brace orthopaedic devices ORTHOPAEDIC continuous innovation

Transcription

1 orthopaedic devices brace ORTHOPAEDIC continuous innovation

2 2 sales: / fax: / sales@braceorthopaedic.co.uk

3 brace ORTHOPAEDIC continuous innovation Mission statement brace Orthopaedic By working with visionary manufacturers, we will develop and distribute truly innovative braces and supports to the orthopaedic and sports medicine markets. We will only present products that offer some form of new technology or enhanced patient compliance, with both the clinician and end user always at the forefront of our thinking. web: 3

4 orthotic devices Table of contents Brace Orthopaedic 03 Jack PCL Brace 07 Jack PCL Jack PCL DynaCox 11 DynaCox Hip Orthosis DynaCox Hip Orthosis DynaCox Evolution Hip Orthosis DynaCox Evolution Hip Orthosis Controlled Dynamic Stretch 17 Knee Brace Flexion Knee Brace Extension Elbow Brace Flexion Elbow Brace Extension Elbow Brace DUO Wrist Brace Ankle Brace Halluxsan 25 Hinges 27 Adult Hinges Adult Hinges Paediatric Hinges Paediatric Hinges Paediatric Orthotics 33 Knee Brace Flexion Knee Brace Extension Elbow Brace Flexion Elbow Brace Extension Ankle Brace Hypex Lite Elbo-Track sales: / fax: / sales@braceorthopaedic.co.uk

5 MKS Spinal Orthoses 43 Body Belt Body Belt Body Belt plus Vario Vario Pontsana Pontsana Pontsana plus Pontsana mobil Pontsana stabil Osteo Osteo Osteo plus Osteo flex Osteo flex plus Lumbo Lumbo Lumbo forte Lumbo plus Lumbo forte plus Extensa Extensa Extensa plus Thorecta Thorecta Thorecta plus brace Orthopaedic MKS - the idea and overview of modular parts 64 MKS - overview of modular parts MKS - overview of modular parts MKS - overview of modular parts MKS - overview of modular parts How to measure and order How to measure correctly Ordering information Notes web: 5

6 6 sales: / fax: / sales@braceorthopaedic.co.uk

7 Jack PCL Brace Dynamic knee orthosis to relieve the PCL Concept The Jack PCL knee brace is a unique solution for PCL injuries, offering a dynamic anteriorly directed force to hold the leg in a neutral position so preventing any potential for posterior sagging. The force set through the hinge is individually adjustable to the size and weight of the patient s leg and is appropriate for both conservative and postoperative treatments. The Jack PCL knee brace is also routinely used in cases of multi-ligament trauma, treating conservatively PCL and MCL tears and so minimising other surgical interventions at a later stage. Jack PCL Wearing Time Experience has shown that if the brace is only utilised for two months there is a risk of instability re-occurring, since the collagen is still under re-vascularisation. We therefore recommend that the Jack PCL brace is worn for 3-4 months. It is important to explain to the patient the principles behind the product so that he/she is convinced of the necessity to wear the brace 24 hours a day for the full rehabilitation period. If the patient removes the brace at night, or loosens the straps, the effect will immediately be lost and the graft or isolated tear is then exposed to gravity and most likely stretching. For a conservative treatment, the Jack PCL brace should be applied within the first three weeks post trauma. Rehabilitation Active muscle exercises are recommended right from the start, using quadriceps training to avoid too much muscle atrophy. For hamstring training the patient is placed in a prone position and then the brace can be removed. We recommend the ischiocrurals to be trained from the hip area with the knee in 20 of flexion and the hip in hyperextension to avoid unfavourable force vector. Partial weight bearing of 15kg to 20kg is used for the first 8 weeks. There are clear rehabilitation protocols laid out in the LaPrade clinical study referenced below. Clinical Studies Posterior cruciate ligament tears: functional and postoperative rehabilitation. Casey M Pierce, Luke O Brien, Laurie Wohlt Griffin and Robert F LaPrade. Acute isolated injury of the posterior cruciate ligament treated by a dynamic anterior drawer brace. M Jacobi, N Reischl, P Wahl, E Gautier and R P Jacob. Treatment of isolated PCL tears using the dynamic PCL brace. R P Jakob and Emanuel Gautier. Jack PCL Hinge torque against adjusted scale value Position scale NM - Force web: 7

8 Jack PCL Brace Dynamic knee orthosis to relieve the PCL Patents: EP / EP / EP / US 7,309,322 / US 5,954,677 Indications PCL ruptures Partial ruptures and elongations of the PCL Features Constant translation force independent of flexion angle Individually adjustable spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Individual adjustment of shells and straps Easy handling and high wearing comfort Mode of operation The Jack PCL Brace overcomes the gravity of the lower leg to relieve the posterior cruciate ligament. The translation force may be adjusted to the leg and weight of the patient through setting the tension on both sides of the brace. The slipping of the tibia into the posterior drawer position is inhibited. Size chart and product codes Jack PCL Brace with limitation Size Length of thigh shell medial Length of lower leg shell Circumference of thigh Circumference of calf Code-left Code-right S 23 cm 31 cm cm to 33 cm 885C-L 885C-R M 23 cm 32 cm cm to 40 cm 885A-L 885A-R L 23 cm 34 cm cm to 48 cm 885B-L 885B-R The Jack PCL brace with limitation offers you the following choice of settings: FLEXION: 15 /25 /35 /45 /55 /65 /75 /90 EXTENSION: 0 /15 /25 /35 /45 Jack PCL Brace without limitation Size Length of thigh shell medial Length of lower leg shell Circumference of thigh Circumference of calf Code-left Code-right S 23 cm 31 cm cm to 33 cm 880C-L 880C-R M 23 cm 32 cm cm to 40 cm 880A-L 880A-R L 23 cm 34 cm cm to 48 cm 880B-L 880B-R The Jack PCL brace without limitation is completely free moving in flexion and extension. For patients that do not fit into the standard sized options, a bespoke solution is available on request. 8 sales: / fax: / sales@braceorthopaedic.co.uk

9 Principles of the Jack PCL Brace 1 The Problem: A Rehabilitation of the knee joint after reconstruction of the posterior cruciate ligament heavily loads the reconstructed ligament, especially when the foot is resting on the floor and the leg is hanging through, as in sitting position diagram A, or if the ischiocrural muscles are contracted during active flexion of the knee as in diagram B. The consequence is elongation of the transplant and recurrence of posterior instability. Jack PCL 2 The Goal: In order to prevent the graft from elongating, posterior sag of the knee must be avoided during the rehabilitation phase until the transplant is re-vascularised and matured using a counter force of corresponding size during this 3 to 4 month period, as in diagram C. B During conservative treatment, the constant support and protection of the ruptured ligament is essential to avoid the ligament healing in an elongated condition. 3 The Solution: Using the Jack PCL brace, the posterior draw position is avoided independent of the degree of flexion of the knee joint. C The principle of the brace is based on a separation between motion of rotation and translation of the tibia against the femur during flexion-extension as in diagram D. D web: 9

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11 DynaCox The hip concept Concept The original DynaCox hip orthosis was the first dynamic hip abduction brace. The treatment concept is a functional combination of bandage and orthosis. The bandage provides compression and helps reduce excessive flexion of the hip. The orthosis offers containment by clever use of the counter forces generated by its pre-tensioned design. The brace is constructed from three basic measurements and ensures a semi bespoke fit, allowing simple fine tuning for the clinician when supplying the brace. With the leg piece constructed at an abduction angle of 20, even when the patient works against this force by adducting and flexing, the brace responds with a counter force through the femur pad to give the required containment. This close fitting orthosis allows more normal movement and improved compliance, whilst helping return confidence to those unfortunate to have had, or who are at risk of a dislocation. Rehabilitation The normal wearing time for DynaCox during the rehabilitation therapy is 24 hours a day for 12 weeks and should be reviewed at appropriate stages throughout the treatment. The combination of well thought out biomechanics and component design significantly reduces the risk of dislocation, whilst allowing normal muscle action to promote rehabilitation. The three point principle stabilises the hip joint, so that a static abduction position is replaced by a dynamic abduction guidance. The patient may therefore place the leg involved actively below the load line of the body weight and still enjoy protection from dislocation. The abductors are then put under strain with every step and atrophy can be avoided. DynaCox Hip Concept Evolution - A Modular Solution With the constant pressures on bed space and the desire to discharge patients from hospital as soon as possible, there is now a modular DynaCox solution that can be stored on site and supplied same day Evolution. The new Evolution hip orthosis represents the consistent re-development and refinement of the dynamic hip orthosis DynaCox. Whilst the proven effectiveness of the treatment concept has been sustained, both wearing comfort and ease of application have been significantly improved. Clinical Study The Dynamic Hip Orthosis DynaCox in case of a tendency to dislocation after implantation of a hip endoprosthesis Prof. Dr. J. Heisel web: 11

12 DynaCox The hip concept Indications Hip dislocation following arthroplasty which may be due to: Muscle imbalance Soft tissue laxity Muscle weakness Contra indications Inappropriate bony alignment due to position of prosthesis or acetabulum Function Safeguarding surgical results Dislocation prophylaxis Early functional motion therapy Size chart Size Circumference / cm U1 hip bandage / pelvic belt U2 thigh bandage U3 condylar clasp XS cm cm cm S cm cm cm M cm cm cm L cm cm cm XL cm cm cm From the three measurements (U1, U2 and U3) supplied, together with left/right orientation, we will construct the brace for you. Fine tuning adjustments are possible when fitting the patient. U1: Circumference 6cm above greater trochanter 6cm Height of greater trochanter (starting point for measuring) 25cm U2: Circumference 25cm below greater trochanter U3: Circumference 5cm above middle of patella *An order form download is available on the web site 12 sales: / fax: / sales@braceorthopaedic.co.uk

13 Options We can replace the standard TRI-Flex joint (Flexion limited from 70 but no limit on Extension) with a ROM-Flex joint which controls the maximum angle of flexion and extension of the hip. This range can be adjusted by the clinician in increments of 15, with settings from 0 to 90. We can replace the standard Lateral Side Bar with a Short Side Bar for patients who have a femur less than 36cm long. (femur length = distance from knee crevice - greater trochanter). It is also possible to purchase additional bandages separately. How the DynaCox works Bandage + Orthosis = DynaCox DynaCox Hip Concept Circular compression: The functional bandage: The circular compression supports the gluteus muscles (abductors) which cover the hip joint like a fan and stabilise it. Allows the components of the orthosis to be positioned close to the body for optimal functionality with minimal bulk for the wearer. Three-point principle: + 3 The orthosis: A splint that can be positioned perfectly for optimal pressure transfer with the three-point principle. The components of the orthosis the medial condylar fixture 1 the sub-trochanteric pad 2 and the counter-support of the hip clasp 3 ensure dynamic stabilisation of the femoral head in its socket. 2 = 1 Bandage and orthosis together represent the perfect system for orthotic hip support: Stabilisation of the osseous structures to prevent dislocation. Supports muscle build-up throughout the entire treatment period. web: 13

14 DynaCox evolution Focussing on security Indications Hip dislocation following arthroplasty which may be due to: Muscle imbalance Soft tissue laxity Muscle weakness Contra indications Inappropriate bony alignment due to position of prosthesis or acetabulum Function Safeguarding surgical results Dislocation prophylaxis Early functional motion therapy Size chart Size S M L XL XXL U1 Hip Circumference / cm cm cm cm cm cm Supply of a single circumferential measurement, together with left/right orientation, will allow us to construct this new modular brace option for you. Fine tuning adjustments and closures are made when fitting the patient. U1: Circumference 6cm above greater trochanter 6cm Height of greater trochanter (starting point for measuring) *An order form download is available on the web site Options We can replace the standard TRI-Flex joint with a ROM-Flex Joint which controls the maximum angle of flexion and extension of the hip. This range can be adjusted by the clinician in increments of 15, with settings from 0 to 90. It is also possible to purchase additional bandages separately. 14 sales: / fax: / sales@braceorthopaedic.co.uk

15 Special features of the new DynaCox evolution Modular hip brace concept The new, modular hip brace consists of just four components, pelvic belt, joint, condylar clasp and bandage. The flexible belt now allows for the whole brace to be laid out almost completely flat. This feature is especially beneficial when fitting the brace with the patient in a lying position. 1 The snap fit system for the pelvic belt allows for quick and simple adjustment for all treatable hip circumferences (70cm 150cm) DynaCox Hip Concept Click & Lock Closures The Click & Lock closure system makes it possible to adjust the length of the orthosis without the use of any tools. This easy adjustment is possible where the joint meets the pelvic belt and where the condylar clasp with lateral bar meets the femoral pad. This secure connection also makes the brace tamper proof Adjustable Condylar Clasp The newly designed condylar clasp has a flexible anterior cuff and adjustable condyle pads. This allows maximum adjustment in fit across an entire size range and complete control in this critical area with optimal fit both laterally and medially. The soft cushioning material on the inside of the cuff and air pockets on the inside of the pads avoids pressure points and maximises compliance. 5 4 New Bandage with Innovative Knitting Technology The cut of the bandage has been optimised to adapt better than ever to the patients anatomy. Furthermore, a new knitting technique helps improve the bandage s permeability considerably. Additionally, the anchoring system of the femoral pad has been improved and so positioning of the femoral pad during the fitting process has now become even simpler web: 15

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17 CDS Controlled Dynamic Stretch Dynamic spring loaded orthoses Introduction Dynamic spring loaded orthoses can be used to treat joint contractures caused by both neurological and orthopaedic conditions. The shortening of the tissue surrounding the joint decreases the range of motion, affecting the patient s everyday life. Therefore, the CDS concept aims to increase the range of motion without pain by applying a constant, appropriate low load prolonged stretch (LLPS). Contraindications: bony blockings, osteoporosis, thrombophlebitis Treatment The CDS principle, Controlled Dynamic Stretch, applies a dynamic low load prolonged stretch to the structures limiting ROM in order to stimulate the growth of the shortened tissue and increase the range of motion. The combination of LLPS and active movement stimulates blood circulation in the contracted tissue in order to return it to a normal level of weight bearing and mobility. Through this physiological contracture treatment, fast results with high compliance are achieved. Firstly an exact diagnosis of the ROM deficit is assessed and the first therapeutic goal is defined. In order to achieve a plastic remodelling of the contracted tissue, treatment times from 30 minutes to several hours are required. Spring tension and degree are adjusted according to diagnosis and sensitivity of the patient. At the beginning of the treatment the goal should not exceed 5 but can be increased as treatment progresses. The brace can be worn at night and during all resting phases of the day. CDS Contracture The shells are constructed to provide the highest wearing comfort and excellent pressure distribution. The adjustable limitation of the redression area protects the tissue from detrimental, painful overstretching. The spring tension can be adjusted individually and is shown by an indicator. The easy, safe handling increases the acceptance by the patient. CDS Hinge torque against adjusted scale value Position scale NM - Standard hinge NM - Forte hinge *All Adult braces are fitted with the Forte Hinge and Paediatric braces with the Standard Hinge. web: 17

18 CDS Knee Brace Flexion Dynamic spring-loaded knee orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After spinal cord injuries Paralysis (discrete palsy of peripheral origin) After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Conservative and postoperative indications, where active extension of the knee is contraindicated Features Therapy in flexion Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in flexion Individual adjustment of shells and straps Easy handling and high wearing comfort Mode of operation The CDS Knee Brace Flexion functions according to the CDS principle and has been designed to treat a flexion deficit of the knee. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissue from painful overstretching. Size chart and product codes Size Length of thigh shell medial Length of lower leg shell Circumference of thigh Circumference of lower leg Code-left Code-right Adult 23 cm 28 cm cm cm 904A-L 904A-R Custom made solutions are available on request Information on How to measure correctly can be found on page 70 Paediatric sizes can be found on page sales: / fax: / sales@braceorthopaedic.co.uk

19 CDS Knee Brace Extension Dynamic spring-loaded knee orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After spinal cord injuries Paralysis (discrete palsy of peripheral origin) After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Rupture of a muscle fibre of quadriceps femoris Patella tendon rupture Extension deficit from weakness of quadriceps Conservative and postoperative indications, where active flexion of the knee is contraindicated Features Therapy in extension Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in extension between -15 and +30 Individual adjustment of shells and straps Easy handling and high wearing comfort CDS Contracture Optional wedge for flexion stop available (20 to 60 ) Mode of operation The CDS Knee Brace Extension functions according to the CDS principle and has been designed to treat an extension deficit of the knee. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissues from painful overstretching. Size chart and product codes Size Length of thigh shell medial Length of lower leg shell Circumference of thigh Circumference of lower leg Code-left Code-right Adult 23 cm 28 cm cm cm 903A-L 903A-R Optionally available wedge for flexion stop (Product code: S) Custom made solutions are available on request Information on How to measure correctly can be found on page 70 Paediatric sizes can be found on page 35 web: 19

20 CDS Elbow Brace Flexion Dynamic spring-loaded elbow orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Features Therapy in flexion Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in flexion Individual adjustment of shells and straps Easy handling and high wearing comfort Mode of operation The CDS Elbow Brace Flexion functions according to the CDS principle and has been designed to treat a flexion deficit of the elbow. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissue from painful overstretching. Size chart and product codes Size Length of upper arm shell media Length of forearm shell Circumference of upper arm Circumference of forearm Code-left Code-right Adult cm cm cm cm 907A-L 907A-R Optional handle Code-left Code-right Rotatable 990A-HL 990A-HR Fixed 991A-HL 991A-HR Custom made solutions are available on request Information on How to measure correctly can be found on page 70 Paediatric sizes can be found on page sales: / fax: / sales@braceorthopaedic.co.uk

21 CDS Elbow Brace Extension Dynamic spring-loaded elbow orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Treatment after biceps tendon rupture Features Therapy in extension Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in extension between -15 and +30 Individual adjustment of shells and straps Easy handling and high wearing comfort CDS Contracture Mode of operation The CDS Elbow Brace Extension functions according to the CDS principle and has been designed to treat an extension deficit of the elbow. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissue from overstretching and allows for individual extension up to -15. Size chart and product codes Size Length of upper arm shell media Length of forearm shell Circumference of upper arm Circumference of forearm Code-left Code-right Adult cm cm cm cm 906A-L 906A-R Optional handle Code-left Code-right Rotatable 990A-HL 990A-HR Fixed 991A-HL 991A-HR Custom made solutions are available on request Information on How to measure correctly can be found on page 70 Paediatric sizes can be found on page 37 web: 21

22 CDS Elbow Brace DUO Dynamic spring-loaded elbow orthosis Patents: DE / EP / US 7,083,583 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries In arthrosis and chronic polyarthritis In haemophilia (bleeder s joint) After burns After strokes After spinal cord injuries After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Treatment after biceps tendon rupture Features Therapy in flexion and extension possible Individual adjustment of the tension spring without tools Limits for flexion and extension continuously adjustable Limits for extension can be set as far as -10 Immobilisation function between -10 and +150 Individual adjustment of shells and straps Easy handling and high wearing comfort Change over point can be set between +46 and +92 Mode of operation The CDS Elbow Brace DUO functions according to the CDS principle and has been designed for the simultaneous treatment of extension and flexion deficits of the elbow. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissue from painful overstretching and allows for individual terminal extension up to -10. Size chart and product codes Size Length of upper arm shell media Length of forearm shell Circumference of upper arm Circumference of forearm Code-left Code-right Adult cm 23 cm cm cm 905A-L 905A-R Optional handle Code-left Code-right Rotatable 990A-HL 990A-HR Fixed 991A-HL 991A-HR Custom made solutions are available on request Information on How to measure correctly can be found on page sales: / fax: / sales@braceorthopaedic.co.uk

23 CDS Wrist Brace Dynamic spring-loaded wrist orthosis Patents: DE / EP / EP / US 7,083,583 / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After spinal cord injuries Paralysis After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Features Therapy in extension Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Redression range can be adjusted in 15 intervals Individual adjustment of shells and straps Easy handling and high wearing comfort CDS Contracture Mode of operation The CDS Wrist Brace functions according to the CDS principle and has been designed to treat an extension deficit of the wrist. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissue from painful overstretching. Size chart and product codes Size Code-left Code-right Adult Extension 931A-L 931A-R Adult Flexion (optional) 932A-L 932A-R Adult DUO (optional) 930A-L 930A-R Custom made solutions are available on request web: 23

24 CDS Ankle Brace Dynamic spring-loaded ankle orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After spinal cord injuries Paralysis (discrete palsy of peripheral origin) After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Features Therapy in dorsal extension Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in dorsal extension Individual adjustment of shells and straps Easy handling and high wearing comfort Mode of operation The CDS Ankle Brace functions according to the CDS principle and has been designed to treat an extension deficit of the ankle. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissue from painful overstretching. Size chart and product codes Size EU shoe sizes UK shoe sizes Sole length Code-left Code-right S up to 6 26 cm 920C-L 920C-R M cm 920A-L 920A-R L up 30 cm 920B-L 920B-R Custom made solutions are available on request Paediatric sizes can be found on page sales: / fax: / sales@braceorthopaedic.co.uk

25 Halluxsan Hallux Valgus Brace Patents: DE Indications Conservative treatment of moderate cases of hallux valgus as well as preventative treatment Pre-surgical treatment in order to prepare the soft tissue for surgery Post-surgical treatment in order to stabilise the surgical result Contra indications: The brace must not be worn in cases of tissue problems, wound healing deficit, vascular disorders (diabetes) and infection Features Therapy in the physiological position of the big toe Pain reduction Individual adjustment of the tension spring without tools Mode of operation Individual adjustment of the straps Easy handling and high wearing comfort Available in four colours CDS Contracture The Halluxsan functions according to the CDS principle and has been designed to treat hallux valgus (bunion). The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue and reduce pain. The adjustable redression range protects the tissue from painful overstretching. Product codes Code-left foot Code-right foot Colour 940A-L 940A-R green 940AS-L 940AS-R black 940AP-L 940AP-R pink 940AG-L 940AG-R grey Corrective Force Spring setting Corrective force in NM web: 25

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27 Hinges For the individual rehabilitation Dynamic Hinges web: 27

28 Overview of the hinges Regular sizes (adults) Dynamic spring-loaded hinges Product code-left Product code-right Name 903A-GLM 903A-GRM CDS Mono-hinge forte medial Application in knee braces with effective direction towards extension using a fortified tension spring 903A-GLL 903A-GRL CDS Mono-hinge forte lateral Application in knee braces with effective direction towards extension using a fortified tension spring 906A-GL 906A-GR CDS Mono-hinge forte Elbow Extension Application in elbow braces with effective direction towards extension 931A-GL 931A-GR CDS Mono-hinge forte Wrist Extension Application in wrist braces with effective direction towards extension 903B-GL 903B-GR CDS Mono-hinge 360 forte Application in braces with effective direction towards both extension and flexion 28 sales: / fax: / sales@braceorthopaedic.co.uk

29 Product code-left Product code-right Name 920A-GL 920A-GR CDS Mono-hinge forte Ankle Extension Application in ankle braces with effective direction towards extension 907A-GL 907A-GR CDS Mono-hinge forte Elbow Flexion Application in elbow braces with effective direction towards flexion 932A-GL 932A-GR CDS Mono-hinge forte Wrist Flexion Application in wrist braces with effective direction towards flexion 905A-GL 905A-GR CDS DUO-hinge Elbow Application in elbow braces with effective direction towards both extension and flexion Dynamic Hinges 930A-G CDS DUO-hinge Wrist Application in wrist braces with effective direction towards both extension and flexion 945A-G Power hinge Application in toe or finger splints web: 29

30 Overview of the hinges Paediatric sizes (infants, children and adolescents) Product code-left Product code-right Name S CDS hinge Extension medial 1 Application in left knee braces and right elbow braces S CDS hinge Extension medial 2 Application in right knee braces and left elbow braces S CDS hinge Extension lateral 1 Application in left knee braces S CDS hinge Extension lateral 2 Application in right knee braces S CDS hinge Flexion medial 1 Application in left knee braces and right elbow braces S CDS hinge Flexion medial 2 Application in right knee braces and left elbow braces 30 sales: / fax: / sales@braceorthopaedic.co.uk

31 Product code-left Product code-right Name S CDS hinge Flexion lateral 1 Application in left knee braces S CDS hinge Flexion lateral 2 Application in right knee braces S S CDS hinge Ankle short lateral Application in ankle braces Dynamic Hinges S Hinge Ankle short medial Application as support in ankle braces web: 31

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33 Paediatric orthotics Orthotic system for children Our orthotic system for children includes: Dynamic Splints to treat orthopaedic and neurological joint contractures Functional braces providing relief and limiting ROM Paediatric Orthotics In order to treat various indications in children, we provide both ready-made orthoses, as well as bespoke solutions for those children who do not fit into the standard sizing range. Our braces can be ordered in a range of colour options to improve patient compliance. web: 33

34 CDS Knee Brace Flexion Dynamic spring-loaded knee orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries After burns After strokes After spinal cord injuries Before and after joint Paralysis (discrete palsy of replacement peripheral origin) In arthrosis and chronic After craniocerebral trauma polyarthritis (CCT) To prevent new contractures after arthrolysis Conservative and postoperative indications, where active extension of the knee is contraindicated Features Therapy in flexion Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in flexion Individual adjustment of shells and straps Easy handling and high wearing comfort Mode of operation The CDS Knee Brace Flexion functions according to the CDS principle and has been designed to treat a flexion deficit of the knee. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissues from painful overstretching. Size chart and product codes Size Length of thigh shell medial Length of lower leg shell Circumference of thigh Circumference of lower leg Code-left Code-right Colour options Infant cm cm cm cm 904KK-L 904KK-R *green / blue / orange / pink Child cm cm cm cm 904K-L 904K-R *green / blue / orange / pink Adolescent cm cm cm cm 904J-L 904J-R black * please specify which colour option you would prefer Custom made solutions are available on request. Information on How to measure correctly can be found on page sales: / fax: / sales@braceorthopaedic.co.uk

35 CDS Knee Brace Extension Dynamic spring-loaded knee orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Rupture of a muscle fibre of quadriceps femoris Patella tendon rupture After burns After strokes Extension deficit from weakness of quadriceps After spinal cord injuries Before and after joint Paralysis (discrete palsy of replacement peripheral origin) In arthrosis and chronic After craniocerebral trauma polyarthritis (CCT) To prevent new contractures after arthrolysis Conservative and postoperative indications, where active flexion of the knee is contraindicated Features Therapy in extension Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in extension between -15 and +30 Individual adjustment of shells and straps Easy handling and high wearing comfort Optional wedge for flexion stop available (20 to 60 ) Mode of operation The CDS Knee Brace Extension functions according to the CDS principle and has been designed to treat an extension deficit of the knee. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissues from painful overstretching and allows for individual extension until -15. Paediatric Orthotics Size chart and product codes Size Length of thigh shell medial Length of lower leg shell Circumference of thigh Circumference of lower leg Code-left Code-right Colour options Infant cm cm cm cm 901KK-L 901KK-R *green / blue / orange / pink Child cm cm cm cm 901K-L 901K-R *green / blue / orange / pink Adolescent cm cm cm cm 901J-L 901J-R black * please specify which colour option you would prefer Custom made solutions are available on request. Information on How to measure correctly can be found on page 70 web: 35

36 CDS Elbow Brace Flexion Dynamic spring-loaded elbow orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Features Therapy in flexion Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in flexion Individual adjustment of shells and straps Easy handling and high wearing comfort Mode of operation The CDS Elbow Brace Flexion functions according to the CDS principle and has been designed to treat a flexion deficit of the elbow. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissues from painful overstretching. Size chart and product codes Size Length of upper arm shell media Length of forearm shell Circumference of upper arm Circumference of forearm Code-left Code-right Colours Child cm cm cm cm 907K-L 907K-R *green / blue / orange / pink Adolescent cm cm cm cm 907J-L 907J-R black * please specify which colour option you would prefer Custom made solutions are available on request. Information on How to measure correctly can be found on page sales: / fax: / sales@braceorthopaedic.co.uk

37 CDS Elbow Brace Extension Dynamic spring-loaded elbow orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Treatment after biceps tendon rupture Features Therapy in extension Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in extension between -15 and +30 Individual adjustment of shells and straps Easy handling and high wearing comfort Mode of operation The CDS Elbow Brace Extension functions according to the CDS principle and has been designed to treat an extension deficit of the elbow. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissues from painful overstretching and allows for individual extension up to -15. Paediatric Orthotics Size chart and product codes Size Length of upper arm shell media Length of forearm shell Circumference of upper arm Circumference of forearm Code-left Code-right Colours Child cm cm cm cm 906K-L 906K-R *green / blue / orange / pink Adolescent cm cm cm cm 906J-L 906J-R black * please specify which colour option you would prefer Custom made solutions are available on request. Information on How to measure correctly can be found on page 70 web: 37

38 CDS Ankle Brace Dynamic spring-loaded ankle orthosis Patents: EP / US 5,954,677 Indications Joint contractures After surgery After conservative treatment of capsular ligament injuries Before and after joint replacement In arthrosis and chronic polyarthritis After burns After strokes After spinal cord injuries Paralysis (discrete palsy of peripheral origin) After craniocerebral trauma (CCT) To prevent new contractures after arthrolysis Features Therapy in dorsal extension Individual adjustment of the spring tension Spring tension can be switched on and off without tools and without varying the set spring tension Infinitely variable adjustment of the redression range in dorsal extension Individual adjustment of shells and straps Easy handling and high wearing comfort Mode of operation The CDS Ankle Brace functions according to the CDS principle and has been designed to treat an extension deficit of the ankle. The brace applies a dynamic low load prolonged stretch to stimulate growth in the contracted tissue. The adjustable redression range protects the tissues from painful overstretching. Size chart and product codes Size EU shoe size UK shoe size Product Code-left Product Code-right Colours Child Child 5.5 to Adult 2 920K-L 920K-R *green / blue / orange / pink * please specify which colour option you would prefer Custom made solutions are available on request. Information on How to measure correctly can be found on page sales: / fax: / sales@braceorthopaedic.co.uk

39 Hypex Lite Knee Brace Knee orthosis with 4 point principle and extension / flexion limitations Patents: DE / EP / US 6,375,632 Indications Collateral ligament injuries ACL and PCL ruptures Meniscus injury Femoral condyle fracture Patella fracture Tibia plateau fracture Condition after meniscus reconstruction Condition after microfracturation, Pridie drilling Condition after abrasion chondroplasty Condition after cartilage transplantation Condition after osteotomies (procedures) Patella luxation Moderate instability of the knee Multigamentous instability Genu recurvatum Features Physiological motion sequence through combined arrangement of joints Anatomically formed joint rods and shells Limits may be adjusted without tools Continuously adjustable extension between +45 and -15 to allow for physiological hyperextension of the knee Flexion can be adjusted in 15 intervals up to 90 (max flexion 130 ) Continuous immobilisation between +45 and -15 Easy handling and high wearing comfort Mode of operation The Hypex Lite Knee Brace stabilises and relieves the knee during conservative and post-operative rehabilitation. Straps and shells may be adjusted individually for high wearing comfort. The continuously variable extension limit between +45 and -15 allows for individual terminal extension. Paediatric Orthotics Size chart and product codes Size Length of thigh shell medial Length of lower leg shell Circumference of thigh Circumference of lower leg Code-left Code-right Colour options Infant cm cm cm cm 804KK-L 804KK-R *blue / pink Child cm cm cm cm 804K-L 804K-R *blue / pink Adolescent cm cm cm cm 804J-L 804J-R black * please specify which colour option you would prefer Custom made solutions are available on request. Information on How to measure correctly can be found on page 70 web: 39

40 Elbo-track Functional elbow orthosis with ROM limitation Patents: EP / US 6,375,632 Indications Slight to moderate instability of the elbow joint Post-traumatic or post-surgical immobilisation Post traumatic or post-surgical controlled movement of the elbow joint Features Flexion and extension limits may be adjusted without tools Extension limit can be adjusted in 15 intervals between 0 and 90 (max flexion 130 ) Immobilisation of the brace between -15 and +45 Easy handling and high wearing comfort Optionally, the brace is also available with either a fixed handle or a rotatable handle Mode of operation Elbo-track stabilises and relieves the ligamentous apparatus following ligament injuries during conservative and post-operative rehabilitation. Straps and shells may be adjusted individually for high wearing comfort. The continuously variable extension limit between +45 and -15 allows for individual terminal extension. Size chart and product codes Size Length of upper arm shell Length of forearm shell Circumference of upper arm Circumference of forearm Code-left Code-right Colour options Child cm cm cm cm 850K-L 850K-R *blue / pink Adolescent cm cm cm cm 850J-L 850J-R black * please specify which colour option you would prefer Custom made solutions are available on request. Information on How to measure correctly can be found on page sales: / fax: / sales@braceorthopaedic.co.uk

41 Paediatric Orthotics web: 41

42 42 sales: / fax: / sales@braceorthopaedic.co.uk

43 MKS - Spinal orthoses Modular Spinal System MKS is a modular spinal orthotic system offering incremental levels of stability. This is achieved by means of interchangeable options for spinal trauma management, both pre and post-operative presentations, as well as conservative treatment. An efficient build and despatch system allows for bespoke fit and rapid delivery. Simple clear measurements, combined with our pre build procedure add to the uniqueness of this truly adaptable lightweight, high quality solution for the spine. This also ensures a welcome saving of time for the busy clinician, who will receive the finished brace supplied from the measurements provided and ready to fit. MKS Spinal web: 43

44 MKS Body Belt Lumbar bandage Indications Lower back pain Lumbago Spondylarthrosis Sacroiliac joint irritation Lumbar muscle insufficiency Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Back pocket suitable for silicone pad stimulating blood circulation or back plate Mode of operation Due to its semi-elastic bandaging material the MKS Body Belt adjusts comfortably to the body. Through building up circular pressure the lumbar vertebral column is supported. The firm fastener provides the necessary abdominal pressure. Optionally, blood circulation can be stimulated by inserting the silicone pad into the integrated back pocket. Size chart and product codes Size Body circumference Anterior depth of belt Posterior depth of belt Product code cm 18 cm 22 cm S cm 18 cm 23 cm S cm 18 cm 23 cm S cm 18 cm 24 cm S cm 18 cm 24 cm S cm 18 cm 24 cm S Silicone pad optionally available (Product code: S) Information on How to measure correctly can be found on page 70 L1 - L5 44 sales: / fax: / sales@braceorthopaedic.co.uk

45 MKS Body Belt plus Lumbar bandage Indications Lower back pain Lumbago Spondylarthrosis Sacroiliac joint irritation Lumbar muscle insufficiency Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Back pocket suitable for silicone pad stimulating blood circulation or back plate Additional tensioning straps Mode of operation Due to its semi-elastic bandaging material the MKS Body Belt Plus adjusts comfortably to the body. Through building up circular pressure the lumbar vertebral column is supported. The firm fastener provides the necessary abdominal pressure which can be enhanced through the additional tensioning straps. Optionally, blood circulation can be stimulated by inserting the silicone pad into the integrated back pocket. Size chart and product codes Size Body circumference Anterior depth of belt Posterior depth of belt Product code cm 18 cm 22 cm S cm 18 cm 23 cm S cm 18 cm 23 cm S cm 18 cm 24 cm S cm 18 cm 24 cm S MKS Spinal cm 18 cm 24 cm S Silicone pad optionally available (Product code: S) Information on How to measure correctly can be found on page 70 L1 - L5 web: 45

46 MKS Vario Lumbar bandage Indications Lower back pain Lumbago Spondylarthrosis Sacroiliac joint irritation Lumbar muscle insufficiency Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Back pocket suitable for silicone pad stimulating blood circulation or back plate Circumference and shape can be adjusted Mode of operation Due to its semi-elastic bandaging material the MKS Body Belt Vario adjusts comfortably to the body. Through building up circular pressure the lumbar vertebral column is supported. The firm fastener element provides the necessary abdominal pressure. Optionally, blood circulation can be stimulated by inserting the silicone pad into the integrated back pocket. Size chart and product codes Size Body circumference Anterior depth of belt Posterior depth of belt Product code Standard cm 18 cm 25 cm S Extra cm 18 cm 25 cm S Silicone pad optionally available (Product code: S) Information on How to measure correctly can be found on page 70 Build-up The MKS vario consists of two side peces (1) and (2) the middle piece (3) and the textile cover (4). The MKS Vario can be adjusted for different circumference and shapes to accommodate various physiques. L1 - L sales: / fax: / sales@braceorthopaedic.co.uk

47 MKS Spinal web: 47

48 MKS Pontsana Lumbar bandage with bridging rods Indications Lower back pain Moderately severe lumbar sciatica with slight failures in intervertebral disc protrusion/prolapse Moderately severe radicular lumbar syndrome, pseudoradicular lumbar syndrome Spondylolisthesis, grade 1 with lumbago Moderately severe lumbar deformity (relapsing treatment, complicated course) Condition after intervertebral disc surgery with small up to medium-sized prolapse Spondylarthrosis Sacroilliac joint irritation Lumbar muscle insufficiency Features Semi-elastic bandaging material Firm abdominal piece with hook and loop fastener Lateral reinforcing stays Bridging rods (spring band steel) Additional lateral double straps Mode of operation The MKS Pontsana functions according to the bridging principle. The wide bandage with the additional lateral double straps straightens and hence relieves the lumbar vertebral column. Size chart and product codes Size Body circumference Anterior depth of belt Posterior depth of belt Product code cm 18 cm 32 cm S cm 18 cm 32 cm S cm 18 cm 34 cm S cm 18 cm 34 cm S cm 18 cm 38 cm S cm 18 cm 38 cm S cm 18 cm 34 cm (reduced) S cm 18 cm 34 cm (reduced) S Information on How to measure correctly can be found on page 70 T11 - L5 48 sales: / fax: / sales@braceorthopaedic.co.uk

49 MKS Pontsana plus Lumbar bandage with bridging rods Indications Pain in the area of the lumbar/thoracic spine Moderately severe lumbar sciatica with slight failures in intervertebral disc protrusion/prolapse Moderately severe radicular lumbar syndrome, pseudoradicular lumbar syndrome Spondylolisthesis, grade 1 with lumbago Moderately severe lumbar deformity (relapsing treatment, complicated course) Condition after intervertebral disc surgery with small up to medium-sized prolapse Degenerative changes in the lumbar/thoracic spine Instabilities in the lumbar/thoracic spine Dorsolumbagia Abdominal and lumbar muscle insufficiency Features Semi-elastic bandaging material Lateral reinforcing stays Firm, circular high abdominal piece with hook and loop fastener Bridging rods (spring band steel) Additional lateral double straps Mode of operation The MKS Pontsana Plus functions according to the bridging principle. The circular high bandage with the additional lateral double straps straightens and hence relieves the lumbar vertebral column. Size chart and product codes Anterior depth of belt (1) / Posterior depth of belt (2) Size Body circumference 25 cm (1) / 32 cm (2) 30 cm (1) / 38 cm (2) cm S S cm S S MKS Spinal cm S S cm S S cm S S cm S S Information on How to measure correctly can be found on page 70 T9 - L5 web: 49

50 MKS Pontsana mobil Lumbar bandage with bridging rods Indications Lower back pain Moderately severe lumbar sciatica with slight failures in intervertebral disc protrusion/prolapse Moderately severe radicular lumbar syndrome, pseudoradicular lumbar syndrome Spondylointhesis, grade 1 with lumbago Moderately severe lumbar deformity (relapsing treatment, complicated course) Condition after intervertebral disc surgery with small up to medium-sized prolapse Spondylarthrosis Sacroilliac joint irritation Lumbar muscle insufficiency Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Bridging rods (spring band steel) Detachable lateral double straps Mode of operation The MKS Pontsana Mobil functions according to the bridging principle. The wide bandage with the detachable lateral double straps straightens and hence relieves the lumbar vertebral column. Size chart and product codes Size Body circumference Anterior depth of belt Posterior depth of belt Product code cm 18 cm 32 cm S cm 18 cm 32 cm S cm 18 cm 34 cm S cm 18 cm 34 cm S cm 18 cm 38 cm S cm 18 cm 38 cm S cm 18 cm 34 cm (reduced) S cm 18 cm 34 cm (reduced) S Information on How to measure correctly can be found on page 70 T11 - L5 50 sales: / fax: / sales@braceorthopaedic.co.uk

51 MKS Pontsana stabil Lumbar bandage with bridging rods Indications Severe lumbar sciatica with the muscular failures in severe intervertebral disc protrusion/prolapse without absolute indication for surgery Severe radicular lumbar syndrome, pseudoradicular lumbar syndrome Spondylointhesis with relapsing sciatica Severe lumbar deformity caused by facet syndrome/arthrosis Condition after intervertebral disc surgery without residual paresis in cleared intervertebral disc, decompression of the spinal canal onelayer without deformity, intervertebral disc surgery one-layer Spinal stenosis without strong paresis after short walking distance Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Bridging rods (spring band steel) Additional lateral double straps Firm bridging frame Mode of operation The MKS Pontsana Stabil functions according to the bridging principle. The wide bandage with the additional lateral double straps and the firm bridging frame straightens and hence relieves the lumbar vertebral column. Size chart and product codes Size Body circumference Anterior depth of belt Posterior depth of belt Product code cm 18 cm 32 cm S cm 18 cm 32 cm S cm 18 cm 34 cm S cm 18 cm 34 cm S cm 18 cm 38 cm S cm 18 cm 38 cm S cm 18 cm 34 cm (reduced) S cm 18 cm 34 cm (reduced) S MKS Spinal Information on How to measure correctly can be found on page 70 T9 - L5 web: 51

52 MKS Osteo Spinal orthosis Indications Osteoporosis Stable, osteoporotic and traumatic vertebral fractures Sintered vertebral fractures in osteoporosis Pain caused by poor posture, eg. rounded shoulders Poor posture Hollow round back Chronic lumbago caused by hyperlordosis Spondylodiscitis Facet syndrome Degenerative changes in the lumbar spine Tumour Condition after intervertebral disc surgery Muscle insufficiency Abdominal muscle insufficiency Spondylitis Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Adjustable back plate with incorporated aluminium profile Reclination straps Individual strap course Mode of operation The MKS Osteo spinal orthosis functions according to the reclination principle. The two shoulder straps attached to the back plate straighten the vertebral column to relieve the thoracic spine. The wide lumbar bandage straightens and hence relieves the lumbar vertebral column. The reclination straps are attached to the lumbar bandage through additional lateral straps. Therefore rotation is limited and stabilisation is ensured. Size chart and product codes Body Belt + Osteo Back Plate = Osteo To make a modular Osteo TLSO solution please choose the appropriate belt and back plate options from the following charts. Size Body circumference Anterior depth of belt Product code Height of back piece Product code cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S Small (46 cm) Medium (50 cm) Large (56 cm) S S S Information on How to measure correctly can be found on page 70 T3 - L5 52 sales: / fax: / sales@braceorthopaedic.co.uk

53 MKS Osteo plus Spinal orthosis Indications Osteoporosis Stable, osteoporotic and traumatic vertebral fractures Sintered vertebral fractures in osteoporosis Pain caused by poor posture, eg. rounded shoulders Poor posture Hollow round back Chronic lumbago caused by hyperlordosis Spondylodiscitis Facet syndrome Degenerative changes in the lumbar spine Tumour Condition after intervertebral disc surgery Muscle insufficiency Abdominal muscle insufficiency Spondylitis Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Additional tensioning straps Adjustable back plate with incorporated aluminium profile Reclination straps Individual strap course Mode of operation The MKS Osteo Plus spinal orthosis functions according to the reclination principle. The two shoulder straps attached to the back plate straighten the vertebral column to relieve the thoracic spine. The wide lumbar bandage with the additional tensioning straps straightens and hence relieves the lumbar vertebral column. The reclination straps are attached to the lumbar bandage through additional lateral straps. Therefore rotation is limited and stabilisation is ensured. Size chart and product codes Body Belt Plus + Osteo Back Plate = Osteo Plus To make a modular Osteo Plus TLSO solution please choose the appropriate belt and back plate options from the following charts. Size Body circumference Anterior depth of belt Product code cm 18 cm S cm 18 cm S cm 18 cm S Height of back piece Small (46 cm) Medium (50 cm) Product code S S MKS Spinal cm 18 cm S cm 18 cm S Large (56 cm) S cm 18 cm S Information on How to measure correctly can be found on page 70 T3 - L5 web: 53

54 MKS Osteo flex Spinal orthosis Indications Osteoporosis Stable, osteoporotic and traumatic vertebral fractures Sintered vertebral fractures in osteoporosis Pain caused by poor posture, eg. rounded shoulders Poor posture Hollow round back Chronic lumbago caused by hyperlordosis Spondylodiscitis Facet syndrome Degenerative changes in the lumbar spine Tumour Condition after intervertebral disc surgery Muscle insufficiency Abdominal muscle insufficiency Spondylitis Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Textile back piece with paravertebral steel tape rods Adjustable back plate with incorporated aluminium profile Reclination straps Individual strap course Mode of operation The MKS Osteo Flex spinal orthosis functions according to the reclination principle. The two shoulder straps attached to the flexible back piece straighten the vertebral column to relieve the thoracic spine. The wide lumbar bandage with the additional tensioning straps straightens and hence relieves the lumbar vertebral column. The reclination straps are attached to the lumbar bandage through additional lateral straps. Therefore rotation is limited and stabilisation is ensured. Size chart and product codes Body Belt + Osteo Flex Back Plate = Osteo Flex To make a modular Osteo Flex TLSO solution please choose the appropriate belt and back plate options from the following charts. Size Body circumference Anterior depth of belt Product code Height of back piece Product code cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S Small (46 cm) Medium (50 cm) Large (56 cm) S S S Information on How to measure correctly can be found on page 70 T3 - L5 54 sales: / fax: / sales@braceorthopaedic.co.uk

55 MKS Osteo flex plus Spinal orthosis Indications Osteoporosis Stable, osteoporotic and traumatic vertebral fractures Sintered vertebral fractures in osteoporosis Pain caused by poor posture, eg. rounded shoulders Poor posture Hollow round back Chronic lumbago caused by hyperlordosis Spondylodiscitis Facet syndrome Degenerative changes in the lumbar spine Tumour Condition after intervertebral disc surgery Muscle insufficiency Abdominal muscle insufficiency Spondylitis Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Textile back piece with paravertebral steel tape rods Additional tensioning straps Adjustable back plate with incorporated aluminium profile Reclination straps Individual strap course Mode of operation The MKS Osteo Flex Plus spinal orthosis functions according to the reclination principle. The two shoulder straps attached to the flexible back piece straighten the vertebral column to relieve the thoracic spine. The wide lumbar bandage with the additional tensioning straps straightens and hence relieves the lumbar vertebral column. The reclination straps are attached to the lumbar bandage through additional lateral straps. Therefore rotation is limited and stabilisation is ensured. Size chart and product codes Body Belt Plus + Osteo Flex Back Plate = Osteo Flex Plus To make a modular Osteo Flex Plus TLSO solution please choose the appropriate belt and back plate options from the following charts. Size Body circumference Anterior depth of belt Product code Height of back piece Product code MKS Spinal cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S cm 18 cm S Small (46 cm) Medium (50 cm) Large (56 cm) S S S Information on How to measure correctly can be found on page 70 web: 55

56 MKS Lumbo Bridging orthosis Indications Severe lower back pain Severe lumbar sciatica Lumbar sciatica Spondylolisthesis Facet syndrome Spinal stenosis Vertebral body fractures Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Circumference and shape can be adjusted Modular frame structure with thorax and pelvic support Individual strap course Mode of operation The MKS Lumbo functions according to the 3-point-principle. The wide lumbar bandage with the additional tensioning straps and the modular frame structure straightens and hence relieves the lumbar vertebral column. Size chart and product codes Body circumference Anterior depth of belt 18 cm (for all sizes) Height of back piece cm Product code Height of back piece cm Product code cm 785A-1 785B cm 785A-2 785B-2 Information on How to measure correctly can be found on page 70 T9 - L5 56 sales: / fax: / sales@braceorthopaedic.co.uk

57 MKS Lumbo forte Bridging orthosis Indications Severe lower back pain Severe lumbar sciatica Lumbar sciatica Spondylolisthesis Facet syndrome Spinal stenosis Stable vertebral body fractures Scheuermann s disease Tumour Spondylitis Degenerative changes in the lumbar spine Abdominal and lumbar muscle insufficiency Features Semi-elastic bandaging material Lateral reinforcing stays Firm, high abdominal piece with hook and loop fastener Modular frame structure with thorax and pelvic support Individual strap course Mode of operation The MKS Lumbo Forte functions according to the 3-point-principle. The wide, high lumbar bandage with the additional tensioning straps and the modular frame structure straightens and hence relieves the lumbar vertebral column. Size chart and product codes Anterior depth of belt (1) / Posterior depth of belt(2) Size Body circumference 25 cm (1) / 32 cm (2) Product code 30 cm (1) / 38 cm (2) Product code cm cm cm MKS Spinal cm cm cm Information on How to measure correctly can be found on page 70 T9 - L5 web: 57

58 MKS Lumbo plus Spinal orthosis Indications Severe lower back pain Severe lumbar sciatica Lumbar sciatica Spondylolisthesis Facet syndrome Spinal stenosis Stable vertebral body fractures Scheuermann s disease Tumour Spondylitis Degenerative changes in the lumbar spine Abdominal and lumbar muscle insufficiency Features Semi-elastic bandaging material Lateral reinforcing stays Firm abdominal piece with hook and loop fastener Circumference and shape can be adjusted Modular frame structure with thorax and pelvic support Individual strap course Reclination straps Mode of operation The MKS Lumbo Plus functions according to the 3-point-principle. The wide lumbar bandage with the additional tensioning straps and the modular frame structure straightens and hence relieves the lumbar vertebral column. The reclination straps are attached to the lumbar bandage through additional lateral straps. Therefore rotation is limited and stabilisation is ensured. Size chart and product codes Body circumference Anterior depth of belt 18 cm (for all sizes) Height of back piece cm Product code Height of back piece cm Product code Height of back piece cm Product code Height of back piece cm Product code cm 786D-1 786C-1 786A-1 786B cm 786D-2 786C-2 786A-2 786B-2 Information on How to measure correctly can be found on page 70 T3 - L5 58 sales: / fax: / sales@braceorthopaedic.co.uk

59 MKS Lumbo forte plus Spinal orthosis Indications Severe lower back pain Severe lumbar sciatica Lumbar sciatica Spondylolisthesis Facet syndrome Spinal stenosis Stable vertebral body fractures Scheuermann s disease Tumour Spondylitis Features Semi-elastic bandaging material Lateral reinforcing stays Firm, high abdominal piece with hook and loop fastener Circumference and shape can be adjusted Modular frame structure with thorax and pelvic support Individual strap course Reclination straps Mode of operation The MKS Lumbo Forte Plus functions according to the 3-point-principle. The wide, high lumbar bandage with the additional tensioning straps and the modular frame structure straightens and hence relieves the lumbar vertebral column. The reclination straps are attached to the lumbar bandage through additional lateral straps. Therefore rotation is limited and stabilisation is ensured. Size chart and product codes Size Body circumference Anterior depth of belt 25 cm 25 cm 25 cm 30 cm Height of back piece cm Product code Height of back piece cm Product code Height of back piece cm Product code Height of back piece cm Product code cm cm cm cm MKS Spinal cm cm Information on How to measure correctly can be found on page 70 T3 - L5 web: 59

60 MKS Extensa Three point fixation Indications Stable vertebral body fractures Features Adjustable, stable aluminium profiles All section parts are padded Individual strap course Compression padding for the waist Clip fasteners for easy handling Mode of operation The MKS Extensa functions according to the 3-point-principle. Front and back piece straighten and hence relieve the vertebral column. Focused compression between iliac crest and thorax relieves the lumbar vertebral column further. Size chart and product codes Size Body circumference Height of front piece Height of back piece Product code XS cm cm 28 cm 706D S cm cm 28 cm 706C M cm cm 28 cm 706A L cm cm 28 cm 706B Information on How to measure correctly can be found on page 70 L1 - L5 60 sales: / fax: / sales@braceorthopaedic.co.uk

61 MKS Extensa plus Three point fixation Indications Stable vertebral body fractures Features Adjustable, stable aluminium profiles All section parts are padded Individual strap course Compression padding for the waist Adjustable, firm back plate Clip fasteners for easy handling Optionally, a gluteal bar can be added for further limitation of the lateral flexion Mode of operation The MKS Extensa Plus functions according to the 3-point-principle. Front and back piece straighten and hence relieve the vertebral column. Focused compression between iliac crest and thorax relieves the lumbar vertebral column further. Size chart and product codes Size Body circumference Height of front piece Height of back piece Product code XS cm cm cm 711D S cm cm cm 711C M cm cm cm 711A L cm cm cm 711B Information on How to measure correctly can be found on page 70 MKS Spinal L1 - L5 web: 61

62 MKS Thorecta Three point fixation Indications Stable vertebral body fractures Scheuremann s disease Post-surgical stabilisation Tumour Spondylitis Features Adjustable, stable aluminium profiles All section parts are padded Individual strap course Compression padding for the waist Adjustable, firm thoracic support Clip fasteners for easy handling Optionally, a gluteal bar can be added for further limitation of the lateral flexion Mode of operation The MKS Thorecta functions according to the 3-point-principle. Front and back piece straighten and hence relieve the vertebral column. The wide thorax support limits the lateral flexion of the spine to further immobilise and relieve the vertebral column. Focused compression between iliac crest and thorax relieves the lumbar vertebral column further. Size chart and product codes Size Body circumference Height of front piece Height of back piece Product code XS cm cm cm 731D S cm cm cm 731C M cm cm cm 731A L cm cm cm 731B Information on How to measure correctly can be found on page 70 T9 - L5 62 sales: / fax: / sales@braceorthopaedic.co.uk

63 MKS Thorecta plus Three point fixation Indications Stable vertebral body fractures Scheuremann s disease Post-surgical stabilisation Tumour Spondylitis Features Adjustable, stable aluminium profiles All section parts are padded Individual strap course Compression padding for the waist Adjustable, firm thoracic support Reclination straps Clip fasteners for easy handling Optionally, a gluteal bar can be added for further limitation of the lateral flexion Mode of operation The MKS Thorecta Plus functions according to the 3-point-principle. Front and back piece straighten and hence relieve the vertebral column. The wide thorax support limits the lateral flexion of the spine to further immobilise and relieve the vertebral column. The reclination straps straighten the vertebral column further and minimise rotation. Focused compression between iliac crest and thorax relieves the lumbar vertebral column further. Size chart and product codes Size Body circumference Height of front piece Height of back piece Product code XS cm cm cm 751D S cm cm cm 751C M cm cm cm 751A L cm cm cm 751B MKS Spinal Information on How to measure correctly can be found on page 70 T3 - L5 web: 63

64 MKS The idea Ultimate flexibility for the patient Nobody is just S, M, 64 sales: / fax: / sales@braceorthopaedic.co.uk

65 L, XL MKS Spinal web: 65

66 Overview of MKS modular parts Components Modules Product code Name S S S S S S MKS Body belt with integrated back pocket size 1 MKS Body belt with integrated back pocket size 2 MKS Body belt with integrated back pocket size 3 MKS Body belt with integrated back pocket size 4 MKS Body belt with integrated back pocket size 5 MKS Body belt with integrated back pocket size S S S S S S MKS Body belt plus with integrated back pocket size 1 MKS Body belt plus with integrated back pocket size 2 MKS Body belt plus with integrated back pocket size 3 MKS Body belt plus with integrated back pocket size 4 MKS Body belt plus with integrated back pocket size 5 MKS Body belt plus with integrated back pocket size S S MKS Body belt Vario standard MKS Body belt Vario extra S S S S S S S S S S S S MKS Body belt Lumbo forte size 11 MKS Body belt Lumbo forte size 21 MKS Body belt Lumbo forte size 31 MKS Body belt Lumbo forte size 41 MKS Body belt Lumbo forte size 51 MKS Body belt Lumbo forte size 61 MKS Body belt Lumbo forte size 12 MKS Body belt Lumbo forte size 22 MKS Body belt Lumbo forte size 32 MKS Body belt Lumbo forte size 42 MKS Body belt Lumbo forte size 52 MKS Body belt Lumbo forte size S S S MKS Osteo back piece with strap (S 46 cm) MKS Osteo back piece with strap (M 50 cm) MKS Osteo back piece with strap (L 56 cm) S S S MKS Osteo flex back piece with shoulder straps (S 46 cm) MKS Osteo flex back piece with shoulder straps (M 50 cm) MKS Osteo flex back piece with shoulder straps (L 56 cm) 66 sales: / fax: / sales@braceorthopaedic.co.uk

67 Modules Product code Name S MKS Front rod 32 cm S MKS Front rod 38 cm S MKS Front rod 44 cm S MKS Front rod 50 cm S MKS Reinforcing set 25 cm S MKS Reinforcing set 32 cm S MKS Reinforcing set 39 cm S MKS Reclination rod set 46 cm S MKS Reclination rod set 51 cm S MKS Reclination rod set 58 cm S MKS Reclination rod set 65 cm S MKS Sternal pad S MKS Abdominal plate S MKS Symphseal pad MKS Spinal S MKS End plate large S MKS End plate small web: 67

68 Overview of MKS modular parts Components Modules Product code Name S MKS Pelvic fastener element S MKS Thoracic support S MKS Dorsal plate S MKS Lumbo shoulder plate S MKS Thoracic brace 60 cm S MKS Pelvic brace 60 cm S MKS Thoracic brace 45 cm S MKS Pelvic brace 45 cm 786-gt MKS Lumbo plus shoulder strap set 787-gt MKS Lumbo forte strap set 788-gt MKS Lumbo forte plus strap set S MKS Lumbo fastening straps 68 sales: / fax: / sales@braceorthopaedic.co.uk

69 Modules Product code Name 706-gt MKS Extensa / Extensa plus strap set 731-gt MKS Thorecta strap set 751-gt MKS Thorecta plus strap set S S MKS Lumbo back cover height 1 MKS Lumbo back cover height S MKS Strap loop S MKS Strap fastener element S MKS Double strap loop S MKS Optional pad MKS Spinal 771-mp01 MKS Gluteal bar web: 69

70 How to measure correctly 05 Length of the upper arm Measured from the elbow to the top edge of the medial upper arm shell 01 Circumference of the upper arm Measured at the middle of the upper arm 02 Circumference of the forearm Measured at the middle of the forearm 06 Length of the forearm Measured from the elbow to the lower edge of the forearm shell 03 Circumference of the thigh Measured at the middle of the thigh 07 Length of the thigh Measured from the knee to the top edge of the medial thigh shell 04 Circumference of the lower leg Measured at the calf 08 Length of the lower leg Measured from the knee to the lower edge of the calf shell 09 Height of front piece Measured from the symphis pubis to the sternum (3-4 cm below the clavicula) 11 Height of back piece Measured from the top of sacrum to 2 cm below cervical vertebrae C7 10 Body circumference Circumferential girth of the abdomen measured at the belly button 12 Height of back piece Measured from the top of sacrum to 2-3 cm below the inferior angle of scapular web: 70

71 Ordering information continuous innovation Ordering options Brace Orthopaedic accepts orders by the following means, if supported by an official purchase order: Fax Telephone Post When ordering, please identify your product of choice both by name and product code. This will enable us to process your order as efficiently as possible. All goods are despatched by courier on a next working day basis as standard and charges are applicable. However, if your order is urgent and required by a certain time the next working day, we can accommodate your request but please state this faster delivery requirement on your order. The following faster delivery options are available: Before 10:00 am. Before 12:00 noon Saturday am. delivery There are a small number of more remote post codes where some service options are not available and if you are in any doubt, please check with our Customer Service Department on Conditions of use All of our products are intended for single patient use only, to help reduce the risk of cross contamination, correct fitting and a guarantee of quality to the patient. As such, any product warranty will become void if the product is re-used on another patient, or modified in any way. Returns policy If for any reason you need to return a product unused, please call our Customer Services Department on to receive a returns number. We will always need to ask you the reason for returning the product. By supplying you with a returns number, we can then quickly and efficiently credit your account on receipt of the returned product. Any returned product must be in the same condition as it was sent and in the original packaging, so that it is suitable for re-sale. The customer will be responsible for the shipping costs and we cannot credit the delivery charge on the original order, as the product was sent in good faith. We also reserve the right to refuse any returned products after a three month timescale from the original purchase date. Ordering Information web: 71

72 Notes continuous innovation Notes 72 sales: / fax: / sales@braceorthopaedic.co.uk

73 web: 73