Rigid AFO with internal sandal

Transarticular AFO with internal sandal

Firstly, each child gets a rigid combined ankle-foot orthesis. This fixing device is manufactured with an individually designed sole surface. In order to achieve a better control over the position of the leg, the device is fitted with an internal shell – called "sandal" – that ensures circular fixation. The mechanic places pads distributing pressure into its inner side depending on the shape of the foot. This AFO is prepared with stiff rear or side braces that enhance stability. The device can be made of materials of different thickness, strength and resilience as dictated by the age and weight of the patient and the expected load.

 

 

Night Relaxing and Treating Orthosis

Night Relaxing and Treating Orthosis

In the weeks after an SDR surgery, continuous fixing is needed. The orthosis for relaxation at night is an ankle support made after plaster model, combined with special straps and sandal and fitted with an ankle joint. The fixing device is manufactured with individually shaped walking surface on the sole, which helps children to move during the night independently. Keeping the leg in a proper position is ensured by the design: the device is fitted with a special night sandal that is in the proper night position, while pressure distributing pads put inside the device also help the undisturbed night relaxation. It is manufactured with a stiff, external brace, which receives the moving in-built ankle joint. The moving ankle joint and the special front-side fixing straps allow gradual stretching of the Achilles tendon during the night.

Another function of the straps is that the device can be connected to the night knee braces. 

The orthosis can be made of materials of different thickness, strength and resilience as dictated by the age and weight  of the patient and the expected load.

 

Hinged AFO with internal sandal

Hinged AFO with internal sandal

In most cases, within a few weeks after orthopaedic surgeries, children get a second combined ankle-fixing device for helping their gait, fitted with an ankle joint, manufactured after a new plaster model required by their changes in physical status. This fixing device is manufactured with an individually designed sole surface. In order to achieve a better control over the position of the leg, the device is fitted with an internal shell – called "sandal" – that ensures circular fixation. The mechanic places pads distributing pressure into its inner side depending on the shape of the foot. It is manufactured with a stiff, external brace, which receives the moving in-built ankle joint. The orthosis can be made of materials of different thickness, strength and resilience as dictated by the age and weight of the patient and the expected load.

 

Night Knee Braces

Night Knee Braces

 

 

In order to prevent contactures, each AFO type can be completed by night knee braces.  This is an adaptive, long knee support fitted with rubber textile and side rail braces.

Knee braces are made in combination with a special element that ensures connection to the relaxing/treating  night ankle-foot orthosis.  This way flexion or hypertension of the knee due to its position is eliminated, but the required passive stretching will be achieved to the optimum.

 

Dynamic AFO

Dynamic AFO

After a proper course of rehabilitation, approximately 6 to 12 months after the surgery, the best further development in case of highly active children is excellently supported by a dynamic AFO fitted with the internal sandal. The device follows the roll-over of the feet with flexible deformations: this feature is able to replace the movement of the ankle.  The sandal ensures the grip on the heel. The orthosis ensures the development of a gait similar to natural walking. Keeps ground stresses under control and transfers them onto the shank. Upon roll-over, the device stores energy and "feeds" it back at the moment of toe-off. The device is light what is important for a patient who suffers from neurological weakness of the muscles of his/her foot.

It is made of carbon, kevlar and fibreglass composite plastic supporting and fixing elements. After size-taking, the technician chooses, modifies and assembles the parts of the device, therefore in its final form, it will be a custom-made device. The partsthat touch skin are fitted with cotton-covered lining. It can be put on by Velcro straps. This type is more stable that traditional devices and at the same time they offer more flexible fixation than the others. It definitely improves the life qualities of children and enhances their activeness.