Thank you all for responding to my original question about available
components for a Transtibial scuba diving leg. Here are the responses I received.
I have had good results with the endoflex system, a one piece co-polymer bk
Also the monolithic system, a one piece laminated bk system. As far as
ankles go... good luck. Aside from the ones you mentioned I don,t know of
anything ...other than a custom type of adapter.
the monolithic is from Foresee and the endoflex is from, I believe,
I was interested in doing that for some of my patients using the Rampro
Ultimately, they decided it was more of a problem than a help. Not because
of the ankle but because of the forces on the residuum.
I considered adding a knee brace to distribute the forces up to the thigh,
but ultimately he thought it was all too much of a hassle and could swim
fine without any prosthesis.
Of course, this was for boat dives where he didn't have to wade in or out
from the shore.
I have had very good luck with the Rampro ankle. Mike Ross, who
runs/owns Rampro is a (B) TTA himself and spends lots of time in the
water. I find that his components are well built and very serviceable.
His web site (www.rampro.net) offers excellent advice and supplier
reference for putting together the entire waterproof prosthesis. I have
not used the Ortho-Europe component. Email me info if you have it.
we have a patient who used a single axis locking knee as an ankle
with a posterior check strap that would be a dorsi stop but allow some
motion. Good luck.
Shriner's Hospitals for Children
950 West Faris Road
Greenville, SC 29605
[log in to unmask] (mailto:[log in to unmask])
Jake - Also consider a Ferrier coupler to remove the foot and fabricate an
extended "foot" with a scuba fin attached.
I have used the RAMPRO Active Ankle about six or seven times over the last
ten years and I have had no negative feedback from the patients. One very
active patient had to repair/replace the neoprene covering after a couple of
We have had the most success using Ferrier couplers. This allows you to be
creative for the flipper attachment. The patient walks to the boat and motors
out to the dive area. When they are putting thier other dive gear on the foot
section is removed and the fipper is attached. Simple
I fit a BK patient about two years ago with a leg for scuba diving.
Unfortunately I changed positions before he could try it out. If you are having
limited responses I can call him up and see what the results were. Let me know. I
think he had the Rampro ankle.
Thank you all again,
Jake R. Wood C.P., F.A.A.O.P.
Orthotics & Prosthetics Associates Inc.
10101 Innovation Dr., Suite 500
Milwaukee, WI 53226
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