Features
Nine Years Since the Colombian Peace Process Began: Amputations, Landmines, and NGOs
By Jason Rovig, CPO
For decades Colombia has been a country that international organizations were hesitant to invest in, and there was little tourism due to conflicts between guerrillas, paramilitaries, cartels, and the government. The use of conventional and homemad...
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Features
Toxic Charity: When Doing Good Does Harm
By John T. Brinkmann, MA, CPO/L, FAAOP(D)
One of the story lines in a 1998 episode of the TV show Friends involves Joey challenging Phoebe to perform a selfless good deed, one that is only for the benefit of someone else and does not benefit her in any way. After failing multiple times...
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Features
Limb Loss and Preservation Registry Provides Insight Into Challenges and Improves Quality of Care
By Bill Oldham, Shawn Murphy, and Kenton Kaufman, PhD, PE
Despite the significant personal and societal impact associated with limb difference, limb preservation, and limb loss, there is little current evidence on effective clinical practices and technologies in this field. Published research st...
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Better Business
Patients Are the New Payers: Five Best Billing Practices to Engage Them Successfully
By Jennifer Leon
Since the Affordable Care Act was passed in 2010, more providers have been experiencing a shift in healthcare revenue sources, especially as patient financial responsibility increases. Providers are now seeing patients becoming accountable for the...
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Perspective
Digitally Designing Prostheses by Collaborative Care: Can Telehealth Work for O&P?
By Jeff Erenstone, CPO
According to the Mayo Clinic, telehealth is "the use of digital information and communication technologies, such as computers and mobile devices, to access health care services remotely...." Telehealth systems are designed to connect patients with...
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Today's Consumer
Tony Sobony: Amputation Helps Cancer Survivor Regain Quality of Life
By Betta Ferrendelli
Tony Sobony was 19 years old in 1966 and on the fifth day of his new job as a milkman when he was in a car accident in Cleveland that resulted in a badly broken right leg. "I sustained a severely injured right leg with a broken femur, a limited mo...
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Got FAQs?
Got FAQs? - October 2019
By Lisa Lake
Billing for O&P services seems to get more complicated by the day. Count on Got FAQs? to help answer your toughest questions.
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Editor's Message
Editor's Note - October 2019
By Andrea Spridgen
Offering O&P services in the United States has its challenges. It can be easy, however, to forget there are some obstacles most U.S. practitioners never have to face that are a daily reality for anyone providing care in less resourced countries—in...
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Your will. Your way.
The latest member of the Triton foot family helps your patients feel more confident with its unique degree of side-to-side flexibility and safe, full-ground contact—including on uneven surfaces. The M-L unit reduces the sideward tilting moments on the knee or in the socket. Simultaneously, compensatory movements can be minimized.
- Comfortable adjustment for increased sense of security
- Dynamic rollover supports vigorous walking
- Delivers the performance suited to each step
- Supports agile and high-impact movement across varying terrain conditions
Ottobock
800.328.4058
www.professionals.ottobockus.com
With an iFIT device, your patients can get back on their feet quickly. Help give persons with limb loss the adjustability, flexibility, and comfort they deserve.
- Eliminate the need for sock changes during the day
- Mobilize earlier after amputation with a stable socket
- Highly durable materials that will not break
- Ideal as a preparatory prosthesis, a definitive device, or a water leg
- Fit and aligned in a single setting
Adjust with iFIT.
iFIT Prosthetics is a Veteran-Owned Small Business (VOSB)
iFIT Prosthetics
301.821.5414
www.ifitprosthetics.com
Ten years of research has evolved into this resource for surgeons, prosthetists, and people with amputations who want to learn about the optimal transtibial socket design. The book starts in the surgical suite and includes the history of each discipline from amputation and prosthetic fitting to the role the amputee plays in a successful fitting.
Buy your copy today at www.novapublishers.com or www.amazon.com .
College Park now offers a robust line of lamination adapters. In our efforts to diversify our line of high-quality endoskeletal components, we now carry seven new lamination plates as well as one new flexion plate. This new selection accommodates almost any socket design and is made from materials such as aircraft-grade titanium and heavy-duty stainless steel. College Park prides itself on being a one-stop shop for all your lower-limb prosthetics needs. Try our new, high-quality lamination plates today, proudly made in the United States.
College Park
800.728.7950
www.college-park.com
Delivering an extensive, progressive product line that includes everything today's active amputees need to live the life they love.
We offer an innovative portfolio that includes everything from the virtually indestructible RUSH Foot collection to the world's first microprocessor-controlled hydraulic 4-bar knee with both stance and swing functionality—the ALLUX; the EASY RIDE multi-use extreme sports knee; the KEASY renowned prefabricated cones; the K2 GERY foot; and the flexible, all-terrain, DynaTrek foot.
Discover the exciting PROTEOR USA product line today! #HumanFirst
Proteor USA
855.450.7300
www.proteorusa.com
Want a silicone liner that's easy to don and is skin-friendly? Consider the Alpha Silicone® Liner from WillowWood. The Alpha Silicone Liner blends a unique combination of vitamin E and skin conditioners with medical-grade silicone that is gentle on skin. Additionally, the liner's Select fabric stretches circumferentially for easy donning without the need of any lubricants.
The liner's one-way stretch Select fabric also controls pistoning without using a distal matrix. Available for transfemoral and transtibial applications. The transtibial version features a flexible knee panel for enhanced knee flexion.
WillowWood
800.848.4930
www.willowwoodco.com
Glu-It offers a superior urethane-based structural adhesive for rapid-response applications. Glu-It was designed to properly balance viscosity and strength with less filler added to the formula. Best bond strength guaranteed.
- 1- to 2-minute worktime may vary depending on how thick or thin the glue is applied
- Less filler added equals stronger bonding
- Dries clear
- Made in the United States
Two sizes available:
- 4112 - 50 ml (includes two tips)
- 4113 - 220 ml (includes two tips)
ST&G
714.524.0663
www.stngco.com
Now with the new one-piece frame and programmable in five minutes or less, the Plié 3 is stronger and more durable than ever. It moves instinctively at the user's own pace in any direction, whether taking small short steps or pivoting in confined spaces. It has the most responsive stumble and fall protection as well as customizable manual settings to allow for optimization for various activities such as hiking, running, or biking. In addition, it is both weatherproof and fully submersible.
It is truly a knee for every K3.
Freedom Innovations
888.818.6777
www.freedom-innovations.com
The Aria HV Plate Valve by Cypress Adaptive was developed for use with any elevated vacuum system. Its all-in-one design features auto-expulsion, push-button release, and built-in fitting for vacuum hose connection. The barb fitting has an internal check valve to prevent loss of vacuum should the hose become damaged or disconnected. The Aria HV Plate Valve saves on fabrication time as it simply bolts to any four-hole mounting plate. It is durably constructed and easily disassembled for cleaning and servicing. To learn more, call or visit our website.
Cypress Adaptive
888.715.8003
www.cypressadaptive.com
The Triple Action® Adult 2.0 ankle joint for 19mm systems is designed to provide independent adjustment of ankle alignment, range of motion, and spring stiffness for all stages of recovery and rehabilitation.
Indications:
Stroke
TBI
Peroneal nerve palsy
Other pathologic neuromuscular conditions
Becker Orthopedic
800.521.2192
www.beckerorthopedic.com
Coyote Composite:
• Is a nontoxic and noncarcinogenic alternative to carbon fiber.
• Has little to no itch.
• Is made from basalt (lava rock), a 100% natural fiber.
We found you can save at least 26% by using Coyote Composite compared to carbon fiber.
For more information, visit our website.
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Coyote Design
208.429.0026
www.coyotedesign.com
The MAGLOCK 2.0 and MAGLOCK 2.0 Plus ease the frustration of donning a pin lock liner for patients with transtibial or transfemoral amputations and K1-K3 activity levels. The MAGLOCK 2.0 delivers up to 60 lb. of force and the MAGLOCK 2.0 Plus delivers up to 90 lb. of force.
The large distal target allows the patient to be 10 degrees off center and still achieve suspension. The ultimate products for patients who have dexterity issues, issues with pin alignment, require a caregiver, and much more. No wires, no battery.
ST&G
714.524.0663
www.stngco.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 qualified customers with a free 3D scanner to eliminate impressions or casting—now it's just a click. Fulfill all 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
Surestep provides a full range of custom-fit products for your pediatric patients. With uniquely flexible, proprietary plastic, you'll receive orthoses designed for both stability and comfort. A two-day turnaround time is offered for products by measurement, four days by cast. And for even more customized solutions, Surestep features a complete central fabrication department.

877.462.0711
www.surestep.net
Spinal Technology is a leading central fabricator of custom scoliosis and spinal orthoses. Our ABC-certified staff orthotists collaborate with highly skilled, experienced technicians to provide the highest quality products, fastest delivery time (including weekends and holidays), as well as unparalleled customer support in the industry.
Spinal Technology is the exclusive manufacturer of the Providence Scoliosis System®, a nocturnal bracing system designed to prevent the progression of scoliosis, and the patented FlexFoam™ spinal orthoses.
Spinal Technology
800.253.7868
www.spinaltech.com
Comprehensive Orthotics Support for You and Your Patients
Our comprehensive orthotics portfolio provides the support you need to grow your business and create better outcomes for your patients.
Whether your patient is experiencing pain or musculoskeletal weakness, or needs post-surgery stabilization or functional support, we have solutions. From bracing and supports to custom orthoses, Ottobock has products for nearly every body part and condition.
Our goal is to help you provide the best care possible to patients using Ottobock's orthotic solutions as part of their everyday lives.
For more information, visit www.professionals.ottobockus.com/orthotics.
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800.328.4058
www.professionals.ottobockus.com
Össur is a global leader in noninvasive orthopedics that help people live a life without limitations. Its business is focused on improving people's mobility through the delivery of innovative technologies within the fields of prosthetic, osteoarthritis, and injury solutions.
A recognized technology pioneer, Össur invests significantly in research and product development—its award-winning designs ensure a consistently strong position in the market. Successful patient and clinical outcomes are further empowered by Össur's educational programs and business solutions. Headquartered in Iceland, Össur has major operations in the Americas, Europe, and Asia, with additional distributors worldwide.
Össur
800.233.6263
www.ossur.com
Langer Biomechanics has been in the forefront of biomechanics research and orthopedic products for over four decades. Our family of engineered, medical-grade, custom orthopedic devices provide practitioners with unparalleled tools for treating patient conditions. Our knowledgeable clinical team support and work with top healthcare professionals every step of the way to ensure the devices are a perfect fit. Our broad range of orthopedic materials provide you with superior quality products, priced just right to accommodate last-minute small tweaks or even your larger projects. Call to get started now.
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800.645.5520
www.langerbiomechanics.com
Cascade Dafo, creator of the original DAFO® (Dynamic Ankle Foot Orthosis), is the industry's leading manufacturer of pediatric lower-extremity braces. The patient-focused company believes better mobility gives all children a wider range of experiences, more success in their activities, and ultimately more control over their lives. To that end, Cascade Dafo creates innovative products unmatched in quality, fit, and function—backed with a full 90-day warranty and exceptional customer support. The company's product designs, technical support, education, and research and development have a sole focus: helping kids lead healthier, happier lives.

800.848.7332
www.cascadedafo.com
Apis Footwear Company, known for its hard-to-fit collection of shoes, is now offering new additions to our already well-received children's line. These new shoes are designed for active youngsters who wear AFOs, orthotics, prostheses, or have foot deformities and need larger volume and better stability. Sizes run from T4 to T13, Y1 - Y6, full size only; available in W width only. We offer free display samples to our wholesale accounts. Call us or email sales@apisfootwear.com.
At Apis, we provide solutions to your difficult footwear needs, with off-the-shelf products or a custom program.

888.937.2747
www.apisfootwear.com
ToeOFF 2 ½ and BlueROCKER 2 ½ Are Now Available
You asked, we listened. Now there are more Allard AFOs with ½ the heel height. The new 2 ½ models include all the other 2.0 features and benefits you love: choice of wrap-around or D-ring straps that are easily applied for right or left hand pull, shorter, more gently contoured wings, pre-applied MikroFIX, and a Starter SoftKIT™ are included.
It is easier to adapt ToeOFF® 2 ½ and BlueROCKER® 2 ½ to shoes with lower heel heights. Because there is a lower curvature in the forefoot there is more space in the shoe toe box.
ToeOFF 2 ½ Addition models offer three attractive surface options for your fashion-conscious patients. The smooth, sleek surface on the Addition models allow pant legs to slide easily over the AFO. The colored surface extends all the way down the strut.
All models are available in convenient Not-For-Resale Kits to use as gait assessment tools and to assist in appropriate product selection prior to fitting with a permanent orthosis. Includes sizes small, medium, and large in left and right. Call us or email info@allardusa.com to receive your free Product Selection Guide.
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888.678.6548
www.allardusa.com
info@allardusa.com