Sub-Atmospheric Socket Technology Gains Momentum
By Miki Fairley
Since its introduction in the late 1990s, there has been a significant increase in the clinical application of sub-atmospheric (elevated vacuum) prosthetic suspension. Photograph of Triton Harmony® Vacuum foot user courtesy of Ottobock. "When I be...
In Pursuit of Residual-Limb Skin Health
By Judith Philipps Otto
Even with the best prosthetic care and rehabilitation efforts, a positive prosthetic outcome often hinges on the identification and resolution of a skin problem that in other circumstances might be considered insignificant. When such a problem occ...
Managing Care: A Team Approach Helps Burn Patients with Amputations to Heal
By Betta Ferrendelli
According to the American Burn Association (ABA), approximately 450,000 people in the United States sought medical treatment for burn injuries in 2011. Of the three classifications of burns-thermal, chemical, and radiation-thermal burns (such as a...
House VA Subcommittees Examine OIG Reports on O&P Care Provided to Veterans
By Peter W. Thomas, JD, and Samantha Marshall, Law Clerk
Veterans' access to appropriate P&O care became the focus of the House Committee on Veterans' Affairs when two of its subcommittees held hearings on three separate reports issued by the U.S. Department of Veterans Affairs (VA) Office of Inspector...
Elizabeth Stone: "Quiet Determination" Results in Paralympic Success
By Kate Hawthorne
At the age of 21, swimmer Elizabeth Stone is looking forward to competing in her third Paralympic Games in London this summer. Since winning a silver medal in the 100m backstroke in the 2008 Paralympics in Beijing, China, she has taken gold, silve...
By Séamus Kennedy, BEng (Mech), CPed
Metatarsalgia is a global term to describe forefoot pain. It covers pain occurring at the metatarsal heads, the metatarsophalangeal joints (MPJs), or in the soft tissue in that region and can lead to a variety of diagnoses. In the paper "Metatarsa...
Fabricating Orthoses with a Low-Temperature Inner Layer
By Tony Wickman, CTPO
Sometimes, advances in material sciences can provide big benefits to our patients—and be a big pain for our technicians. Over the last few years, we have seen an increase in the development and use of lower-temperature thermoplastics (e.g., DuraFl...
eX7 Motocross: Tough Competition
An early morning rain made for great track conditions at the seventh annual Extremity Games (eX7) motocross event, held May 26 at the Baja Acres track in Millington, Michigan. There was sufficient moisture to keep the dust down and the dirt sticky...
Building a Better Patient
What's that you say? We don't build patients; we build orthotics and prosthetics? Not according to some advice Doc Davis gave me a few years back.
Billing and Collections Q&A
By Lisa Lake-Salmon
Denials are difficult to identify and time-consuming to appeal. When denials have you at your wit's end, "Got FAQs?" can help you get your billing back on track. This month's column addresses your questions about medical necessity for codes L-1840...
Industry Review - Business & People
In Memoriam: William “Bill” Peterson
William "Bill" Peterson, CPed, Tucson, Arizona, passed away May 8, 2012, after a prolonged battle with cancer. He was 68. Peterson had more than 35 years of pedorthic experience, including orthotic design and manufacturing, and patient care.
Industry Review - Conference
ORTHOPADIE + REHA-TECHNIK 2012: A “One-Stop Shop”
Exclusive live coverage from The O&P EDGE. From symposiums on robotic exoskeletons, the latest upper-limb prosthetic devices, and best practices in prosthetic care for amputee patients; to song and dance routines, a BMX performance, and German cui...
Where's Your EDGE ?
By Karen Henry
David Gelfand holds up his issue of The O&P EDGE during the October 2011 Challenged Athletes Foundation (CAF) San Diego Triathlon Challenge expo. A good book has several telltale signs of repeated use: the cover is worn, the pages are dog-eared, a...
Cooperation Creates Win-Win for Tech Developers, O&P Profession
By Miki Fairley
Executives and technology developers at Orthocare Innovations, Oklahoma City, Oklahoma, and WillowWood, Mt. Sterling, Ohio, had been enjoying collegial discussions on ways to improve prosthetic socket technology and patient comfort. However, as th...
The Importance of Therapy for your Patients
EDGE Direct Whether it's gait training for lower limb or ADLs for upper limb, you know that therapy for your patients is critical to their success. Only Ottobock offers the therapy resources you and your team need to get your patients back to eve...
An innovative, cost effective solution for optimal suspension in expulsion and vacuum.
Evolution Industries Inc.
Our durable, lightweight, endoskeletal QuickLite™ Covers are designed for use on preparatory and permanent prostheses. Made of polyethylene foam that is pre-shaped to reduce fabrication time, they are easily removed for adjustments and easily reinstalled.
Features and benefits include:
- Available in four B/K sizes and two A/K sizes; either left or right sides; split covers.
- Wear as is, or cover with hose or skin.
- Fabrication time averages 30 minutes.
- Quick installation during patient appointments.
- Washable; user-friendly; weighs 2 oz.
- Protects inner components and clothing.
Westcoast Brace & Limb
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 StepLock is a ratcheting, multi-position joint that is ideal for standing assist or flexion contractures. StepLock is modular and interchangeable with the Interlock. With its multiple configurations and sizes, including a hip, it can accommodate any combination of weight and activity.
Features and benefits include:
- Ten locking positions throughout knee flexion.
- Helps to increase the knee range of motion.
- Provides stability for standing before reaching full extension.
- Designed for knee-flexion contracture management.
- Unlocks to enable sitting and reclining.
- Effectively blocks flexion while allowing free extension.
- Unparalleled strength, plus a nickel-plated finish, for extra durability.
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.
Use Coyote Design's new "composite" in your laminations. Made from basalt (volcanic rock), this material creates an inert and safe material that causes much less itch than carbon. Our proprietary braid was designed for prosthetic and orthotic use, and is similar in weight to carbon, but less rigid for a more flexible, comfortable sockets. Basalt is also tougher than carbon or fiberglass to withstand impact and resist delaminating, and it is less expensive. Available in 4", 6", and 8" braid, as well as reinforcement rope or sheet fabric.
The Tactical Soleus is available in limited quantities starting July 4, 2012, and $200 of every Tactical Soleus sold will be donated to Purple Heart Homes. This organization is committed to providing housing solutions for service-connected, disabled veterans.
The Tactical Soleus is engineered and manufactured in the U.S.A., and custom built for the heroes among us. College Park has removed unnecessary weight while retaining superior strength. A new heel-spring design and a new mid-spring design, combined with a new belt-attachment system, have created a foot that is 40% stronger and 10% lighter. Visit www.college-park.com/tactical
College Park Industries
The AIRPUCK™ system is a cost-effective vacuum reservoir that can maintain negative pressure within the prosthetic socket for extended periods of time (6-10 hours). The AIRPUCK system completely seals the distal aspect of the socket, allowing users to open the valve and remove air in the socket to achieve vacuum suspension. The vacuum barb is neatly concealed in the valve housing. Blister pull fabrication makes an air-tight socket a breeze. No hoses, barbs, or ports to contend with. The AIRPUCK is a self-sealing, modular, drop-in vacuum component. Patent pending.
5280 PROSTHETICS LLC
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 latex-free, 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.
OPTEC is proud to present our new VENUM® spinal system, which is ideal for patients requiring firm spinal support. With its unique and mechanically advanced closure system, the VENUM® makes it a snap to don and doff with minimal effort. Its slick, weightless construction is breathable, hypoallergenic, and nearly undetectable under clothing, without compromising maximum comfort. Due to the ergonomic design of the brace, patient therapy participation is promoted by adjusting the level of support.
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 patent-pending 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
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.
The custom silicone liner for the best choice in vacuum and expulsion systems.
Evolution Industries Inc.
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.
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.
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.
The Carbon Copy 2® foot is a sound choice for amputees who are active or are transitioning from a lower-activity foot.
Features and benefits include:
- Outstanding durability and stability by incorporating a carbon/nylon keel.
- Dual-spring design provides energy returnand smoothtransition from heel to toe.
- Good upgrade for SACH foot wearers.
- Engineered for moderate- to high-activity use.
- Suggested L-Code: L-5976.
Contact WillowWood for a FREE foot chart and poster!
The innovative design of the DynaStar foot combines a long, carbon-fiber keel and hard heel linked by a unique PU joint.The DynaStar is made for K3 users who are looking for stabilityand comfort.
Features and benefits include:
- Split keel provides eversion-inversion.
- Rear stop absorbs possible overload.
- Low clearance (10.1cm/4 in.).
- Delivered complete with foot shell, Spectra sock, and malleolar clip.
- Easy foot selection: only four modules depending on the user's weight and/or activity.
- Weight limit: 275 lb.
- L-Code: L-5981.
PROTEOR Handicap Technologie
Trulife's newest high-performance foot—the Seattle Triumph—is available from PEL at a great, low price. The carbon-composite design provides dynamic performance while adding features to save practitioners time and money.
The Seattle Triumph combines a split keel and S-shaped shank to create a multiaxial ankle-foot system with vertical shock absorption, smooth rollover, and controlled plantarflexion. With an integrated heel wedge, titanium pyramid, and Spectra sock, the Seattle Triumph comes preassembled in a removable foot shell, making it ready to fit directly out of the box. Free shipping with PEL's Higher-Activity Shipping (H.A.S.) program.
PEL Supply Company
Optec USA proudly presents its newest line of products, the Gladiator Knee Braces. Gladiator Knee Braces are built to offer durable, dependable support to patients of every activity level. By offering varying heights and designs, the Gladiator series ensures your patients will receive the optimal brace for their specific needs.
At Grace Prosthetic Fabrication, Inc. our technicians have perfected the techniques of spraying skins on all types of prosthetic devices. Our Spray Skins can be designed to be lowered for ease of alignment changes and fabricated with split toe or hair illusion.
Grace Prosthetic Fabrication's pricing on Spray Skins is very competitive. We look forward to providing your patients with our Spray Skin technology.
Grace Prosthetic Fabrication
Comfort Endurance™ Suspension Sleeves are made of a tougher, more durable neoprene with a rugged, outer nylon cover to withstand the rigor of everyday use without seam failure. We offer two styles in both black and beige. Endurance Criterion features a smooth skin lining for superior support and comfort and reduces popliteal bunching. Endurance Sport adds the benefit of a nylon-lined center section to reduce abrasion. The Comfort Zip Sleeve is great for geriatric patients or for patients with limited hand strength. Gone are the days of struggling, tugging, and rolling to get the sleeve in place.
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.
- 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.
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