Friday, May 27, 2022

Trans-tibial flaccid limb prescription

dEntremont, Andre RQHR

I have a male client who is 60 years old and had polio at when he was 14
years old and had a KAFO with locking joints to start with. Apparently
at 16 years of age he had a trans-tibial amputation and was fit with
thigh-lacer and outside joints that were free. He has absolutely no
muscular control of hip and knee and used the foot plantar-flexed to
about 40 degrees to control his knee by causing a knee extension moment.

I have tried to convince him to go to locking knee joints in order to
put his foot in a proper alignment, but he wouldn’t allow this. Now he
has some sound side issues with his foot and is possibly going to agree
to locking up his knee with bail locks or similar.

My question: Is there any other options out there? I know there are
stance phase controlled knee joints for orthotics, but not for
weight-bearing through these joints??

What may be some other options?

Thanks for any help with this.

Andy d’Entremont C.P.(c)


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