Pictured above: Custom fabricated AFOs: Left to Right: Moore Balance Brace, Arizona Brace, Mezzo SMO, Custom Fabricated Richie Brace (Free ROM) Indications for Custom Ankle Foot Orthosis: (Most be documented in chart/clinical notes) 1) Duration of use is 6 months or greater; OR 2) Cannot fit into off the shelf or prefabricated AFO; OR 3) Instability documented in the knee, ankle, or foot in greater than one plane; OR 4) Documented neurological, circulatory or orthopedic status that requires custom fabrication to prevent soft tissue injury; OR 5) Documented healing fracture that lacks anatomical integrity or anthropogenic proportions.
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