Transcript The TC2-How does it work?

Orthomerica Products, Inc.
partnering with
®
Insert Your Name Here
™
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TC
Total Contact-Total Control
AFO System
™
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TC
AFO System
 Is custom molded to
patient model
 Designed from a
negative cast taken
by your local
orthotist/prosthetist
Patient Population
Pediatric
Hypotonicity
Hypertonicity
Adult
Common Diagnoses
 Prescribed for the following:
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Cerebral palsy
Multiple sclerosis
Muscular dystrophy
Spina Bifida
Spinal Cord Injuries
Cerebrovascular Accidents (CVA)
Traumatic Brain Injuries
Materials
 Flexible polyethylene
– Allows normal
biomechanics to
occur. No steppage or
“snow-boot” gait.
 Hi-Grade
orthotic/prosthetic
componentry
Benefits
 Enables proper alignment,
positioning and even
distribution of pressure
 Reduces fittings, adjustments
and follow-ups
Features
 Circumferential design
– Encompasses the
dorsum
– Creates intimate fit
– Minimizes skin
breakdown
– Eliminates “Figure 8”
strap
 Calcaneal lock
– Ensures proper seating
of the heel within the
orthosis
Features
 Flexibility
– Offers medial/lateral
control and still
enables toe-off
– Promotes patient
compliance
 Modular 2-in-1
systems available
– Snap-in design
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TC
CAD-CAM
Created Casting Footplates
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TC
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Footplates
Pediatric & adult sets
100 shapes in
full set
Can be customized
to patient model
– Grind or heat
adjusted to
accommodate
for anomalies
» Pes planus
» Pes cavus
» Forefoot
adduction
Anatomical Landmarks in
Place
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Metatarsal arch (1)
Longitudinal arch (2)
Peroneal notch (3)
Elevated 2nd-5th
phalanges (4)
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3
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Goals
 Bringing the ground up
to meet the foot
– Eliminate grasping and
clawing
– Enhance sensory
feedback
– Promote normal
biomechanics
– Improve
proprioception
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TC
Selector Device
 Eliminates
guesswork
 Provides accurate,
consistent sizing
Easy As 1, 2, 3
1. Calcaneous to sulcus
length
Easy As 1, 2, 3
2. Metatarsal width
Easy As 1, 2, 3
3. Confirm fit
MODELS
Submalleolar
 Indications:
– Mildly involved
patients who require
minimal orthotic
management of the
foot and ankle
Supramalleolar
 Indications:
– Mildly involved
patients with
combined ankle/foot
instabilities
– Patients who
demonstrate fixing
patterns
Solid Ankle
 Indications:
– Non-ambulatory
patients for
positioning
– Aid in stability for
the following:
» Beginning ambulators
» Those requiring triplanar control of the
foot and ankle
Posterior Leaf Spring
 Indications:
– Patients with reduced
muscular control
where increased
range-of-motion is
recommended for
muscle/strength
development
– Patients with weak or
absent plantar/
dorsiflexors
Articulating-Single Pull
 Indications:
– High level functional
ambulators;
» Where motion in the
sagittal plane needs to
be assisted or restricted
» Or to control knee
hyperextension when
ankle movement is
desired (e.g. hemiplegic with
good knee extensor strength)
Articulating-Combo
 Indications:
– High level
functional
ambulators
where motion
in the sagittal
plane needs to
be assisted or
restricted (e.g.
hemiplegic with good
knee extensor
strength)
SMO/AFO Combo
 Indications:
– Use of this
combination system
can facilitate
integration of bracing
in floor activities
(SMO) and muscle
strengthening in the
sagittal plane (SMO/AFO
Combo)
Posterior Entry/Crouch Gait
 Indications:
– Patients requiring
control of excessive
knee flexion due to
weakness of the
plantarflexor group
common in Spina
Bifida and spinal
cord injuries
Custom Pattern Transfers &
Images
Summary
Orthomerica encourages a “Rehab
Team” approach (PT, CO, MD,
patient & family). Education is
crucial to the success
of the product and
rehab goal
achievement.
Please contact your local
orthotist/prosthetist
for more information
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about TC ™ products and
workshops in your area.