Friday, March 29, 2024

I am helping a patient find an Orthotist

Keith Vinnecour

I am trying to find and Orthotist that is very skilled in Laminated KAFOs for a Bilaterally involved patient. These orthoses must have Dynamic Check Orthoses that he can safely walk on in the parallel bars to ensure they are properly fit and aligned. He is extremely active. He had a good set about five years ago, but they need to be replaced He had three sets made by an Orthotist in the San Fernando Valley, but they were not able to fit him successfully. No insurance has been billed for the previous work, so getting authorization should be no problem. He is a complicated case, as he is very active and his alignment is critical, as he walks with free knees that are locked by posteriorly offset knee joints and anterior stops on his ankle joints. I do not believe that his insurance will cover Stance Phase Locking KAFOs. If his Orthotist has saved clones of the final models, he would not be looking for a new Orthotist at this time. His orthotist got very close on the third set, but his laboratory did not follow the instructions and the final orthoses were nothing like the Dynamic Check Orthoses, which he walked on successfully.

To make this request more difficult, he lives in the San Fernando Valley and would like to find someone close, as he knows that it takes many trips to make and maintain them. The provider must have access to a fabrication laboratory that is capable of following instructions very closely and be able to duplicate the final molds prior to the final making, in order to preserve the ability to make new laminated thigh and calf shells, as his legs atrophy over time. This patient is still working full time and taking time off of work is always a problem, but dealable in order to obtain orthoses that he can actually walk in.

Any suggestions for someone to make these KAFOs will be greatly appreciated.

Keith E. Vinnecour, C.P.O. (E)

[email protected]
[email protected]

818 836-1177 (Phone)
818 999-2219 (Fax)

7329 Easthaven Lane
West Hills, CA 91307

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