Return to Combat
By Pam Martin
A commitment to duty, advances in prosthetics technology, and changes in the rehabilitative model of care are enabling some soldiers with amputations to return to the front lines. "The only easy day was yesterday." -U.S. Navy SEALs Corporal Gar...
Weighing In: Help Your Patients Fight Obesity and Win!
By Miki Fairley
Everywhere we turn, we are urged to exercise and get fit. Never before has there been so much readily available information about healthful, delicious food, how to prepare it, and what good nutrition is all about, including online recipes, nutriti...
Society Spotlight: Managing the Aging Adult Prosthesis Candidate
By Kevin Carroll, MS, CP, FAAOP
We live in an ever-changing world, but as the years pass, it seems that the rate at which change occurs is accelerating. Technology's radical progress, in particular, inevitably impacts our interactions with our peers and our patients, especially...
Roger Thomas: A Light-Year Leap
By Laura Hochnadel
From left: Waldo Esparza, CP, and Roger Thomas flash the "hang-loose" sign. Photograph courtesy of Tampa Bay Prosthetics. Roger Thomas is a hand model.
A Dynamic Approach to Managing Partial Foot Amputees
By Séamus Kennedy, BEng (Mech), CPed, and Robert Meier, CO, BOCO
When treating partial foot amputees, practitioners are faced with several issues. First and foremost is limb preservation. This is achieved by limiting the destructive forces of pressure, shear, and friction.
Ski Spectacular Highlights “Healing Power of Sports”
By Laura Hochnadel
What a difference a year makes. This is especially true for Ornichleel "Leel" Ulysse, who, one year ago this month, became one of the 1,000-plus people who had one or more limbs amputated as a result of the devastating earthquake that hit Port au...
Embarking on a Lifelong Journey
By Ronald Dickson
June 29, 2005, was my first day as an above-the-knee amputee. Everything good that has happened in my life recently has stemmed from that one moment. I had Trevor's Disease—a disorder involving the growth plates in my left knee and ankle tha...
Face to Face
Face to Face: Michael Smerka, CP
"A man who works with his hands is a laborer; a man who works with his hands and his brain is a craftsman; but a man who works with his hands and his brain and his heart is an artist." -Louis Nizer (1902-1994) Michael Smerka was an artist first....
Industry Review - Humanitarian
A New Mission of Hope in Belize
Ninety percent of the world have access to only 10 percent of the world's medical resources, according to the International Hospital for Children. The people of Belize-lacking a medical infrastructure and trained personnel to serve their critical...
By Lisa Lake-Salmon
Running an O&P practice is complicated enough without having to sort through Medicare guidelines to determine the reason for a denial. "Got FAQs?" can help guide you through Medicare's maze. This month's column addresses your questions about Medic...
Questions Answered, Promises Kept
By Karen Henry
Our cover story this month began with a question-a couple of questions actually. Over the last several years, we have come across news stories that detail the experiences of U.S. soldiers who have returned to combat operations following an amputat...
Jessica’s Patient Inspired Solution
EDGE Direct This success story is about balance and gait training for a four-year-old with a diagnosis of hypertonicity, spastic diplegia. Prior to Ultraflex bracing, Jessica's gait with AFOs and a posterior walker presented with severe crouch wi...
Winning the Weight Fight: One Patient’s Success Story
By Miki Fairley
Casting. Photographs courtesy of Bio-Medic Appliances, Essex Junction, Vermont. Losing weight is often more than simply wanting to look your best for your tenth or 20th high school reunion-it can present a critically important health issue.
Allard USA incorporates its versatile 3D-Lite low-temperature thermoplastic into a line of pre-cut TLSOs and LSOs, called Cut-4-Custom (C4C). Front and back sections have straps pre-attached. Both sections are ready to be heated and custom-molded to the patient. Four heights accommodate the prescription and patient anatomy. 3D-Lite becomes soft and is ready to mold to patient contours in less than ten minutes. This innovative material may be re-heated, flattened, and re-molded. It is aerated for breathability and is lightweight, non-toxic, and may be worn in the shower.
We asked prosthetists what their clients needed. They said a durable, economical sleeve for transtibial suspension that was comfortable and easily applied yet secure. In response, Syncor's research team developed the Durasleeve EZ, an air-tight, hypobaric suction environment that provides virtually fail-safe suction.
The Durasleeve EZ is pre-flexed with no bunching, increasing comfort while making it less obtrusive. This also eliminates seams, reducing pressure on the patella. Constructed of cream-colored Hypalon®, the sleeve is less likely to cause irritation. Sizes available from S to XL, and custom orders are welcome.
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.
Take a Step in the Right Direction!
Easy to fit for practitioners and even easier for patients to use, this integrated, low-profile joint provides the best in electronic stance control and helps your patients achieve a more active lifestyle. Simple onboard programming helps the E-MAG Active calibrate itself to capture the user's unique gait pattern. This feature adds a whole new dimension of functionality for people who previously have had limited bracing options, such as a locked knee or manual device. Help your patients get back into the swing of things with the E-MAG Active!
Otto Bock HealthCare
Orthomerica, a leading worldwide provider of prefabricated and custom orthoses, is pleased to announce the new Spectrum AFO System. These superiorly designed custom AFOs offer optimal fit without comprising comfort. Orthomerica's dedicated custom fabrication team of certified orthotists, skilled technicians, and customer-service representatives are continually focused on delivering prompt and exceptional service at highly competitive prices.
Spectrum products include:
- Mid-Calf AFOs - Split Upright, Free Motion, and Dorsi-Assist.
- Leather and synthetic ankle gauntlets.
Visit Orthomerica's website to see its comprehensive array of prefabricated, semi-custom, and custom orthotic products.
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.
Introducing the adult PRAFO® 650 RAPS terry cloth AFO system (650R/TC) now available through Friddle's. Experience the functionality of the gold-standard PRAFO, which incorporates the same superior, modular, and truly adjustable custom-fit posterior superstructure/frame. The PRAFO® 650 RAPS allows for full ambulation and comes with an open-cell, serged terry cloth liner system that is less expensive to manufacture. Also available in pediatric (550R/TC) and infant (450R/TC) sizes to help you reduce inventory and overhead.
Friddle's Orthopedic Appliances
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
Otto Bock's breakthrough PolyTol® flexible socket material contours to the body with exceptional, long-lasting elasticity. PolyTol is easy on your patient's skin, with no irritating or allergenic components. The material offers good moisture absorption and skin adhesion for an intimate and comfortable fit. As the clinician, you also have the advantage of Otto Bock's fabrication staff, experts who work with PolyTol every day and can give you just what you ordered, right when you need it, and at a cost with no surprises. To learn more, contact your sales representative, or visit us online.
Otto Bock HealthCare
The new THRIVE™ from Freedom Innovations is the world's first load-activated prosthetic foot. Ideal for those who work in construction, farming, or any occupation that requires heavy lifting, the dual-keel design manages additional loads (up to 30% of the user's body weight) by providing incremental support. This ensures consistent performance and ultimately greater confidence among users.
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: 17/16 in., width: 7/16 in., height: 19/64 in., weight: 0.5 oz.
Orthomerica® Products introduces the new ClearView™ product line. Immediate feedback on fit and function is revealed with this exclusive new material from Orthomerica. ClearView provides instant visualization of areas of gapping or excessive pressure; excellent memory-retention properties without stress fatigue; plus it's easy to modify and is heat moldable without thinning. Visit www.orthomerica.com/clearview for a video demonstration, or call Orthomerica to discover what products are currently available in ClearView.
Purchase one Ohio Willow Wood Alpha® Flex Sleeve and one Alpha Select Liner and receive a second Alpha Flex Sleeve FREE from PEL Supply with order code PC-FLEX3 through July 1, 2011.
Featuring a highly flexible fabric for greater comfort and increased range of motion, the Alpha Flex Sleeve may be used with locking suspension, suction suspension, or with LimbLogic™ VS for creating an airtight seal.
Alpha Select Liner's hybrid gel combines durability with comfort. Its flexible front panel allows for easy flexion, and its progressive gel style provides extra distal cushioning.
PEL Supply Company
Fillauer's Ibex Foot System™ is a leap forward in multiaxial foot design. The innovative micro-slices in the Ibex pylon and the split heel plate provide controlled inversion/eversion for terrain conformance. Its multiaxial design is energy optimized with a long carbon pylon and full-length heel plate that allows the Ibex to reach foot flat sooner and store more energy. Unique components of the Ibex work together from heel strike to toe off to provide stability without sacrificing energy return.
- Weight limit: Ibex, 330 lb.; Ibex XD, 440 lb.
- Three-year warranty.
- Durable; passed the ISO22675 test standard.
PEL Supply Company
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.
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.
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 120° flexion to full extension
- Low profile, sit-to-stand slide lock/safety release is easy to engage and disengage
- ADR™ ankle, 0-40°dorsiflexion, 0-40° plantarflexion resistance or dampening effects
- Adult and pediatric versions
Imagine an electric cast cutter for $129 and a pneumatic cast cutter, including two blades, for $179. Replacement blades for both tools are interchangeable, long-lasting, and cost $11.50 each. If this seems too good to be true, order online or call us.
Note: Air and electric current are not included.
The Ortho Remedy
Trustep® wearers experience unsurpassed comfort and natural-feeling mobility in their daily activities. The Trustep is carefully and concisely crafted to offer nearly the same vertical motion, rotation, and balance as an anatomical foot.
Key features and benefits include:
- Polycentric design provides advanced stance-phase control and facilitates independent heel and toe adjustment.
- Superior range of motion for the most natural gait pattern available today.
- True multiaxial function with transverse rotation for optimum terrain compliance.
- Shock-absorbing cushioning provides a smooth, controlled stride.
- Same-day, custom built to order.
College Park Industries
A new proximal adapter option is now available for the Fusion™ and DuraLite™ feet. The new Torsion Receiver mounts on top of the Fusion or DuraLite shank and requires no drilling. The proximal end is a pyramid receiver. A sense of natural movement is attributed to the 24 degrees internal rotation and 24 degrees external rotation. It is this rotation that lets wearers turn, or rotate in or out, just as they do on their sound side. Additionally, clinicians may adjust the stiffness of the Torsion Receiver to one of six levels.
Ohio Willow Wood
The Dynamic Walk Single Side orthosis is a new AFO made of a lightweight, moldable, carbon-fiber composite material. The open heel construction allows for optimal fit and comfort with various shoe types. The Dynamic Walk Single Side provides dorsi-assist with subtalar inversion and eversion control. This high-activity design enables freedom of motion and allows for walking, running, and climbing stairs.
- Easy donning and doffing.
- High strength.
- Fits easily into regular and narrow shoes.
- Flexible for multi-plane action.
- Choose between PEEK rods on medial or lateral side.
- One-year warranty.
The Pyramid PYR-SL-R-TI is the newest addition to Prosthetic Design's Pyramid line. It features a 12.7mm (1/2) slide off center, with closed ends on the base and offer 360 degrees of rotation, and a low, 16.25mm profile. The PYR-SL-R-TI is manufactured of titanium and is compatible with the European 4-hole pattern. The rotation is locked into place by tightening the 4 adjustment set screws on the interfacing component, similar to PDI's PR-SL-R-TI. Rotation is positively controlled in 3 degree increments with the use of interfacing radial serrations. The slide is locked at the same time the 4 adjustment set screws of the interfacing component are tightened.
Prosthetic Design Inc.
The Genesis Plus Foot Ankle System from MICA Corp. provides the truest, most natural range-of-motion (ROM) of any foot available within the industry.
Features and benefits include:
- Newly redesigned, with reduced height and weight.
- Rated up to 330 lb.
- Easy bumper replacement and free lifetime warranty on all urethanes and bushings.
- 30-day trial period from fitting date.
- Extremely ground compliant with full ROM.
100% American made. Support your country's economy!
"Skill is the unified force of experience, intellect and passion...."
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