Monday, June 9, 2008

Cerebral Palsy - Bilateral Solid Ankle AFO's

Bilateral solid-ankle AFOs. Cerebral palsy. Orthopedic Surgeon Referral

This is a 13-year-old male has no known allergies. He is taking baclofen. He requires maximum assistance when ambulating, and he has not had surgery since his last visit. He receives physical therapy at school, and his previous devices were solid-ankle AFOs with Compcore reinforced at the ankles. The patient brought the braces with him today. He was getting pressure on the right side at the medial malleolus, and on the left at the base of the 5th metatarsal. These were both heat relieved. He has outgrown the footplate and they are also too short. He can wear them until the new braces are complete. This was explained to the mother.

The casting procedure went well. The patient's heels are in valgus bilaterally and they are not correctable. The right is worse than the left. Range of motion at the ankles is to 90 degrees bilaterally with the knees bent.

Fabricate bilateral solid-ankle AFOs.

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