Parts List - Ossur AFO DYNAMIC Gebrauchsanweisung

ENGLISH

PARTS LIST

A. Proximal hook and loop strap
B. Open structure tibia shell
C. Lateral support and distal hook and loop strap
D. Medial Strut
E. Tapered footplate
INSERTION INTO SHOE
• If present, remove the insert from the shoe.
• Insert the footplate of the AFO into the shoe, if necessary grind the
footplate to fit the shoeshape or adjust the shape to the contours of
the foot.
• Avoid grinding excessive material from the lateral side of the footplate
ensuring sufficient space between the medial strut and the medial
arch of the (Drop-) foot (Figure 1).
• Ensure stability of the footplate on the shoe sole throughout the
entire length of the shoe.
• Make sure the footplate and (or) the insert cover the entire length of
the shoe to avoid AP displacement (Figure 2)
• If available, place the insert on top of the footplate.
• Have the patient don the shoe and the AFO.
FITTING THE AFO TO THE PATIENT
• Shift the AFO anterior or posterior to obtain a close fit between the
distal part of the anterior shell and the lower part of the tibia
(Figure 3).
• If the distal section of the anterior shell is too far from the leg, it may
be because the heel section of the footplate is too long. Trim the
footplate at the heel end and add length to the toe part of the
footplate.
• The orthosis is now ready to be fitted to the patient.
DONNING THE AFO
• The patient is in seated position with knees in 90° flexion and ankle in
neutral position
• Always insert the AFO into the shoe prior to donning it to the patient.
• Align the distal section of the anterior shell to obtain close contact to
the lower part of the tibia and secure this position by fastening the
hook and loop (Figure 4).
• Fixate the lower strap ensuring the position of the lower part of the
shell to the tibia.
• The C(P)O is advised to determine the correct distance between the
two anterior support members alongside the bony prominence of the
tibia in order to ensure equal pressure distribution. Apply the strap
over the 2 frontal hook and loop-parts from medial to lateral
(Figure 5).
• Once this position is determined it doesn't require adjustment in the
future. The patient can now apply the strap around the calf using one
hand only (Figure 6).
• Point out to the patient that doffing the orthosis, it is sufficient to
relief this part of the strap, maintaining the position of the anterior
support members.
D r a f t
5