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Brace FittingBy Technical Support

DJO, LLCCorporate Presentation

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Position Patient

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

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Prepare to Apply ACL Brace

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

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Applying the Brace• While sitting on the edge of

a chair have patient step through the brace.

• Position the center of the hinges 1” above the top of the patella and slightly posterior to midline of the leg

• Make sure brace is not twisted on the leg

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Apply Anti-Migration Calf Band• Secure the Anti-Migration band

around the upper calf and close on anterior shin (this will be independent of the #4 and #5 straps).

• The Anti-Migration band will help keep the brace in proper position while strapping down the rest of the straps.

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Apply Strap #1• Secure the lower calf

strap

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Apply Strap #2• Secure upper thigh

strap

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Push hinges posterior• Keeping knee bent at 45

degrees, push both hinges toward back of the leg (posterior) as shown.

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Apply strap #3• Maintain the position of

the hinges (posterior to midline) and secure the lower thigh strap

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Apply strap #4• Secure anterior upper calf

strap which will draw the hinges forward to approximately midline of the leg

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Apply strap #5• Apply posterior upper calf

strap. This strap does not need to be secured as tight as the other straps.

• For future applications the #5 strap does not need to be re-applied when the brace is taken off. Simply apply straps 1-4.

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Complete Fit

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PCL Strapping Sequence• PCL version has only 4 straps• Order of application:

– #1 lower calf– #2 upper thigh– push hinges posterior– #3 posterior upper calf (only)– #4 is anterior lower thigh

• The #4 strap should draw the hinges forward slightly.

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CI Strapping Sequence• Combined Instability covers

both ACL and PCL • This has 6 total straps• Strapping sequence:

– #1 lower calf– #2 upper thigh– push hinges posterior– #3 posterior lower thigh– #4 posterior upper calf– #5 strap anterior upper calf

(this should draw the hinges forward)

– #6 anterior lower thigh.

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Check Fit:

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Patient Compliance• Be sure the patient

understands how to apply the brace. Have them apply the brace in front of you before they leave.

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Apply anti-migration strap

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Apply Strap # 1 (distal shin strap)

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Apply strap # 2 (proximal thigh strap)

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Push Condyles back (posterior)

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Apply Strap #3 (posterior distal thigh strap)

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Strap #4 (front top shin strap)

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Strap #5 (top calf strap)

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Complete Application