Wednesday, May 25, 2022

Responses – knee orthosis for femoral nerve palsy

Ted A. Trower

My original post was as follows:

———————-

I have just seen a gentleman who experienced a unilateral femoral nerve

palsy post spinal anesthesia. He is now four months post injury and is

getting significant return of function but is still experiencing

uncontrollable buckling of the knee. I was thinking of a KAFO with offset

knee joint and a solid ankle but after seeing him I think he might be able

to get along with less hardware. Is there any knee orthosis that offers

improved resistance to knee buckling in the presence of weak quadriceps?

———————-

The bulk of responses are clearly suggesting the use of a ground reaction

AFO. I had considerered this but I really hate to lock up a perfectly

normal ankle. This is the reason I was not satisfied with the idea of using

a KAFO. I would prefer to attack the knee directly if it can be effective.

Thanks to all who responded.

———————-

responses to date (this is in only 18 hours!):

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