Rebound Achilles Wedge Kit

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1 Rebound Achilles Wedge Kit

2 Clinical Indications Indications for Use The Achilles Wedge Kit is intended for use in treating full or partial ruptures of the Achilles Tendon. The Achilles Wedge Kit can be used either pre or post-operatively as deemed appropriate by a medical professional. Contraindications None 4/21/2015 1

3 Medical Necessity Rehabilitation of Achilles tendon post surgical repair Rehabilitation of Achilles tendon during non-surgical treatment 4/21/2015 2

4 User Profile The Rebound Achilles Wedge Kit is rated for low to moderate impact levels only The maximum user weight is 136kg (300lbs) 1. Low Impact level: Daily activities involving limited and steady walking with minimal loading force on the foot. Examples: shopping, gardening, household tasks. 2. Moderate Impact level: Daily activities involving typically normal and repetitive actions with moderate amount of loading forces on the foot. Examples: longer walks, golfing and other moderate impact activities; no jumping or similar athletic activities. 4/21/2015 3

Achilles Tendon Tear/Rupture The Achilles tendon is the largest tendon in the body. It connects your calf muscles to your heel bone and is used when you walk, run, and jump.

5 Achilles Tendon Tear/Rupture The Achilles tendon is the largest tendon in the body. It connects your calf muscles to your heel bone and is used when you walk, run, and jump. Although the Achilles tendon can withstand great stresses from running and jumping, it is vulnerable to injury. A rupture of the tendon is a tearing and separation of the tendon fibers so that the tendon can no longer perform its normal function. 4/21/2015 4

6 Treatment Options Non-operative: - Immobilization (cast in plantar flexion) - Rehabilitation Operative: - Immobilization (cast in plantar flexion) - Surgery - Immobilization (cast or walking boot in plantar flexion) - Rehabilitation 4/21/2015 5

7 Recommended Protocol Week 0-2 Week 2-4 Week 4-6 x3 x2 Removal of sutures Week 6-7 Week 7-8 Week 8-12 x1 x1 Surgery patients can sleep without RAW Surgery patients must not walk barefoot 4/21/2015 6

8 Diagram Top Wedge Arch Support Middle Wedge Bottom Wedge 4/21/2015 7

9 Features and Benefits Black 14# PE Foam: Light-weight cushioning material is a commonly used shoe insole material Gradual curve added to accommodate anatomical shape of the foot and increase comfort Three 10 mm wedges attached with double sided tape 4/21/2015 8

Features and Benefits Developed to allow for more customization and enhanced comfort with symmetrical design allowing use as Left or Right Thickest cross-section near posterior and flat posterior

10 Features and Benefits Developed to allow for more customization and enhanced comfort with symmetrical design allowing use as Left or Right Thickest cross-section near posterior and flat posterior edge designed to support heel position and limit movement Wider shape under posterior arch provides anatomical support Black 6# EVA Foam: Softer material allows arch support to better conform to user anatomy Taper towards metatarsal heads supports entire arch 4/21/2015 9

11 Degrees of Plantar Flexion The angle of plantar flexion provided by the wedges is proportional to the size of the users foot. The information provided below indicates an approximate plantar flexion angle for each combination of wedges, based on three representative foot sizes. 4/21/

12 Instructions For Use 4/21/

13 Walker Size Selection Guide XS S M L XL Wedge Kit Sizes XS/S M L/XL X X Note: If necessary, smaller size Wedges can be used on larger sized Walkers. X X X 4/21/

14 Weight Wedges with Arch Support grams XS/S 50 M 68 L/XL 84 4/21/

Dimensions Wedges Length* A mm Inch S 130 5.

15 Dimensions Wedges Length* A mm Inch S M L A Width* B mm Inch S M L B C Height / Thickness* mm Inch S M L *Approximate dimensions 4/21/

Dimensions Arch Supports Length* A mm Inch S 102 4.0 M 128 5.0 L 148 5.8 A Width* B mm Inch S 52 2.

16 Dimensions Arch Supports Length* A mm Inch S M L A Width* B mm Inch S M L B C Thickness* C mm Inch S M L *Approximate dimensions 4/21/

17 Competition Wedge Kits 4/21/

18 Competition Achilles Walkers VACOcast Pro Achilles Link to website for more information on this walker ROM Walkers 4/21/

19 Ordering Information Rebound Achilles Wedge Kit: Description Part Number Rebound Achilles Kit Small AWK0001 Rebound Achilles Kit Medium AWK0005 Rebound Achilles Kit Large AWK0009 Accessories: Description Part Number Wedge overlaying liner WHW-W0107 Rebound Walker Strap Extender B /21/

Financial Disclosure. Turf Toe

Financial Disclosure. Turf Toe Seth O Brien, CP, LP Financial Disclosure Mr. Seth O'Brien has no relevant financial relationships with commercial interests to disclose. Turf Toe Common in athletes playing on firm, artificial turf Forceful