Creative Prosthetics Solutions
By Garrison Wells
What gets your creative juices flowing? A challenging clinical presentation? A patient's request to be fit with the most advanced device available?
Examining the Uses of Virtual Reality in Prosthetic Rehabilitation
By Phil Stevens, MEd, CPO, FAAOP
Prosthetics patients must adapt to a variety of new realities. They place their body weight on artificial legs and reach out with robotic hands that respond to a series of contrived operational signals from their body. Their prostheses, in turn, s...
Ethical Considerations Behind Brain-Computer Interface Research
By José L. Contreras-Vidal, PhD
Ethical Considerations Behind Brain-Computer Interface Research Emergent neurotechnologies such as brain-computer interface (BCI) systems provide exciting opportunities for repairing, enhancing, and understanding the brain and the body. Specifical...
Lynn Budde: One Step at a Time
By Betta Ferrendelli
High Technology Helps Toxic Shock Victim to Walk Again The BiOM powered lower-limb system provides Budde with ankle motion and stability to help her increase her mobility. Photographs courtesy of Prosthetic Consulting Technologies. Just over...
Set Up and Direct Lamination of a Blade-Style Prosthesis
By Todd Schweizer, CPO
When done correctly, lamination of a blade-style prosthetic foot can provide a strong, stable, lightweight solution while still maximizing the benefits of a high-profile foot. The following steps assume a successful check socket has been completed...
New Central Fabrication Technology Steps Onstage
By Miki Fairley
"There's a way to do it better-find it." -Thomas Edison (1847-1931) When one of the world's fastest amputees, Jerome Singleton, Irmo, South Carolina, competes in the upcoming 2012 Paralympics in London, United Kingdom, his prosthesis will featur...
Paralympic Preview; Pistorius to Compete in Olympics
The days are ticking down to the August 29 opening ceremony of the 2012 London Paralympic Games, during which more than 4,200 athletes from 165 countries are expected to compete in 20 different sports for what is being billed by organizers as the...
By Ronnie N. Graves, BOCPO, LPO, CO, CTP
Every O&P patient requires an individualized solution, but when that patient also has four hooves, the elements involved with creating a prosthesis or orthosis that will stand up to the rigors of daily use present challenges not typically seen in...
Looking Back, Looking Ahead
Six that are 10
Most people would probably agree that starting a business is no small undertaking. According to a 2011 fact sheet produced by the U.S. Small Business Administration, only 34 percent of businesses survive ten years or more.
Face to Face
Chris Cumsille, BOCPD
As a teenager, Chris Cumsille, BOCPD, spent his winters carving turns as he raced down the snowy New England slopes, always trying to better his times. His passion for skiing, in a roundabout way, introduced him to the O&P profession. As a 16-year...
Billing and Collections Q&A
By Lisa Lake-Salmon
Billing for O&P devices and care is complicated. Count on "Got FAQs?" to help ensure you are using the most current information when preparing your claims. This month's column answers your questions about coding for cosmetic additions, toe fillers...
Have You Hugged Your Referral Sources Lately?
By Karen Henry
A few months back, my primary care physician (PCP) recommended that I begin seeing a physiatrist to help me manage symptoms associated with having muscular dystrophy (MD). I agreed, but when I asked her if she knew any good physiatrists in the are...
Endolite Presents the avalon—the Latest Advancement for the K2 Patient Population
EDGE Direct Endolite is proud to present the newest advancement for the K2 patient population—the avalon. The avalon, with controlled ankle motion and smooth roll over, offers the latest in biomimetic technology to level 2 amputees. The avalon pr...
ACOs: What Are They and Should O&P Care?
More than 2.4 million beneficiaries are receiving care from providers participating in Medicare cost-savings initiatives. One of the more significant of those initiatives is the development of accountable care organizations (ACOs). An ACO is a gro...
You asked for more—and we've delivered! Now your patients with spinal bracing needs can benefit from the renowned Ottobock quality and value. The complete lineup of products includes cervical, lumbar, thoracic, and sacral orthotics (the Ottobock Fulcrum LSO is pictured here). These latexfree, off-the-shelf spinal products provide superior support and stabilization for all your patients' conditions, from relief of acute back pain to pre- and post-operative stabilization.
The Modular Dynamic AFO is an extension device that adds all of the features and benefits of the Centri Dynamic Walk to any knee orthosis. The Modular Dynamic AFO prevents distal migration of the knee orthosis while also providing some "toe pick up" to allow for better ground clearance. The PEEK Rods of the Modular Dynamic AFO allow for virtually unlimited active motion at the ankle joint, providing excellent terrain accommodation.
- Thermoformable foot plate.
- Adjustable height.
- PEEK rod available in straight or dorsi-assist.
- Easily attaches to the orthosis.
- Prevents distal migration of orthosis.
The custom silicone liner for the best choice in vacuum and explusion systems.
Evolution Industries Inc.
Ottobock now offers a line of waterproof components! Designed specifically for use in the water, the Aqualine® waterproof prostheses provide waterproof protection for either below-knee or above-knee users. The Aqualine components are perfect for use as a shower leg or for other water activities. The Aqualine accommodates users who weigh up to 330 lb. and includes specially modified adapters, pylons, and a tube clamp along with the waterproof knee and foot. Call your local sales representative to learn more.
The Rhythm Foot costs $316, which includes the pyramid, bolt, washer, and foot shell.
The all new injection-molded thermoplastic polyester elastomer prosthetic foot offers cost-effective, adjustable resistance and improved mobility for the K1 to K3 ambulator. It is also the only foot that fits 23-28cm left and right patients by including the appropriate foot shell. Weighing 430 grams, the Rhythm Foot is also smoother than any other flex-walk system.
The Ortho Remedy
Water transfer printing is a state-of-the art fabrication process that coats prostheses with a permanent decorative finish. With this innovative process, Grace offers your patients the same superior service without compromising durability or affordability. Comparable in cost to cloth lamination, water transfer printing offers your patients hundreds of color and design options. For more information and pattern options, contact us today or visit us online.
Grace Prosthetic Fabrication
Say goodbye to old-fashioned sockets and welcome the next generation in prosthetic-limb connectivity—the patent-pending HiFi™ Interface. Unlike traditional sockets that simply fit the periphery of the residual limb, the HiFi Interface captures and controls the residual bone. The patentpending HiFi Imager, with its skeletal-capture technology, is a device used for transfemoral patients during the casting/scanning phase. Upper- and lower-limb patients report a significant increase in control, function, performance, and comfort with the HiFi Interface. "It feels more like a part of me." Be a part of the HiFi revolution—www.joinhifi.com
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 removable, rigid plastic components—making it ideal throughout rehabilitation. When spinal control of extension and flexion is desired, the Ventura is the perfect fit. Available in four different PDACapproved options, as well as the ability to purchase additional components.
The FullStride™ Shadow from Becker Oregon is a lightweight KAFO that combines structural strength and cosmetic appeal with the FullStride mechanical stance-control orthotic knee joint. The inherent rigidity of the FullStride Shadow ensures that optimal joint alignment and function are maintained throughout the gait cycle.
Constructed of lightweight and rigid composite materials, the FullStride Shadow's sleek and open design offers patients an unparalleled blend of form and function.
The echelonVT merges the fluid movement of our hydraulic ankle with the responsive function of our e-carbon foot springs and machined titanium spring. This combination results in a smooth heel-to-toe transition on all surfaces, absorbs ground forces, and provides energetic tibial progression and up to 15° of axial rotation.
- Self-aligning feature provides comfortwhile standing or traversing varied terrain.
- Independent, hydraulic-controlledplantarflexion and dorsiflexion.
KKHydraulic ankle dorsiflexes, which
allows for greater toe clearance in swing phase.
- A dynamic, precision-engineered springenhances the ankle's fluid movement.
- Foot shell and glide sock included.
The Adirondack Strap was invented by Bob Neron, an Adirondack trapper who felt the need to tighten his liner during vigorous activities in warm climates to avoid slipping. The strap is constructed of a removable 1.5" hook-and-loop closure, which sticks to the liner, offering a D-ring-type, infinitely adjustable closure over the femoral condyles. Purchase the Adirondack Strap for $18.50. This product is a must for patients who complain of sliding out of their liners as perspiration becomes a lubricant. Great for runners, swimmers, or even just cutting the grass on a hot day.
The Ortho Remedy
Custom Alpha DESIGN® Liners provide a more intimate liner fit and greater comfort than off-the-shelf liners. The gel inside Alpha DESIGN Liners follows a residual limb's contours so there are no voids or gaps in the liner fit. The customization all happens on the inside while the exterior is uniform in appearance. OMEGA® owners/users must upgrade to version 12 to have hybrid gel and Select fabric options available in software. Facilities using order forms should visit www.willowwoodco.com to get the latest versions that include hybrid gel and Select fabric ordering options.
The medi Panthera CF I heralds the advent of a new generation of carbon-fiber feet. Due to its novel construction, less effort is required during the gait cycle. The unique heel damping and pivot principle initiates dynamic forward locomotion for early plantar contact without the "dead spot" common in other carbon-fiber products.
Features and benefits include:
- Continuous carbon spring: no bolts or laminated connectors.
- Comfortable heel damping with pivot principle: early full-foot contact.
- Multiaxial functionality.
- High-quality foot shell with integrated protective textile: no need for Spectra Socks.
The PreSTRIDE™ is a modular, fully adjustable stance-control assessment tool that uses a cabling system to unlock the orthotic knee joints at the end of stance phase. It may be fitted to most adults who are between 5'2" and 6'2".
Intended as an assessment tool for the Full- Stride™ and SafetyStride™ stance-control systems, the PreSTRIDE now comes equipped with GX-Assist. GX-Assist accommodates individuals with significant hip musculature weakness, using a pneumatic spring to assist in knee extension during the swing phase of gait. The GX-Assist can be attached or detached from the lateral side of the orthosis.
PEL Supply Company
The BTK is unlike any knee that addresses amputee sports and rehabilitation activities.
Features and benefits include:
- Mimics natural muscle function.
- Adjustable tendon durometers and extension stops.
- Adjustable dampening and rebound.
- 350 lb., K4+ activity; use in any environment.
- Light and strong.
- Military approved.
Visit Fabtech Systems at AOPA in Boston at booth 1123.
Fabtech Systems LLC
The SYMBIONIC LEG™ is the first commercially available, complete bionic leg that combines an MPK and a powered, microprocessor ankle. It provides unmatched toe clearance for enhanced safety and enables transfemoral amputees to confidently traverse terrain they might otherwise avoid without the gait deviations commonly seen in MPK users. The SYMBIONIC LEG is insurance billable using existing, approved L-Codes and, when used with RHEOLOGIC Workbench software, offers the ability to document actual user cadence variation to reduce insurance reimbursement risk. Call Össur today to learn more about the new SYMBIONIC LEG.
Accommodate, NEVER correct! People with Charcot foot, edema, hammer toes, bunions, and RA foot pain cannot tolerate much correction or pressure caused by footwear. Proper fitting of footwear is essential, and our Mt. Emey therapeutic line offers shoes for any of these conditions. Whether accommodating for depth, width, size, or even for shape, select from our variety of shoes from our therapeutic line to fit that special foot of your patient. Call our friendly customer service department for more information or free samples.
Apis Footwear Co.
Breathable and lightweight, yet rigid and custom moldable! Boost patient compliance with a comfortable back support that delivers the stability your patient needs. The 3D-LITE™ LSO XTRA is designed to accommodate the healing process by applying adjustable compression and incorporating removable polyethylene anterior inserts and a 3D-LITE™ custom-moldable back panel that may be reheated and remolded.
Patient can easily slip hands into the hand loops sewn onto both anterior panels for simplified donning and doffing. Five sizes fit from 23 1/2" to 55" waists. PDAC letter available for L-0631. Contact us to learn more!
Tamarack Flexure Joint Caps™ are a uniquely designed external mounting option for articulating ankle-foot orthoses with Tamarack Flexure Joints®.
Features and benefits include:
- Converts solid ankle AFOs to articulating AFOs.
- Ideal for a variety of materials, including thermoplastic, copoly, and carbon fiber.
- Use for free-motion or dorsiflexionassist Tamarack Flexure Joints (sold separately).
- Part #741-CAP, available in large or medium sizes, and black or natural color options.
Limbguard: Post-Op Rigid Dressing
Developed by a team of experienced prosthetists, Limbguard™ is an alternative, post-operative, rigid dressing for transtibial amputations. The idea was to create a device that would allow practitioners to administer immediate and effective treatment of post-operative amputees. Volume fluctuation is accommodated via the floating pretibial section and our proprietary distal Gills™, which help provide the perfect fit. Limbguard is available from Friddle's Orthopedic Appliances.
The avalon foot provides 12° of controlled ankle motion, allowing the user to safely negotiate stairs, ramps, and environmental obstacles with increased confidence and security.
- Dorsiflexes from midstance to toe off for a smooth rollover.
- Remains dorsiflexed through swing phase for improved toe clearance, to minimize the risk of falls.
- Provides a more natural gait; reduces the need to compensate by hip hiking, circumduction, or lifting the knee to clear the toe during swing phase.
- Biomimetic ankle motion encourages equal loading during ambulation, which leads to less stress and thereby preserves the sound side.
E-mail orders to
The TM 2000 Series has the following features:
- Symmetrical, straight last.
- Added depth: 3/16-in. (5mm) deeper than our conventional straight last shoes to accommodate orthotics, AFOs, and internal modifications. KK Extended contours firm enough to provide support and stability.
- Whole and half sizes from Infants' 5 to Youths' 4.
- A choice of medium and wide widths.
- Removable, cushioned insoles.
All TM 2000 Series shoes are on sale. Order online today!
M. J. Markell Shoe Company Inc.
Wish there was a way to make minor adjustments to a socket without it delaminating? Tired of all the itching when grinding a carbon socket? Then check out Comfort Products' two great tubular stockinettes: SpectraCarb™ Stockinette and SpectraCarb/Aralon Stockinette™.
Features and benefits include:
- Both have the ability to be modified using a heat gun without delaminating. KKNo itching when grinding these stockinettes.
- Available in 5- and 25-yard rolls.
- Easy workability; wets out well.
- Comes in 2-, 3-, 4-, 5-, 6-, and 8-in. widths.
- Superb strength with some flexibility.
- Very lightweight.
The Unloader with the 3-Point Leverage System pioneered osteoarthritis (OA) knee bracing more than a quarter century ago. Since that time, the efficacy of this technology has been clinically proven by multiple, peerreviewed studies. Now, recent clinical research by the Steadman Philippon Research Institute establishes that the Unloader One® OA knee brace decreases pain, improves function, and reduces pain medication usage.
To learn more about the Unloader One OA knee brace, or the new Unloader One Plus for plus-sized patients, visit www.ossur.com/ unloader today.