Orthosis: what is it? classification and effects

My orthopedist

Orthoses (bandages, restraints) for the joints.

Orthoses for joints, in all their diversity, are designed to unload and stabilize the damaged joint, compensate for joint deficit, improve metabolism in the joints to the joint tissues.

Due to the elasticity and structure of the materials, the bandages on the joints carry out a micro massage, which improves nutrition of the joint tissues, favorably affects the neuromuscular system and helps to strengthen periarticular muscles.

The task of orthoses is to prevent damage during the rehabilitation phase, to help the joint, muscles and ligaments recover from injury.

In the field of application, bandages for joints are divided into:

• Bandages for the wrist joint

• Bandages for the elbow joint

• Bandages for the shoulder joint

• Bandages for the hip joint

• Bandages for the knee joint

• Bandages for the ankle joint

In terms of the degree of joint restriction, joint restrictors are divided into:

• Orthoses for joints of an easy degree of fixation,

• Orthoses for joints of moderate (moderate) degree of fixation,

• Orthoses for joints with a strong (hard) degree of fixation,

• orthoses for joints of full fixation.

The degree of restriction is chosen depending on the severity and nature of the damage. Step by step in the rehabilitation period, the task is to come to orthoses of an easy degree of fixation, and then either use them for prevention, or do not use at all, because healthy joints in the orthoses are not need.

So, what does the degree of rigidity of orthosis mean?

Let's start with the description of bandages (orthoses) full fixation. They are called tutors. They are compacted from a dense low-tensile fabric and have several metal inflexible stiffeners.

Their purpose is complete immobilization (immobilization) of the damaged joint. Often, tutors are used as a replacement for gypsum, their advantages compared to them are obvious - it's lightness, comfort in wearing, and hygiene.

The stiffeners should be delivered in order to be able to wash the product.

Orthoses of strong fixationThey also have steel stiffeners, but with mono- or poly-centric hinges that mimic the movement of the joint, as if replacing it.

These bandages are prescribed after injuries and operations on the joints, with joint instability, osteoarthritis, osteochondropathy.

Most often orthoses of strong fixation are made of neoprene, this fabric has excellent thermal insulation properties, which promotes warming of the joint, and how consequence, improvement of the metabolism in the adjacent tissues, while the absorbent coating on the inside absorbs moisture and provides comfort. Use also aeroprene - this is a "perforated" neoprene, which provides better ventilation of the joint and skin. Sometimes these bandages are supplemented with inserts of silicone for additional support of the joint or its part. When choosing, make sure that the stiffeners are removed from the bandage - this will allow you to wash the orthosis and not to spoil the metal parts.

Bandages of medium fixationTo support the joint have plastic or spiral stiffeners. Some models have silicone inserts for added support of the joint. Orthoses of medium fixation have a moderate support and relief of the joint.

Orthoses of an average degree of fixation are applied as a rule after application of orthoses of strong fixation, tk. they provide an opportunity to restore muscle memory, begin to work with ligaments and tendons.

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These orthoses are also suitable for the prevention of joint injuries with physical or sports loads. The choice of the material from which the orthosis is made in this case is very important.

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First, the bandage should provide the correct compression, do not obstruct movement, do not rub, and therefore must be elastic.

The best quality bandages are good with the preservation of the form in all directions, their composition must necessarily include elastic (elastane, lycra, spandex), nylon and the like. The second constituent material can be either cotton, wool or "Ceramics".

When choosing a fabric, please note that wool can not be used in combination with creams and ointments. Orthoses with wool have a warming effect, which improves the metabolism in the periarticular organs and tissues, while contraindicated in inflammatory processes in the joint, skin disorders and skin diseases in the field of application orthosis. In these cases, products with cotton or ceramic thread will be more profitable.

Orthoses for joints of an easy degree of fixationaffect the joint mainly due to its compression properties. They do not have stiffeners.

In these bandages the main criterion of choice is fabric. Her varieties are described above, in the description of bandages of medium degree of fixation.

We wish you a successful choice and health!

A source: http://www. MyOrtoped.ru/blogs/blog/ortezy-vybor-i-klassifikatsiya

What are orthoses of knee joints and their classification and selection

Medicine has made a big leap in the development and implementation of the practice of treatment and prevention of diseases of special products. Orthoses of knee joints can be attributed to such medical products.

Such products may be needed not only for people who have devoted their lives to professional sports, but also to the average citizen of our country.

Orthoses on the knee will also be useful to many people at the time of ice, that is, in winter.

Orthosis on the knee joint, of course, will not save you from future injuries, but it will serve as an excellent fixator for the knee, which this injury has already received, and will speed up recovery.

What is an orthosis?

Orthosis on the knee joint is an orthopedic device that is designed to ensure a clear fixation of the joints in the correct position.

The product is also called the knee. It helps to relieve the knee, remove excess physical pressure from it.

Orthoses on the knee, or rather, their use involves the treatment and prevention of a large number of diseases.

These products, used for the treatment of knee joints, allow unchanged to ensure the preservation of blood circulation.

In addition, the modern orthosis for the knee joint does not adversely affect the skin condition.

The medical knee is today also distinguished by the fact that it is quite flexible and does not constrain the movements of a person. The orthopedic knee is made of plastic, metal and fabric.

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All these characteristics, which have orthosis on the knee, are very significant, since they are required from the time of injury and until the patient's complete recovery. And this means that wearing a knee pads is necessary all the time, without removing even for the night.

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Innovative models of knee pads make it possible to wear them even in those cases when joint deformity, edematous phenomena or manifestation of painful sensations are noted.

But it should be understood that there are not only therapeutic knee pads. The use of knee pads is possible in sports.

Classification of orthoses

When there is a need to choose an orthosis for the diseased knee, it is not out of place to get as much detailed information as possible about the types of these orthopedic products.

There are several basic features to distinguish knee pads:

• purpose;
• degree of rigidity;
• quality of the product.

Concerning the manufacture knee joints are divided into hinged and hingeless. Hingeless provide optimal mobility of joints.

In addition, the products can be divided into different types depending on their effect on the knee joints. So, it is necessary to note the possibility of choosing the following models:

• fixing;
• corrective;
• compensatory;
• unloading.

Corrective models for the knees correct the work of the joints.

For various kinds of deformations, the use of compensating models is prescribed.

Unloading orthosis, as it is clear from the model name, is responsible for reducing loads from the joint and facilitates the mobility of the foot.

Orthopedic products for the knees can also be subdivided according to the degree of rigidity. A rigid adjustable knee pad is used for leg injuries. The knee-brace orthosis can be used during the period after the treatment intervention, during the rehabilitation of the joint.

It should be understood that the choice of the knee has some rules and should be regulated by the doctor, but today in the market of medical orthopedic products one can find a knee brace universal. It can easily be adapted to the individual parameters of each person.

Principles of product selection

The question of how to choose the right knee brace is faced by any person who has experienced a serious knee injury. This choice should be carried out by the person proceeding from the basic rules of selection of an orthopedic product.

The main thing that you need to consider when choosing knee pads is that the definition of its kind should only be performed by a doctor.

As an incorrectly chosen model, which will extremely strongly fix the leg or will possess high rigidity, only a negative impact on the recovery process, because it will weaken muscle.

Once again it should be said that the remedy can be prescribed by a doctor only after a detailed diagnostic examination of the knee joint.

To be guided thus the doctor should not only functional indicators of an orthopedic product, but the size and degree of convenience at its {his} wearing.

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The products are currently sold not only in orthopedic, but also in sports stores. But their purchase for the purpose of treatment should be carried out only in special orthopedic departments and exclusively on the prescription of a doctor.

If all the parameters of the orthopedic product suit, then the orthosis can be acquired with confidence.

It is also important to note that knee pads, like many other types of medical products, have a number of contraindications. These include circulatory disorders in the legs, thrombophlebitis, varicose veins.

A source: http://SustavLife.ru/izdeliya/ortezy-kolennyx-sustavov.html

What is orthosis and how to choose it correctly?

Orthosis is a special medical device, the main function of which is to fix the anatomically correct position of the joint. Orthosis is indicated for use in various joint diseases.

Orthosis is used for fixing the knee

Indications for use

Fixators of this type are designed for the knee joint. Having understood what an orthosis is, one should understand in what situation it is used.The wearing of the lock is shown in the following cases:

• During rehabilitation after surgical intervention in the knee joint;
• with rheumatism of the knee joint;
• dislocation of the joint;
• stretching knee ligaments.

Also, fixers of this type are prescribed as an adjuvant in the treatment of knee injuries. Wearing orthosis helps to fix the joint in the right position, which improves the effectiveness of therapy. The latch helps to speed up the rehabilitation after the operation.

In the treatment of arthritis and arthrosis should be given preference to conventional bandages and elastic knee pads.

Design Features

Orthoses are a rigid fixation that limits the mobility of the joint. Distinguish the design of the hinge and bezsharnirnogo type.

Hinge lock design

The material of manufacture is usually synthetic hard alloys (plastic), metal bands or dense fabric. All parts of the product are fastened together by means of rigid busbars and hinges.

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By appointment, fixers are distinguished, which unload the joint, as well as products for fixing and normalizing the load distribution to the knee. Structures of hard type with hinged fastening are selected only by a rehabilitated physician.

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There are models without hinges, made of dense elastic fabric with different degrees of fixation. Such products are appointed in the event that it is not necessary to completely limit the movement of the joint. Elastic clamps differ in the average degree of compression.

Fixators of this type are worn without time limitations, some types of orthoses can not even be removed at night.

There are four types of knee joint fixators:

• open lock;
• closed knee joint;
• hinged construction;
• clamp with metal stiffeners.

A closed type of fixation knee pads is indicated to reduce edema and pain syndrome. As a rule, they are made of elastic materials that fix the joint, not severely limiting its movement.

How the closed knee

Open knee pads are indicated for wearing after stretching and dislocation. The design feature allows you to independently control the tension of the product. Often used in the treatment of inflammation of ligaments.

The retainer, additionally reinforced with metal side inserts, is necessary for the treatment of osteoporosis. The lateral movement of the knee in such a fixator is limited, but the patient can bend and unbend the joint, crouch and climb the steps.

Sports fasteners

Orthosis is an indispensable thing for professional athletes. This product is indicated for dislocations, sprains, or knee joint injuries.

Athletes are advised to use medium-compression clamps, the design of which does not contain hinges and other rigid fastening elements.

Clamp of open type

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The best option in this case are the clips of an elastic material that let in air. Typically, it is an open type knee that locks the joint at the sides, slightly limiting its movement to the sides.

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To recover from a sports injury, you can choose a rigid structure with metal fasteners. It significantly limits mobility, contributing to early rehabilitation.Rigid construction helps:

• to remove puffiness;
• reduce load;
• correctly redistribute the load;
• improve local blood circulation;
• protect against possible dislocations.

Among professional athletes orthoses are popular, as a means that can quickly restore knee mobility after trauma or stretching.

How to choose a fixator?

Indication for wearing orthosis is the appointment of a doctor. The doctor determines which design is appropriate for the treatment of each case.

Choosing an orthosis, you should follow the following rules:

• The retainer must be matched to fit;
• the tissue must be hypoallergenic;
• the degree of fixation should be correctly matched.

The orthosis is selected according to the size. To do this, it is necessary to measure the circumference of the leg in three places - under, over and in the widest part of the knee.

A knee-length knee that is not sized will not have the desired therapeutic effect: too much will be Dangling without fixing the joint, and an ortez of small size can clamp blood vessels, disrupting blood circulation in the area of ​​the joint.

In the manufacture of knee pads, cotton is used with the addition of synthetic materials, to obtain the desired density and elasticity. An important step in choosing a fixator is the environmental friendliness of the material.

The fabric must pass quality control. Only this is a guarantee of the absence of an allergic reaction when wearing orthosis. The knee should let in air, the fabric must "breathe".

Also, the quality of the dyes used in the manufacture of the product is important.

The degree of compression of the knee is selected by the doctor, depending on the needs of the patient. If an open-type orthosis of an average compression degree is prescribed, do not buy a closed knee cap rigid fixation. This will not hasten the treatment, but will only hurt your health.

Features of care

A good fix is ​​not cheap, so care should be taken to ensure proper care of the product.

Only hand washing is allowed, without the use of aggressive detergents.

The best option will be washing with the help of usual economic or children's soap.

In addition to protecting the knee tissue, these remedies are not harmful to the skin, and will not cause allergies if the knee is badly rinsed after washing.

Dry orthosis should only be done naturally, without using a hair dryer or heat sources. The product should not be exposed to direct sunlight, especially for hinged and metal structures.

. How to choose an orthosis

Correctly selected fixer will help to quickly restore the function of the knee joint. Self-medication can harm your health, so you should consult your doctor about the need to wear orthosis.

A source: http://bsustavov.ru/lechenie/ortez-kak-vybrat.html

Ankle ankle semi-rigid medium: fixation

Fractures, stretch marks, surgical interventions in the ankle area for a long time deprive the person of the opportunity to move normally. A long rehabilitation period also limits movement.

Therefore, orthopedists recommend using an ankle ankle.

It reliably fixes the foot in this department, evenly distributes the load, thereby reducing the increased pressure on the damaged joint.

What is orthosis?

In appearance, the orthosis on the ankle joint resembles a trimmed sock, a half-boot. When wearing his toes remain open. For production can be used dense fabric, plastic, metal. Fixation is carried out with the help of belts, Velcro, lightning, buttons, lacing.

Regardless of the method of fixation, the orthosis of the ankle reliably holds the joint, taking the anatomical shape of the foot. No discomfort, inconvenience should not be present. If this is not the case, then the means are chosen incorrectly.

Orthosis on the ankle joint is a multifunctional device. Its use is possible in such situations:

• fractures;
• stretching;
• ruptures of tendons;
• postoperative period;
• excess weight of the patient to redistribute the load on the joint;
• dystrophic articular processes;
• unstable conditions in the joints.

In short, any pathology associated with changes in the joints involves the use of such devices as an ankle ankle semi-rigid, soft or medium-degree fixation.

Widely used was the device as a preventive tool, so as not to cause dislocations, stretching during training or high physical exertion in the performance of professional actions.

Types, classification

Producers of orthoses are many, and they are made of the most different modifications, depending on the purpose. Therefore, they are classified according to the following criteria:

• purpose;
• Type of rigidity;
• features of designs.

By designation orthoses are classified as unloading, correcting, fixing, regulating, dynamic. All these devices can reduce the load level, provide normal mobility of the ankle with stable fixation, which excludes further pathological changes.

According to the type of stiffness, orthoses are:

• Ankle soft, made of soft elastic materials;
• bandage, or semi-rigid, often worn on the ankle for strong fixation after surgery, sprains, fractures;
• Orthosis of hard type, or strong fixation, which has inserts of plastic or rubber (rubber tires), is most often used for fractures and serious pathologies.

Rigid orthoses, or bandages are made of thin, but very durable plastic. Their design sometimes allows patients not to use shoes during movement.

After all, while the trauma heals, the patient often has to buy shoes of a larger size, and only one unit is used from one pair.

A rigid bandage eliminates these unforeseen costs.

On the design features they can be hinged and hingeless. The latter are more like a habitual bandage, in which the foot is most often fixed.

Applications

Due to various situations, pathological changes in the ankle, it becomes necessary to fix the joint, providing it with complete peace and immobility.

It can be various inflammatory processes in the lower limb, trauma, post-surgical period.

Doctors recommend using them as an orthopedic tool to prevent various pathologies in order to avoid possible relapse or repeated trauma during training.

Children need to fix their ankles for suspicion or diagnosis of rickets, fractures, congenital pathologies.

For children, orthoses are made with special inserts of silicone, which helps to avoid the development of flat feet and possible discomfort when wearing.

Children's bandages must be made individually, taking into account the anatomical features of the foot and the growth of the baby. After all, fixing a limb often falls on a long period, and doctors do not always allow it to be taken even at night.

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Although you can find devices of high enough quality, which do not differ in efficiency from customized individual options.

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For example, the modern ortez orthlet meets high enough requirements and has positive reviews of patients after its application.

Criteria for the right choice

To effectively treat the ankle joint, complete absence of movement is necessary. Initially, you can use a more familiar langette. But in the future it is impossible to do without orthosis. Some patients use a tight bandage. This is effective, but only in the first hours.

The ankle should not be moved continuously, from the moment of receiving injuries or with the first symptoms of the disease, until complete recovery.

Therefore, all temporary funds will only exacerbate the course of the disease and cause severe pain symptoms.

A qualitative orthosis will ensure a quick recovery and no pain.

It becomes clear that the right choice is the key to a quick recovery. Acquire the device is necessary based on the degree of damage or joint disease.

More complex situations, injuries involve the use of rigid orthoses.

Any manufacturer tries to present their products on the market as the most profitable offer. This is not more than advertising, and can not serve as a criterion for choice.

Therefore, each model must be tried on. The main thing is not a beautiful label, but the position of the leg in the device. Incorrectly selected orthosis can lead to pathological consequences.

Among the main ones we can distinguish:

• abnormal fusion of ligaments;
• high degree of load on the joints;
• weakness of articulations and ligaments;
• pain and swelling of the extremities;
• lameness.

This is only part of the negativity that can occur when the orthosis is incorrectly selected. The most dangerous is the need to specifically violate the integrity of the bone, operate the ligaments and restore with the mandatory wearing of a qualitative orthosis. You still have to buy it.

Symptoms of ankle injury

The ankle is the joint, which has the biggest load.

Walking, running, exercising, overweight - all this is already a danger to the feet.

The movement of the foot provides an articulation that consists of ligaments and bone fragments. Bundles provide a stop motion and stable stability.

Even a minor violation leads to the fact that it is painful for a person to move or it is impossible to move at all. It can happen at any time. It:

• unsuccessful jump;
• a fall;
• sharp turn of the ankle or foot;
• swipe;
• falling heavy on the leg;
• diseases;
• congenital pathology.

The foot consists of many small bones, it is not so difficult to damage them. Symptoms are quite characteristic, and each of them must force to seek medical help.

Symptoms causing an orthosis

It is clear that the final diagnosis and appointment is made by the attending physician. But usually any pathology has characteristic signs. It:

• pain;
• swelling of the extremities;
• bruises in the foot, ankles.

An experienced orthopedist, a traumatologist will quickly diagnose even without instrumental diagnosis. Simple probing will help to identify the problem. But this is not enough, so the victim is sent to X-ray.

After passing the X-ray, you can establish a more accurate diagnosis. The severity of the disease is determined by three stages.

In any case, there is pain of varying severity, the inability to move freely. Treatment should be immediate in the absence of movement in the ankle.

Therefore, the use of orthosis is extremely necessary so that you do not have to impose a cast.

If there was a fracture

Fracture is the most severe pathology of the ankle. Usually, a fracture with or without bias is diagnosed. In any case, there is swelling, hemorrhage in the form of a bruise. Sometimes the symptoms may resemble a dislocation, so an x-ray is necessary.

Fracture without bias does not require heavy treatment. The problem can be solved with the help of a strong fixation bandage. For the correct fusion of the fracture site, it is important that all the bones be collected correctly.

It is for this purpose that they wear an orthosis, but only after the bones are collected. The device will ensure the absence of movement in the ankle and help to rebuke the healing process of the fracture site.

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Complex fractures with displacement may require surgical intervention, insertion of plates, medical screws and further fixing of the ankle in the orthosis.

Contraindications and side effects

These devices have virtually no contraindications. But long wearing can cause muscle atrophy, which is one of the most frequent pathologies. It is not recommended to use orthoses if the integrity of the skin is damaged in the place of application of the device.

If the doctor does not prohibit, the patient can wear and remove attachments on his own using the recommendations of the doctor and the manufacturer.

You can put your foot on the bed, remove the orthosis, give your leg a rest, without any movements, and put on the orthosis again.

Conclusion

Everyone can injure an ankle, at any time.

Already in the first minutes after receiving the injury, it is necessary to completely eliminate the motion of the injured limb. Orthosis will help to correct the situation.

It can be purchased at the nearest pharmacy, worn on the damaged area and sent to the nearest trauma center.

How to forget about pain in the joints ...

Joint pain limits your movements and full life ...

• You are worried about discomfort, crunch and systematic pain ...
• Perhaps you've tried a bunch of folk methods and medicines, creams and ointments ...
• But judging by the fact that you read these lines - not much they helped you ...

A source: https://TravmaOff.ru/ortez/golenostopniy-ortez.html

Orthosis on the knee joint. Types and rules of use

Often, when treating the pathology of articulations in the knee or during the recovery period, it is recommended that the doctor wear an orthosis on the knee joint.

This is a universal special medical product, which is used to assist joints.

This external device is used for unloading, fixing, activating and correcting the functions of a damaged joint or limb.

What is orthosis needed for?

In the absence of pathologies, this support article does not apply. Its wearing is advisable in such cases:

• At a sports traumatism.
• For arthrosis or arthritis.
• During rehabilitation after surgical treatment.

In the presence of problems with the ligamentous apparatus of the joint (chronic weakness, trauma of varying severity, congenital instability)

The main goal of orthotics- this ensures the rest of the damaged part of the body.

Wearing the orthosis minimizes the load on the limb or joint, fixes it in the right anatomical position, which allows you to reduce pain, improve functionality and speed up the process recovery.

A high therapeutic effect is observed only when using orthosis, which ideally fits the anatomical structure and corresponds to a specific situation. Therefore, it should be selected only by a doctor, taking into account the individual characteristics of the organism and the degree of development of pathology.

Orthosis: general classification and their main types

All ortheses on the medical goods market are divided into several main types.Their classification depends on:

• Destinations.
• Functionality.

Depending on the purpose, the orthoses are divided into:

• Prophylactic. Used for severe physical exertion and with minor changes in joints.
• Treatment and rehabilitation. Needed in rehabilitation after a serious injury or surgery.
• Functionally constant. They are used for prolonged therapy, for the return of mobility to extremities and joints.

By functionality, orthoses are divided into the following subspecies:

• Fixing - limit the mobility of the joint.
• Unloading - reduce the load on the joint.
• Corrective - contributes to the gradual correction of deformation.
• Compensating - supports the foot, with poor functionality of the joint.

Each type of orthoses is designed for narrow therapeutic complexes. Selection is carried out by a doctor in accordance with the clinical development of pathology.

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Additional types of orthoses

In addition to the main unit, orthoses are distinguished by the following characteristics:

• Materials of manufacture.
• Constructive characteristics.
• Level of rigidity.

These parameters must be taken into account when using this medical device. They affect not only the speed of joint repair, but also the overall health.

Modern orthopedic technologies are used in the manufacture of orthoses. Their quality depends directly on the materials of manufacture.

For fixing pillows and an inner base, natural and synthetic raw materials are used. Its appearance is determined depending on the purpose of the orthosis and the degree of fixation required.The main materials used in the manufacture of orthoses:

• Cotton. Used in models designed for long wearing. Is a hypoallergenic material. Does not cause diaper rash and dermatitis.
• Spandex. It is used in orthoses for fixing of different degree.
• Lycra and elastane. The material is characterized by a cooling effect. Such orthoses are easily and reliably fixed on the joints and provide oxygen access to the damaged area.
• Neoprene. Used in the manufacture of models for strong fixation. This is a synthetic material that has a warming effect. Designed for short-term use.

Depending on the design, the orthoses are differentiated into the following varieties:

• Bandage. This is a soft and elastic supporting product.
• The tire is orthopedic. It is a rigid attachment for strong fixation or complete immobilization.
• Tutor. Orthosis from a soft material, which repeats the anatomical form of the limb. Used to immobilize the joint.

According to the level of stiffness, the orthoses are divided into:

• Soft. They are used in active sports sports. This design has a supporting effect and does not limit the mobility of the joint.
• Semi-rigid. Recommended in the recovery period after severe injuries and surgical treatment. Also widely used for therapy of internal changes in the joint and in chronic pathologies of the lower extremities.
• Tough. Used for ruptures of ligaments and fractures. With their help, the leg is immobilized and the joint is fixed in one position.

In addition, among this category of medical products, hinged, open and closed varieties are distinguished. Regardless of the type of orthosis, this product can be produced serially or manufactured individually according to the patient's impressions.

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The main indications for the use of the knee orthosis

Most often, the deformity lends itself to articulation in the knee. This is due to the high load on them not only with active sports, but also everyday life.

Pathological processes in the joints can provoke heavy physical labor, extra pounds and metabolic disorders in the body.

Orthoses are often used in orthopedics and arthrology in an effective therapeutic complex of arthritis and arthrosis.

In addition, the use of knee brace is recommended when:

• Damage to the meniscus.
• Dislocation and subluxation of the patella.
• Stretch of ligaments.
• Rheumatic pathologies of the knees.
• Restoration, after removal of gypsum.
• Breach of integrity of bone or cartilaginous tissue in the knee joint.
• Bursitis, synovitis, chondropathy of the knee joint.

The wearing of orthosis is permissible in acute and chronic pathologies. They not only restore the functionality of the knee joint, but also successfully remove the acute symptoms of diseases.

Also, the use of orthosis is advisable in extreme sports. This device will prevent internal injuries of the joint.

Contraindications

Orthosis is a medical product and is used in the treatment of certain pathologies. Therefore, like any therapeutic tool has contraindications to wearing.Its use is strictly prohibited when:

• Thrombophlebitis of the lower extremities.
• Varicose veins.
• Open wounds of a large area.
• Mechanical damage to the integrity of the skin.
• Allergies to the material of manufacture.

With caution, this device is used for severe swelling of the muscular apparatus of the knee joint. When the manifestation of arthrosis in an acute form, the orthosis on the knee is worn for no more than 2-3 hours.

If you do not follow medical recommendations for wearing orthosis, complications in the form of circulatory disturbances can develop.

This leads to stagnant phenomena and diseases of veins and vessels.

This condition significantly aggravates the underlying pathology and increases the duration of the recovery process.

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Criteria for choosing how to wear a knee brace correctly

To select the ideal variant of orthosis, you must first get medical advice. Only after a visual examination and a complete examination, a specialist can establish a suitable kind of orthosis.

Then the following limb measurements are carried out:

• The hip circumference is 10 cm from the kneecap.
• Diameter of the circle in the center of the patella.
• Shin circumference 10 cm below the kneecap.

These indicators allow you to select the required size of the orthosis. Usually on the packaging indicate the size of the international standard, using Latin letters.

But when choosing a product, you need to focus only on measuring the circumference in centimeters. The sizes of different manufacturers may differ slightly.

Such data is presented on the reverse side of the package in the form of a detailed table.

If the orthosis is selected correctly, its wearing does not cause uncomfortable sensations, the general condition is markedly improved and the duration of the recovery process is shortened.

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Regardless of the type of orthosis, treatment with this device should be controlled by a physician.

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There are general guidelines for the use of knee braces:

• Elastic models can not be used for permanent wearing.
• If round-the-clock fixation is required, only hinged views are used.
• A bandage made of neoprene should not be left overnight.
• Synthetic orthoses have a strong warming effect, so in some their wearing is the cause of the development of rashes and dermatitis. In order to prevent their occurrence, it is necessary to remove the bandage for 10-15 minutes every 2-3 hours.

The use of orthoses for the treatment of knee joints is quite popular. This is an affordable tool that not only increases the effectiveness of conservative therapy, but also is a good prevention of pathologies of the knee joints.

A source: https://vros-nogot.ru/ortez-na-kolennyj-sustav

Orthosis on the wrist joint how to choose correctly?

Orthoses »Brush

Of all the injuries of the brush, the damage to the wrist joint is most often observed.

To reduce the risk of injury, prevent the development of wrist disorders, and slow down progression of existing pathologies is recommended to use special orthoses, which are 3 degrees of fixation.

And you need to know which one to choose.

The wrist joint connects the man's hand with the forearm. On his daily enormous loads, so he is prone to various kinds of degenerative pathologies and injuries.

And if there is a chance of damage, you should take care of your health and ensure a reliable fixation and protection of your wrist.

For this purpose, an orthosis for the wrist joint has been developed, which not only reduces the risk of injury and the development of various joint diseases, and also help to recover faster after a fracture or surgical treatment, to numb the signs inflammation.

Difference of orthosis from other orthopedic products

To understand what an orthosis is for, you first need to figure out what it is and how it differs from other orthopedic products.

A bandage is called a knitted product, closely fitting to the joint and ensuring its stability. You can also find the word support, which comes from the English "support" - support. It also means a bandage.

Such orthopedic products can be equipped with silicone stakes, textile fasteners, belts that allow them to be attached to the body.

Under orthosis are more complex designs that combine cloth and more rigid fixing elements, for example, stiffeners, hinges, plastic inserts.

They are prescribed after surgical treatment, after a fracture, under any conditions, when any movement by hand is undesirable.

Such devices are also called braces, from brace, which in translation means bonding.

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However, in practice, it is often problematic to distinguish one device from another, since they can have different elements in their design.

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Any orthopedic product can be called a latch.

Tutor is a kind of orthosis, but it does not have hinges. Sometimes, the tutor and orthosis are used as synonyms.

Sometimes an orthosis is confused with a longose, which is a long gypsum or plastic strip. It is usually prescribed for fractures with the aim of immobilization.

Classification of orthoses

Depending on the degree of fixation, the cut-off can be:

• soft;
• semi-rigid;
• hard.

Soft orthosis

They are made of breathable elastic fabrics and, as a rule, they have calipers or sports bandages. Such products do not reduce the amplitude of movement of the wrist and fingers, and at the same time reduces the excessive load on the joint.

A support on the wrist is recommended to be worn by sportsmen, especially those who are engaged in tennis, weightlifting, volleyball or basketball, and also fans of outdoor activities.

In addition, the bandage for the wrist joint can be appointed, if observed:

• hypermobility of the wrist;
• carpal tunnel syndrome;
• tendonitis, arthrosis, arthritis;
• the last stage of rehabilitation after surgical treatment.

Depending on the materials from which such a wrist retainer is made, it can have a massaging and warming effect.

The support of the wrist can be in the form of a wristband, which protects only the wrist joint, and also to seize a part of the forearm, palms and joint of the thumb.

Soft bandage on the wrist AWU 201 Orto, the price is 570 rubles.

Important!A soft orthosis is more convenient than an elastic bandage on the wrist, since it does not need to be corrected during movement.

When the bandage is selected correctly, it can not cause a progression of the pathology, in contrast to the bandage, which if you squeeze the affected areas can worsen the course of the disease.

Semi-rigid orthoses

They are also made of elastic fabrics, in which a metal or plastic frame is sewed. Such orthopedic products allow you to fix the brush in the anatomical position, reduce the load on it and slightly limit the mobility of the joint.

They are prescribed:

• after surgical treatment, when there is no sense in wearing a severe fixative;
• after removal of gypsum or cruel orthosis;
• with inflammatory, degenerative-dystrophic diseases of the joints of severe and medium degree;
• with injuries of a tendon-ligament apparatus of medium gravity;
• with paralysis and paresis

Such designs help to normalize the function of the hand and prevent the development of contracture. They do not happen in the form of a wristband, as a rule, they grab the lower third of the forearm, part of the brush.

Rigid orthoses

The hard wrist retainer has a plastic or metal frame, it is attached to the arm with the help of straps, which allow you to adjust the tightness of the orthopedic structure. Also, such models can be equipped with hinges that regulate the degree of fixation.

Rigid orthoses are usually prescribed when it is necessary to completely fix the joint or leave a small amplitude of motion in it.

The orthosis is rigid (bandage-tire) SWR 602 Orto, on the right hand, the price is 1170 rubles.

They are prescribed, if observed:

• fracture of the wrist joint or the joints of the fingers;
• ligament rupture and severe muscle damage;
• limiting passive brush movements;
• period after a serious operation.

A rigid orthosis has a number of advantages over gypsum:

• it has a small weight;
• it is easy to take care of, it can be removed when necessary, for example, for medical manipulations or hygienic procedures;
• shortens the rehabilitation period and does not cause complications that can be observed when using a plaster bandage.

Attention!The degree of fixation should be determined only by the doctor, since in some states a complete immobility of the hand, in other pathologies on the contrary it is contraindicated and can cause it progression.

Purpose of orthoses

Semi-rigid and rigid fixators prevent the appearance of contracture, when the hand can not bend correctly, unbend.

Usually, most orthoses perform a number of functions simultaneously, for example, reduce the load and restore mobility.

Also, the wrist restraints are divided according to the purpose for the following types:

• preventive, they are advised to apply during active rest, playing sports, fitness, any kinds activities in which a constant load is observed on the wrist, and also at the initial stage arthrosis;
• a medical wrist lock will be prescribed for some time after surgery and with trauma;
• Constant models prescribe when the form and function of the wrist are completely lost.

The wrist restraint is recommended to be worn to prevent its diseases and injuries:

• athletes;
• representatives of some professions: pianists, copywriters, loaders, drivers;
• to fans of computer games;
• mothers, who constantly have to carry children in their arms.

Rules for choosing an orthesis on the wrist

The choice of a semi-rigid or rigid orthosis, depending on the pathology, which requires the fixation of the wrist, should be handled by a specialist:

• traumatologist;
• orthopedist;
• the neuropathologist;
• rheumatologist.

Self-purchase of such a fixator can provoke serious complications, including a complete loss of the operability of the wrist.

Do you need a soft bandage for the wrist joint, it is also advisable to discuss with the doctor who will advise which model to choose better.

Moreover, any fixator has a number of contraindications, for example, it can not be used for some dermatological diseases, pathologies of blood vessels.

When choosing a product, you should pay attention to the following:

• when buying it is necessary to take into account the cost and the manufacturing company, if the model is expensive then this does not mean that it quality, to acquire better fixatives of famous brands, which are produced by firms, are present for more than one year on the market, such as Orlett;
• the material from which the orthosis is made, it must be natural, hypoallergenic, do not lose its qualities after washing, also it is worth paying attention to, it passes moisture, air;
• also it must be remembered that it is not always possible to hide a bandage under clothing, so it is necessary to select one, which will look beautiful on the hands, it is better not to take models of light colors, since they are fast are marred;
• pick up the wrist joint should be around the wrist, if it grasps the palm, then it is also worth measuring the width of the palm, when in the model provided fixation of the finger or it is made in the form of a glove, then - the length of the fingers, it must also be remembered that different manufacturers of the ruler of sizes can differ;
• before buying, the bandage must necessarily be tested, whether it is heavy, does not rub, does not fall off;
• check all fixing elements.

Popular manufacturers and prices

For several years, the leader in the manufacture of wrist cuts is the German company Medi. Among its models, you can find fixative and preventive orthoses, tires for the wrist joint and fingers.

Otto Bock offers both adult and children's models. Some fixers use a thread with silver, which has an antimicrobial effect and prevents the multiplication of pathogenic microorganisms on the skin.

Budget models are available from the company Oppo, which has a large assortment of latches on the wrist and thumb.

Buy cuts can be in the online store, pharmacy, special orthopedic salons. Do not buy them from individuals who can not provide a quality certificate for their products.

Prices for orthopedic products may be different:

Price list

Otto Bock	From 900 rubles. up to 8 thousand. rub.
Oppo	From 490 rubles.
Orlett	From 640 rubles.

A cut on the wrist, if it is chosen correctly, reduces the risk of joint damage, prevents the progression of existing pathologies.

The team of authors "Ortez Sustava" with medical education

A source: http://ortezsustava.ru/kist/ortez-na-luchezapyastnyj-sustav.html