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Cons / Contraindications Recurvatum or unstable knee. Knee extension moment compromised with external foot rotation in excess of 25 degrees. Presence of knee flexion contractures exceeding 15 degrees. Must be able to get ankle to neutral or slight plantar flexion.
Clinical Indications: Multiple Sclerosis, Mild knee instability, Severe ankle-foot deformities.
What is KAFO? A knee-ankle-foot orthosis is an entire leg brace customized to the specific needs of an individual. It spans the length of the knee, ankle and foot in an effort to support the muscles, stabilize the joints and assist safe ambulation.
A KAFO is a long-leg orthosis that spans the knee, the ankle, and the foot in an effort to stabilize the joints and assist the muscles of the leg. While there are several common indications for such an Orthosis, muscle weakness and paralysis of the leg are the ones most frequently identified.
General information. The term KAFO is an acronym that stands for knee ankle foot orthosis and describes the part of the body that the device encompasses. The orthosis extends from the thigh to the foot and is generally used to control instabilities in the lower limb by maintaining alignment and controlling motion.
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Clinical indications for a KAFO include instability of the knee and ankle, quadriceps weakness or absence, hyperextension of the knee, varus or valgus deformity correction in children, and paralysis of one or both legs.
Contraindications include knee and/or hip flexion contracture greater than 20 degrees and non-reducible, moderate to severe spasticity and hip abductor strength less than grade 3 (measured on a 05 scale, with 0 representing no muscle contraction and 5 representing typical strength).

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