Wednesday, May 28, 2008

HKAFO ADJUSTMENT

PROGRESS NOTE: Patient is seen today for fitting of his left lateral upright HKAFO attached to a right wraparound AFO. All trim lines brought back to appropriate height. All areas checked for pressure. No excess pressure was found. Scoop pads were placed in the braces bilaterally. The height of the HKAFO appeared appropriate. The shoe lift on the left side was slightly too tall for the patient. We will take these back and cut ¼ inch off from these so the patient can ambulate with a smoother gait. With the shoe lift on the left side he stands with the knee flexed. When he stands straight. The right leg is off the ground. We will shorten these, diffuse them and mail them to his parents. We will see the patient back in 2 weeks to ensure that the shoe lift is the correct height and everything is functioning well with the brace. He was told to monitor his skin for any red marks and to ensure that they dissipate within 30 minutes. He was instructed if they did not, to stop wearing the braces and to schedule a return visit for adjustment.

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