Custom KAFO (Knee-Ankle-Foot Orthoses)

Audubon Orthotic & Prosthetic Services

Personalized Solutions. Greater Mobility.

Don’t let mobility challenges hold you back. Our experienced team provides custom orthotic and prosthetic solutions designed around your needs, comfort, and goals.

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A custom KAFO (Knee-Ankle-Foot Orthosis) is a specially designed leg brace that supports and stabilizes the knee, ankle, and foot. It is individually molded or fabricated to match the patient’s leg shape, functional needs, and alignment. Custom KAFOs are commonly used when weakness, paralysis, joint instability, deformity, or neurological conditions affect the ability to stand or walk safely.

When are Custom KAFOs Recommended?

A custom KAFO may be prescribed for conditions such as:

Neurological disorders causing leg weakness or paralysis
Post-polio syndrome
Spinal cord injuries
Stroke-related lower-limb weakness
Cerebral palsy
Multiple sclerosis
Knee or ankle instability
Significant lower-limb deformities
Muscle weakness affecting walking
Certain orthopedic injuries or postoperative conditions

How Does a Custom KAFO Work?

A custom KAFO uses supports around the thigh, knee, lower leg, ankle, and foot to control unwanted movement and maintain alignment. Depending on the patient's needs, it may incorporate a locked or adjustable knee joint, ankle joint, foot section, straps, and other mechanical components. By providing external support, the KAFO can help the individual stand more securely and develop a safer, more controlled walking pattern.
Because each KAFO is made specifically for the individual, it can be adjusted to accommodate their body shape, range of motion, strength, gait pattern, and rehabilitation goals.

What Can You Expect During Custom KAFO Treatment?

Custom KAFO treatment typically involves several stages, from assessment and brace fabrication to fitting and follow-up. The process is individualized based on the person’s strength, joint stability, alignment, walking ability, and functional goals.

Initial Assessment: A clinician evaluates muscle strength, joint range of motion, limb alignment, balance, gait, and the underlying condition. They determine whether a KAFO is appropriate and identify the level of support required.
Custom Measurements and Casting: Leg measurements are taken, and a digital scan, mold, or cast may be used to create a brace that fits the individual's anatomy. The design may include specific knee and ankle joints or other components based on functional needs.
Brace Fabrication: The KAFO is manufactured using materials such as thermoplastic, carbon fiber, metal, or combinations of these materials. The components are selected to provide the necessary stability while keeping the brace as comfortable and lightweight as possible.
Fitting and Adjustments: During the fitting appointment, the orthotist checks the brace for proper alignment, comfort, pressure distribution, and joint movement. Adjustments may be made to improve fit and function.
Walking and Functional Training: The patient may practice standing, walking, transfers, and other daily activities while wearing the KAFO. Physical therapy may be recommended to help develop safe movement patterns and improve strength and balance.
Gradual Wear: Patients are often advised to increase wearing time gradually as they become accustomed to the brace. Skin should be checked regularly for redness, irritation, or pressure areas.
Follow-Up: Follow-up appointments help assess comfort, fit, alignment, and walking function. The KAFO may require adjustments as the patient's condition, strength, or functional needs change.