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KAFO Tutorial


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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.

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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.

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Then the ortholen is draped round the calf and ankle section.

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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.

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These are bent using bending irons to the required shape.

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once these are bent to the cast, they are checked for alignment.

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now the steels are marked and drilled for fixing.

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this is done to the other side and fixed to cast and alignment is cheked again.74_PICT0083_1.jpg

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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.74_PICT0089_1.jpg

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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.

 

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Splendid Gingerbas, very thanks :D

 

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! :lol:

 

Health to this forum! :wink:

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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

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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

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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 :lol:

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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!

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No he aint on holiday just nowt to moan about :lol:

 

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.

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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.

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  • 8 months later...

:D 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

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  • 1 year later...

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