The patient received a left AFO with posterior extension in mid-January. The therapist was not happy with this. The brace was not preventing his knee from going into recurvatum. We will remake this brace as a free-ankle AFO with adjustable 90-degree plantarflexion stop. The patient has no change in his medical condition. The parent reports that he has been wearing a solid ankle foot orthosis with posterior extension, but she did not bring it with her today. She reported that he was getting irritation on the heel. I informed her that we could make an adjustment to these if she brought them in while he is waiting for his new brace
The patient presents with a pronated foot on the left. His heel is in valgus and his forefoot is abducted. He has moderate tone and no clonus. Range of motion at his ankle is to 90 degrees with this knee flexed. His knee goes into recurvatum. Upon evaluating his gait, the patient is plantarflexed in swing. He contacts the ground mainly on his toes. He has significant recurvatum and mid to terminal stance. T cast him today, as we could not locate his previous mold.
Fabricate left free-ankle AFO with adjustable 90-degree plantarflexion stop.
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