Historical O&P Progress Notes 3/14/2001

X1 Blade vs Common Carbon Fiber Plate - The Difference

Contact Name: Steve Phone: 847 XXX XXXX Email Address: sbxxxxxxx1157@sbcglobal.net Comments or Questions: 

I was wondering if you could tell me how your product differs from the Springlite Mortons toe plate. I was looking to have a set of 3. 

Thanks, Steve

Hi Steve - 

Springlite like all carbon fiber "plates" are like dinner plates. The density and material used is the same throughout the object. Thus the name "plate."

The X1 Blade on the other hand has density zones that change so as not to restrict the entire foot but only that zone under the great toe. 

Also there is a significant difference in materials used. Common carbon fiber plates use a single unidirectional carbon material that make them brittle and restrictive. The X1 Blade utilizes four different materials (two composite, one glass, and one unique plastic) that increases the performance, life and durability of the X1 Blade over a common carbon fiber plate.

Also the coefficient of friction at the foot/blade interface is significantly lower in the X1 Blade vs. a common carbon fiber plate thus reducing the incidence of blistering under the great toe during competition. 

Thanks for asking the question. X1 Blade "The best turf toe insert in the world1"

Clyde

Clyde's AcuStep Athhletic Foot Orthotics

Contact Name: Jacqui H. Phone: 317-xxx-xxxx Email Address: jh@iuhealth.org Comments or Questions: Clyde, I ordered my daughter Emily another pair of orthotics. Please let me know if I completed everything correctly. Thanks again for these great orthotics. My daughter's whole basketball career changed when she had the foot support she needed. Thanks, Jacqui H.

Bledsoe Wraptor Ankle Stabilizer

My customers like this product - the new strapping design is excellent and my customers can choose from either the regular lacing or speed lace. The bit of neoprene under the heel helps dramatically with slippage and their SpacerMesh lining helps wick moisture away. And is less expensive than the ASO.
The Wraptor ankle brace prevents eversion or inversion by supporting the ankle in a biomechanically neutral position using non-stretch nylon figure-eight straps. The Wraptor is effective protecting the ankle either proactively or in the rehabilitation of acute ankle sprains. Fits both the right and left ankle. Also available with Speed Laces for quick application and removal.

Indications
Chronic and acute ankle sprains; abnormal eversion and inversion control; and as protective sportswear.

Ordering: www.indianabrace.com

Crouched Gait - HKAFO's Ineffective- PT Upset

The patient is in the office today for a follow-up on her HKAFO's. At today's visit, the comment from the mother was that the physical therapist is upset that the patient continues to walk with a crouched gait with her knees and hips flexed, and could we do anything with the orthoses to alleviate this. Upon evaluation as previously noted, the patient has tight hip flexors and hamstrings. This is the primary cause of her crouched-type gait. At today's visit I have plantarflexed the ankle angle in hopes of achieving more knee extension. This was ineffective. I have called patients therapist and left a message for her to call me back to discuss the patient's case. The patient will follow-up after she sees her therapist.

Bypass Surgery -Conventional AFO's with Double Action Joints

The patient was seen today for fitting of his bilateral conventional AFOs with double-action ankle joints attached to extra-depth shoes with custom inserts and Velcro closures on the shoes. Fit was appropriate today. On the right brace the medial upright was just touching the patient's ankle. We shifted this 1A inch medially. Fit was appropriate. On the left side, the calf band was touching the fibular head. We lowered this to the correct height. The patient is still recovering from bypass surgery and is still very weak. He was able to stand in the orthosis today. He has not begun therapy. His wife indicated that she will call to receive the therapy schedule once he receives the braces. She reported that he will receive therapy 3 times per week. I instructed the patient and his wife in donning, doffing, wear, and care procedures as well as weaning schedule and proper shoe wear. I emphasized the importance that she monitors the patient's skin for any areas of irritation lasting longer than 30 minutes each time she removes the braces from his feet. I also gave them written instructions to follow today. They should begin weaning into the braces 2 hours today and increase by 2 hours each day. The patient is not ambulating very much at home at this time. I instructed them to call us should they have any problems or questions, and to return for a recheck on the braces 1 week after he begins therapy. They will contact us to set up this appointment once they know when therapy will begin. Otherwise, we will see them back for adjustments as needed.

P W Minor Orthopedic Shoes for Irregular Heel

The patient is in the office today for new shoes. I will order style #1079 from PW Minor for him. I will

increase the size from 1¹A D to 8 D. I will also modify the posterior aspect of the left shoe to

accommodate his irregular heel. This will be done after the prefitting of the shoes. I will order the

shoes 3-day and see the patient in 1 week for prefitting of the shoes.

Tibial Torsion and Genu Varus

Tibial torsion and genu varus.

This 15-month-old female has no known allergies. She is not taking any medication on a daily basis. She is an active independent community ambulator, and she has not had any surgery. She has previously had a Denis-Browne bar and straight last shoes with an 1/8 inch lateral wedge.

The shoes that she is currently wearing measure a 6 D. I measured her at an 8 D or E. She began walking at 9 months old. She did not have abnormalities at birth in regards to being born early. Tracings and measurements were taken of her feet today.

Below Knee Prosthesis

The patient has returned to the office today complaining of pressure on the posterior aspect of her
socket. At today's visit we find that the modification for the popliteal area is causing pressure and
discomfort to her. As I cannot change this in the socket itself, I will remake the socket. At today's visit 1 have replaced her original socket back on to her prosthesis and will remake the socket with appropriate modifications. We will follow up with her in 1 week.