1. Orthomerica ® Products, Inc. partnering with Insert Your Name Here

2. TC 2 ™ Total Contact-Total Control AFO System

3. TC 2 ™ AFO System KIs custom molded to patient model KDesigned from a negative cast taken by your local orthotist/prosthetist

4. Patient Population Pediatric Adult HypotonicityHypertonicity

5. Common Diagnoses KPrescribed for the following: –Cerebral palsy –Multiple sclerosis –Muscular dystrophy –Spina Bifida –Spinal Cord Injuries –Cerebrovascular Accidents (CVA) –Traumatic Brain Injuries

6. Materials KFlexible polyethylene –Allows normal biomechanics to occur. No steppage or “snow-boot” gait. KHi-Grade orthotic/prosthetic componentry

7. Benefits KEnables proper alignment, positioning and even distribution of pressure KReduces fittings, adjustments and follow-ups

8. Features KCircumferential design –Encompasses the dorsum –Creates intimate fit –Minimizes skin breakdown –Eliminates “Figure 8” strap KCalcaneal lock –Ensures proper seating of the heel within the orthosis

9. Features KFlexibility –Offers medial/lateral control and still enables toe-off –Promotes patient compliance KModular 2-in-1 systems available –Snap-in design

10. TC 2 ™ CAD-CAM Created Casting Footplates

11. TC 2 ™ Footplates KPediatric & adult sets K100 shapes in full set KCan be customized to patient model –Grind or heat adjusted to accommodate for anomalies »Pes planus »Pes cavus »Forefoot adduction

12. Anatomical Landmarks in Place KMetatarsal arch (1) KLongitudinal arch (2) KPeroneal notch (3) KElevated 2nd-5th phalanges (4) 1 2 4 4 3 3

13. Goals KBringing the ground up to meet the foot –Eliminate grasping and clawing –Enhance sensory feedback –Promote normal biomechanics –Improve proprioception

14. TC 2 ™ Selector Device KEliminates guesswork KProvides accurate, consistent sizing

15. Easy As 1, 2, 3 1.Calcaneous to sulcus length

16. Easy As 1, 2, 3 2.Metatarsal width

17. Easy As 1, 2, 3 3.Confirm fit

18. MODELS

19. Submalleolar KIndications: –Mildly involved patients who require minimal orthotic management of the foot and ankle

20. Supramalleolar KIndications: –Mildly involved patients with combined ankle/foot instabilities –Patients who demonstrate fixing patterns

21. Solid Ankle KIndications: –Non-ambulatory patients for positioning –Aid in stability for the following: »Beginning ambulators »Those requiring tri- planar control of the foot and ankle

22. Posterior Leaf Spring KIndications: –Patients with reduced muscular control where increased range-of-motion is recommended for muscle/strength development –Patients with weak or absent plantar/ dorsiflexors

23. Articulating-Single Pull KIndications: –High level functional ambulators; »Where motion in the sagittal plane needs to be assisted or restricted »Or to control knee hyperextension when ankle movement is desired (e.g. hemiplegic with good knee extensor strength)

24. Articulating-Combo KIndications: –High level functional ambulators where motion in the sagittal plane needs to be assisted or restricted (e.g. hemiplegic with good knee extensor strength)

25. SMO/AFO Combo KIndications: –Use of this combination system can facilitate integration of bracing in floor activities (SMO) and muscle strengthening in the sagittal plane (SMO/AFO Combo)

26. Posterior Entry/Crouch Gait KIndications: –Patients requiring control of excessive knee flexion due to weakness of the plantarflexor group common in Spina Bifida and spinal cord injuries

27. Custom Pattern Transfers & Images

28. Summary Orthomerica encourages a “Rehab Team” approach (PT, CO, MD, patient & family). Education is crucial to the success of the product and rehab goal achievement.

29. Please contact your local orthotist/prosthetist for more information about TC 2 ™ products and workshops in your area.