Donjoy TROM Knee Brace Product Overview

Introducing the new Donjoy Total Range of Movement (TROM™) Adjuster Knee Brace – the first post-operative brace truly designed to easily, comfortably and consistently deliver controlled off-loading, conducive to creating the optimal recovery environment.

Command Performance Device
The goal of reducing discomfort while achieving the highest degree of therapeutic healing from knee surgery has found a state-of-the art device designed to do just that. The TROM™ Adjuster Knee Brace is applied science in an attractively simple design that has revolutionized the healing process for patients. Enduring the recovery process following meniscal repairs, major ligament surgery, osteochondral defects, patella realignment, condylar or tibial plateau fractures, high tibial osteotomy (HTO) or other surgical repair involves relieving weight bearing on the knee while supporting flexion and extension during recovery.

The TROM™ Adjuster introduces the most comprehensive post-op brace solution for patients using the successful TROM™ platform. This fully adjustable knee brace revolutionizes the healing process through an easy-on, easy-off design that presents an improvement over conventional methods while still providing the ability to serve the purpose, such as that previously achieved with groin to toe casting. The ability to adjust the degree of flexion and extension as well as being able to lock-out the brace has actually proven to reduce the amount of time spent in recovery with its versatile ease of use.

Features
Here are some of the unique design features that distinguish the TROM™ Adjuster Knee Brace:

• Tele-Fit – independent sliding strap movement for best comfort and fit
• Push-button telescoping bars – to custom fit the length of the brace between 17 3/4-inches and 24-inches
• Adjustable hinge technology – designed to accommodate prescribed range of motion for physical rehabilitation
• Quick-lok mechanism – to lock out the brace from 0 to 90 degrees in 10 degree increments as per the prescribed therapy
• Sili-grip pads – highly adaptable pads that affix to the straps through hook-and-loop technology to prevent the fit from shifting in use
• Able to accept fit of cold therapy wraps or dressings to aid in healing
• 6-month warranty

Improvements Over Conventional Therapies
There are a host of improvements in recovery from surgery facilitated by the use of the TROM™ Adjuster Knee Brace. First and foremeost, the flexibility to make adjustments in the levels of immobilization for the prescribed protocols has been a tremendous aid in limiting time spent healing, improving the integrity of joint recovery, allowing for improved surgical outcomes, reducing the pain typically associated with these recoveries and decreasing the need for anti-inflammatory medications. The convenience of eliminating the process of cast immobilization responds to a host of otherwise related difficulties, not the least of which is the incessant itching associated with such therapies.

Further, the ability to easily remove the padding that supports the brace to facilitate the best hygienic conditions ensures comfort throughout the period of physical therapy. The pads are held in place with hook and loop technology which also allows for custom placement. This will prevent skin contacting any of the firm parts of the brace and help prevent chaffing. Patients who have experienced the TROM™ Adjuster Knee Brace are convinced that the manufacturer took the time to think of everything. There is nothing left to improvement but the health and best healing from knee surgery, something that need not bring nearly the anguish previously associated with the recovery time required.

About MMAR Medical: MMAR Medical Group Inc. is a premiere medical orthopedic brace distributor in North America, carrying a large selection of post-op hinged braces including the Donjoy Trom adjustable knee brace. Based in Houston Texas, www.MMARMedical.com carries one of the largest selection of sport rehab knee braces in the Americas.

Scoliosis: Treatment in Children

Scoliosis is defined as a lateral curvature of the spine and is typically more prevalent in girls than boys. Children between the ages of 10 and 16 may develop “C” or “S” shaped curves that may continue to bend the spine and create deformities as the child grows. Typical screening for scoliosis is performed by the pediatrician, annual school exams, hospitals and community awareness programs. If the curvature of the spine exceeds 20-25 degrees, treatment is indicated.

Treatment for Mild Scoliosis
Often, parents first notice mild scoliosis in their child by the appearance of one shoulder or hip slightly higher than the other. The treatment in a mild case is observation of the spinal curve which is measured by the pediatrician overtime. The spine is monitored with periodic x-rays and visual techniques every four to six months to ensure the angle of the curve does not worsen in the course of the child’s growth.

Medical Braces for Moderate Scoliosis
If the curvature has progressed or exceeds the mild form of scoliosis, the pediatrician may elect to prescribe a brace to prevent further deformity. The brace holds the patient’s backbone in an erect position and supports the spine during growth spurts. Several models of braces are available and can be custom made to accommodate all types of curvatures at different locations of the spine. Most of these spinal braces are constructed with form-fitting plastics that are molded to the patient’s individual requirements. Typically, the pediatrician dictates how many hours per day the brace must be worn for the duration of the child’s growth period.

Types of Braces for Scoliosis

• Milwaukee Brace: Used to correct any curvature in the spine. The brace extends from the base of the skull to the pelvis. This type includes a neck ring. The brace is intended to minimize further progression of a curve between 25-40 degrees.
• Thoraco-Lumbo-Sacral-Orthosis (TLSO) Brace: The treatment of choice for mid to lower back spine curvatures, the brace fits under the arms and extends around the chest and down to the hips. The advantage of a TLSO brace is that it can be worn under the clothes.
• Providence Brace: A brace designed for bedtime use and can be worn by the child comfortably for up to eight hours while sleeping.

Complications of Severe Curvatures
As the angle of the spinal curve becomes more severe, the ribcage can twist and restrict normal breathing. In progressive “S” curves, the pelvis may rotate and cause significant leg length discrepancies and result in one leg shorter than the other. Surgery may be indicated for severe scoliosis.

Surgical Interventions for Severe Scoliosis
If moderate scoliosis does not respond to bracing, the condition is often treated with back surgery by an orthopedic surgeon. The procedure fuses the vertebrae of the spine with a rod, or uses the insertion of an implant, and straightens the spine to prevent further progression of the spinal curve. Typically, post surgery requires several days in the hospital and activity of the child is limited for approximately one year.

Overview of Scoliosis
Scoliosis in children must be monitored and treated throughout their growth and development. Treatment is based on the child’s age, degree of curvature and the risk of progression. Mild curves frequently don’t progress into moderate or severe curvatures, but bracing or surgery may be indicated at some point due to the child’s growth spurts. Any form of scoliosis requires monitoring and medical care by a qualified physician.

About MMAR Medical: MMAR Medical Group Inc. is one of North America's premiere medical orthopedic brace distributors, carrying a large selection of TLSO braces for scoliosis. Based in Houston Texas, www.MMARMedical.com also carries one of the largest selection of orthopedic back braces in the Americas.