Gingerbas Posted April 21, 2007 Report Share Posted April 21, 2007 This how we make a coventional KAFO (caliper). This kafo has been slightly modified with carbon fibre and ortholen (rigid plastic). Once the Orthotist has taken the cast and rectified it is passed to the technician to manufacture. The thigh section is then covered in blocking leather, this was done before I had access to a decent camera and is already blocked, boned and shaped as is the ortholen and carbon fibre. Then the ortholen is draped round the calf and ankle section. Then the carbon fibre thigh section is draped round the leather. this is inplace of a metal band to keep down weight for the specific patient. now the side steels are picked are to be shaped to the leg. These are bent using bending irons to the required shape. once these are bent to the cast, they are checked for alignment. . now the steels are marked and drilled for fixing. this is done to the other side and fixed to cast and alignment is cheked again. The whole kafo is removed from cast and put together with fitting bolts and sent to the orthotist for fitting. A knee apron is needed for this patient which should go with the kafo for fitting. the following pics are of a knee apron manufacture. At the time of making this tutorial the whole kafo and apron have been sent to be fitted once they have returned I will post pics of finished Orthoses. This post has been promoted to an article Link to comment Share on other sites More sharing options...
ironplanet uk900 Posted April 21, 2007 Report Share Posted April 21, 2007 Fantastic stuff Ginger, Great set of pictures and a great Tutorial. Thanks. Link to comment Share on other sites More sharing options...
Corlas Posted April 21, 2007 Report Share Posted April 21, 2007 Splendid Gingerbas, very thanks This is a completly work. And not easy, because you must correct and look after for the pains of the patient. If you give me permission, I put the link to a spanish orthopedic forum. For they learn what is a forum! Health to this forum! Link to comment Share on other sites More sharing options...
TITs Posted April 21, 2007 Report Share Posted April 21, 2007 WOW , im going to give that a try after ma dinner, you make it look so easy ? how many of them do you knock out in a year ? Link to comment Share on other sites More sharing options...
Lee Posted April 21, 2007 Report Share Posted April 21, 2007 truly incredible even from a "cobblers" prospective. I found that fascinating. I have just spent an age studying those pictures a work of art. A nice tidy workshop, even the glue pots are spotless (something I always look at is the back ground!) a real cross over topic from shoe repairs to orthopedics how about a day out to your gaff for the forum! Thank you so very much for taking the time to bring us this tutorial, It has been added to the tutorials page. Lee Link to comment Share on other sites More sharing options...
derek Posted April 21, 2007 Report Share Posted April 21, 2007 interesting stuff well done Link to comment Share on other sites More sharing options...
x minit uk Posted April 21, 2007 Report Share Posted April 21, 2007 A superb tutorial, its nice to see a different trade and how its done. Thanks for sharing. Link to comment Share on other sites More sharing options...
elfman Posted April 21, 2007 Report Share Posted April 21, 2007 good tutorial and there is a lot more to do when it comes back from fitting did this type of work for 16 years before taking on my shoe repair shop and there is lots more to the orthotic side that can be of interest to the forum, ie cork raise on goodyear welted shoes ,sockets on stilletto shoes/replacement of padded collers/removel of toe stiffners/balloon patches for bunnions/converting lace fastning to velcro/addingcarbon fibretoe protecters Link to comment Share on other sites More sharing options...
x minit uk Posted April 22, 2007 Report Share Posted April 22, 2007 good tutorial and there is a lot more to do when it comes back from fitting did this type of work for 16 years before taking on my shoe repair shop and there is lots more to the orthotic side that can be of interest to the forum, ie cork raise on goodyear welted shoes ,sockets on stilletto shoes/replacement of padded collers/removel of toe stiffners/balloon patches for bunnions/converting lace fastning to velcro/addingcarbon fibretoe protecters Bring it on Link to comment Share on other sites More sharing options...
Gingerbas Posted April 22, 2007 Author Report Share Posted April 22, 2007 Cheers guys. Tits we don't do many this way, about a dozen a year. Now we have plastics and pre-preg carbon fibre to make thing a lot lighter. The older patients are used to these old style and its what they prefer. Your right elfman this is just the first part, after fitting I'll post pics to a finished stage which brings it all together. Is Hugh on holiday he's always got summit to say???? A Tidy bench is a happy bench! Link to comment Share on other sites More sharing options...
Hugh-Candoit (ENG) Posted April 22, 2007 Report Share Posted April 22, 2007 No he aint on holiday just nowt to moan about Superb photos Gingerbas and an insight for normal shoe repairers into the world of surgical. Couple of questions for you. 1. What stitching machine were you using? 2. Why the hole in the knee apron then fill it in again? is the filler a softer leather that will give more easily? I thought it may have been a formed section but it looks quite flat!! what is the purpose? would it not be better to leave as a hole for the kneec ap to extend into upon flexing the knee? I ask out of curiosity. Interesting work, something I would like to get involved in but our local NHS centres dont want an old git (I applied 3 years ago when they advertised for help and would have done it for free at the time) I was involved with the Heather Mills organisation for Amputees some time ago but they wanted far too much time. Interesting though. Link to comment Share on other sites More sharing options...
Gingerbas Posted April 23, 2007 Author Report Share Posted April 23, 2007 Hey Carlos no probs you have my permission. Ah Hugh, the sewing machine was a 31k? flatbed with table and size 40 thread. As for the knee cap hole your right it was diff leather, the whole knee cap is made from a box calf leather then the kneecap from orthoside, it helps the whole knee apron conform round the knee and as the guy did have polio he needs the knee support, hope that helps. Link to comment Share on other sites More sharing options...
Hugh-Candoit (ENG) Posted April 23, 2007 Report Share Posted April 23, 2007 As suspected, thank gingerbas, is the 31k a singer machine? I dont recognise the arm!! Link to comment Share on other sites More sharing options...
Gingerbas Posted April 23, 2007 Author Report Share Posted April 23, 2007 Yes a singer 31K15, looked at it today, excellent machine stitches beautifully. Link to comment Share on other sites More sharing options...
Gingerbas Posted April 28, 2007 Author Report Share Posted April 28, 2007 Lee the door is always open, don't stay too long tho you might end up with a pair of insoles!! Any of you guys ever up im my area pop in. Link to comment Share on other sites More sharing options...
Hugh-Candoit (ENG) Posted April 28, 2007 Report Share Posted April 28, 2007 Do you have an edge guide when using that 31k or is the stitch line just by eye level, good straight stitching whatever. Link to comment Share on other sites More sharing options...
Gingerbas Posted May 3, 2007 Author Report Share Posted May 3, 2007 By eye Hugh, nothing better than an Orthotic eye Link to comment Share on other sites More sharing options...
swigle Posted February 2, 2008 Report Share Posted February 2, 2008 ALRITEE GINGER???? YOUR WEE BRO HERE.... JUST A QUICK THANKS FOR GETTING ME ON THE MOVE TO BERMUDA... JUST REMEMBER IM NEXT FOR THE JOB AT PRI.....K? HOPE ALL YOU GUYS OUT THERE WISH GEORGE ALL THE BEST IN HIS FUTURE CAREER...AND KEEP YOUR FINGERS CROSSED FOR ME....WHOS GONNA BE IN PARADISE...LOL BYEEEEEEEEEEEEEEEEE Link to comment Share on other sites More sharing options...
Hugh-Candoit (ENG) Posted February 2, 2008 Report Share Posted February 2, 2008 Just remember swigle that you have to work bloody hard to stay in Paradise. Link to comment Share on other sites More sharing options...
swigle Posted February 2, 2008 Report Share Posted February 2, 2008 yes you are right but it will be well worth it apologies to everyone for shouting earlier.... sorry newbee and all that Link to comment Share on other sites More sharing options...
Hugh-Candoit (ENG) Posted February 3, 2008 Report Share Posted February 3, 2008 Just remember that when you have Betty Swallocks all your old pals Balls will have Ice~icles on them. Brrrrrrrrr Link to comment Share on other sites More sharing options...
swigle Posted February 4, 2008 Report Share Posted February 4, 2008 Yes youre right...i never thought of that!!!!! Well done!!!!!! Now youve got me thinking......Emmmm boxers or briefs????? I know ...Bermuda shorts...theyll do.....just have to go comando im a real scotsman.....just without the kilt..... thanks again Link to comment Share on other sites More sharing options...
Gingerbas Posted February 3, 2010 Author Report Share Posted February 3, 2010 Having not been on the forum for a while, I have just noticed this thread. Sorry to say that this won't be finished. The patient sadly passed away. Sorry guys. Link to comment Share on other sites More sharing options...
Lee Posted February 3, 2010 Report Share Posted February 3, 2010 Link to comment Share on other sites More sharing options...
ironplanet uk900 Posted February 6, 2010 Report Share Posted February 6, 2010 It was an excellent effort all the same ginge. =D> Link to comment Share on other sites More sharing options...
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