Applying The Acl Version - Ottobock 50K30 Xeleton Instrucciones De Uso

5.2.3 Applying the ACL Version

CAUTION
Incorrect or excessively tight application
Risk of local pressure and constriction of blood vessels and nerves due to improper or exces­
sively tight application
► Ensure that the orthosis is applied properly and fits correctly.
Inform the patient.
►
NOTICE
Use of a worn or damaged product
Limited effectiveness
► Instruct the patient to inspect the product for proper functionality, wear, and damage prior to
each use.
► Advise the patient that the product may not be used if the product or part of the product
exhibits signs of wear (e.g., cracks, deformation, poor fit) or damage.
> All straps are opened.
> The patient is sitting on the front edge of a chair. The knee is angled at 45°.
1) Position the orthosis with the middles of the joints approximately even with the top of the patel­
la (see Fig. 9).
→ Although the orthosis starts out being a little too high, it will quickly settle into the correct
position.
2) Fasten the lower front strap for the lower leg (see Fig. 10).
3) Fasten the upper rear thigh strap (see Fig. 11).
4) Keep the knee bent, and push the two joints towards the back of the leg (see Fig. 12).
5) Fasten the lower thigh strap (see Fig. 13). Pull the joints forward slightly, and position them
so they are centered relative to the knee joint. Ensure that the joints are not pulled ahead of
the lateral center line of the leg (see Fig. 14).
6) Fasten the upper front strap for the lower leg (see Fig. 15).
7) Fasten the rear strap for the lower leg (see Fig. 16).
8) Tighten the orthosis straps so that the orthosis fits firmly but is comfortable to wear.
9) After 15 min of active movement (e.g., slight knee bends): slightly retighten the straps in the
specified sequence (see Fig. 2, straps 1-5).
5.2.4 Conversion to CI Version
> The orthosis is in the as-delivered condition (ACL version).
> The CI accessory set is on hand.
1) Loosen and remove the screw connection on the lower thigh strap (strap 3); see Fig. 17.
2) Attach the pull loop on the lower thigh strap and the additional pull loop (see Fig. 1, item D;
CI accessory kit) with the longer screw (see Fig. 18).
3) Mount the additional strap (strap 6, CI accessory kit) as the front thigh strap.
4) Position the orthosis correctly (see the section "Applying the ACL Version").
5) Fasten the straps in the specified sequence (see Fig. 3, straps 1-6).
5.2.5 Conversion to PCL Version
> The orthosis is in the as-delivered condition (ACL version).
> The PCL accessory kit is on hand.
1) Remove the lower thigh strap (strap 3), the rear strap for the lower leg (strap 5), and the
upper front strap for the lower leg (strap 4).
2) Turn the pull loop on the lower thigh strap (see Fig. 1, item D) to the front.
3) Use strap 4 without tibia pad with the pad on strap 3 as the front thigh strap.
14 | Ottobock