Bone Density among Lower-Limb Amputees: Prevalence, Risk Factors, and Implications
By Phil Stevens, MEd, CPO
Introduction In the provision of prosthetic care for patients with lower-limb amputation, there are certain characteristics that are immediately apparent to treating professionals. Limb length, muscle strength, painful neuromas, and marked limitat...
TAKING AIM: SRT/TDI Program Helps Amputees Learn to Shoot, Move with Bionic Limbs
By Betta Ferrendelli
Exclusive live coverage by The O&P EDGE. Allison Brown fires an AR-15 with a 10.5-inch barrel and surefire suppressor. Photographs courtesy of SRT Prosthetics and Orthotics.
Tracking Long-Term Functional Development with a Prosthesis: A Case Report
By Erin Sutton and Rob Hoskins, BS, BME
Abstract The process of functional development with a prosthesis is vital to a patient's overall health and quality of life, but very few studies exist that track long-term functional development. As the O&P profession moves toward evidence-based...
Beyond Control: The First Untethered Power-Assist AFO
By Morgan Stanfield
What do paintball pistols, earth movers, and a first-of-its-kind orthosis prototype have in common? They're all driven by fluid power, the technology that allows engineers to vastly magnify human or mechanical strength by harnessing the physics of...
Cadence Biomedical’s Kinetic Orthosis
By Betta Ferrendelli
First Steps: Inspired by nature, Cadence Biomedical's Kinetic Orthosis helps users walk. After Heather Montag took her first solo steps in more than six years, she had one word to say: "Wow." Montag was wearing a prototype kinetic orthosis de...
Making the Case for Custom Liners
By H. Wayne Wilkerson, CP
H. Wayne Wilkerson, CP For 22 years I have opted to make custom-injected, molded inserts for my patients who wear transtibial prostheses instead of buying prefabricated inserts. As a business owner and from an economic standpoint, it may be consi...
The Essential Guide to KAFO Fabrication Part 1
By Pedro Salazar
As a former steelworker, I see great similarity between building an office tower and fabricating a KAFO. Regardless of the architect or contractor, every skyscraper starts with the foundation, followed by the steel framework, the exterior, and the...
Tara Butcher: “You Choose the Life You Live….”
By Laura Hochnadel
Photographs courtesy of Tara Butcher. Rising 15,100 feet from base to summit, Tanzania's Mt. Kilimanjaro is the tallest free-standing mountain in the world.
“Camp of Champs” for Paratriathletes
Sixteen aspiring paratriathletes and three athlete mentors participated in the third annual Challenged Athletes Foundation (CAF) Dodge Paratriathlon Camp in San Diego, California, August 25-28. It's not just any camp, however. The camp is informal...
Billing and Collections Q&A
By Lisa Lake-Salmon
Billing for O&P devices and care is complicated. When you have questions, count on "Got FAQs?"to help keep your claims on track. This month's column addresses your questions about billing forL-2755, Medicare as a secondary payer, and using the Med...
A Man’s (or Woman’s) Best Friend
By Tonja Randolph
Facing a medical challenge and the possibility of amputation is never an easy situation, even when the patient in question happens to have four legs instead of two. Last October, my yellow lab, Jake, developed a growth on his hind foot. When I too...
Endolite Expands Training Program
EDGE Direct In support of the launch of the ORION, our newest microprocessor knee, Endolite is pleased to announce an expanded training program that includes certification courses for the ORION. Our expanded training program began April 8, with...
The Value of Central Fabrication Facilities
With rising costs and declining reimbursements, what's an O&P practice to do to maintain its competitive edge? In last month's EDGE Direct , we discussed how some practices do this by bringing fabrication services in-house (" The Value of In-House...
Allard USA is proud to announce the availability of its first-ever complete catalog. Easily find product numbers, sizing information, and replacement-component information for all Allard USA innovative products: ToeOFF® Family, SWASH®, Kid-Dee-Lite™, CHECK, X-LITE®, 3D-Lite™, and Cut-4-Custom.
You will also find an electronic version of the catalog at www.allardusa.com. The electronic version includes an interactive table of contents so you can just click on any item and immediately transfer to the page that details the information for that specific product.
New: The Adjustable Dynamic Response™ (ADR™) KAFO-No Cable Release Needed.
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.
Brand new for 2011! Delivering a lower profile, the Velocity™ foot's coupled toe springs work together to provide a progressively smooth roll over. It combines high functionality and no maintenance, with easy heel adjustment capabilities for fine-tuning. Call now for the special introductory price.
Key features include:
- Smooth control from heel strike to toe off , throughout stance phase.
- Highly sophisticated dynamic response.
- Maintenance-free design.
- Precision gait matched for out-of-the-box performance.
- Weight limit up to 125kg (275 lb.), three-year warranty.
- Same-day, custom built to order.
College Park Industries
The PreStride™ allows practitioners to make an informed decision regarding the suitability of Becker Stance Control Technology prior to manufacturing a definitive orthosis. The PreStride is a modular and fully adjustable stance-control assessment tool that uses a cable system to automatically unlock the knee joint at the end of the stance phase. It may be fitted, in a controlled clinical setting, to most adults who are between 5'2" to 6'2" in height.
WillowWood's newest member of the Alpha® family of liners is the Alpha Silicone Liner. The proprietary platinum-cured, medical-grade silicone is designed for comfort and performance.
Alpha Silicone Liner benefits include:
- A custom blend of silicone with vitamin E and skin conditioners for a nongreasy and nontacky surface.
- One-way stretch Select fabric controls pistoning without using a distal matrix.
- A flexible knee panel provides enhanced knee flexion.
- Retrofits with thermoplastic elastomer liners with a progressive profile.
- Offered in locking and cushion styles.
Alpha Silicone Liners will be available November 1, 2011.
Orthomerica® Products is pleased to introduce the new Spectrum™ Slim™, a valuable addition to our latest Spectrum AFO product line. This slimmer and sleeker eye-catching gauntlet is designed to allow your patients a greater range of shoe options. The Spectrum Slim is ideal for patients who find standard gauntlets a challenge to get into a shoe. Its low profile design makes donning and doffing much easier for the patient, and its soft leather offers maximum comfort. The Spectrum Slim is available in black or tan leather, and black or white synthetic material.
Ready for the beach or pool, Otto Bock now offers a line of waterproof components! Designed specifically for use in the water, the Aqualine® waterproof prosthesis provides 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 pounds 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.
Otto Bock Healthcare
Why buy all different types of glue when all you need is one? Sure Stick is the first clear contact adhesive that will permanently bond almost anything to almost anything else: foams, thermosets, thermoplastics, crape, vinyl, rubber, cork, Velcro®, soling, leather, wovens, non-wovens, urethane, neoprene, webbing, and more. Get your 16-ounce trial size, including reusable glue pot, for $19.99!!!
Contact The Ortho Remedy today!
The Ortho Remedy
VertaMax is designed and manufactured using dense elastic material that provides signifi cantly more compression than those conventionally used for lumbar supports. VertaMax provides unparalleled anteriorposterior support, abdominal support, perfect anatomic fit, ease of donning and doffing, and soft comfort. Abdominal compression can be increased or decreased with the fastening tabs. The adjustable anterior and posterior plastic panels contour and conform to patients of all shapes, sizes, and lordotic curves with no heat molding necessary. Your patients will appreciate the streamlined design, which is virtually undetectable under clothing.
Contact Optec USA for all your bracing needs.
Features and benefits include:
Designed with independent, multiaxial (iMX) technology, the WalkTek™ prosthetic foot represents a breakthrough in performance for K2-level amputees.
Featuring fully independent suspension with separate heel and toe compliance, WalkTek provides excellent stability and support. Users will experience increased confidence. Prosthetists will appreciate the 300-lb. weight rating and easy-to-access ankle-height adjustments.
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 subliner available in 5mm and 10mm Plastazote® or Aliplast®. Removable, interchangeable liners allow for swelling and edema issues and assist in cleaning and replacement.
New: Enhanced adult Adjustable Dynamic Response™ (ADR™), UltraSafeStep® for managing gait dysfunction.
New enhanced joint design benefits include:
- 100% more dynamic
- 40% lighter
- 30% smaller
- 5% stronger
- Improved corrosion resistance.
- Improved adjustable dynamic load response and magnitude.
- Covered by existing L-codes
Adults: Post-stroke, post-polio syndrome, and ankle instability. Adolescents: Cerebral palsy, spinal bifida, TBI, challenging neurological and developmental conditions, post-stroke, indiopathic toe-walking syndrome, and spinal-cord pathology
Easy to use, compatible with all uncovered liners, machine washable, creates an airtight lock in socket, cost-effective, solidly reliable. Great for vacuum and expulsion systems.
Evolution Industries Inc.
The Limbguard™ system (patent pending) is a cost-effective postoperative residuum maintenance/ knee ROM preservation system. Our system is completely customizable by the practitioner-on-site. Volume fluctuation is accommodated via the floating pretibial section and our proprietary distal Gills™.
- L-5450 IPOP, rigid dressing.
- L-5684 BK, fork strap.
- L-5688 BK, waist belt, webbing.
Friddle's Orthopedic Appliances
Combining comfort and support that is out of this world!
Galaxy LSO LP is part of OPTEC USA's newest line of spinal braces. The brace features our patented CROSSOVER closure system, as well as durable, polyurethane panels with a comfortable, removable liner. The Galaxy's anterior opening provides easy donning and doffing, and the adjustable strap length ensures a comfortable fit for your patients.
OPTEC's Galaxy LSO LP is approved by PDAC for L-0627 coding.
Contact Optec USA for all your bracing needs, or visit our website.
Gery®, another patented product from PROTEOR, is specially designed for K1 patients with limited indoor walking requirements and low-level activity.
The innovative rigid core and Keasy®-like foam provide an easy gait. This results in reducing pressure forces to the socket, thus reducing pain to the residual limb. Less physically capable wearers are able to take symmetrically longer steps.
The pyramidal connector and malleolar clip are included.
- Lightweight-30% lighter than the S.A.C.H. foot.
- Easy step completion.
PROTEOR Handicap Technologie
Through October 31, SPS purchases of a Plié® 2.0 MPC knee qualify for a FREE Freedom Series™ prosthetic foot (includes Pacifica®, Pacifica LP, Highlander®, or Sierra® foot) and FREE foot shell.
Alternatively, select a Freedom Vertical-Shock Foot (Silhouette VS/VS-LP, any Renegade model or Thrive prosthetic foot) and receive 50% off the list price plus a FREE foot shell with your SPS purchase of a Plié 2.0 MPC knee. These same products qualify for a FREE foot shell if purchased separately from a Plié 2.0 MPC knee.
"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
The Silver Liner Sheath from Comfort Products was designed to be worn under a liner without compromising suspension. The Silver Liner Sheath is reinforced for great wear resistance and has a unique mesh design that stretches to conform to shape while allowing for ventilation. The turned welt top provides added strength. The top is shorter than our traditional sheaths, which allows the wearer to receive the full benefi ts of X-Static® silver fibers without interfering with the design characteristics of the liner.
X-Static provides anti-microbial and anti-odor protection; it is all natural, thermodynamic, anti-static, and therapeutic.
The ESP Seal-Tite™ Suspension Sleeve provides a comfortable, secure suspension for both vacuum and standard suction prostheses. The soft, flexible gel conforms nicely to the limb and features a reinforcement layer in the socket trim area to reduce wear.
Features and benefits include:
Dycor's toe-filler (L-5000) and ankle-height (L-5010) partial foot prostheses incorporate custom silicone liners (L-5681) and advanced composite sockets (L-5629). A flexible keel can be extended from the socket into the forefoot (L-5972). Low definition protective covers (L-5962) are available in tan or brown and made from urethane or silicone.
Cast the residuum inside the appropriately fitting shoe and on top of the corrective device, if used. Indicate trim lines, ML/AP vertical reference, a tracing of the contralateral foot, and the shoe in which the cast was taken. Prior to molding, call Dycor technical services.
Additional 10% Off Iceross Liners and Össur Mechanical Knees
To celebrate the opening of our new Midwestern distribution center, SPS is offering all of its customers an additional 10% savings on Iceross® liners and Ossur® mechanical knees through October 31.
The Balance knee is designed to offer the less-active user a high-level of security and stability. Mid-swing shortening provides increased toe clearance to prevent hip hiking and reduce the chances of tripping. Its self-adjusting friction control maintains constant friction, preventing terminal impact from building over time.
Call SPS customer service for more information.