ICF: Global Framework Mainstreams Disability, Creates Common Language for Healthcare
By Miki Fairley
Manchester Lace prosthetic fairing design made ofchrome and ivory polymer by Bespoke Innovations, San Francisco, California. Photograph by Eva Kolenko, courtesy of Bespoke Innovations. The International Classification of Functioning, Disability an...
The O&P Value Proposition: An Offer You Can’t Refuse?
By Judith Phillips Otto
Mansukhani "Quality is now king in U.S. healthcare. This means that providing O&P care as you have always done will no longer be enough....
International Education: Closing the Gap
By Betta Ferrendelli
As online and distance learning programs become more widespread, technology is also being leveraged to create more accessible and sustainable O&P education programs in developing and war-torn countries. Though there continues to be a lack of conte...
How Do Clinicians Select Prosthetic Feet?
By Gerald Stark, MSEM, CPO, LPO, FAAOP
Choosing Feet Is Becoming More Difficult U.S. Navy photo by Mass Communication Specialist 1st Class Anastasia Puscian/Released. A recent count of available prosthetic feet revealed more than 120 different designs.
Developing Prosthetic Technologies for the Global Community
By Jan Andrysek, PhD, PEng
Technological progress in materials, manufacturing, and design allows O&P professionals to use more effective products or processes to restore the lost functions of the biological system. They are doing so with some exciting results, including pro...
Dan Blocka, BSc(Hons), CO(c), FCBC: P&O Global Ambassador
By Miki Fairley
Dan Blocka, BSc(Hons), CO(c), FCBC, immediate past president of the International Society for Prosthetics and Orthotics (ISPO), is a man on fire, a visionary who can transform an idea into a practical reality. His mission: to help advance prosthet...
Virginia Guffey: Happy Is as Happy Does
By Laura Fonda Hochnadel
Virginia Guffey, 87, credits her positive outlook to her upbringing during the Depression. "I don't worry about anything I can't do anything about," she says. "During the Depression days, you learned to work and work.
Providing Effective Footwear in Less-Resourced Environments
By Dennis Janisse, CPed, and Mary Jo Geyer, PhD, PT, CPed
Finding sustainable solutions to the challenges encountered in providing appropriate, effective, low-cost footwear is the goal of a number of new initiatives. These initiatives provide opportunities for pedorthists seeking to get involved in inter...
Mastering the Two-Stage Lamination with Flexible Brim
By Jason Kimmel
Supracondylar suspension for a transradial prosthesis has been around for decades. This type of socket fabrication is commonly made from a wet lamination or thermoplastic materials. Despite the growth of thermoplastics, Ottobock, Minneapolis, Minn...
Face to Face
Doug Turner, OTR, CP, BOCO
Doug Turner began a career in O&P more than 20 years ago. In 2006, he opened his practice—Western Montana Orthotics & Prosthetics (WMOP), Missoula—where he is the lead clinician. That Turner chose a career in O&P is a natural extension of personal...
Billing and Collections Q&A
By Lisa Lake-Salmon
Running an O&P practice seems to be getting more complicated every year. When you have a question and can't seem to find the answer you're looking for, count on "Got FAQs?" to help point you in the right direction. This month's column addresses yo...
Academy Meeting "One of the Best Ever"
By Betta Ferrendelli
Western Media LLC prepares to debut its new division EDGE Custom Publications. Exclusive live coverage from The O&P EDGE. There were plenty of educational sessions (even one with a "twist"), activities, workshops, and exhibits during the 38th Annu...
Industry Review-Conference & Education
Neuroprosthetics 2012 Symposium Draws Record Attendance
By Betta Ferrendelli
Exclusive live coverage from The O&P EDGE. Ling In January, wounded warriors at Walter Reed National Military Medical Center (WRNMMC), Bethesda, Maryland, were using a new neurally controlled prosthetic arm—the Modular Prosthetic Limb (MPL)—for t...
Some of you have asked about my dog, Jake, and how he has been since his health began to decline last year. I am happy to report that he is still with us and is walking well, despite the amputation of his toe. His thyroid levels have balanced out...
The Future is in Good Hands with the Next Generation of O&P Professionals
By Mark Taylor, MLS, CPO, FAAOP
This past March, I witnessed my prosthetics students responding to a call for action, in the face of perceived danger, with a care and poise that I feared was somewhat lost with the new generations entering the O&P profession. Just as the transfem...
Build Your Practice with Support from Ottobock
EDGE Direct More resources! Ottobock's expanded business services offer you more: education options for CPOs and technicians, Cooperative Care, reimbursement support, and fabrication services. Education Options Ottobock Academy offers a wide...
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 orthopedic line offers shoes for any of these conditions. Whether accommodating for depth, width, size, or even for shape, select from a variety of shoes from our orthopedic line to fit that special foot of your patient. Call our friendly customer service department for more information or free samples.
Apis Footwear Co.
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 dorsiflexion assist Tamarack Flexure Joints (sold separately).
- Part # 741-CAP available in large or medium sizes and black or natural color options.
GRACE Plates are round thermoplastic or laminated socket adaptors with a European-pattern design that fit most prosthetic components. Our plates allow for ease of alignment after sockets are fabricated. Created with state-of-the-art aircraft aluminum, GRACE Plates have been used in thousands of prostheses. For your convenience, GRACE Plates come with the appropriate hardware, all for one low price.
Grace Prosthetic Fabrication
The recently PDAC-approved L-1845 Gladiator ACL Max™ is only one of Optec USA's newest braces added to the knee-bracing family. This heavy-duty brace was designed with both physicians' needs and patients' care and comfort in mind. Equipped with sturdy, dual-adjustable hinges with flexion/extension control, lightweight metal frame, anti-migration straps, and inside padding, these needs have been satisfied. Typical indications for the Gladiator ACL Max are for patients dealing with ACL, PCL, medial, and lateral instability; and for postoperative care.
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.
Knit-Rite's Cosmetic Stockings are now available with spandex for a stocking that is easier to don and provides a better fit and more flexion at the knee. Knit-Rite's Cosmetic Stockings are available in three newly updated, lifelike colors in both B/K and A/K styles. The silicone gripper cuff on the A/K style helps keep the stocking in place.
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.
Two-Day Turnaround 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.
Every client is different. For the exceptionally active client in need of transtibial suspension, Syncor's Durasleeve HD is constructed of the highest-quality, heavy-duty neoprene for exceptional durability. Limited dexterity creates its own challenges, and the Durasleeve EZ meets them with the security of a virtually fail-safe suction system, yet it is easy to don and doff.
All Durasleeve designs are constructed with uncompromising air-tight integrity. Outside, seams are reinforced with color-matched blind stitching. Inside, our exclusive, patented reinforcement panel minimizes wear. Custom orders are always welcome through your Syncor supplier.
Ottobock now offers a line of waterproof components! Designed specifically for use in the water, the Aqualine® waterproof prostheses provides waterproof protection for either transtibial or transfemoral 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.
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 multicomposite design and wide platform heel affords stability, durability, and comfort on varied terrain.
- 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 IndustriesSPS
The HOOPSTER basketball TD was inspired by a design by Hector Picard, a bilateral, upper-limb amputee and tri-athlete. Molded from high-performance polymers, the HOOPSTER absorbs and returns the energy required to expertly handle, dribble, and shoot a basketball one handed. A special stainless-steel wrist adapter and coupler allow the extension angle to be customized and locked in for each user.
The HOOPSTER's tapered shape captures a basketball perfectly on both its dorsal and ventral surfaces, providing excellent control, while its stiff but flexible material provides a safe interface for interpersonal contact. Available now!
The performance-based, moisture-management system of ALPS Coolmax® Prosthetic Socks wicks perspiration away from the body, which allows the wearer a more comfortable experience. ALPS' proprietary manufacturing methods produce a sock that minimizes stretch (up to one-third the stretch of competitors' socks) to ensure sock thickness is maintained for the life of the sock. Plus, this process controls shape and thickness without adjusting yarn, volume, or tension, which can create non-uniform wear and constriction in unwanted areas. The socks are mat-free, available with or without a reinforced distal hole, and a seamed distal end.
PEL Supply CompanySPS
Optec USA welcomes the new Gladiator ACL Lite™ as an addition to the Gladiator family of knee-braces. This low-profile brace is equipped with sturdy, dual-adjustable hinges with flexion/extension control, lightweight frame with shape-retaining plastic, and silicone pads and liners to eliminate migration. Typical indications for the Gladiator ACL Lite are for patients with ACL, PCL, medial, and lateral instability; as well as for post-operative care and sports care. This brace was recently PDAC approved as L-1845 for HCPCS purposes.
Feel the free-glide difference with the OAK™ Orthotic Knee Joint from Fillauer.
Features and benefits include:
- Helps conserve energy and reduce knee pain.
- Anatomic fit for increased comfort and support.
- Geometrically aligned to open medial compartment.
- Patented 30° valgum and 6° varum adjustment.
- Available in thermoplastic, Comfil® thermoformable carbon composite, orABS cuffs.
- Short version available in ABS cuffs.
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 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.
- Independent, hydraulic-controlled plantarflexion and dorsiflexion.
- Self-aligning feature provides comfort while standing or traversing varied terrain.
- Hydraulic ankle dorsiflexes, which allows for greater toe clearance in swing phase.
- A dynamic, precision-engineered spring enhances the ankle's fluid movement.
- Foot shell and glide sock included.
Patients will love the innovative features of the new ClickValve. The easy-to-grasp, threadless design offers simple opening and closing, with an audible "click" signaling that the connection is secure. Patients will also enjoy reduced skin irritation because the ClickValve system is entirely flush on the inside of the socket. Finally, a safety leash keeps it connected to the socket, making it almost impossible to lose. Grab on to this valve—it's just what your patients have been asking for.
A lightweight, energy-providing prosthetic foot is a must for amputees who are focused on working and being active. WillowWood's DuraLite™ Foot meets these criteria. The DuraLite Foot weighs only 356g and incorporates a urethane toe pad for enhanced medial and lateral motion. The split heel conforms to the floor, providing stability on uneven terrain.
The foot has three proximal adapter options: a pyramid adapter, pyramid receiver, or a torsion receiver that provides 24° rotation internally and 24° rotation externally. A Stair Guard reduces the risk of the adapter catching on a step when descending stairs.
Every ToeOFF® and BlueRocker™ should have a soft interface between the orthosis and tibial crest. We now offer a beige SoftKIT™ to match perfectly with the ivory-colored ToeOFF Fantasy.
The kit includes pre-cut, pressure-sensitive MikroFIX tabs to easily affix the pad to the orthosis. The system also includes two narrow neoprene pads to create a pressure-free channel to help relieve any potential discomfort from bony prominences.
Each SoftKIT comes with an extra pad so that one can be worn while the other is being laundered.
Practitioners who use offset plates can now do so with less added weight. Prosthetic Design Inc. introduces Carbon Fiber Offset Plates. The plates are available in three sizes: 1/2 in., 3/4 in., and 1.418 in. Offset in either AP or ML orientation for patients up to 325 lb. The Carbon Fiber Plates reduce weight by 40 percent compared to the equivalent aluminum versions. Contact Prosthetic Design Inc. for more information and recommended L-Codes.
Prosthetic Design Inc.SPS
The PreStride™ allows practitioners to make an informed decision regarding the suitability of Becker Stance Control Technology prior to manufacturing a definitive orthosis. Intended as an assessment tool for the FullStride™ and SafetyStride™ Stance Control Systems, the PreStride now also comes equipped with the GX-Assist. The GX-Assist accommodates individuals with significant weakness of hip musculature by use of a pneumatic spring to assist in knee extension during the swing phase of gait.
Delcam Provides Solutions to Significantly Increase the Productivity of your Clinic or Lab.
OrthoManager allows you to manage all orders and view the progress during every part of the workflow. Beginning with the iQube foot scan, through modeling (OrthoModel) and NC manufacture (OrthoMill), all the way to delivery!
Business benefits include:
- Reduce time and costs by eliminating courier deliveries.
- Convenience of eliminating storage space and costs of casts and foam boxes.
- Availability to automatically notify customers of expected delivery dates.
- Faster prescription modifications.
- Easier order processing.
Comfort Products introduces Ipocon Gel Sheets made by Uniprox. Made of pure silicone gel, the viscoelastic properties of Ipocon Gel Sheets work great for partial pressure relief. The sheets are free of Lycra coating and are great for spot pressure reduction and for foot inlays in the case of diabetes.
The sheets can be bonded with silicone adhesive and used as padding material for prostheses and orthoses.
Ipocon Gel Sheets can be cut with scissors, but make sure to obtain a clean edge to avoid initial tearing of the trimmed parts.
Comfort Products Inc.
At a 6-30% savings compared to other commercially available locks, the new 3140 Shuttle Lock is versatile, nearly universal, and a preferred alternative to locking systems. It ships with two pins in one of four lengths (1", 1.5", 2", or 2.5") or with no pin at all.
The 3140 features a trimmable push pin that can be cut to length as needed and has a deep pin well for easy insertion. Applicable for patients weighing up to 220 lb., it has a one-year limited warranty.
A Dummy Kit (3140-1) is available for ease of fabrication.
Now it is easier than ever to get a child in and out of his or her clubfoot brace. Just put the open-toe shoes on the child's feet and click them into place on our new quick-release Dobbs Bar.
The quick-release mechanism allows shoes and custom AFOs to snap on and off for diapering, car seats, and highchairs. A variable spring reset brings the child's feet back to neutral in a resting position. New forefoot extensions keep the brace flat on the floor so the child can stand easily in the brace.
M.J. Markell Shoe Company Inc.
Extend your title or begin your P&O career with a NUPOC certificate. No need to wait for the 2013 master's in P&O or to repeat your training in the MPO! Enroll now to earn your post-graduate certificate in orthotics or prosthetics. Complete six months of online coursework and three months of on-campus clinical training in the fall or winter 2012 P&O certificate program. Contact Northwestern University Feinberg School of Medicine
Northwestern University Prosthetics-Orthotics Center
Élan uses microprocessor-controlled, hydraulic-ankle technology to deliver optimized momentum and stability. It provides an overall 9° range of motion.
With dynamic adaptation to the walking surface, Élan provides a controlled range of ankle motion to improve postural sway, ease gait progression, and provide symmetry.
Sealed electronic components provide a degree of water resistance. Élan is an excellent application for K3 users weighing up to 275 lb. User-friendly programming facilitates set up and calibration in as few as eight to ten steps.
Finally, a 500 lb. AK System you can deliver with confidence to liberate your higher-weight patients. The high-quality, 3D-forged, titanium components and patented four-bar polycentric knee with lock provide durability and complete functionality. An extra-high-strength 34mm carbon tube and KT8 Strider SACH foot (available in sizes 25-33cm) are standard with the system; the adapter is included.
The entire AK-500 System has been tested and certified by the Berlin Cert - Institute for Testing and Certification of Medical Devices associated with the Technical University Berlin.
The Premier LSO Spinal Back Brace with a dual-pulley closure system was designed to be easy for a patient to don and doff and to unload the intervertebral discs. The dual-pulley closure system allows the patient to apply a controlled amount of intra-abdominal pressure. The Premier LSO Spinal Back Brace provides compression to the paravertebral soft tissues by featuring a rigid anterior and posterior panel. The breathable material is comfortable and encourages compliance.
- Post-surgical stabilization.
- Spinal stenosis.
- Degenerative disc disease.
- Bulging and herniated discs.
Premier Orthopedic SupplySPS