Thuasne 54 050, Руководство пользователя

Страница: 5 / 48

HipLoc Evo (54 050)
Mobilising hip joint orthosis with adjustable
extension and flexion
Purpose of use
HipLoc Evo is an orthosis for mobilisation of the
hip joint with adjustable extension and flexion.
The orthosis may only be used for hip treatment.
Mode of action
The HipLoc Evo orthosis is used as a luxation pro-
tection after endoprothetic hip joint replacement.
By means of a controlled approval of movements,
the patient is induced to avoid any movements
tending to cause luxation.
Indications
• Instability of the hip joint
• Stabilisation of the hip joint after total endo-
prothetic replacement with loose muscle
control and a tendency to luxation
• Stabilisation of the hip joint after repositioning a
luxated hip joint following endoprothetic
replacement
Contraindications
In case of the following medical conditions, con-
sult a doctor before using the orthosis:
• Injuries and skin disorders, serious scars with
swelling, reddening skin and increased tem-
perature in the orthosis contact area
• Severe varicose illnesses (varicose veins) with
venous insufficiencies
• Severe varicose illnesses (varicose veins) with
venous insufficiencies
• Sensitivity disorders in the legs (e.g. in case of
diabetes mellitus)
• Circulation disorders
Never allow the product to come into contact with
injured skin.
Side effects
No side effects are known if properly used.
Description of the orthosis
The orthosis features a splint and bandage sys-
tem in which the splint system of the orthosis
comprises a pelvic shell on one side, the splint
system, a thigh pad and a thigh shell.
The splint system here connects the one-sided
pelvic shell with the thigh shell; and in the hip
joint area of which a joint is integrated with an
adjustable extension and flexion unit. The splint
system is adjustable and may be individually
adjusted to the patient‘s specific leg length. If
necessary, the splint system can be provided with
a cover which may be variably cut to size.
The pelvic shell (thermoplastically remouldable) is
located on the side and dorsally encloses the pel-
vis up to sacrum height. The joint should ideally
be positioned to match the position of the ana-
tomical transverse hip joint axis. Flexion can be
limited to 90° and 60°, and extension to 0°.
With its movable suspension system, the thigh
shell adjusts to the leg movements, thus ensuring
that the shell always sits flush on the leg.
A cushioned thigh pad is fixed to the thigh splint
on the body side; the pad is intended to exert la-
teral pressure on the thigh muscles and improves
guidance of the femur. The pressure exerted
should, however, not be uncomfortable for the
patient. The pad‘s position may be adjusted in in-
crements of 2 cm.
The bandage system consists of non-elastic and
elastic materials and may be individually adjusted
for waists of between 80 – 140 cm. A wide hook
and loop fastener in the front area additionally
allows the individual closure of the fastener to
any anatomical characteristic.
Fitting the orthosis
Hip bandage:
1. Shorten the bandage to the measured waist cir-
cumference. The extension integrated in the back
section can be variably shortened with a pair of
scissors. After shortening, simply fasten the end
of the bandage again to the rear side element – by
the hook and loop system. Tip: In order to im-
prove the fit and provide a waist cut of the belt,
the extension can be fastened at an angle to the
rear section using the hook and loop system.
2. Open the hook and loop fastener of the pocket
provided on the outside of the bandage and in-
sert into it the pelvic brace which is already con-
nected with the splint system. Thereafter, fixate
the hook and loop fastener again. (Should the
splint system not yet be connected with the pelvic
brace, please connect both parts with each other
prior to insertion into the pocket.)
Splint system:
3. In order to adjust the flexion and extension li-
mit, simply loosen the pins in the pelvic shell and
reposition them accordingly.
4. Adjust the splint system by pushing relative to
one another the two splints sitting on top of each
other and, at the right length, fix them into place
with two screws. The thigh shell should here be
positioned above the knee. The closure of the
thigh shell can be variably shortened and adjus-
ted to any leg circumference.
Caution: Should the thigh shell not yet be con-
nected with the splint system, both elements
must first be screwed together. To this end, open
the pocket with its hook and loop fastener on the
USA GB