Difficult to Fit: The Great Prosthetic Challenge - February 2010

Home > Issues > Issue

The Great Prosthetic Challenge: Difficult to Fit Cases

Feature

Case Study 1: Walking After 40 Years in a Wheelchair The combination of bilateral trans­femoral amputations, short residual limbs, and a decade or more without ambulation previously might have meant that a patient's remaining lifetime would be spent using a wheelchair. The task of ambulating at full height requires well-tuned balance, developed musculature, and sensitivity to the demands of various terrains. Relearning to ambulate as an adult also requires great psychological resilience.

More...

Dynamic Brace Beats Post-Polio Boomerang

Feature

When a 72-year-old retired physician with post-polio syndrome (PPS) presented at Prosthetic Orthotic Associates (POA) in 2008, he was unable to ambulate and used a scooter for mobility. He suffered from left knee pain, medial and lateral knee instability, genu recurvatum, and low endurance. He now can walk, clean the swimming pool, and help his wife with household chores and meal preparation.

More...

R&D Ethics: The Case of the $20 Knee

Feature

From left: Stanford's JaipurKnee and LeTourneau University's LEGS M1 Knee: How similar are they? Photograph courtesy of LeTourneau University. Two university teams working to provide highly functional knee joints to the world's poorest amputees have come to public loggerheads over accusations of ethics violations. The first party is LeTourneau University, Texas, a small Christian undergraduate institution.

More...

Tackling Tarsal Tunnel

Stepping Out

Tarsal tunnel syndrome (TTS) was first recognized in the early 1960s and described as "pain in the proximal medial arch and paresthesia along the lateral and medial plantar nerves. " Paresthesia is the pins-and-needles prickling sensation that occurs due to nerve entrapment or restriction. TTS is a painful and debilitating condition of the foot that results from compression of the posterior tibial nerve.

More...

Soldier On: How a Landmine Gave Jody Mitic a New Life

Extraordinary O&P

Mitic rests briefly on the battlefield, just days before losing both legs to a landmine. Master Cpl. Jody Mitic's future came to him in a farmer's field, on an earthen embankment beside a narrow path in the heart of Afghanistan's Arghandab Valley.

More...

Ski Spectacular Brings Speed to the Slopes

Sports

Youth racer Alex Tomaszewski attacks the slalom course at DS/USA's National Race Festival Photograph courtesy of Reed Hoffman. At Colorado's Breckenridge Ski Resort, it's not surprising to encounter speed. Some of the top snowsports athletes in the country can be found schussing on its slopes, which have hosted the Snowboarder Hall of Fame and a 2005 World Cup Race.

More...

Save the Environment, Save an Amputee

Perspective

"Go green, watch your carbon footprint, save the planet, and recycle"—I just can't take it anymore. I secretly wonder how many of those who spend their time and effort recycling like crazy find their business slowly slipping below the surface of the tumultuous ocean we call the business world? Is there any room to embrace the "go green" mentality within the O&P community? For the most part, owners are just like me—small business owners trying to eek out a modest living as we fight ever-shrinking fee schedules. Recycling ranks almost dead last on my list of priorities.

More...

Fall into Spring

Education Outlook

It's the most wonderful time of the year—especially if you are a student. As of this writing, O&P clinicians are rushing to get deliveries out before the end of the year, and now that they've met their annual deductibles, O&P consumers are coming in with prescriptions to get their new devices. But for O&P students, the moment we put our pencils down and turn in our last final exam of the semester, everything in the world is great.

More...

Face to Face: Bryan Reich, RTPO

Face to Face

Bryan Reich is a man who is hungry for knowledge. An amateur astronomer who says he "finds the challenge of pinpointing deep-sky objects relaxing and intriguing," Reich finds his greatest professional satisfaction in mastering materials and techniques—from state-of-the-art epoxy/carbon matrices to old-world leatherwork. After completing his training at what was then the 916 Technical Training Program (now Century College), White Bear Lake, Minnesota, he served in a variety of practices, learning each facility's specialties and methods before moving on.

More...

Got FAQs?

Got FAQs?

When you need help with your toughest billing questions, count on ‘Got FAQs?' to provide you with the information you need to help keep your billing on track. This month's column tackles your questions about reimbursement for Ossur's Proprio Foot, diagnosis codes, new and discontinued L-Codes for 2010, and more. Q: I have billed Medicare in the past for the Ossur Proprio Foot using L-5999 and was reimbursed.

More...

Developing Partnerships

Viewpoint

Over the course of your O&P career, you have no doubt developed a number of partnerships with vendors, doctors and referral sources, physiatrists, physical therapists, and occupational therapists—all of those individuals who comprise the "O&P team. " It's always beneficial to align yourselves with those who share similar goals and interests. The O&P EDGE is no different.

More...