Neuro-Orthotic Solution - Ottobock (Artificial Leg)

Lower Extremity Neuro-OrthoticSolution PortfolioPrescription Guideline

Lower Extremity Neuro-Orthotic Solution PortfolioIntroduction

This Lower-extremity Neuro-Orthotic Solution Portfolio from Ottobock is a concise illustration of the rehabilitation solutions that we recommend to patients in India. It’s purpose is to assist practitioners and patients to understand the very many design and hardware options available to them, ensuring that the most appropriate solution is provided to each individual. The solution portfolio is designed to give you prescription guidelines based on clinical presentations: muscle picture and deformities that need corrections. At present we cover solutions for two categories: KAFOs & AFOs.

The benefits of following this approach are:• The correct prescription for each individual.• Avoids dissatisfaction due to unrealistic or inappropriate selections.• Consistency in the prescriptions offered throughout the Ottobock national clinical network.• A clinical approach illustrates our ethical standards and honest, transparent conduct.• The required components are always available to provide a prompt service.• All colleagues are familiar with the solutions and have the correct clinical training.

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Lower Extremity Neuro-Orthotic Solution PortfolioArriving at a Prescription

KAFOs Step I : Selecting a Shell Design 3 Step II : Selecting Knee Function for a. Enhanced Mobility 4 b. Safe Performance 5

AFOs a. AFOs for Adults 6 b. AFOs for Children 7

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Shell Design based on Deformity CorrectionRequired at the Knee

Knee Valgus with Flexion

Knee Varus with Flexion

Knee Valgus with Hyperextension

Knee Varus with Hyperextension

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17B202N2E-Mag ActiveKnee

17Y128Lamination Joint Bars

17B66Multifunctional Ankle with Relevant Stops/Assists

17B113Foot Stirrups, Fish Tail Design

Laminated Shells with Blue Fabric Padding

17B26Offset Knee Joint

17B28Side Bar Set, SS

17B66MultifunctionalAnkle with Relevant Stops/Assists

17B113Foot Stirrups,Fish Tail Design

Thermoplastic Shells with Thermopaper & Pedilin Padding

Stance Control KAFOIndications• Hip extensors and flexors > 3+• Plantarflexors > 4

Contraindications• Knee Flexion Contractures > 15°• Genu Varum/Valgum Deformities > 15°• User weight > 85 Kgs• No possibility of influencing Knee Extension with a Dorsal Stop

KAFO with Offset Knee Joints Indications• Knee hyperextension that can be deliberately used to stabilize the knee

Contraindications• Knee/Hip Flexion Contracture • Limit of Plantarflexion movement

Note• Patient has to be especially aware to avoid falls on uneven surfaces• Knee Hyperextension check to be incorporated in shell design (Posterior Calf Shell Design)

Solutions for Enhanced MobilityKAFOs with Stance Control/Free Knee Joints

Indications: Two Extensor Groups affected KAFO with Stance Control Knee Joint

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KAFO with Offset Knee Joint

Hip Extensors3-5

Knee Flexors0-2

Plantarflexors0-2

Hip Flexors3-5

Knee Extensors0-2

Dorsiflexors0-2

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17PK1 CarbonIQ Wedge Lock Knee

605P8Profile Bar Stock, Al

17PA1 CarbonIQ Multifunctional Ankle with Relevant Stops/Assists

17PF1Foot Stirrups

Thermoplastic Shells with Thermopaper &Pedilin Padding

Carbon IQ KAFO

17B105Wedge Lock Knee,Titan


17B66MultifunctionalAnkle with Relevant Stops/Assists



17B20Ring Lock Knee

17B38Side Bar Set,SS

17B62Free-MotionAnkle* withRelevant Stops

17B55Split Stirrups

Thermoplastic Shells with Thermopaper & Pedilin Padding

Solutions for a Safe PerformanceKAFOs with Locked Knee Joints

Indications: Entire Extensor Loop affected KAFO with Lightweight Wedge-Lock Knee Joint

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Standard Solution KAFO

Hip Extensors0-2

Knee Flexors 0-2

Plantarflexors0-2

Hip Flexors0-2

Knee Extensors0-2

Dorsiflexors0-2

*In case of considerable flexion tendency, use 17B66 and 17B113

17B97Short Bail Lock Knee


17B66MultifunctionalAnkle withRelevant Stops/Assists



KAFO with Bail Lock Knee Joint

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AFOs for Adults

28U23 Walk On Thermoplastic Shell with Thermopaper & Pedilin Padding

17B4Upper Side Bar

17B66MultifunctionalAnkle with DF/PF Stops


Thermoplastic Shell with Thermopaper & Pedilin Padding

17CF1Carbon Ankle Seven


AFO for Mild Foot-Drop

• Isolated DF weakness (DF 0-2)• No instability of Ankle/ Forefoot• No oedema or sensory loss

• Moderate to severe Foot- Drop with instability of Ankle/Foot • Conditions requiring stop/ assist or stop & assist Plantar and/or Dorsiflexion

• Need for a Hip and Knee Extension moment

• Other nontypical clinical presentations e.g. Cerebral Palsy or exaggerated tone

AFO for moderate to severe control at Foot & Ankle

Rigid Ankle AFOAFO for weakness of Dorsi & Plantarflexors

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• Moderate to severe Foot- Drop with instability of Ankle/Foot • Conditions requiring stop/ assist or stop & assist Plantar and/or Dorsiflexion

AFO for moderate to severe control at Foot & Ankle

AFOs for Children


17M1=2Active Contour Ankle with DF/PF Stops


17CF1Carbon Ankle Seven


• Need for a Hip and Knee Extension moment

• Other nontypical clinical presentations e.g. Cerebral Palsy or exaggerated tone

Rigid Ankle AFOAFO for weakness of Dorsi & Plantarflexors

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Corporate AddressOtto Bock HealthCare Behind FairLawn Housing SocietySion-Trombay Road, ChemburMumbai 400071 India

T +91 (22) 2520 2014 F +91 (22) 2520 [email protected]

www.ottobock.in

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• Only Qualified Clinical Professionals trained by Ottobock• Appropriate Individual Solutions designed to meet your needs• International Standard Service Facilities• Contemporary Rehabilitation Processes & Techniques• Quality German Engineered components• Continuing care through a National Clinical Network• Personal Care with Respect & Dignity• Honesty, Transparency, Accountability

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Neuro-Orthotic Solution - Ottobock (Artificial Leg)