Where clinically appropriate, the team at Pace Rehabilitation often recommend and provide the latest lower limb prosthetic technology to amputees who we support. This fast changing area of our work requires constant training and clinical experience to allow us to prescribe with confidence. Clinical trials will certainly be recommended, allowing for confirmation that the very best function can be provided to each individual.
This page introduces a range of products mostly incorporating advanced technology which we work with within our clinical practices.
For further information and the opportunity to trial these devices, please contact us at firstname.lastname@example.org or telephone 01494 790490 and we will be happy to assist with your enquiry.
BiOM foot (BionX)
Experience with BiOM foot since its introduction into the UK during 2012 has allowed the team at Pace Rehabilitation to develop a good understanding of how this unique design of prosthetic foot can benefit a wide range of prosthetic users.
BiOM offers timely and controlled powered propulsion during walking, mimicking the function of the absent calf muscles. Typical benefits include a faster walking speed without perceived extra effort, the opportunity for a more natural walking pattern and fewer aches and pains as a result of normal use. The challenge of negotiating slopes is absorbed by the great range of motion and power provided by BiOM.
So far we have fitted this foot to single leg below the knees, double below the knees and above the knee amputees with good results.
Echelon and Echelon VT (Endolite)
This very popular design of non-electrical hydraulic controlled foot and ankle system has been well received by a wide range of prosthetic users attending Pace.
Independently controlled ankle movement over its 9 degree range allows for increased adaptability and security when used with both above and below the knee prostheses. Leaving the ground as it swings through with the toes lifted, Echelon increases the clearance with the ground and therefore reduces the risk of stumbles and falls.
Now tested and approved for submersion in water, Echelon increases the opportunity for a more rounded prosthetic design which can be used in all environments.
The Echelon VT version (Vertical/Torsion), also features a shock and torsion absorbing unit on top of the hydraulic ankle. This reduces the forces and impact on the residual limb, increasing comfort within the prosthetic socket and reducing the risk of soreness and tissue damage.
Endolite Elan foot (Endolite)
Advancing the function of the Echelon foot, Elan is a microprocessor controlled of foot and ankle prosthesis.
By mimicking the varying muscle resistances during gait, Elan optimises individual function when standing and walking over varying terrain. This encourages more symmetrical limb loading, faster walking speed and reduced compensatory movements allowing for high levels of confidence.
The design has an integrated battery offering up to two days of use between charges. A split toe carbon foot and foot shell allow for use with a wide range of footwear.
Meridium Foot (Ottobock)
This unique design of prosthetic foot was launched within the UK during September 2015 as a solution for above and below the knee amputees.
Moving away from conventional foot and ankle prosthetic designs in a very innovative way, Meridium offers movement which has been designed to closely mimic the precise adaptable features of the anatomical foot.
Real time electronic and hydraulic controlled movement is provided both at the ankle joint and also the mid foot over four axes of articulation as the foot is used on varying terrains. Adaptable hydraulic resistances ensure appropriate control on flat ground, stairs and slopes. It will even recognise the difference between surfaces such as soft sand and cobbles and adjust the hydraulic control to minimise the impact of such changes.
During standing, the foot stiffens to provide better stability and a more even distribution of body weight.
Meridium adjusts to shoes of varying heel height between 0 and 5cm.
Triton Smart Ankle (Ottobock)
Using the established and responsive carbon fibre Triton foot, Triton Smart Ankle incorporates an adjustable microprocessor controlled ankle joint.
It provides gradual adjustment over a range of 19 degrees of movement, adjusting to different walking speeds and environments.
Heel height adjustment can be carried out using smart phone and tablet Apps allowing for up use of heel height up to 5cm.
The Smart Ankle also features additional functional modes such as a relax position when sitting where the foot moves to a toes down position which reduces the leverage on the residual limb from the socket. There is a free ankle mode for 15 seconds which is particularly useful when putting on trousers and also a locked ankle mode allowing for activities such as driving.
Kenevo knee (Ottobock)
Introduced during June 2015, Otto Bock’s Kenevo offers an electronic microprocessor controlled design of knee aimed at prosthetic users with lower levels of mobility, or those taking early steps where very high levels of safety and security are required.
Varying modes adjusted by the clinical team allow the opportunity for a safe and more gradual transition from a locked to a free swinging prosthetic knee for those already using a prosthesis. As your confidence grows, the settings of the knee can be adjusted to reflect this over flat level terrain, slopes and stairs.
Additional features of the knee allow for support and control during sitting and standing, stumble recovery, the opportunity for more relaxed standing and the ability for the prosthesis to be clear of the ground when manoeuvring within a wheelchair.
Kenevo is the lightest design of microprocessor controlled knee currently available.
Genium Knee (Ottobock)
Pace have considerable experience with Otto Bock’s Genium knee which became available during 2012.
Designed in response to an increased number of military amputees, Genium is aimed at those with the potential for higher levels of mobility and function with high performance and safety as key factors.
The complex sensors and microprocessors within the design provide continual adaptability as the prosthesis is used over varying terrains, environments, when carrying loads and even when different footwear is used.
Advanced functions including the ability to ascend stairs leg over leg, stepping over obstacles and a walk to run feature are provided.
Up to 5 days of battery life, a splash proof package, and the ability for the user to select between 6 pre-set functional modes using a smartphone App or remote control provide a very user friendly design.
Genium X3 knee (Ottobock)
In addition to all the functional benefits provided by Genium knee, Genium X3 is designed to be used and submersed in water up to 3 metres in depth for periods up to an hour at the time.
A popular design used by military amputees, this highly functional and waterproof knee reduces or eliminates the need for additional specialised water activity prostheses by allowing use in all environments.
Including a walk to run feature and the option for 5 additional pre-set modes, Genium X3 knee is the most versatile prosthetic knee available for more active prosthetic users.
C-leg 4 (Ottobock)
The current evolution of this very successful microprocessor controlled knee was introduced during September 2015 into the UK. Based on a solid foundation of 13 years of experience, C-leg has been fitted to more than 60,000 worldwide since its introduction.
C-leg 4 offers higher levels of safety and security when compared to previous models within a weatherproof package. The knee will adapt its settings for safe use on stairs, ramps and even when walking backwards which was not a feature present within previous designs. The opportunity for more relaxed and safe standing has also been introduced into this new design.
As well as a mode programed for optimal walking, two additional modes can be pre-set allowing for the best control during specific functions. Modes can be selected using a smartphone App, handheld remote control unit or practiced movement patterns.
Rheo III Knee (Össur)
The third generation of this intelligent microprocessor prosthetic knee was introduced during 2014.
The knee action is controlled by use of Magnetorheologic fluid. In response to signals passed via sensors and a gyroscope, control of the knee is provided by a varying electrical current passing through a fluid containing iron particles. This results in effortless initiation of the knee swinging and instant changes to the function as it is used at varying speeds across a range of terrains.
A manual optional lock can be used to secure the knee in an extended position when required by the situation.
Compared to the Ottobock knees that stipulate use of particular prosthetic feet, the Rheo III knee can be used with any prosthetic foot, allowing increased opportunities for individual combinations with for instance the increasingly popular hydraulic ankles.
Power Knee (Össur)
Pace Rehabilitation were the first to provide a Power Knee within the UK following experience with early models.
This intelligent design remains the only prosthetic knee unit providing active and controlled power to the user during walking and varying functional situations.
Designed to mimic the function of muscles acting about the knee, Power Knee II assists in bending and straightening the knee over varying walking speeds therefore producing efficient motion and increased proprioception.
Uniquely, the powered knee action makes light work of for instance walking through grass or undergrowth that would stop any other knee from reaching extension. With some practice, the Power Knee offers also the potential for leg over leg powered stair ascent and assistive power when rising from sitting to standing. This in turn can reduce the strain on the non-amputated leg.
Plié 3 (Freedom Innovations)
The established robust design of Plié knee is a lightweight, robust and water submersible microprocessor controlled knee.
The fast responding control systems provide stumble recovery, adaptive resistances across different terrain and the ability to safely use this design within confined spaces.
Removable interchangeable rechargeable batteries makes this knee less dependent of charging points than most other micro-processor controlled knees.
Integrated lower limb systems
Linx integrated lower limb system (Endolite )
Introduced as the first fully integrated microprocessor controlled lower limb system, Linx combines the benefit of a microprocessor controlled knee with an electronic controlled hydraulic foot and ankle system.
One control system and battery coordinates both knee and foot ensuring they work together with optimised function. Functional benefits include security and responsiveness especially when changing walking speeds and negotiating slopes.
When still, a standing lock increases resistances that provides safe, relaxed and comfortable weight distribution between the prosthesis and the non-amputated leg.
Symbionic Leg (Össur )
Incorporating the most advanced Bionic technology from Össur, the Symbionic leg integrates the benefits of a microprocessor controlled prosthetic knee and an actively articulating prosthetic foot.
With increased safety, symmetry and user confidence in mind, the adaptive nature of the Symbionic Leg is designed to minimise compensatory body movements that can sometimes be associated with secondary conditions such as back ache.
An optional manual user lock of the knee allows for the highest level of control if required.