Patellar tendon bearing brace

Alimerzaloo, Farnaz; Kashani, Reza Vahab; Saeedi, Hassan; Farzi, Marjan; Fallahian, Nader

doi:10.1177/0309364613486916

Cited by 11 publications

(10 citation statements)

References 23 publications

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“…Patellar-tendon-bearing ankle–foot orthoses (PTB AFOs) differ from other types of plantar-ankle orthosis in that they include an additional anterior shell to assist in weight bearing via the patellar tendon [ 51 ]. This results in a reduction in the weight on the ankle, heel, and sole, potentially leading to a decrease in pain in these regions ( Figure 4 c) [ 51 , 52 ].…”

Section: Resultsmentioning

confidence: 99%

Passive Articulated and Non-Articulated Ankle–Foot Orthoses for Gait Rehabilitation: A Narrative Review

et al. 2023

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The aim of this work was to study the different types of passive articulated and non-articulated ankle–foot orthoses for gait rehabilitation in terms of working principles, control mechanisms, features, and limitations, along with the recent clinical trials on AFOs. An additional aim was to categorize them to help engineers and orthotists to develop novel designs based on this research. Based on selected keywords and their composition, a search was performed on the ISI Web of Knowledge, Google Scholar, Scopus, and PubMed databases from 1990 to 2022. Forty-two studies met the eligibility criteria, which highlighted the commonly used types and recent development of passive articulated and non-articulated ankle–foot orthoses for foot drop. Orthotists and engineers may benefit from the information obtained from this review article by enhancing their understanding of the challenges in developing an AFO that meets all the requirements in terms of ease of use, freedom of movement, and high performance at a relatively low cost.

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Section: Resultsmentioning

confidence: 99%

Passive Articulated and Non-Articulated Ankle–Foot Orthoses for Gait Rehabilitation: A Narrative Review

et al. 2023

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“…It has been inferred that the fastening leg strap reduces the load on the ankle joint with a similar mechanism as a patella tendon bearing brace. 28 , 29 The degree of the reduction in plantar pressure is affected by the size of the boot and the circumference of the patient's lower limb, and hence the load to the ankle joint would not be constant. 20 , 21 , 22 , 30 , 31 The load distribution would also differ according to the change in ankle position.…”

Section: Discussionmentioning

confidence: 99%

Shorter recovery can be achieved from using walking boot after operative treatment of an ankle fracture

Amaha

Arimoto

Saito

et al. 2017

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Background/ObjectiveAnkle fractures, even if treated surgically, usually take a long time to heal. For all patients with ankle fracture, immobilisation is a critical part of treatment. Short-leg walking boots (WBs) have been reported to be an effective alternative to plaster casts (PCs) that could shorten this postoperative recuperative period. The aim of this study was to compare the functional recovery of a conventional PC with that of a WB after surgery for ankle fractures.MethodsForty-seven patients (mean age, 53.9 ± 12 years) who had undergone surgical operation for an unstable ankle fracture from January 2008 to October 2014 were reviewed retrospectively. Either a PC or a WB was prescribed postoperatively, with 25 patients and 22 patients, respectively. The time that it took the patient to stand unipedal on the affected side after allowing full-weight bear and to walk without crutches were used for assessment of functional recovery. The prevalence of postoperative loss of reduction and nonunion was also reviewed.ResultsBoth the time of being able to stand unipedal on the injured side and to walk without crutches were significantly shorter in patients using WBs (WB, 2.6 weeks; PC, 4.5 weeks, p = 0.01; WB, 1.4 weeks; PC, 3.1 weeks, p = 0.03). There were no patients with loss of reduction or nonunion.ConclusionPatients who used WBs showed a significantly faster recovery. WBs have an adjustable heel lift that allows users to change the ankle position slightly plantarflexed that helps walking in a postoperative swollen ankle. WBs are easy to slip on, and it is easy to adjust the ankle position in conformity with swelling so that the least painful position could be maintained during walking. WBs have good fixity to allow immediate weight-bearing postoperatively, and there were no cases with loss of reduction postoperatively. The Rocker bottom design minimises the sagittal plane motion in the specific joint of the foot, which also facilitates the course of recuperation. An ankle fracture fixed appropriately endures loading when a WB is used. The WB treatment results in faster functional recovery, allowing the patients to return to normal activity at a faster rate.

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“…However, it should be applied into patients with sufficient control of their knee joints and should not be used for patients with severe mediolateral instability of the ankle [22][23][24]. The patellar tendon bearing AFO (PTB-AFO), unlike other PAFOs, has an additional anterior shell to support weight with the patellar tendon, which helps to reduce the weight load on the heel, ankle, and sole, and therefore reduces pain in each of the mentioned areas (Figure 1D) [25,26]. This is used in cases that require the pressure on the foot to be minimized, such as ulcers, calcanectomy, plantar skin graft, severe foot/ankle trauma, and fractures.…”

Section: Typical Plastic Afomentioning

confidence: 99%

Commonly Used Types and Recent Development of Ankle-Foot Orthosis: A Narrative Review

Choo

Lee

2021

Healthcare

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(1) Background: ankle-foot orthosis (AFO) is the most commonly prescribed orthosis to patients with foot drop, and ankle and foot problems. In this study, we aimed to review the commonly used types of AFO and introduce the recent development of AFO. (2) Methods: narrative review. (3) Results: AFO prevents the foot from being dragged, provides a clearance between the foot and the ground in the swinging phase of gait, and maintains a stable posture by allowing heel contact with the ground during the stance phase. In clinical practice, the most commonly used AFO include plastic AFO, walking boot, UD-Flex, and carbon fiber AFO. In addition, for compensating the demerits of these conventional AFOs, new types of AFOs, including AF Servo, TurboMed, three-dimensionally printed AFO, and AFO made from kenaf composites, were developed. (4) Conclusions: we think that our review can guide clinicians in selecting and prescribing the appropriate AFO for each patient in accordance with their specific physical conditions.

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Patellar tendon bearing brace

Cited by 11 publications

References 23 publications

Passive Articulated and Non-Articulated Ankle–Foot Orthoses for Gait Rehabilitation: A Narrative Review

Passive Articulated and Non-Articulated Ankle–Foot Orthoses for Gait Rehabilitation: A Narrative Review

Shorter recovery can be achieved from using walking boot after operative treatment of an ankle fracture

Commonly Used Types and Recent Development of Ankle-Foot Orthosis: A Narrative Review

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