Orthotics & Prosthetics

The need for a prosthetic or orthotic device may arise from a traumatic injury, congenital condition or disabling illness.  We’ve helped individuals with cerebral palsy, multiple sclerosis, muscular dystrophy, spina bifida and scoliosis, as well as those with spinal cord injuries or amputations.  We specialize in providing customized solutions for patients of all ages.
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Orthotics

Head & Neck

We provide pediatric custom cranial remolding helmets, adult and pediatric protective helmets, and various soft and rigid cervical collars for neck support and immobilization.

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SHOULDER

AOPI provides devices for shoulder support and immobilization, including: standard slings/immobilizers, GIVmohr sling (primarily used with stroke patients), fracture orthosis and post-op devices (i.e., Gunslinger).

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ELBOW

Very few devices address isolated elbow issues. Elbow immobilizers maintain arm extension (usually worn at night) and post-op adjustable Ossur elbow orthosis (allows variable ROM/restriction per MD orders).

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HAND/WRIST

The most common devices we use are off-the-shelf standard resting hand splints, thumb spicas and carpal tunnel wrist splints to maintain optimal neutral hand and wrist positioning. We also custom fabricate orthoses as needed.

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SPINE

We supply off-the-shelf and custom spinal braces for scoliosis, traumatic injuries, fractures and pain. AOPI is a supplier of Boston custom braces, Aspen OTS braces, Orthomerica, Deroyal and Trulife.

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HIP/PELVIS-THIGH

AOPI supplies off-the-shelf and custom sized hip abduction orthosis through Orthomerica. We also provide Hip Knee Ankle Foot Orthotics (HKAFO) and reciprocating gait orthoses.

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KNEE

Many different knee braces exist on the market today. We provide off-the-shelf and custom knee orthoses for traumatic injuries, arthritis and post-op devices (See Ossur Unloader). AOPI fabricates custom Knee Ankle Foot Orthosis (KAFO) to assist patients with knee and ankle problems.

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ANKLE

We offer several types of lace up ankle braces, CAM boots, night splints and Carbon-Fiber AFO’s (Allard Toe-Off). Additionally, we can custom fabricate plastic and metal AFO’s, CROW walkers, AZ AFO’s and Richie braces.

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FOOT

AOPI supplies diabetic shoes and inserts based on a prescription. Brands include: PW Minor, Drew, New Balance, Brooks and other brands through DavMar. Additionally, we provide off-the-shelf and custom foot orthotics, UCBL’s, surgical/offloading shoes and SMO’s. Dennis Brown Bars with shoes or Ponsetti devices are used specifically for pediatrics.

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Prosthetics

SHOULDER
DISARTICULATION

Amputation of entire arm at the glenohumeral joint. Patients with this type of amputation typically use a cosmetic device; however, a functional prosthesis also is available.

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TRANSHUMERAL/ABOVE
ELBOW AMPUTATION

Amputation of the arm through the humerus. The most popular options are a myoelectric prosthesis with harness, electric elbow and/or hands, or a conventional body-powered device with harness, locking elbow and hook/hand component.

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TRANSRADIAL/BELOW
ELBOW AMPUTATION

Amputation of the forearm through the ulna and radius. Options are similar to an above elbow amputee, with both myoelectric and conventional systems. A harness is required for a conventional below elbow prosthesis, but is not necessarily required with a myoelectric prosthesis due to the ability to maintain suspension on the bony anatomy of the elbow.

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PARTIAL HAND/FINGER
AMPUTATION

At this level, cosmetics are usually preferred over function. Options are being developed for individual digit prosthetics; however, the socket/attachment apparatus for battery supply is usually bulky. Silicone fingers can be functional for typing and gripping light to moderate weight objects.

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HIP DISARTICULATION

Amputation of the entire leg from the hip. Patients at this level can be ambulatory and require special socket designs to encompass the entire pelvis for support.

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TRANSFEMORAL/ABOVE
KNEE AMPUTATION

Amputation of the leg through the femur bone. Many options are avail-able for prosthetic design, including suction, kiss strap and pin locking suspensions. Above knee amputees require a knee component; it can be mechanical or microprocessor. Currently, prosthetic feet are made of carbon fiber and provide more energy return allowing participation in higher impact activities.

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KNEE DISARTICULATION

Amputation is through the knee between the femoral and tibial condyles. This type of amputation is beneficial because it may allow weight bearing through the distal end of the limb. Due to the long length of the limb, knee component selection may be more limited than with a higher level above knee amputation.

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TRANSTIBIAL/BELOW
KNEE AMPUTATION

Amputation of the lower leg through the tibia and fibula. Many options are available for prosthetic design at this level. The three most common are cushion liner with sleeve, pin locking and suction systems. There are numerous options for prosthetic carbon fiber feet, and these allow many below knee amputees to maintain active lifestyles, including running and playing golf!

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ANKLE DISARTICULATION/
SYMES

Amputation of most or all of the foot. The long length of the residual limb may limit foot component selection, but will usually increase stability.

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PARTIAL FOOT
AMPUTATION

Amputation of one or more of the toes and/or tarsal (foot) bones. People with amputation at this level may use a special, customized foot insert to maintain alignment of the toes and a carbon foot plate to increase balance and provide energy return/spring.

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