ORTHOSES-METAL AFO
SUMMARY
1. Consists of a proximal calf band, two uprights, ankle joints, and an attachment to the shoe to anchor the AFO.
2. The posterior metal portion of the calf band should be 1.5 to 3 inches wide to adequately distribute pressure.
3. The calf band should be 1 inch below the fibular neck to prevent a compressive common peroneal nerve palsy.
4. A leather strap with Velcro is used to close the calf band, because it provides ease of closure for patients with only one functional upper limb.
5. Indications: fluctuating oedema, large/heavy patients, excessive sweating; contraindications: cosmesis, working in wet muddy conditions.
Reference(s)
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.