Dear List
I have a teenage patient who has an ankle injury after a sport accident 1 year ago, this has resulted in high tone that causes extreme supination of her foot and internal rotation of the tibia. Medical/surgical treatment including botox has not helped. It is possible to manipulate the foot into a neutral position, the manipulation causes pain particularly under the patella, but once in neutral there is no pain. I have succesfully made a bivalved night orthosis.
I now need a replacement for the Walker currently used during the day as the height difference is causing hip problems. She cannot tolerate joint movement whilst weight bearing, but her physio is hoping to build up tolerance. My question is has anyone got any treatment ideas for this type of problem? So far I have tried a Chamber axis joint in a laminate shell, but the laminate above the ankle was not stiff enough to control the tibial rotation, am now considering either pre-preg carbon or side steels. Would prefer not to use plastic because of heat problems. Any ideas or advice would be greatly appreciated.
Thanks in advance
Vicky Jarvis CPO
Norway
———————————
Yahoo! Messenger – Communicate instantly…”Ping” your friends today! Download Messenger Now
