Arizona Prosthetic Orthotic Services

Approximately 15 percent of patients with diabetes develop a foot ulcer. Of these patients, six percent will be hospitalized due to infection or other ulcer-related complications. Ultimately, 14 to 24 percent of patients who develop a foot ulcer have an amputation, causing diabetes to be the leading cause of non-traumatic lower extremity amputations in the United States. Diabetic ulcers develop from a combination of factors: lack of sensation in the foot, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes. Patients with neuropathy can develop an ulcer without any pain because they sense no irritation or pressure while the sore develops.

At APOS we desire to prevent foot ulcerations and subsequent amputations. We provide a variety of wound care products for these purposes. Shoe inserts and neuropathic walking books help to offload metatarsal heads, a area prone to develop ulcerations, and other problem areas. If an ulceration exists, off-loading shoes such as Darco and DH II shoes. 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.

• BHI Relief ShoesAn adjustable bar on the bottom of the sole allows pressure relief of the hind of forefoot. Incorporated is a soft pressure relief insole to accommodate ulcers.
  
• Darco ShoeOrthoWedge® Healing Shoe offers the most advanced design for reducing pressure on the forefoot while allowing patients to maintain their mobility.
  
• IPOS ShoeThe IPOS Hell Relief Shoe is designed for the elimination of weight-bearing on the posterior aspect of the foot. A 10° incline is built into the orthosis to facilitate unloading of the heel.
  
• DH II Pressure Relief ShoesThe DH II presure relief shoe features removable hexagons on the plantar surface of the foot to accommodate healing ulcers. A custom plastizote insert can also be molded into the shoe.
  
• Custom Plastizote InsoleA direct molded plastizote insole used for the diabetic foot to prevent ulcers or accomodate healing ulcers.
  

• Neuropathic Walking Boot The C.R.O.W. is a combination of an ankle foot orthosis and a custom boot. The C.R.O.W. was developed for patients with severe charot changes of the foot and ankle where a more traditional means of treatment was not satisfactory. The device is in essence a bivalved copolymer full foot enlosure ankle foot orthosis with a rocker bottom sole built on the device.
  
• Multi-podus Boot The multipodus boot is an excellent heel suspension brace which controls dorsiplantar flexion. The boot is for ambulating as well as recumbent patients, with day and night use proven as treatment for and prevention of pressure ulcers. The rotation bar eliminates rotation of the hip and leg.
  
• Rooke Boot The Rooke boot is designed to provide optimal insulation and protection to the lower extremities primarily used ischemia and neuropathy.