Arizona Prosthetic Orthotic Services

| Prosthetics | Orthotics | Foot Care | Wound Care | Medical Supplies |

At APOS we fit patients with both custom and prefabricated orthopedic braces. All custom braces are fabricated on-site by our qualified staff. Braces can be put into the categories of Spinal, Lower Limb, and Upper Limb. A partial list of our products can be found below. Mouse over any of the highlighted items below to view a picture and a description of the item.

Custom Transfers, like those shown in the picture at right, can be applied to nearly all custom fabricated plastic braces, at patient request. These transfers are available for a small additional fee. Let your practitioner know if you would like a special transfer pattern. Choose from several selections, found below. Mouse over the pictures to see an enlarged version.

Fish	Planets	Denim
Snake	Leopard	Butterfly
Camoflage

Spinal Orthotics

A partial list of spinal orthoses is as follows:

• Cervical Collars
  • BHI Prescribed for cervical fusions, post halo applications and other disorders of the cervical spine. Restricts motion in both flexion and extension.
    
  • Halo The Halo cervical orthosis is used for severe cervical fractures. The halo may be attached to a TLSO when other thoracic fractures are present.
    
    
  • Philadelphia Collar
    (with or without
    Thoracic Extension) The Philadelphia collar is a foam and waterproof cervical orthosis with a removable thoracic extension section. Used when a greater degree of immobilization is required.
    
  • Malibu The Malibu collar with thoracic extension provides a high degree of stabilization of the cervical spine. Made of a rigid foam with an aluminum thoracic frame.
    
  • Somi The Somi cervical orthosis provides maximum stabilization post cervical fracture or internal fixation.
    
  • Minerva The Minerva cervical orthosis is an occipital and mandibular immobilizing orthosis used to immobilize cervical spine with thoracic extension.
    
  • Miami-J Indications for the Miami-J collar include cervical spine immobilization post fusion. Comes with soft removable inner liners.
    
  • Soft (Foam Collar) Thick foam collar which comes in heights of 2, 3 and 4 inches. Used primarily for cervical sprains and post-operative procedures.
    
  • Aspen Thick foam/lightweight collar with plastic outer shell. Used primarily for cervical stenosis and post cervical fusions.
    
  • Executive The Executive cervical orthosis is a plastic wire frame lined with a soft closed cell foam, providing for a comfortable fit and ease of use.
    
  • Four-Post The Four-post cervical orthosis is an occipital and mandibular immobilizing orthosis used to immobilize the cervical spine.
    
  • Foam Wire Cool and lightweight with easy adjustability. Plastizote padded, tempered wire frame makes for a well-tolerated and comfortable cervical orthosis. Easily adjusted to any height and shape.
    
  • Thomas Indication for the Thomas collar is cervical spine immobilization post fusion. Hard plastic collar with soft padded edges.
    
  • Coolbreeze^TM A two piece prefabricated thermoplastic collar which incorporates a small fan to draw cool air from the back to front. Ideal for keeping the neck cool.
    
• TLSOs (Thoracolumbosacral Orthosis)
  • Bi-valve TLSO A custom molded two piece bivalve TLSO used to stabilize spinal fractures. Lightweight, waterproof, and removable.
    
  • LSO (Lumbosacral Orthosis) Anterior opening or bivalve LSO commonly used for L1 and below fractures, spinal stenosis, degenerative joint disease. A solid choice when maximum immobilization is needed.
    
  • LSO with Thigh Lacer The LSO with thigh attachment is used for patients who have had L5-S1 fusions to minimize lower spine motion. May be locked in any desired flexion.
    
  • Jewett Hyperextension The Jewett hyperextension orthosis is a three point pressure extension type brace used for stabilization of spinal fractures. Comes in four different sizes.
    
  • Knight-Taylor The Knight-Taylor spinal orthosis is an aluminum frame covered in leather with an apron front. Mainly used to stabilize the spine in patients with multiple compression fractures. Also available in plastic frame.
    
  • "Ace" Anterior Cruciform Extender Indication for the ACE hyperextension orthosis is the same as the above Jewett, except no lateral extensions therefore controlling AP plane.
    
• LSOs and Corsets
  • Chairback LSO A chairback LSO is an aluminum frame lumbo-sacral support covered in leather with an apron front.
    
  • Custom LSO Knight Frame A magnuson LSO is a custome fabricated chairback orthosis used to treat lower spinal fractures and post fusions.
    
  • Kydex LSO The Kydex LSO is similar to the chairback LSO but much lighter in weight. Has an apron front for compression or may be held securely in place with a rip-cord corset.
    
  • Lumbosacral Corset Lumbosacral or LS corset is made of canvas and provides support for the lumbar spine.
    
  • Rip-cord Corset The rip-cord lumbosacral support is a lightweight and comfortable lumbar spine corset. Used post surgery and for fractures. Features the mechanical advantage unit.
    
  • Dorsal Lumbar Corset The Dorsal Lumbar or DL corset provides stabilization of thoracic spinal fractures and features shoulder straps.
    

All LSOs and TLSOs are custom fabricated for each patient. While most of our competitors take only measurements and find a similar pre-existing brace for their "custom" LSOs and TLSOs, we take a direct mold. This ensures a perfectly individualized fit.

Lower Limb Orthotics

A partial list of lower limb orthoses is as follows:

• AFO (ankle-foot orthosis)
  • Articulated AFO Indications for an articulated AFO are: post stroke, weak dorsiflexors and genurecurvatum. The articulated AFO is a custome-molded and fabricated orthosis.
    
  • Carbon Fiber AFO The carbon fiber AFO is a very lightweight and strong AFO primarily used for dropfoot and slides easily into any shoe, due to the open heel design.
    
  • PTB Fracture AFO The PTB (patellar tendon bearing) fracture AFO is a custom-molded and fabricated AFO for the stabilization of tibial fractures. Unweights up to 50% with a solid ankle section.
    
  • Neuropathic Walking Boot Indications for a C.R.O.W. (Charcot Reducing Orthotic Walker) AFO are: charcot foot and ankle, diabetic neuropathy, and/or fracture associated with the diabetic foot.
    
  • Double or Single Upright AFO The double upright AFO is indicated for patients who are post CVA (stroke) with moderate to sever tone. Calipers or stirrups are attached to the patients existing shoes with varying types of ankle joints.
    
  • Floor Reaction AFO The floor reaction AFO is a custom-fabricated AFO which is primarily used for patients who tend to have knee instability i.e. quadiricept weakness.
    
  • Total Contact AFO (SMO) The SMO (Supra-Malleolar Orthosis) is utilized for patients to keep the foot in subtalar and talocrural neutral and heel in neutral. Incorporates a soft toe ramp to provide toe extension, to inhibit tone.
    
  • Low Profile SMO The SMO (Supra-Melleolar Orthosis) is an AFO which is used for patients to keep the foot in subtalar neutral position. Incorporates a soft toe ramp to provide toe extension, to inhibit tone.
    
  • Gel or Aircast Ankle Splints The aircast ankle splint is primarily used for stabilizing ankle sprains to limit subtalar motion and allow talocrural motion.
    
  • Plantar Fasciitis Splint Plantar fasciitis or night splint is designed to give a passive stratch to the fascia while the patient is sleeping.
    
  • Multi-podus Boot This is a top quality brace that provides heel and toe clearance for pressure relief, as well as dynamically correcting foot and ankle contractures, which are a result of prolonged bed rest.
    
  • Ankle Gauntlet The ankle gauntlet is a custom-molded ankle orthosis used for the treament of charcot or arthritic ankle. Provides maximum stabilization.
    
  • Fracture Walking Boot The fracture walking boot is used for ankle sprains or fractures of the foot and ankle. Also commonly referred to as a Cam Walker.
    
  • Rooke Boot The Rooke boot is designed to provide optimal insulation and protection to the lower extremities primarily used ischemia and neuropathy.
    
• KAFO (knee-ankle-foot orthosis)
  • Freewalk^TM KAFO The Freewalk^TM locks during stance phase and unlocking during swing phase, creating a more secure, efficient, natural gait. Indications: quadricepts weakness as a result of Poliomyelitis, Multiple Sclerosis, CVA (stroke), unilateral paralysis, imcomplete spinal cord injury, and femoral nerve injuries; genu recurvatum;
    
  • Cylindrical KAFO Cylindrical KAFO is a custom-molded long leg brace designed to stabilize lower leg fractures. Also used for the temporary removal of total knee while spacers and anti-biotics resolve an infected joint.
    
  • Double Upright KAFO A double upright KAFO works well for patients with abswent quads or moderate to severe edema. May be attached to a shoe or a footplate.
    
  • Fracture KAFO with Joints Long leg fracture KAFO with knee and ankle joints allows motion while maintaining stabilization of the fracture. Ideal for rehabilitation.
    
• Knee Orthoses
  • ACL/PCL Knee Orthosis Neovent ACL/PCL and combined instability knee orthosis. Feathures a heavy duty polycentric hinge with seven extension stops and six flexion stops. Ventilated neoprene.
    
  • Neovent Knee Support Stabilizes the knee following injury or surgery, when support is needed. The material allows the skin to breathe; also features adjustable straps and trimmable donut around patella for patellar tracking.
    
  • Wrap-around Knee Support Easy on and off wrap-around support accomodates hard to fit knees. Hook and pile closures for proximal and distal straps provide greater support.
    
  • Knee Support with Open Patella Knee support hinge joint offers medial and latereal support while stopping motion at 180 degrees. Additional support provided by proximal and distal velcro straps.
    
  • Pull-on Knee Support Open patella knee support stabilizes the knee following injury or surgery. Made of a soft breathable material with hidden seams for added comfort.
    
  • Elastic Knee Support An alternative to neoprene, the pull-on elastic knee supprt with or without patella donut provides supprt for the patient with arthritis, tendonitis, or sprain/strain. Four-way stretch material provides uniform compression.
    
  • Universal Knee Immobilizer Lightweight three panel knee immobilizer allows you to create a custom fit following injury or surgery. Universal sizing in lengths of 12", 16", 22", and 24".
    
  • ROM Knee Orthosis The ROM knee orthosis provides support for the post-op patient. Come features include adjustable range of motion flexion and extension stops.
    
  • Dynamic Knee Orthosis The dynamic knee orthosis is designed for the treatment of joint stiffness and soft tissue contractures. Universal left or right with combined flexion and extension.
    
  • C.T.I. Knee Orthosis The CTI ACL/PCL knee orthosis is a custom fabricated item which provides maximum support for the pre and post surgical patient. Osteoarthristis version also available.
    
  • Generation II Knee Orthosis The Generation II knee orthosis is a custom fabricated brace used to treat osteoarthtitis or medial or lateral compartment syndrome.
    
  • Prefabricated Combined Instability And alternative to the custom-molded and fabricated knee orthosis, provides medial and lateral support of the knee for the active patient who plays sports.
    
• Hip Orthoses
  • Reciprocating Gait Orthosis Provides for a reciprocal gait motion, energy is transferred from one extremity to the other for contralateral hip flexion. Commonly used for patients with spinal cord injuries.
    
  • Hip Abduction Orthosis For the treatment of hip dislocations. An effective, low-profile modular system. Physician will prescribe range of motion and abduction settings.
    
  • Scottish-Rite Hip Orthosis A custom-molded and fabricated hip abduction orthrosis os utilized for avascular necrosis of the femoral head, known as Legg Perthes.
    
  • Dennis Brown Bar Internal tibial torsion sometimes occurs with metatarsus varus. A Dennis Brown bar with shoes are employed to control rotation. Utilized with straight last shoes to influence growth of forefoot.
    
  • Hip Abduction Pillow This high density foam pillow maintains the hip in abduction following injury or surgery to prevent dislocation.
    
  • Pavlik Harness The Pavlik hip orthosis holds the hips in a position of controlled hip flexion and abduction. For the treatment of hip dysplasia.
    

Upper Limb Orthotics

A partial list of upper limb orthoses is as follows:

• Shoulder Orthoses
  • Shoulder Immobilizer An arm sling which brinds the humerus and forearm to the patient's body for stabilization of the shoulder.
    
  • Hemi Harris Sling Used for patients with hemiparesis associated with stroke. Provides upward pressure to prevent shoulder subluxation.
    
  • Kenny Howard The acromioclavicular splint provides upward pressure on the AC joint. Usually used for stroke patients with hemiparesis and AC separations.
    
  • Gladiator The Gladiator shoulder harness provides limited range of motion for patients with AC joint separations. Prostection for early return to sports related activities.
    
  • Shoulder Abduction Pillow Used post-surgery for rotator cuff injuries and AC separations. 4" and 10" available (also see Ultra Sling)
    
  • Figure of 8 Clavicle Splint Designed for clavicle fractures, holds shoulders back. May also be used for posture training.
    
  • Gunslinger Shoulder Splint Provides immobilization to the shoulder complex by fixing the arm next to the body. It can abduct to 30 degrees and provide limited internal and external rotation.
    
  • Ultra Sling The Ultra Sling is a shoulder abduction orthosis which places the arm in 25 degrees of abduction with a sling sewn onto the abduction pillow.
    
  • Airplane Splint The airplane shoulder abduction orthosis provides stabilization of the shoulder for pre- and post-surgical repairs.
    
• Arm Orthoses
  • Humeral Fracture Cuff Prefabricated humeral fracture cuff provides stabilization of humeral fractures. Custom available for patients out of sizing range.
    
  • Long Arm Fracture Orthosis A custom molded and fabricated orthosis which supports humeral, elbow, and forearm factures. Several types of elbow hinges may be employed to restrict range of motion.
    
  • Prefabricated Elbow Orthosis Designed for minimal stabilization of elbow fractures, mainly post surgical. Has a lateral hinge which restricts range of motion.
    
• Hand Orthoses
  • Exolite Cock-up Wrist Splint Lightweight cock-up wrist splint with volar and dorsal plastic shells.
    
  • Kydex Wrist Positioner Plastic wrist and hand positional orthosis used for hemiplegia in stroke patients.
    
  • Leather Gauntlet Custom molded leather hand and wrist gauntlet provides superior support for fractures.
    
  • Dorsal Long Opponens A long dorsal wrist orthosis designed to hold writing and eating utensils. For patients with hemiparesis and incomplete quadriplegia.
    
  • Wrist Driven Flexor Hinge Splint This splint uses the wrist motion of the patient to cause motion of the hand. There is a hinge placed at the wrist of the splint so it can flex and extend with the patient's wrist movement.
    
  • Plastic WHFO The plastic WHFO is a refab wrist and hand orthosis which provides thumb adduction while maintaining wrist and finger position.
    
  • Custom Sarmiento A lightweight custom molded short arm orthosis which cups around epicondyles allowing flexion and extension, but limits rotation. For midshaft and distal radius fractures.