Getting Paid: Building Your Case and Defending Your Claims
By Judith Philipps Otto
"We're caught in a trap; I can't walk out...." —Elvis Presley, "Suspicious Minds" Today's reimbursement problems sound a lot like this Elvis Presley song. Over the last two years, the Centers for Medicare & Medicaid Services (CMS) has developed...
The Evolving Business of O&P
By Kate Hawthorne
In the last decade or so, the O&P industry has been buffeted by the same winds of rising costs and shrinking reimbursements that have been blowing traditional healthcare practice models if not entirely out the window, at least closer to the exit....
Are Orthopedic Surgeons Leaving the Amputation Healthcare Team?
By Betta Ferrendelli
Some Say Yes, Others Say It's a Shift in Care According to the Center for International Rehabilitation Research Information and Exchange (CIRRIE) at the University at Buffalo, The State University of New York, while "worldwide prevalence estima...
To Expand or Not to Expand: Medicaid Impact in the Wake of the Supreme Court’s Decision on the Affordable Care Act
By Peter W. Thomas, JD; Joel M. Hamme, JD; and Theresa T. Morgan
After the U.S. Supreme Court affirmed the bulk of the Affordable Care Act (ACA), several significant issues have been squarely deposited into the laps of the states, and they will need to act relatively quickly to resolve them. To be sure, legisla...
Society Spotlight “Creating Magic” on the Economic Rollercoaster of the O&P Practice
By Keith M. Smith, CO, LO, FAAOP
As a practicing clinical orthotist, I follow the guiding philosophy that if you treat your patients as if they were members of your family, then you will develop longstanding relationships with them and establish an atmosphere in which patients ar...
Shared Interest, Great Solution
By Angela La Voie
Greg LaKomski found a way to turn his limb loss into success for himself and possibility for others. LaKomski rides in the 2011 Extremity Games. ( Photographs courtesy of Orthotic & Prosthetic Technologies.
Rick Fleetwood, MPA: Big Heart, Generous Spirit, Hard Work
By Miki Fairley
Rick Fleetwood. "A heart as big as all outdoors" seems to be a phrase specifically coined for Rick Fleetwood, MPA, CEO of Snell Prosthetic & Orthotic Laboratory, Little Rock, Arkansas. Giving generously-not only financially but also in terms of hi...
It’s Fast to Relast
By Dennis Janisse, CPed
Dennis Janisse, CPed It is safe to say that most patients do not readily embrace the thought of having to wear custom-molded shoes. Their list of complaints is lengthy and familiar to the pedorthist and orthotist alike: "Those are the ugliest...
Making an Orthotic Carbon-Fiber Footplate with a Flexible Forefoot
By Justin Eitel
Justin Eitel Repeatedly flexing a thin strip of rigid material will eventually cause it to break. This principle has been demonstrated countless times with orthotic footplates. When the footplate breaks, it always does so at the point of maximum...
Humor in the Office
By Kate Hawthorne
A giggle a day helps keep stress at bay. An orthotist walks into a bar and orders a bracing drink. The prosthetist took a new technology class so he could get a leg up on the competition.
Pistorius Makes History; 2012 NJDC; ACA Youth Camp
Pistorius Makes History Photograph courtesy of Fast Track Agency. Oscar Pistorius made history as the first bilateral amputee to compete in the Olympics when he took his place at the starting blocks in heat 1, round 1 of the men's 400m dash i...
Recipe for a Master’s Program from Scratch
By Joshua B. Utay, MEd, CPO
Part 2 in our exclusive coverage of the development of the master of science in orthitics and prosthetics at Baylor College of Medicine, Houston, Texas. My shoes are too clean! The transition from full-time clinician to full-time educator has been...
Looking Back, Looking Ahead
Hosmer: 100 Years of Prosthetic Development and Manufacturing
In the early 1900s, there weren't a lot of regulations in place to protect the safety of U.S industrial workers, and terminal devices for upper-limb prostheses were somewhat limited. This is the cultural landscape that D.W. Dorrance found himself...
Face to Face
Matthew Schenk, CPO
What does O&P have in common with bears, owls, and elk? The answer is Matthew Schenk, who works at the Wheat Ridge, Colorado, Hanger Clinic. He traded a career as a wildlife biologist, in which he was involved in research on black bears in Califor...
Billing and Collections Q&A
By Lisa Lake-Salmon
Running an O&P facility in today's landscape of enhanced scrutiny and changing billing requirements can leave even the most seasoned billing professional feeling frustrated. If you have a billing question or a question about a denial, "Got FAQs?"...
Summer Fun, Losses, and Transitions
I recently returned from the 2012 Annual Scientific Symposium of the Florida Association of Orthotists & Prosthetists (FAOP) and the Florida Chapter of the American Academy of Orthotists and Prosthetists (FCAAOP) in Marco Island, Florida. The O&P...
2012 Paralympics: Athletes We Watched
In the August issue, The O&P EDGE highlighted six athletes who should be exciting to watch. Now that the Paralympics are complete, we wanted to provide you with a follow-up on these athletes' performance in the Games. We applaud all of the Paral...
LimbLogic® Technology Evolves!
EDGE Direct WillowWood's LimbLogic VS has been a popular choice with clinicians to provide patients with elevated vacuum. Now WillowWood is making this popular product even better. The new LimbLogic features a small, Bluetooth®, low-energy fob wh...
The dual suspension Air-Lock system now has a longer pin option. The new setup features a deeper lock housing that allows for use of a longer pin for easier engagement, without any adjustments to the housing. The lock features fabrication options that allow for similar fabrication as the Air-Lock and an option that reduces the need for more build height. The deep lock option is ideal for amputees that struggle to get the pin engaged. Deep Air-Lock CD103L.
The Modular Dynamic AFO is an extension device that adds all of the features and benefits of the Centri Dynamic Walk to any knee orthosis. The Modular Dynamic AFO prevents distal migration of the knee orthosis while also providing some "toe pick up" to allow for better ground clearance. The PEEK Rods of the Modular Dynamic AFO allow for virtually unlimited active motion at the ankle joint, providing excellent terrain accommodation.
- Thermoformable foot plate.
- Adjustable height.
- PEEK rod available in straight or dorsi-assist.
- Easily attaches to the orthosis.
- Prevents distal migration of orthosis.
Coyote Design's new Proximal Lock is almost ready. This new version of our Summit Lock has been completely revamped. It features a larger and more flexible liner attachment that makes it easier to roll on while it allows for greater pull on the strap. It also features a new lock that is easier to install. Lastly, the Proximal Lock features a new adhesive, included with each lock, that is easier to glue than its predecessor and more flexible. Proximal Lock #CD116.
Interested in a way to easily search, filter, and find the liners to suit your patients' needs? We've heard this wish a few times and took action. WillowWood's new online liner selection tool allows clinicians to obtain liner size recommendations and part numbers based on the data they provide.
Clinicians may search by amputation style, gel type, fabric type, profile, and more. Liner size may be selected or clinicians may enter distal and proximal measurements of their patients' residual limb. Results displayed by liner type and by part number, with links to detailed product information.
The Tactical Soleus is available in limited quantities, 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. Come meet Dale Beatty, veteran, bilateral amputee and co-founder of Purple Heart Homes at AOPA, booth 1805.
College Park Industries
Coyote Design will soon be offering 3- and 10-inch widths of its Coyote Composite. The safe and tough material is ideal for laminated sockets and AFOs and is currently available in 4-, 6-, and 8-inch widths. Made of basalt filament, the material itches less and costs less than carbon braid, making it a great alternative. Your lab will love you for it. Receive 15% off all sizes from September 1 through October 31, 2012, through Cascade. Available on all sizes of our 25-foot and 80-foot rolls. Check out our new webinar on using the Coyote Composite.
The Stride4™ is the latest addition to the Stride family of stance-control orthotic knee joints from Becker. The Stride4 knee joint is comprised of a four-bar linkage mechanism, whereby the upper and lower aspects of the joint do not purely rotate about one fixed center of rotation. Instead, the joint motion involves some translation, in addition to rotation, to more closely mimic anatomical knee motion.
- Three operation modes: stance control, free motion, and locked with stance phase knee flexion.
- Integrated extension assist.
- Free motion option.
The Stride4™ Shadow is a lightweight KAFO that combines structural strength and cosmetic appeal with the new Stride4 mechanical stance control orthotic knee joint from Becker Orthopedic.
Stride4 features include:
- Three operation modes: stance control, free motion, and locked with stance phase knee flexion.
- Four-bar linkage mechanism to afford stability and mimic anatomical knee motion.
- Integrated extension assist.
The inherent rigidity of the Stride4 Shadow ensures that optimal joint alignment and function is maintained throughout the gait cycle.
The innovative solution for optimal suspension in expulsion and vacuum socket systems.
Evolution Industries Inc.
Coyote Design is offering a 10% discount on its Air-Lock and Small Air-Lock September 1 through October 31, 2012. The newly improved Air-Lock offers a new geometry for reduced wear and toughness. It also features a new solid pin that is easier to install and stronger than its predecessor. The Air-Lock is the only system that allows for documentation of suction. Offer valid on CD103 and CD103S.
We've added a new, low-profile carbon-fiber foot to the popular Triton family! Now patients with lower clearance (2.5") can take advantage of the same smooth rollover and robust function as the original Triton. The multiaxial Triton LP provides excellent dynamics and flexibility for individuals with transfemoral or transtibial amputations. Ideal for all of your active patients, the Triton LP features a titanium adapter for added strength and water resistance, a weight limit up to 330 lb., and a split-toe design for safety, stability, and control.
The new Sure-Lok VRT (vertical) is a complimentary model to the original Sure-Lok surface-mount model. The Sure-Lok VRT (SLVRT) was a full two years in design and field testing. The majority of the locking mechanism is below the surface of the prosthesis, leaving only a low-profile stirrup on top. It mounts on the left or right side, and the stirrup actuates forward and backward. The surface-mounting plate is available in black or gold. A laminating "dummy" is supplied along with CD installation guidelines.
Available in October 2012. Call for pricing and to place orders now!
Orthocare Innovations' Edison™ provides a truly quiet experience for patients. Its large-bore piston eliminates vibration noises associated with other electronic vacuums. The protective, insulated casing that houses the in-line pump further reduces sounds.
Edison automatically adjusts vacuum levels to meet a range of activities. It increases vacuum pressure when activity demands, and assures optimal comfort when higher levels of vacuum are not required. Edison allows the prosthetist to customize settings or to select from one of three standard activity profiles so socket pressure remains within the desired ranges for each patient's individual requirements.
US Patent: 8,007,543 Orthocare Innovations, LLC. Other US and Foreign Patents Pending. US Patents: 7,914,586; 7,947,085; 8,016,892 Under License From Ohio Willow Wood Company.
PEL Supply Company
Ability Dynamics is a medical-device company created with a passion for helping amputees through the utilization of advanced technology.
Our state-of-the-art Rush Foot™ uses Flexeon™, a specially formulated, reinforced fiber-composite material that is nearly indestructible and three times more flexible than carbon fiber. This translates into fewer repairs, maintenance, and warranty claims.
Our full rocker sole is designed for the needs of above the knee amputees. The half rocker sole is designed for the needs of below the knee amputees.
medi USA Introduces the New medi Panthera CF I
The medi Panthera CF I heralds the advent of a new generation of carbon-fiber feet. Due to its novel construction, less effort is required during the gait cycle. The unique heel damping and pivot principle initiates dynamic forward locomotion for early plantar contact without the "dead spot" common in other carbon-fiber products.
Features and benefits include:
- Continuous carbon spring: no bolts or laminated connectors.
- Comfortable heel damping with pivot principle: early full-foot contact.
- Multiaxial functionality.
- High-quality foot shell with integrated protective textile: no need for Spectra Socks.
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 combination 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.
- Self-aligning feature provides comfort while standing or traversing varied terrain.
- Independent, hydraulic-controlled plantarflexion and dorsiflexion.
- 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.
Fabrication Services from Ottobock
Whether your fabrication job is simple or complex, you want the broadest range of services available, staffed by knowledgeable, caring people. That's why Ottobock Fabrication Services is a perfect partner for your business: we offer decades of expertise, exceptional customer service, and an unparalleled reputation for quality. Our expert services include water transfer, lamination, and pre-preg carbon fiber. You can count on timely turnaround and delivering the results you want.
Orthomerica® Products introduces a new alternative to other hard, protective headgear: the A-Flex™ Protective Headgear. The A-Flex conforms to varying head shapes, making it easy to fit upon demand. The protection is ideal for low-impact forces, which are distributed across the surface without cracking or penetrating. A-Flex is equipped with easy-to-adjust posterior straps and lateral straps for easy donning and doffing. Chin straps are optional. Adult and children's sizes are available in pink, blue, and white.
Optec is proud to announce that we have made our way into the world of social media and we want you join us in this new adventure! We've been looking for a better way to provide more value for you, and what better way to connect than with Facebook, Twitter, LinkedIn, Pinterest, and YouTube. Keep up with the latest Optec and industry news, keep checking in with us for our current special, or better yet share your stories.
So, come "like" us on Facebook, follow us on Twitter, and get inspired on Pinterest.
As a central fab that has been in business for over 20 years, Grace Prosthetics utilizes highly trained technicians that have the knowledge and experience to construct hip disarticulation and hemipelvectomy prosthetics. It is our goal to provide exceptionally constructed prosthetics that you will have confidence in because they meet the highest degree of function for your patients. We will gladly answer any questions regarding special fabrication needs, components, and function. Please contact us today for more information.
Grace Prosthetic Fabrication
The avalon foot provides 12° of controlled ankle motion, allowing the user to safely negotiate stairs, ramps, and environmental obstacles with increased confidence and security.
- Dorsiflexes from midstance to toe off for a smooth rollover.
- Remains dorsiflexed through swing phase for improved toe clearance, to minimize the risk of falls.
- Provides a more natural gait; reduces the need to compensate by hip hiking, circumduction, or lifting the knee to clear the toe during swing phase.
- Biomimetic ankle motion encourages equal loading during ambulation, which leads to less stress and thereby preserves the sound side.
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.
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
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
Breathable and lightweight, yet rigid and custom moldable! Boost patient compliance with a comfortable back support that delivers the stability your patient needs. The 3D-LITE™ LSO XTRA is designed to accommodate the healing process by applying adjustable compression and incorporating removable polyethylene anterior inserts and a 3D-LITE™ custom-moldable back panel that may be reheated and remolded.
Patient can easily slip hands into the hand loops sewn onto both anterior panels for simplified donning and doffing. Five sizes fit from 23 ½" to 55" waists. PDAC letter available for L-0631. Contact us to learn more!
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 therapeutic line offers shoes for any of these conditions. Whether accommodating for depth, width, size, or even for shape, select from our variety of shoes from our therapeutic line to fit that special foot of your patient. Call our friendly customer service department for more information or free samples.
Apis Footwear Co.
The Spinomed® IV is the latest proven orthotic advancement for the conservative treatment of osteoporosis spinal conditions. The Spinomed IV boasts improvements that increase patient compliance and ease of use. These improvements include ergonomically shaped shoulder straps designed to ease application, flexible pelvic strap designed to form fit around the patient, modern strap design using intelligent strap loops that improve upon the patented design, and a revolutionary garment system that allows air to transfer through the orthosis, creating the most comfortable Spinomed ever!
Visit medi USA at AOPA in Boston at booth 611.
Developed by a team of experienced prosthetists, Limbguard™ is an alternative, post-operative, rigid dressing for transtibial amputations. The idea was to create a device that would allow practitioners to administer immediate and effective treatment of post-operative amputees. Volume fluctuation is accommodated via the floating pretibial section and our proprietary distal Gills™, which help provide the perfect fit. Limbguard is available from Friddle's Orthopedic Appliances.
The TARSO Clubfoot AFO is for use in the
Ponseti Method of clubfoot treatment.
- Symmetrical shape for use on either foot.
- Semi-rigid construction with soft lambskin lining.
- Convenient, reversible hook-and-loop closures at top and bottom.
- Strong, secure buckle and strap with dorsal pad to lock the foot down and hold it in place.
- Rigid base plates with threaded receptacles for mounting to the Dobbs Dynamic Clubfoot Bar, Horton Click Bar, or traditional Denis Browne abduction bars.
M.J. Markell Shoe Company Inc.
Wish there was a way to make minor adjustments to a socket without it delaminating? Tired of all the itching when grinding a carbon socket? Then check out Comfort Products' two great tubular stockinettes: SpectraCarb™ Stockinette and SpectraCarb/Aralon Stockinette™.
Features and benefits include:
- Both have the ability to be modified using a heat gun without delaminating.
- No itching when grinding these stockinettes.
- Available in 5- and 25-yard rolls.
- Easy workability; wets out well.
- Comes in 2-, 3-, 4-, 5-, 6-, and 8-in. widths.
- Superb strength with some flexibility.
- Very lightweight.
Prosthetic Design's Prosthetic Vise can be used in fabrication applications for plaster/foam mold removal, trim-line cutting, to install components, and other finish work. The vise uses high friction, material-lined jaws that are designed to make contact with twice the area as vises with flat jaws, to keep the device from slipping during use. Irregularly shaped limbs with a diameter between 100-250mm (4-10 in.) can be easily secured in the vise. The adjustable height, from 100-150cm (40-60 in.), allows the user to maintain ergonomic correctness.
Prosthetic Design Inc.