Wednesday, September 26, 2012

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.

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, carries one of the largest selection of sport rehab knee braces in the Americas.

Tuesday, September 25, 2012

What to Look for In a Post Operative Knee Brace

Knee pain, whether chronic or acute, is one of the most common complaints affecting the skeletal structure that doctors see and treat with regularity in an active society. The knee is taxed to bend and rotate and often manages to accommodate such movements when it shouldn't leading to strains, sprains and other injuries.

Among the conditions that can lead to surgery are:

  • Ligament Injuries - most often the result of athletic activity affecting any of the four separate ligaments responsible for stabilizing the knee joint. They are the anterior cruciate ligament (ACL), the medial collateral ligament (MCL), the posterior cruciate ligament (PCL) and the lateral collateral ligament (LCL). Injury can occur from twisting the knee with the foot planted, hyper-extension, sudden stopping in the midst of running, shifting weight from one leg to the other, jumping, landing in a flexed position or direct impact to the knee.
  • Dislocation of the Knee Cap - occurring after a sudden or unexpected changing of direction on a planted leg position or else from direct impact.
  • Cartilage Injuries - having a wide range of causes from genetics, to meniscal or patella tendon injuries, to Osteochondral Defects, to arthritis, to instability from weaknesses, the result of repeated micro-traumas or a single impact.
  • Condylar Fractures - affecting the lower end of the femur corrected with a groin-to-toe plaster for un-displaced fractures or surgery for displaced fractures.
  • Tibial Plateau Fractures - involving the most critical area in the knee that accommodates load-bearing, the upper end of the tibia bone.
  • High Tibial Osteotomy (HTO) - knee surgery to repair osteoarthritis.

The ability to perform myriad movements on a joint as complex as the knee presents the possibility of incapacity. The most frequent complaints of pain and injury come from those participating in such sports as basketball, football and skiing. Recognizing the potential for injury and the subsequent need for recovery that will support the joint during repair, there are a series of post-operative knee braces from which to choose to help in this process.

Selecting a Post-Operative Knee Brace
Rehabilitation and recovery can occur very soon after surgery in most case, with the need to focus on mobility while strengthening the knee. This means being able to have a stabilized range of motion as the damaged knee and surrounding muscles are worked. Immobilizing the knee is necessary to prevent further injury while still allowing for a range of movement, depending upon the degree of injury. In some cases, complete immobilization is necessary to promote healing.

The post-op knee braces available today have features that allow for adjusting compression and range of flexibility through the use of rigid hinges and straps that can be fitted for comfort and adjusted for the best therapy while in use. They have been designed to allow for control of bending and straightening the knee joint along with the flexion and extension that normally occurs through movement. This can be achieved with the use of locking mechanisms that enable a patient to lock the brace out in full extension so as to prevent any flexing of the knee joint, or by degree, depending upon what has been prescribed by the surgeon.

Manufactured in either telescoping or pre-determined lengths for an individual's specific height, these braces are able to accommodate cold therapy wraps or dressings to aid in speedier recovery. Some of the braces have a limited 6 month warranty, in the case of Donjoy post-op braces, while others have a 30 day return policy. Among the manufacturers, there are brands made by Breg, New Option Sports, Ossur, Orthotic Rehab, Donjoy, Hely Weber, Deroyal, Neuroflex, Comfy, Thermoskin and RCAI. These brands represent only the highest quality post-operative knee braces available on the market today.

About MMAR Medical: MMAR Medical Group Inc. is one of North America's premiere medical orthopedic brace distributors, carrying a large selection of post-op hinged braces. Based in Houston Texas, also carries one of the largest selection of spinal back braces in the Americas.

Friday, September 7, 2012

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, also carries one of the largest selection of orthopedic back braces in the Americas.