Pediatrics Section
Transcription
Pediatrics Section
PEDIATRICS 533 PEDIATRICS Pediatric Prosthetics Wrists...........................................................535 Knees............................................................535 Endoskeletal Components.........................536 Lower Extremity Suspension..................... 543 Feet............................................................. 546 Knitted Goods............................................ 548 Pediatric Orthotics Cervical Orthoses....................................... 549 Cervical Thoracic Orthoses.........................550 Upper Extremity..........................................551 Pavlik Harnesses..........................................553 Gait Stabilizing Orthoses............................554 Hip Orthoses................................................555 Hip Joints.....................................................558 Knee Orthoses.............................................559 Knee Joints................................................. 560 Night Splints................................................562 Ankle Foot Orthoses...................................563 Ankle Joints and Components...................567 Motion Limiters and Assists.......................572 Interfaces.....................................................573 Pediatric Foot Care Footwear.....................................................574 Healing and Cast Shoes..............................575 The Largest Independent O&P Distributor 534 PEDIATRICS Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Prosthetics 535 WRISTS a. UCLA CAPP Delrin® Body Friction Wrist Constant friction is applied with a unique friction adjustment collar. 1/2” (3.8cm) diameter. Standard 1/2-20 thread. Product weight .75 oz (21g). Sold each. From Hosmer. Item No. ð 55108 55105 Housing 59711 Clamp Assembly 56661 Socket Head Screw 55313 Allen Wrench b. Friction Wrist Permits terminal device to be rotated to any position. Friction is easily adjusted by a set screw in the body of the wrist. Friction insert has stainless steel lead threads and is replaceable. Standard 1/2-20 thread. Laminating ring version available. Sold each. From Hosmer. Description Item No.ò Child(WE-200N), 1-1/2” (3.8cm) Diameter, Weight 1.5 oz (42g) 52147 Infant (WE-100N), 1-1/4” (3.2cm) Diameter, Weight 1 oz (28g) 52142 52148 Body, WE-200N 52151 Insert Assy, WE-200N 52152 Screw, WE-200N 52154 Allen Wrench, WE-200N 52155 Set Screw, WE-200N 52153 Allen Wrench, WE-100N 52312 Set Screw, WE-100N PEDIATRICS KNEES c. MightyMite® 4-Bar Knee Designed for pediatric, geriatric and petite adults up to 132 lb (60kg). 22mm compatible. Features adjustable extension assist. Height measures 3.75” (95.3mm). Lightweight aluminum construction. Product weight 257g. Includes extension assist spring in four rates. Compatible with MightyMite® proximal attachments listed below. Sold each. From Fillauer. Description Item No.ò without Proximal Attachment FC100500 with Pyramid Adapter FC100510 FC100501 Proximal Attachment: Pyramid Adapter FC100502 Proximal Attachment: Slide Adapter FC100503 Proximal Attachment: 4-Hole Adapter FC100504 Proximal Attachment: Threaded Adapter The Largest Independent O&P Distributor 536 Pedatric Prosthetics PEDIATRICS KNEES — Continued a. Child’s Play® Knee The Child’s Play Knee with Manual Lock features a lightweight, 4-bar design, friction swing control, extension assist, adjustable stability setting, removable manual lock and optional rotatable knee disarticulation adapter. Rated to 121 lb (55 kg). Product weight 310g. Sold each. From Trulife. Item No. ð SSK610A ENDOSKELETAL COMPONENTS b. Adapter Plate A thermoplastic or laminated socket adapter with a 4-hole European pattern design that fits most prosthetic components. Includes a set of long and short screws. Aluminum. Sold each. From ProAdvantage. Description Item No.ò Pediatric 1320-PED PEDIATRICS 1320-SCREWS Plate Screws, M6 x 25mm c. MightyMite® 4-Hole Distal Attachment Block Includes screws, vinyl caps and lamination plate. Rated to 132 lb (60kg). Product weight 30g. Sold each. From Fillauer. Item No. ð FC100150 122050LC Lamination Plate 882510 Screw, M5 x .8 x 14 SHCS (4 required) 880271 Screw, M5 x .8 x 18 FHSC (4 required) 103080 Vinyl Cap for 882510 (4 required) d. P-POD™ Laminated Socket Attachment Block Rated to 132 lb (60kg). Includes 4 cap screws, metal laminating cap, 4 plastic caps and 2 pieces of 1” wide x 12” long carbon tape. Sold kit. From WillowWood. Item No. ð PPF-700250 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS e. Pediatric Prosthetics 537 P-POD™ 4-Hole Adapter Spacer Plate P-POD 4-Hole Adapter Spacer Plates are offered in both 1/4” and 1/8”. If desired, multiple P-POD™ Spacer Plates may be installed, as long as the total height of Spacer Plates does not exceed 3/8” (9.5 mm). Rated to 132 lbs (60 kg). Sold each. From WillowWood. Length 1/8” 1/4” Item No. ð PPF-994118PPF-994114 f. MightyMite® BK Socket Adapter Titanium pyramid. Rated to 132 lb (60kg). Includes lamination cap. Product weight 39g. Sold each. From Fillauer. Item No. ð FC100152 122053BK Adapter Lamination Cap g. Child’s Play® 4-Ear Socket Pyramid 22mm. Aluminum with stainless steel pyramid insert. Rated to 110 lb (50kg). Product weight 41g. Sold each. From Trulife. Item No. ð 13043 P-POD™ 4-Hole Pyramid Titanium. Silver in color. Rated to 132 lb (60kg). Sold each. From WillowWood. PEDIATRICS h. Item No. ð PPF-227014 i. MightyMite® AK Socket Adapter Threaded for rotation. Includes screw. Rated to 132 lb (60kg). Product weight 70g. Sold each. From Fillauer. Item No. ð FC100130 882418 The Largest Independent O&P Distributor Screw, M4 x .7 x 14 Alloy SHCS (1 required) 538 Pedatric Prosthetics PEDIATRICS ENDOSKELETAL COMPONENTS — Continued a. MightyMite® 4-Hole Adapter with Rotation Threaded for rotation. Includes screw. Rated to 132 lb (60kg). Product weight 25g. Sold each. From Fillauer. Item No. ð FC100132 882418 b. Screw, M4 x .7 x 14 Alloy SHCS (1 required) MightyMite® Rotatable Pyramid Receiver Includes set screws. Small size is for other manufacturers’ knees. Sold each. From Fillauer. Description Item No.ò Medium, Rated to 132 lb (60kg), Product Weight 26.5g. FC100134 Small, Rated to 99 lb (45kg), Product Weight 25.0g FC100144 882608 c. Set Screw, M6 x 1 x 12 Alloy Flat Point (4 required) P-POD™ 4-Hole Pyramid Receiver Aluminum. Blue in color. Rated to 132 lb (60kg). Sold each. From WillowWood. Item No. ð PPF-137004 PEDIATRICS d. Child’s Play® Staats Variable Height Adapter Provides two point adjustability for long to very long residual limbs. Rated to 120 lb (54kg). Sold each. From Trulife. Size/Weight 23mm/34g 32mm/43g 45mm/56g 60mm/70g Item No. ð SCA293 SCA294SCA295 SCA296 e. P-POD™ Dual Receiver Aluminum. Blue in color. Rated to 132 lb (60kg). Sold each. From WillowWood. Height 51mm 27mm Item No. ð PPF-138051PPF-138027 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS f. Pediatric Prosthetics 539 TI-CO-JR Titanium Tube Clamp Adapter Rated to 180 lb. Gold in color. Sold each. From American Prosthetic Components. Description Item No.ò 22mm Titanium Tube Clamp Adapter (pictured) JR-100C 22mm Titanium Tube Clamp Adpater with Extended Shaft JR-100C-LONG 22mm Titanium Tube Clamp adapter with 30mm Receiver JR-100C-A g. MightyMite® Tube Clamp Rated to 132 lb (60kg). Includes screws. Product weight 45g. Sold each. From Fillauer. Description Item No.ò Aluminum FC100122 Titanium FC100123 882608 882418 h. Set Screw, M6 x 1 x 12 Alloy Flat Point (4 required) Screw, M4 x .7 x 14 Alloy SHCS (1 required) Child’s Play® Clamp Adapter 22mm. Titanium. Rated to 120 lb (54kg). Product weight 35g. Sold each. From Trulife. Item No. ð SCA292 PEDIATRICS i. P-POD™ 22mm Tube Clamp Adapter Aluminum. Silver in color. Rated to 132 lb (60kg). Sold each. From WillowWood. Item No. ð PPF-130000 The Largest Independent O&P Distributor 540 Pedatric Prosthetics PEDIATRICS ENDOSKELETAL COMPONENTS — Continued a. TI-CO-JR Pylon with Fixed Titanium Receiver Rated to 180 lb. Green tube with aqua adapter. 10” length. Sold each. From American Prosthetic Components. Description Item No.ò With Fixed Titanium Receiver JR-10TC With Fixed 30mm Titanium Receiver JR-10TCA 22mm Tube Only JR-10T b. MightyMite® Integrated Pylon Includes set screws. Sold each. From Fillauer. Description Item No.ò Aluminum w/Pediatric Pyramid Receiver, Rated to 99 lb (45kg), 153g FC100118 Alloy Steel w/Pediatric Pyramid Receiver (Titanium), Rated to 132 lb (60kg), 263g FC100119 Alloy Steel w/Pediatric Pyramid Receiver (Aluminum), Rated to 132 lb (60kg), 263g FC100120 Alloy Steel w/Adult Pyramid Receiver, Rated to 132 lb (60kg), 263g FC100121 882608 c. Set Screw, M6 x 1 x 12 Alloy Flat Point (4 required) P-POD™ 22mm Pylon with Fixed Adapter 22mm aluminum tube with aluminum adapter. Two lengths. Rated to 132 lb (60kg). Sold each. From WillowWood. Length 300mm 400mm PEDIATRICS Item No. ð PPF-131330PPF-131340 d. Child’s Play® Tube 22mm. 12” (30cm) length. Aluminum. Rated to 88 lb (40kg). Product weight 114g. Teal color. Sold each. From Trulife. Item No. ð 13010 e. P-POD™ 22mm Tube 22mm aluminum tube. No adapter. Two lengths. Blue in color. Rated to 132 lb (60kg). Sold each. From WillowWood. Length 300mm 400mm Item No. ð PPF-130030PPF-130040 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS f. Pediatric Prosthetics 541 Child’s Play® Ankle Block Designed for exoskeletal construction of the Child’s Play® Foot (page 546). Constructed using high strength rigid polyurethane foam surrounding a nylon core. Lightweight yet durable enough to withstand the forces imposed by dynamic response feet. 2-1/2” (63mm) height. Rated to 144 lb (65kg). Sold each. From Trulife. Foot Size 13-15cm 16-18cm 19-21cm Product Weight 131g 152g 172g Item No. ð SAB311SAB312 SAB313 g. MightyMite® SACH Foot Adapter Titanium pyramid. Rated to 60kg (132 lb). Product weight 32.5g. Includes foot bolt. Sold each. From Fillauer. Description Item No.ò FC100110 Aluminum, 300mm, Rated to 99 lb (45kg), 117g 880289 SACH Foot Bolt, M8 x 1-1/4 x 50, SHCS h. Child’s Play® Foot Pyramid Front to back length: 1-1/2” (38mm). Titanium. Rated to 120 lb (54kg). Product weight 27g. Sold each. Foot Bolt Kit sold separately. From Trulife. Item No. ð SCA297 SFB544 Child’s Play® SACH Foot Pyramid For use with pediatric SACH feet. Front to back length: 2-3/8” (60mm). Includes 8mm foot bolt. Aluminum. Rated to 110 lb (50kg). Product weight 38g. Sold each. From Trulife. PEDIATRICS i. Foot Bolt Kit (Includes Loctite®) Item No. ð 13035 j. P-POD™ Foot Pyramid Adapter Titanium. Silver in color. Rated to 132 lb (60kg). Sold each. From WillowWood. Item No. ð PPF-1208 The Largest Independent O&P Distributor 542 Pedatric Prosthetics PEDIATRICS ENDOSKELETAL COMPONENTS — Continued a. P-POD™ Foot Pyramid Receiver For long residual limbs. Aluminum. Blue in color. Rated to 132 lb (60kg). Sold each. From WillowWood. Item No. ð PPF-1209 b. Child’s Play® Syme’s Nut The abrasive etched finish of the aluminum ensures secure socket adhesion during fabrication. Minimum clearance: 1.6” (4cm) including foot. 1/2” (13mm) height. Rated to 144 lb (65kg). Sold each. From Trulife. Foot Size 13-15cm 16-18cm 19-21cm Product Weight 14g 20g 29g Item No. ð SSY301SSY302SSY303 c. P-POD™ Syme’s Nut Titanium. Silver in color. Rated to 132 lb (60kg). Sold each. From WillowWood. Item No. ð PPF-FS006 PEDIATRICS d. Child’s Play® Foot Spacer Provides flexibility during setup and fabrication of the Child’s Play® Foot (page 546). May be used temporarily to permit access to alignment devices or permanently to allow setup on existing limb system and to accommodate patient growth. Sold each. From Trulife. Foot Size Height 13-15cm 13-15cm 16-18cm 16-18cm 19-21cm 19-21cm .25” (6mm) 1” (25mm) .25” (6mm) 1” (25mm) .25” (6mm) 1.2” (30mm) Product Weight 6g20g9g28g11g45g Wt Capacity 69 lb (31kg) 69 lb (31kg) 89 lb (41kg) 89 lb (41kg)144 lb (65kg)144 lb (65kg) Item No. ðSFS240SFS241SFS242SFS243SFS244SFS245 e. P-POD™ Growth Kit Allows the prosthesis to grow with the young amputee. Rated to 132 lb (60kg). Kit includes three growth plates (one each: 1/8”, 1/4” and 1/2”) and bolt. Rated to 132 lb (60kg). From WillowWood. Item No. ð PPF-GKIT PPF-G125 1/8” Growth Plate, Blue PPF-G250 1/4” Growth Plate, Blue PPF-G500 1/2” Growth Plate, Blue Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Prosthetics 543 LOWER EXTREMITY SUSPENSION f. MightyMite® Modular Shuttle Lock with Titanium Pyramid Housing Sold each. Plunger sold separately. From Fillauer. Item No. ð FC100202 809826Plunger, 1”, 1/4-20 Thread 809827 Plunger, 1-1/2”, 1/4-20 Thread 809826MM Plunger, 1”, M10 Metric Thread 809827MM Plunger, 1-1/2”, M10 Metric Thread g. Mini G-Lock Allows the user to secure the locking pin in place at the nearest groove using a standard pin locking mechanism with pin seal. The Mini G-Lock is CAD-friendly and easy to use in traditional fabrication processes using laminated sockets. Comes with two 38mm pins. Rated to 132 lb (60kg). Product weight 67g. One year warranty. From WillowWood. Item No. ð 700-MGL480 700-MGL490Lock only 700-MGL482 Pin, Short 700-MGL488 Pin, Long 700-MGL491 Fabrication Tooling 700-MGL492 Button and Stem h. Delrin® KISS™ Kit PEDIATRICS KISS’s unique pinless suspension system anchors the limb using straps mounted distally and proximally to any roll-on locking liner. The distal strap feeds through a base component in the socket and secures to the proximal strap in a pulley-type action. Infinitely customizable, the KISS™ system virtually eliminates pistoning and rotation, increases hip tracking throughout the gait cycle and has an ultra low profile 2mm build height. Features a Delrin® distal base which can be laminated into a socket, or vacuum formed in a flexible inner socket. Kit includes individual parts listed below plus aluminum tab to assist in fabrication. Designed for a single socket, 2-liner application. Item No. ð PKS1/A PCMP1/A 4-Hole Delrin® Distal Base PCMP6/ADistal Strap Set PCMP5/A Placard SetPCMP8/ADistal Screw Set PCMP7/A Proximal Strap SetPCMP9/AMuffler Set PCMP4/A Proximal Nut/Screw Set PCMP15/A 10mm to 6mm Threaded Insert i. 4-Hole Endo KISS™ Kit KISS’s unique pinless suspension system anchors the limb using straps mounted distally and proximally to any roll-on locking liner. The distal strap feeds through a base component in the socket and secures to the proximal strap in a pulley-type action. Infinitely customizable, the KISS™ system virtually eliminates pistoning and rotation, increases hip tracking throughout the gait cycle and has an ultra low profile 2mm build height. Features an aluminum 4-hole distal base, which also serves as an attachment base for endoskeletal componentry. It also easily retrofits with PDI™ and Bulldog™ shuttlelocks. Kit includes individual parts listed below plus aluminum tab to assist in fabrication. Lamination adapter and spacer screws sold separately. Designed for a single socket, 2-liner application. Item No. ð PKS2/A PCMP2/A 4-Hole Endo Distal Base PCMP6/A Distal Strap Set PCMP5/A Placard SetPCMP8/ADistal Screw Set PCMP7/A Proximal Strap SetPCMP9/AMuffler Set PCMP4/A Prox Nut/Screw Set PCMP15/A 10mm to 6mm Threaded Insert The Largest Independent O&P Distributor 544 Pedatric Prosthetics PEDIATRICS LOWER EXTREMITY SUSPENSION — Continued a. FlexiKids™ Flexi Suction Suspension Sleeve These sleeves are a comfortable, durable and cost-effective alternative to straight suspension sleeves. They provide a secure connection of the prosthesis to the limb and are shaped to allow for natural, unrestricted movement. Latex-free neoprene. 1/8” thickness. To determine proper sizing, take circumference measurement 3-4” above the patella. Available in chocolate brown, tan or black. Sold each. From Engineered Silicone Products (ESP). Size X-Small Small Medium Large X-Large XX-Large Measurement 6”-6.5” 6.5”-7.5” 7.5”-8.5” 8.5”-9.5” 9.5”-10.5” 10.5”-11.5” Brown KS-ESP-XS-C KS-ESP-S-C KS-ESP-M-C KS-ESP-L-C KS-ESP-XL-CKS-ESP-XXL-C Tan KS-ESP-XS-T KS-ESP-S-T KS-ESP-M-T KS-ESP-L-T KS-ESP-XL-TKS-ESP-XXL-T Black KS-ESP-XS-B KS-ESP-S-B KS-ESP-M-B KS-ESP-L-B KS-ESP-XL-BKS-ESP-XXL-B b. Tiny Titans™ Pediatric Suspension Sleeve Latex-free. Suggested sizes reflect the average size of children in the age groups shown. Knee measurement is circumference. Tan color. Sold each. From Fillauer. Size X-Small Small Medium Large X-Large XX-Large Age 3-4 5-6 7-8 9-10 11-12 13-14 Knee 6”-7” 7”-8” 8”-9” 9”-10” 10”-11” 11”-12” Item No. ð 194100 194101 194102 194103194104 194105 PEDIATRICS c. Suspension Sleeve These suspension sleeves are made of 1/8” nylon-covered one side neoprene and have airtight seams for added security. Sold each. Part of the Kid Stuff ® line from New Options Sports. Complete the item number below by choosing from boldface codes on line marked with + . Item No. ò Description PK100 (Size Code) TA 1-Part Sleeve w/Flexion Knee, Tan 1-Part Sleeve w/Flexion Knee, Brown PK101 (Size Code) BR 1-Part Sleeve w/Flexion Knee, Black PK107 (Size Code) BK 1-Part Sleeve w/Flexion Knee and Strap, Tan PK400 (Size Code) TA 1-Part Sleeve w/Flexion Knee and Strap, Brown PK400 (Size Code) BR 1-Part Sleeve w/Flexion Knee and Strap, Black PK400 (Size Code) BK 3-Part Sleeve w/Lycra 2-Sides Mid Section, Tan PK25 (Size Code) TA 3-Part Sleeve w/Lycra 2-Sides Mid Section, Black PK25 (Size Code) BK Size X-Small Small Medium Large X-Large XX-Large Circumference 6-6.5” 6.5-7.5” 7.5-8.5” 8.5-9.5” 9.5-10.5” 10.5-11.5” + XS S M L XL2X *Circumference measured 3-4” above knee. Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS d. Pediatric Prosthetics 545 Total Elastic Suspension (TES) Belt™ Features a wide 360° textured grip cuff and modified adductor panel for improved lateral gripping. Choose from standard (left or right) or bilateral with two legs. Two styles: Regular with solid sides or Cut Away at side hip area. Sold each. From Syncor. Style Regular Regular Cut Away Cut Away Regular Cut Away LeftRightLeftRight Bilateral Bilateral Juvenile TES-JUV-LN TES-JUV-RN TES-JUV-LC TES-JUV-RCTES-JUV-BN TES-JUV-BC Infant TES-INF-LNTES-INF-RN N/A N/ATES-INF-BN N/A e. P-POD™ Alpha Liner Available in cushion or locking with uniform style gel. 3mm thickness. Two sizes and two colors. Sold each. From WillowWood. Distance from Distal End Extra Small Plus 16” (40cm) 12” (30cm) 8” (20cm) 4” (10cm) 1.5” (4cm) 9-16” 8-13” 7-11” 5.5-9.5” 4-7” Extra Small 7-13” 6-11” 5-10” 4.5-9” 4-7” Size Fabric Color X-Small Plus X-Small Plus X-Small X-Small Buff Med Brown Buff Med Brown Cushion ALC-5832-E ALC-5932-EALC-5839-E ALC-5939-E Locking ALL-5832-E ALL-5932-EALL-5839-E ALL-5939-E f. Silosheath™ PEDIATRICS Provides optimal range of motion and comfort. Skin-friendly mineral oil gel helps prevent abrasion and skin breakdown. May be used alone or with other interfaces. Three styles: 2-ply Original features 2mm of gel inside the nylon sheath; Double Cushion features 3mm of gel and extra gel at distal end; 3-ply Extra Life features 2mm of gel between two nylon sheaths. 8” gel length. Sold each. From Silipos. Style Original Dbl Cushion Extra LIfe Item No. ð 133151341513815 The Largest Independent O&P Distributor 546 Pedatric Prosthetics PEDIATRICS FEET a. Child’s Play® Foot The pediatric version of the Seattle LightFoot. Its sculpted cosmesis varies by size to reflect the natural appearance of a child’s maturing foot. The dynamic response Delrin® keel offers shock absorption and a smooth roll over for a natural gait. Appropriate for all lower limb pediatric amputees, including Syme’s. Rated to 144 lb (65kg). Product weight 150g (size 17 with D3 keel). Includes foot bolt kit. Sold each. From Trulife. Note: Sizes 13-15 feet do not have split toe cosmesis. Keel Selection Instructions To optimize selection, follow the three steps below to determine the appropriate keel. 1. In the Factor Chart below, find the appropriate weight, activity level and limb length factors. 2. Add these three factors. 3. With the factor sum, find the appropriate keel in the Keel Selection Table and check for availability by foot size. Factor Chart Weight 30-33 lb 34-37 lb 38-41 lb 42-45 lb 46-49 lb 50-53 lb 54-58 lb 59-63 lb 64-69 lb (13-14kg) (15-16kg) (17-18kg) (19-20kg)(21-22kg)(23-24kg)(25-26kg)(27-28kg)(29-30kg) Factor 0.8 1.0 1.2 1.8 2.0 2.2 2.8 3.0 3.2 70-75 lb 76-83 lb 84-89 lb 90-97 lb 98-105 lb 106-113 lb 114-123 lb 124-133 lb134-144 lb (31-34kg)(35-37kg)(38-40kg)(41-44kg)(45-48kg)(49-51kg)(52-56kg)(57-60kg)(61-65kg) Factor 3.84.04.24.85.05.25.86.06.2 Activity Level Low Medium-Low Medium Medium-High High Factor -0.6 -0.4 0 0.3 0.5 Limb Length AK/Short BK Medium BK Long BK/Symes Factor -0.4 0 0.3 Keel Selection Table PEDIATRICS Foot Size 13 cm 14 cm 15 cm 16 cm 17 cm 18 cm 19 cm 20 cm 21 cm Factor Sum Keel 0.5-1.4 D1 3 3 3 1.5-2.4 D2 3 3 3 3 3 3 2.5-3.4 D3 3 3 3 3 3 3 3 3 3 3.5-4.4D4 3 3 3 3 3 3 4.5-5.4 D53 3 3 5.5-6.4 D63 3 3 Complete the item number below by choosing from options beneath t. (Example: SLF13216RD2) Item No. ð SLF (Cosmesis) (Size) (Side) (Keel) 3/8” Heel Cosmesis tSize tSide t Keel t Caucasian 13213cm13Left LD1 D1 Light Brown 14214cm14Right RD2 D2 Dark Brown 14415cm24 D3D3 16cm 16 D4D4 17cm 17 D5D5 18cm 18 D6 D6 19cm 19 20cm20 21cm21 Note: Choosing a lower keel than what is suggested in the Guidelines above will void the warranty. If your patient’s weight and/or activity level exceed the limits of the chart, please call Trulife for assistance. Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS b. Pediatric Prosthetics 547 P-POD™ Feet Available in SACH or Impulse models. Both are available in buff, tan or medium brown and can be used in endoskeletal, exoskeletal and Syme’s applications. Soft, medium and firm heel inserts are included with size 15-22cm P-POD™ feet. Heel inserts are not used with size 9-14cm P-POD™ feet. 1/4” Heel rise (sizes 9-17); 3/8” heel rise (sizes 18-22). Sold each. From WillowWood. Toe Resistance Guide by Modified Patient Weight* Toe Resistance Low Regular High 9-12cm <15 lb (7kg) 15-30 lb (7-14kg) >30 lb (14kg) 13-14cm <20 lb (9kg) 20-35 lb (9-16kg) >35 lb (16kg) 15-16cm <30 lb (14kg) 30-45 lb (14-20kg) >45 lb (20kg) 17-18cm <35 lb (16kg) 35-50 lb (16-23kg) >50 lb (23kg) 19-20cm <45 lb (20kg) 45-70 lb (20-32kg) >70 lb (32kg) 21-22cm <60 lb (27kg) 60-90 lb (27-41kg) >90 lb (41kg) The patient’s body weight plus any loads normally or routinely carried must not exceed 132 lbs (60 kg). This “modified body weight” is used to determine toe resistance. Use the patient’s “modified body weight” to determine the recommended toe resistance from the chart below. Complete the item number below by choosing from options beneatht. (Example: PPS-10RB-2) Item No. ð (Type) - (Size) (Side) (Color) - (Toe Resistance) Type tSize tSide tColor t Toe Resistancet The Largest Independent O&P Distributor PEDIATRICS P-Pod SACH PPS9cm9Left LBuff BLow 1 P-Pod Impulse PPI10cm 10Right R Med Brn MRegular 2 11cm 11 Tan THigh 3 12cm 12 13cm 13 14cm 14 15cm 15 16cm 16 17cm 17 18cm 18 19cm 19 20cm 20 21cm 21 22cm 22 548 Pedatric Prosthetics PEDIATRICS KNITTED GOODS a. Knit-Rite Prosthetic Sheath 100% stretch nylon. Sized to socks. Dusk or white. 3 pair per box. From Knit-Rite. Size Sock Size Length Dusk White Child Short, Lycra Spandex Top A 6-8” 2HPSBRSH2HPSWRSH Child, Non-Elastic Top A 12” 2HPBCH122HPWCH12 b. Soft-Sock® The fibers of the Soft-Sock® wick moisture away from the skin and inhibit the growth of odor causing bacteria. Fleeced interior feels soft and cuddly worn next to the skin and insulates against the cold. Lycra® provides stretch for excellent fit. Available in CoolMax®/Lycra® or Polyester/Lycra® with X-Static® —The Silver Fiber™. Sock size A. Sold each. From Knit-Rite. Size Length Lightweight 3-Ply 5-Ply 6-Ply Standard Sock Child X-Short 6” 1SP1CHXS N/AN/AN/A Child Short 8” 1SP1CHSH1SP3CHSH1SP5CHSH1SP6CHSH Child Medium 12” 1SP1CH121SP3CH121SP5CH12N/A Hole-in-Toe Sock Child X-Short 6” 1SPSCHXS Child Short 8” 1SPSCHSH1SP3SCSH1SP5SCSH1SP6SCSH PEDIATRICS c. N/A N/A N/A Item numbers in bold face are manufacturer stock items. Hugger Top Soft-Sock® Hugger Top Soft-Sock® provides a more tailored fit, reduces rolling and bunching and helps maintain sock placement. It features a new patented hemispherically knit three-dimensional distal shape. The new distal end shape provides improved fitting qualities and comfort over the traditional flat knit envelope shape of prosthetic socks. Pink. Sold each. From Knit-Rite. Size Child Short Child Short Child 12 Child 12 Ply Lightweight 3-Ply Lightweight 3-Ply Standard 1S21CHSH1S23CHSH1S21CH12 1S23CH12 Hole-in-Toe 1S21SCSH1S23SCSH1S21SC12 1S23SC12 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Orthotics 549 CERVICAL ORTHOSES d. Aspen PD™ Collar The Aspen Pediatric Cervical Collar has been carefully designed to provide effective motion restriction without producing the painful pressure points that lead to skin breakdown and noncompliance. Three layers of polyethylene combine to produce a support structure that is extremely rigid yet able to flex at its edges to conform to each patient’s anatomy. Sold each. From Aspen Medical Products. Size Weight Guide PD1 PD2 Infant Short Infant Reg PD3 Child Tot 11-29 lb 22-33 lb 24-36 lb Length/Height 21-33” 29-37” Color Code Light Blue Pink Collar w/Pads PD4 PD5 Child Short Child Reg Adult Short 26-42 lb 27-54 lb 36 lb+ 33-40” 35-45” 37-48” 42”+ Green Orange Yellow Blue 983190983195983106983102983104983108 Collar w/2 Pad Sets 983192983197983126983122983124983128 Pad Set Only 983194 983199 983156 983153 983155 983159 Front Panel 983191 983196 983107 983103 983105 983109 Back Panel 983121 983121 983117 983116 983116 983118 983161Back Pad (One Size) e. Miami Jr. Maintains airway and c-spine alignment of children during the growth transition from birth to adolescence. Shaped to fit pediatric anatomy. Sized to the Broselow-Luten scale. Sold each. From Össur. Size Collar with Pads P0 P1 0-6 Months 6 Mos - 2 Years P2 2-6 Years P3 6-12 Years MJ-P0 MJ-P1MJ-P2 MJ-P3 Collar w/Extra Pad Set MJR-P0 MJR-P1MJR-P2 MJR-P3 Replacement Pad Set MJP-P0 MJP-P1 MJP-P2 MJP-P3 PEDIATRICS f. Tracheotomy Philadelphia® Collar Made of latex-free, non-toxic and hypoallergenic Plastazote® foam, the Tracheotomy Philadelphia® collar features a two piece design for proper fit, adjustable bilateral Velcro® fasteners and back panel ventilation openings. Tracheotomy hole for easy access. Sold each. From Össur. Size Infant Pediatric Circumference 6-8” 8-11” Item No. ð PHP-TIPHP-TP LCI LCP g. Liner, Infant, CoolMax®/Lycra® Liner, Pediatric, CoolMax®/Lycra® Malibu Cervical Collar Heat moldable, lightweight and washable Kydex™ frame with trachea opening. Independent anterior and posterior height adjustment. Controls flexion, extension and rotation. Height adjustment 2” to 3” (5-7.75cm). Neck circumference 8-11” (20.5-28cm). Sold each. Replacement pads and liners sold separately. From Trulife. Item No. ð CV101 JS-41-LReplacement Liner JS-31-P Chin and Occipital Pad CV103 Thoracic Extension, Pediatric Small, 7” (17.75cm) CV104 Thoracic Extension, Pediatric Large, 8” (20.5cm) The Largest Independent O&P Distributor 550 Pedatric Orthotics PEDIATRICS CERVICAL THORACIC ORTHOSES a. Aspen Sierra CTO The Aspen CTO combines highly effective immobilization of the cervical and upper thoracic spine with a level of comfort that makes it well tolerated by patients. Research has shown substantially progressive immobilization in going from a stand-alone cervical collar, to a two-post device, and then on to a four-post orthosis. One pediatric size. Sold each. From Aspen Medical Products. Item No. ð 983301 983302Pediatric CTO Replacement Pad Set b. Johnson CTO Provides stabilization of the cervical and upper thoracic spine. Molded polyethylene components feature trachea opening. No tools required for height adjustment. Replaceable plush foam liners. Not MRI compatible. Sold each. From Trulife. Size Infant Pediatric Neck 8.5-10” 9-14.5” Circumference (21.75-25.5cm) (23-37cm) Thoracic Length 6-8” 9-11.75” (chin to distal edge of extension) (15.25-20.5cm) (23-30cm) PEDIATRICS Item No. ð JS-361-IJS-361 JS-361-I-PADReplacement Pad Set, Infant JS-361-PAD Replacement Pad Set, Pediatric c. Lerman Minerva Provides stabilization of the cervical and upper thoracic spine. Single upright design features trachea opening, removable liners and silicone chin pads. Height adjustable. Sold each. From Trulife. Size Pediatric Height (chin to distal edge of brace) 9-11” (23-28cm) Item No. ðA19303 11394 Replacement Pad Set 11392 Chin Bar Assembly 11393 Neck Bar Assembly 11390 Chest Plate Assembly 11391 Back Plate Assembly Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Orthotics 551 UPPER EXTREMITY d. Ultimate Arm Sling® The Ultimate Arm Sling is made of soft, breathable cotton spandex fabric that is lightweight and latex free. The sling pouch stretches to adjust to the length of the arm from elbow to wrist. Two fabric loops keep the arm held gently and securely in place. Supports the weight of an arm evenly to eliminate pressure points while dramatically reducing neck fatigue. Easily adjusted in seconds by attaching the Velcro® tab anywhere on the strap. Machine washable and dryable. Fits children 50–90 lbs, 3.5’ to 5’ tall. Black. Sold each. From Joslin Orthopedic Gear. Item No. ð 50101 B e. Pediatric Torus Fx Brace Static lower arm brace especially effective for pediatric (ages 5-9) Torus fractures and for adolescent (ages 9-12) post-cast usage. Slight dorsiflexion (10°) at wrist works well for distal fractures. Helps prevent injury from reoccurring, eliminates discomfort from accidental bumps. Easily removed for fracture site examination and sock changes. Lined and perforated for comfort. Socks not included. Sold each. From Orthomerica. Size X-Small Small Medium Large X-Large Palm Width 1-1/2”2”2-1/2”3”3-1/2” Forearm Length 3.75-4.5” 4.5-5.25” 5.25-6.25” 6.25-7.5” 7.5-8.25” 5.25” 6” 6.75” 7.75” 8.5” Side LeftRightLeftRightLeftRightLeftRightLeftRight Item No. ð 1059106410601065106110661062106710631068 f. Pediatric Universal Arm Brace Item No. ð 88UAB-P PEDIATRICS Bilateral hinges provide increased flexion, extension elbow control from 0° to 120°. Poly plastic cuffs easily conform to the arm. Cost effective alternative to casting for stable fractures. Indicated for elbow surgery, tendon or muscle repair, strains and sprains. 10” (25.4cm) length. 9-11” (22.9-27.9cm) humeral circumference. Sold each. From RCAI. g. Pediatric Elbow Stabilizer The Pediatric Elbow Stabilizer by RCAI features a removable plastic stay that can be heat molded and repositioned to prevent full extension and flexion, as needed, to minimize stretching of the ulnar nerve. Made of a breathable and washable “wicking” foam liner, the Pediatric Elbow Stabilizer keeps the skin cool and dry, maintaining good skin integrity. Fits 6.5-12” mid humeral circumference. Sold each. From RCAI. Item No. ð 48ES-Y The Largest Independent O&P Distributor 552 Pedatric Orthotics PEDIATRICS UPPER EXTREMITY — Continued a. Comfy™ Hand Splints Ultra soft and absorbent, these splints feature a reinforced spine that is readjustable without buckling. Provides support and positioning for a weak or deformed hand at the wrist, hand and fingers. Serves as an excellent resting splint. Side wings adjust to prevent ulnar or radial deviation and to allow for custom fit and comfort. Sold each. From Lenjoy Medical Engineering. Size Small Medium Large Wrist to Tip of Middle Finger 2.5”-3.5” 3”-4.5” 4.5”-6” Total Length 7” 8” 9.5” Item No. ð PH101-SPH101-M PH101-L b. Soft Pro™ Grip WHFO Treats moderate to severe contractures of the wrist/hand/fingers. Palmar bar comfortably fits into the palm of a fisted hand. Two incrementally larger palmar rolls included to gradually increase extension of the MCP and PIP joints. Finger Separators and Ulnar Drift Strap available separately to allow custom fitting. Extra cover included. “Bend to Fit” easily molded without tools. Easily adjustable for ulnar and/or radial deviation. Color coded straps. Bacti-Ban™ keeps covers cleaner and more odor resistant. Sold each. From Ongoing Care Solutions. Size/Side Child Left Child Right Youth Left Youth Right Width of MP Joints 2-2.5” 2-2.5” 2.5-3” 2.5-3” Length 7” 7” 8” 8” SP 31FG-CR SP 31FG-YL SP 31FG-YR Item No. ðSP 31FG-CL c. Pediatric Resting Hand PEDIATRICS Offers a functional resting hand position following injury, surgery or for unstable wrists. Constructed of a lightweight, durable Kydex® plastic which is heat moldable at low temperatures to meet individual patient needs. The washable, breathable liner wicks moisture away from skin for added comfort. Available with closed cell foam liner for burn patients. Sold each. From RCAI. Size Child Youth X-Small Palm Width 1.75-2” (4.4-5.1cm) 2-2.25” (5.1-6.4cm) 2-2.25” (5.1-6.4cm) 2.5-3” (6.4-7.6cm) Small Brace Length 7” (17.8cm) 8” (20.3cm) 9” (22.9cm) 11” (27.9cm) Left 29RHO-C-L 29RHO-Y-L29RHO-ES-L 29RHO-S-L Right 29RHO-C-R 29RHO-Y-R29RHO-ES-R 29RHO-S-R d. Pediatric Wrist Extension Splint Prevents unwanted flexion and extension of the wrist, while allowing unrestricted motion of the fingers and thumb. Made of 1/8” nylon 2-sided neoprene. Features wrap-around wrist strap for support and adjustable compression. Loop and lock closures. Indicated for strains, sprains, arthritis, tendonitis, inflammation and other wrist disorders. Teal color. From RCAI. Size Toddler Child Youth Wrist Circumference 2.74-3.75” 3.75-4.5” 4.5-5.5” (7-9.5cm) (9.5-11.4cm) (11.4-14cm) Left 590-WES-T-L590-WES-C-L 590-WES-Y-L Right 590-WES-T-R590-WES-C-R 590-WES-Y-R Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Orthotics 553 PAVLIK HARNESSES e. Pavlik Harness Indicated for Congenital Dislocated Hip. Choose from plastic disconnect buckle or stainless steel 4-bar buckle with no sharp points. Sold each. From Fillauer. Chest Circumference with Plastic Buckle Disconnect 10-13” 13-16” 16-20” 20-24” 016049 016050016051 016052 with Stainless Steel 4-Bar Buckle 016014 016022016030 016048 21440Replacement Plastic Disconnect Buckle 214900 Replacement Stainless Steel 4-Bar Buckle f. FAST-WRAP® Pavlik Harness Utilizes the principle of flexion with free abduction to achieve reduction of hip dysplasia and dislocation in infants. Ideal alternative to hip casting. Hook and pile provides easy application, size adjustment and removal. Plastic quick-release buckle for secure closure. Sold each. From Trulife. Size X-Small Small Medium Large Chest Circumference 10-14” (25.5-36cm) 13-16” (33-41cm) 16-20” (41-51cm) 20-24” (51-61cm) Item No. ð 0011501 00115020011503 0011504 PEDIATRICS g. Wheaton™ Pavlik Harness The Wheaton Pavlik Harness is meticulously constructed to conform to prescribed orthopedic standards. It is used to treat hip dysplasia by holding the hips in a position of controlled flexion and abduction. Unlike a cast, the harness does not rigidly immobilize the hips, but allows movement in a controlled manner. This allows the head of the femur to deeply mold the acetabulum, stabilizing the hip. Comfort is assured with the soft inner lining of the halter. Hook-and-loop fasteners allow for rapid and secure adjustment. Without bulky buckles, the child is comfortable in any position, and all adjustments to front and back straps can be made while the child is laying on his or her back. Color-coded straps help avoid misapplication. A specially designed anti-slip foot piece prevents the foot from slipping out of the harness. Sold each. From Wheaton Brace Co. Size Premie Age Chest Circumference 12”-14” Small Medium 0-3 Months 3-6 Months 14”-16” 16”-18” Large X-Large 6-9 Months 18”-21” 21”+ Item No. ð L1620P L1620SL1620ML1620LL1620XL The Largest Independent O&P Distributor 554 Pedatric Orthotics PEDIATRICS GAIT STABILIZING ORTHOSES a. Up and About™ Virtually invisible beneath clothing, the Up and About™ is a gait stabilizing orthosis (GSO) designed to give the individual with paraplegia, spina bifida or other similar disorders the opportunity to stand and move about unassisted. Developed in Australia by an aeronautical engineer, the Up and About™ helps increase upper body strength, aids in reducing spasticity and promotes normal range of motion of the trunk, hips and knees. Regular use reduces the likelihood of pressure sores, improves blood circulation and contributes to the individual’s greater self-confidence, autonomy and general well-being. Cascade is the exclusive North American distributor of the Up and About™. The GSO consists of a stainless steel hinged joint with side mounting plates which attach to the medial uprights of each KAFO. Typically used during a patient’s training phase, an optional waist belt (when used with inguinal straps) gives lumbar support and promotes leg swing. Forearm crutches complete the system. Ambulation is initiated by tilting the body slightly to one side and forward, allowing the opposite leg to swing through like a pendulum. Hinge width at pivot: 1-5/8”. Hinge length from pivot: 4-7/8”. Item No. ð UA-500 b. SWASH® Classic The Sitting, Walking And Standing Hip (SWASH®) orthosis is unique to other orthoses in that it offers controlled variable abduction. It is engineered with a complex series of angles to maintain good hip alignment as the uprights follow the pathways of motion of the femurs. The Classic model features a plastic pelvic section that extends from L2/3 to the coccyx, providing maximum torso support for candidates with flaccidity or very limited trunk control. Complete orthosis consists of pelvic section, femoral cuffs and uprights. From Allard USA. SWASH course certification required before purchase. SWASH is a patented product. Pelvic Section PEDIATRICS Waist Circumference Size 1 Size 2 Size 3 Size 4 15.75-18.25” 18-21.75” 21.25-24.75” 24.5-28.25” (400-465mm) (460-550mm) (540-630mm) (620-720mm) Item No. ð288000001 288000002288000003 288000004 Femoral Cuffs Thigh Circumference Size 1 Size 1A* Size 2 Size 3 Size 4 8.25-9.75” 8.25-9.75” 9-75-11.5” 11.5-13” 13-15” (210-250mm) (210-250mm) (250-290mm) (290-330mm) (330-380mm) Item No. ð2880300012880300015288030002 288030003 238030004 *Fits sizes 2-4 uprights. Uprights** Size 1 Size 2 Size 3 Size 4 Length 12.25” (310mm) 14.75” (375mm) 17.25” (440mm) 19” (480mm) 6mm 7mm 7mm 7mm Diameter (Classic) 115° 288010001 288010002288010003 288010004 123° 288020001 288020002288020003 288020004 **115° offers less abduction in sitting to better accommodate narrow wheelchairs and less trunk flexion influence when sitting. 123° offers increased abduction for maximum muscle lengthening in the sitting position, for more trunk lumbar flexion influence when sitting and for more lumbar extension influence during gait. Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS c. Pediatric Orthotics 555 SWASH® Low Profile The Sitting, Walking And Standing Hip (SWASH®) orthosis is unique to other orthoses in that it offers controlled variable abduction. It is engineered with a complex series of angles to maintain good hip alignment as the uprights follow the pathways of motion of the femurs. The Low Profile model features an anatomically shaped metal pelvic section that can be further shaped to firmly grasp the hips, and double strap front closure for symmetrical application. Complete orthosis consists of pelvic section, femoral cuffs and uprights. From Allard USA. SWASH course certification required before purchase. SWASH is a patented product. Pelvic Section Size 1 Size 2 Size 3 Size 4 Size 5 Size 6 Waist 15.75-18.25” 18-21.75” 21.25-24.75” 24.5-28.25” 28-32” 31.5-35.5” Circumference(400-465mm) (460-550mm) (540-630mm) (620-720mm) (710-810mm) (800-900mm) Item No. ð 288350001 288350002 288350003 288350004288350005 288350006 Femoral Cuffs Size 1 Size 2 Size 3 Size 4 Size 5 Size 6 Thigh 8.25-9.75” 9-75-11.5” 11.5-13” 13-15” 15-17” 17.25-19.5” Circumference(210-250mm) (250-290mm) (290-330mm) (330-380mm) (380-440mm) (440-500mm) Item No. ð 288420001 288420002 288420003 288420004288420005 288420006 Uprights* Length Size 1 Size 2 Size 3 Size 4 Size 5 Size 6 12.25” (310mm) 14.75” (375mmm) 17.25” (440mm) 19” (480mm) 21.25” (540mm) 23.5” (600mm) Diameter (LP) 8mm8mm8mm8mm8mm 8mm 115° 288400001 288400002 288400003 288400004288400005 288400006 123° 288410001 288410002 288410003 288410004288410005 288410006 *115° offers less abduction in sitting to better accommodate narrow wheelchairs and less trunk flexion influence when sitting. 123° offers increased abduction for maximum muscle lengthening in the sitting position, for more trunk lumbar flexion influence when sitting and for more lumbar extension influence during gait. PEDIATRICS HIP ORTHOSIS d. Maple Leaf™ Orthosis Designed for children with Cerebral Palsy, The Maple Leaf™ Orthosis is intended to maintain the length of involved musculature and to control or prevent the recurrence of deformity after soft tissue release, or other hip related surgeries. The re-designed anatomically contoured proximal section provides greater control of the lumbar spine and pelvic region, improved comfort and enhanced patient compliance. The pelvic section can be easily adjusted by loosening the screws and sliding the section of the component to the desired width. Hip joints have been offset to provide greater clearance. Rotational adjustments can easily be made to accurately position the hip in the transverse plane. Sold each. From Becker Orthopedic. The Maple Leaf™ Orthosis is also available with distal extensions for patients requiring additional rotation control of the hip. The model 147-DE incorporates the Becker 2041-C hip joint, which allows incremental adjustment of flexion/extension in 20° increments and abduction/adduction in 9° increments. Pelvic Diameter 6-7.5” 7.75-9.5” 9.75-11.5” 11.75-13.5” Standard Model 147-XS147-S147-M 147-L Distal Extension Model 147-DE-XS147-DE-S147-DE-M 147-DE-L The Largest Independent O&P Distributor 556 Pedatric Orthotics PEDIATRICS HIP ORTHOSIS — Continued a. Newport® jr Pediatric Hip Orthosis The Newport® jr hip system with the new pj Virtual Pediatric Joint enhances hip stability by supporting and positioning the hips in optimal alignment while allowing controlled range of motion. May be used post-operatively to maintain the corrected surgical position, or can be provided to maximize function during activities of daily living. Improved alignment through the hip encourages appropriate acetabular and femoral modeling, and reduces the tendency for subluxation and dislocation. To order Replacement Liner for complete orthosis or individual components add RL at end of item number. Sold each. From Orthomerica. Size X-Small Small Medium Large Trochanter to pj Joint Item No.òJoint Knee Center Distal Bar Only Waist Circum Hip Circum Mid Thigh Circum 17.875-19” 18-20” 9.875-10.875” 18.75-20.25” 20-22” 10.625-12.187” 7.25-8.5” X-Short 39194310 8.125-10.125” Short 39204311 22-25” 11.187-13.75” 9.5-11.875” Short 39214311 21.75-23.75” 25-27” 12.75-15.187” 11.5-14” Long 39224312 20-22” X-Large 23.5-25.5” 27-30” 14 -16.875” 13.875-16.375” Long 39234312 3929 Pelvic Assy, X-Small 3939 Thigh Assy, XS Left 3944 Thigh Assy, XS Right 3930 Pelvic Assy, Small 3940 Thigh Assy, SM Left 3945 Thigh Assy, SM Right 3931 Pelvic Assy, Medium 3941 Thigh Assy, MD Left 3946 Thigh Assy, MD Right 3932 Pelvic Assy, Large 3942 Thigh Assy, LG Left 3947 Thigh Assy, LG Right 3933 Pelvic Assy, X-Large 3943 Thigh Assy, XL Left 3948 Thigh Assy, XL Right 4315 pj Hinge with Straight Bars, Short 4316 pj Hinge with Straight Bars, Long 4317 pj Hinge with Straight Bars, Long, Unslotted b. RCAI Pediatric Hip Abduction Orthosis PEDIATRICS Provides hip stability, proper hip alignment, limits unwanted motion and reduces stress on the hip. Flexion/ extension and abduction/adduction settings position the hip in proper alignment while allowing controlled range of motion. Removable, replaceable, washable liner pads. Replacement hip girdle and hinge assembly available separately. Sold each. Size Toddler Child Youth Hip Circumference 16-19” (41-48cm) 19-22” (48-56cm) 22-25” (56-64cm) Max Thigh Circumference 11” (27.9cm) 14” (35.6cm) 17” (43.2cm) Left 76HAO-T-L76HAO-C-L76HAO-Y-L Right 76HAO-T-R 76BHAO-C-R76HAO-Y=R‑ Replacement Soft Goods Kit 76BAK-T 76BAK-C 76BAK-Y c. AAO (Anti-Adduction Orthosis) Most commonly used for children with cerebral palsy, this orthosis prevents leg scissoring and ensures proper tracking of the hips. Sold each. From Fillauer. Description Item No.ò With Small Cuffs (6.5-10”) 052110 With Medium Cuffs (10” and up) 052112 052100AAO Joint Only Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS d. Pediatric Orthotics 557 Pediatric Abduction Bar Indicated postsurgically or for conditions requiring abduction control of the hips. Adjustable bar provides abduction and adduction control during restricted ambulation. Nylon ball-and-socket joint emulates the anatomical motion of the hip joint. Breathable neoprene liners prevent migration on the legs. 3.5” (8.9cm) cuff height. Sold each. From RCAI. Size X-Narrow Narrow Wide Style Fixed Adjustable Adjustable Range N/A 5.25-7” 7.75-11.75” Mid Thigh Circumference 8.5-13” 12-18” 12-18” Item No. ð 26AB-P-XN26AB-P-N 26AB-P-W e. Illfeld Splint Designed for the treatment of hip dysplasia and dislocation, this splint consists of two aluminum thigh bands fastened to a stainless steel cross bar with swivel joints. The thigh bands are covered with fabric (DF model), or dipped in plastisol (DP model). Adjustable. Extra fabric covers for the DF model are available. Fabric covers are hypoallergenic and should be washed by hand. Splints sold each; extra fabric covers sold pair. From Cosco. Size X-Small Fabric Covered 1100DF 1200DF1300DF 1400DF Small Medium Large Plastisol Dipped 1100DP 17200DP1300DP 1400DP Extra Fabric Covers for DF Model I-5AI-5BI-5C I5D f. Pediatric Hip Abduction Splint Size X-Small Small Medium Large X-Large Weight 6-12 lb 13-16 lb 17-21 lb 22-30 lb Over 30 lb Standard 3899 3900 39013902 3903 Adjustable 3906390739083909 3910 PEDIATRICS Lightweight pediatric orthosis available in standard or adjustable styles. The standard model holds the infant in 90° hip flexion and 60° abduction. Adjustable model adjusts abduction from 40° to 180°. Sturdy polypropylene frame with closed-cell foam lining does not retain moisture. Fits infants from 3 months to 18 months. Open design facilitates diaper changes. Sold each. From Orthomerica. g. Pediatric Plastizote Hip Abduction Orthosis Ideal for congenital hip dysplasia. Made of easy-to-clean plastizote. Sold each. From Trulife. Size Small Medium Large Waist Circumference 12-15 in 15-18 in 17-19 in Thigh Circumference 7.0-8.5 in 8.5-10.0 in 9.0-12.0 in Item No. ð 015COH1015COH2 015COH3 The Largest Independent O&P Distributor 558 Pedatric Orthotics PEDIATRICS HIP JOINTS a. Modified Ring Lock Hip Joint Model 1022 has no protrusions to catch or fray garments when the patient is in the seated position. All midsections and uprights are made of stainless steel. Upright dimensions: 3/16” x 1/2”. Sold left, right or pair. From Becker Orthopedic. Description Left Right Pair Item No. ð 1022-CL1022-CR 1022-CP b. Free Motion Hip Joint Model 1025 is a free motion hip joint with a 180° extension stop. All midsections and uprights are made of stainless steel. Upright dimensions: 3/16” x 1/2”. Sold left, right or pair. From Becker Orthopedic. Description Left Right Pair Item No. ð 1025-CL1025-CR 1025-CP c. Thrust Bearing Hip Joint Assembly PEDIATRICS Preset or variable abduction angle styles available. Optional motion control plate substitutes for plastic spacer when motion control is desired. Variable model available with standard (8”) or x-long (12”) lower bar. Sold each. From Fillauer. Size Head 0° 10° 25° 35° Variable Variable Diameter AbductionAbductionAbductionAbduction Standard X-Long Small 31/32” 058642058644058646058648050728N/A Medium 1-1/8” 058545058552058560058678050732050758 Large 1-7/16” 058586058594058602058610050757050759 d. Virtual Pediatric Joint (pj) with Straight Bars Small and lightweight, the pj joint features adjustable control of flexion, extension, abduction and adduction. Bar length measurements taken from joint center. From Orthomerica. Distal Bar Size X-Short Short Long Item No. ð 43104311 4312 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Orthotics 559 KNEE ORTHOSES e. Knee Management Orthosis (KMO®) Features include precise flexion/extension adjustments, flexion adjustment to 110°, breathable, washable padded interface and interchangeable position uprights. Single posterior strut/joint construction mirrors the knee joint without alignment or condylar pressure concerns. 13-17” height adjustment. Optional stabilizing polyethylene shell available. Sold each. From Anatomical Concepts. Description Item No.ò KMO Standard 850KMO KMO with Varum/Valgum Adjustment 850KMO V/V 850 SHELLStabilizing Polyethylene Shell 850LReplacement Liner 8530/8531 Replacement Thigh Strap Set 8532/8533 Replacement Calf Strap Set 8528 Replacement Knee Cap Strap Set 850 WAIST Waist Belt f. Pediatric Post-Operative Pin® (POP) Knee Brace Recommended for postoperative immobilization and protected range of motion. The lightweight drop pin hinge controls flexion and extension from 0° to 120° of flexion and 0° to 75° of extension in 7.5° increments. Accommodates up to a 19” (48.3cm) thigh circumference. One size. Sold each. From RCAI. Item No. ð 77POP-P PEDIATRICS g. Pediatric Ratchet Post-Operative Pin® (POP) Knee Brace Designed for post surgical ROM limitations, ligament repairs, instability and soft tissue contractures. Offers flexion/extension ROM control in seven 1/2-degree increments, while featuring a ratchet type mechanism that allows incremental, locked positioning. With the flip of a lever, the angle of the limb can be extended in 10° increments from 60°-0° without the use of settings or tools. Hinges may be ordered separately by the pair for custom bracing. One size. Brace sold each. Custom bracing hinges sold pair. From RCAI. Description Mid-Thigh Mid-Thigh Length Length Item No.ò Ratchet POP Knee Brace Up to 19 in Up to 48.3cm 9-12 in 22.9-30.5 cm 67RKPOP-P ZZZHNG67-P The Largest Independent O&P Distributor Hinges for Custom Bracing 560 Pedatric Orthotics PEDIATRICS KNEE ORTHOSES — Continued a. Pediatric Spiral Knee Support Provides support, compression and warmth for strains, sprains, media/lateral ligament instability, anterior or posterior cruciate instability, arthritis, and patellar tendonitis or dislocation. Made of washable, 1/8” thick latex-free neoprene material with double-sided nylon laminate. The bilateral spiral stays provide mild medial and lateral knee support. A patellar cutout horseshoe shaped felt buttress attaches with hook and loop and can be repositioned to support the medial or lateral condyle. The upper and lower circumferential straps prevent migration of the brace on the leg. Sold each. From RCAI. Size Circumference at Knee Center Item No. ð Infant Toddler Child Youth Extra-Small 7-8” 8-9” 9-10” 10-11” 11-12” (17.8-20.3 cm) (20.3-22.9 cm) (22.9-25.4 cm) (25.4-27.9 cm) (27.9-30.5 cm) 540-SKS-I 540-SKS-T 540-SKS-C540-SKS-Y540-SKS-ES b. Pediatric Hinged Knee Support Indicated for soft tissue injuries, sprains, and strains. Provides support, compression and warmth for medial/ lateral ligament instability, anterior/posterior cruciate instability, and patellar tendonitis and dislocation. Made of washable, 1/8” thick latex-free neoprene material. The lightweight, bilateral metal hinges of the brace provide excellent medial and lateral knee support and allow full ROM with a hyperextension stop. A patellar cutout horseshoe shaped felt buttress attaches with hook and loop and can be repositioned to support the medial or lateral condyle. The upper and lower circumferential straps prevent migration of the brace on the leg. Sold each. From RCAI. Size Circumference at Knee Center Item No. ð Infant Toddler Child Youth Extra-Small 7-8” 8-9” 9-10” 10-11” 11-12” (17.8-20.3 cm) (20.3-22.9 cm) (22.9-25.4 cm) (25.4-27.9 cm) (27.9-30.5 cm) 550-HKB-I 550-HKB-T 550-HKB-C550-HKB-Y550-HKB-ES PEDIATRICS KNEE JOINTS c. Modified Ring Lock Knee Joint Becker Orthopedic introduced the Modified Ring Lock knee joint in 1964 to eliminate the sharp protrusion of standard ring locks in the flexed position. Sold pair. From Becker Orthopedic. To order joint with Ball Catches add -HBC to end of Item Number. Upright Dimensions 3/16” x 1/2” 1/8 x 1/2” Round Edge Aluminum Uprights 1002-C61002-C8 Square Edge Aluminum Uprights 1002-C6T1002-C8T Round Edge Stainless Steel Uprights 1002-C6S1002-C8S d. Free Motion Knee Joint 180° extension stop. Sold pair. From Becker Orthopedic. Upright Dimensions Round Edge Aluminum Uprights 3/16” x 1/2” 1/8 x 1/2” 1005-C61005-C8 Square Edge Aluminum Uprights 1005-C6T1005-C8T Round Edge Stainless Steel Uprights 1005-C6S1005-C8S Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS e. Pediatric Orthotics 561 Adjustable Extension Ring Lock Knee Joint By using a serrated disc, the orthotist may increase or decrease the knee extension angle by 6° intervals. This joint is highly recommended for patients with knee flexion contractures. Sold pair. From Becker Orthopedic. To order joint with Ball Catches add -HBC to end of Item Number. Upright Dimensions 3/16” x 1/2” 1/8 x 1/2” Round Edge Aluminum Uprights 1006-C61006-C8 Round Edge Stainless Steel Uprights 1006-C6S1006-C8S f. Posterior Offset Free Motion Knee Joint Model 1008 was developed to create a knee joint with the axis of motion located posteriorly to the upright bars. Model 1008 is fully interchangeable with the posterior offset ring lock (model 1012). Therefore, it may easily be converted to a ring lock by ordering the model 1012 rings. Sold pair. From Becker Orthopedic. Infant sized joints have no lower joint unit; the distal upright is machined to fit into the upper joint unit. Joint Size Child Child Infant Upright Dimensions Round Edge Aluminum Uprights 3/16” x 1/2” 1/8 x 1/2” 1/8 x 1/2” 1008-C61008-C8 1008-I8 Square Edge Aluminum Uprights 1008-C6T1008-C8T 1008-I8T Round Edge Stainless Steel Uprights 1008-C6S1008-C8S 1008-I8S g. Posterior Offset Ring Lock Knee Joint The axis of motion in model 1012 is offset posteriorly from the upright bars. Model 1012 is the same as model 1008 but with ring locks. Sold pair. From Becker Orthopedic. PEDIATRICS Infant sized joints have no lower joint unit; the distal upright is machined to fit into the upper joint unit. Joint Size Child Child Infant Upright Dimensions Round Edge Aluminum Uprights 3/16” x 1/2” 1/8 x 1/2” 1/8 x 1/2” 1012-C61012-C8 1012-I8 Square Edge Aluminum Uprights 1012-C6T1012-C8T 1012-I8T Round Edge Stainless Steel Uprights 1012-C6S1012-C8S 1012-I8S h. Ratchet Lock™ Knee Joint The Ratchet Lock™ is designed to promote full knee extension by providing knee stability to the user through an incremental range of knee flexion. The joint features a secure, semi-automatic locking mechanism that can be quickly and easily disengaged. The lock may also be completely disengaged to facilitate sitting until the user decides to re-engage the locking mechanism. Sold pair. From Becker Orthopedic. Upright Dimensions 3/16” x 1/2” Round Edge Aluminum Uprights 1014-C6 Round Edge Stainless Steel Uprights 1014-C6S The Largest Independent O&P Distributor 562 Pedatric Orthotics PEDIATRICS KNEE JOINTS — Continued a. Model 1700 — Adjustable Positioning Joint The degree of extension may be set in 9° intervals and locked. This joint is ideal for any upper or lower limb positioning orthosis. Sold pair. From Becker Orthopedic. Upright Dimensions 3/16” x 1/2” Round Edge Aluminum Uprights 1700-C6 1/8” x 1/2” 1700-C8 Round Edge Stainless Steel Uprights 1700-C6S 1700-C8S b. Close Contour Knee Joints The smallest infant and pediatric joint available on the market. Contour within 1/2” of knee center. Available in two sizes for non-ambulatory (size 4) and ambulatory (size 4.5) use. Designed for use on traditional leather, metal or thermoplastic orthoses. Ratcheting StepLock® features a built-in lock retainer. Single position UniLock™ includes bail. Unparalleled strength-to-weight ratio with OTS alloy. Nickel plated finish for durability. Sold each. From OTS. Size4 4.5 StepLock CC4SLCC4.5SL UniLock CC4ULCC4.5UL PEDIATRICS NIGHT SPLINTS c. Dobbs Dynamic Clubfoot Bar Unlike solid aluminum bars traditionally worn in the treatment of clubfoot, the Dobbs Bar lets children move and kick their legs independently giving them newfound freedom when it comes to crawling and being more active in a brace. Prevents blisters and red spots on the back of the heels because the brace moves with the child, greatly reducing friction on the heel. Features include adjustable bar width and external rotation. May be attached to Markell Straight Last Shoes, custom made AFOs or Mitchell Clubfoot Sandals. The DCBMD models include Mitchell adapters. Brace sold each. From D-Bar Enterprises. To attach a Dobbs Bar to Ponseti AFOs from MD Orthopaedics, a special Dobbs Bar with Mitchell Adaptors is required. Alternatively, a Dobbs Bar without Mitchell Adaptors can be adapted for use with Ponseti AFOs with this conversion pack. Sold kit. From D-Bar Enterprises. Size Regular Small Adjustability 8-14” 4-9” Clubfoot Bar DCB-RDCB-S Clubfoot Bar with Mitchell Adapters Included DCBMD-RDCBMD-S MDPACDobbs Conversion Pack for Ponseti AFOs, Kit d. Rivet-On Denis Browne Night Splint Non-adjustable. Sold each. From Trulife. Bar Length 6” 7” 8” 9” 10” 12” Complete A0252SM060 A0252SM070 A0252SM080A0252SM090A0252SM100 A0252SM120 Bar Only 2210100600 2210100700 2210100800 22101009002210101000 2210101200 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS e. Pediatric Orthotics 563 Night Splint with Detachable Clamps Includes embossed protractor wrench. Sold each. From Fillauer. Fixed Bar Length Bar Length 4” 5” 6” 7” 8” Item No. ð 010017 010025 010033010041 010058 Bar Length 9” 10” 12” 14” 16” Item No. ð 010066 010074 010082010090 010108 Adjustable Bar Length (pictured) 7-11” 9-15” Item No. ð 010215010223 f. Fillauer Night Splint with Rivet-On Plates Choose from fixed or adjustable bar styles with small (up to shoe size 4) or large (shoe size 4.5 and over) plates. Includes protractor wrench and hex key. Sold each. From Fillauer. Fixed with Small Plates Bar Length 4” 5” 6” 7” 8” 9” 10” 12” 14” 16” Item No. ð 012005012013012021012039012047012054012062012070012088012096 Adjustable with Small Plates 7-11” 9-15” Item No. ð 012195012203 Fixed with Large Plates Bar Length 4” 5” 6” 7” 8” 9” 10” 12” 14” 16” Item No. ð 012229012237012245012252012260012278012286012294012302012310 Adjustable with Large Plates 7-11” 9-15” Item No. ð 012196012204 PEDIATRICS 8853435/64 Hex Key 883058 Screw, #6 x 3/8” Pan Head, Slotted ANKLE FOOT ORTHOSES g. PRAFO® Day and night comfort for children. Effective with Spina Bifida and Cerebral Palsy patients. Calf and foot segments can be custom modified to accommodate the patient’s unique physiology. Adjustable anti-rotation bar helps to control unwanted internal/external extremity rotation. Securely fastened Vibram® walking base allows for safe and functional ambulation. Kodel® or Terry Cloth liner. Sold each. From Anatomical Concepts. Size Infant Pediatric Foot Length 3.5-6.5” 4.75-8.5” Calf Height 6.375-7.375” 9-10” Calf Circumference 13.5” 15” M-L Foot Plate 2.75” 3.5” Weight Limit 50 lb 100 lb 450RKG550SKG with Kodel® Liner with Terry Cloth Liner 450RTBS550RTBS A50AW Abduction Control Kit, pediatric, white The Largest Independent O&P Distributor 564 Pedatric Orthotics PEDIATRICS ANKLE FOOT ORTHOSES — Continued a. KiddieGAIT™ The pediatric version of ToeOFF, KiddieGAIT™ offers innovative options that have never been available for AFO management of these challenges. Features include carbon composite construction with anterior shell, lateral strut, and an engineered footplate with open calcaneous. Allows integration of your custom foot orthotic UCB, or SMO to help control ground-up forces. Anterior shell helps to manage proximal deficits and improve proprioceptive response. 6 sizes to fit children from about 9 months to about 9 years of age. From Allard USA. Every KiddieGAIT™ should be padded on the inside towards the tibia crest. The SoftKIT™ padding system is designed specifically for use with KiddieGAIT™ for optimum patient comfort and product performance. Machine washable. Size Height Baby Small Baby Medium Baby Large Small Medium Large 6” 7” 7.75” 8.75” 10” 11.5” 5” 5.5” 6.25” 7” 7.75” Footplate Length 4.25” 283721008283721009283721010 283721011283721012 283721013 Left Right 283722008283722009283722010 283722011283722012 283722013 Strap Kit 283730008 283730009 283730010 283730011 283730012 283730013 SoftKIT™ Interface, Black, Universal* Size Baby Small Baby Medium Baby Large Small Medium Large Item No. ð283970008283970009283970010 283970011283970012 283970013 b. *Optional but highly recommended accessory. KiddieGAIT™ SoftSHELL™ The SoftSHELL from KiddieGAIT comes in two different version depending on size. The three larger youth sizes include the outer SoftSHELL material combined with the SoftKIT interface all in one, with two straps with buckles. This version comes in a pink pattern with hearts and a red pattern with cars. 6 sizes to fit children from about 9 months to about 9 years of age. From Allard USA. PEDIATRICS The three smaller baby sizes have a slightly different construction. The shell is a separate cover that should be combined with a soft interface. If a custom interface is not required, use of SoftKIT is suggested (see above). The simple and circular closure provides a nice and firm cover over the calf. This version comes in a blue pattern with animals and a pink pattern with stars. Size BabySmall BabyMedium BabyLarge Small Medium Blue Animals 283880008283880009283880010 Pink Stars 283890008283890009283890010N/A N/A Pink Hearts N/AN/AN/A 283880011 Large N/A N/A N/A N/A 283880012 283880013 Red CarsN/AN/AN/A 283890011283890012 283890013 c. Bledsoe Wee Walker Designed for kids on the go, the Wee Walker is lighter weight than a conventional cast, yet durable. Features include computer-designed rocker bottom for a near normal gait and to prevent pelvic tilt, formable, yet strong uprights, and straps that engage and lock to the brace uprights to hold the leg steady. Comfortable, breathable foam liner is washable. Sold each. From Bledsoe Brace Systems. Size Small/Med Large X-Large Child’s Age in Years 1-2 2.5-6 6.5-9.5 Foot Length up to 6” 6-7.5” 7.5-8.5” Leg Length up to 9” up to 11” up to 14” Item No. ð AL185003AL185007 AL185009 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Orthotics 565 Mini Walker d. The Mini Walker is designed for treatment of stable fractures and ankle sprains. Pediatric sizes provide a more comfortable alternative to casting. Available in lightweight aluminum or nylon struts. The lightweight frame offers superior comfort and support with a rocker sole that facilitates a more natural gait. The foam liner can be washed. Sold each. From Breg. Size Small/Medium Large X-Large Children’s Shoe Size <5-8 9-12 13+ 77002-BG77004-BG 77005 Mini Walker with Aluminum Struts Size Small Medium Large Children’s Shoe Size Mini Walker with Nylon Struts e. Aluminum Struts Nylon Struts <5-6 7-8 9-11+ 7703277033 77034 Aircast® Walking Braces Aircast® Walking Braces offer a unique combination of support and dynamic compression to reduce edema and promote fracture healing. May be used in place of weight-bearing casts. Features include semi-rigid protective shell, four custom-inflated aircells, a rocker sole to reduce plantar pressures, lightweight low profile design and sealed air-cushioned heel. The PneumaticWalker incorporates an air bladder for a more controlled contact fit. Fits boy’s shoe size 1-4; girl’s shoe size 2-5. Sold each. By Aircast from DJ Global. Description Item No.ò Pediatric FoamWalker™ 01F-P Pediatric PneumaticWalker™ 01P-P f. Pediatric TA Boot Size Infant Foot Length Toddler Child Youth Small 4.5-5.5” 5.5-6.5” 6.5-8” 7.5-9” 8.5-10” (11.4-14cm) (14-16.5cm) (16.5-20.3cm)(19.1-22.9cm)(21.6-25.4cm) 7.5” (19.1cm) 8.5” (21.6cm) 13” (33cm) 14” (35.6cm) 15” (38.1cm) Product Height Max Calf Circumf 4.5” (10.8cm) 6” (15.2cm) 9” (22.9cm) 11.5” (29.2cm) 11.75-13.75” (29.8-34.9cm) Static Model 78TA-S-I 78TA-S-T78TA-S-C78TA-S-Y78TA-S-S ROM Model N/A N/A PEDIATRICS Secondary immobilization and rehabilitation for the foot and ankle. Low profile heel and rocker bottom enhances natural gait and hip alignment. Available with static or ROM hinges to provide optimal mobility adjustments. Indicated for mid-shaft to distal tibial fractures, Achilles tear, ankle fractures and ligament damage. Sold each. From RCAI. 78TA-R-C78TA-R-Y78TA-R-S g. Pediatric Multi Podus® Dynamically corrects foot/ankle contractures and provides heel and toe clearance to prevent pressure ulcers. The rotator bar at the back of the brace controls hip and leg rotation. May be used bilaterally with a spreader bar to provide controlled hip abduction. Three liner options, Kodel®, wicking or closed cell foam for burn patients. Ambu Assist (12AA) and Spreader Bar (12SB-P) sold separately. From RCAI. Size Foot Max. Calf w/Kodel w/Wicking w/Burn Length Circumference LinerLinerLiner 3.25-4.5” (8.3-11.4cm) 10” (25.4cm) 10MP-T01MP-T12MP-T Child 4.5-6” (11.4-15.2cm) 10” (25.4cm) 10MP-C01MP-C12MP-C Youth 6-7” (15.2-17.8cm) 13” (33cm) 10MP-Y01MP-Y12MP-Y Small 7-8” (17.8-20.3cm) 16” (40.6cm) 10MP-S01MP-S12MP-S Toddler The Largest Independent O&P Distributor 566 Pedatric Orthotics PEDIATRICS ANKLE FOOT ORTHOSES — Continued a. Pediatric UFO™ The pediatric UFO is a comfortable, prefabricated orthosis for stretching and maintaining dorsiflexion range of motion. This unique lower-limb orthosis positions the foot and ankle in optimal alignment for placing stretch on the soleus while the patient is sleeping. When used in conjunction with a knee immobilizer, this orthosis can also stretch the two-joint gastronemius group. Standard model is white co-poly with black straps. Purple Butterflies and Tornado transfer patterns are also stock items. Universal sizing fits right or left foot. Sold each. From Orthomerica Products. Description Small Medium Large Youth Shoe Size US < 7 7-10 10-13+ Brace Length 6.5” 8” 10.5” White Co-Poly 36143615 3616 Purple Butterflies 3614.023615.02 3616.02 Tornado 3614.033615.03 3616.03 Replacement Liners 3614.013615.01 3616.01 b. Pediatric Ankle Support Indicated for lateral and medial instability and ankle sprains, the PA 1-C Ankle Support helps resist inversion and eversion while allowing full dorsal and plantar flexion. Made of 1/16” perforated nylon 2-sides neoprene and features non-stretch medial and lateral adjustable stabilizing straps. Fits right or left foot. Black only. Sold each. Part of the Kid Stuff line from New Options Sports. Size XXX-Small XX-Small Shoe Size 2-3.5 3.5-5 Item No. ð PA1-CXXXSPA1-CXXS PEDIATRICS c. Air-Stirrup® Ankle Brace The Air-Stirrup® features an anatomically designed shell lined with the Duplex™ aircell system. Provides both support and graduated compression to reduce edema and promote rehabilitation. 6” (15cm) height. Sold each. By Aircast from DJO Global. Side Left Right Standard Ankle Brace 02JL02JR Ankle Brace V 02JLV02JRV d. Airform® Ankle Stirrup Low profile pneumatic design dramatically increases stability without the rolling and swaying experienced in other stirrups. Provides a continuous smooth interface with the limb. Sold each. From Össur. Youth/Pony Size Left Right Item No. ð 7010070101 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Orthotics 567 ANKLE JOINTS and COMPONENTS e. Tamarack Flexure JointTM Tamarack Joints co-align the medial and lateral joint axes. The unique high strength inner filament core prevents elongation and ensures precise hinging action. Tamarack Flexure Joints™ provide strength, durability, and ease of fabrication for thermoplastic orthoses. Sold kit. From Becker Orthopedic. Tamarack Molding Dummies are reusable five to ten times. They are strongly recommended to create a snug, recessed cavity for the Tamarack Flexure Joints™. Durometer Natural Black Item No. ð 740-P 740-P-BLK 741-PMolding Dummies740-2P Joint NutT-740-3P 740 1-P Joint Screw 740-2-P Joint Bushing T-740-1P 740-1P-7 Joint Screws 7mm 740-4-P Hex Driver T-740-2P 740-1P-10 Joint Screws 10mm 740-3-P Hex Key T-740-2P-DIE 740-1P-12 Joint Screws 12mm f. Spanner Wrench Hand Molding Tool Hand Punch Hand Punch Replace Die Tamarack Dorsiflexion Assist Flexure JointTM The biased design provides motion assist power similar to traditional metal dorsi-assist ankle joints. Model 742 is available in 75, 85 or 95 durometer polyurethane. It may be utilized in matched or unmatched durometer configurations, or even matched with free motion Tamarack Flexure Joints™ to provide the amount of motion assistance required for your patient. Sold kit. From Becker Orthopedic. Tamarack Molding Dummies are reusable five to ten times. They are strongly recommended to create a snug, recessed cavity for the Tamarack Dorsiflexion Assist Flexure Joints™. Durometer 75 85 95 Item No. ð 742-P-75742-P-85 742-P-95 g. Spanner Wrench Hand Molding Tool Hand Punch Hand Punch Replace Die PEDIATRICS 741-PMolding Dummies740-2P Joint NutT-740-3P 740 1-P Joint Screw 740-2-P Joint Bushing T-740-1P 740-1P-7 Joint Screws 7mm 740-4-P Hex Driver T-740-2P 740-1P-10 Joint Screws 10mm 740-3-P Hex Key T-740-2P-DIE 740-1P-12 Joint Screws 12mm Tamarack Variable AssistTM Allows the practitioner to adjust the assist to any value from zero to nearly three times what is possible with standard installation. Kit includes joints, molding dummies, cosmetic patches, stainless steel mounting hardware, a check strap and hex key. From Becker Orthopedic. Item No. ð 743-P h. Oklahoma Ankle Joint Provides a cost effective method of creating a free motion AFO. When utilized with one of Becker’s posterior stops range-of-motion is added. Model 760 is constructed of polypropylene. Model 765 is constructed of nylon for heavy-duty use. Both have a height of 2” (51mm) and a width of 15/16” (24mm). Pelite pads included. Sold kit. Replacement components available separately. From Becker Orthopedic. Weight Standard Heavy Duty Item No. ð 760-P765-P The Largest Independent O&P Distributor 568 Pedatric Orthotics PEDIATRICS ANKLE JOINTS and COMPONENTS Gillette Double Flexure Ankle Joint a. This system provides a full range of options for thermoplastic orthoses. Available in three sizes. Model 775 is designed for applications requiring maximum functional stretch. Model 775-HD is fiberglass reinforced for applications requiring a moderate amount of functional stretch. Includes a molded urethane posterior-stop and fabricating instructions. Sold kit. Replacement hardware available separately. From Becker Orthopedic. Size Child Pediatric Infant Height 1-15/16” (49mm) 1-3/8” (35mm) 1-1/8” (29mm) Width 7/16” (11mm) 3/8” (10mm) 3/8” (10mm) Maximum Stretch 775-C775-P 775-I N/A 775-HD-P775-HD-I Moderate Stretch 775-C1Child Gillette Bushing775-P1Pediatric/Infant Gillette Bushing 775-C2Child Gillette Screw775-P2Pediatric/Infant Gillette Screw 775-PS-C Child Gillette Posterior Stop 775-PS-PI Pediatric/Infant Gillette Posterior Stop Gillette Dorsiflexion Assist Ankle Joint b. Becker Model 776 is available in three assistive durometers. May be used in matched sets or interchanged to achieve the proper dorsiflexion assist. 1-3/4” (44mm) height. 7/16” (11mm) width. Includes fabricating instructions. Sold kit. From Becker Orthopedic. Color Silver Clear Gold Assist Approx 1 lb Approx 2 lb Approx 3 lb Maximum Stretch 776-CS776-CC 776-CG Gaffney Flexor c. PEDIATRICS Available in two durometers. Sold kit. From Gaffney Technology. Durometer 80 85 Item No. ð 20002000-C 2010Replacement Strap, 80 Durometer 2010-C Replacement Strap, 85 Durometer Gaffney Hinge Kit d. Five styles. Sold kit. From Gaffney Technology. Model 505 Colt 510 Pony 660 Stallion 660T Stallion 747 Shetland (Not Shown) Description 10 Gauge SS Width Length 10 Gauge SS 10 Gauge SS 12 Gauge SS 10 Gauge SS 0.437”0.437”0.437”0.437”0.562” 1.5”2”2.5”2.5”3” Feature Short Distal Portion Thinner Version Adjustable Stop Item No. ð 505 510-GF 660 660T747-GF 505510-FG 660 660T PK-500 PK-600 A-300 Hinge Repair Kit for Pony model (incudes 2 pins, 2 washers and 2 clips) Hinge Repair Kit for Stallion and Shetland models (incudes 2 pins, 2 washers and 2 clips) Alignment Tool Kit (includes 4 adjustable tools and 3/8” starter rod) Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS e. Pediatric Orthotics 569 Integrated Ankle The Integrated Ankle is made from a high strength super alloy that’s 66% lighter than steel, without the brittleness of cast aluminum or the cost of titanium. It provides substantially more support, adjustability and dynamic assist than plastic ankle joints, while retaining the lightweight and cosmetic appearance your patients want. Integrated Ankle is offered in a range of control options: Adjustable Range of Motion—features two adjustment screws, one to limit plantar flexion and another to limit dorsi-flexion. Dorsi-Flexion Assist(pictured)—offers the ability to spring load the posterior channel providing dynamic assist for dorsi-flexion. Double Action—offers the ability to spring load the posterior channel providing dynamic assist for dorsiflexion, just like the DFA, but also has a stop built into the anterior allowing for dorsi stop. Includes all mounting hardware, stirrups and alignment fixture. Sold pair. From OTS. Model Adjustable ROM Dorsi-Flexion Double Action Item No. ð IA SM ARM-AL IA CH DF-AL IA CH DA-AL f. Meridian® Ankle Joint The Meridian® adjustable range of motion ankle joint is now made with improved stainless steel to prevent breakage. With a sleek and low profile design, this joint is lightweight, durable and can be set in infinite degrees of motion, without changing parts. Precise degree fine-tuning can be locked into any degree of plantar/dorsi-flexion. Includes hardware. The Fabrication Kit (sold separately) is reusable and highly recommended, although not necessary, for fabrication. From Scott Orthotic Labs. Description Item No.ò Meridian Ankle Joint, Pediatric, Pair MAJ-100P Fabrication Kit, Pediatric MAJ-KIT-P PEDIATRICS g. Slim Line Double Action Ankle Joint with Attached Upright Inside or outside bar recess. Stainless steel or titanium joint with aluminum or stainless steel upright. Sold each. From Becker Orthopedic. Dimensions 3/16” x 1/2” 3/16” x 1/2” 1/8” x 1/2” 1/8” x 1/2” Recess Location InsideOutsideInsideOutside Stainless Steel Joint with Aluminum Upright SLI-2835-C6SLO-2835-C6SLI-2835-C8SLO-2835-C8 with Stainless Steel Upright SLI-2835-C6SSLO-2835-C6SSLI-2835-C8SSLO-2835-C8S Titanium Joint with Aluminum Upright TISLI-2835-C6TISLO-2835-C6TISLI-2835-C8TISLO-2835-C8 with Stainless Steel Upright TISLI-2835-C6TISLO-2835-C6TISLI-2835-C8TISLO-2835-C8 The Largest Independent O&P Distributor 570 Pedatric Orthotics PEDIATRICS ANKLE JOINTS and COMPONENTS — Continued a. Standard Action Ankle Joint Made from 303 stainless steel. 5/16” bushing hole. Sold each. From Becker Orthopedic. Size Youth Child Child 1/8 Slot Measurement 1/8” 3/32” 1/8” Recess Measurement 5/8” 1/2” 1/2” Overall Size Measurements 3/4” x 2-1/8” 5/8” x 1-5/8” 5/8” x 1-5/8” Item No. ð 3025-B3025-C3025-C8 b. One-Piece Aluminum Standard Action Ankle Joint and Upright Pre-contoured one-piece drop forging offers lighter weight and improved strength. 3/16” x 1/2” x 7-7/8”. Sold each. From Becker Orthopedic. Item No. ð 3045-C c. Modular Ankle Joint for Long or Short Leg Brace 7/16” bar channel. Sold each. From Trulife. Style Limited Motion Free Motion Item No. ð 020001020009 PEDIATRICS O22043Oval Ankle Joint Replacement Nut d. Extension Upright with Ankle Joint Aluminum. 3/16” bar thickness. Sold each. From Trulife. Style Toe Lift Left Toe Lift Right Limited Motion Free Motion Double Action Dimensions 5/8” x 9” 5/8” x 9” 5/8” x 9” 5/8” x 9” 9/16” x 7” Infant N/AN/AN/AN/A 023037 023001023006023021023031N/A Child e. Upright with Ankle Joint for Limited and Free Motion (POPE) Sold each. From Trulife. Style Limited Motion Limited Motion Free Motion Free Motion Size InfantChildInfantChild Aluminum 018113018130018162018173 Anodized Aluminum 018120018137018167N/A Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS f. Pediatric Orthotics 571 Standard Flange Stirrup 3/32” stainless steel. Two 5/16” bushing holes. 2.1” tongue. Sold each. From Becker Orthopedic. Length 4.5” 5.25” 6” 6.75” Item No. ð3000-C4.53000-C5.25 3000-C6 3000-C6.75 g. Short Tongue Stirrup Aluminum. 3/16” bar thickness. From Trulife. Style Toe Lift Toe Lift Limited/Free Limited/Free Double Action InfantChildInfantChildInfant 6” 035009035010035027035029035057 7” 035011035012035030035031035058 8” 035014035015035033035034035060 8-3/4” N/A 035018N/A035037N/A 9-1/2” N/A 035021N/A035040N/A h. Laurence Orthopedic Stirrups Stainless steel. Limited Motion (pictured), Klenzak or Double Action. Sold each. From Laurence of Oakland. Style Limited Motion Klenzak Double Action 1/8” 0400H0500H 0600H 3/32” 0400L0500L 0600L Slim Line Stirrup Inserts Stamped in one piece with no welding for increased strength. The “Y” shaped flanges of the SL2810-C-Y model are preferred by many orthotists. Sold each. From Becker Orthopedic. Size Child Child 2 Child 3 Child Thickness 3/32” 3/32” 3/32” 3/32” Width 2.36” 2.36” 2.36” 3.36” Height 1.8” 2.0” 3” 2.61” PEDIATRICS i. Item No. ð SL2810-C1.8 SL2810-C2.0SL2810-C2.3 SL2810-C-Y j. Split Stirrup Caliper Plate Made from .075” stainless steel. 3/32” x 11/16” channel dimension. 2-3/8” width. 2-1/2” tongue. Sold each. From Becker Orthopedic. Side Left Right Pair Item No. ð 3400-CL3400-CR 3400-CP The Largest Independent O&P Distributor 572 Pedatric Orthotics PEDIATRICS MOTION LIMITERS and ASSISTS a. TC Stop™ The TC Stop bumpers are made of a shore A urethane. This material is firm enough to maintain correction, yet soft enough not to produce a hard clicking sound like the hard plastic, used in other stops. After fabrication of the AFO the bumpers can be removed and replaced by a solid insert, giving the practitioner the option of an articulating AFO or a fixed AFO. Sold each. From Creative Adaptations. Item No. ð 102TCP 103TCPSI Solid Insert b. Posterior Adjustable Stop Kit includes hardware. Replacement hardware available separately. From Precision O&P Components. Size Pediatric Pediatric Mini Item No. ð PAS-100-PPAS-100-PM PAS-PM-BMPBumper, Pediatric MiniPAS-P-BMP Bumper, Pediatric PAS-PM-SB Stopping Block, Pediatric Mini PAS-P-SB Stopping Block, Pediatric PAS-PM-SSB Set Screw and Body, Pedi Mini PAS-P-SSB Set Screw and Body, Pediatric PAS-PM-TH Threaded Housing, Pedi Mini PAS-P-TH Threaded Housing c. Posterior Spring Assist Kit includes hardware. Replacement hardware available separately. Sold kit. From Precision O&P Components. Size Pediatric PEDIATRICS Item No. ð PSA-100-P PSA-P-BBushingPSA-P-SPSpring PSA-P-BDYBodyPSA-P-SPHD Spring Heavy Duty PSA-P-PRPlunger RodPSA-P-TAPThreaded Pin PSA-P-SBStopping BlockPSA-P-SS Set Screw Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Orthotics 573 INTERFACES d. Cast-Rite™ Arm Sleeve Interface for casts or braces. Protects against skin irritation and abrasions. One ply acrylic/Lycra®. Stretches to conform to arm contour. Washable. Sold each. From Knit-Rite. Item No.ò Description with Thumbhole, 10” 1AL1A0CH 1AL1WSCH Wrist to Shoulder, 12” e. Cast-Rite™ Humeral and Ulnar Sleeves Interface for casts or braces. Protects against skin irritation and abrasions. One ply acrylic/Lycra®. Stretches to conform to arm contour. 2” flat width. Washable. Sold each. From Knit-Rite. Item No.ò Description Humeral, 8” 1AL1HMCH Ulnar, 6” 1AL1ULCH f. SmartKnit® Seamless AFO Interface Sock A seam-free, wrinkle-free sock that fits like a second layer of skin. Provides exceptional softness and wicks perspiration. Machine wash and dry. Four sizes of White CoolMax® AFO Interface Socks are also available packaged in poly bags. In addition, three sizes of White CoolMax AFO Interface Socks are available with a separated great toe (Big Toe model) to accommodate AFO toe straps, etc. Sold pair. From Knit-Rite. CoolMax® DimensionsWhite Pink Purple 1SP1AFNF1S21AFNF1S31AFNF Child Small 2.25” x 11” (5.5 x 28cm) 1SP1AFCS1S21AFCS1S31AFCS Child Regular 2.5” x 14” (6.5 x 36cm) 1SP1AFCR1S21AFCR1S31AFCR PEDIATRICS 2” x 9” (5 x 23cm) Infant Child X-Long 2.75” x 20” (7 x 51cm) 1SP1AFCX N/A N/A X-STATIC® – The Silver FiberDimensions Black Navy Grey 2” x 9” (5 x 23cm) 1BX1AFNF1NX1AFNF1SX1AFNF Child Small 2.25” x 11” (5.5 x 28cm) 1BX1AFCS1NX1AFCS1SX1AFCS Child Regular 2.5” x 14” (6.5 x 36cm) 1BX1AFCR1NX1AFCR1SX1AFCR Infant Child X-Long 2.75” x 20” (7 x 51cm) N/A N/A1SX1AFCX CoolMax® Poly Bagged and Big Toe Socks Dimensions Infant 2” x 9” (5 x 23cm) White in Poly Bag White Big Toe 1SPAAFNF1BT1AFNF Child Small 2.25” x 11” (5.5 x 28cm) 1SPAAFCS1BT1AFCS Child Regular 2.5” x 14” (6.5 x 36cm) 1SPAAFCR1BT1AFCR Child Long 2.5” x 18” (6.5 x 46cm) 1SPAAFCL N/A g. SmartKnit® Seamless KAFO Interface Sock A seam-free, wrinkle-free sock that fits like a second layer of skin. Provides exceptional softness and wicks perspiration. Machine wash and dry. Size Child Long only. 2.5” width. 18” long. Sold each. From Knit-Rite. CoolMax® White Pink Purple Item No. ð 1SP1AFCL1S21AFCL 1S31AFCL X-STATIC® Black Navy Grey Item No. ð 1BX1AFCL1NX1AFCL 1SX1AFCL The Largest Independent O&P Distributor 574 Pediatric Foot Care PEDIATRICS FOOTWEAR KeepingPace Children’s Orthopedic Footwear a. KeepingPace’s innovative line of children’s shoes is designed specifically to accommodate AFOs and adaptive footwear needs. Unique features include durable rubber toe cap, high abrasion resistant rubber sole, wider, deeper heel box, adjustable depth, fray-resistant lining and ankle-to-toe lacing for a wider opening. Note: shoe sized by AFO, not by foot. All styles available in Toddler sizes 4-9, Youth sizes 10-3 and Adolescent sizes 4-7. Whole sizes only. KPW11 Complete the item number below by choosing from BOLDFACE CODES on lines marked with (Example: KPR11VEL800T) ☞ . Item Number ð (Style) (Size) Style Selection Guide KPR11 Style Athletic Athletic Athletic Athletic Color Gray/Blue Gray/Pink White/Red Black/Gray Lace Closure ☞ ☞ KPW11KPR11KPN90 KPS11 Velcro Closure KPW11VELKPR11VEL KPNVEL KPSVEL Style Color Lace Closure KPN90 ☞ ☞ Velcro Closure Casual Mary Jane Winter Boot Sandal Sandal Black Black Black/Green Khaki/Red Khaki/Green KPM11N/A KPB11N/A N/A N/A KPO96N/A KPSANDKPSAND11 Size Selection Guide Toddler Sizes 456789 ☞ Size Code 0400T0500T0600T0700T0800T0900T PEDIATRICS Youth Sizes 10111213 1 2 3 KPS11 ☞ Size Code 1000Y1100Y1200Y1300Y0100Y0200Y0300Y Adolescent Sizes 4567 Size Code ☞ 0400A0500A0600A0700A KPO96 KPB11 KPSAND Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com PEDIATRICS Pediatric Foot Care 575 HEALING and CAST SHOES b. MedSurg™ Shoe Darco’s post-op shoe has a square toe design which acts as a bumper to provide additional protection. Rocker sole reduces plantar pressure on the forefoot and heel by over 25%. Strapless forefoot closure eliminates buckle pressure on the forefoot and can expand to accommodate dressings. Removable insole. Black. Sold each. From Darco International. Item No. ð MQPB c. Slimline Cast Boot Excellent protection for use with fiberglass casts or bulky compression bandages. Stretchable upper material conforms to the cast for a better fit. Rocker sole allows for smooth roll through the gait pattern. Removable EVA sole provides 10mm of padding to cushion the foot. Adjustable forefoot overlap closure can be changed for left or right. Navy. Sold each. From Darco International. Size Small Medium Large Item No. ð SLO1NPSLO2NP SLO3NP d. Pediatric Cast Shoe Made of a clown print canvas with three hook and loop closures and skid resistant sole. Sold each. From Sroufe. XXX-Small XX-Small Toddler Length 4-7/8” 5-1/2” 6-3/8” Infant 7-1/4” Width 2-9/16” 3-1/16” 3-1/8” 3-9/16” Childs Shoe Size 4-5 5.5-7.5 8-10 10.5-12.5 Item No. ð 098 099198 199 PEDIATRICS Size e. Bebax Tri-plane Pediatric Forefoot Orthosis Allows progressive and dynamic correction of congenital forefoot deformities. Minimizes retractions from muscular or neurological disorders. Multi-directional hinge adapts easily for correction in all three planes. Offers serial casting contact molding to forefoot and heel without plaster. Not recommended for treatment of clubfoot. Not intended for use while walking. From Trulife. Size Length Left Right Pair 1 7.5cm 08731L0108731R01 0873001 2 8.0cm 08731L0208731R02 0873002 3 8.5cm 08731L0308731R03 0873003 4 9.0cm 08731L0408731R04 0873004 5 9.5cm 08731L0508731R05 0873005 08731L0608731R06 0873006 6 10.0cm 7 10.5cm 08731L0708731R07 0873007 8 11.5cm 08731L0808731R08 0873008 9 12.5cm 08731L0908731R09 0873009 10 13.5cm 08731L1008731R10 0873010 The Largest Independent O&P Distributor Spl2 from Fillauer LLC Dynamic Walk from Centri eZ-craWl from Fillauer LLC Steplock from OTS Corp. from Fillauer LLC OrthOtics for Active Living AD332/05-17-12 Matrix Mini Max Matrix Mini Max Raw Matrix Max Raw Matrix Spiral Matrix Max Split Toe Matrix Split Toe Matrix Curve Family... Matrix Matrix Matrix Max Meet the User Requirements Drop Foot Low Activity User High Activity User Energy Return Quadriceps Weakness Knee Instability Partial Foot Amputation Hallux Amputation Customizable Bilateral U.S. P a t e n t N o . 5,897,515 w w w . t r u l i fe . c o m 5x7Trulife28DEC2011.indd 1 06/01/12 2:07 AM Smooth, dynamic transition from heel strike to toe off Cerebral Palsy Spina Bifida Idiopathic Toe Walking Customizable Lateral spiral design passes anterior to the lateral malleolus Indications: Matrix Mini Max Raw * Flexible heel and toe plate Available in Blue or Red Effective and consistant energy return Matrix Mini Max * Matrix Spiral Have you met the newest additions? * Paediatric versions of Matrix Max U.S. P a t e n t N o . 5,897,515 Matrix Carbon Composite Family of Products ~ Hardware Warranty: 1 Year ~ Soft Goods Warranty: 90 Days International Customer Service Te l : 1 3 6 0 6 9 7 5 6 5 6 Fa x : 1 3 6 0 6 9 7 6 8 4 3 Ireland Customer Service Te l : 0 1 4 5 1 1 7 5 5 Fa x : 0 1 4 6 6 0 0 1 5 US Customer Service Te l : 8 8 8 8 7 8 1 2 3 8 Fa x : 8 8 8 8 7 8 1 2 3 7 Canada Customer Service Te l : 8 0 0 2 6 7 2 8 1 2 Fa x : 6 1 3 3 9 2 4 1 3 9 UK Customer Service Te l : 0 8 0 0 5 8 1 5 9 6 Fa x : 0 8 0 0 2 8 9 9 1 9 w w w . t r u l i fe . c o m 578 Cascade Orthopedic Supply, Inc. | 800-888-0865 | www.cascade-usa.com