Knees for bariatric patient- RESONSES
Stephan Manucharian
Description
Collection
Title:
Knees for bariatric patient- RESONSES
Creator:
Stephan Manucharian
Date:
7/15/2015
Text:
Original question:
*Dear list!*
*There are a few options for feet for patients up to 500 Lbs, but I could
not find any prosthetic knees. Could you please suggest what knee units may
be suitable for a 430 lbs patient?*
*Thank you.*
It turned out that a similar question had been posted some time ago and one
responder kindly attached those responses. There were a few other as well.
THANK YOU ALL!
1. Exo knees from OttoBock?
2. Ti-Med KN-500.
Rated 500 lbs. Hope this helps
3. <URL Redacted>
4. I spoke with Dave Littig about the new knee from ST&G. It's the
VGK. The interesting element from our discussion is that there are no
valves to limit the strength of the resistance for swing and stance. No
blown valves. They have gotten this paid through the VA in other VISNs, not
sure of yours. They may welcome the opportunity to show what this can do for
bariatric patients. The weight limit on the website says 275, so while
this is entirely outside of your typical response, I find the concept of
mechanisms other than teeny-weentsy valves interesting as we look for
better durability.
Ossur has a higher weight Mauch, but I am sure you have
already searched that option.
5. A Hosmer Durathane EXO setup with a MAUCH unit and Lots o'
lamination on it will hold just about anybody.
Best I could come up with on ENDO was a OSSUR MAUCH KNEE PLUS
which is good for #365 recently for my 360 LB Transfemoral. Had to use
a Ossur foot as well. I also used a 50 CM MEDI 4Seal liner which
worked very well. Patient is doing his gait training now and making
progress.
You also will need a custom foot for that weight and ossur or
freedom innovations can make one for you. I did Bilat Transtibials on a
475+ LB a few years back- they made me custom feet. And the guy walked
pretty well with 2 canes!
6. Have you checked with Gary Bedard at Becker?
7. If they are a k3 look at Ossur's Mauch with hd frame. I think
they can special make one too.
8. I had a rather larger pt with a TF amp. I used the KX06 from
Endolite. I spoke with them. They said the knee would work... No
issues. Having a pt sign off on liability is a waste of paper. My guy
is of very similar wt and thus far had no issue. Comp build..... Direct
mount socket, KX06, and a Freedom SO HD foot. Worked perfect.
9. Exo is all I know of
10. TI Med makes a knee rated to 500lbs. It's a 4 bar knee with manual
locking capabilities.
11. I expect you will need to fabricate an exoskeletal system.
12. Ossur makes a heavy duty Mauch knee
Stephan, I tried the Kinegan Stream that goes to 330 on a 300 pounder it
had a crack and went back to Germany for months., One of the sns frames
maybe the Magnum is the highest I could find I think it is Endolite
Check Bio Quest
Best wishes to everyone!
*>*
*Dr. Stephan R. Manucharian, CP, BOCO, LP(NJ), FAAOP*
*Doctor of Health ScienceClinical DirectorOrthopedic Arts Laboratory,
Inc.141 Atlantic Ave., Brooklyn, NY 11201718-858-2400; Fax:
718-858-9258; <URL Redacted> < <URL Redacted>>*
*The content of this communication is for exclusive use of the addressee
and may contain confidential, privileged and non-disclosable information.
If the recipient of this communication is not the addressee, such recipient
is strictly prohibited from printing, photocopying, saving on any media,
distributing or otherwise using the information contained herein. If you
received this communication in error, please contact the sender by e-mail,
fax or telephone and destroy this document.*
*Dear list!*
*There are a few options for feet for patients up to 500 Lbs, but I could
not find any prosthetic knees. Could you please suggest what knee units may
be suitable for a 430 lbs patient?*
*Thank you.*
It turned out that a similar question had been posted some time ago and one
responder kindly attached those responses. There were a few other as well.
THANK YOU ALL!
1. Exo knees from OttoBock?
2. Ti-Med KN-500.
Rated 500 lbs. Hope this helps
3. <URL Redacted>
4. I spoke with Dave Littig about the new knee from ST&G. It's the
VGK. The interesting element from our discussion is that there are no
valves to limit the strength of the resistance for swing and stance. No
blown valves. They have gotten this paid through the VA in other VISNs, not
sure of yours. They may welcome the opportunity to show what this can do for
bariatric patients. The weight limit on the website says 275, so while
this is entirely outside of your typical response, I find the concept of
mechanisms other than teeny-weentsy valves interesting as we look for
better durability.
Ossur has a higher weight Mauch, but I am sure you have
already searched that option.
5. A Hosmer Durathane EXO setup with a MAUCH unit and Lots o'
lamination on it will hold just about anybody.
Best I could come up with on ENDO was a OSSUR MAUCH KNEE PLUS
which is good for #365 recently for my 360 LB Transfemoral. Had to use
a Ossur foot as well. I also used a 50 CM MEDI 4Seal liner which
worked very well. Patient is doing his gait training now and making
progress.
You also will need a custom foot for that weight and ossur or
freedom innovations can make one for you. I did Bilat Transtibials on a
475+ LB a few years back- they made me custom feet. And the guy walked
pretty well with 2 canes!
6. Have you checked with Gary Bedard at Becker?
7. If they are a k3 look at Ossur's Mauch with hd frame. I think
they can special make one too.
8. I had a rather larger pt with a TF amp. I used the KX06 from
Endolite. I spoke with them. They said the knee would work... No
issues. Having a pt sign off on liability is a waste of paper. My guy
is of very similar wt and thus far had no issue. Comp build..... Direct
mount socket, KX06, and a Freedom SO HD foot. Worked perfect.
9. Exo is all I know of
10. TI Med makes a knee rated to 500lbs. It's a 4 bar knee with manual
locking capabilities.
11. I expect you will need to fabricate an exoskeletal system.
12. Ossur makes a heavy duty Mauch knee
Stephan, I tried the Kinegan Stream that goes to 330 on a 300 pounder it
had a crack and went back to Germany for months., One of the sns frames
maybe the Magnum is the highest I could find I think it is Endolite
Check Bio Quest
Best wishes to everyone!
*>*
*Dr. Stephan R. Manucharian, CP, BOCO, LP(NJ), FAAOP*
*Doctor of Health ScienceClinical DirectorOrthopedic Arts Laboratory,
Inc.141 Atlantic Ave., Brooklyn, NY 11201718-858-2400; Fax:
718-858-9258; <URL Redacted> < <URL Redacted>>*
*The content of this communication is for exclusive use of the addressee
and may contain confidential, privileged and non-disclosable information.
If the recipient of this communication is not the addressee, such recipient
is strictly prohibited from printing, photocopying, saving on any media,
distributing or otherwise using the information contained herein. If you
received this communication in error, please contact the sender by e-mail,
fax or telephone and destroy this document.*
Citation
Stephan Manucharian, “Knees for bariatric patient- RESONSES,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/237500.
