Final Finish: Make holes in plastic for ventilation, rivet the bar with plastic shell using 3 mm copper rivet. Fasten the straps with plastic shell using press button provided in the kit.
Millions of people in India and other low income countries affected by Polio or other similar neuromuscular condition$ require some kind of Orthoses to stand on their own feet and walk.
The majority of people in need of Orthoses cannot access the service or are unaware of its availability. When available, they are mostly the conventional m~al callipers which are heavy and have to be worn with high ankle boots. The production and delivery of these callipers are also slow and expensive. Given these conditions the rejection rate of such callipers are high, especially with children. The results, disabled persons become more dependent, less mobile and more isolated.
Mobility India after extensive research altered the concept of using the callipers in 20Q3. To overcome the disadvantages of the conventional callipers it introduced the plastic "Prefabricated Knee Ankle Foot Orthosis".
The Prefabricated Knee Ankle Foot Orthosis, which comes in a kit, can be fitted in most cases in a small workshop, with minimum tools by any trained Orthotics Technologist the same day. This Orthosis is light in weight, low in cost, easy to fit and can be worn with any kind of footwear or even for barefoot walking. The results, disabled persons become mobile and integrate in mainstream activities.
This Orthosis will not fit" 1 00% population but it will certainly. fit 50-60% population that means new life for millions. Though the components are mode to make KAFO, this technology allows making other Orthoses like Ankle Foot Orthoses {AFO}, Knee Orthoses (KO}Night Splints and others devices -An opportunity for millions.
 
Finally PFKAFO can be ordered as a kit or a component that one may require.
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1. Thigh shell       01 No
2. Leg shell      01 No
3. Contour upright   02 Nos
4. Straight upright   02 Nos
5. Drop lock knee joints   02 Nos          
6. Strap       05 Nos
7.  Screw nut & washers    20 each
8. Copper rivets      24 Nos
9. Ethaflex      02 sheets
10. D- rings      05 Nos
11. Stockinette       01 metre
12. Press buttons   15 Nos
   
Take all the length and medio lateral measurements of the affected leg as shown in measurement form. Match it with the measurements given in the  measurement table. Match with the nearest size and choose the size of thigh and leg shells
FOR THIGH SHELL :
Height measurement - crotch to heel
medio lateral -  crotch & above knee
FOR LEG SHELL :
Height measurement - knee to heel
medio lateral - calf, ankle, heel and ball of foot
A. Measurement and Tracing: Take medio-lateral width and height measurement at different landmark mentioned in the measurement form 1. Next trace the affected limb on brown paper, which helps in alignment.  
B. Size Selection: At present there are 10 sizes available, which are listed below.
Initial Fitting: Take shells from selected size kit and cut the front portion using Jigsaw. Take an initial trial to mark trim lines and cut accordingly. Finally cut the shell for 95degrees knee movements.
Note: In case lower shell is not fitting due to fixed deformity in foot, make AFO part custom made and use  prefabricated upper shell.
C. Expansion: Use hot air gun or blower to expand the area, if it is pinching. Use ethaflex to fill gaps.
D. Fixing Bar and Joints: Fix the bar with joint and rivet it with 3 mm copper rivets provided in the kit.