Name of the Procedure:

Ankle Foot Orthosis (AFO), Walking Boot Type, Varus/Valgus Correction with Rocker Bottom, Anterior Tibial Shell, Soft Interface, Custom Arch Support, Custom Fabricated.
Common Names: Custom Ankle Foot Orthosis, Walking Boot AFO, Varus/Valgus Corrective Brace

Summary

An ankle foot orthosis (AFO) is a custom-made brace designed to support and stabilize the foot and ankle. This specific type includes features like varus/valgus correction, a rocker bottom, an anterior tibial shell, a soft interface, and custom arch support.

Purpose

The AFO is utilized to correct deformities, provide stability, and improve mobility for individuals with various foot and ankle conditions. It aims to alleviate pain, prevent further deformities, and enhance gait mechanics.

Indications

• Individuals with foot drop, varus or valgus deformities, or ankle instability.
• Patients recovering from surgeries or injuries to the foot and ankle.
• Conditions such as cerebral palsy, stroke, multiple sclerosis, or peripheral neuropathy that affect foot and ankle mechanics.

Preparation

• No specific fasting or medication adjustments required.
• Preliminary assessments including physical examination and imaging studies (e.g., X-rays) might be necessary.
• Measurement and fitting sessions to ensure the custom fit of the orthosis.

Procedure Description

1. Assessment and Measurements: A healthcare professional evaluates the patient’s foot and ankle and takes detailed measurements.
2. Custom Fabrication: The orthosis is custom-made from plastic or other suitable materials based on the measurements taken.
3. Fitting: The patient returns for a fitting session to ensure proper alignment and comfort. Adjustments may be made as needed.
4. Education: The patient is instructed on how to properly wear and care for the orthosis, and follow-up appointments are scheduled for monitoring.

## Tools and Equipment:

• Measurement tools (e.g., tape measure, calipers)
• Custom orthosis fabrication materials (plastic, straps, soft interface materials)
• Adjusting tools (e.g., heat guns for fitting adjustments)

## Anesthesia:

• Not applicable.

Duration

• Initial assessment and measurement session: 30-60 minutes.
• Custom fabrication: Typically takes 1-2 weeks.
• Final fitting session: 30-60 minutes.

Setting

• Outpatient clinic or orthopedic/prosthetic office.

Personnel

• Orthopedic specialist or prosthetist.
• Trained medical assistants or technicians.

Risks and Complications

• Skin irritation or sores from improper fitting.
• Allergic reactions to materials used.
• Discomfort or inadequate support if not custom-fitted correctly.

Benefits

• Improved foot and ankle stability.
• Correction of deformities leading to better gait and mobility.
• Pain relief and prevention of further complications.
• Benefits may be realized immediately upon proper fitting and use.

Recovery

• Follow the care instructions provided for the orthosis.
• Regular follow-up appointments to adjust the fit and monitor progress.
• Most patients are able to resume normal activities shortly after adjustment.

Alternatives

• Pre-fabricated orthotic devices: Less customized, potentially less effective.
• Physical therapy: May be used in conjunction or as an alternative.
• Surgery: Considered in severe cases or if orthotic management fails.

Patient Experience

• Most patients will experience a period of adjustment as they get used to wearing the orthosis.
• Some discomfort or skin sensitivity may occur initially.
• Pain management and comfort measures include adjustments to the fit and use of protective padding.

By following this structured guide, patients and healthcare professionals can have a clear understanding of the custom ankle foot orthosis procedure, its benefits, and its role in the treatment plan.