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Post by calipermn on Apr 21, 2021 10:14:35 GMT
There have been a number of comments on patten ended braces. The attached picture, from the web may be of interest. he clearly has not knee hinges so cannot been his leg. Hope I have managed the attachment process Attachments:
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Post by castmenow on Apr 21, 2021 10:35:29 GMT
His braced leg is clearly thinner so I would expect this photo to have been taken a good while after he started wearing the brace for the leg to atrophy from under use.
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Post by calipermn on Apr 22, 2021 13:12:40 GMT
Muscle wastage must have been a problem when wearing a patten ended brace. Found another picture of a lad playing cricket whilst wearing one. Attachments:
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Post by rowland on Apr 22, 2021 13:48:04 GMT
Glad to see this lad is playing cricket as the boy I remember seeing years ago was kicking a football around on a car-park. Perhaps the one on crutches was new to his.
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Post by deejay on Apr 22, 2021 20:00:53 GMT
It could be just that his foot is pointing down (as you would probably expect) but his left leg looks shorter than the right, although his knees look about level. Would still very much like to get a set of these braces.
Not sure if I have said this before, but I remember finding a book in the library which showed this type of brace. It said that the user must be instructed not to wedge books or anything under the boot to take the weight.
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Post by calipermn on Apr 23, 2021 18:03:43 GMT
Deejay. Looked at the original, albeit low-res, scan. Yes his right foot does seem to be drooping, but even then his right heel seems lower than his left heel so maybe his legs were different lengths. There was mention of seeing a lad with a patten ended brace playing football in a car park. If you put martin perthes into google thereis a video of a lad like that kicking a football about on a promenade
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Post by calipermn on May 7, 2021 15:03:56 GMT
Have found another picture of a patten ended brace. Lad climbing a ladder at an American summer camp onto a hay ride. Cannot have been easy. I note he is using his braced foot. The built up boot looks different with no continuous sole so must have been awkward using it on the ladder rungs. Note he his also carrying his crutch. Maybe getting down would be more difficult
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Post by rowland on May 7, 2021 16:46:31 GMT
NB Yes, he is using his braced boot to climb with, not his patten. His KAFO has no hinges at the knee. I hope he didn't need this arrangement into adult life. Is there are a "rule of thumb" for a safe limit to the height of a build-up? At what point would a supporting AFO be advisable to prevent the boot and foot toppling sideways? Thanks for an this interesting picture.
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rk52
Junior Member
Posts: 79
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Post by rk52 on May 8, 2021 9:26:09 GMT
I'd have thought putting his weight on his braced boot would rather negate the purpose of the brace and possibly not do him any good?
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Post by calipermn on May 8, 2021 15:44:44 GMT
You are right. I am sure putting weight on his braced leg would not be good for him, but probably the odd occasion did not matter much. His brace looks well worn so guess he has worn it for a good while and no doubt got used to using it. Another picture shows the lad second from left also wearing a patten ended brace and with the rather unusual built up boot with two 'pillars' and no continuous sole. Would this be to reduce weight? Lad on right with leg in a sling.
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rk52
Junior Member
Posts: 79
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Post by rk52 on May 8, 2021 17:23:18 GMT
It could be I guess, but it looks awkward and might lead to trips on uneven ground? The patten ended brace is intended to transfer weight to the body thus reducing pressure on the hip, as I understand it. Maybe it doesn’t hurt much to put weight on the foot and it would enable him to feel the ladder rungs making it easier to climb it.
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Post by dickie1brace on May 11, 2021 16:14:38 GMT
Is the picture of the 4 boys genuine? Looking at the one on the extreme left the cuff(?) below the knee looks too dark compared to the other tones in the picture. Also, the boy to his right with the build-up and Patten brace appears to have very black shoes. If the picture's provenance is known then fair enough - I'll stand corrected.
Re the lack of continuous sole under the build-up - I'm told this was common with high build ups and was to allow a certain amount of flexing (as one would get with a normal sole) allowing the toes to push off during walking. From memory, split soles were more common than continuous ones.
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Post by calipermn on May 11, 2021 18:05:49 GMT
Dickie. The picture is from the internet. I did put it through photoshop, at which I am not very good, to sharpen and lighten a little, but have no resaon to think it is not genuine
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Post by dickie1brace on May 12, 2021 16:07:38 GMT
Fair enough.
Possibly what added to my suspicion was that there were 3 different types of corrective orthotics shown in the same picture. Presumably the location was some sort of orthopaedic hospital?
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rk52
Junior Member
Posts: 79
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Post by rk52 on May 13, 2021 8:35:09 GMT
It may have been a "special school" for youngsters who back then were called "physically handicapped" and rarely went to ordinary schools. There was one such school where I grew up in the 60s but it was surrounded by a very thick and high hedge so I never saw any of the pupils!
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