Send the link below via email or IMCopy
Present to your audienceStart remote presentation
- Invited audience members will follow you as you navigate and present
- People invited to a presentation do not need a Prezi account
- This link expires 10 minutes after you close the presentation
- A maximum of 30 users can follow your presentation
- Learn more about this feature in our knowledge base article
Do you really want to delete this prezi?
Neither you, nor the coeditors you shared it with will be able to recover it again.
Make your likes visible on Facebook?
Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.
Multi-trauma Case: Bilateral LE Orthotic Treatment
Transcript of Multi-trauma Case: Bilateral LE Orthotic Treatment
Heather Wilsey, PT, DPT Multi-trauma Case:
Bilateral LE Orthotic Treatment Left LE Right LE The Rest of the Story... Last Follow-up GOALS:
Reduce midfoot and toe flexion contractures
Accommodate foot/ankle for weight bearing GOALS:
Accommodate fixed contracture
Allow weight bearing
Maintain skin integrity Patient
KA 33 y/o male
1 child 2 y/o
Employed fulltime Skull/facial fx
Right LE: femur, fib head, ankle fx
Left LE: Tib/fib fx, 1st toe fx
Left UE: humerus fx
TBI MVA Nov 2010
Car vs. Tree
4 hr extrication
Multi-trauma History Jan 2011 May April Discharged to Home:
home health PT, OT, SLP Outpt PT
Eval O&P Consult Wheelchair only/NWB Left LE Compound tib/fib fx, external fixator
Flexible midfoot contracture, 40deg Right LE Fixed PF contracture, 40 deg
Right knee HO --> flexion limited to 15deg Orthosis Recommendation Thermoplastic articulated AFO
Step-lock OTS wrist joint at midfoot, lateral
Aliplast lining, 3/16"
Crepe heel build-up Fitting of "Transformer Boot"
July 14, 2011 Achieved Left LE weight bearing
Fully corrected midfoot contracture in 3 weeks
No ankle or midfoot surgical fusion was required Orthosis Recommendation Total contact AFO
Aliplast lining, 3/16"
Crepe sole build-up Fitting of "KISS Boot"
August 4, 2011 Accommodated Right LE deformity
Allowed weight bearing and ambulation Left AFO "Transformed" Sept/Oct 2011 Dec 18 Nov 18 September 2012:
Walking with a rolling walker
Able to walk with a cane
Still limited by hip weakness, right knee flexion limitation PT request: Can we help him stand? Thank You and