Ground Reaction Ankle Foot Orthosis (GRAFO), New Mexico

Boost your mobility with a custom Ground Reaction AFO from PrimeCare in Las Cruces! Regain stability and take confident steps forward. Visit us today!

What Is a GRAFO Orthosis?

Ground Reaction Ankle Foot Orthoses are specialized devices designed to enhance stability and mobility for individuals experiencing quadriceps or plantar flexor weakness. By strategically positioning the ground reaction force in front of the knee joint, GRAFOs prevent the knee from collapsing and promote proper limb alignment during walking. This helps distribute weight and impact effectively, ultimately reducing the risk of knee hyperextension and improving overall gait.

MCL/LCL Knee Braces

At PrimeCare, our clinics provide comprehensive assessments, fittings, and ongoing support to ensure that each GRAFO is tailored to the unique needs of the patient. We’re proud to help them achieve greater confidence and independence in their movement.

How Ground Reaction AFOs Work

  • Most Stable Brace

    The GRAFO is a solid orthosis that acts as a strut between the ankle and knee, leveraging the large tibia to improve knee control during the stance phase of walking. Directing the ground reaction force to create an extension moment at the knee, it helps prevent knee collapse or flexion.

  • Medium Stability Brace

    By maintaining the ankle joint at approximately 90 degrees to the tibia and preventing excessive dorsiflexion, the GRAFO counters knee flexion and allows for smooth rollover during walking. As the step completes, the ground reaction force shifts anteriorly along the foot, resulting in controlled knee flexion for a natural gait.

  • orthopedist shows brace

    During the swing phase, the GRAFO maintains the ankle at 90 degrees, helping with foot clearance.

Get Back on Your Feet!

Book your appointment with PrimeCare now and experience the benefits of a GRAFO for improved mobility and support!

A grandfather with a prosthesis walks with his grandchildren.

Conditions That May Benefit from a GRAFO

A Floor Reaction AFO is often recommended for patients experiencing mild to moderate knee instability. This instability is typically due to a combination of quadriceps weakness, reduced plantar flexion strength, and conditions such as excessive ankle dorsiflexion, crouch gait, or foot drop, which impact their ability to effectively push off the ground during walking.

We usually prescribe GRAFOs for individuals managing physical or neurological conditions, including but not limited to muscle weakness and the associated gait impairments.

GRAFO Assessment and Custom Fitting Process

Our comprehensive approach ensures each patient receives a custom-fitted orthosis that meets their unique needs.
assembling a prosthetic leg by a technician.
  • Step 1: Comprehensive Assessment

    The first step is a thorough evaluation by one of our experienced Orthotists. This assessment ensures that a Ground Reaction Ankle-Foot Orthosis is the most suitable solution for the patient’s needs. During this appointment, we evaluate the patient’s gait pattern, stability, and muscle strength to ensure that a GRAFO is the ideal choice before moving forward with the customization process.

  • Step 2: Trial with In-House Devices

    To determine if a GRAFO is beneficial, we offer trial fittings with our in-house devices. This allows patients to experience the support and function of a floor reaction ankle-foot orthosis before committing to a custom-made option. If the trial is effective in improving knee extension and controlling ankle position, we proceed with the next steps to make the device personalized.

  • Step 3: Custom Casting and Design

    Once we have confirmed that a GRAFO is ideal, we take a precise cast of the patient’s leg using plaster during the initial consultation. This cast serves as the foundation for creating a custom-fitted orthosis. We modify the cast to accurately reflect the patient's unique leg shape and anatomical needs.

  • Step 4: Fabrication and Handcrafting

    With the modified cast, our skilled technicians start the process of handcrafting the GRAFO. Each brace is made manually, with careful attention to detail. We select and position the straps, padding, materials, and trim lines to ensure the orthosis fits comfortably and functions optimally according to the patient’s requirements.

  • Step 5: Final Fitting and Adjustments

    Once the GRAFO is completed, we conduct a final fitting session to fine-tune the orthosis. We ensure that the device provides the necessary support and comfort, enhancing stability and correcting the gait pattern by optimizing the interaction between the footplate and ground reaction force. Our goal is to deliver a high-quality, custom-fitted orthosis that improves both the mobility and the quality of life for the patient.

Why Choose PrimeCare for Ground Reaction Ankle-Foot Orthosis?

When it comes to choosing the right support for your mobility needs, PrimeCare stands out as a trusted provider for GRAFOs. Our dedicated team ensures that each patient receives the highest standard of care and personalized treatment. Here’s why we’re the preferred choice:
Personalized Support

Personalized Support

We understand that every patient’s needs are unique. Our specialists take the time to get to know you and your specific requirements. We guide you through each step of the process to help you feel supported and confident in your care plan.
Latest Technologies

Cutting-Edge Technology

We utilize the latest advancements in orthotic materials and technology to create GRAFOs that are both comfortable and effective. Our clinic is clinically certified to provide these advanced devices to result in optimal functionality and durability.
Experienced Team

Experienced and Compassionate Team

Our team isn’t only experienced in crafting and fitting GRAFOs but also in providing comprehensive support throughout your treatment. We help with peer support and handle all interactions with insurance agencies, so you can focus on your recovery without additional stress.

Patient Success Stories

amputation and successful recovery
William E. Apodaca Fisk
lower Limb Prosthetics
Patient had to undergo a below the knee amputation of right leg to save his life. The use of his current prosthesis, which was fabricated using Ossur Prosthetics direct socket system, makes the patient feel, “like this prosthesis is part of my body and I have more control of my prosthesis.” Patient was able to get back to living a very active lifestyle thanks to the proper goal setting, latest technology and fitting techniques available from Primecare.
5.0
View Our Patient Success Stories
patient’s prosthesis
Ralph Merrill
lower limb prosthetics
Patient suffered a tragic motorcycle accident when a vehicle ran a red light and hit him, resulting in an above-the-knee amputation. Patient was fitted with a prosthesis using the latest technology available with a microprocessor. Patient states, “my mobility really increased" [with the new prosetheses and vacuum with suction suspension]
5.0
View Our Patient Success Stories
life after amputation
Janet Rodriguez
walkable prosthetic
I was diagnosed with osteosarcoma on my right femur and knee cap at the age of 17. The tumor was not shrinking after 4 months of chemo and I made the decision to get it amputated.
5.0
View Our Patient Success Stories
overcoming osteomyelitis through prosthetics
Case Study: Overcoming Osteomyelitis Through Customized Prosthetics
Lower Limb Prosthetics
Through our collaborative efforts, the patient achieved positive outcomes and regained a significant level of functionality. He surpassed traditional expectations by expediting his rehabilitation timeline, reducing his reliance on a walker sooner than anticipated.
5.0
View Our Patient Success Stories
Leonard Sandgren
Lower Limb Prosthetics
Leonard faced a leg amputation due to an infected injury. Seeking to reclaim his active lifestyle, he turned to us for a custom prosthetic solution. Through personalized care and advanced tech, Leonard quickly regained mobility and resumed his favorite activities.
5.0
View Our Patient Success Stories
Jose Julio Flores Gonzalez
Lower Limb Prosthetics
Facing an amputation due to osteomyelitis, Jose received a custom prosthetic. Through personalized care and rehabilitation, he quickly regained mobility, surpassed expectations, and resumed his active lifestyle, including hiking and playing guitar.
5.0
View Our Patient Success Stories
custom prosthetics
Mark Yelsma
Lower Limb Prosthetics
Mark faced a leg amputation due to a bone infection, but refused to let it define him. Partnering with us, he sought a custom prosthesis. Through personalized care and innovative Direct Lamination technology, Mark regained mobility and pursued his passions.
5.0
View Our Patient Success Stories
custom prosthetics
Rene Antillon
Lower Limb Prosthetics
Rene's active life was disrupted by a leg amputation, but he refused to let it define him. Partnering with PrimeCare, he found personalized care and advanced prosthetic technology that helped him reclaim his independence and rediscover the joy of movement.
5.0
View Our Patient Success Stories
Rediscovering Joy with Prosthetics After Amputation Due to Diabetes
Norma Cardova
Lower Limb Prosthetics
Norma faced an amputation due to diabetes. Refusing to be defined by her loss, she partnered with PrimeCare to find the perfect prosthetic fit. This journey tested her resilience, but ultimately, Norma regained her independence and rediscovered her passions.
5.0
View Our Patient Success Stories

What Our Patients Are Saying

Insurance and Financing

At PrimeCare, we are dedicated to making Floor Reaction AFOs and Ground Reaction AFOs accessible to everyone who needs them. We work with a wide range of insurance providers, including HMOs, PPOs, and Medicare, to ensure that our patients receive affordable orthotic care.
We understand that navigating insurance and financing can be overwhelming. That’s why we provide estimated service costs upfront, giving you financial clarity before you begin treatment. Our goal is to help you focus on your health and recovery without the added stress of financial uncertainty.

Contact Your Local GRAFO Provider in New Mexico

Based in Las Cruces, PrimeCare proudly serves patients from surrounding areas, including Ciudad Juarez, El Paso, Albuquerque, and beyond. Our team is dedicated to providing high-quality, personalized care to help you achieve greater mobility and independence.

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FAQs

  • What can cause MCL/LCL Injuries?

    Injuries to the medial collateral ligament and lateral collateral ligament can result from various causes, including:

    • Sudden twisting movements during sports or physical activities;
    • Direct impact to the knee, such as from a fall or collision;
    • Overextension or hyperflexion of the knee joint.
  • What are the common symptoms of an LCL tear?

    Symptoms associated with an LCL injury include:

    • Knee instability, especially noticeable when standing or under stress;
    • Sensation of the knee locking or catching during movement;
    • Numbness or weakness in the foot;
    • Pain localized along the outer side of the knee (LCL pain);
    • Stiffness in the knee joint;
    • Swelling and tenderness specifically along the outer knee area.
  • When should I wear my MCL brace?

    We recommend wearing your knee brace during:

    • Standing, walking, or performing exercises as advised by your doctor.
    • Your doctor may also suggest wearing it while sleeping during the initial stages of recovery.
    • For detailed exercise recommendations for managing MCL tears, refer to our comprehensive exercise guide.
  • How long should I use an MCL brace?

    The duration of wearing an MCL brace varies depending on the severity of the injury:

    • Grade I MCL sprains typically don’t require bracing.
    • Grade II MCL tears often require wearing a brace for a minimum of 3 weeks.
    • As current expert guidelines recommend, grade III tears typically require wearing a brace for at least 6 weeks.