ligament knee bracing bY össur

Transcription

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ligament knee bracing BY össur
Kyle Rattray
Professional Wakeboarder
CTi Custom Knee Brace
a global orthopaedics company
Össur has evolved from an ambitious prosthetics company into
a global leader in noninvasive orthopaedics. A dynamic growth
company, Össur has expanded rapidly through a combination of
organic growth and aggressive acquisition. Yet, we remain grounded
in our heritage, a powerful combination of innovation, superior
product design and service excellence.
Founded in 1971, Össur currently employs approximately 1,600
people in more than a dozen strategic locations around the globe.
Headquartered in Iceland, we have extensive operations in the
Americas, Europe and Asia, with numerous distributors in other
markets. Thanks to our industry-leading investment in cuttingedge research and development, Össur has been recognized as a
“Technology Pioneer” by the World Economic Forum.
Omar Hassan
Professional Skateboarder
2
Össur’s key acquisitions position us as a leader in orthopaedics.
With brands like CTi®, the world-renowned ligament brace, and
The Unloader®, the first and most-prescribed knee brace for the
treatment of osteoarthritis, Össur is equipped to promote successful
outcomes for you and your patients.
össur’s mission
we improve people's mobility.
table of contents
about cti® ligament braces
What Makes CTi So Unique? . . . . . . . . . . . . . . . . . . . . 4
The Total Support System™ . . . . . . . . . . . . . . . . . . . . . 5
custom bracing
Product Recommendation Chart . . . . . . . . . . . . . . . . . 8
Accessories & Options Guide . . . . . . . . . . . . . . . . . . . 9
Custom Bracing Product Line . . . . . . . . . . . . . . . . . . . 10
off-the-shelf bracing
Product Recommendation Chart . . . . . . . . . . . . . . . . 16
Accessories & Options Guide . . . . . . . . . . . . . . . . . . 17
Off-The-Shelf Bracing Product Line . . . . . . . . . . . . . . 18
policies, measuring & ordering
Sales Policies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Digital Measuring System (DMS) . . . . . . . . . . . . . . . 25
Coordinate Cast System (CCS) . . . . . . . . . . . . . . . . . . 25
Ordering Information . . . . . . . . . . . . . . . . . . . . . . . . . 26
what makes cti so unique?
The CTi knee brace is our flagship ligament brace. Introduced
in 1983, CTi® remains the cornerstone of our ligament bracing
product line today. While the original CTi has evolved over time,
our basic philosophy remains unchanged. Specifically, we still
contend that a static support system consisting of a rigid brace
frame that captures the tibia and non-elastic cruciate straps is
superior to the dynamic solutions offered by most other ligament
brace manufacturers.
A rigid brace frame that captures the tibia is ideal. Non-rigid braces
fail under significant stress and braces that substitute soft tissue
containment for brace-to-bone contact usually have increased
migration problems. The rigid, carbon composite CTi knee brace
frame captures the tibia, providing the brace-to-bone contact
needed for maximum stabilization of the knee joint.
Non-elastic cruciate strapping is also crucial. When combined
with a rigid frame that truly captures the tibia, the result is a static
support system. Dynamic support systems with rubber (or elastic)
cruciate straps merely realign the knee joint after it has begun to
displace. Static systems hold the bones in proper alignment to
help prevent displacement altogether.
The Accutrac® hinge mimics the natural motion of the knee joint.
By analyzing natural leg motion, we invented a patented 4-bar
linkage system to more accurately mimic the natural movement
of the leg without a brace. Most of our ligament braces, including
CTi, feature the Accutrac hinge, which is also available in a ROM
version for many of our ligament products.
Total support. In addition to the Accutrac hinge, CTi features a
Total Support System™ for ligament, rotary and combined
instabilities (see right).
CTi goes off-the-shelf. In 2007, we introduced an off-the-shelf (OTS)
version of this classic. CTi OTS replaces a portion of the rigid
tibial component of the custom model with a flexible subshell and
Adjustable Tibial Strap (ATS). This solution still captures the tibia,
yet provides adjustability for variances in patient anatomy and an
excellent out-of-the-box fit.
Reduced Migration. Össur Sensil® Silicone is well-established in the
prosthetics industry. In 2007, we integrated this proprietary technology
with an Aerospacer base mesh fabric to create a patent-pending,
breathable padding system for CTi that virtually eliminates migration.
CTi technology is incorporated into our entire line. Whether custom
or off-the-shelf, premium or economy, every Össur ligament brace
benefits from the technology behind CTi. In particular, every
product in our ligament line incorporates some combination of
a rigid brace frame, flexible subshells, padding and strapping to
capture the tibia. While the 100% rigid tibial capture component of
the CTi custom brace provides the highest level of protection and
support, other products in our line may be more appropriate for
your patient, depending on their unique needs and activity level.
The steadman clinic studies
In studies of acl-deficient professional skiers, non-braced
skiers had 6.4 times greater risk of subsequent knee injury
than skiers braced with a cti knee brace.
To receive a copy of these studies, call 1-800-233-6263 or
ask your Össur representative.
4
the total support system
most of our ligament bracing solutions, including the cti® knee brace, feature
the total support system™. this unique system has been tested and proven by
hundreds of thousands of patients and premier athletes worldwide.
acl support
mcl & lcl support
pcl support
The tibial capture system encompasses
A 6-point system provides excellent medial
The rigid femoral component of the frame
the tibia and parallels the tibial crest to
and lateral support. The rigid lateral arms
and non-elastic lower cruciate strap stabilize
help inhibit anterior and pivotal tibial
on the brace frame, condylar support at the
the PCL. If needed, a PCL strap/pad option
excursion caused by ACL laxity. The non-
joint, non-elastic straps and lower medial
can be added to apply additional pressure to
elastic upper cruciate strap provides an
cuff combine to help control medial and
the thigh. An anatomically-shaped Gastroc
opposing force on the femur to help
lateral instability. 1’s indicate LCL support;
Force Plate is included with this option to
stabilize the knee.
2’s indicate MCL support.
provide an opposing force to the calf.
Toby Gerhart
Professional Football Player
ligament bracing custom
custom ligament bracing
Product Selector
Ligament
ProductSupport
Patient
Disproportion
Product Features
& Benefits Level
cti®
3 models
to choose:
low
17”h (43.2cm)
22-27oz (624-765g)
Premium
Product
mid
high
low
mid
high
low
mid
high
cti models differ only in the amount of carbon fiber used in the frame
the more carbon fiber used the more rigid the brace
the less carbon fiber used - the lighter the weight
vapor
amount of carbon fiber
standard
lighter weight
pro sport
more rigidity
cti® vapor
quick selection criteria
17”h (43.2cm)
22oz (624g)
• Lightest weight, best solution for most patients
• Ideal support for everyday activities (walking, jogging, lifting objects, etc.)
• Smaller patients participating in sports
cti® standard
17”h (43.2cm)
24oz (680g)
• Best compromise of weight and impact resistance
• Ideal support for very active, average-to-large size patients participating in sports
cti® pro sport
17”h (43.2cm)
27oz (765g)
• Best solution for largest patients participating in extreme impact sports
• (motocross, football, etc.)
paradigm®
16.5”h (41.9cm)
23oz (652g)
low
mid
high
low
mid
high
low
mid
high
low
mid
high
• Patients that prefer ‘cage’ style brace
• Patients not participating in high impact or sliding sports
extreme
17”h (43.2cm)
24oz (680g)
low
mid
high
low
mid
canada product
usa special order only
8
• Patients that prefer ‘single upright’ style brace
• Option for patients with medial hinge concerns
• Suitable for all impact levels
high
custom ligament bracing
Accessories & Options
Accessory/OptionCTi®*Paradigm®
Flexion Stop Kit
Anti-Migration System
ACL Cable System
Additional PCL Support
Available in 12 Colors
Custom Paint Designs
Ski Boot Attachment
Motocross Kit
Medial Unloading
Lateral Unloading
Patella Cup
Gear Guards
Contact Sports Cover
Sports Undersleeve
Hinge Cover
Gel Fit Condyle Pads
* Includes Pro Sport, Standard and Vapor models
Extreme®
cti® custom
CTi braces provide the ultimate combination of stabilization and
protection of the knee joint. This truly custom-made brace uses
Accutrac® hinges with extension stops to glide with the knee and
breathable liners coated with bio-inert Össur Sensil® Silicone
to reduce migration and skin irritation. CTi custom braces are
available in 3 models — Vapor, Standard and Pro Sport — and
can be further customized with a variety of options, colors,
designs and/or accessories.
indications & usage
•
•
•
•
1
ACL, MCL, LCL, PCL, rotary and combined instabilities
Vapor model for low to medium impact levels
Standard model for medium to high impact levels
Pro Sport model for highest impact levels
2
3
4
Colors*
product highlights
Sky Blue
• Total Support System™ provides support for ACL, MCL, LCL,
PCL, rotary and combined instabilities (see page 5)
Ocean Blue
Navy Blue
• Hand-laminated, carbon composite frame construction
supplies true rigid support
Green
Champagne
• Anatomically-correct Accutrac hinges1 with extension stops
track the natural movement of the knee
Red
Pink
• Proprietary Sensil® padding2 is comfortable and reduces migration
White
• Skin-friendly SensEdge overmolding3 on buckles and lower
cuff improves comfort and eliminates pressure points
Silver
Yellow
• Flexible lower medial cuff4 provides increased protection
against rotational forces and is breathable for added comfort
Charcoal
Black
• Constructed from non-corrosive materials, enabling use for
water sports
* colors are only
approximate
• One Year Fit Guarantee to accommodate changes in leg size
during the first year following injury
ordering information
• See pages 26-31 for complete product, accessory and option
custom paint
10
Left to Right
Flags, Flames, Camo,
Sports Fan, Metal, Sports
Equipment, Hibiscus,
Celestial, Sponge
paradigm® custom
For sports and activities that don’t require sliding, Paradigm provides
the perfect balance of control and comfort. Extremely comfortable
to wear, the low-profile Paradigm combines a contoured medial flare
design and condylar ergonomics. A carbon fiber frame with flexible
subshell assembly provides firm control, while accommodating
individual variations in leg shape. Polycentric hinges offer excellent
structural soundness and durability, while an Adjustable Tibial Strap
captures the tibia, limiting anterior translation and minimizing
slippage. With a host of options, accessories and custom colors,
Paradigm can be further customized to satisfy any patient’s needs.
indications & usage
• ACL, MCL, LCL, PCL, rotary and combined instabilities
• Protection and stabilization of surgical grafts
• Recommended for low to medium contact/impact
1
2
3
4
Colors*
product highlights
Sky Blue
• “Cage” frame provides total ligament support via multiple
points of leverage
Ocean Blue
Navy Blue
Green
Champagne
Red
Pink
White
Silver
Yellow
Charcoal
Black
* colors are only
approximate
• Flared and contoured medial thigh shell1 provides improved
patient comfort and fit
• Calf shell captures the tibial crest2 to maximize stability and
minimize slippage
• Anterior calf shell eliminates “step through” design, resulting
in easier brace application and removal
• Flexible subshells3 allow for changes in anatomy during rehab
from acute injury or surgery, without sacrificing stability or fit
• Hard-anodized, polycentric hinges4 are designed to reduce
gear wear and feature easy-to-use flexion and extension stops
• Adjustable Tibial Strap (ATS) captures the tibia and allows
adjustments in hinge depth for a more customized fit
extreme® custom
For bilateral bracing applications, “saddle” sports, and other
situations where a single, lateral hinge is advantageous, consider
Extreme. Extreme is durable enough for rigorous athletic activities,
yet its Triax® shells are malleable, offering adaptability to changes
in leg size and/or varus/valgus alignment. A carbon steel polyaxial
hinge and Dynamic Force Strap® combine to provide excellent
rotational control and proprioception.
canada only
indications & usage
• All activity levels
1
2
3
4
Colors*
product highlights
Sky Blue
• Dynamic Force Strap®1 eliminates the need for a medial upright
and gives the user control over the level of rotational control
Ocean Blue
Navy Blue
Green
Champagne
Red
Pink
White
Silver
Yellow
Charcoal
Black
* colors are only
approximate
• Single, lateral upright with carbon steel polyaxial hinge2 is
well-suited for “saddle” sports
• Flexible carbon Triax® shells are adaptable to changes in leg
size and/or varus/valgus alignment
• Wide, elastic thigh strap3 contains the hamstring and is easy
to apply and adjust
• Unique, dual padding configuration4 provides an optimal
mix of comfort and suspension
• For early onset osteoarthritis, varus/valgus stress can be
added to the hinge during custom production
• PCL control provided with no additional modifications
• ROM control available for post-surgical use
• Shells contain soft tissue for excellent proprioceptive feedback
• Recommended for adolescents, where growth is an issue
12
Shawn Craddick
Professional Snowboarder
CTi OTS Knee Brace
MVP Contour OTS Knee Brace
ligament bracing off-the-shelf
off-the-shelf ligament bracing
Product Selector
Ligament
ProductSupport
Patient
Disproportion
Product Features
& Benefits Level
cti®
2 models
to choose:
low
17”h (43.2cm)
24-27oz (680-765g)
Premium
Product
cti® ots
16.5”h (41.9cm)
24oz (680g)
cti® ots pro sport
16.5”h (41.9cm)
27oz (765g)
MVP®
Contour
16”h (40.6cm)
25oz (709g)
mid
high
low
mid
high
low
mid
high
cti models differ only in the amount of carbon fiber used in the frame
the more carbon fiber used the more rigid the brace
the less carbon fiber used the lighter the weight
amount of carbon fiber
cti ots
cti ots pro sport
lighter weight
more rigidity
• Best OTS solution for most patients
• Ideal support for everyday activities and most sports
• Best OTS solution for larger patients participating in extreme impact activities
low
mid
high
low
mid
high
low
mid
high
low
mid
high
low
mid
high
• Aluminum frame can be tailored to provide a personalized fit
• Patients that prefer a ‘cage’ style brace
• Suitable for most patients and activity levels
paradigm®
ots
16.5”h (41.9cm)
23oz (652g)
low
mid
high
low
mid
high
• Patients that prefer a ‘cage’ style brace
• Patients not participating in high impact or sliding sports
trainer
14.5”h (36.8cm)
19oz (539g)
low
mid
high
low
mid
high
Economy
Product
16
• Great option for MCL injuries, or moderate ligament laxity/sprains
• Not recommended for patients with a disproportionate thigh-to-calf ratio
off-the-shelf ligament bracing
Accessories & Options
C180
Accessory/OptionCTi®*
MVP® Paradigm® Flex®Rocket
Trainer
Flexion Stop Kit
IncludedIncluded
Anti-Migration System
Additional PCL Support/PCL Kit
Gel Fit Condylar System
Patella Cup
Gear Guards
Sports Oversleeve
Sports Undersleeve
Patellofemoral Buttress/Sleeve
Sports Bag
* Includes Pro Sport and Standard models
cti® ots
For the highest level of support and protection, the proven technology
behind the classic CTi knee brace is available with off-the-shelf
convenience. Outfitted with anatomically-correct Accutrac® hinges
and flexible cuffs and buckles, the rock-solid CTi carbon frame
provides a rigid exoskeleton that stabilizes the knee joint. Breathable
liners coated with bio-inert Össur Sensil® Silicone ensure CTi OTS
remains properly positioned on the leg, for optimal functional benefit.
indications & usage
•
•
•
•
1
All activity levels
Standard model for medium to high impact levels
Pro Sport model for highest impact levels
2
3
4
product highlights
• Hand-laminated, carbon composite frame construction
supplies true rigid support
• Frame shape is low-profile and contours to the leg, making it
suitable for a variety of physical activities
track the natural movement of the knee
• Skin-friendly SensEdge overmolding3 on buckles and subshell
improves comfort and eliminates pressure points
Medial View
showing breathable,
flexible subshells
• Flexible subshell and Adjustable Tibial Strap (ATS)4 capture the tibia
and allow adjustments in hinge depth for a more customized fit
water sports
18
mvp® contour ots
The MVP® Contour is a versatile, low-profile, aluminum brace
incorporating Össur’s proven technology that is engineered to
capture the tibia, securing the brace in the proper position on
the leg. This new addition to our comprehensive line of ligament
knee bracing can be easily tailored to achieve a customized fit
and is suitable for a broad range of patients and activity levels.
indications & usage
• Mild to severe ligament laxity, sprain, or deficiency
• Protection and stabilization of ligaments after surgical repair
or reconstruction
1
2
3
4
product highlights
• Frame provides total ligament support via multiple points of
leverage and can be tailored to provide an optimum fit2
• Adjustable Tibial Strap (ATS)3 captures the tibia and allows
• Accutrac® 2 hinges with flexion and extension stops track the
natural movement of the knee and help prevent hyperextension
Medial View
showing upper
medial cuff
paradigm® ots
Paradigm OTS uses a “cage” frame to provide total ligament
support via multiple points of leverage. The flared and contoured
medial thigh shell enhances patient comfort, while the calf shell
captures the tibia via an Adjustable Tibial Strap. The anterior calf
shell simplifies application and removal by eliminating the awkward
“step through” design of braces with a posterior calf shell. Flexible
subshells accommodate changes in anatomy during rehab from
acute injury or surgery, without sacrificing stability or fit.
indications & usage
1
2
3
4
product highlights
• “Cage” frame provides total ligament support via multiple
points of leverage
• Flared and contoured medial thigh shell1 provides improved
patient comfort and fit
• Calf shell captures the tibial crest2 to maximize stability and
minimize slippage
Medial View
showing contoured
thigh shell
• Hard-anodized, polycentric hinges4 are designed to reduce
gear wear and feature easy-to-use flexion and extension stops
20
flex® ots
Flex is a viable post-op/functional rehab solution offering more
versatility in both shape and function than most other options.
Its heat-moldable, carbon composite frame accommodates edema
and/or changes in leg shape during recovery from surgery, while its
Accutrac® range-of-motion hinges provide flexion and extension
control. Gel Fit® condylar pads improve suspension and are
comfortable to tender knees recovering from trauma.
indications & usage
•
•
•
•
1
Long-term use for post-op, rehab and functional support
Recommended for low to medium contact/impact
Sport model for lean, athletic legs
2
3
4
product highlights
• Accutrac ROM hinges1 with easy-to-use flex/ext stops
• Heat-moldable, carbon composite frame2 accommodates
edema and/or changes in leg shape during recovery
• Gel Fit condylar pads3 for improved suspension and comfort
• Large, “open window” frame design accommodates post-op
dressing and edema
Sport model
is anatomically
shaped to fit lean,
athletic legs like
a glove
water sports
• Combine Flex with the Cold Rush® Cold Therapy System4 for
hours of soothing comfort (Cold Rush sold separately)
c180 rocket ots
With a condensed size and Accutrac® hinges that are modified
to more accurately track young knees, the C180 Rocket provides
support for children with ligament instabilities. Its sleek, carbon
fiber frame is heat-moldable for customized fitting by O&P
professionals and features our proven Total Support System™
that captures the tibia, providing the brace-to-bone contact
needed to effectively support the knee joint. An optional patella
cup is also available for additional protection.
indications & usage
•Recommended for low to medium contact/impact
•Recommended for children
1
2
3
4
product highlights
• Anterior frame captures the tibia,2 providing the brace-tobone contact necessary for effective support
• Carbon fiber frame is heat-moldable3 and semi-rigid for
customized fitting
•Lightweight, streamlined design for improved patient
comfort and compliance
water sports
Medial View
showing streamlined
medial surface area
for comfort and
compliance
• Available with an optional patella cup4
22
trainer ots
This cost-effective, single-upright brace is the perfect option to treat
moderate MCL injuries, or mild combined ligament instabilities.
With a diagonal Dynamic Force Strap® that tightens when the knee
is extended, Trainer resists valgus forces and minimizes axial rotation.
Its carbon steel range-of-motion hinge and injection-molded carbon
shells are extremely durable, and an Adjustable Tibial Strap provides
tibial capture and improved suspension. The Trainer is an excellent
option for use in activities where a medial hinge may impede
performance, or a padded shell covering is required.
indications & usage
• Mild to moderate ligament laxity and management of acute
Grade I and Grade II MCL sprains
1
2
3
4
product highlights
• Extremely durable, injection-molded Triax® shells1 combine
strength and flexibility
• Dynamic Force Strap2 eliminates the need for a medial upright
• Dynamic Force Strap tightens with extension to resist valgus
forces and minimize axial rotation
• Tempered carbon steel ROM hinge3 with flexion/extension
stops helps protect the knee from lateral blows
• Hinge and Dynamic Force Strap couple to offload the MCL
• Adjustable Tibial Strap (ATS)4 for improved suspension and fit
• Coolflex® sleeve provides breathable compression and comfort
Medial View
showing
Dynamic
Force Strap
sales policies
Satisfaction Guaranteed
If at any time within the warranty period you are not 100%
satisfied with any Össur product, please contact our
Customer Service Department at 1-800-233-6263 and
give us the opportunity to remedy the situation.
Ordering
To order by phone
Please contact an Össur Customer Service Specialist at
1-800-233-6263, Monday through Friday, 7am to 5pm, PST.
To order by fax, 24 hours a day
For your convenience, you may fax orders at any time to
1-800-453-4567.
Custom Brace Alterations or Cancelations
All custom knee braces are custom fabricated for a
unique individual and cannot be restocked. Therefore,
alteration or cancelation of a custom order may result in
a fee if brace fabrication has already commenced. To limit
this possibility, please notify Össur of any custom order
alterations or cancelations as quickly as possible.
Shipping
Össur offers a variety of delivery options, from priority
overnight to ground.
Custom Knee Braces
Most custom knee braces ship within 3-4 days. Rush
service is also available. Please contact an Össur Customer
Service Specialist at 1-800-233-6263 for details. Please
allow an additional 48 hours for custom paint or private
label orders.
Off-The-Shelf Knee Braces
Off-the-shelf product orders received before 12pm Pacific
Standard Time will be shipped the same day.
24
Warranty
All Össur products are warranted for any defects in
materials and/or workmanship. Please contact our
Customer Service Department at 1-800-233-6263 if you
have any questions.
Custom Knee Braces
Össur warrants the frame and hinge components to be free
of defects in materials and workmanship for the lifetime of
the original patient. Straps, liners/covers, sleeves, return
cords, hinge coatings and other soft components shall be
warranted free from defects in materials and workmanship
for 6 months.
Off-The-Shelf Knee Braces
Össur warrants the frame and hinge components to be
free of defects in materials and workmanship for 2 years.
Straps, liners, return cords, hinge coatings and other soft
components shall be warranted free from defects in
materials and workmanship for 6 months.
Return Policy
Before returning any Össur product for exchange, credit, or
refund, please contact our Customer Service Department at
1-800-233-6263 to obtain a Return Authorization (RA) number.
Returned merchandise is subject to a restocking fee.
Payment Terms
Net 30 days on approved credit
digital measuring System (DMS)
1
2 Photos can be taken with a digital camera or smartphone. If using a smartphone, we suggest
you download one of the free grid camera applications. This will help minimize angle distortion.
• Apply landmarks to the leg with a marker at the medial and lateral joint spaces,1 plus a line
along the tibial crest between the center of the tibial tuberosity2 and 6" (15cm) below. Extra
landmarks can be added for better accuracy during chart analysis (e.g., outline patella).
3
4
• With the patient in a weight-bearing position, obtain the M-L measurement at the joint
space and record this value on the patient sticker.3
• Measure circumference at 3" (7.5cm) and 6" (15cm) both above and below the
patella4 and record these values on the patient sticker.
• Apply patient sticker 6" (15cm) above mid-patella for anterior view photo.
5
6
• If using a digital camera, adjust the height of the camera stand until the camera is level
with the middle of the patella. If using a smartphone, aim and hold the phone so the lens
is level with the middle of the patella.
• Move the camera stand (or smart phone) approximately 2-3 feet (61-91cm) away from the
patient, capturing roughly 8" (20cm) both above and below mid-patella in the viewfinder.5
Note: Align the camera with the leg to eliminate any internal or external rotation.
• Have the patient turn 90,° reapply patient sticker 6" (15cm) above joint line, and take a
picture of the lateral view.6
• Complete the Online Data Form at www.ossur.com/dms, attach the photos and submit.
coordinate cast System (CCS)
1
• With the patient in a weight-bearing position, use the calipers to obtain the M-L measurement
at the joint space and record the value on the order form.
• Mark the patient’s leg at mid-patella, as well as 3", 6" and 8" above and below mid- patella.1
2
3
4
• With the ankle held at 90 degrees, record the circumference in centimeters at each of the
marked points from Step 1 above on the Custom Knee Brace order form.2
If measuring for a CTi brace:
Measure the patient’s tibial alignment using the standing graduated slider.3 At the mark
3" below mid-patella, bring the tool towards the lateral side of the calf until it just
touches the skin. Slide the horizontal bar down until it just touches the tibial crest. Read
the number on the horizontal bar at the point of intersection with the tibial crest. Repeat this
at the mark 8" below mid-patella. Record these two measurements on the order form next
to the 3” BELOW and 8” BELOW bubbles.
• Center the patient’s leg with mid-patella mark on line 5 of the tracing board.4 You can use
the centerline on the tracing tube to help align the mid-patella directly on line 5.
Note: If the patient has excessive tissue, use the knee center block to raise the knee
off the board. This helps maintain a proper profile of the leg.
• At the top of the board, hold the base of the tracing device flat on the board with the pen tip
facing the leg. Keep in contact with the leg while tracing the profile down to the bottom
of the board.5
5
• Without moving the leg, repeat on the other side.
• On the Custom Knee Brace order form, record the number where the tracing line
intersects each of the nine coordinates lines for sides A and B.
All Ligament Braces: Full Sleeves
Sofsleeve
Neoprene
Undersleeve
Neoprene
Oversleeve
Sports
Undersleeve
Padded Sports
Oversleeve
<15"
20643
20251
20051
20682
20448
15-18"
20644
20252
20052
20683
20448
Large
18-19.5"
20644
20253
20053
20684
20449
XLarge
19.5-21.5"
20645
20254
20054
20685
20449
2XLarge
21.5-24.5"
20645
20255
20055
3XLarge
24.5-28"
20646
20256
20056
4XLarge
28-34"
20647
20257
20057
Size
Circumference
Small
Medium
CTi® Custom
Right1
Left1
Measurements2
Ships
Color
B-11X500010
B-11X600010
DMS , CMS, CCS, cast mold
3-5 days
12 Colors (See Page 10) or Custom Paint
1 X = 6 (Standard), 7 (Pro Sport), or 8 (Vapor)
2 DMS = Digital Measuring System, CMS = Custom Measuring System, CCS = Coordinate Cast System, CAD = Computer Aided Design
CTi® Custom: Sized Kits
Size
Strap Kit1
ACL Strap Kit1
PCL Kit
Moto X Kit2
Small
B-70113X002
B-70113X041
B-705000032
B-705130072
Medium
B-70113X003
B-70113X042
B-705000033
B-705130073
Large
B-70113X004
B-70113X044
B-705000034
B-705130074
XLarge
B-70113X005
B-70113X046
B-705000035
1 X = 0 (non-riveted, top strap screwed in) or 1 (riveted, top strap has a slot)
2 Moto X Kit includes patella cup, gear guards, undersleeve and CTi stickers
CTi Custom: Silicone Liners & Strap Pads
Size
Strap Pads (Black)
Size
Liners1
Small
B-304010057 (3.5")
Small/Medium
B-411X00112
Medium/Large
B-304010058 (5")
Large
B-411X00114
XLarge/2XLarge
B-304010059 (7")
XLarge
B-411X30114
1 X = 5 (Right) or 6 (left)
26
CTi Custom: Miscellaneous Accessories & Options
Description
Part #
Description
Part #
Condyle Pad – EVA (1/4" Universal)
22199
AMS Wrap, Neoprene
22094
Condyle Pad – EVA(1/8" Universal)
22182
AMS Wrap, Evazote
22095
Condyle Pads, Gel (Pair)
22183
AMS Wrap, XL Neoprene (Calf Circ. > 17")
22152
Condyle Pad Set, Neoprene (1/8" & 1/16")
22054
Patella Cup
B-711130000
Condyle Pad Covers, Cotton (Pair)
13535
Gear Guards
22101
Hinge Cover Kit
B-706140061
Flexion Stop Kit (Factory Installed)
19254
Extension Stop Kit
22130
Hyperextension Strap (Factory Installed)
21144
ACL Cable Repair Kit
B-705130040
Ski Boot Attachment (5")
19201
Paradigm® Custom
Right
Left
Measurments1
Ships
Color
B-110500020
B-110600020
3-5 days
12 Colors (See Page 11)
Paradigm® Custom: Strap/Pad Sets & Liner Sets
Call Össur Customer Service at 1-800-233-6263 to order replacements.
extreme
Right
Left
Measurments1
Ships
Color
B-108500020
B-108600020
3-5 days
12 Colors (See Page 12)
CTi® OTS
Right1
Left1
Measurements2
Ships
Color
B-23X5Y0112 B-23X6Y0112 Small
Caliper: 3.5” (8.9cm) to 4” (10.2cm)
Circumference: 11” (27.9cm) to 12.625” (32.1cm)
Same Day
Black
B-23X500113
B-23X6Y0113 Medium
Caliper: 4” (10.2cm) to 4.5” (11.4cm)
Circumference: 12.625” (32.1cm) to 14.25” (36.2cm)
Same Day
Black
B-23X500114
B-23X6Y0114 Large
Caliper: 4.5” (11.4cm) to 4.875” (12.4cm)
Same Day
Black
B-23X500115 B-23X6Y0115 XLarge
Caliper: 4.875” (12.4cm) to 5.25” (13.3cm)
Same Day
Black
B-23X500116 B-23X6Y0116 2XLarge
Caliper: 5.25” (13.3cm) to 5.75” (14.6cm)
Circumference: 16.625” (42.2cm) to 18.125” (46cm)
Same Day
Black
Size
1 X = 8 (Standard) or 9 (Pro Sport), Y = 0 (Standard) or 4 (PCL)
2Caliper measurement: M/L at joint width in a standard, weight-bearing position
Circumference measurement: just below the distal border of the patella
CTi OTS: Sized Kits
Size
Strap Kit
PCL Kit
Moto X Kit1
Small
B-701140002
B-705140032
B-705130072
Medium
B-701140003
B-705140033
B-705130073
Large
B-701140004
B-705140034
B-705130074
XLarge
B-701140005
B-705140035
2XLarge
B-701140005
B-705140035
1 Moto X Kit includes patella cup, gear guards, undersleeve and CTi stickers
CTi® OTS: Silicone Liners & Strap Pads
Size
Strap Pads
Calf Liners
Thigh Liners
Small
B-304010057 (3.5")
B-410000112
B-410000122
Medium
B-304010058 (5")
B-410000113
B-410000122
Large
B-304010058 (5")
B-410000114
B-410000124
XLarge
B-304010059 (7")
B-410000115
B-410000124
2XLarge
B-304010059 (7")
B-410000116
B-410000124
CTi OTS: Miscellaneous Accessories & Options
Description
Part #
Description
Part #
Condyle Pad – EVA (1/4" Universal)
22199
AMS Wrap – Small/Medium
B-410000001
Condyle Pad – EVA(1/8" Universal)
22182
AMS Wrap – Large/XLarge/2XLarge
B-410000002
Condyle Pad, Neoprene – 1/4" Universal
23503
Patella Cup
B-711130000
Condyle Pad, Neoprene – 1/8" Universal
23502
Gear Guards
22101
Condyle Pad Covers, Cotton (Pair)
13535
Flexion Stop Kit (Factory Installed)
19254
Hinge Cover Kit
B-706140060
Hyperextension Strap (Factory Installed)
21144
Extension Stop Kit
22130
MVP® Contour
Right
B-213500101
Left
B-213600101
Size
XSmall
Measurements1
Color
Circumference: 14 – 17” (35.6 – 43.2cm)
Black
B-213500102
B-213600102
Small
Circumference: 16.5 – 19” (41.9 – 48.3cm)
Black
Circumference: 18.5 – 21” (47 – 53.3cm)
Black
B-213500103
B-213600103
Medium
B-213500104
B-213600104
Large
Black
B-213500105
B-213600105
XLarge
Black
B-213500106
B-213600106
2XLarge
Black
1 Circumference measurement: 6” above mid-patella.
28
MVP® Contour: Sized Kits
Size
Strap Kit1
Liner Kit1
Subshell Kit
XSmall
B-70122X001
B-70322X001
B-716220001
Small
B-70122X001
B-70322X002
B-716220002
Medium
B-70122X003
B-70322X003
B-716220003
Large
B-70122X004
B-70322X004
B-716220004
XLarge
B-70122X005
B-70322X005
B-716220005
2XLarge
B-70122X005
B-70322X006
B-716220006
MVP Contour: Miscellaneous Accessories & Options
Description
Part #
Description
Part #
Condyle Pad Kit
b-717220000
Extension Stop Kit
b-718220000
Hinge Cover Kit
b-706220001
Flexion Stop Kit
b-719220000
AMS Wrap, Neoprene (XSmall/Small/Medium) 23550
D-Ring Kit
B-708220000
AMS Wrap, Neoprene (Large/XLarge/2XLarge) 23551
PCL Strap Kit
b-701220090
Paradigm® OTS
Right1
Left1
Measurements2
Ships
Color
B-21X500001 B-21X600001 X-Small
13.5” (34.3cm) to 15.5” (39.4cm)
Same Day
Black
B-21X500002 B-21X600002 Small
15.5” (39.4cm) to 17.5” (44.5cm)
Same Day
Black
B-21X500003 B-21X600003 Medium
17.5” (44.5cm) to 20.5” (52.1cm)
Same Day
Black
B-21X500004 B-21X600004 Large
20.5” (52.1cm) to 23.5” (59.7cm)
Same Day
Black
B-21X500005 B-21X600005 XLarge
23.5” (59.7cm) to 26.5” (67.3cm)
Same Day
Black
B-21X500006 B-21X600006 2XLarge
26.5” (67.3cm) to 29.5” (74.9cm)
Same Day
Black
Size
1 X = 0 (Standard) or 1 (PCL)
2Circumference measurement: 6” above mid-patella.
Paradigm® OTS: Strap/Pad Sets & Liner Sets
Size
Strap & Pad Set
Liner Set1
XSmall
B-701060001
B-70306X001
Small
B-701060002
B-70306X002
Medium
B-701060003
B-70306X003
Large
B-701060004
B-70306X004
XLarge
B-701060005
B-70306X005
2XLarge
B-701060006
B-70306X006
Paradigm OTS: Miscellaneous Accessories & Options
Description
Part #
Description
AMS Wrap, Neoprene (XSmall/Small/Medium) 23550
Part #
flex/flex sport
Right1
Left1
Size
Measurements2
Ships
Color
FLEX-SR
FLEX-SL
Small
Caliper: 3.5” (8.9cm) to 4” (10.2cm)
Same Day
Clear Carbon
FLEX-MR
FLEX-ML
Medium
Caliper: 4” (10.2cm) to 4.625” (11.7cm)
Same Day
Clear Carbon
FLEX-LR
FLEX-LL
Large
Caliper: 4.625” (11.7cm) to 5.125” (13cm)
Circumference: 14.5” (36.8cm) to 16” (40.6cm)
Same Day
Clear Carbon
FLEX-XLR
FLEX-XLL
XLarge
Caliper: 5.125” (13cm) to 5.625” (14.3cm)
Same Day
Clear Carbon
1 Add "sp" to part number to order Sport model (i.e., FLEXSP-SR for small right Flex Sport)
2Caliper measurement: M/L at joint width in a standard, weight-bearing position
Flex®: Calf & Thigh Pads
Size
Calf Pad (Left)
Calf Pad (Right)
Thigh Pad (Left)
Thigh Pad (Right)
Small
44048
44049
44046
44047
Medium
44040
44041
44042
44043
Large
44044
44045
44038
44039
XLarge
44052
44053
44050
44051
Flex Sport: Calf & Thigh Pads
Size
Calf Pad (Left)
Calf Pad (Right)
Thigh Pad (Left)
Thigh Pad (Right)
Small
77017
77018
77026
77025
Medium
77019
77020
77028
77027
Large
77021
77022
77030
77029
XLarge
77023
77024
77032
77031
Flex/Flex Sport: Strap Kits
Size
Strap Kit
Size
Strap Kit
Small
44071
Large
44070
Medium
44069
XLarge
44068
30
Flex/Flex Sport: Miscellaneous Accessories & Options
Description
Part #
Description
Part #
23550
Condyle Pad, Gel (Pair)
22183
AMS Wrap, Neoprene (Small/Medium)
Condyle Liner & Cover Set (Neoprene)
44066
Hinge Cover Kit
44083
Flexion/Extension Stop Kit
44035
c180 Rocket
Right
Left
Size
Measurements1
Ships
Color
C180KSR
C180KSL
Small
Caliper: 3” (7.6cm) to 3.5” (8.9cm)
Circumference: 9.5” (24.1cm) to 11” (27.9cm)
Same Day
Clear Carbon
C180KLR
C180KLL
Large
Caliper: 3.25” (8.3cm) to 3.75” (9.5cm)
Circumference: 10.25” (26cm) to 11.75” (29.8cm)
Same Day
Clear Carbon
C1802XSR
C1802XSL
XLarge
Caliper: 3.5” (8.9cm) to 4” (10.2cm)
Same Day
Clear Carbon
1 Caliper measurement: M/L at joint width in a standard, weight-bearing position
c180 Rocket: Calf & Thigh Liners
Size
Calf Liner, 1/8" Left
Calf Liner, 1/8"Right
Thigh Liner, 1/8"Left
Thigh Liner, 1/8"Right
Small
25061
25062
25060
25063
Large
25057
25058
25056
25059
XLarge
25016
25017
25104
25105
C180 Rocket: Miscellaneous Accessories & Options
Description
Part #
Description
Part #
Patella Cup (Small/Large)
25029
Strap Kit, Small
30251
Patella Cup (XLarge)
B-711130000
Strap Kit, Large
30252
Motocross Kit (Small/Large)
10833
Strap Kit, XLarge
30908
Motocross Kit (XLarge)
B-705130072
TRAINER
Right
B-237500001
Left
B-237600001
Size
XSmall
Measurements1
13.5” (34.3cm) to 15.5” (39.4cm)
B-237500002
B-237600002
Small
15.5” (39.4cm) to 17.5” (44.5cm)
Same Day
Black
B-237500003
B-237600003
Medium
17.5” (44.5cm) to 20.5” (52.1cm)
Same Day
Black
B-237500004
B-237600004
Large
20.5” (52.1cm) to 23.5” (59.7cm)
Same Day
Black
B-237500005
B-237600005
XLarge
23.5” (59.7cm) to 26.5” (67.3cm)
Same Day
Black
1 Circumference measurement: 6” above mid-patella.
Color
Same Day
Black
usa 800 233 6263
follow Össur on
canada 800 663 5982
webwww.ossur.com
© 2011 Össur
P-530101, 11.11

ligament knee bracing bY össur

Transcription

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