Friday, April 26, 2024

Pediatric Exo vs Endo Design

M Hall

Hello List,
 
With the advancement of endoskeletal lower limb prosthetic components for children, when do you choose endoskeletal over exoskeletal design?
 
Context: We have a 3 1/2yo child with fibula hemimelia coming to clinic and has outgrown his existing exoskeletal prosthesis.  He is growing rapidly and we often have to take away the prosthesis to make growth height changes.  We are debating whether or not an endoskeletal prosthesis would be a better option.
 
Thanks in advance,
Michelle Hall, CPO, FAAOP

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