/2011

Sorry for the delay in sending the responses to my query on a foot for
heavy male, 350 lbs, who keeps tearing the toe off the Magnum foot.
Thank you for the many good suggestions.


Also consider the shoe style. A asolo hiking boot in the tps520 or above
is very solid. I have the feeling it's the weak break of shoe that is a
problem.

Sent from my iPhone

On Sep 27, 2011, at 6:51 PM, Pat Peick < <Email Address Redacted> > wrote:

> Thank you everyone for the suggestions. Of all the suggestions, the
> Thrive from Freedom had several recommendations. The summation of
> the many responses were:
>
> Can you a piece of polyethylene in his shoe that is heat molded to his

> foot, that way the toes would stay on and the foot would last longer?
> Best, Kenneth RRI
>
> have 280 pound man - logger, and weight lifting and uses a Soleus from

> College Park - it has served him very well for past 1 1/2 years.
>

> I Have used the BioQuest foot on very heavy patients that also carry
> loads with some success. It's not light but with these patients that
> is rarely an issue. Good hunting! Jim
>
> American Prosthetics in Wisconsin makes a foot that can take up to 5oo

> lbs.(220 kilos) .The pylon and adaptor are also larger than normal. 30

>
Hi Pat,
I have used and had good success with the Thrive foot and can also
recommend it; however, the one issue I continue to have with nearly all
Freedom products is that the foot shells wear out prematurely. If you
do go with a Thrive foot for your patient who is known to wear things
out, I would suggest adding a lining of leather on the distal end of
the toe plate inside the foot shell -- it'll be extremely snug inside
the foot shell but this is the only way I've gotten the foot shells to
hold up longer than a few months for someone really active.

Hope this might help!

Amy Paulios
Prosthetic Labs - Madison, WI office

Freedom innovations makes the Renegade foot custom to order. Also you
may want to check out their newer foot called the Thrive. It has an
extra spring which will engage when additional load is applied to the
foot.
 
Kyle Barrons, BEP
Wright and Fillipis

Good morning Pat,

 

I was recently travelling with John McGarty and he asked that I respond
to your post on the list serve for your 40+ & 350Lbs + male's foot
challenge. I would recommend either the Freedom Innovations Highlander
foot, build height is 3.7. Load rated to 365 normal, but if he is
carrying 50 + lbs and weighs 350+, you should request a custom
Highlander, which they will rate up to 500 lbs. They also have a 500lb
rated modular endo kit for this foot.
<URL Redacted>

 

If build ht is an issue the Pacifica (Reg and LP) has a lower build ht
and is rated to 365lbs.
<URL Redacted>

 
Hi Pat,

I have had an active K3 male patient who is 6'7 and 360# that I put on
an Endolite Elite 2 with decent success and longevity. We did go through
two foot shells though. I felt the foot was a little stiff and lacked a
smooth transition from loading response to terminal stance. The other
option is using the Freedom Innovations Highlander because Freedom will
specially make it to go up to a 500# weight rating. Hope this helps!

Sincerely,
Justin Ozee MS, CPO

Dear Pat,

Otto bock and Dycor has a lisfranc/Chopart feet with basically
unrestricted
weight limitations that could be modified for transtibial applications,

Try the Freedom Innovations Thrive. it has an overload spring when users

are carrying heavy loads. The footshell will still wear as in all other
feet but they are replaceable. I've even glued TOPY or similar on the
plantar surface of the foot to increase durability.
Markus Saufferer, C.P.(c)

I have 280 pound man - logger, and weight lifting and uses a Soleus from
College Park - it has served him very well for past 1 1/2 years.

Have used the BioQuest foot on very heavy patients that also carry loads
with some success. It's not light but with these patients that is rarely
an issue. Good hunting! Jim

Pat,
Have you looked at the Thrive from Freedom Innovations? Has an
interesting design which might work in this case.
Best
Arthur

try the Freedom Thrive. Might work out for you. It did with my
patient, 350+ tt of viking decendancy.

Eric Kuhl
Certified Prosthetist

American Prosthetics in Wisconsin makes a foot that can take up to 5oo
lbs.(220 kilos) .The pylon and adaptor are also larger than normal. 30
mm.?
Also, Freedom makes a foot that works above 350lbs although I've never
used it.

Have you tried the OWW pathfinder. I have used it for about 10 years and
it is great, it has more movement and I feel that it helps with break
down. If I can help please call. Gerald @Biringham limb and brace (205)
595-0632

Look at the Freedom Innovations Highlander foot custom made.Sounds like
you have tried the Ossur Mod3, big difference is the Mod3 takes 3 weeks
to fabricate and deliver whereas the Freedom foot takes about a week.
also look for a heavy duty pyramid adapter with pylon and pylon
receiver. Freedom makes a kit but it is expensive. check other
manufacturers for this. ST &G also makes this similar kit.

Not exactly dynamic but we can make feet to handle your patient. Ko8 or
KO1 with K20STURDY addition. $185.00 Sent via BlackBerry by AT&T

Hello Pat,

You may want to consider the Thrive prosthetic foot manufactured by
Freedom Innovations. It is designed specifically for users who commonly
carry heavy leads- up to 30% of their body weight- while still remaining
dynamic and maintaining its durability. You can learn more on our
website, or don't hesitate to contact me directly with any questions.

Web link
<URL Redacted>

Dear Mr. Peick,

We now have the IBEX XD at eMotis-Fillauer which is rated up to 440lbs.
My patient has enjoyed the flexibility of the foot and says he no longer
is relegated to where an ultra stiff foot. He weighs about 350 lbs and
is an autobody mechanic.

I hope that helps,

Gerry Stark