Microprocessor Knees (MPK’s). Indications for MPK Define users.

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Presentation transcript:

Microprocessor Knees (MPK’s)

Indications for MPK Define users

Contraindications Define non users

Insurance issues Must start as K2? Why insurance requires evidence? PAYMENT/COST vs Benefit LCD’s dme/policies/lcd/active/lower-limb- prostheses

Differences in MPK C-leg vs RHEO vs Orion vs Plie vs …. Which is best? Hydraulic or RHEOLOGIC

Alignment based considerations Length Flexion cx Hip flexors/extensors Transverse pelvic rotation

Other componentry based decisions Feet Torsion Rotation Suspension

Training For Optimal Outcomes Prosthetist/PT collaboration Interdisciplinary team required for fitting

Programming and Training What must a patient be able to do before fitting from PT standpoint Weight-bearing through stance Adaptive equipment Adjustment phases week 1-4

Programming and training con’t Stance flexion!!!! Week 5-8 Adjustments…….. Computer vs mechanical

Maintenance Service intervals, issues with MPKS

Outcomes, outcomes, outcomes How can a k2 patient benefit? Why MPK vs SNS Functional testing Charts/graphs/studies

Patient testimonials What my patients tell me…

When to call the prosthetist Issues that can occur Safety!!! Therapy related or mechanical/programming related? The prosthetist should be at appointments with laptop when able

TO MPK or NOT to MPK K4 population Transitional K2 patients Runners SNF patients

The Future Of MPKS Bionic knees? What is a bionic knee Will the price keep rising? What do military personnel wear?

Questions ?