Richie Brace with Restricted Hinge Pivot

In this series, we asked SOLO clinical specialists Sharon Smith, CPed and Heidi Schroeder to provide insight into selecting the best braces for your patients.

Richie Brace StandardWhat are the most common clinical indications for the Richie Brace Standard with Restricted Hinge Pivot?

  • Severe Posterior Tibial Tendon Dysfunction (PTTD)
  • Degenerative arthritis of the hindfoot
  • Mild drop foot

How does the Richie Brace Standard work to help these conditions?

The orthotic footplate is generally balanced to align the subtalar joint in neutral position, the midtarsal joint locked and pronated and the first ray in a neutral to plantarflexed position. The orthotic plate conforms to user’s foot to encourage optimal positioning and redirection of ground reaction forces.

Tibial rotation is controlled in the rearfoot and is directly coupled to the talonavicular joint and the subtalar joint.

Pronation (internal rotation) and inversion ankle sprain (external rotation) are controlled by reducing tibial rotation on the foot.

What extra benefit does the restricted hinge pivot modification offer patients with these conditions?

The restricted ankle pivot option provides a more rigid ankle articulation that restricts ankle dorsiflexion and plantarflexion to a range of under five degrees. This allows a smooth contact during the mid-stance phase of the gait.



Source:  Richie Brace

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