Managing Complex Orthopedic Rehabilitation

Transcription

1 Managing Complex Orthopedic Rehabilitation Dynamic and Static Combination Stretching Orthosis only from...

2 Protect/Mobilize at Each Stage of Post Surgical Course Address the Challenges Presented in the Wound Healing Process Outside the Clinical Setting Treatment Specialties Biceps Tendon Rupture/Repair Triceps Rupture/Repair Severe Elbow or Forearm Trauma Loss of UE Supination and/or Pronation Patellar Tendon Rupture Quadriceps Tendon Rupture Total Knee Arthroplasty (TKA) Anterior Cruciate Ligament (ACL) Severe Fractures Burns Age Groups Pediatric, Biomechanical Rationale Ultraflex custom molded braces, custom fit braces, and components complement surgery and therapy by providing precise dynamic stimulus to address proper remodeling and prevention of adhesions and structural LOM. Dynamic stimulus technology is based on low-load prolonged stress (LLPS). This allows for consistent low level tension to be applied over an extended period of time targeting weak muscles, inadequate muscle tendon length, and adhesions. Mobilization is achieved with both low intensity stimulus and resistive strength training. Ultraflex braces are versatile, easily adjusted, and can be used in static and/or dynamic modes. All phases of healing from acute, to fibroplasia, to maturation can be addressed with a single orthosis. For the acute phase, full lockout is used for immobilization. For the fibroplasia and maturation phases, clinicians have the options of flexion dynamic assist or block and extension dynamic assist or block for protected motion and joint mobilization. A bi-directional feature, extension and flexion assist, is available for wrist, elbow, and knee orthoses. All Ultraflex combination static and dynamic orthoses address posture and scar tissue lengthening to maintain and increase tissue length for proper limb function. To learn more: Call: Visit:

3 What Do Patients Say About Their Ultraflex Dynamic and Static Combination Stretching Orthoses? It fit right into my daily routine. I just went about my day. I took it off only to shower. Since I was able to move my arm when I wore the brace, I had good range of motion when I started physical therapy. It s great to be able to do all the things I did before I was injured. Compliance/Wear Schedule The specific wearing schedule and protocol will be determined by the patient s treating physician. For post surgical immobilization, the orthosis is generally worn at all times to assure maximum protection of the surgical site. For protected/limited mobilization, the orthosis is also generally worn at all times but may be removed for showering. The range of motion allowed in the orthosis will be determined by the physician and the spring tension should be set to promote a gentle active assist motion for gentle gliding of the involved tendon. For increasing ROM in later rehab, the orthosis may be worn for 8-10 hours a day either during the day or at night as tolerated. The spring tension of the orthosis should always be set low enough for the patient to be able to tolerate MORE TIME vs. MORE TENSION in the orthosis. It is typical to start the spring tension at a setting of 2 and have the patient work toward tolerating 8-10 hours of wear time before increasing tension. Ultraflex recommends patients achieve 8-10 hours of wear time in a 24 hour period for maximum benefit for this last phase of the rehab process. Delivering Patient Inspired Solutions Clinical For Support Reimbursement Fabrication Ultraflex s Patient Assistance Program Call , Monday - Friday, 7:00am - 6:00pm (ET) brace selection/design, measurement, casting, fitting, wear schedule guidelines pricing, coding, and prior authorization recommendations fabrication tips or custom fabrication through Ultraflex; we offer a wide selection of custom interface designs and colors uninsured or patients with financial need Our FDA Class I braces are available only through a physician s prescription and are fitted and billed by certified orthotists. Ultraflex braces and components are covered by most insurance providers. Call to set up an in-service training session or private WebEx : WebEx education schedule:

4 Ultraflex Exclusive Component Technology* Component Description Elbow, Wrist, Knee, and Ankle Orthosis Power Unit and Platform Bi-directional Platform and Power Unit Adult Elbow Range of Motion Dial Lock Wrist Range of Motion Dial Lock Supination/Pronation Component Lightweight Extention Assist or Flexion Assist for Elbow, Wrist, Knee, or Ankle *Components come with a limited lifetime warranty.

5 General Guidelines for Ultraflex Complex Orthopedic Intervention Post-Operative Rehabilitation Course From immobilization, to protected motion, to assisted motion, and ultimately to restoration of full active motion

6 Choosing the Proper Brace Design and Patient Body Interface Ultraflex orthopedic components and custom braces support proper muscular skeletal alignment, stabilize joints, and can be designed to produce a therapeutic or functional assist and/or strengthening resistance. Ultraflex specializes in the design and fabrication of patient-specific bracing solutions which may result in a brace design unique to a single patient.* Severe fractures and crush injuries involving the wrist, olecranon, knee, or ankle usually require a custom molded design. In addition to indication, some other factors usually indicate the need for a custom molded design. These factors include: unique anatomy/unusual anthropometric proportions; excessive adipose tissue; poor sensation, poor circulation, or poor skin integrity; and the need for relative ease in donning and doffing for the patient/caregiver. *For more information on innovative brace designs and fabrication techniques to accommodate special patient presentations, please call Other Specialty Bracing Ultraflex areas of specialty also include therapeutic bracing with precise dynamic stimulus and proper posturing for challenging neurological and congenital presentations and functional bracing with Adjustable Dynamic Response for managing gait dysfunction Ultraflex Systems Inc. U.S. and International Patents Pending , Rev. 0

7 Loss of Motion (LOM) Following Complex Orthopedic Trauma or Surgery Indications Biceps Tendon Rupture/Repair Triceps Tendon Rupture/Repair Severe elbow fracture/trauma, post-op Upper extremity burns Clinical Goals Provide immobilization following acute trauma/surgery Allow for protected mobilization/prevent adhesions Restore full active and passive elbow extension and/or flexion Ultraflex Solution Molded EO Severe wrist fracture/trauma, post-op Upper extremity burns Restore full active and passive wrist extension or flexion Molded WHO Severe upper extremity fractures/trauma, post-op Loss of upper extremity supination and/or pronation Restore full active and passive forearm supination and/or pronation Molded EWHO Supronator Severe upper extremity fractures/trauma, post-op Loss of upper extremity supination and/or pronation and loss of elbow flexion and/or extension Restore full active and passive forearm supination and/or pronation and elbow extension and/or flexion Molded EWHO Supronator with Bi-directional Elbow Severe upper extremity fractures/trauma, post op Loss of upper extremity supination and/or pronation and loss of wrist flexion and/or extension Restore full active and passive forearm supination and/or pronation and wrist extension and/or flexion Molded EWHO Supronator with Bi-directional Wrist Patella Tendon Rupture Quadriceps Tendon Rupture Total Knee Arthroplasty (TKA) Anterior Cruciate Ligament (ACL) Severe lower extremity fractures/trauma, post-op Burns Provide immobilization following acute trauma/surgery Allow for protected mobilization/prevent adhesions Restore full active and passive knee extension and/or flexion Molded KO Severe ankle fractures/trauma, post-op Loss of ankle dorsiflexion or plantarflexion Restore full active and passive ankle dorsiflexion or plantarflexion Molded AFO with Transfer Base