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THE RICHIE BRACE

A Unique, Custom Ankle Foot Orthosis for Extraordinary Control of the Ankle and Hind Foot.

The Richie Brace is a custom ankle foot orthosis designed to treat chronic conditions of the foot and ankle, Introduced to the medical community in 1996, The Richie Brace has revolutionized the non-operative approach to the most challenging pathologies treated by the foot and ankle specialist.

With a contoured balanced orthotic footplate articulated to adjustable semi-rigid lower leg uprights, The Richie Brace is ideally suited to stabilize rotational forces at the Midtarsal, Subtalar and Talo-Crural Joints. Modifications and enhancements are available to add further restriction of motion in the sagital, frontal or transverse plane.

The Richie Brace is fabricated from an impression cast taken of the patient's foot and lower leg. This custom ankle-foot-orthosis is reimburseable by Medicare and most third-party payors. Information on casting, coding and reimbursement information is available.

Clinical Indications:

  •  Adult Acquired Flatfoot secondary to PTTD

  •  Lateral Ankle Instability

  •  DJD of Ankle or Rearfoot

  •  Peroneal Tendinopathy

  •  Dropfoot (Restricted Pivot or Dynamic Assist options).

Richie Brace Features and Benefits:

  •  Custom Orthotic Footplate: Intrinsic Posting of forefoot varus/valgus, contoured medial and lateral arches, optimal position of first ray

  •  35 millimeter Contoured Heel Cup: Frontal plane control of calcaneus

  •  Anatomic Ankle Hinge Placement: Pure, unrestricted saggital plane ankle motion for performance and comfort

  •  Semi-rigid Lower Limb Supports: Aligned to provide maximum control of internal/external rotation of the tibia and inversion/eversion of the ankle

  •  Adjustable Limb Support Straps: User friendly with minimal bulk around limb supports

*The Richie Brace requires a negative impression cast utilizing either plaster splints or the STS Casting Sock. Neutral suspension technique is recommended while plantarflexing the first Ray.

Casting Instructions :

Step 1

Foot held 90 degrees dorsiflexed. Outline lateral malleolus. Make large dot at distal (tip) of malleolus.

Outline medial malleolus. Make large dot at distal-bisection (tip) of malleolus.
Step 2

Apply plaster: Splint#1 Folded around back of ankle & heel, around malleolus leave front of ankle uncovered.

Splint#2

Place around heel & rear foot.

Splint#3

Place over tips of toes and cover plantar forefoot.

Step 3

Position foot: Grip 4th & 5th toes. Lift foot load midtarsal joint. Position Subtalar joint in neutral. Push down gently on top of 1st metatarsal.

Step 4

Remove cast: Expand anterior ankle and dorsal foot portions of cast. Pull off cast in distal plantar direction.

Check cast to assure transfer of skin markings. Do not ship cast until plaster is fully dry and cured (at least 8 hours after casting).

*Neutral Suspension – Plaster Technique
Patient Positioning: Supine, knee flexed 20°-30°
Plaster Requirements: 3 splints, 5”x30”
(folded to double thickness 5”x15”)

*NOTE: Use felt pen, this is critically important to allow accurate placement of anatomic ankle hinge axis as well as proper length of foot orthotic component.


SUPPINATUS
Forefoot “Suppinatus” must be removed when casting for the Richie Brace®.
Push down gently on top of 1st Met head:

Soft tissue contracture (compensation), resulting from everted heel/inverted forefoot is easily reduced by plantar flexing the First Ray.
 

Note that “False Forefoot Varus” Has been eliminated in the corrected cast on the right.
 

Corrected cast is shown on the right, uncorrected cast on the left. Cast on the right actually produces a better arch contour, comfort and fit of the Richie Brace® orthotic foot plate.

Precision Orthotic Laboratory of New Jersey

Tel: (856)848-6226 International: 001-856-848-1651  Fax:(856)848-7944  e-mail: info@precisionorthotic.com  

Copyright © 2004 Precision Orthotic Lab International. All rights reserved.