SMO Order Form v5.2

Minimum Modifications Include:

• Squaring and leveling the plantar surface of the cast
• Adding 3 mm (1/8") build-ups to the medial and lateral malleoli. This will increase the overall ML by 6 mm (1/4")
• Adding 3 mm build-ups to the navicular and calcaneal tuberosity
• Arches at the plantar surface are NOT modified
• If the order calls for a raised forefoot trimline, 3 mm will be added to the MTP joint that is being covered by plastic
• Adding 3 mm build-ups will be added to any marked bony areas

Standard Modifications Include:

• Squaring and leveling the plantar surface of the cast
• Adding 5 mm (3/16") build-ups to the medial and lateral malleoli. This will increase the overall ML by 10 mm (3/8")
• Adding 3 mm build-ups to the navicular and calcaneal tuberosity
• Modifying the plantar surface of the cast to a depth of 6 mm (1/4")
• If the order calls for a raised forefoot trimline, 3 mm will be added to the MTP joint that is being covered by plastic
• Adding 3 mm build-ups will be added to any marked bony areas

Tone Reduction Modifications Include:

• Squaring and leveling the plantar surface of the cast
• Adding 5 mm (3/16") build-ups to the medial and lateral malleoli. This will increase the overall ML by 10 mm (3/8")
• Adding 3 mm (1/8") build-ups to the navicular and calcaneal tuberosity
• Modifying the plantar surface of the cast to a depth of 10 mm
• If the order calls for a raised forefoot trimline, 3 mm will be added to the MTP joint that is being covered by plastic
• Adding 3 mm build-ups will be added to any marked bony areas

Clubfoot Modifications Include:

• Squaring and leveling the plantar surface of the cast
• Adding 2 mm (1/16") build-up to the medial malleolus and 8 mm (5/16") to the lateral malleolus. This will increase the overall ML by 10 mm
• Add 3 mm (1/8") build-ups to the calcaneal tuberosity
• The medial side of the 1st MTP joint will be moved laterally, to align it with a mid-calcaneal line. The amount of material removed from the medial forefoot to bring the forefoot into proper alignment will be added to the lateral forefoot to restore the proper ML
• If the order calls for a raised forefoot trimline, 3 mm will be added to the MTP joint that is being covered by plastic
• Adding 3 mm build-ups to any marked bony areas