Saturday, May 18, 2024

Re Prostheses and Extra Depth runners.

Phillip Francis

Happy New Year and I have a number of questions.

Firstly,

I currently have a 47 year old electrician who was involved in a work

accident 5 months ago resulting in an AKA which

is effectively a through knee in length.

We have provided him with rehab and he has been walking on a Bock Four Bar

knee and we have trialled

a number of different feet. He now walks well with the aid of one single

stick at times and has returned to work

3 days per week. His claim has been accepted by his insurance company and

therefore we can probably fit

him with whatever we (and he) wants and needs.

He weighs 79 kg (173.8lbs for Americans) and he would like to return to

active sport including brisk walking and if possible

jogging and at work he stands for prolonged periods.

Our major need is a Four Bar Linkage Knee, with a hydraulic/pneumatic

cylinder with swing/stance phase control and if possible

a manual lock.

As I understand it there are few Four Bar knees which are hyrdaulic and

which also have a manual lock. I am aware of

a couple ie Blatchford however I am unsure as to durability etc. I have

used the USMC OHC with the dyna plex unit however the manual lock available

on this is almost impossible for a patient to operate if they have a

cosmetic cover. I also note that USMC has recently downgraded the weight

limit on this to 70kgs.

I would also like recommendations for the same components but on a patient

who weighs 130kgs (286lbs)

Any suggestions or comments would be greatly appreciated.

Secondly,

I recently saw an English woman who was wearing a pair of Basketball boots

which were in fact extra depth. I would estimate that

they had at least 8mm (3/8″ for Americans) extra depth and they suited her

as she has multiple arthritic problems.

I have provided her with a new pair of foot orthoses (read orthotics for

non anal retentives) but I would very much like to know

the address etc of the maker. The only information I could glean was that

the companies name was “Molinari”, it was Italian, and the model was called

“Ergonomic’.

Any useful pointers ie address etc would be appreciated. Infoseek drew a

blank.

Phillip Francis,

Phillip Francis & Company P/L

45 Ballarat Road,

NTH GEELONG, VIC., 3215.

AUSTRALIA.

Phone 61 3 52792251 Fax 61 3 52792366

email [email protected]

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