Feature
Patients With Osseointegrated Implants: Challenges and Possibilities for Prosthetists
By Maria St. Louis-Sanchez
Mark Schaal adjusts components on Fred Hernandez's prosthesis. Photographs courtesy of Fred Hernandez. As technology continues to adapt and change, prosthetists maysoon have to add a new skillset: working with patients whoseprostheses connect to t...
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Feature
Bracing the Boomers: Using AFOs to Address Sensory Deficits That Accompany Age, Peripheral Neuropathy, and Diabetes
By Phil Stevens, MEd, CPO, FAAOP
Lower-limb bracing is often targeted at addressing some form of neuromuscularcompromise. Individuals burdened by stroke, multiple sclerosis, traumatic brain injury, polio, orparalysis are referred to orthotists who fit the patients with rigid or s...
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Feature
Going to PROM? Reviewing Patient-Reported Outcome Measures (PROMs) in the Management of Neurologic Hemiplegia
By Phil Stevens, MEd, CPO, FAAOP
When working withmultiple individualsfrom a single patientpopulation, it can beeasy to overlook thatrehabilitation is a customized experiencethat should be focused on theunique abilities, challenges, and goalsof the person being treated. In today'...
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Stepping Out
Key Roles in Dynamic Exoskeletons for O&P Practitioners
By Steven King, DPM and Steven A. Gard, PhD
In this edition of Stepping Out, The O&P EDGE makes a departurefrom the usual focus on pedorthics, as Steven King, DPM, CPed,and Steven A. Gard, PhD, examine how pedorthists and other O&Ppractitioners can play a key role in the rapidly changing ex...
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Today’s Consumer
Marine Vet Aims for 2018 Paralympic Winter Games
By Betta Ferrendelli
Before retired Marine Sergeant Josh Elliott was gravely injured fromstepping on a 20-pound explosive device while on routine patrol inAfghanistan in April 2011, he was a master swimmer, ran five daysper week, taught martial arts, and had a passion...
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Perspective
In Support of a Temporary Prosthesis
By Christopher Wells, CPO
I posted on the OANDP-L listserv several months ago expressing myfrustration about a business practice that I perceive to be doing long-termdamage to our profession and abusing any goodwill that third-party payersmay hold for prosthetists. I belie...
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On Topic
Tips to Start Your New Year on Track
By Erin Cammarata
It's that time when we review last year's actions and take inventory of the new year. Manyof us start the new year with resolutions to improve our health, our financial situations,and our businesses or careers. But according to the Statistic Brain...
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Viewpoint
Of New Fallen Snow
By Andrea Spridgen
As I sat down to write this month's viewpoint, reflectingon fresh ways to approach O&P patient care, outcomemeasurements, and new challenges in prosthetists'skillsets, a blanket of new fallen snow covered the parkoutside my window. Although I'm no...
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Online Exclusive
Fresh Approaches, Smart Solutions for Serving the Aging Population
As a preview to the article "Keeping Up With Senior Evolution: Meeting the Changing Needs of an Aging Population," which will appear in the February issue of The O&P EDGE, this edition of EDGE Direct includes insight about what the future may hold for the senior citizen population and the approaches to their O&P care.
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The ELLIOTT™ Patient Management
System for early intervention or definitive
use is a unique approach that transforms
the articulated AFO and a KO into a
functional KAFO. The ELLIOTT Orthosis
is designed to be utilized in an acute
physical therapy department, enabling the
treating therapist to have a readily available
KAFO, independent KO segment, or
independent AFO segment for the patient's
gait training. The KO design can address
up to five different knee orthosis functions,
and all three of the AFOs feature adjustable
positioning for the foot and ankle.
Anatomical Concepts Inc.
800.837.3888
www.anatomicalconceptsinc.com
OPTEC has added to our collection of
custom lower-limb orthotics with new
carbon fiber AFOs and custom metal
devices. Our carbon fiber AFOs are lighter
and stronger than traditional plastic AFOs
and facilitate a more normal gait, making
them ideal for patients who require longterm
wear. OPTEC's custom metal devices
are available in a variety of personalized
options to meet your patient's specific
needs, including bivalve PTB, dynamic
assist, stance control, and more. Our custom
products provide superior stabilization and
support that your patients need with the comfort they deserve.
OPTEC
888.892.8181
www.optecusa.com
Virtually indestructible even in the most extreme conditions. Maintain a natural gait even in the most rugged or uneven terrain. One foot for all adventures. Water? Mud? Sand? No problem. Carbon feet can't say the same. To learn which RUSH™ Foot is right for your patient, visit www.rushfoot.com. Online ordering is now available.
Ability Dynamics
855.450.7300
www.rushfoot.com
The ORION2 microprocessor knee is programmed and customized to each individual user's walking patterns. The increased yield rate, fixed angle flexion lock, and cycling/free swing mode make the knee even more versatile for the user. The knee can be programmed via the PC-based ORION software and/or OnBoard Smart Programming.
Endolite
800.548.3534
www.endolite.com
Evolution C-Fab is now Össur!
Evolution Industries C-Fab is now Össur Custom Fabrication.
But while our name has changed, our quality and flexibility remains.
Evolution Industries Inc.
888.839.6213
www.evoii.com
This unique AFO has been designed for people with Chopart amputations who wish to remain active. A traditional, full-length AFO will often be stiff and feel unnatural to such a patient. Using a hinged ankle and flexible foot plate with a segmented dynamic filler allows flexion before providing a "stop" that protects the residuum and prevents shoe vamp collapse. The PTB design and the anterior shell redistribute ground reaction forces up the lower limb. For more information, visit our website or call the lab toll-free.
Hersco Ortho Labs
800.301.8275
www.hersco.com
To make room for new arrivals, SPS is running a clearance special on Cool Blue Prosthetic Socks. The Cool Blue socks are cool, comfortable, durable, and now available for up to 20% off.
Features and benefits include:
- Closed distal end and reinforced distal end options
- One-, three-, five-, and six-ply
- Can be trimmed to fit without unraveling.
SPS
800.767.7776
www.spsco.com
Our accommodative foot orthotics are specially designed for patients with foot deformities. We offer a variety of materials for foot conditions such as neuropathy, Charcot foot, edema, or amputation; or conditions resulting from health issues like obesity, diabetes, sports injuries, or heart conditions. Custom-made foot orthotics provide support and relief wherever necessary. Apis provides you with a free 3D camera to eliminate impressions or casting-now it's just a push of a button. Fulfill all of your pedorthic needs under one roof. Call our friendly customer service representatives for more information or free samples.
Apis Footwear Co.
888.937.2747
www.apisfootwear.com
Why make the transition to BOC? Award-winning customer service,
nationally recognized credentials, and a user-friendly website are
just a few of the benefits of choosing BOC. With BOC as your
credentialing partner, you get accreditation for your O&P facility at
a discounted rate and individual certification, all under one roof.
Plus, it's easy and free! Make the transition to BOC for accreditation
or certification for no up-front cost.
Contact us today at .
We're with you every step of the way!
Board of Certification/Accreditation
877.776.2200
www.bocusa.org
The élan biomimetic foot and ankle system with microprocessor-controlled plantarflexion and dorsiflexion resistance is now more user-friendly. New Micro-D port makes for easier charging and Bluetooth connection.
Features and benefits include:
- Microprocessor-controlled terrain response
- Sensors initiate change instantly
- Batteries contained within the ankle
- Variable response to changes in speed, inclines, and declines
- Bluetooth-enabled programming; new Micro-D dongle is easier to attach and features visual connection indicators
- User-friendly charger port for users with dexterity or visual challenges
Endolite
800.548.3534
www.endolite.com
medi USA is proud to announce its third and latest addition to the innovative Panthera family of feet with the new Panthera CF III-providing dynamic and smooth walking for the K3 amputee.
Features and benefits include:
- Plug-and-play adjustable heel for ease of use
- Excellent multiaxial compliance via integrated carbon and elastomer layers
- Pivoting dynamics mimic ankle motion
- Comfortable heel strike
- Fluid rollover and dynamic toe-off due to innovative, continuous carbon spring technology
- Available in beige, light brown, and dark brown
medi USA
800.633.6334
www.mediusa.com
The Infinite Socket™ is the first modular and adjustable socket that
empowers clinicians and users. Built-in tensioning systems, custom
modular components, and advanced materials allow adjustability at
the socket as the residual limb changes.
LIM Innovations
844.888.8546
www.liminnovations.com
Branier Orthopedic Custom Molded
Shoes, Inserts & Braces, through a
collaboration with Click Medical,
is now offering the patented Boa®
closure system with its custom-molded
shoe lines. With the capacity
to easily generate tension across
the vamp of a shoe, comparable to
or in excess of that achieved with
standard laces, Boa's mechanical reel system works to draw its steel
cable through a series of easy-glide nylon guides. By integrating a Click
Medical kit containing Boa components, Branier can manufacture
custom-molded shoes capable of achieving an unprecedented fit for
patients with limited manual dexterity.
Branier Orthopedic
877.524.0639
www.branier.org
The Freedom Agilix™ is a multiaxial, shock-absorbing, flexible foot system designed to manage loading impacts, reduce socket shear forces, and improve comfort while walking on nearly any terrain. The ultra-lightweight design offers low-impact K3 ambulators shockingly comfortable performance at a value like no other. Learn more about the Agilix on our website.
Freedom Innovations
888.818.6777
www.freedom-innovations.com
Thanks to its distinctive structure, the new SoftSkin Air reduces the buildup of sweat on the skin inside the liner. Any moisture produced is drawn away from the residual limb by special micropores.
Features and benefits include:
- Easy to use
- Less skin irritation
- Better, longer-lasting wearing comfort
- More security thanks to an improved grip
- Reduced sweating thanks to micropores
- Hundreds of satisfied patients in the United States and Europe!
Hi-Tech
888.750.6840
www.humanitechnology.com
Keasy is a prefabricated cone for manufacturing high-quality thermoformed liners in a blink. No welding, no gluing, and seamless. Keasy's regular thickness allows vacuum thermoforming that perfectly takes on the cast. According to the Keasy dimension, we recommend 1¼-3 minutes of heating at 338° F.
Sweat and cleaning agents do not soak into the EVA closed cell structure. Keasy is easily washable and offers durable hygiene. Keasy withstands friction, crushing, and stretching for patient's durable comfort over time. Available in eight sizes.
Nabtesco Proteor-USA
855.517.4414
www.nabtesco-proteor-usa.com
The Camber Axis Hinge® provides an adjustable
range-of-motion ankle joint with anatomical
axis alignment that can be used in thermoplastic
orthoses. Equipped with seven different color-coded
range-of-motion keys, the Camber Axis
Hinge eliminates the need for posterior stop
mechanisms. The Camber Axis Hinge is available
in three sizes with a new, optional black non-corrosive
finish.
For more information about the Camber Axis
Hinge and other Becker products, please contact
our customer service department or visit our
website.
U.S. Patent No. 5,542,774
Becker Orthopedic
800.521.2192
www.beckerorthopedic.com
You asked, we listened!
You love the benefits of ToeOFF 2.0: The choice of
wraparound or D-ring straps with alligator tabs that
are easily applied for right- or left-hand pull; shorter,
low-profile wing design; preapplied MicroFIX to
save fabrication time in applying the SoftKIT or
ComfortKIT; easy peel-off product label with serial
number to apply to the patient's chart; the height of
the XL is ¾" taller for patients with longer tibias; and
a smoother and more scratch-resistant surface.
Call to receive your free ToeOFF/BlueROCKER
Original to 2.0 Conversion Chart and Flexible 2.0 ruler!
Allard USA
888.678.6548
www.allardusa.com
Kinterra™ combines hydraulics and carbon-fiber technology to provide K3 ambulators with 12° of motion and an exceptionally normal walking gait-regardless of surface angle or speed. The result is rock-solid stability and the confidence for users to choose a new path.
Kinterra's articulating ankle provides:
- Improved stability and safety, especially on slopes and varied terrain.
- Reduced socket pressure for healthier residual limbs.
- Enhanced comfort while sitting or squatting.
- Increased ground contact and a more symmetrical gait.
See the Kinterra in action on our website.
Freedom Innovations
888.818.6777
www.freedom-innovations.com
Introducing the new RUSH Kid™ pediatric foot. Built kid-tough, the
RUSH Kid pediatric foot can handle even the most extreme low- or
high-clearance patient. Run, jump, and play-the ultralow profile
build delivers the most dynamic energy return and smooth rollthrough
of any pediatric foot on the market today. Mud, water, and
sand are no problem! The all-terrain RUSH Kid was built with active
kids in mind. Say goodbye to broken carbon feet! The next generation
of RUSH Rebels has just arrived. Now available in sizes 19-21cm. Visit
rushfoot.com for more information.
Ability Dynamics
855.450.7300
www.rushfoot.com
Available exclusively from Curbell Plastics,
OP-TEK. Flex Comfort provides a softer touch
and slicker surface, making it an ideal choice
for flexible liners and an alternative to LDPE
for inner boots. This new product features a
proprietary additive to give the material a softer
feel. The enhanced surface provides superior
patient comfort when donning and doffing rigid
socket frames. Comes in 1/8", 3/16", 1/4", 3/8", and
1/2" thicknesses.
Curbell Plastics acquired American Plastics in
2012 and O&P Enterprises in 2014.
Curbell O&P — a division of Curbell Plastics
888.858.0911
www.curbellplastics.com
We guarantee the fit-if they don't fit, you don't pay. Choose any style
from our catalog and pay one flat price. Any modification within the
order is included at no additional charge (e.g., steel shank, heel lift,
wedge, or flare). One pair of custom-molded insoles are included with
each pair of shoes or boots.
Apis Footwear Co.
888.937.2747
www.apisfootwear.com
We offer the best prices on lightweight 3K carbon tapes in a finished
edge (DW) and non-finished edge (FR) configuration. Our carbon
tapes are highly formable, wet out quickly, and should be used with
all your carbon or Synthex composite layups. They come in 1-in., 2-in.,
3-in., 4-in., and 6-in. sizes. Sold in 50-ft. cut sections and 50-yd. rolls.
Fabtech Systems
800.322.8324
www.fabtechsystems.com
Hydraulic feet can provide K2 patients with an incredible range of controlled motion, as well as assist in force absorption, enhance knee stability, and promote good posture. The OdysseyK2™ from College Park has a patented curved hydraulic ankle, Intelliweave™ composite foot base, and customizable dual StrideControl™. This revolutionary foot provides a superior range of motion in a lightweight and low-profile design for an unbeatable combination of K2 patient benefits. See it in action at www.youtube.com/CollegeParkInd, or learn more at www.college-park.com/odysseyk2.
College Park Industries
800.728.7950
www.college-park.com