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Insoles.

What are they?

The exact construction can vary but they consist of a soft sleeve which wraps around the leg and fastens at the front with velcro straps. The sleeve extends from approximately mid-thigh to the lower portion of the calf. Pockets situated on the inner and outer sides of the support contain hinged metal side members which are shaped to the knee anatomy at supply.

What do they

do?

It provides mild to moderate forces at the knee, depending on the type of side member/ joint combination, to control and stabilise the joint.

 

Indications for use:

- Mild instability of the knee. 

- Mild to moderate Osteoarthritis. 

- Mild instability of the patella. 

DAFO.

(Dynamic Ankle Foot Orthosis) 

What are they?

A rigid shell brace which extends from above the knee in the mid-thigh region to below knee at the bottom of the calf muscle. The shells are lined with a thin cushioning material. The thigh and calf shells are connected by joints which can be set to control the range of motion (movement) available at the knee joint. The thigh and calf shells are secured with velcro straps.

What do they do?

They apply controlling forces to stabilise the knee joint in multiple planes whilst also providing physical protection from impact forces.

Indications for use:

  • Lesions, ruptures, and instability of the ACL, PCL, and lateral ligaments.

  • Combination injuries.

  • Meniscal injuries.

  • Conservative/ post- op use.

  • Protection against high impact or rotational injuries such as in sport.

AFO.

(Ankle Foot Orthosis)

What are they?

A thigh and calf shell connected by either a single (positioned on one side of the knee) or double (positioned one on each side of the knee) jointed strut(s). The shells are secured by velcro fastenings. One strut is adjustable to apply either a valgus (pushing the knee inward) or varus (pushing the knee outward) corrective force.

What do they do?

By virtue of the adjustable strut/strap design, the brace applies a force across the knee joint in an inward (valgus) or outward (varus) direction to reduce the loading to the knee and reduce symptoms.

Indications for use:

  • Osteoathritis.

  • Uni-compartmental knee injuries. 

Traditional AFO.

(BK Iron, Caliper) 

What are they?

A tapered fabric panel which has a soft lining. There are strategically placed stiffening strips which position at the sides and back of the knee. The panel wraps around the leg and is secured with velcro strapping.

What do they do?

Due to the stiffening strips, the gaitor maintains the knee in a fully straight or extended position.

Indications for use:

  • Post- injury.

  • Post- surgery. 

  • Strains and sprains. 

  • Contracture management.

CROW.

(Charcot Restraint Walker)

What are they?

Separate thigh and ankle foot shells which are connected by jointed metal struts, usually one at each side of the leg or if using carbon fibre only one side only if requested. The thigh and calf sections are secured with velcro straps. The exact design and construction will be dependent on the condition being treated.

What do they

do?

Provides controlling forces to the foot, ankle and knee to enable walking on an otherwise unstable limb.

 

Indications for use:

  • Weakened lower limb muscles such as in Polio. 

  • Mal- alignment of the knee, ankle and/ or foot. 

  • Severe hyperextension of the knee.

Footwear

Adaptions.

What are they?

A thermoplastic shell which encompasses the posterior (back) half of the leg and extends from the upper calf to underneath the foot. The shell has a foam liner and can have cushioned insole layers. The liner has velcro closures and there is a removable thin thermoplastic front shell which overlays the back shell slightly and is secured with velcro straps. The bottom of the walker has a hard wearing sole with a rocker bottom.

What do they do?

Once correctly applied, the walker maintains the foot and ankle in a fixed position for walking and the rocker bottom/cushioned insoles reduce pressures on the underside of the foot.

Indications for use:

  • Post- injury.

  • Post- surgery. 

  • Strains and sprains. 

  • Contracture management.

Orthopaedic

Footwear.

What are they?

Separate thigh and ankle foot shells which are connected by jointed metal struts, usually one at each side of the leg or if using carbon fibre only one side only if requested. The thigh and calf sections are secured with velcro straps. The exact design and construction will be dependent on the condition being treated.

What do they

do?

Provides controlling forces to the foot, ankle and knee to enable walking on an otherwise unstable limb.

 

Indications for use:

  • Weakened lower limb muscles such as in Polio. 

  • Mal- alignment of the knee, ankle and/ or foot. 

  • Severe hyperextension of the knee.

Our Company

In Orthotics, experience is everything. And with years of clinical and technical expertise at their fingertips, the clinical and technical teams at Allmed Healthcare are leaders in their fields. 

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Latest update March, 2020.

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