Help on difficult KAFO case
Ryan
Description
Collection
Title:
Help on difficult KAFO case
Creator:
Ryan
Date:
7/3/2014
Text:
Hope to get some help from the list on this one.
Patient is a 51 year old male who ended up in the hospital after severe alcohol binge and while in the hospital developed acute compartment syndrome of the right leg that lead to rhabdomyolysis and peripheral nerve injury. The patient has 2/5 strength at the hip (no strength against gravity), 0/5 quads, 1/5 hamstrings, everything below the knee is 0/5. He also has a 30 degree plantar flexion contracture with no spasticity.
I am trying to decide what the best KAFO design will be regarding knee and ankle joints and if it will be best to work out the plantar flexion contracture first or if it will work itself out if he is up and walking. He is in a Post-acute Rehab Program right now so has daily physical therapy as well.
Any thoughts, ideas or tips would be greatly appreciated.
Thanks
Ryan Cochrane C.P.O.(c)
Lethbridge Orthotic-Prosthetic Services Ltd.
<Email Address Redacted>
Patient is a 51 year old male who ended up in the hospital after severe alcohol binge and while in the hospital developed acute compartment syndrome of the right leg that lead to rhabdomyolysis and peripheral nerve injury. The patient has 2/5 strength at the hip (no strength against gravity), 0/5 quads, 1/5 hamstrings, everything below the knee is 0/5. He also has a 30 degree plantar flexion contracture with no spasticity.
I am trying to decide what the best KAFO design will be regarding knee and ankle joints and if it will be best to work out the plantar flexion contracture first or if it will work itself out if he is up and walking. He is in a Post-acute Rehab Program right now so has daily physical therapy as well.
Any thoughts, ideas or tips would be greatly appreciated.
Thanks
Ryan Cochrane C.P.O.(c)
Lethbridge Orthotic-Prosthetic Services Ltd.
<Email Address Redacted>
Citation
Ryan, “Help on difficult KAFO case,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/236531.
