Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Blounts/tibia vara -- orthotic

Discussion in 'Biomechanics, Sports and Foot orthoses' started by @OrthoticsLondon, Jul 5, 2012.

  1. @OrthoticsLondon

    @OrthoticsLondon Welcome New Poster

    Members do not see these Ads. Sign Up.

    Anyone with any experience or suggestions?

    21 y.o. gentleman STJ over pronation,with tibia vara - slight (EM<10) but c/o knee pain when running (for football) and some new bony growth at the ankle as a result of the off centre angle.

    Also noticed a forefoot varus which makes this gentleman's STJ pronation even more extreme as he tries to get the 1st MPJ plantargrade

    I am considering either altering the scan of his foot 'straight up' in neutral with a whole foot medial posting (ie. the eversion angle in Amfit correct and confirm) -- but am wondering if there is perhaps an even more effective method of scanning with the foot at an angle, but the the knee in 'neutral'

    This pt has had orthotics before from another practitioner who had not taken account of blouts/T. vara at all and had taken a sponge cast of the foot in neutral and then produced from that with no alteration -- obv he was not able to use these as they were painful


    Optimotion Camden
    London NW1

    Last edited: Jul 5, 2012
  2. Admin2

    Admin2 Administrator Staff Member

  3. Sally Smillie

    Sally Smillie Active Member

    My personal experience of Amfit, and any milled device really, is a limited amount of correction. you really can't get up into the upper eschalons of correction. But I'd be interested to see what you end up doing and how it works.
  4. @OrthoticsLondon

    @OrthoticsLondon Welcome New Poster

    I will update the thread with how this one goes -- I'm going to see the patient again on thursday and will try a scan in 'final position' as in the OP, and then decide whether to mill from the original scan with eversion angle added, or the new one. Instintively I think the new one will do the job a bit better. Either way will update the thread.
  5. efuller

    efuller MVP

    In your first post you mentioned adding a medial posting which does make sense to me. However, in your second post you said eversion angle added. By eversion angle are you talking about an eversion wedge over the AMFIT pins when you scan? This seems as it would be the opposite of what you said the first time.

    With high degree of tibial varum there is an increased liklihood that the medial forefoot can't fully weigth bear. Bring the ground up to the foot.

  6. @OrthoticsLondon

    @OrthoticsLondon Welcome New Poster

    I wasn't clear enough esp in the second post -- using the word eversion to describe the name of the function in the AMFIT correct & confirm software for adding a medial wedge whole foot..

    Its a peculiarity of the programme that the function is named eversion...because the image is being shifted that way I suppose, wasn't using it in the general way we use the term.

    Obv intend to bring up the medial side, I added self adhesive felt to the manufacturer's insert in his trainers at the first visit as a temp quick fix, and he reports its doing its job

    I'm not completely decided between using this function to add a whole foot medial wedge, or scanning with foot at an angle, (i.e. the EM..) would be really interested if anyone has tried this.. it would not be possible with paster casting but with CAD/CAM it is
    Last edited: Jul 10, 2012

Share This Page