We are looking into developing a fully adjustable post-op hib abduction
orthosis for children who have undergone hip related surgical procedures
(hip releases etc.- commonly a population with cerebral palsy ).
Our orthotics department have found that the devices on the market are not
flexible/adjustable enough in terms of the amount of flexion/abduction
they provide and they do not have the ability to grow with the child
(these children end up using them as night splints).
Currently our orthotist use a ball and socket hip joint which he ends up
welding to keep the brace strong. He also custom manufactures the
plastic orthosis components.
I am curious to see if others have experienced similar problems or can
recommend a suitable orthosis to try. I am also interested in the cost
of these adjustable orthoses (cost to orthotist as well as family). Are
there any truly adjustable orthoses availabe for this or do you still
require to make adjustments before fitting the client?
I am also interested in what the US health system is willing to pay/cover
for such a device since in Canada all that is covered is the plaster
casting – families have to cover the cost of the orthosis on their own.
Thank-you for your time and assistance – this will help us in decing if
this is something that is needed globally or is it a more
local issue.
Kim Parker
Research Engineer
Bloorview MacMillan Centre
Toronto, Ontario
Canada
