grade 4 Custom Orthosis

Ankle

grade 4 solution may be suitable for individuals with:

  • A need for correction or accommodation of a significant midfoot deformity
  • Medio-lateral instability at the ankle joints
  • Calcaneal malalignment in need of correction or accommodation
  • Ligament laxity including PTTD stages I and II Posterior Tibial Tendon Dysfunction occurs when the posterior tibial tendon becomes inflamed or torn. As a result, the tendon may not be able to provide stability and support for the medial arch, resulting in flatfoot.

grade 4 prescription options

A Grade 4 solution includes UCBL, SMO and similar devices that provide increased hindfoot and ankle stability compared to a grade 3 device

  • Cast is modified as specified and can include areas of relief and areas of increased loading to achieve the desired outcome
  • The device can be fabricated out of one or multiple layers of foam, plastics or carbon fibre
  • Additional padding, wedging and straps using a range of materials

Orthosis Creation Process:

  1. A (negative) cast is taken of the patients foot and ankle
  2. The cast is filled to create a positive model of the patient’s limb. The positive mould is modified as per the clinicians requirements and requests
  3. Layers of plastic and foam are individually vacuum formed over the cast including any optional additions to form a device
  4. The device is expertly ground to suit the patients’ needs and trimmed to an appropriate size
  5. Appropriate padding and straps are added
  6. Quality checked and dispatched to either the patient or clinician for fitting

grade 4 clinical result:

Why Orthotics Matters

 

Patient presented with a traumatic strain from rolling their ankle. Functional activity was limited during the initial recovery, the patient was fitted with a moon boot which enabled weight bearing. The patient’s foot and ankle were cast after the initial oedema
Is swelling caused by the accumulation of fluid in a part of the body.
 had reduced and stabilized. A grade 4 Orthosis was fabricated and fitted.

This interim solution enabled the patient to return to work as part of the rehabilitation plan and provided a solution that would mean they could function with relative normality in other parts of their daily life.