A physician has asked that we evaluate a patient, (BKA) in a local skilled
nursing facility, for an orthosis to improve 30- 35 degree knee flexion
contracture. The patient is approx. 6 months post-op. Upon seeing the patient
I immediately think of a custom molded brace with essentially a BK socket and
dynamic (ie: ultraflex) joint. The problem; there is quite a bit of
osteoarthritis and the patient complains of knee pain with mild stretching. I
am a bit skeptical that the orthosis will be tolerated and/or reduce the
contracture significantly, but in my opinion it is worth a shot.
If you have a preferred, cost effective strategy or opinion on the treatment
suggested in a case like this I would appreciate any feedback.
Eddie White, CP