Patella stabilizing KO ideas for active patient
Darren Bolger
Description
Collection
Title:
Patella stabilizing KO ideas for active patient
Creator:
Darren Bolger
Date:
6/26/2013
Text:
Hello list,
We have a young (35 y/o), active female patient who presents with lateral
patella dislocation problems on her R knee. She also has bone spurs on
this knee with patello-femoral arthritis. The patella is palpable and
supra-condylar compression can be achieved. The patient participates in
exercise classes 6 times/week, which are somewhat similar to Crossfit. Her
workouts include intense full-body movements, squatting, jumping, and
motions that include quick knee flexion to end of range. Our goals
include: decreasing pain due to the arthritis, resisting lateral
dislocation of the patella, and providing appropriate suspension.
We have tried several OTS KO's, each of them failing to meet the pt's
goals. Initially, a Palumbo patella tracker was trialed. This provided
good support of the patella, but migrated distally when the patient was
exercising. Next, a CSUS brand was attempted with similar issues. We also
recently tried the Donjoy Reaction KO. This KO has an elastomeric webbing
as the anterior section, which helped provide good suspension when trialed
in the office. When the pt used the KO during her workout, this anterior
section seemed to stretch out throughout the workout and decreased the
amount of support for the patella. Tightening the straps throughout the
workout did not improve this support and began to decrease circulation.
She also felt some knee pain with this KO, believed to be due to the
posterior-directed force on the patella created by the webbing. Our most
recent trial was a Hely & Weber Velocity KO w/ patella stabilizer. The
patient did not feel this device provided the support needed for her
patella, in addition to having problems with suspension.
Has anyone had success with other patella stabilizing KO's for very active
patients? The KO will only be worn during her workouts. The extreme knee
flexion seems to present a challenge to our goals and the KO we use cannot
limit the pt's ROM. The only other option we seem to have right now is a
custom KO with a patella stabilizing add-on (similar to the Spooner option
from Townsend).
Any ideas or success stories would be greatly appreciated. Thanks.
Darren Bolger, Resident Orthotist
Atlanta Prosthetics & Orthotics
We have a young (35 y/o), active female patient who presents with lateral
patella dislocation problems on her R knee. She also has bone spurs on
this knee with patello-femoral arthritis. The patella is palpable and
supra-condylar compression can be achieved. The patient participates in
exercise classes 6 times/week, which are somewhat similar to Crossfit. Her
workouts include intense full-body movements, squatting, jumping, and
motions that include quick knee flexion to end of range. Our goals
include: decreasing pain due to the arthritis, resisting lateral
dislocation of the patella, and providing appropriate suspension.
We have tried several OTS KO's, each of them failing to meet the pt's
goals. Initially, a Palumbo patella tracker was trialed. This provided
good support of the patella, but migrated distally when the patient was
exercising. Next, a CSUS brand was attempted with similar issues. We also
recently tried the Donjoy Reaction KO. This KO has an elastomeric webbing
as the anterior section, which helped provide good suspension when trialed
in the office. When the pt used the KO during her workout, this anterior
section seemed to stretch out throughout the workout and decreased the
amount of support for the patella. Tightening the straps throughout the
workout did not improve this support and began to decrease circulation.
She also felt some knee pain with this KO, believed to be due to the
posterior-directed force on the patella created by the webbing. Our most
recent trial was a Hely & Weber Velocity KO w/ patella stabilizer. The
patient did not feel this device provided the support needed for her
patella, in addition to having problems with suspension.
Has anyone had success with other patella stabilizing KO's for very active
patients? The KO will only be worn during her workouts. The extreme knee
flexion seems to present a challenge to our goals and the KO we use cannot
limit the pt's ROM. The only other option we seem to have right now is a
custom KO with a patella stabilizing add-on (similar to the Spooner option
from Townsend).
Any ideas or success stories would be greatly appreciated. Thanks.
Darren Bolger, Resident Orthotist
Atlanta Prosthetics & Orthotics
Citation
Darren Bolger, “Patella stabilizing KO ideas for active patient,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/235286.
