L-CODES: Are They Meeting the Needs of O&P? - August 2008

New Helix3D Hip Joint

Otto Bock's Helix^3D 7E10 is the first hip joint with hydraulic stance- and swing-phase control. The Helix^3D provides pelvic rotation and a greater flexion angle, giving users more natural gait patterns and increased freedom of movement.

The Helix's three-dimensional movement mimics the human hip joints natural and symmetrical gait pattern. Its polycentric design allows for leg length reduction during swing phase, which reduces the risk of falling and increases function.

Because the hip joint offers a larger flexion angle of 130 degrees, it is easier to accomplish activities of daily living such as putting on shoes or getting into a car.

Otto Bock HealthCare
800.328.4058
www.ottobockus.com

Fight Bacterial Growth with Orfitrans

Fresh wounds from amputation surgery can become infected. Using the antibacterial version of the Orfitrans^TM Stiff material as a temporary socket dramatically reduces the amount of bacteria on the socket surface, thereby reducing the risk of bacteria entering the wound. Customers will now be able to get the outstanding performance characteristics of Orfitrans Stiff with the significant benefits of an antibacterial component that will effectively inhibit bacteria growth.

Friddles Orthopedic Appliances
800.528.9339
www.friddles.com

Becker Oregon Offers Modular Laminated Lower-Limb Orthoses

A new, modern design approach inspired us to combine the conveniences of a modular system with the rigidity and lightweight characteristics of composites to create a laminated system that is user friendly to the practitioner.

Components can be easily detached from the orthosis and adjusted for ease of fitting, adjustment, and replacement. The laminated sections of the orthosis are now fabricated around the metal components and attached with screws.

This cosmetically appealing orthosis system has a streamlined design and is lightweight. The typical KAFO weighs only 2.6 lb.

Becker Oregon
800.866.7522
www.beckerorthopedic.com

Ease OA Pain with Medi USA’s M.4 OA

Medi USA's M.4® OA knee brace is designed to protect, stabilize, and ease the pain caused by unilateral osteoarthritis and all indications requiring pressure relief. The M.4 OA provides pressure relief of the medial or lateral joint compartment by a well-cushioned, three-point relief system that offloads the affected compartment into a varus/valgus position. The M.4 OA safeguards against hyperextension by limiting flexion and extension.

The ultra-flat, lightweight, and non-protruding Avional® aluminum frame and Physioglide® hinge are 30 percent more rigid and durable than other aluminum alloy technologies of the same weight. Available in six sizes in either varus or valgus versions. Medi USA has received favorable Medicare reimbursement for the M.4 OA.

Medi USA
800.633.6334
www.mediusa.com

Treat Foot Drop with WalkAide

The WalkAide® is a functional electric stimulation (FES) device for treatment of upper-motor neuron-related foot drop. It uses sophisticated sensor technology and FES, which stimulates the nerves that dorsiflex the foot at the appropriate time during the gait cycle, producing a much more natural and efficient walking pattern. There is no switch in the patient's shoe, allowing him to even walk barefoot when appropriate. Walking speed increases while the energy used for walking is reduced. To learn more about the WalkAide and how to locate the nearest WalkAide-trained location, visit our website and go to our facility locator page.

Innovative Neurotronics
888.884.6462
www.walkaide.com

Create AFOs with OMEGA Tracer

OMEGA® Tracer® provides the ability to capture patient shapes and create AFOs. The OMEGA Scanner allows clinicians to quickly and accurately capture patient shapes in several ways:

• Scanning a one-part negative cast.
• Scanning a two-part negative cast.
• Scanning a patients foot and foot impression.
• Directly scanning a patients foot and calf.

OMEGA Tracer software makes modifying patient shapes intuitive and easy. Clinicians may also create personalized AFO modification wizards. OMEGA Tracer AFO files may be used with in-house carvers or sent to external central fabrication facilities. Contact us for a free in-facility demonstration.

Ohio Willow Wood
800.848.4930
www.owwco.com

PEL Supply Offers New, More Powerful Electric Elbow

The new e-2 Electric Elbow, manufactured by Hosmer®, is now available from PEL Supply. Compared to previous elbows, the new e-2offers the following benefits:

• Lifting power increased by 37.5%.
• Energy efficiency increased by 40%.
• 47% faster.
• Free swing at full extension.
• Lightweight and extremely quiet.
• Interchangeable with E-200 and E-400 conventional elbows.
• Exoskeletal or endoskeletal application.
• Full electric power at the cost of a European hybrid.

PEL Supply Company
800.321.1264
www.pelsupply.com

The Dobbs Bar

Matthew Dobbs, MD, designed this new dynamic clubfoot bar to allow active movement, preserve muscle strength in the foot and ankle, and be less restrictive to the child than traditional fixed-bars. Children using the Dobbs Bar can crawl and kick their legs independently. Children will sleep better because they can get comfortable in the Dobbs Bar, and heel blisters commonly associated with fixed-bars are no longer a problem. The Dobbs Bar is adjustable from 8 to 14 inches to accommodate growth; no need to buy replacement bars. The foot plates are universal and can be attached to shoes and AFOs. The results are better compliance, a more active child, and happier parents.

D-Bar Enterprises LLC
314.968.8555
www.dobbsbrace.com

Becker Orthopedic Offers the Pacific Adjustable Collar with TE Option

The Pacific^TM Adjustable Collaris designed to provide your patients with effective control of cervical spine motion. Now, when necessary, that control can be extended with a new
thoracic extension (TE) option.

Pacific TE includes the following features:

• Intended for low cervical/high thoracic immobilization.
• Available in one height- adjustable size.
• Quickly and easily snaps on to the Pacific^TM Adjustable Collar.
• Can be purchased separately or as a fully assembled CTO.

Becker Orthopedic 
800.521.2192
www.beckerorthopedic.com

Casting and Modification Made Easy

Coyote Design now offers fiberglass casting tape and a number of other casting and modification items. All these tools are designed to make casting and modification easier and more efficient. Fiberglass casting tape is available in 2-, 3-, and 4-in. sizes and comes in boxes of ten. Contact Coyote for a new catalog featuring these and more new items.

Coyote Design
800.819.5980
www.coyotedesign.com

Endolite Introduces the KX06

The KX06 by Endolite is the industry's only hydraulic swing and stance polycentric knee. The polycentric design frame provides greater toe clearance for a more natural and safe gait. The robust swing and stance hydraulic lets you keep the knee where it belongs--on your patient--with fewer maintenance issues. Multiple proximal adapter choices provide flexibility in socket design and accommodate a wide range of clearance options.

Other features of KX06 include:

• A convenient hydraulic exchange program.
• Distal pyramid.
• 320 lb. weight limit.
• Three-year warranty.

Endolite North America
800.548.3534
www.endolite.com

Ossur's PROPRIO FOOT Provides Unmatched Stability and Safety

Ossur's PROPRIO FOOT® is an artificially intelligent, motor-powered prosthesis that helps replace the function that the body's central nervous system would normally play.

• Sense: Using advanced motion-sensing accelerometers, the PROPRIO FOOT can "sense" the surroundings of each step and accommodate for action.
• Think: As fast as it measures, the data is fed into the "brain" of the device through TerrainLogic^TM, identifying specific motions to enable a response to variations.
• Act: Foot motion is continuously analyzed. For each stride, gait pattern recognition algorithms in the foot are used to detect and identify when and where a user is walking.

Ossur Americas
800.233.6263
www.ossur.com

Get Going with Iceross Seal-In

Advancing liner technology one step further, the new Iceross® Seal-In® is as close as we have come to complete prosthetic attachment, with the convenience of a simple step-in-and-go system. The new system for transtibial users applies pure suction but does not require an external sleeve, saving time and money.

A proprietary design with five separate seals bridges between the residual limb and the internal socket wall. Unique seal design conforms and clings tightly, guaranteeing suspension, rotation control, and proprioception, while allowing for unprecedented knee freedom. This retrofitable liner provides unmatched performance and favorable patient outcomes, making the user more confident and better able to perform activities.

Ossur Americas
800.233.6263
www.ossur.com

College Park’s New Onyx Foot

Integrating a dynamic pylon, the multiaxial Onyx^TM Foot allows active users to demand more. Highly customizable with four degrees of plantar-dorsiflexion Angle Control^TM and adjustable Stride Control® for fine-tuning gait, the sleek Onyx Foot delivers balanced energy with ideal comfort and enhanced terrain compliance.

Key benefits of the Onyx Foot include:

• Dynamic pylon foot.
• Superior terrain compliance.
• Precision gait matched for out-of-the-box performance.
• Adjustable Stride Control to fine-tune foot stiffness from heel strike to heel off.
• Three-year warranty.

Onyx--balanced energy, ideal comfort.

College Park Industries
800.728.7950
www.college-park.com

The New AK Spacer from The Ortho Remedy

Have you made your AK frame and the knee is just too close?

The Ortho Remedy Inc. now has a solution. The new AK Spacer unit will extend the connection ½ in. from the socket to the knee. The AK Spacer is manufactured from lightweight aluminum and is equipped with a standard four-bolt pattern for easy attachment.

The Ortho Remedy Inc.
800.662.7993
www.orthoremedy.com

Introducing comfortKIT Deluxe Below-Knee Soft Interface

Every leg has a different shape and skin condition, so Allard USA now offers another choice of below-knee interfaces for your ToeOFF® or Blue Rocker^TM carbon composite AFOs. The new comfortKIT^TM is a deluxe version of Allards SoftKIT. An inner layer of polyurethane foam molds naturally to the leg, yet offers the "bounce" to return to its original shape when not in use. Consider comfortKIT for wearers who, due to the skins condition, shape of the tibia, and/or activity level, would benefit from an interface that offers added cushioning and more intimately contours to the shape of the leg.

Allard USA
888.678.6548
www.allardusa.com

Purchase Online at OTS Corporation

OTS Corporation has now activated E-Commerce on its website. Customers can log on to the OTS website and sign up for this service using their existing account numbers. Within one business day, the customer's account will be activated to allow online purchasing, even when the OTS corporate office is closed. This benefits customers in later time zones and people working after hours. The site is also available in Spanish, French, and German. Any certified O&P professional who does not have a customer number can call OTS's toll-free telephone number to set up an account to use the E-Commerce function.

OTS Corporation
800.221.4769
www.ots-corp.com

Client Inspired, Prosthetist Designed

The Syncor Original TES Belt was designed to meet the needs of clients with above-the-knee amputations. Its user-friendly design includes a hand loop for easy application and a replaceable Velcro® closure. The Original TES Belt is low profile and has an anti-roll, anti-bunch panel. Reinforced, color-matched seams extend the life of the hand-washable belt.

The Silesian design evens out stress and eliminates the pull-down feeling associated with girdle-style belts. A wide, 360-degree textured cuff grips with no air leaks, and a proportional adductor panel increases suspension capabilities. Sizes from infant to XXL. Custom orders are welcome.

Syncor Ltd.
920.435.1199

TRS Black Iron Trainer

The new Black Iron Trainer is a lighter version of the heavy-duty, high-performance Black Iron Master. While the Black Iron Trainer is smaller and lighter in weight, it is capable of handling the wide range of handle diameters that are encountered in modern fitness and exercise facilities.

The completely manual operation and positive locking and unlocking design provides uncompromising security and stability for bench pressing, dumbbell flys, dead lifts, pull-downs, and more. The Black Iron Trainer, with a load-rating of 440 lb., also carries a smaller price tag than its larger cousin.

TRS Inc.
800.279.1865
www.oandp.com/trs

New from Knit-Rite: The Dobbs Bar

The dynamic Dobbs Bar allows children to move and kick their legs independently, which gives children with clubfoot the freedom to crawl and be more active in the brace. Children fuss less and sleep better. Independent movement prevents heel ulcers and keeps kids from pulling out the booties.

The Dobbs Bar is adjustable from 8 to 14 inches to accommodate growth--no need to buy replacement bars. The foot plates are universal and can be attached to shoes and AFOs. The results are better compliance, a more active, happier child, and happier parents.

Knit-Rite Inc.
800.821.3094

The Eldorado Z-Axis Climbing Foot

New from TRS

TRS introduces a unique, adult, super-compact (7-in. long), high-performance rock climbing foot for the unilateral and bilateral climber. Supplied with a titanium pyramid adapter and high traction Evolve® custom climbing shoe and a certificate for a free, matching, custom climbing shoe of appropriate size for the unilateral climber.

Designed and tested by nationally recognized and experienced transtibial rock climbers, the Z-Axis was used in competition at the 2008 Extremity Games®.

Weighing only 25 oz. with a high-strength keel and polyurethane structural body, the Z-Axis provides superior control, loading, leverage, and "feel" on the rock.

TRS
800.279.1865
www.oandp.com/trs

Dycor's ADL-FDS Syme/Transtibial Energy Returning Foot

The Dycor ADL-FDS Foot features functionality, durability, and simplicity. The foot is segmented horizontally into five layers. The titanium foot adapter is integrated into the advanced composite keel, minimizing socket floor clearance. The heel portion of the keel (posterior to the adapter) is a flexible urethane-fiberglass composite, which deflects to cushion heel contact.

Patented and patent pending.

Dycor
800.794.6099
www.dycormfg.com

Big or Small, Provel Has the Right Automation

Provel offers cost-effective, fast, easy-to-use, and reliable O&P automation. The D2 digitizer, C5 carver, and T6 thermoformer are appropriate for small clinics as well as large central fabs. All are AOP-file compatible and backed by a two-year warranty. The D2 digitizer allows automated shape capture of prosthetic casts with unmatched accuracy. The C5 carver is not only fast and precise, its self-contained dust-collection system is extremely quiet. The T6 thermoformer consistently produces high-quality thermoplastic sockets from industry-standard preforms.

Provel Inc.
509.857.2009
www.provel.us

We Buy Practices!

• Immediate cash: plan your future.
• We solve business issues, allowing you to focus on your patients.
• We are not a broker, buyout fund, or corporate CPA.
• We are well-funded, have experienced O&P management, and are focused on creating a great company.
• If you are interested in finding a partner to run the business side of your practice, contact us. All discussions are confidential.

BridgePoint Medical
859.260.8576
http://bp-medical.com/page8.php