Abstract: A method and device are shown for use in casting for Total Contact Casting for offloading pressure in neuropathic and diabetic wounds or fractures of the appendages such as the human leg or foot. The outer casting material used can be comprised of traditional casting materials. A total foot protection pad underlies the traditional casting materials. It is a one piece moldable system that encompasses the total foot from the Achilles along the lateral and medial foot, covering the plantar surface, the malleoli and folds and extends over the dorsum. The one piece system has adhesive backing on a contact side to facilitate its application and/or forms a total foot protection pad beneath the outer hardened casting material.

Abstract: A shoulder support system includes an arm support configured for supporting an arm of a user; a convertible shoulder strap convertible between a loop configuration positionable around a shoulder of the user or as straight strap positionable to overlie the shoulder of the user; a front strap connectable between the convertible shoulder strap and a front of the arm support; and a rear strap connectable between the convertible shoulder strap and a rear of the arm support. The shoulder support may also include an abduction pad. In which case the arm support includes an elongate flexible extension affixed to the arm support and extendable outward from the arm support and positionable to be folded about the abduction pad.

Abstract: An ankle-foot orthosis for a lower leg, ankle, and foot of a patient, the ankle-foot orthosis including: a foot plate; a calf-cuff member; and a strut member extending between the foot plate and the calf-cuff member, the strut member coupling to an arch region of a medial side of the foot plate and a posterior side of the calf-cuff member, the strut member being formed from layers of carbon fiber and at least one layer of a thermoplastic material.

Abstract: A therapeutic compression garment, including: a body portion; and a spine portion, wherein the bands extending from either the body portion and/or spine portion attach the body and spine portions together when the body and spine portions are wrapped around a body limb, and wherein the spine portion is releasably attached onto the body portion such that the spine portion is positionable at different locations on the body portion.

Abstract: A casting method for a brace having corrective forces is disclosed. The foot is externally rotated during casting and corrective forces are applied at the lateral knee and anteromedial ankle. With the knee flexed at between about 70° to 90°, the cast is fully extended, which places the knee in a position which will reduce the pressures on the medial knee. This is the position desired during the casting process with the knee flexed and then held while extending the knee. The result is control of the posterior lateral rotation, therefore controlling the posterior subluxation of the tibial plateau to achieve the motion and alignment that the screw home motion produces.

Abstract: A device (900) includes a leg engaging section (101) and a foot engaging section (102 intersecting at a heel receiver (103). The leg engaging section and the foot engaging section defining a leg insertion aperture (104). A first compression wrap member (301) and a second compression wrap member (302) extend from the leg engaging section. An inflatable bladder (501) can be disposed along the leg engaging section between the leg insertion aperture and a compressible cushion layer (902). The inflatable bladder can be selectively inflatable through a connection tube (502) exiting the inflatable bladder at a non-orthogonal angle (504) relative to an edge (507) of the inflatable bladder. The leg engaging section can define at least one channel (1002) to permit the connection tube to exit the device.

Abstract: An orthosis walking boot includes a posterior plastic shell with an open foot supporting portion extending outward from an integral open vertical leg extension to support a user's foot and leg and an anterior plastic shell with a horizontal foot covering portion for overlapping and covering the open foot supporting portion of the posterior shell and an integral open vertical leg extension for positioning within the posterior open vertical leg extension of the posterior shell. A two layer foam posterior liner extends upward within the posterior shell open vertical leg extension to receive the user's leg and adjustable fastening units secure the anterior shell to the posterior shell. An alternative orthosis walking boot with integrally attached foam liners on the posterior plastic shell and the anterior plastic shell is provided.

Abstract: A reduced pressure treatment system includes a compressible chamber positionable beneath a foot of a user and being movable between an expanded position and a compressed position. The compressible chamber includes an inlet and an outlet. An inlet valve is in fluid communication with the inlet to prevent fluid within the compressible chamber from exiting the inlet, and an outlet valve is in fluid communication with the outlet to prevent fluid from entering the compressible chamber through the outlet. A biasing member is disposed within the compressible chamber to bias the compressible chamber toward the expanded position, and a manifold is positionable at a tissue site and in fluid communication with the inlet of the compressible chamber.

Abstract: An injured musculoskeletal structure is mobilized relative to a juxtaposing support structure surface to isolate the injured musculoskeletal structure from forces transferred from adjoining musculoskeletal structures in order to alleviate pain, discomfort, inflammation, and further injury associated with such transferred forces.

Abstract: A therapeutic device has a bridge portion adapted for releasable adherence to a patch of skin so as to lift the patch of skin above a sensitive underlying treatment site in reducing discomfort or pain associated with tissue compression at the treatment site. The bridge portion is elevated above the treatment site with an exposed adhesive facing the patch of skin to be lifted and/or stretched outwardly. With the application of pressure to elastically deform the device from its original neutral configuration, the bridge portion is brought into contact with the patch of skin, adhering the skin to the adhesive. When the pressure is removed, the device rebounds and generally reassumes its original configuration with the bridge portion lifting the attached patch of skin.

Abstract: A splint assembly comprising a first section with at least one compartment and one or more rigid members positioned within the at least one compartment, the one or more rigid members providing a rigid dimensional axis and at least one flexible dimensional axis; and at least one second section configured to couple with the first section, the at least one second section comprising at least one compartment and one or more rigid members positioned within the at least one compartment, so that the at least one second section has a rigid dimensional axis and at least one flexible dimensional axis; and at least one attachment member is operatively coupled to the at least one second section.

Abstract: A wrist brace includes a base panel having inner and outer surfaces. The base panel has a thumbhole and a strap slit therein. A wrist strap is connected to the inner surface of the base panel and formed to wrap around a patient's wrist directly over the ulnar styloid to provide volar compression. An oblique strap having is connected to the outer surface of the base panel and arranged to wrap from the patient's volar radial wrist over the patient's ulnar carpus at an oblique angle on the base panel with the second oblique strap end attaching to the outer surface of the base panel dorsally near the distal to mid-shaft area of the patient's second metacarpal.

Abstract: A compression wrap for the lumbar spine region includes an elongate longitudinally stretchable belt for wrapping around the lumbar region of a person, a fastening device for securing the belt, a pressure pad extending transverse to the belt longitudinally along the spinous process and extending laterally in the hollow between the para-vertebral spinal muscles for applying support directly to the lumbar spine.

Abstract: A composite moldable splint and method for using the same is described. In some embodiments, the splint has at least a partially fluid-filled inner volume, which in some embodiments may include foam, rubber, water, or pelletized material, surrounded by a thermoplastic layer that is flexible and moldable when heated. The thermoplastic layer may then be covered by a fabric or foam layer to provide comfort and to maintain overall dimensional stability when heated. The inner volume provides the ability to mold the cushion into a wide range of shapes and contours, such as when forming around a body part. The thermoplastic layer provides the ability of the cushion to be molded when heated, and to assume a rigid formed shape when the cushion cools. The cushion may be used in a range of medical applications for stabilizing patients and body parts.

Abstract: The present invention relates to orthopedic casts. In particular, some implementations relate to one or more components of a total contact cast system that can be used in the treatment of an appendage, such as a leg or foot. While the cast system can comprise any suitable component, in some cases, it includes a clam-shell cast, a foot support defining an offloading hole, a cast underlayment (such as a compression sock, a padding sock, and/or additional padding), and/or a footplate. In some implementations, the described cast system is configured to support a patient's foot and leg, while offloading weight from a sore, ulcer, or other wound on the patient's foot. Other implementations are also described.

Abstract: Some implementations of the described invention relate to systems and methods for applying a total contact cast to a patient for treatment of a wound on an appendage, such as a leg or foot. While the cast system can comprise any suitable component, in some cases, it includes a clam-shell cast, a foot support defining (or customizable to define) an offloading hole, and a cast underlayment (such as a compression sock, a padding sock, and/or additional padding). In some implementations, a first length of the clam-shell cast is applied to a patient's calf, a second length of the cast is applied to across a patient's foot, and a third length is folded up over the patient's foot to extend up a portion of the patient's calf. In some cases, a strap or wing is used to attach the first and the third lengths together. Other implementations are also described.

Abstract: The present invention relates to a foot support for use with a cast. While the foot support can include any suitable component, in some cases, it includes an elongated foot pad having a heel end and a toe end, wherein the foot pad includes a first layer of padding. In some cases, the foot support and the first layer of the padding at the toe end of the elongated foot pad are formed into a toe guard having a resilient shape, such as J-shaped profile. As a result, in some cases the toe guard is configured to extend over a dorsal portion of at least one toe when a foot is disposed on the elongated foot pad. In some cases, the foot support also defines an offloading hole that is configured to offload weight from a wounded portion of a foot placed on the pad. Other implementations are also described.

Abstract: A system and method for correcting misshaped ears using a molding device having one or more braces supporting a scaphal mold. The one or more braces and the scaphal mold are adapted to retain the helix and the helical rim of a misshaped ear within a space defined between the one or more braces and the scaphal mold, and to maintain a substantially correct anatomical shape of the helix and the helical rim.

Abstract: Provided herein is an orthopedic cast and a system and method for manufacture of same. The orthopedic cast comprises a substantially rigid inside wrist portion having a palm support adapted to engage with a palm of a wearer and an inside arm guard adapted to engage with the inside of a forearm of a wearer. The cast further comprises a substantially rigid outside wrist portion having a back hand guard for engaging the back of the wearer's hand and an outside arm guard for engaging the outside of the forearm of the wearer. The inside wrist portion and outside wrist portion are adapted to be secured to the wrist of a wearer to immobilize the wearer's wrist.

Abstract: A method of constructing a total contact cast, that includes the steps of wrapping a lower leg with foam from above the malleoli to mid-calf, covering the foot and lower leg with stockinette; covering the foot and ankle with cast padding, and applying cast tape to the leg over the previously-applied foam and allowing the cast tape to harden. A foam pad and lateral and medial malleolar pads are applied to the leg section of the cast and a foot and ankle positioning device is applied to the leg, and cast tape is applied over the lower leg and foot and allowing the cast tape to harden. A walking support is applied to the foot. A foot and ankle positioner for a total contact cast is also disclosed.

Abstract: A base for an orthopedic walking boot having a foot bed configured to support a plantar portion of a user's foot, a section extending from the foot bed configured to surround a portion of user's foot, and a connector assembly matable with each of a plurality of different types of support structures such that any one of the plurality of different types of support structures is selectively and permanently connectable to the base through the at least one connector assembly.

Abstract: Apparatus formed by a shell that may be placed around a part of the body, wherein said shell comprises: an inlet that may be connected to a gas source and an outlet to evacuate the gases present inside the shell; at least two complementary portions defining between them a cavity with a cross section that is larger than that of the part of the body to be treated, characterized in that the walls of the two complementary portions have an average heat conduction that is lower than 65 mW/m·K measured according to EN-12667.

Abstract: A coupling device for an orthopedic brace includes an anchoring member for securing to a frame and protruding therefrom, and a subshell arranged to connect to the frame by the anchoring member. The subshell has a locking element for selectively positioning the subshell on the frame at a plurality of locations. The subshell may include an end portion or contoured edge extending beyond a portion of the frame so as to flex relative to the frame.

Abstract: A removable medical support mechanism can be used to protect a body member from injury. The mechanism includes a layer of flexible material providing a constrictive force upon the body member and a mesh layer comprising a plurality of interconnected mesh links. The mesh layer is configured to distribute a force of an impact upon the mechanism, thereby protecting the body member from receiving the force of the impact.

Abstract: A hip orthosis, provided with a trunk engaging part and an upper leg engaging part which are intercoupled by coupling means, wherein the coupling comprise at least one resilient element for operatively preventing an adducting movement of an upper leg engaged by the upper leg engaging part by means of spring force.

Abstract: A joint having two-axis construction having a distal member and a main member joined in co-linear pivotal relation that provides enhanced joint strength and compactness. Hydraulics further provide variable extension assist and an infinite number of flexion stops for controlled flexion flow, and two gears provide a functional gear ratio that also promotes compact construction by reducing the amount of hydraulic piston travel required for maximum joint extension. A drive gear associated with the main member is positioned between the distal end of the piston and a transfer gear partially press-fit into a cut-out in the distal member, to provide needed radial hydraulic force transfer. Although it is contemplated for joint use to be primarily in orthotic devices that assist the movement of an inadequately functioning body limb, any application for which the mechanical joint's compact configuration would provide assistance or technical advantage is considered to be within its scope.

Abstract: An external orthotic device increases comfort, stability, and motion control of the ankle and/or foot. An outer shell comprises separate medial and lateral portions, attached to each other only by a flexible/hinge connector that extends between and is preferably anchored to each of the portions in an under-the-foot region of the shell. This connector retains the bottom end of the shell portions together, but allows the shell portions to pivot or otherwise move relative to each other with the bottom-of-the-foot connector as the pivot axis. This pivoting allows the shell to open wide for donning and doffing of the orthotic device and for adjusting the closeness of the two portions to tighten the two portions on the wearer. Strap(s) or other retainer may tighten the medial and lateral portions together around a liner into which the wearer inserts his/her foot.

Abstract: A compression wrap for providing pressure to an injured portion of a joint of a limb is provided. The compression wrap includes a pocket portion for receiving compression insert. The compression wrap further includes a strap connected to the pocket portion and adjustably securing the compression wrap to the limb. A buckle loop connected to the opposite side of the pocket portion as the strap adjustably receives the strap to adjust the size of the strap. Further, the strap portion and the pocket portion are configured such that when the compression wrap is attached to the limb of a person having an injury proximate the joint, the pocket portion is positionable to apply a load to the location of the injury while the strap portion is spaced away from the crease of the joint.

Abstract: An orthopedic device has first and second elongate struts each having a strap coupling member, and a flexible strap securing to the first and second struts by the strap coupling members. A semi-rigid and resiliently bendable expander is connected to and spans a predetermined length between the struts. The expander provides two main configurations for the orthopedic device including maintaining the first and second struts in a generally flat configuration relative to one another and a curved configuration upon application of a load on the first and second struts. The expander reverts to a flat configuration upon removal of a load or from the first and second struts.

Abstract: The proposed device includes two segments adapted to enclose a body part in a form-fitting manner. Each segment contains an electroactive-material-based actuator, which is adapted to receive an electrical control signal and in response thereto adjust the actuator's morphology, so as to cause the segment to apply a basic pressure profile to the body part. A pressure transition is adapted to redistribute the basic pressure profiles between the first and second segments. A control signal in respect of the first segment causes the pressure transition system to apply a first adjusted pressure profile to at least part of the second portion of the body part, and vice versa, a control signal in respect of the second segment causes the pressure transition system to apply a second adjusted pressure profile to at least a part of the first portion of the body part.

Abstract: An orthotic for a joint of the human body, at which a body part pivots, includes first and second hinge members able to extend along respective posterior portions of body parts near the joint. The second member is able to be fitted with alternate orthotic support portions. A hinge connection joins the first member and the second member, permitting angular motion about an axis, and mutual disconnection and reconnection of the members at the hinge connection as the second member pivots relative to the first member.

Abstract: The present disclosure relates to a support apparatus for use on a leg, ankle, and foot cast. The support apparatus attaches to the bottom of the cast and has a first sole and a second sole. The first sole is removable from the second sole providing the cast with both an aggressive tread on the second sole and a moderate tread on the first sole.

Abstract: A spine and neck support device adapted to support the anatomical structures in the cervical and upper thoracic spine when the user's neck is in flexion. A cushion conforms about the user's anatomical neck structures and rests on the upper chest of the user. The cushion has a chin support area that avoids contacting the user's chin when the user's head is in a neutral position and contacts the user's chin when the user's neck is in flexion. When the user's neck is flexed and the user's chin contacts the chin support area, the cushion unloads and supports the user's neck. At least one and preferably two straps are attached to the cushion and secure it to the user. The top is sloped downwards from back to front to maximize the user's downward field of vision. A groove in the posterior surface of the cushion accommodates the user's trachea/esophagus.

Abstract: A method and system for designing a patient-specific orthopaedic surgical instrument includes coupling a knee sleeve to a leg of the patient. The knee sleeve includes sensors configured to generate sensor data indicate of the position of the respective sensor. The method also include determining angulation data indicative of the angulation of the knee based on the sensor data. The angulation data may be indicative of, for example, the ligament laxity of the knee. The method may also include generating a medical image(s) of the knee. The design of the patient-specific orthopaedic surgical instrument is determined based on the angulation data and the medical image(s).

Abstract: A device to hold one's foot in a neutral position while sitting in order to aid in healing includes a large plastic panel with a set of parallel plastic strips extending upward. These strips are adjustable upon the surface of the board using a series of small holes and corresponding pins. The strips are thus aligned to match the width of one's foot being held in a shoe. When aligned upon the floor, the foot, in a normal shoe without the use of a brace, is held in a neutral position which helps prevent contracture of the leg and foot muscles thus promoting faster healing after surgery. Additionally, the current device does not provide for pinching or twisting as commonly occurs with conventional prosthetic braces.

Abstract: An adjustable support assembly for an orthopedic brace has a support arm, a housing and a locking mechanism. The housing includes a travel track which slidably receives the support arm. The locking mechanism includes a lock lever which selectively applies a sufficient force to the support arm to prevent slidable displacement of the support arm in the travel track.

Abstract: A method is provided for securely fitting an orthopedic brace to the body by means of a plurality of straps, strap locks, strap attachment members, and strap connection members. The method retains the close fit of the brace to the body without the need for substantial readjustment of the fit even after repeated removal and remounting of the brace on the body. The method also enables repositioning the brace on the body without requiring removal of the brace from the body or substantial readjustment of the fit.

Abstract: A splint assembly for use with an individual's limb including an assembleable and rigid member positioned in surrounding fashion about an intermediate joint associated with the limb. A pair of support subassemblies secure about a location of the individual's limb contiguous to the joint, an extending edge of each support subassembly securing to a perimeter extending edge of the rigid member. Upper and lower wraparound support subassemblies secure to first and second perimeter extending edges associated with the rigid member, each further including a generally grid and web-shaped foam template with a hardened plastic backing being configured to match the configuration of the foam template. Edge extending straps provided for each of the hardened plastic backings overlap and engage opposite extending edge locations of each wraparound support subassembly.

Abstract: A device and method for releasably connecting together two elements, such as two orthotic devices, or two elements of an orthotic device is provided. A quick connect apparatus and method of use is disclosed that quickly and easily enables a user to attach and detach two devices or two elements of a device, such as the elements of an orthosis or a prosthetic. An example device that may easily be converted back and forth between an ankle-foot orthosis and a knee-ankle-foot orthosis is disclosed, along with steps for making and using same.

Abstract: A knee brace adapted for placement over at least a posterior side of a leg and comprising a first posterior frame member, a second posterior frame member connected to first frame member, and a posterior resilient hinge device located at or near a first end portion of the first frame member. The hinge device is arranged to urge the first and second frame members into a predetermined alignment. The hinge device can be arranged for selectively locking the second frame member at an angle relative to the first frame member, and permitting rotation of the second frame member relative to first frame member within a range of predetermined angles.

Abstract: An orthopedic brace is provided with an adjustable support assembly having a support arm, a housing and a locking mechanism. The housing includes a travel track which slidably receives the support arm. The locking mechanism includes a lock lever which selectively applies a sufficient force to the support arm to prevent slidable displacement of the support arm in the travel track. The orthopedic brace is further provided with a hinge having a first rotation plate, a second rotation plate, a pivotal connector connecting the first and second rotation plates, a rotation limiting mechanism, and a rotation locking mechanism.

Abstract: A hip orthosis, provided with a trunk engaging part and an upper leg engaging part which are intercoupled by coupling means, wherein the coupling comprise at least one resilient element for operatively preventing an adducting movement of an upper leg engaged by the upper leg engaging part by means of spring force.

Abstract: The invention relates to the technical field of orthotic appliances for the modification or stabilization of musculoligamentous and/or skeletal structures of the human or animal body, especially for stabilizing joints. The invention provides means for preventing the migration of the orthotic appliance applied to the body using a rigid frame element. The approach according to the present invention provides for the orthotic appliance to be secured on at least one anatomical protrusion on the body using a rigid frame element in a force-locking and form-fitting manner.

Abstract: Traction devices, systems, and methods for their use provide simultaneous axial distraction and one of flexion, extension, or lateral flexion of the spine. The devices permit aligning at least a portion of the spine prior to traction. Traction is applied through air chambers configured and dimensioned to independently apply traction to the chin, and both occipital processes. Spiral traction procedures use sequential inflation of the air chambers, thereby providing axial distraction with spinal joint decompression and simultaneous paraspinal soft-tissue mobilization and/or manipulation. Automated systems and methods are also provided.

Abstract: An orthopedic brace is provided that is adapted for securing a wrist, hand and thumb. The brace includes a pad having proximal and distal edges, and first and second sides each comprising loop fastening material forming a generally continuous surface extending substantially the entirety of the corresponding side. The brace further includes a strap pod having an attaching portion and at least one strap, the attaching portion being defined by a region of a hook fastening material such that the attaching portion is removably securable to either side of the pad for placing the pad in a closed position. A thumb stay is disposed in a thumb stay pocket formed by the pad. A distal closure member extends from or near the distal edge of the pad, and defines a first extension depending from the pad, and an intermediate flap depending from the first extension. The intermediate flap is configured to extend about the thumb stay, and defines at least one strap securable to the first and second sides of the pad.

Abstract: A shoulder immobilizer (20) includes a semi-rigid or rigid orthosis, in the form of an arm support (22), which supports the upper arm, elbow, forearm and wrist of a patient. A bolster (24) is positioned between the patient and the arm support (22). A body strap (26) extends around the patient and attaches to the arm support (22) and/or the bolster (24), holding the arm support and bolster in position against the body of the patient. In embodiments, the shoulder immobilizer (20) may utilize a shoulder strap (28), but such a shoulder strap is not necessary for shoulder immobilization of the patient.

Abstract: Herein disclosed is a simple, passive splinting system for sternotomy patients designed to provide a continuous yet readily adjustable, compressive tangential stabilizing force to the ribcage so as to promote healing of a median sternotomy incision while minimizing patient pain.

Abstract: A forward head position correction collar is provided which in combination includes a shoulder collar assembly, a chin mastoid piece for engaging and positioning the head of a wearer of the collar; and interconnecting means for interconnecting the chin piece to the collar assembly as to enable the chin piece to be manually and preferably incrementally adjustable with respect to the shoulder collar assembly in a Z-direction to thereby adjust the supported head of the wearer from the forward head position to an increasingly corrected position. The interconnecting means is further adapted for displacing the chin-mastoid piece in a vertical direction with respect to the shoulder collar assembly simultaneously with and proportional to the incremental adjustment of the chin-mastoid piece along the Z-axis.

Abstract: The present disclosure provides compositions which may be utilized as adhesives or sealants in medical and surgical applications. The compositions may, in embodiments, be formed from the cycloaddition reaction of a first component possessing at least one azide group with a second component possessing at least one alkyne group.

Abstract: The present invention relates to a medical cast and a skin protector. More particularly, the present invention relates to: a medical cast wherein a hardening solution having hydraulicity is impregnated onto a casting fabric and hardened, the casting fabric being woven throughout by a mesh weaving method and having cuffs formed at a part corresponding to a joint area of the human body and at both end parts of the casting fabric so as to prevent a gap between the skin and the cast, a cutting line of small thickness densely woven lengthwise on one side of the casting fabric, and a strength reinforced strip of large thickness densely woven lengthwise on both sides of the cutting line; and a medical skin protector to which a skin protection strip of a soft material is attached to protect the skin from a cutter blade during cutting of the medical cast.