Three Months at Klinik Hanger
By Anna Avakian, CPO
A first-person retrospective by Anna Avakian, CPO It's amazing how a simple task like tightening a foot bolt can bring a flood of memories rushing back. That's just what happened today as I was replacing a foot for a patient who will soon return...
Haiti: Reflecting on the First Year of O&P Relief Efforts
By Judith Philipps Otto
In a few brief, horrifying moments, more than 300,000 lives were snuffed out, and tens of thousands of others were changed forever. The magnitude 7.0 temblor that shook Haiti to its core on January 12, 2010, was the strongest to hit the island nat...
Sustainable O&P Fabrication for Developing Countries
By Miki Fairley
"Live simply, so that other people can simply live." —Mahatma Gandhi Yeongchi Wu, MD. Photograph by Lekki Chua. Polystyrene "beads" in beanbag chairs.
“We’re in this Fight Together” Riding for ROMP 2010
By Pam Martin
The Baja desert is a long, unrepentant stretch. Fifteen days of empty road, hot dry afternoons that cause the locals to idly hang in a seemingly never-ending state of motionlessness, under artificial shade ([the] real [thing] being so hard to come...
Bill Ash and the Bucket List
By Laura Hochnadel
"My freshman philosophy professor assigned this exercise and called it a bucket list. You were supposed to make a list of all the things we wanted to do in our life before we kicked the bucket." -Carter, played by Morgan Freeman, speaking to Edwa...
Bridging the Gap
By Jan HB Geertzen, MD, PhD
Evidence-based practice is a modern phrase. Is it always practical? Evidence-based practice, the conscious and systematic use of the best-available research evidence in making decisions about the care of individual patients, has become a hot topic...
How to Set and Properly Mount a Hip Plate
By Jason Kimmel, CTP
We fabricate a lot of hip prostheses here at the Otto Bock Fabrication Center in Minneapolis, Minnesota—usually three or four per week. Because most practitioners only see around one or two hip amputations per year, many find that it's easier to h...
Disabled Sports USA Announces 2011 National SkiTour Series
Disabled Sports USA (DS/USA) has announced the schedule for its national SkiTour winter snow sports series. The DS/USA SkiTour includes more than 80 events hosted by 40 DS/USA chapters and affiliates in 18 states. The events, which started in Janu...
Face to Face
Face to Face: Rebecca K. Ferris, CPO
Rebecca Ferris, CPO, lives by the motto "Do good." Born into a large Irish family with relatives in the United States and abroad, she was exposed to an expansive world view from a young age. Her awareness of the needs of those less fortunate inspi...
Denials are difficult to identify and time-consuming to appeal. Count on "Got FAQs?" to help you sort through the complexities associated with O&P billing. This month's column addresses your questions about reinstated L-Codes, compliance requireme...
Rebuilding in Haiti Started with Legs
By Karen Henry
Dye mon, gen mon. Beyond the mountain is another mountain. - Haitian proverb On January 12, 2011, at 4:53 p.m.
Landmines Continue to Claim Victims
Landmines have been called "weapons of mass destruction in slow motion" and "devils in the dirt." Long after conflicts have ended, landmines continue to maim, and they do so indiscriminately. They do not distinguish the footfalls of a combatant fr...
If you are tired of spending $19 per roll for clear, one-inch flex tape used for laminations, foam, covering finish, anchor in sleeves, etc., try our new TUFflex tape. It's thinner, stronger, and clearer. Best of all, purchase four rolls of TUFflex for the price of one roll of the 3M product we've all been using. For TUFflex and many other cost-saving supplies, visit www.orthoremedy.com
The Ortho Remedy
"Skill is the unified force of experience, intellect and passion...." —John Ruskin
You have the intellect and the passion! Build your experience and skill at a NUPOC Certificate Course in Prosthetics/Orthotics. Enter the field or extend your title. Very few Certificate Courses remain before the 2013 master of science mandate. We welcome all highly motivated individuals who want to be prosthetists and orthotists. For more information, e-mail
Northwestern University Feinberg School of Medicine
Northwestern University Prosthetics/Orthotics Center
Two-Day Turn-Around Time!
Becker Oregon's CRO Walker is a neuropathic healing boot designed to offer maximum flexibility and patient comfort, as well as ease of maintenance for the attending practitioner. The orthosis consists of a custom-molded clamshell design in your choice of composites or thermoplastics, with a removable, self-molding plantar liner and sub-liner available in 5mm and 10mm Plastazote® or Aliplast®. Removable, interchangeable liners allow for swelling and edema issues and assist in cleaning and replacement.
Call us today at 888.982.8181 to request our new 2010-2011 Catalog!
OPTEC USA consistently offers the highest-quality, cutting-edge products. Beyond offering innovative orthoses at a fair price, OPTEC USA works to help your practice be successful by submitting our braces to the PDAC (Pricing, Data Analysis, and Coding) for review and determination.
PDAC recently reviewed OPTEC USA's products with the following determinations: VertaMax L0627, Stealth TLSO with DLK L0462, Stealth TLSO with ATE L0464, and Oasis LSO and Oasis LSO LP L0637.
New: The Adjustable Dynamic Response™ (ADR™) KAFO-No Cable Release Option.
When an AFO is not enough to treat severe crouch and gross LE weakness, the Ultraflex ADR™ KAFO provides a good alternative.
Features and benefits include:
- Safe stance control without locking the knee, ADR™ 0-30 flexion
- Sit-to-standing ratchet support from 120flexion to full extension
- Low profile, sit-to-stand slide lock/safety release is easy to engage and disengage
- ADR™ ankle, 0-40dorsiflexion, 0-40plantarflexion resistance or dampening effects
- Adult and pediatric versions
As prosthetists, our designers know the importance of a good fit. We also know that different clients have different needs and that there are times when an off-the-shelf TES Belt or Durasleeve will not meet those needs. For those special clients, Syncor Ltd. offers custom-designed TES Belts and Durasleeves.
Our complete line can be adapted to meet the needs of clients with transfemoral amputations. We can also custom make the Durasleeve for transtibial suspension, including the Durasleeve HD for exceptionally active clients and the Durasleeve EZ for clients with limited dexterity. For special orders, contact your Syncor supplier.
The Soleus® offers a dynamic heel that allows for smooth, seamless transition between heel strike and toe-off. Involving the entire foot in absorbing and returning energy, the Soleus' four-spring system accommodates a moderate to the most active lifestyle. The multi-composite design and wide-platform heel affords stability, durability, and comfort on various terrains.
Key features include:
- Synchronized control throughout stance phase.
- Superior terrain compliance.
- Precision gait matched for out-of-the-box performance.
- Available in gold or silver.
- Weight limit up to 275 lb. (125kg); three-year warranty.
- Same-day, custom built to order.
College Park Industries
You've been asking for it. Friddle's now offers custom On the Spot sublimation transfers with low minimum-order requirements. Call and ask about getting your company logo or custom On the Spot transfers. These transfers can be used on nylon or Dacron straps, or plastic.
Friddle's Orthopedic Appliances
Orthomerica® Products introduces the new California® Ventura™ spinal brace that is easy-to-fit yet simple for the patient to don and doff. The Ventura provides controlled levels of stability by featuring easily adjustable, rigid plastic components-making it ideal throughout rehabilitation. When spinal control of extension and flexion is desired, the Ventura is the perfect fit. The patented, compound closure system provides patient-regulated compression to supplement abdominal musculature. The Ventura is available with a tall (L-0631) or short (L-0627) rigid posterior panel.
New: Ultraflex Universal Joint - Comparably Smaller, Lighter, and Stronger
The Ultraflex Universal Joint uses a tried-and-true clevis design for maximum M-L strength, yet is extremely lightweight and low profile. The Ultraflex Universal Joint is comparatively smaller, lighter, and stronger. It can be used on ankles, elbows, or wrists, as well as for both adult and pediatric applications. Recommended as a companion joint to Ultraflex ADR™. Molding dummy included. Dimensions: Length: 1 7/16 in., width: 7/16 in., profile: 11/32 in., weight: 0.5 oz.
TRS, Boulder, Colorado, announces an O&P product delivery and development partnership with Boa® Technology, Denver, Colorado, and EXOS Corporation, Minneapolis, Minnesota. Boa manufactures high-performance closure and lace-tensioning systems for high-tech footwear and specializedapplications. EXOS is a pioneer in developing fracture-brace systems that use proprietary, low-temperature, thermoformable laminates incorporating Boa technology.
Working together, TRS will be a primary vehicle for the delivery of these companies' current and exciting new products to O&P facilities and clinicians.
With the recent growth in the use of black thermoplastic and carbon-fiber materials for the fabrication of ankle foot orthoses (AFOs), we are pleased to offer a new, matching thermoformable joint option-the Black Tamarack Flexure Joint®.
It's a small change, but we think it's a great option for O&P practitioners and technicians to incorporate into their orthoses.
For more information, please contact Becker Orthopedic.
The Helix3D Hip Joint takes advantage of a groundbreaking design to create a more natural, three-dimensional hip movement. Its polycentric design improves toe clearance and provides three-dimensional movement that mimics the movement of the human pelvis, and the hydraulic provides greater stability every step of the way. The results for your patient are dramatic-greater stability and less compensatory movements to make every step more stable and confident. Contact Otto Bock HealthCare to find out more about how you can get your patients into Helix3D today.
Otto Bock HealthCare
Alpha® Select Liners are now available in both cushion and locking styles! The liner's gel is a unique blend of classic Alpha gel with Kevlar® and mineral oil additives. This hybrid gel provides a balance of comfort and durability. Hybrid gel is now also used in Alpha Flex Sleeves.
For a limited time, purchase one Alpha Select Liner (locking or cushion) and one Alpha Flex Sleeve and receive one Alpha Flex Sleeve FREE. Please reference promo code SF2011-MKE when placing order.
Ohio Willow Wood
+PLUSeries® Solvent Replacement Wipes are specifically designed to replace the use of acetone and other toxic solvents in your work environment, greatly reducing your exposure to harmful chemicals.
Features and benefits include:
- Organic ingredients and a 100% biodegradable formula.
- Nonflammable, noncombustible.
- Low-pressure vapor (evaporates slowly).
- No hazardous air pollutants (HAPs).
- Ships DOT non-regulated.
- Greatly reduces health and safety issues.
See our website for more information and how-to videos.
Fabtech Systems LLC
Ready When You Are-24/7/365
For nearly 15 years, OPTEC USA has been a leader in custom spinal orthotic manufacturing. We provide the high-quality products and services you need from your central fabricator. With around-the-clock technical support, quality products at a fair price, and availability to take orders anytime, you will find that OPTEC USA fits your needs. You will get your custom brace when your patient needs it and just the way you want it. Try OPTEC USA for your next custom orthosis!
Find out more about these and other products today.
Otto Bock's most advanced off-the-shelf liner maximizes patient comfort through anatomic-specific geometry and varying wall thicknesses-thicker in typically sensitive areas and thinner in others for increased flexibility. The liner is pre-flexed 20°, reducing wrinkles behind the knee while providing easier flexion. Polyurethane (PUR) ensures even pressure distribution and a precise and comfortable fit, ideal for sensitive, bony, or scarred residual limbs. Patients from low to very high mobility grades will benefit from the 6Y512 Anatomic 3D PUR liner's advanced design. Available in uncovered and integrated fabric-sheath versions for use in vacuum and suction-socket systems.
Otto Bock HealthCare
The ALPS Extreme Locking or Cushion Liner and the Extreme Sleeve have been specifically designed for transfemoral (AK) and active transtibial (BK) amputees, respectively. They eliminate 80% of vertical stretch, resulting in increased contact while stabilizing redundant tissue movement. Both feature ALPS' new GripGEL™ to gently but firmly support the residual limb and sensitive tissues. Liners are available in 3mm and 6mm uniform thicknesses and in eight sizes. The Extreme Sleeve seals against the skin without restricting circulation. GripGEL helps prevent the sleeve from rolling down the patient's limb.
PEL Supply Company
Trautman Coneiak Polishing Arbors work well with any standard thermoplastic materials used by the O&P industry.
The uniquely designed arbors are currently available in four designs:
- Grooved arbor: Used for grinding radiuses.
- Tapered arbor: Designed for polishing and grinding in smaller, tighter areas.
- Ball nose arbor: Used for basic grinding and polishing.
- Slim arbor: Designed for polishing and grinding inner surfaces of tight radiuses.
Specially designed to work with expulsion or vacuum systems, the Aura™ is a locking seal that allows the prosthetist to select the height of the locking seal for both transtibial and transfemoral patients. The Aura locks an uncovered liner (such as an Evolution Origin Liner) to the interior of the socket, thereby suspending the entire prosthesis to the patient's residual limb.
- Excellent choice when using expulsion or vacuum systems.
- Eliminates the need for sleeves or double-wall systems.
- Works with any uncovered liner.
- Seal height can be customized.
Evolution Industries Inc.
39% cost savings + less time in lay ups + less bulk + 20% less resin needed than tubular carbon = SpectraCarb™ Stockinette!
Laminations using SpectraCarb are easily buffed without causing skin irritation and can be modified using a heat gun without delaminating.
SpectraCarb is available in conventional tubular form in 2-, 3-, 4-, 5-, 6-, 8-, and 10-inch widths, and works great for TT, TF, TR, TH, PFFD, and AFOs.
Ask for SpectraCarb by name, exclusively from Comfort Products.
Comfort Products Inc.
Human Intelligence Technology (HI-Tech) is featuring the Jim Smith one-ply filler sock this month.
Amputees wearing cotton cast socks often complain about their durability. Our filler sock is a 50/50 cotton/polyester blend with a nylon-reinforced toe. They last longer than cotton cast socks and are less expensive than one-ply prosthetic socks.
- No side seam.
- With or without distal hole.
- Circumferential stretch.
- Great price and quality.
- Does not ravel when cut.
Sold in packages of one dozen. Exceptional service and no backorder delays!
Human Intelligence Technology (HI-Tech)
Provel offers cost-effective, fast, easy-to-use, and reliable O&P automation. The D2 digitizer, C7 carver, and T7 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 C7 carver is not only fast and precise, its self-contained dust-collection system is extremely quiet. The T7 thermoformer consistently produces high-quality thermoplastic sockets from industry-standard preforms.
Engineered for Assisted ADL Excellence.
Average weight of the "K Series" feet is 7 oz. (including foot shell and titanium pyramid). Patent and patent pending.
Visit www.dycormfg.com for additional information and (weight) chart.