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					               DJO, LLC
               Corporate Presentation




Brace Fitting
By Technical Support




                                        1
Position Patient
•   Position the patient
    seated with knee flexed
    to 45 degrees with foot
    flat on the floor.




                              2
Prepare to Apply ACL Brace
•   Before applying the brace,
    loosen all straps and fold
    the hook velcro patch back
    onto the loop portion of the
    strap. This will facilitate
    fitting of the brace




                                   3
Applying the Brace
•   While sitting on the edge of
    a chair have patient step
    through the brace.
•   Position the center of the
    hinges 1” above the top of
    the patella and slightly
    posterior to midline of the
    leg
•   Make sure brace is not
    twisted on the leg




                                   4
Apply Anti-Migration Calf Band
•   Secure the Anti-Migration band
    around the upper calf and close
    on anterior shin (this will be
    independent of the #4 and #5
    straps).
•   The Anti-Migration band will help
    keep the brace in proper position
    while strapping down the rest of
    the straps.




                                        5
Apply Strap #1
•   Secure the lower calf
    strap




                            6
Apply Strap #2
•   Secure upper thigh
    strap




                         7
Push hinges posterior
•   Keeping knee bent at 45
    degrees, push both hinges
    toward back of the leg
    (posterior) as shown.




                                8
Apply strap #3
•   Maintain the position of
    the hinges (posterior to
    midline) and secure the
    lower thigh strap




                               9
Apply strap #4
•   Secure anterior upper calf
    strap which will draw the
    hinges forward to
    approximately midline of the
    leg




                                   10
Apply strap #5
•   Apply posterior upper calf
    strap. This strap does not
    need to be secured as tight
    as the other straps.
•   For future applications the #5
    strap does not need to be re-
    applied when the brace is
    taken off. Simply apply
    straps 1-4.




                                     11
Complete Fit




               12
PCL Strapping Sequence
•   PCL version has only 4 straps
•   Order of application:
     –   #1 lower calf
     –   #2 upper thigh
     –   push hinges posterior
     –   #3 posterior upper calf (only)
     –   #4 is anterior lower thigh
          • The #4 strap should draw the
            hinges forward slightly.




                                           13
CI Strapping Sequence
•   Combined Instability covers
    both ACL and PCL
•   This has 6 total straps
•   Strapping sequence:
     – #1 lower calf
     – #2 upper thigh
     – push hinges posterior
     – #3 posterior lower thigh
     – #4 posterior upper calf
     – #5 strap anterior upper calf
       (this should draw the hinges
       forward)
     – #6 anterior lower thigh.



                                      14
Check Fit:




             15
Patient Compliance
•   Be sure the patient
    understands how to apply the
    brace. Have them apply the
    brace in front of you before
    they leave.




                                   16
Apply anti-migration strap




                             17
Apply Strap # 1 (distal shin strap)




                                      18
Apply strap # 2 (proximal thigh strap)




                                         19
Push Condyles back (posterior)




                                 20
Apply Strap #3 (posterior distal thigh strap)




                                                21
Strap #4 (front top shin strap)




                                  22
Strap #5 (top calf strap)




                            23
Complete Application




                       24

				
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posted:9/6/2012
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