South West Orthopedic Designs

Innovations in Design and Fabrication

 

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Casting for the South West AFO

 

 

 

 

 

 

Perhaps the single most important element in successfully fitting the patient is the cast impression. It is assumed that at this point the patient's lower limb can be placed into a biomechanically correct position. The patient should be seated in a firm chair with arm rests. The foot must easily reach the floor and be plantargrade. Once the casting position is established, the patient must not alter his or her position in the chair. Any such movements will certainly change the pre-determined knee flexion and dorsiflexion angles. A contoured foot board is required.

The pre-casted position of the lower limb should be as follows:

Identify and mark the following landmarks:

Carefully establish and mark the distal trimline for the footplate. Place surgical tubing over the cast sock and have the patient maintain the hose on the center of the knee. Without tension, apply one role of elastic plaster bandage followed by one roll as it sets. Hold the foot/ankle in 90° subtalar neutral position. As the plaster sets, recheck the position of the ankle, knee and hip. The position of the casted limb should be identical to that of the pre-casted limb. Finally, index the cast, remove from patient and staple together. The finished orthosis should provide the wearer with uniform total-contact comfort, in a biomechanically correct attitude. Please wait for the cast to dry before shipping. Then fill out the South West Ankle Brace work order completely.

 

South West Orthopedic Designs, LLC

2010 West Parkside Lane, Suite 148

Phoenix, AZ 85027

Phone: (480) 703-9433

Fax: (623) 434-5882

rleral.swod@yahoo.com

 

Copyright© 2002 South West Orthopedic Designs, LLC. All Rights Reserved. Last updated June 2008.