The History Successful treatment of the diabetic foot ulcer depends on many medical variables. One thing that remains constant    he pressure, trauma, or deformity —t that caused the wound must be corrected and relieved. When the patient with Diabetic Peripheral Neuropathy exhibits gait deviations due to ankle instability, foot deformity or contracture, repeated micro trauma may cause ulceration to a particular part of the foot. Contractures of the achilles tendon can often lead to midfoot, forefoot, or digital ulcers. Likewise, ankle instability or a lax achilles tendon can contribute to heel ulceration in the insensate limb. Most diabetic ulcers are secondary to an orthopedic anomaly and neuropathic foot. Healing success and healing time depend on medical factors such as a patient’s general health, controlled A1C, vascular health, and weight, to mention just a few. Maximal correction and unloading of the anomaly is imperative for the fastest possible positive outcome. In 2005, Jeff Miller C.O. began providing orthotic care to what became a large segment of the diabetic population in Hartford, Connecticut. The attending surgeon challenged his staff to develop an orthotic program that would complement the ongoing wound therapies and post-operative care correcting the orthopedic anomaly that caused the wounds. “I have successfully incorporated the OWLS program into my diabetic wound practice as a viable alternative to total contact casting in patients with plantar heel and forefoot ulcers. The custom orthoses reduce shear forces to the foot while stabilizing the foot and ankle complex and reducing pressure to the affected site.” — Larry A. Suecof, DPM, FACFAS, CWS THE GOAL: To keep our patient population ambulatory while stabilizing the foot and ankle and supporting or correcting the limb to promote all of the health benefits associated with mobility. The OWLS™ Program is a culmination of ten + years of clinical orthotic development    ccommodating diabetic —a ulcers classified Wagner 1-4 with custom orthoses while correcting and stabilizing the ankle complex. As a Wound Center team member, Jeff had the opportunity to develop close professional relationships with the other team members including Podiatric, Vascular, and Plastic Surgeons. Not only is wound care interesting and rewarding, it is an effective way to network your Practice! Orthotic care is a very important component of a comprehensive wound care/limb salvage program. Any questions or inquiries regarding any of the Custom Orthoses or our treatment plans can be directed to Jeff Miller C.O., Clinical Services Manager. (877) 737-8444 x207

Carbon Laminate Alignment Walker Our inspiration in developing the CLAW Technology was to provide the patient with an alignable, dynamic rocker system to increase stability while standing, with a smooth and controllable heel compression and a dynamic toe rocker action. The practitioner also benefits when using the triplanar adjustments to dynamic align the dynamic rocker, as it is done without time consuming and messy grinding. The CLAW System allows • Up to 6° (plus or minus 3°each direction) dorsi- and plantar-flexion • Up to 6° (plus or minus 3°each direction) tilt (inversion/eversion) • Unlimited...

Charcot Orthosis Fowls' Know Better Orthoses" Custom to Cast or Scan from all industry standard file formats. Features: Liner made from W aliplast foam. Outer shell constructed of polypropylene for maximum control of the foot and ankle complex. Molded copolymer anterior internal shell to limit shear forces and lock the leg in securely. Tri-laminated foot bed consisting of two densities EVA and one layer of P-Cell® to help protect the foot during treatment. INDICATIONS Used for the prevention and management of pressure ulcers caused by ischemia, direct trauma and/or repetitive stress often found...

Heel or Forefoot Relief Custom to Cast or Scan from all industry standard file formats. Features: Liner made from ¼” aliplast foam, outer shell constructed of polypropylene for maximum control of the foot and ankle complex. Molded anterior internal shell to limit shear forces and lock the leg in securely. Tri-laminated foot bed consisting of two densities EVA and one layer of P-Cell® to help protect the foot during treatment. The forefoot design may be constructed as a solid ankle or with articulated ankle and plantar-flexion stop in patients where ankle motion is desirable. INDICATIONS • Any...

WHO™ Midfoot/ Walking AFO Custom to Cast or Scan from all industry standard file formats. Features: Liner made from ¼” aliplast foam. Outer shell constructed of polypropylene for maximum control of the foot and ankle complex. Molded anterior internal shell to limit shear forces and lock the leg in securely. Tri-laminated foot bed consisting of two densities EVA and one layer of P-Cell® to help protect the foot during treatment. The foot bed may be designed to provide wound relief at the midfoot or forefoot. An outer sole has a rocker at the forefoot to provide transition to toe off during ambulation....

Chopart/Lisfranc Relief Custom to Cast or Scan from all industry standard file formats. Features: Liner made from ¼” aliplast foam. Outer shell constructed of polypropylene for maximum control of the ankle and amputated site. Molded anterior internal shell to limit shear forces and lock the leg in securely. Trilaminated distal end pad with an extra 3/16” P-Cell® cushions amputation site during ambulation. INDICATIONS • Immediate post Chopart or Lisfranc amputation • Protection of amputation site during ambulation • Delayed closure at amputation site • Relief for ulcer/wound as a result of post...

ADOFowls'Know Better Orthoses" Advanced Diabetic Orthosis Custom to measurements. Features: Inner lining made from soft foam to help protect the skin. Outer liner constructed of firm EVA to maintain shape while accommodating volume changes of the leg. Rigid posterior shell constructed to allow full heel relief in every plane while maintaining the ankle angle at 90°. The extended foot section extends beyond the toes to help protect the toes from ulceration. ADO has a non-skid sole to allow patients to ambulate short distances in the home. INDICATIONS • Wagner 1+ ulceration of the heel. (Can be...