One difficult patient presentation many O&P practitioners have encountered is severe genu recurvatum of 15-30 degrees with a lateral rotational thrust or corkscrew moment. A heavy-duty, stainless-steel sidebar KAFO is often the only device option for a patient with this condition. However, these orthoses have poor patient compliance. Unfortunately, an individual may prefer to walk without such an orthosis until his or her knee joint deteriorates, which results in either the need for a total knee replacement or a lifetime using a wheelchair for mobility.
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