Friday, May 27, 2022

KAFO needs adj. ext. locks, but..

Dear list,

I am working with a fine mature male with a weight of 290 pounds. He has had
bilateral total knee replacements and has a knee flexion contracture of about
thirty degrees on one side. He ambulates with a rolling walker. The knee
with the contracture needs assist due to weakness and the doc has ordered a KAFO
with drop lock.

The gentleman is vigorously attempting to stretch the contracture. It would
seem reasonable to use a Step Lock type joint, however the Step Lock can only
tolerate 200 pounds.

The question is: what type of joint would be sturdy enough while allowing
the ROM to be altered easily?

Thank you,

Don McGovern, CPO

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