4-point knee orthosis for varus or valgus pressure relief and stabilisation
M.4s OA is a varus / valgus brace. The product is exclusively to be used for the orthotic fitting of the knee and only on intact skin.
Setting the flexion and extension limits (only to be done by an othropaedic technician):
The orthosis is equipped with a 0° extension wedge. It includes additional wedges. The extension and flexion limits should only be limited in accordance with the instructions from the responsible doctor. To avoid hyperextension, extension wedges must be used. The wedges exactly specify the radius of motion of the orthosis. The situation in soft tissue may cause compression, making it necessary to use a larger wedge to restrict the movement of the knee to within the desired radius.
Select the required wedge. Extension wedges are marked with an E and flexion wedges with an F. Insert the wedge into the joint and lock it by clamping it with help of the frame ends. The wedge then slides automatically into the correct position and does not rotate. Tighten the wedge using the screw. It is sufficient to do this by hand. No great force is necessary.
Setting the varus-valgus decompression:
Tip: Get the responsible technician to give you a thorough explanation about how to adjust the M.4s OA. This well help you to master the handling rapidly and to benefit from optimal support from the orthosis.
Sit down and adjust the varus-valgus adjustable joints to the neutral position, using an Allen key. You have reached the neutral position when the padding of the orthosis joint is covering the surface, but producing little or no pressure.
Stand up and set the tension to a quarter cycle (on both adjusting screws). This is a good initial setting for the first time you wear the orthosis. If you want, you can adjust the orthosis to the breadth of your knee with the various joint pads enclosed. Take care that thebrace is sitting properly. For conservative therapy (without an operation), it should not be worn for more than two hours per day in the beginning. You can then wear it for longer periods, depending on how well you tolerate it. It is most important to wear the orthosis for activities that normally cause pain. By using the Allen key, the decompression can gradually be adjusted over time, or during the course of a day.
For postoperative therapy, the orthosis must always be worn when there is stress. Please ask your doctor for instructions.
Extreme settings have no therapeutic value, they only cause additional discomfort.
What can I do if...
... the brace slips?
Make sure that the back thigh strap (#5) is above the belly of the calf muscle.
Take the covers off the knee pads and wear the pads directly on your skin. Watch out carefully for skin reactions. Skin irritation may occur in people with very sensitive skin.
Do not wear the brace over clothes.
... the pads have worn down?
Replacement pads can be obtained from medi UK Ltd.. Your orthotist will be pleased to help.
Avional, velours, polyester, PU foam
The brace cannot be worn in saltwater. If the brace is worn in chlorinated water, it should be rinsed out thoroughly with clean water afterwards.
Soap residues, lotions and ointments can cause skin irritation and material wear.
Wash the paddings and covers by hand, preferably using medi clean washing agent.
- Do not bleach.
- Leave to dry naturally.
- Do not iron.
- Do not dry clean.
With normal use, the hinge mechanism should not require any maintenance, but it can be lubricated with Teflon spray. Check regularly that the joint screws are secure, tighten them if necessary.
- Severe medial or lateral gonarthrosis (at least level III) combined with ligament instability
- Unicompartmental relief before HTO (brace test)
- For relief of painful stress fractures (e.g. tibiahead)
- Cartilage surgery / chondroplasty / meniscus refixation / displacement osteotomy with required postoperative relief of the medial or lateral compartment
- Strong overloading of the medial or lateral compartment
- Permanent relief, where surgery is contraindicated
- Combined lateral and medial osteoarthitis