Removing forefoot supinatus is crucial when treating patients with PTTD.
Scroll down to watch training video with instructions for removing forefoot supinatus when casting.
Removing Forefoot Supinatus
For all patients with adult-acquired flatfoot:
-
Patient must be casted nonweight-bearing, neutral suspension technique
-
Be sure to push down on 1st ray and remove all forefoot supinatus (this is most important when treating PTTD)
Key Points of Biomechanical Control
- Prevent internal rotation of the tibia which limits subluxation of the talonavicular joint
- Prevent abduction of the forefoot
- Preserve ankle joint motion when possible
Brace Recommendations
- Stage 1: Use foot orthoses initially, and consider the Richie Brace® Standard if treatment fails
- Stage 2: Flexible hindfoot: Richie Brace® Standard
- Stage 3: Rigid hindfoot: Richie Brace® Restricted Hinge with Medial Arch Suspender
Modifications
- 6mm medial heel skive
- Lateral flange
- For heavier patients: 4.0 poly shell material
- For enhanced stiffness: flat rearfoot post replaces standard stabilizer bar and crepe arch filler
- For severe forefoot abduction: add forefoot strap
- Stage 4 deformity: severe valgus ankle with DJD of ankle and subtalar joints:
- Richie Brace® Gauntlet or Richie Brace® California AFO
- Cast with STS midleg sock, capture height (minimum) of 7 inches
Removing forefoot supinatus is crucial when treating patients with PTTD.
Scroll down to watch training video with instructions for removing forefoot supinatus when casting.
Removing Forefoot Supinatus
For all patients with adult-acquired flatfoot:
-
Patient must be casted nonweight-bearing, neutral suspension technique
-
Be sure to push down on 1st ray and remove all forefoot supinatus (this is most important when treating PTTD)
Key Points of Biomechanical Control
-
Prevent internal rotation of the tibia which limits subluxation of the talonavicular joint
-
Prevent abduction of the forefoot
-
Preserve ankle joint motion when possible
Brace Recommendations
-
Stage 1: Use foot orthoses initially, and consider the Richie Brace® Standard if treatment fails
-
Stage 2: Flexible hindfoot: Richie Brace® Standard
-
Stage 3: Rigid hindfoot: Richie Brace® Restricted Hinge with Medial Arch Suspender
Modifications
-
6mm medial heel skive
-
Lateral flange
-
For heavier patients: 4.0 poly shell material
-
For enhanced stiffness: flat rearfoot post replaces standard stabilizer bar and crepe arch filler
-
For severe forefoot abduction: add forefoot strap
-
Stage 4 deformity: severe valgus ankle with DJD of ankle and subtalar joints:
-
Richie Brace® Gauntlet or Richie Brace® California AFO
-
Cast with STS midleg sock, capture height (minimum) of 7 inches
-
FIND A DISTRIBUTOR
All Richie Brace® products, parts and services are available to health care providers only and must be ordered through one of the authorized distributors listed below.
The Richie Brace® distributors have trained client service personnel who can help you with every aspect of Richie Brace® treatment from providing casting instructions, clinical indications as well as coding and reimbursement information.
Additionally, to gain information regarding pricing, shipping and to access order forms, please contact your preferred distributor below.
The Richie Brace® is only available in the U.S.A., Canada, Ireland, United Kingdom, Spain and Australia.
See our International distributors for outside the U.S.A.
U.S. Distributors:
Comfort Fit Labs
Roselle, New Jersey
1-888-523-1600 (NJ Headquarters)
1-888-362-2021 (Western Regional office)
www.comfortfitlabs.com
Eastern Podiatry Lab
Trenton, New Jersey
1-800-327-8763
1-609-882-4444
fax: 1-609-882-4746
EasternPodiatry@aol.com
Integrity Orthotics
Arlington, Washington
1-866-678-4652 /
1-360-435-0703
fax: 360-435-2912
www.IntegrityOrtho.com
KevinRoot Medical
Meadow Vista, CA
Toll free: 800-496-0987
hello@kevinrootmedical.com
www.kevinrootmedical.com
Marathon Orthotics
Bloomington, Minnesota
1-866-402-3668 /
1-952-881-6858
1-952-881-3185 (fax)
www.marathonortho.com
SOLO Laboratories
Kutztown, Pennsylvania
1-610-683-3008 /
1-800-765-6522
Fax: 1-610-6836427
www.sololabs.com
STJ Orthotics
Corona, CA 92879
1-800-642-4STJ (4785)
Hicksville, NY 11801
1-800-321-4STJ (4785)
www.stjorthotic.com
Order Forms: Order forms must be obtained from any of our authorized distributors. All casts and order forms must be submitted to an authorized distributor.
Price List: Pricing for all Richie Brace® models are provided to practitioners only and can be obtained by contacting a lab distributor below. Patients can learn about cost and insurance reimbursement for the Richie Brace® by contacting their doctor.
Replacement Parts and Brace Refurbishments: Are provided to all health care providers by our lab distributors. We do not sell parts to patients. Patients with existing braces are encouraged to see their original dispensing health care provider to obtain these products and services.
CANADA
Paris Orthotics
3630 1st Ave E
Vancouver, BC
VM 1C3
Tel: 1.800.848.0838
Fax: 1.855.381.2157
www.parisorthotics.com
UK
Firefly Orthoses
Markievicz Road
Sligo Ireland
P: 00353 71 91 49494
F: 00353 71 91 14299
www.firefly.ie
Spain
Laboratorio Ortesis
Funcionales Cortés & Durán
Plaza Malteros 1 local 6 28350
Ciempozuelos Madrid Spain
phone: +34 91 893 29 69
josemanuel@ortesisfuncionales.com
Australia
Queensland Orthotic Laboratory
1/10 Christine Place, Capalaba QLD 4157
Phone 07 38231531
Fax 07 38231530
E-Mail: qoladmin@qol4feet.com.au
www.qol4feet.com.au
16 ELITE DISRIBUTORS
After 25 years, 16 of the best orthotics companies in the nation share and support the Richie Brace®. Why? They recognize the best product for their customers.
All Richie Brace® products, parts and services are available to health care providers only and must be ordered through one of the authorized distributors listed below.
The Richie Brace® distributors have trained client service personnel who can help you with every aspect of Richie Brace® treatment from providing casting instructions, clinical indications as well as coding and reimbursement information.
Additionally, to gain information regarding pricing, shipping and to access order forms, please contact your preferred distributor below.
The Richie Brace® is only available in the U.S.A., Canada, Ireland, United Kingdom, Spain and Australia.
See our International distributors for outside the U.S.A.
U.S. Distributors:
Comfort Fit Labs
Roselle, New Jersey
1-888-523-1600 (NJ Headquarters)
1-888-362-2021 (Western Regional office)
www.comfortfitlabs.com
Eastern Podiatry Lab
Trenton, New Jersey
1-800-327-8763
1-609-882-4444
fax: 1-609-882-4746
EasternPodiatry@aol.com
Integrity Orthotics
39-28 Crescent Street
Long Island City, NY 11101
1-800-301-8275
fastorthotics@hersco.com
KevinRoot Medical
Meadow Vista, CA
Toll free: 800-496-0987
hello@kevinrootmedical.com
www.kevinrootmedical.com
Marathon Orthotics
Bloomington, Minnesota
1-866-402-3668 /
1-952-881-6858
1-952-881-3185 (fax)
www.marathonortho.com
SOLO Laboratories
Kutztown, Pennsylvania
1-610-683-3008 /
1-800-765-6522
Fax: 1-610-6836427
www.sololabs.com
STJ Orthotics
Corona, CA 92879
1-800-642-4STJ (4785)
Hicksville, NY 11801
1-800-321-4STJ (4785)
www.stjorthotic.com
Order Forms: Order forms must be obtained from any of our authorized distributors. All casts and order forms must be submitted to an authorized distributor.
Price List: Pricing for all Richie Brace® models are provided to practitioners only and can be obtained by contacting a lab distributor below. Patients can learn about cost and insurance reimbursement for the Richie Brace® by contacting their doctor.
Replacement Parts and Brace Refurbishments: Are provided to all health care providers by our lab distributors. We do not sell parts to patients. Patients with existing braces are encouraged to see their original dispensing health care provider to obtain these products and services.
International Distributors:
CANADA
Paris Orthotics
3630 1st Ave E
Vancouver, BC
VM 1C3
Tel: 1.800.848.0838
Fax: 1.855.381.2157
www.parisorthotics.com
UK
Firefly Orthoses
Markievicz Road
Sligo Ireland
P: 00353 71 91 49494
F: 00353 71 91 14299
www.firefly.ie
Spain
Laboratorio Ortesis
Funcionales Cortés & Durán
Plaza Malteros 1 local 6 28350
Ciempozuelos Madrid Spain
phone: +34 91 893 29 69
josemanuel@ortesisfuncionales.com
Australia
Queensland Orthotic Laboratory
1/10 Christine Place, Capalaba QLD 4157
Phone 07 38231531
Fax 07 38231530
E-Mail: qoladmin@qol4feet.com.au
www.qol4feet.com.au