Application of the knee brace

The CNIIPP articulated splint is used in more common cases of paralysis, the unicompartmental knee splint in less severe cases: paresis and paralysis of the knee muscles, after muscle transplants, knee recurrences, etc.

Manufacture of orthopedic supports

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orthopedics (Orthopaedics is the branch of surgery that deals with the prevention, diagnosis and treatment of malformations resulting from congenital diseases, injuries or diseases and the resulting functional disorders of the musculoskeletal system.

Orthopedics is closely related to another medical specialty, traumatology, which deals with the healing of injuries to the musculoskeletal system (bones, joints, ligaments, tendons and muscles) of various causes. In our country, these two fields of medicine form a single medical specialty called 'Traumatology and Orthopedics'.

Orthopedics, together with other sciences (e.g. biomechanics), forms the theoretical basis of prosthetics - a complex medical-technical discipline that lays down the principles for the manufacture and use of prostheses and orthoses (brackets, bandages, devices, special shoes and insoles ) designed to restore lost form and function of the musculoskeletal system.

Free advice

Let our specialists advise you on rehabilitation programs, treatment methods and services. Our specialists will answer your questions, make recommendations and help you choose the most appropriate method of treatment.

Thanks to their expertise, an orthopedic trauma surgeon is able to correct congenital physical defects such as foot, bone or spine deformities.
An orthopedic trauma surgeon usually has extensive general knowledge in his field, but also in-depth knowledge in a specific area of traumatology and orthopedics. The First Step Rehabilitation Center offers you a consultation with trauma surgeon Denis Markovich Lurie, a specialist in traumatology, orthopedics, pediatric orthopedics, prosthetics and orthotics.

First investigation The first examination of an infant takes place in the delivery room, shortly after birth. When the baby is three months old, it should be examined by a pediatric orthopedist. This should be done in order to provide an early diagnosis of possible, sometimes subtle, changes in the development of the skeletal and musculoskeletal system. Early diagnosis of clubfoot, torticollis, hip aplasia or dislocation and other anomalies allows early treatment and correction of pathologies when the child's body is still very plastic.

follow-up examination at the age of nine months. At this age, the child learns to walk, and the functioning of the lower limbs is actively developing. It is very important to detect anomalies such as B. foot deformities, early enough to recognize.

B third Just at the age of three В at the age of one year or later, when the child begins to walk independently. At this stage of the child's development, gait and foot position should be carefully monitored as the load on the child's legs increases and previously hidden structural or developmental abnormalities may arise.

orthopedic products

The Spanish brand Orliman makes tunics of various sizes and designs. It has everything it needs: a 10,000 square meter production facility, research facilities and the possibility of a full production cycle in Spain. Orliman has been on the market for 70 years and is one of the European market leaders. All products from the Spanish brand are certified and approved for use in Russia. There are also certificates confirming the manufacture of orthopedic products according to European quality standards.

The products are made to order as they are all adjustable in length, height and volume. You can choose your own size and then adjust it to fit your figure.

Advantages of Orliman orthopedic products:

– Made from high quality materials, raw materials and components.

– Constant quality control at every stage of production.

– The manufacturer delivers the custom-made tourniquets directly to Russia. Our employees then accept the applications and ship the products to the regions free of charge at our company's expense.

applications

– We have noticed that doctors are less and less likely to prescribe whole leg or whole arm bandages because they are not very effective,' says Olga Tarykina, head of the social programs department of the regional department of the Social Insurance Fund of Russia. – At the same time, there was an increase in orders for custom-made knee and ankle orthoses. This is seen as a more correct approach to rehabilitation.

Occasionally, thanks to advances in technology, improved versions of well-known orthoses have appeared. For example, some can be used multiple times, such as those made of breathable Turbocast. They stay with the child for up to a year and can adapt to the changed physical condition of the child.

– We work with a Dutch manufacturer,' says Vladimir. – Basically, a turbocast is a plastic cast that can be post-processed up to 20 times. For example, if the patient's leg angle has shifted, we immediately adjust the device to his rehabilitation. The child feels more comfortable and the tendons become more flexible, which is what we want to achieve in the treatment process. The right dimensions and the right orthosis can be made in our clinic.

It is important to start rehabilitation at an early age as soon as cerebral palsy is suspected. As a result, many adverse effects on the development of the musculoskeletal system are avoided. The use of innovative orthopedic devices and technical rehabilitation aids can significantly improve the quality of life and increase the effect of rehabilitation.

Adjustable roll for the whole foot without weight bearing

Product Code - TH 8-19. Price 3500-4000 rubles. The models are manufactured according to the product number for the left and right foot in the prosthesis factory. Characterized by easy handling and care.

Advantages: light, secure attachment. The obvious difference from plaster bandages is that they do not cover the entire surface of the leg but allow air access to the lower limb. It can be removed quickly and easily if necessary.

The device consists of two segments, ankle and thigh, made of polymer. The inner surface is lined with a softer plastic. The orthosis is attached to the leg by fasteners – fasteners along the entire length of the orthosis.

Seven basic sizes are taken into account during production. They are proportional and correspond to the foot length in centimetres:

In addition to the standard sizes, they can be made to measure and cast.

Pediatric orthoses to correct pathological changes in the axis of the lower limbs and joint deformities. They are used during the rehabilitation therapy and in the further course of the rehabilitation of the affected child.

Adult full leg orthoses are prescribed by an orthopedic surgeon for contractures of the lower limbs due to disease or pathology, or following surgery.

When prescribing, deformities and contractures must be taken into account: they must not be sharply demarcated. The fixators are applied strictly according to the doctor's instructions and worn over cotton underwear. He is carried in the supine position. The lower limb is placed in the splint and fixed in the desired position with buckles. Tighten the belt buckles alternately, starting with the lower one.

While wearing the orthosis, it is important to take care of skin hygiene and perform the exercises prescribed by the doctor.

Note: Orthoses should only be worn at rest and during sleep. Do not wear the splint and do not do physical exercises.

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You can get them in any Orthomini specialty store or in the online shop www.orthomini.ru You need orthopedic shoes, orthopedic insoles for flatfoot or clubfoot treatment and are eligible for reimbursement of up to 100 % at the local STF RF office where you live.

Documents for STF-IPR compensation are issued (stamped certificate, cashier's check, stamped sales receipt, stamped invoice)

Filling out the forms for STF compensation in accordance with the IPR card

In accordance with the current legislation of the Russian Federation All categories of disabled people, provided they have an individual rehabilitation program (IPR card)are entitled to the free provision of technical rehabilitation equipment and prosthetic/orthopaedic aids that meet their special needs and increase their independence in daily life.

What products can compensation be paid for?

• Cripples, crutches, walkers
• wheelchairs
• Orthopedic footwear for children
• Orthopedic footwear for adults
• Orthopedic joint products (bandages, orthoses, splints)
• Orthopedic products for the spine (posture corrections, braces, Chantz collars)
• Hernia and postoperative dressings
• insoles and orthopedic foot care products

What do I have to do to get compensation for IPR from the state authorities?

1 Contact the hospital or other medical facility where you live to issue Form 088u-06 'Referral for IPR'.

1 Contact your local medical facility to complete form 088u-06 'Referral for medical and social assessment by a medical and preventive care facility'.

Form 088u-06 is valid for one month from the date of completion. 2.

Contact the medical and social assessment service of the place of residence to determine the disability group and to create an individual rehabilitation program (IRP).

social services

Social protection of the Sverdlovsk and Yekaterinburg regions (Decree of the Sverdlovsk Regional Government of 04/20/2016. N 273-PP.

Granted to citizens residing in the Sverdlovsk region (any region, city, municipality) who do not have a disability group, but need prosthetic and orthopedic aids for medical reasons.

Required documents for compensation (no age limit)

1. Application for compensation for OTP costs (.docx 24.34 KB)
2. Passports of adult family members (original and copy of pages with full name, registration)
3. Medical report confirming the existence of a medical indication for the provision of prosthetic and orthopedic items
4. Documents confirming that the cost of the prosthetic and orthopedic equipment was incurred (cash receipt, tax and sales receipt indicating the name of the prosthetic and orthopedic equipment, its type and model and the date of purchase).
5. Child's birth certificate (original and copy)
6. Residence certificate confirming family composition (valid for 10 days)
7. Certificate of dissolution of marriage, certificate of paternity – for single-parent families (original and copy)
8. Marriage certificate in case of different surnames in the family (original and copy)
9. Documents (references) confirming the income of each family member for the three calendar months preceding the month of claiming the benefit
10. Consent of adult family members to the processing of personal data
11. Account details at a credit organization
12. SNILS
13. Certificate from the pension office that you do not have a disability

Calculation of compensation for orthopedic footwear, insoles, orthopedic aids

100 % Actual cost (within the limits of the norm)

handmade

After a broken ankle or other injury, your doctor may prescribe a brace for you. Not everyone can buy this expensive tool at the pharmacy, so some people choose to make it themselves.

The most important thing is that you put together the right construction. The most important thing is to put the right structure together. There must be both parts that stick to the leg (soft) and hard parts to securely attach the joint.

Materials required

First you need to find a base to craft the hard part. This is any plastic box with right angles. Sometimes the material is strong enough, but in other cases you can add a metal angle.

It's also important to find a fabric that will hold it in place. It should feel good and be as stable as possible so that it lasts a long time. The last step is to think about the connectors. You can use old clothes, attach buttons, zippers or ties - everything is possible as long as it is stable.

Step-by-step instructions

Orthoses for children are easier to make due to their small size, but it is not difficult to make this design for adults as well. Once you've found all the materials and tools, you can get to work.

1. Cut out a plastic letter G. It is a right angle, one side of which is equal to or slightly longer than the length of the foot, while the other side should not reach the knee.
2. Be sure to sand down any sharp corners.
3. Choose a high-quality, thick material and sew the entire structure. It must not remain plastic. You can use old winter clothes.
4. Sew the fabric around the sides of the leg while the tough part is at the back.
5. Attach ribbons, zippers or buttons. It is better to use two types of fasteners at the same time.

Where can you buy a knee brace?

Eskulap orthopedic salons in Rostov, Azov and Bataysk offer to buy knee braces for adults and children.

The bandages, orthoses and gowns from our range comply with the requirements of Russian legislation and industry regulations. All orthopedic products have the necessary approvals and certificates.

Our specialists select the right model and explain how to wear the knee brace correctly.

Foot orthosis T.47.42

• The orthosis is used to immobilize joints or foot sections in various pathological conditions.
• It can be used in hospitals and for individual use at home.
• The plastic orthosis has a lining made of soft, air- and moisture-permeable material
• Fastens with a system of tethers, snaps and Velcro
• The dorsiflexion of the foot is adjusted by changing the tension on the lateral straps of the orthosis
• Additional rotating bar for stabilization in the supine position
• Can be used as a night splint to immobilize the foot in forefoot paralysis
• Universal: suitable for left and right foot

• Prevents plantar flexion of the foot
• Dorsiflexion of the foot, the extent of which can be dynamically adjusted depending on the clinical situation

• Postoperative Rehabilitation of Posterior Tibialis Tendon Lengthening (Equinus Reversal)
• Plantar fasciitis, ligament overload of the longitudinal arch of the foot
• Tendonitis, Achilles tendonitis
• Injuries and diseases of the calf muscle tendon
• Soft tissue injuries of the foot
• Paresis of the anterior tibial muscle group (e.g. in stroke)

No absolute contraindications were identified. Relative contraindications, requiring medical advice:

• Need for an individual joint orthosis
• Malignant tumor in the area where the orthosis is applied
• Presence of contact dermatitis in the area of the orthosis.
• Allergic reaction to the materials of the product.

Possible side effects of the product have not been investigated.

Types and Properties

If you look on the Internet in a specialty store or on the website of the Rehabilitation Center 'Tail', you can see various orthopedic aids for the upper and lower limbs and even the trunk. They differ mainly in their function:

1. Therapeutic orthoses such as knee braces, ankle braces, wrist braces or elbow braces. They are used in various injuries and diseases to prevent complications and during the rehabilitation period.
2. Prophylactic models are used to prevent injuries during exacerbations of chronic diseases of the musculoskeletal system.
3. Life-enhancing models are usually made individually and worn over a longer period of time. For example: orthoses for a child with cerebral palsy or other congenital or acquired musculoskeletal disorders.

Depending on the purpose and position on the human body, a distinction is made between:

• Leg orthoses to immobilize a joint, e.g. B. a shin or knee orthosis.
• Models for the upper limbs, e.g. B. for the elbow or shoulder joint.
• Upper or lower limb load distribution devices covering the entire surface of the leg or arm.
• Functional gait models, e.g. B. for children with cerebral palsy or for adults for rehabilitation after joint surgery, where mobility should be restored as quickly as possible. They differ in that they offer the possibility of dynamic joint correction, ie they are similar to an orthosis.

How to decide

Regardless of whether you want to buy from an orthopedic store near where you live or online, you should only do so after consulting a doctor.

Of course, sometimes there are situations when you need to adjust the orthopedic equipment yourself. For example, if the previous fitting unexpectedly broke or the child has outgrown it. As with orthotics or bandages, there is a size chart that can usually be found on the product packaging. Simply measure the circumference of the joint that needs to be immobilized.

For example, if you are looking for a children's ankle brace, measure the circumference of the foot at the instep with a centimeter and then use the chart to find the correct size. If you are looking for an adult knee brace, you should measure the circumference at the center of the kneecap and the circumference of the leg 15 cm above and below.

Orthoses for children, especially for cerebral palsy, can reach up to the knee or the groin, but they can also cover the entire thigh and part of the back. As a rule, they are worn until the age of 2-3 years, and not only during the day, but also at bedtime. Therefore, it is better to make them individually.

Types of knee braces

Knee braces can be divided into subtypes:

• Fixed-fit therapeutic knee braces are intended for the treatment of fractures, torn ligaments, joint inflammation and to be worn after surgery;
• Prophylactic orthoses of medium fit are used to prevent bone fractures in osteoporosis and arthrosis;
• Special orthoses with medium and low stiffness for patients with cerebral palsy.

The doctor may prescribe an extender to immobilize the knee joint or an extender to immobilize the limb in a 30 degree flexed position.

Manufacturers produce knee braces in different sizes. Knee braces for children are also available.

Advice on the use of knee braces

If a knee brace is prescribed for therapeutic or preventive purposes, the physician should explain to the patient how to use the device.

At this point, only a few general notes on the use of the orthosis should be given:

• The orthosis should be worn for a long period of time and only removed for hygiene purposes or medical examinations;
• Sometimes the doctor can allow the orthosis to be removed overnight;
• Wear the orthosis on your back with your knee slightly bent;
• The orthosis should not be too tight on the leg.

If you have any doubts about wearing the orthosis correctly, always consult your doctor. Improper use can lead to damage - poor circulation, pain or even more stress on the knee joint.

Turbocast: a new high-tech material for orthotics

Turbocast is now being used successfully by medical professionals across Europe. This low-temperature plastic and its technology for orthotics were invented by experts in the Netherlands. The systems have a wide range of applications and produce Turbocast insoles for orthopedic, neurological and traumatological problems. Custom-made orthoses support recovery after injuries and are used in the treatment of chronic congenital and acquired diseases of the musculoskeletal system. Material properties:

• When heated to 60-100 degrees Celsius, the material becomes soft and malleable;
• after a few seconds, the mass cools down to 40 degrees Celsius and remains so malleable that it can be modeled directly on the patient;
• after 5 to 8 minutes in the environment, the material hardens and takes on a solid and stable shape that ensures good fixation of the limb;
• Adjusting the orthosis takes between 5 and 75 minutes, depending on the complexity of the injury.

• Light weight (much less than, for example, the weight of a cast);
• hypoallergenic;
• resistant to moisture, so that the usual hygiene measures (bathing, swimming pools, bathing in water bodies) can be carried out without fear or discomfort;
• Breathability keeps you comfortable in summer and keeps skin normal without drying it out or causing irritation, itching or sores;
• full ecological compatibility of the material;
• perfect adaptation to the contours of the body;
• no unpleasant sticking to body hair;
• extensive modeling and modification possibilities of the orthosis;
• Pleasant appearance, no odor nuisance and no need to wear special cloth inserts.

Polyfix – the tailor-made alternative to plaster

Polyfix is an innovative material that replaces plaster in the immobilization of limb injuries, dislocations, fractures, bruises and sprains. The advantages of the material include:

• Aesthetics, light weight and ease of use;
• easy modeling of the desired shape, individual manufacture of orthoses according to the patient's parameters;
• The material has excellent ventilation, is water resistant, does not cause allergies and is environmentally friendly;

The properties of Polyfix allow us not only to manufacture simple structures for a specific limb or part of a limb, but also to compose multi-component systems for plastic surgery and neurosurgery. The manufacture of individual orthoses in St. Petersburg is carried out in our center as part of the entire rehabilitation program. During the entire treatment period, the patient is looked after by an orthopedic surgeon and an occupational therapist, who corrects the orthosis in due course and determines the duration of its use. The occupational therapist prescribes and supplements the orthosis to improve the functioning of the limb and its use in daily life - self-care, mobility, eating, etc.

• How to properly wear a knee brace.
• How to get compensation for orthopedic shoes.
• What are knee braces?.
• Orthopedic footwear under IPR.
• ribbons for children.
• Turbocast footprints.
• tunics.
• What is an orthosis?.