From personal experience as an amputee, Dale Perkins, CPO has developed a new below-the-knee fitting method. It features a patented socket design which removes pressure from the patellar tendon and distributes it throughout the limb for increased comfort and knee motion. This system works in conjunction with an airtight locking mechanism co-designed by Coyote Prosthetics and Orthotics which reduces movement within the socket, it also works in suction and vacuum sockets. Coyote Design’s Air-Lock and Easy Off Locks provide a mechanical lock between the patient and the artificial limb, while their airtight feature maintains a consistent hold on the limb without the pulling sensation on the bottom of the limb at the lock location.
Dale Perkins, CPO began to develop unique fitting techniques for above-the-knee amputees after the birth of his second son Matt, an AK amputee. A number of different techniques and components can be determined by the patient’s limb and preferences. One of the more recent techniques features a casting technique that allows the amputee to comfortably lay down while creating a mold using non-invasive methods. The fitting is done with a locking system called the Proximal Lock (developed in part by Coyote P&O) along with a gel liner. These two components combine a good fitting “suction” system, with a back-up locking mechanism which also controls rotation. This results in optimal comfort and convenience and does not require space at the bottom of the limb, helping to maintain a correct knee center.
Vacuum Suspension Systems are designed for amputees who have fleshy tissue and who need optimal stability. It works by rolling a gel liner on the limb and then donning the prosthesis and rolling a suspension sleeve over the top. A small vacuum pump draws all air out of the socket, thereby creating an intimate fit, and providing the patient with increased stability, increased proprioception and increased comfort.
Microprocessor knees are designed for above-knee-amputees who are active but need the added confidence of a stable knee. It works via a hydraulic cylinder. In addition, a computer chip controls the stability of the knee and how easily it bends. Thereby preventing any stumbles or trips if the foot catches on something. The patient is able to regain control and prevent a fall, a function not available in other knees.
Increased off-loading of the foot and ankle. Fits inside most orthopedic and walking shoes. Gives support and strength to the end of the foot. Custom, comfortable plastic interboot that improves gait. Allows most patients to walk on uneven surfaces including sand and uphill.
The options for upper extremity prosthetics have become almost overwhelming. Many options are now available for any activity an amputee may be interested in from weight lifting and golfing to fishing and cooking. Various tools and componentry allow for a wide range of daily activities, specialized sports and hobbies. The different terminal devices offer high strength solutions and durability for even the most aggressive user.
These prosthetics are designed for upper extremity amputees who have good muscle control and who are interested in both the cosmetic aspect as well as function that is most comparable to a human hand. The prosthetic works by way of myoelectric signals relayed from the muscles to electrodes. This transmission tells the hand to open or close, and can even grip objects, all with cosmetic appeal. Newer versions, including the I-Limb, feature five controllable fingers with superior sensitivity and control.
The Removable Rigid Dressing is designed for use immediately after amputation. The removable rigid dressing helps protect the healing residual limb and provides mild compression to minimize edema. It is easily removed for wound inspection and dressing changes. The removable rigid dressing can be fit efficiently with little inconvenience or discomfort to the amputee.
In response to limits and complications with the CROW boot, Coyote P&O has developed a lighter, stronger, and more comfortable orthosis. The unique patented Bi-Valve design allows a more closed system, innovative hinging options, increased total contact, more circumferential control, and easier donning. The shorter version replaces the complicated and high maintenance Arizona AFO. A distinctive combination of flexible plastic and our own composite material can create a solid or flexible AFO, and control the most unstable ankles – perfect for Charcot foot, PTTD, osteoarthritis, and protecting ankle fusions post-op.
The Graphite Laminated AFO was originally developed for Dale Perkins’ own struggles with ankle arthritis. Coyote P&O typically uses this orthosis for severe non-operable ankle DJD. This system provides maximum control in all planes of motion with excellent off-loading of the ankle. It is also quite comfortable with its flexible plastic inner boot. The graphite laminate construction creates a very thin orthosis that fits well in most sport and walking shoes.
Common issues which require Thermoformed AFOs include drop foot, tendon injuries and instability. There are a variety of styles available depending on patient diagnosis. The leaf spring design helps with mild foot drop and takes up a minimal amount of room in the shoe. The solid ankle design also offers more stability. It is typically used for CVA patients. The hinged version provides a balance between stability and controlled motion for normal gait.
Ideal for patients with post-polio syndrome, CMT, Stroke, SCI, and musculoskeletal disorders. Patients that lack knee extensor and lower limb strength and additional knee weakness/instability. Different joints and materials used to decrease weight and increase stability.
Provides mild energy return for more active patients. Allows some tibial torsion for a more natural gait.
A custom-molded thumb spica can be effective when a need arises for continued immobilization of the CMC joint after cast management or for patients with arthritis. With its intimate fit and contour, the custom spica allows movement at proximal and distal joints while effectively immobilizing the affected joint.
Custom foot orthotics are made specific to each patient and can treat various diagnosis’. Patients are custom molded and fit.
We offer both custom and prefabricated style spinal bracing.
Spinal orthoses are used for scoliosis, post-op support and trauma.
TLSOs and LSOs are available in both rigid plastic and soft corsets depending on the need of the orthosis.
Using new school methods with old school materials we have developed an ankle foot orthotic to control excessive pronation while still allowing for some motion in all planes for patient comfort and normal gait function. It also provides compression in a low profile padded system. The orthotic is ideal for Posterior Tibialis dysfunction, ankle DJD, and Posterior foot de-weighting.
We offer a wide variety of pediatric prosthetic to treat a wide variety of diagnosis’.
Transtibial, Transfemeral, Symes, Parcial Foot Prosthesis, Upper Extremity Prosthesis, and Microprocessor Knees.
We offer a wide variety of pediatric orthotics to treat a wide variety of diagnosis’. At Coyote, we treat club foot, low tone, fractures, ankle instability and everything in between for your little ones.
Pediatric Transtibial Definitive Socket with airtight pinlock suspension
Pediatric Solid Ankle AFO (Ankle Foot Orthotic)
Pediatric Transtibial Test Socket with pin-lock suspension
We also offer SMO – Supramalleolar Orthosis
Pediatric Thermo Plastic Custom AFO (Ankle Foot Orthotic)
Pediatric Posterior Leaf Spring AFO (Ankle Foot Orthotic)
Ponsetti Boots with Dobbs Bar
Mon-Thurs 8am – 6pm MST
Boise: (208) 342 – 4104
Caldwell: (208) 453 – 6404
Twin Falls: (208) 736 – 7330