Watch the CTi wake team video on your smartphone: 1. Go to http://gettag.mobi 2. Get the free app 3. Scan the tag ligament knee bracing BY össur Kyle Rattray Professional Wakeboarder CTi Custom Knee Brace a global orthopaedics company Össur has evolved from an ambitious prosthetics company into a global leader in noninvasive orthopaedics. A dynamic growth company, Össur has expanded rapidly through a combination of organic growth and aggressive acquisition. Yet, we remain grounded in our heritage, a powerful combination of innovation, superior product design and service excellence. Founded in 1971, Össur currently employs approximately 1,600 people in more than a dozen strategic locations around the globe. Headquartered in Iceland, we have extensive operations in the Americas, Europe and Asia, with numerous distributors in other markets. Thanks to our industry-leading investment in cuttingedge research and development, Össur has been recognized as a “Technology Pioneer” by the World Economic Forum. Omar Hassan Professional Skateboarder CTi Custom Knee Brace 2 Össur’s key acquisitions position us as a leader in orthopaedics. With brands like CTi®, the world-renowned ligament brace, and The Unloader®, the first and most-prescribed knee brace for the treatment of osteoarthritis, Össur is equipped to promote successful outcomes for you and your patients. össur’s mission we improve people's mobility. table of contents about cti® ligament braces What Makes CTi So Unique? . . . . . . . . . . . . . . . . . . . . 4 The Total Support System™ . . . . . . . . . . . . . . . . . . . . . 5 custom bracing Product Recommendation Chart . . . . . . . . . . . . . . . . . 8 Accessories & Options Guide . . . . . . . . . . . . . . . . . . . 9 Custom Bracing Product Line . . . . . . . . . . . . . . . . . . . 10 off-the-shelf bracing Product Recommendation Chart . . . . . . . . . . . . . . . . 16 Accessories & Options Guide . . . . . . . . . . . . . . . . . . 17 Off-The-Shelf Bracing Product Line . . . . . . . . . . . . . . 18 policies, measuring & ordering Sales Policies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Digital Measuring System (DMS) . . . . . . . . . . . . . . . 25 Coordinate Cast System (CCS) . . . . . . . . . . . . . . . . . . 25 Ordering Information . . . . . . . . . . . . . . . . . . . . . . . . . 26 what makes cti so unique? The CTi knee brace is our flagship ligament brace. Introduced in 1983, CTi® remains the cornerstone of our ligament bracing product line today. While the original CTi has evolved over time, our basic philosophy remains unchanged. Specifically, we still contend that a static support system consisting of a rigid brace frame that captures the tibia and non-elastic cruciate straps is superior to the dynamic solutions offered by most other ligament brace manufacturers. A rigid brace frame that captures the tibia is ideal. Non-rigid braces fail under significant stress and braces that substitute soft tissue containment for brace-to-bone contact usually have increased migration problems. The rigid, carbon composite CTi knee brace frame captures the tibia, providing the brace-to-bone contact needed for maximum stabilization of the knee joint. Non-elastic cruciate strapping is also crucial. When combined with a rigid frame that truly captures the tibia, the result is a static support system. Dynamic support systems with rubber (or elastic) cruciate straps merely realign the knee joint after it has begun to displace. Static systems hold the bones in proper alignment to help prevent displacement altogether. The Accutrac® hinge mimics the natural motion of the knee joint. By analyzing natural leg motion, we invented a patented 4-bar linkage system to more accurately mimic the natural movement of the leg without a brace. Most of our ligament braces, including CTi, feature the Accutrac hinge, which is also available in a ROM version for many of our ligament products. Total support. In addition to the Accutrac hinge, CTi features a Total Support System™ for ligament, rotary and combined instabilities (see right). CTi goes off-the-shelf. In 2007, we introduced an off-the-shelf (OTS) version of this classic. CTi OTS replaces a portion of the rigid tibial component of the custom model with a flexible subshell and Adjustable Tibial Strap (ATS). This solution still captures the tibia, yet provides adjustability for variances in patient anatomy and an excellent out-of-the-box fit. Reduced Migration. Össur Sensil® Silicone is well-established in the prosthetics industry. In 2007, we integrated this proprietary technology with an Aerospacer base mesh fabric to create a patent-pending, breathable padding system for CTi that virtually eliminates migration. CTi technology is incorporated into our entire line. Whether custom or off-the-shelf, premium or economy, every Össur ligament brace benefits from the technology behind CTi. In particular, every product in our ligament line incorporates some combination of a rigid brace frame, flexible subshells, padding and strapping to capture the tibia. While the 100% rigid tibial capture component of the CTi custom brace provides the highest level of protection and support, other products in our line may be more appropriate for your patient, depending on their unique needs and activity level. The steadman clinic studies In studies of acl-deficient professional skiers, non-braced skiers had 6.4 times greater risk of subsequent knee injury than skiers braced with a cti knee brace. To receive a copy of these studies, call 1-800-233-6263 or ask your Össur representative. 4 the total support system most of our ligament bracing solutions, including the cti® knee brace, feature the total support system™. this unique system has been tested and proven by hundreds of thousands of patients and premier athletes worldwide. acl support mcl & lcl support pcl support The tibial capture system encompasses A 6-point system provides excellent medial The rigid femoral component of the frame the tibia and parallels the tibial crest to and lateral support. The rigid lateral arms and non-elastic lower cruciate strap stabilize help inhibit anterior and pivotal tibial on the brace frame, condylar support at the the PCL. If needed, a PCL strap/pad option excursion caused by ACL laxity. The non- joint, non-elastic straps and lower medial can be added to apply additional pressure to elastic upper cruciate strap provides an cuff combine to help control medial and the thigh. An anatomically-shaped Gastroc opposing force on the femur to help lateral instability. 1’s indicate LCL support; Force Plate is included with this option to stabilize the knee. 2’s indicate MCL support. provide an opposing force to the calf. Toby Gerhart Professional Football Player CTi Custom Knee Brace ligament bracing custom custom ligament bracing Product Selector Ligament ProductSupport Patient Disproportion Product Features & Benefits Level cti® 3 models to choose: low 17”h (43.2cm) 22-27oz (624-765g) Premium Product mid high low mid high low mid high cti models differ only in the amount of carbon fiber used in the frame the more carbon fiber used the more rigid the brace the less carbon fiber used - the lighter the weight vapor amount of carbon fiber standard lighter weight pro sport more rigidity cti® vapor quick selection criteria 17”h (43.2cm) 22oz (624g) • Lightest weight, best solution for most patients • Ideal support for everyday activities (walking, jogging, lifting objects, etc.) • Smaller patients participating in sports cti® standard quick selection criteria 17”h (43.2cm) 24oz (680g) • Best compromise of weight and impact resistance • Ideal support for very active, average-to-large size patients participating in sports cti® pro sport quick selection criteria 17”h (43.2cm) 27oz (765g) • Best solution for largest patients participating in extreme impact sports • (motocross, football, etc.) paradigm® 16.5”h (41.9cm) 23oz (652g) low mid high low mid high low mid high low mid high quick selection criteria • Patients that prefer ‘cage’ style brace • Patients not participating in high impact or sliding sports extreme 17”h (43.2cm) 24oz (680g) low mid high low mid quick selection criteria canada product usa special order only 8 • Patients that prefer ‘single upright’ style brace • Option for patients with medial hinge concerns • Suitable for all impact levels high custom ligament bracing Accessories & Options Accessory/OptionCTi®*Paradigm® Flexion Stop Kit Anti-Migration System ACL Cable System Additional PCL Support Available in 12 Colors Custom Paint Designs Ski Boot Attachment Motocross Kit Medial Unloading Lateral Unloading Patella Cup Gear Guards Contact Sports Cover Sports Undersleeve Hinge Cover Gel Fit Condyle Pads * Includes Pro Sport, Standard and Vapor models Extreme® cti® custom CTi braces provide the ultimate combination of stabilization and protection of the knee joint. This truly custom-made brace uses Accutrac® hinges with extension stops to glide with the knee and breathable liners coated with bio-inert Össur Sensil® Silicone to reduce migration and skin irritation. CTi custom braces are available in 3 models — Vapor, Standard and Pro Sport — and can be further customized with a variety of options, colors, designs and/or accessories. indications & usage • • • • 1 ACL, MCL, LCL, PCL, rotary and combined instabilities Vapor model for low to medium impact levels Standard model for medium to high impact levels Pro Sport model for highest impact levels 2 3 4 Colors* product highlights Sky Blue • Total Support System™ provides support for ACL, MCL, LCL, PCL, rotary and combined instabilities (see page 5) Ocean Blue Navy Blue • Hand-laminated, carbon composite frame construction supplies true rigid support Green Champagne • Anatomically-correct Accutrac hinges1 with extension stops track the natural movement of the knee Red Pink • Proprietary Sensil® padding2 is comfortable and reduces migration White • Skin-friendly SensEdge overmolding3 on buckles and lower cuff improves comfort and eliminates pressure points Silver Yellow • Flexible lower medial cuff4 provides increased protection against rotational forces and is breathable for added comfort Charcoal Black • Constructed from non-corrosive materials, enabling use for water sports * colors are only approximate • One Year Fit Guarantee to accommodate changes in leg size during the first year following injury ordering information • See pages 26-31 for complete product, accessory and option ordering information custom paint 10 Left to Right Flags, Flames, Camo, Sports Fan, Metal, Sports Equipment, Hibiscus, Celestial, Sponge paradigm® custom For sports and activities that don’t require sliding, Paradigm provides the perfect balance of control and comfort. Extremely comfortable to wear, the low-profile Paradigm combines a contoured medial flare design and condylar ergonomics. A carbon fiber frame with flexible subshell assembly provides firm control, while accommodating individual variations in leg shape. Polycentric hinges offer excellent structural soundness and durability, while an Adjustable Tibial Strap captures the tibia, limiting anterior translation and minimizing slippage. With a host of options, accessories and custom colors, Paradigm can be further customized to satisfy any patient’s needs. indications & usage • ACL, MCL, LCL, PCL, rotary and combined instabilities • Protection and stabilization of surgical grafts • Recommended for low to medium contact/impact 1 2 3 4 Colors* product highlights Sky Blue • “Cage” frame provides total ligament support via multiple points of leverage Ocean Blue Navy Blue Green Champagne Red Pink White Silver Yellow Charcoal Black * colors are only approximate • Flared and contoured medial thigh shell1 provides improved patient comfort and fit • Calf shell captures the tibial crest2 to maximize stability and minimize slippage • Anterior calf shell eliminates “step through” design, resulting in easier brace application and removal • Flexible subshells3 allow for changes in anatomy during rehab from acute injury or surgery, without sacrificing stability or fit • Hard-anodized, polycentric hinges4 are designed to reduce gear wear and feature easy-to-use flexion and extension stops • Adjustable Tibial Strap (ATS) captures the tibia and allows adjustments in hinge depth for a more customized fit ordering information • See pages 26-31 for complete product, accessory and option ordering information extreme® custom For bilateral bracing applications, “saddle” sports, and other situations where a single, lateral hinge is advantageous, consider Extreme. Extreme is durable enough for rigorous athletic activities, yet its Triax® shells are malleable, offering adaptability to changes in leg size and/or varus/valgus alignment. A carbon steel polyaxial hinge and Dynamic Force Strap® combine to provide excellent rotational control and proprioception. canada only indications & usage • ACL, MCL, LCL, PCL, rotary and combined instabilities • Protection and stabilization of surgical grafts • All activity levels 1 2 3 4 Colors* product highlights Sky Blue • Dynamic Force Strap®1 eliminates the need for a medial upright and gives the user control over the level of rotational control Ocean Blue Navy Blue Green Champagne Red Pink White Silver Yellow Charcoal Black * colors are only approximate • Single, lateral upright with carbon steel polyaxial hinge2 is well-suited for “saddle” sports • Flexible carbon Triax® shells are adaptable to changes in leg size and/or varus/valgus alignment • Wide, elastic thigh strap3 contains the hamstring and is easy to apply and adjust • Unique, dual padding configuration4 provides an optimal mix of comfort and suspension • For early onset osteoarthritis, varus/valgus stress can be added to the hinge during custom production • PCL control provided with no additional modifications • ROM control available for post-surgical use • Shells contain soft tissue for excellent proprioceptive feedback • Recommended for adolescents, where growth is an issue ordering information • See pages 26-31 for complete product, accessory and option ordering information 12 Shawn Craddick Professional Snowboarder CTi OTS Knee Brace MVP Contour OTS Knee Brace ligament bracing off-the-shelf off-the-shelf ligament bracing Product Selector Ligament ProductSupport Patient Disproportion Product Features & Benefits Level cti® 2 models to choose: low 17”h (43.2cm) 24-27oz (680-765g) Premium Product cti® ots 16.5”h (41.9cm) 24oz (680g) cti® ots pro sport 16.5”h (41.9cm) 27oz (765g) MVP® Contour 16”h (40.6cm) 25oz (709g) mid high low mid high low mid high cti models differ only in the amount of carbon fiber used in the frame the more carbon fiber used the more rigid the brace the less carbon fiber used the lighter the weight amount of carbon fiber cti ots cti ots pro sport lighter weight more rigidity quick selection criteria • Best OTS solution for most patients • Ideal support for everyday activities and most sports quick selection criteria • Best OTS solution for larger patients participating in extreme impact activities low mid high low mid high low mid high low mid high low mid high quick selection criteria • Aluminum frame can be tailored to provide a personalized fit • Patients that prefer a ‘cage’ style brace • Suitable for most patients and activity levels paradigm® ots 16.5”h (41.9cm) 23oz (652g) low mid high low mid high quick selection criteria • Patients that prefer a ‘cage’ style brace • Patients not participating in high impact or sliding sports trainer 14.5”h (36.8cm) 19oz (539g) low mid high low mid high quick selection criteria Economy Product 16 • Great option for MCL injuries, or moderate ligament laxity/sprains • Not recommended for patients with a disproportionate thigh-to-calf ratio off-the-shelf ligament bracing Accessories & Options C180 Accessory/OptionCTi®* MVP® Paradigm® Flex®Rocket Trainer Flexion Stop Kit IncludedIncluded Anti-Migration System Additional PCL Support/PCL Kit Gel Fit Condylar System Patella Cup Gear Guards Sports Oversleeve Sports Undersleeve Patellofemoral Buttress/Sleeve Sports Bag * Includes Pro Sport and Standard models cti® ots For the highest level of support and protection, the proven technology behind the classic CTi knee brace is available with off-the-shelf convenience. Outfitted with anatomically-correct Accutrac® hinges and flexible cuffs and buckles, the rock-solid CTi carbon frame provides a rigid exoskeleton that stabilizes the knee joint. Breathable liners coated with bio-inert Össur Sensil® Silicone ensure CTi OTS remains properly positioned on the leg, for optimal functional benefit. indications & usage • • • • 1 ACL, MCL, LCL, PCL, rotary and combined instabilities All activity levels Standard model for medium to high impact levels Pro Sport model for highest impact levels 2 3 4 product highlights • Total Support System™ provides support for ACL, MCL, LCL, PCL, rotary and combined instabilities (see page 5) • Hand-laminated, carbon composite frame construction supplies true rigid support • Frame shape is low-profile and contours to the leg, making it suitable for a variety of physical activities • Anatomically-correct Accutrac hinges1 with extension stops track the natural movement of the knee • Proprietary Sensil® padding2 is comfortable and reduces migration • Skin-friendly SensEdge overmolding3 on buckles and subshell improves comfort and eliminates pressure points Medial View showing breathable, flexible subshells • Flexible subshell and Adjustable Tibial Strap (ATS)4 capture the tibia and allow adjustments in hinge depth for a more customized fit • Constructed from non-corrosive materials, enabling use for water sports ordering information • See pages 26-31 for complete product, accessory and option ordering information 18 mvp® contour ots The MVP® Contour is a versatile, low-profile, aluminum brace incorporating Össur’s proven technology that is engineered to capture the tibia, securing the brace in the proper position on the leg. This new addition to our comprehensive line of ligament knee bracing can be easily tailored to achieve a customized fit and is suitable for a broad range of patients and activity levels. indications & usage • ACL, MCL, LCL, PCL, rotary and combined instabilities • Mild to severe ligament laxity, sprain, or deficiency • Protection and stabilization of ligaments after surgical repair or reconstruction 1 2 3 4 product highlights • Flexible subshells1 allow for changes in anatomy during rehab from acute injury or surgery, without sacrificing stability or fit • Frame provides total ligament support via multiple points of leverage and can be tailored to provide an optimum fit2 • Adjustable Tibial Strap (ATS)3 captures the tibia and allows adjustments in hinge depth for a more customized fit • Anterior calf shell eliminates “step through” design, resulting in easier brace application and removal • Accutrac® 2 hinges with flexion and extension stops track the natural movement of the knee and help prevent hyperextension • Proprietary Sensil® padding4 is comfortable and reduces migration Medial View showing upper medial cuff ordering information • See pages 26-31 for complete product, accessory and option ordering information paradigm® ots Paradigm OTS uses a “cage” frame to provide total ligament support via multiple points of leverage. The flared and contoured medial thigh shell enhances patient comfort, while the calf shell captures the tibia via an Adjustable Tibial Strap. The anterior calf shell simplifies application and removal by eliminating the awkward “step through” design of braces with a posterior calf shell. Flexible subshells accommodate changes in anatomy during rehab from acute injury or surgery, without sacrificing stability or fit. indications & usage • ACL, MCL, LCL, PCL, rotary and combined instabilities • Protection and stabilization of surgical grafts • Recommended for low to medium contact/impact 1 2 3 4 product highlights • “Cage” frame provides total ligament support via multiple points of leverage • Flared and contoured medial thigh shell1 provides improved patient comfort and fit • Calf shell captures the tibial crest2 to maximize stability and minimize slippage • Anterior calf shell eliminates “step through” design, resulting in easier brace application and removal • Flexible subshells3 allow for changes in anatomy during rehab from acute injury or surgery, without sacrificing stability or fit Medial View showing contoured thigh shell • Hard-anodized, polycentric hinges4 are designed to reduce gear wear and feature easy-to-use flexion and extension stops • Adjustable Tibial Strap (ATS) captures the tibia and allows adjustments in hinge depth for a more customized fit ordering information • See pages 26-31 for complete product, accessory and option ordering information 20 flex® ots Flex is a viable post-op/functional rehab solution offering more versatility in both shape and function than most other options. Its heat-moldable, carbon composite frame accommodates edema and/or changes in leg shape during recovery from surgery, while its Accutrac® range-of-motion hinges provide flexion and extension control. Gel Fit® condylar pads improve suspension and are comfortable to tender knees recovering from trauma. indications & usage • • • • 1 ACL, MCL, LCL, PCL, rotary and combined instabilities Long-term use for post-op, rehab and functional support Recommended for low to medium contact/impact Sport model for lean, athletic legs 2 3 4 product highlights • Total Support System™ provides support for ACL, MCL, LCL, PCL, rotary and combined instabilities (see page 5) • Accutrac ROM hinges1 with easy-to-use flex/ext stops • Adjustable Tibial Strap (ATS) captures the tibia and allows adjustments in hinge depth for a more customized fit • Heat-moldable, carbon composite frame2 accommodates edema and/or changes in leg shape during recovery • Gel Fit condylar pads3 for improved suspension and comfort • Large, “open window” frame design accommodates post-op dressing and edema Sport model is anatomically shaped to fit lean, athletic legs like a glove • Constructed from non-corrosive materials, enabling use for water sports • Combine Flex with the Cold Rush® Cold Therapy System4 for hours of soothing comfort (Cold Rush sold separately) ordering information • See pages 26-31 for complete product, accessory and option ordering information c180 rocket ots With a condensed size and Accutrac® hinges that are modified to more accurately track young knees, the C180 Rocket provides support for children with ligament instabilities. Its sleek, carbon fiber frame is heat-moldable for customized fitting by O&P professionals and features our proven Total Support System™ that captures the tibia, providing the brace-to-bone contact needed to effectively support the knee joint. An optional patella cup is also available for additional protection. indications & usage • ACL, MCL, LCL, PCL, rotary and combined instabilities •Recommended for low to medium contact/impact •Recommended for children 1 2 3 4 product highlights • Total Support System™ provides support for ACL, MCL, LCL, PCL, rotary and combined instabilities (see page 5) • Anatomically-correct Accutrac hinges1 with extension stops • Anterior frame captures the tibia,2 providing the brace-tobone contact necessary for effective support • Carbon fiber frame is heat-moldable3 and semi-rigid for customized fitting •Lightweight, streamlined design for improved patient comfort and compliance • Constructed from non-corrosive materials, enabling use for water sports Medial View showing streamlined medial surface area for comfort and compliance • Available with an optional patella cup4 ordering information • See pages 26-31 for complete product, accessory and option ordering information 22 trainer ots This cost-effective, single-upright brace is the perfect option to treat moderate MCL injuries, or mild combined ligament instabilities. With a diagonal Dynamic Force Strap® that tightens when the knee is extended, Trainer resists valgus forces and minimizes axial rotation. Its carbon steel range-of-motion hinge and injection-molded carbon shells are extremely durable, and an Adjustable Tibial Strap provides tibial capture and improved suspension. The Trainer is an excellent option for use in activities where a medial hinge may impede performance, or a padded shell covering is required. indications & usage • Mild to moderate ligament laxity and management of acute Grade I and Grade II MCL sprains • Recommended for low to medium contact/impact 1 2 3 4 product highlights • Extremely durable, injection-molded Triax® shells1 combine strength and flexibility • Dynamic Force Strap2 eliminates the need for a medial upright • Dynamic Force Strap tightens with extension to resist valgus forces and minimize axial rotation • Tempered carbon steel ROM hinge3 with flexion/extension stops helps protect the knee from lateral blows • Hinge and Dynamic Force Strap couple to offload the MCL • Adjustable Tibial Strap (ATS)4 for improved suspension and fit • Coolflex® sleeve provides breathable compression and comfort Medial View showing Dynamic Force Strap ordering information • See pages 26-31 for complete product, accessory and option ordering information sales policies Satisfaction Guaranteed If at any time within the warranty period you are not 100% satisfied with any Össur product, please contact our Customer Service Department at 1-800-233-6263 and give us the opportunity to remedy the situation. Ordering To order by phone Please contact an Össur Customer Service Specialist at 1-800-233-6263, Monday through Friday, 7am to 5pm, PST. To order by fax, 24 hours a day For your convenience, you may fax orders at any time to 1-800-453-4567. Custom Brace Alterations or Cancelations All custom knee braces are custom fabricated for a unique individual and cannot be restocked. Therefore, alteration or cancelation of a custom order may result in a fee if brace fabrication has already commenced. To limit this possibility, please notify Össur of any custom order alterations or cancelations as quickly as possible. Shipping Össur offers a variety of delivery options, from priority overnight to ground. Custom Knee Braces Most custom knee braces ship within 3-4 days. Rush service is also available. Please contact an Össur Customer Service Specialist at 1-800-233-6263 for details. Please allow an additional 48 hours for custom paint or private label orders. Off-The-Shelf Knee Braces Off-the-shelf product orders received before 12pm Pacific Standard Time will be shipped the same day. 24 Warranty All Össur products are warranted for any defects in materials and/or workmanship. Please contact our Customer Service Department at 1-800-233-6263 if you have any questions. Custom Knee Braces Össur warrants the frame and hinge components to be free of defects in materials and workmanship for the lifetime of the original patient. Straps, liners/covers, sleeves, return cords, hinge coatings and other soft components shall be warranted free from defects in materials and workmanship for 6 months. Off-The-Shelf Knee Braces Össur warrants the frame and hinge components to be free of defects in materials and workmanship for 2 years. Straps, liners, return cords, hinge coatings and other soft components shall be warranted free from defects in materials and workmanship for 6 months. Return Policy Before returning any Össur product for exchange, credit, or refund, please contact our Customer Service Department at 1-800-233-6263 to obtain a Return Authorization (RA) number. Returned merchandise is subject to a restocking fee. Payment Terms Net 30 days on approved credit digital measuring System (DMS) 1 2 Photos can be taken with a digital camera or smartphone. If using a smartphone, we suggest you download one of the free grid camera applications. This will help minimize angle distortion. • Apply landmarks to the leg with a marker at the medial and lateral joint spaces,1 plus a line along the tibial crest between the center of the tibial tuberosity2 and 6" (15cm) below. Extra landmarks can be added for better accuracy during chart analysis (e.g., outline patella). 3 4 • With the patient in a weight-bearing position, obtain the M-L measurement at the joint space and record this value on the patient sticker.3 • Measure circumference at 3" (7.5cm) and 6" (15cm) both above and below the patella4 and record these values on the patient sticker. • Apply patient sticker 6" (15cm) above mid-patella for anterior view photo. 5 6 • If using a digital camera, adjust the height of the camera stand until the camera is level with the middle of the patella. If using a smartphone, aim and hold the phone so the lens is level with the middle of the patella. • Move the camera stand (or smart phone) approximately 2-3 feet (61-91cm) away from the patient, capturing roughly 8" (20cm) both above and below mid-patella in the viewfinder.5 Note: Align the camera with the leg to eliminate any internal or external rotation. • Have the patient turn 90,° reapply patient sticker 6" (15cm) above joint line, and take a picture of the lateral view.6 • Complete the Online Data Form at www.ossur.com/dms, attach the photos and submit. coordinate cast System (CCS) 1 • With the patient in a weight-bearing position, use the calipers to obtain the M-L measurement at the joint space and record the value on the order form. • Mark the patient’s leg at mid-patella, as well as 3", 6" and 8" above and below mid- patella.1 2 3 4 • With the ankle held at 90 degrees, record the circumference in centimeters at each of the marked points from Step 1 above on the Custom Knee Brace order form.2 If measuring for a CTi brace: Measure the patient’s tibial alignment using the standing graduated slider.3 At the mark 3" below mid-patella, bring the tool towards the lateral side of the calf until it just touches the skin. Slide the horizontal bar down until it just touches the tibial crest. Read the number on the horizontal bar at the point of intersection with the tibial crest. Repeat this at the mark 8" below mid-patella. Record these two measurements on the order form next to the 3” BELOW and 8” BELOW bubbles. • Center the patient’s leg with mid-patella mark on line 5 of the tracing board.4 You can use the centerline on the tracing tube to help align the mid-patella directly on line 5. Note: If the patient has excessive tissue, use the knee center block to raise the knee off the board. This helps maintain a proper profile of the leg. • At the top of the board, hold the base of the tracing device flat on the board with the pen tip facing the leg. Keep in contact with the leg while tracing the profile down to the bottom of the board.5 5 • Without moving the leg, repeat on the other side. • On the Custom Knee Brace order form, record the number where the tracing line intersects each of the nine coordinates lines for sides A and B. ordering information All Ligament Braces: Full Sleeves Sofsleeve Neoprene Undersleeve Neoprene Oversleeve Sports Undersleeve Padded Sports Oversleeve <15" 20643 20251 20051 20682 20448 15-18" 20644 20252 20052 20683 20448 Large 18-19.5" 20644 20253 20053 20684 20449 XLarge 19.5-21.5" 20645 20254 20054 20685 20449 2XLarge 21.5-24.5" 20645 20255 20055 3XLarge 24.5-28" 20646 20256 20056 4XLarge 28-34" 20647 20257 20057 Size Circumference Small Medium CTi® Custom Right1 Left1 Measurements2 Ships Color B-11X500010 B-11X600010 DMS , CMS, CCS, cast mold 3-5 days 12 Colors (See Page 10) or Custom Paint 1 X = 6 (Standard), 7 (Pro Sport), or 8 (Vapor) 2 DMS = Digital Measuring System, CMS = Custom Measuring System, CCS = Coordinate Cast System, CAD = Computer Aided Design CTi® Custom: Sized Kits Size Strap Kit1 ACL Strap Kit1 PCL Kit Moto X Kit2 Small B-70113X002 B-70113X041 B-705000032 B-705130072 Medium B-70113X003 B-70113X042 B-705000033 B-705130073 Large B-70113X004 B-70113X044 B-705000034 B-705130074 XLarge B-70113X005 B-70113X046 B-705000035 1 X = 0 (non-riveted, top strap screwed in) or 1 (riveted, top strap has a slot) 2 Moto X Kit includes patella cup, gear guards, undersleeve and CTi stickers CTi Custom: Silicone Liners & Strap Pads Size Strap Pads (Black) Size Liners1 Small B-304010057 (3.5") Small/Medium B-411X00112 Medium/Large B-304010058 (5") Large B-411X00114 XLarge/2XLarge B-304010059 (7") XLarge B-411X30114 1 X = 5 (Right) or 6 (left) 26 ordering information CTi Custom: Miscellaneous Accessories & Options Description Part # Description Part # Condyle Pad – EVA (1/4" Universal) 22199 AMS Wrap, Neoprene 22094 Condyle Pad – EVA(1/8" Universal) 22182 AMS Wrap, Evazote 22095 Condyle Pads, Gel (Pair) 22183 AMS Wrap, XL Neoprene (Calf Circ. > 17") 22152 Condyle Pad Set, Neoprene (1/8" & 1/16") 22054 Patella Cup B-711130000 Condyle Pad Covers, Cotton (Pair) 13535 Gear Guards 22101 Hinge Cover Kit B-706140061 Flexion Stop Kit (Factory Installed) 19254 Extension Stop Kit 22130 Hyperextension Strap (Factory Installed) 21144 ACL Cable Repair Kit B-705130040 Ski Boot Attachment (5") 19201 Paradigm® Custom Right Left Measurments1 Ships Color B-110500020 B-110600020 DMS , CMS, CCS, cast mold 3-5 days 12 Colors (See Page 11) 1 DMS = Digital Measuring System, CMS = Custom Measuring System, CCS = Coordinate Cast System, CAD = Computer Aided Design Paradigm® Custom: Strap/Pad Sets & Liner Sets Call Össur Customer Service at 1-800-233-6263 to order replacements. extreme Right Left Measurments1 Ships Color B-108500020 B-108600020 DMS , CMS, CCS, cast mold 3-5 days 12 Colors (See Page 12) 1 DMS = Digital Measuring System, CMS = Custom Measuring System, CCS = Coordinate Cast System, CAD = Computer Aided Design CTi® OTS Right1 Left1 Measurements2 Ships Color B-23X5Y0112 B-23X6Y0112 Small Caliper: 3.5” (8.9cm) to 4” (10.2cm) Circumference: 11” (27.9cm) to 12.625” (32.1cm) Same Day Black B-23X500113 B-23X6Y0113 Medium Caliper: 4” (10.2cm) to 4.5” (11.4cm) Circumference: 12.625” (32.1cm) to 14.25” (36.2cm) Same Day Black B-23X500114 B-23X6Y0114 Large Caliper: 4.5” (11.4cm) to 4.875” (12.4cm) Circumference: 14.25” (36.2cm) to 15.375” (39.1cm) Same Day Black B-23X500115 B-23X6Y0115 XLarge Caliper: 4.875” (12.4cm) to 5.25” (13.3cm) Circumference: 15.375” (39.1cm) to 16.625” (42.2cm) Same Day Black B-23X500116 B-23X6Y0116 2XLarge Caliper: 5.25” (13.3cm) to 5.75” (14.6cm) Circumference: 16.625” (42.2cm) to 18.125” (46cm) Same Day Black Size 1 X = 8 (Standard) or 9 (Pro Sport), Y = 0 (Standard) or 4 (PCL) 2Caliper measurement: M/L at joint width in a standard, weight-bearing position Circumference measurement: just below the distal border of the patella ordering information CTi OTS: Sized Kits Size Strap Kit PCL Kit Moto X Kit1 Small B-701140002 B-705140032 B-705130072 Medium B-701140003 B-705140033 B-705130073 Large B-701140004 B-705140034 B-705130074 XLarge B-701140005 B-705140035 2XLarge B-701140005 B-705140035 1 Moto X Kit includes patella cup, gear guards, undersleeve and CTi stickers CTi® OTS: Silicone Liners & Strap Pads Size Strap Pads Calf Liners Thigh Liners Small B-304010057 (3.5") B-410000112 B-410000122 Medium B-304010058 (5") B-410000113 B-410000122 Large B-304010058 (5") B-410000114 B-410000124 XLarge B-304010059 (7") B-410000115 B-410000124 2XLarge B-304010059 (7") B-410000116 B-410000124 CTi OTS: Miscellaneous Accessories & Options Description Part # Description Part # Condyle Pad – EVA (1/4" Universal) 22199 AMS Wrap – Small/Medium B-410000001 Condyle Pad – EVA(1/8" Universal) 22182 AMS Wrap – Large/XLarge/2XLarge B-410000002 Condyle Pad, Neoprene – 1/4" Universal 23503 Patella Cup B-711130000 Condyle Pad, Neoprene – 1/8" Universal 23502 Gear Guards 22101 Condyle Pad Covers, Cotton (Pair) 13535 Flexion Stop Kit (Factory Installed) 19254 Hinge Cover Kit B-706140060 Hyperextension Strap (Factory Installed) 21144 Extension Stop Kit 22130 MVP® Contour Right B-213500101 Left B-213600101 Size XSmall Measurements1 Color Circumference: 14 – 17” (35.6 – 43.2cm) Black B-213500102 B-213600102 Small Circumference: 16.5 – 19” (41.9 – 48.3cm) Black Circumference: 18.5 – 21” (47 – 53.3cm) Black B-213500103 B-213600103 Medium B-213500104 B-213600104 Large Circumference: 20.5 – 23” (52.1 – 58.4cm) Black B-213500105 B-213600105 XLarge Circumference: 22.5 – 25” (57.2 – 63.5cm) Black B-213500106 B-213600106 2XLarge Circumference: 24.5 – 28” (62.2 – 71.1cm) Black 1 Circumference measurement: 6” above mid-patella. 28 ordering information MVP® Contour: Sized Kits Size Strap Kit1 Liner Kit1 Subshell Kit XSmall B-70122X001 B-70322X001 B-716220001 Small B-70122X001 B-70322X002 B-716220002 Medium B-70122X003 B-70322X003 B-716220003 Large B-70122X004 B-70322X004 B-716220004 XLarge B-70122X005 B-70322X005 B-716220005 2XLarge B-70122X005 B-70322X006 B-716220006 1 X = 5 (Right) or 6 (left) MVP Contour: Miscellaneous Accessories & Options Description Part # Description Part # Condyle Pad Kit b-717220000 Extension Stop Kit b-718220000 Hinge Cover Kit b-706220001 Flexion Stop Kit b-719220000 AMS Wrap, Neoprene (XSmall/Small/Medium) 23550 D-Ring Kit B-708220000 AMS Wrap, Neoprene (Large/XLarge/2XLarge) 23551 PCL Strap Kit b-701220090 Paradigm® OTS Right1 Left1 Measurements2 Ships Color B-21X500001 B-21X600001 X-Small 13.5” (34.3cm) to 15.5” (39.4cm) Same Day Black B-21X500002 B-21X600002 Small 15.5” (39.4cm) to 17.5” (44.5cm) Same Day Black B-21X500003 B-21X600003 Medium 17.5” (44.5cm) to 20.5” (52.1cm) Same Day Black B-21X500004 B-21X600004 Large 20.5” (52.1cm) to 23.5” (59.7cm) Same Day Black B-21X500005 B-21X600005 XLarge 23.5” (59.7cm) to 26.5” (67.3cm) Same Day Black B-21X500006 B-21X600006 2XLarge 26.5” (67.3cm) to 29.5” (74.9cm) Same Day Black Size 1 X = 0 (Standard) or 1 (PCL) 2Circumference measurement: 6” above mid-patella. Paradigm® OTS: Strap/Pad Sets & Liner Sets Size Strap & Pad Set Liner Set1 XSmall B-701060001 B-70306X001 Small B-701060002 B-70306X002 Medium B-701060003 B-70306X003 Large B-701060004 B-70306X004 XLarge B-701060005 B-70306X005 2XLarge B-701060006 B-70306X006 1 X = 5 (Right) or 6 (left) ordering information Paradigm OTS: Miscellaneous Accessories & Options Description Part # Description AMS Wrap, Neoprene (XSmall/Small/Medium) 23550 Part # AMS Wrap, Neoprene (Large/XLarge/2XLarge) 23551 flex/flex sport Right1 Left1 Size Measurements2 Ships Color FLEX-SR FLEX-SL Small Caliper: 3.5” (8.9cm) to 4” (10.2cm) Circumference: 11” (27.9cm) to 12.625” (32.1cm) Same Day Clear Carbon FLEX-MR FLEX-ML Medium Caliper: 4” (10.2cm) to 4.625” (11.7cm) Same Day Circumference: 12.625” (32.1cm) to 14.5” (36.8cm) Clear Carbon FLEX-LR FLEX-LL Large Caliper: 4.625” (11.7cm) to 5.125” (13cm) Circumference: 14.5” (36.8cm) to 16” (40.6cm) Same Day Clear Carbon FLEX-XLR FLEX-XLL XLarge Caliper: 5.125” (13cm) to 5.625” (14.3cm) Circumference: 16” (40.6cm) to 17.625” (44.8cm) Same Day Clear Carbon 1 Add "sp" to part number to order Sport model (i.e., FLEXSP-SR for small right Flex Sport) 2Caliper measurement: M/L at joint width in a standard, weight-bearing position Circumference measurement: just below the distal border of the patella Flex®: Calf & Thigh Pads Size Calf Pad (Left) Calf Pad (Right) Thigh Pad (Left) Thigh Pad (Right) Small 44048 44049 44046 44047 Medium 44040 44041 44042 44043 Large 44044 44045 44038 44039 XLarge 44052 44053 44050 44051 Flex Sport: Calf & Thigh Pads Size Calf Pad (Left) Calf Pad (Right) Thigh Pad (Left) Thigh Pad (Right) Small 77017 77018 77026 77025 Medium 77019 77020 77028 77027 Large 77021 77022 77030 77029 XLarge 77023 77024 77032 77031 Flex/Flex Sport: Strap Kits Size Strap Kit Size Strap Kit Small 44071 Large 44070 Medium 44069 XLarge 44068 30 ordering information Flex/Flex Sport: Miscellaneous Accessories & Options Description Part # Description Part # 23550 Condyle Pad, Gel (Pair) 22183 AMS Wrap, Neoprene (Small/Medium) Condyle Liner & Cover Set (Neoprene) 44066 AMS Wrap, Neoprene (Large/XLarge/2XLarge) 23551 Hinge Cover Kit 44083 Flexion/Extension Stop Kit 44035 c180 Rocket Right Left Size Measurements1 Ships Color C180KSR C180KSL Small Caliper: 3” (7.6cm) to 3.5” (8.9cm) Circumference: 9.5” (24.1cm) to 11” (27.9cm) Same Day Clear Carbon C180KLR C180KLL Large Caliper: 3.25” (8.3cm) to 3.75” (9.5cm) Circumference: 10.25” (26cm) to 11.75” (29.8cm) Same Day Clear Carbon C1802XSR C1802XSL XLarge Caliper: 3.5” (8.9cm) to 4” (10.2cm) Circumference: 11” (27.9cm) to 12.625” (32.1cm) Same Day Clear Carbon 1 Caliper measurement: M/L at joint width in a standard, weight-bearing position Circumference measurement: just below the distal border of the patella c180 Rocket: Calf & Thigh Liners Size Calf Liner, 1/8" Left Calf Liner, 1/8"Right Thigh Liner, 1/8"Left Thigh Liner, 1/8"Right Small 25061 25062 25060 25063 Large 25057 25058 25056 25059 XLarge 25016 25017 25104 25105 C180 Rocket: Miscellaneous Accessories & Options Description Part # Description Part # Patella Cup (Small/Large) 25029 Strap Kit, Small 30251 Patella Cup (XLarge) B-711130000 Strap Kit, Large 30252 Motocross Kit (Small/Large) 10833 Strap Kit, XLarge 30908 Motocross Kit (XLarge) B-705130072 TRAINER Right B-237500001 Left B-237600001 Size XSmall Measurements1 13.5” (34.3cm) to 15.5” (39.4cm) B-237500002 B-237600002 Small 15.5” (39.4cm) to 17.5” (44.5cm) Same Day Black B-237500003 B-237600003 Medium 17.5” (44.5cm) to 20.5” (52.1cm) Same Day Black B-237500004 B-237600004 Large 20.5” (52.1cm) to 23.5” (59.7cm) Same Day Black B-237500005 B-237600005 XLarge 23.5” (59.7cm) to 26.5” (67.3cm) Same Day Black 1 Circumference measurement: 6” above mid-patella. Color Same Day Black usa 800 233 6263 follow Össur on canada 800 663 5982 webwww.ossur.com © 2011 Össur P-530101, 11.11