O&P Library > Orthotics and Prosthetics > 1975, Vol 29, Num 3 > pp. 42 - 42

Orthotics and ProstheticsThis journal was digitally reproduced with permission from the American Orthotic & Prosthetic Association (AOPA).

Funding for this project was provided by the American Academy of Orthotists and Prosthetists through a grant from the US Department of Education (grant number H235K080004). However, this does not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government. For more information about the Academy please visit our website at

You can help expand the
O&P Virtual Library with a
tax-deductible contribution.

View as PDF

with original layout

Technical Note: Modification Of Outrigger On Milwaukee Orthosis

Marshall Kaufman, B.M.E. 
Isadore Zamosky, C.P.O. 

Sometimes, when fitting the Milwaukee orthosis on female patients, the level of the thoracic pad is such that the front outrigger is at the level of the fullness of the breast, and, with proper clearance, passes directly over it (Fig. 1 ).

This placement imposes an unnecessary cosmetic and thus psychological burden on the typical adolescent female patient, because the softness and contour of one breast is obscured by the protrusion of the overlying hard metal.

This problem can be eliminated easily by substituting a simple L-bracket for the horizontal outrigger (Fig. 2 ). The L-bracket is fastened to the front upright at a level just below the bottom of the breast. The horizontal leg is contoured to the front of the chest wall just below the breast (allowing clearance for chest expansion), and is extended laterally beyond the lateral fullness of the breast. From this point, the vertical leg begins, and rises to the level at which the strap for the thoracic pad must be fastened.

The two breasts now present equal, normal fullness and softness—an aid in fulfilling the cosmetic and psychological requirements of the wearer.

This method of substituting an L-bracket for the usual front outrigger to anchor the strap for the thoracic pad has been used on 12 patients, and has proved to be successful biomechanically and psychologically in each case.

O&P Library > Orthotics and Prosthetics > 1975, Vol 29, Num 3 > pp. 42 - 42

The O&P Virtual Library is a project of the Digital Resource Foundation for the Orthotics & Prosthetics Community. Contact Us | Contribute