WHY WESTERN CAROLINA O&P CUSTOM STANCE CONTROL KAFO ORTHOSES ARE DIFFERENT? Dynamic stance control KAFO’s are a far cry from the conventional type KAFO, and has many advantages to them. A stance control KAFO has the ability to lock at full extension during ambulation when the extremity is coming into heel strike 1st rocker. This provides a stable base of support for the patient in mid stance as they are able to transfer their center of gravity and weight over the braced limb. As the contralateral side has moved through swing and is now coming into heel strike. The braced side, with a stance control KAFO, is able to unlock and allow for nature knee flexion, foot plantar flexion at 3rd rocker, and dorsi-flexion during swing phase. This allow for a natural forward line of progress and eliminated the hip hike and circumduction that is normally associated with a full time locked KAFO. This type of brace also solves the artificial leg length discrepancy problems and help to reduce upper trunk compensatory movement.
Western Carolina O&P combines 35+ years of orthotic and lower extremity bio mechanical experience, with state of-the-art material and fabrication technologies, to build and fit the bests possible custom SC Knee Ankle Foot Orthoses (SC-KAFO)’s available. Our practitioners are patient outcome driven to achieve the very best results for our patients. The process starts with an extensive evaluation of the patient’s foot, ankle, and knee along with gait mechanics, including a comprehensive analysis of ROM, MMT, and mechanical dynamic gait. Once the dynamic forces and mechanical underlying condition are ascertained as to the pathology, a negative mold impression or 3D digital scan is taken of the patient’s affected lower extremity. A custom SC-KAFO is then designed and built in our lab to meet the treatment goals of healing and stabilizing the pathology. The patient is then fit with the custom device, all dynamic functional alignment is done, and the patient is given a wearing schedule and instruction sheet. We also see our patients for follow up appointments to make any modification and or adjustments to the orthotic device to make sure that we are on the right path to meeting all treatment goals. We are not happy with the device until the patient is happy, the physician is happy, and all treatment goals have been met.