tc flex
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After years of fabricating some of the industry’s highest quality pediatric total contact foot orthoses, Orthomerica’s TC Flex System now includes many options in one base price, making it easier for you to select the product without having to add and pay for extra features. TC Flex custom AFOs come completely equipped with transfer patterns on straps and orthosis, felt pads, non-skid bottoms, heel post, tone reducing modifications & toe pads as well as our double density tongue design for added comfort. Experience the increasing benefits of a Total Contact, Total Control- TC Flex orthosis. A valuable addition to TC Flex™ AFOs… the new Molded Inner Boot (MIB). Compared to normal liners, the MIB offers more comfort and strength. Softness and intimate fit are not compromised for durability in this flexible design. The MIB is nearly indestructible and almost impossible to tear. Take the challenge and consider including a MIB with your patient’s next AFO. TC Flex Orthoses are separated into four categories to assist with differentiating each orthosis and understanding the recommended use. Group 1 Hind-foot control consists of orthoses that control the hind-foot and mid-foot position to provide a stable base of support. Group 2 Sagittal control contains orthoses that have varying levels of dorsiflexion and plantarflexion control without the use of articulating joints. Two of the designs in this group are two-part (combo) orthoses. Group 3 Articulated orthoses provide free dorsiflexion with limited or blocked plantarflexion through the use of hinges and plantarflexion stops. Group 4 Reactors consist of orthoses with the potential to block dorsiflexion or provide precise range of motion for both dorsiflexion and plantarflexion. Orthoses include solid, articulated, and adjustable styles. Supra Malleolar Orthosis (SMO) Recommended for: • Significant forefoot, mid-foot, and subtalar instability • Global foot deviations due to low or high tone • Foot deviations that interfere with stance and balance • Young children with significant foot instability that need free dorsiflexion and plantarflexion for crawling, pulling to stand, and squatting Not recommended for: • Knee flexion or extension instability • Persistent toe walking Group 2: Sagittal Control Orthoses Leaf Spring Recommended for: • Assisting dorsiflexion without completely limiting plantarflexion • Clearance in swing and positioning of the foot for heel strike • Stabilizing the foot and ankle without locking out all motion • Severe pronation that cannot be managed with an SMO alone • Weakness in both sagittal and coronal planes Not recommended for: • Knee flexion or extension instability Leaf Spring-Combo Group 1: Hindfoot Control Orthoses Sub-Mo Open Recommended for: • Correctable subtalar instability • Excessive pronation secondary to muscle laxity • Bony or sensitive feet requiring a soft interface to cushion bony prominences Not recommended for: • Severe mid-foot instability Sub-Mo Wrap Recommended for: • Correctable, subtalar and mid-foot deviations • Excessive pronation secondary to muscle laxity • Pre-walkers and new walkers needing precise foot alignment to improve balance and functional skills Not recommended for: • Patients needing more proximal control to correct alignment Recommended for: • Resistance to plantarflexion with flexible dorsiflexion • Mild hyperextension of the knee • Toe walking Not recommended for: • Strong knee hyperextension • Resisting dorsiflexion and/or reducing knee flexion Plantar Blocker Recommended for: • Restriction of plantarflexion (or dorsiflexion and plantarflexion when tibial strap is used) • Knee hyperextension secondary to excessive plantarflexion • Toe walking • Transfers for non-ambulatory patients when used with a proximal strap Not recommended for: • Patients who benefit from having more sagittal plane flexibility • Patients with knee flexion instability (when proximal strap is removed) Orthomerica Products, Inc. tel: 800-446-6770 fax:

Full Blocker Combo Articulating Combo Recommended for: • Weakness in dorsiflexors and plantarflexors with need for definitive foot alignment • Post-operative positioning to balance and stabilize foot/ankle complex • Pain in foot and ankle with motion • Patients in transition between SMO and AFO • AFO use during the day with SMO used after school • Daytime use of SMO portion alone with Combo used for stretching at night Recommended for: • Dorsiflexion weakness with mid-foot deviations and no knee flexion instability • Toe walking • Knee hyperextension due to plantarflexion Not recommended...

STAR Family of Cranial Remolding Orthoses The STAR Family of Cranial Remolding Orthoses has been used to treat positional Plagiocephaly, Brachycephaly, Scaphocephaly and other head shape deformities in infants 3-18 months of age since 2000. Over 150,000 infants have been successfully treated with the STARband®, the first cranial remolding orthosis with FDA clearance available to O&P practitioners across the United States and around the globe. And now, Orthomerica has received FDA clearance for the STAR Family of Cranial Remolding Orthoses for post-operative Craniosynostosis. Side-Opening...

STARlight™ PRO •• Designed in cooperation with renowned physicians, Dr. Jimenez and Dr. Barone specifically for post-operative endoscopic craniectomy cranial remolding orthosis therapy •• STARlight PRO design is in direct response to their style of surgery, protocols and procedures •• A series of STARlight PROs are used for a period of 18 months immediately following surgery •• The STARlight PRO has been tested and proven to work for the last 10 years •• Orthomerica received 510k for STARlight PRO designs in July 2009 •• 6 specific orthoses pad configurations available depending on suture...