Foot/Ankle - Ottobock
Braces and SupportsFoot/AnkleKneeHip/PelvisCervical SpineBackArm/ShoulderHand
Supporting YouOttobock is dedicated to supporting you and your patients with solutions that helpimprove mobility and independence. We continue to stand behind the products wecreate, developing high-quality, innovative solutions for a broad range ofindications and diagnoses.
Basic Ankle SupportArt. no. 8973Indications Made of soft, flexible neoprene For suggested code, go to www.ottobockus.comSizeinchS20 – 227.9 – 8.7L24 – 269.5 – 10.2XLIrritation of the Achilles tendon Feeling of instability Irritation (postoperative,posttraumatic, chronic) Joint effusions and swellings (e.g. in caseof osteoarthritis, arthritis) Tendomyopathies Ligament insufficiencyFeatures and Benefits Provides warmth and increasesblood circulation Fits easily into the shoeCircumferencecmM 22 – 2426 – 288.7 – 9.510.2 – 11.0Ottobock Product GuideFoot/Ankle3
Malleo ArexaArt. no. 7772 Active Ankle OrthosisIndicationsFeatures and Benefits Ligament instabilities Stabilizes the ankle with or without a shoe Postoperative treatment of ligament ruptures Ankle distorsionsAdditional strapping limits eversion andinversion of the foot Functional treatment of lateralligament ruptures No limitation of the plantar and dorsal flexion Can be applied to left or right side P lastic shell holds the calf with wrap-aroundhook & loop straps PDAC Approved Code L1906SizeMLShoe SizeWomenMenup to 9.5up to 7.5up to 14up to 12.5Ottobock Product Guide4
Malleo SprintArt. no. 50S3 Active Ankle OrthosisIndications Chronic instability of the upper ankle joint Functional treatment of ligament ruptures Severe ankle distorsionsFeatures and Benefits Semi-rigid plastic sides stabilize the ankle withor without a shoe Figure 8 strapping limits eversion andinversion of the foot Breathable SpaceTex material for increasedcomfort and compliance Can be applied left or right side C ombination of plastic exoskeleton andinelastic straps PDAC Approved Code L1902SizeCircumferencecminchXS25.5 – 2810 – 11M30.5 – 3312 – 13XL33.5 – 38SL28 – 30.533 – 33.511 – 1213 – 1414 – 15Ottobock Product GuideFoot/Ankle5
Malleo Sprint, lightArt. no. 50S16 Active Ankle OrthosisIndications Chronic instability of the upper ankle joint Functional treatment of ligament ruptures Slight to moderate ankle distorsionsFeatures and Benefits High level of ankle stabilization with andwithout a shoe Figure 8 strapping limits eversion andinversion of the foot Breathable SpaceTex material for increasedcomfort and compliance Can be applied to left or right side C ombination of breathable fabric andinelastic straps PDAC Approved Code L1902SizeCircumferencecminchXS25.5 – 2810 – 11M30.5 – 3312 – 13XL33.5 – 38SL28 – 30.533 – 33.511 – 1213 – 1414 – 15Ottobock Product Guide6
Malleo Direxa StirrupArt. no. 50S9 Ankle OrthosisIndications Functional treatment of lateral ankleligament rupturesFunctional treatment of severeankle distorsionsStabilization of the upper ankle in case ofchronic instabilitiesFeatures and Benefits Stabilizes the ankle Limits eversion and inversion of the foot No restriction of plantar and dorsal flexion Additional gel pad set included to providecold therapy Universal sizing G el pads can be applied to provide acutecold therapy PDAC Approved Code L4350Shoe sizeUniversalOttobock Product GuideFoot/Ankle7
Ankle Foot OrthosisArt. no. 28U9 Thermoplastic Drop Foot OrthosisIndications Drop foot with maximal mild spasticity, e.g.after stroke, traumatic brain injury, in multiplesclerosis, neuromuscular atrophy, orperoneal paralysisFeatures and Benefits Passive, flexible limitation of theplantar flexion Dynamic foot repositioningEspecially suitable for temporary problems orshort walking distances Long sole for precise foot guidance PDAC Approved Code L1930SideShoesizeOverall heightMenWomencminchL/R2.5 – 4.54.5 – 6.52911.4L/R6–88 – 1034.513.6L/RL/RL/R4.5 – 68 – 10.510.5 – 12.56.5 – 831.510 – 12.53912.5 – 14.541.512.415.416.3Ottobock Product Guide8
Malleo Immobil WalkerArt. no. 50S10-1 Immobilization OrthosisIndications PDAC Approved Code L4386SizeSMLXLInjuries to ligaments, soft tissue and tendons inthe foot/ankle region Conservative treatment of forefoot, metatarsaland tarsal injuries Postoperative, conservative treatment of distalfibula fractures and stable forefoot, metatarsaland/or ankle fractures Postoperative, conservative treatment ofAchilles tendon ruptures using 29S35(15 /30 ) or 29S47 (10 /16 /22 ) heel wedgesFeatures and Benefits Immobilizes the foot/ankle region Strapping integrated into the upright to preventstrap migration Toe cover includedShoesizeMen4.5 – 77.5 – 10.510.5 – 12.512.5 Women6–88.5 – 11.511.5 – 13.513.5 Ottobock Product GuideFoot/Ankle9
Malleo Immobil Walker, lowArt. no. 50S11-1 Immobilization OrthosisIndications Postoperative, conservative treatment of distalfibula fractures and stable forefoot, metatarsaland/or ankle fractures Exostosis treatment for hallux valgus Soft tissue injuries of the footFeatures and Benefits Immobilizes the foot/ankle region Strapping integrated into the upright to preventstrap migration Toe cover included PDAC Approved Code L4386SizeSMLXLShoesizeMen4.5 – 77.5 – 10.510.5 – 12.512.5 Women6–88.5 – 11.511.5 – 13.513.5 Ottobock Product Guide10
Malleo Immobil ROM WalkerArt. no. 50S15-1 Immobilization OrthosisIndications T he ROM joint can be set in 7.5 increments from45 dorsal flexion to 45 plantar flexionConservative treatment of forefoot, metatarsaland tarsal injuries Postoperative, conservative treatment ofAchilles tendon ruptures After ligament, soft tissue and tendon injuries Postoperative, conservative treatment of distalfibula fractures and stable forefoot, metatarsusand/or ankle fracturesFeatures and Benefits Immobilizes the foot/ankle region Defined limitation of movement by adjustingthe ROM joint Malleable uprights Toe cover included PDAC Approved Code L4386SizeSMLXLShoesizeMen4.5 – 77.5 – 10.510.5 – 12.512.5 Women6–88.5 – 11.511.5 – 13.513.5 Ottobock Product GuideFoot/Ankle11
Malleo Immobil Air WalkerArt. no. 50S12-1 Immobilization OrthosisIndications T he integrated pump allows compression to beadjusted to the desired levelPostoperative, conservative treatment of stableforefoot, metatarsus and ankle fractures Postoperative, conservative treatment of distalfibula fractures Severe ankle sprains Soft tissue injuries of the foot Postoperative, conservative treatment ofAchilles tendon ruptures using 29S35(15 /30 ) or 29S47 (10 /16 /22 ) heel wedgesFeatures and Benefits Immobilizes the foot/ankle region Integrated air bladder provides increasedcomfort and compression for acute injuries Integrated air pump and push release valve Strapping integrated into the upright to preventstrap migration Toe cover included PDAC Approved Code L4360SizeSMLXLShoesizeMen4.5 – 77.5 – 10.510.5 – 12.512.5 Women6–88.5 – 11.511.5 – 13.513.5 Ottobock Product Guide12
Malleo Immobil Air Walker, lowArt. no. 50S14-1 Immobilization OrthosisIndications T he integrated pump allows compression to beadjusted to the desired levelPostoperative, conservative treatment of distalfibula fractures and stable forefoot, metatarsaland/or ankle fractures Exostosis treatment for hallux valgus Soft tissue injuries of the footFeatures and Benefits Immobilizes the foot/ankle region Integrated air bladder provides increasedcomfort and compression for acute injuries Integrated air pump and push release valve Strapping integrated into the upright to preventstrap migration Toe cover included PDAC Approved Code L4360SizeSMLXLShoesizeMen4.5 – 77.5 – 10.510.5 – 12.512.5 Women6–88.5 – 11.511.5 – 13.513.5 Ottobock Product GuideFoot/Ankle13
Heel Wedges in 15 /30 Nightcover Places the foot in plantar flexion to relievetension on the Achilles tendon for MalleoImmobil Walker To protect objects from bottom of MalleoImmobil WalkerArt. no. 29S35 Immobilization Orthosis PDAC Approved L9900SizeSideSuitable forS/ML/R50S10-1 S/M50S12-1 S/ML/XLL/R50S10-1 L/XL50S12-1 L/XLArt. no. 29S45 Immobilization Orthosis PDAC Approved Code A9270SizeuniversalSuitable for50S10-150S11-150S12-150S14-150S15-1Ottobock Product Guide14
Rain cover for Walker highRain cover for Walker low Protects from snow, rain and water Protects from snow, rain and water PDAC Approved Code A9270 PDAC Approved Code A9270Art. no. 29S38 Immobilization OrthosisSizeSuitable forS/M50S10-1 S/M50S12-1 S/M50S15-1 S/ML/XL50S10-1 L/XL50S12-1 L/XL50S15-1 L/XLArt. no. 29S39 Immobilization OrthosisSizeSuitable forS/M50S11-1 S/M50S14-1 S/ML/XL50S11-1 L/XL50S14-1 L/XLOttobock Product GuideFoot/Ankle15
Malleo Immobil Night SplintArt. no. 50S20-1 Immobilization OrthosisIndications PDAC Approved Code L4396Size Plantar fasciitis Tendopathy/irritation of the Achilles tendon Pain caused by excessive strain on soft tissuein the footFeatures and Benefits Statically positions the foot in slightdorsal extension Can be applied to both left and right sideShoesizeMenWomenSUp to 4.5Up to 6.5L9.5 11.5 MFollow-up treatment of operative tendonextensions in the area of the calf musculaturein case of muscular contractedequinus position5–97 – 11Ottobock Product Guide16
Genu Therma TendonArt. no. 8385 Knee SupportIndications Osgood Schlatter Anterior knee pain Irritation of the upper and/or lower edge of thepatella (Jumper's knee)Features and Benefits Relieves pressure on the patellartendon insertion Knee strap For suggested code, go to www.ottobockus.comSizeinchXXS29 – 3211.4 – 12.6S35 – 3813.8 – 15.0L41 – 4416.1 – 17.3XSA15 cmCircumference AcmMXLXXL32 – 3538 – 4144 – 4848 – 5112.6 – 13.815.0 – 16.117.3 – 18.918.9 – 20.1Ottobock Product GuideKnee17
Genu Therma ChondroArt. no. 8386 Patellar Tendon SupportIndications Osgood Schlatter Anterior knee pain Irritation of the upper and/or lower edge of thepatella (Jumper's knee)Features and Benefits Relieves pressure on the patellartendon insertion Adjustable closure allows pressure on patellartendon to be varied For suggested code, go to www.ottobockus.comSizeinchXXS29 – 3211.4 – 12.6S35 – 3813.8 – 15.0L41 – 4416.1 – 17.3XSA15 cmCircumference AcmMXLXXL32 – 3538 – 4144 – 4848 – 5112.6 – 13.815.0 – 16.117.3 – 18.918.9 – 20.1Ottobock Product Guide18
Genu Therma CombiArt. no. 8387 Knee SupportIndications Osgood Schlatter Anterior knee pain Irritation of the upper and/or lower edge of thepatella (Jumper's knee)Features and Benefits Relieves pressure on the patellartendon insertion Closures adjustable on both sides allow pressureon the patellar tendon to be varied For suggested code, go to www.ottobockus.comSizeinchXXS29 – 3211.4 – 12.6S35 – 3813.8 – 15.0L41 – 4416.1 – 17.3XSA15 cmCircumference AcmMXLXXL32 – 3538 – 4144 – 4848 – 5112.6 – 13.815.0 – 16.117.3 – 18.918.9 – 20.1Ottobock Product GuideKnee19
Genu DirexaArt. no. 8356N Knee Stabilization OrthosisIndicationsFeatures and BenefitsKnee pain with slight ligament laxities and/orslight feeling of instability Controlled compression improvessensorimotor functionPosttraumatic and postoperative instabilityand/or feeling of instability Relieves pain and improves knee joint function Supports patellar tracking With polycentric joints Knee osteoarthritis Patellofemoral pain syndrome Rheumatoid arthritis PDAC Approved Code L1810SizeBA15 cm15 cmXXSXSSMLXLXXLCircumference ACircumference Bcminchcminch29 – 3211.4 – 12.636 – 4014.2 – 15.832 – 3535 – 3838 – 4141 – 4444 – 4848 – 5112.6 – 13.813.8 – 15.015.0 – 16.116.1 – 17.317.3 – 18.918.9 – 20.140 – 4444 – 4848 – 5252 – 5656 – 6161 – 6715.8 – 17.317.3 – 18.918.9 – 20.520.5 – 22.022.0 – 24.024.0 – 26.4Ottobock Product Guide20
Genu Direxa, wraparoundArt. no. 8353N Knee Stabilization Orthosis Open version makes it easy to put on and take offIndicationsFeatures and BenefitsKnee pain with slight ligament laxities and/orslight feeling of instability Controlled compression improvessensorimotor function Posttraumatic and postoperative instabilityand/or feeling of instability Relieves pain and improves knee joint function Knee osteoarthritis Patellofemoral pain syndrome Rheumatoid arthritis PDAC Approved Code L1810SizeBA15 cm15 cmXXSXSSMLXLXXLCircumference ACircumference Bcminchcminch29 – 3211.4 – 12.636 – 4014.2 – 15.832 – 3535 – 3838 – 4141 – 4444 – 4848 – 5112.6 – 13.813.8 – 15.015.0 – 16.116.1 – 17.317.3 – 18.918.9 – 20.140 – 4444 – 4848 – 5252 – 5656 – 6161 – 6715.8 – 17.317.3 – 18.918.9 – 20.520.5 – 22.022.0 – 24.024.0 – 26.4Ottobock Product GuideKnee21
Genu Direxa StableArt. no. 8357N Knee Stabilization OrthosisIndicationsFeatures and BenefitsKnee pain with moderate ligament laxities and/ormoderate feeling of instability, with the option oflimiting the range of motion Controlled compression improvessensorimotor function Relieves pain and improves knee joint function Prevents hyperextension Supports patellar tracking Option of limiting the range of motionFlexion: 0 /10 /20 /30 /45 /60 /75 /90 Extension: 0 /10 /20 /30 /45 Polycentric joints with incremental extension andflexion limitsPosttraumatic and postoperative ligamentlaxities and/or feeling of instabilityKnee osteoarthritis Patellofemoral pain syndrome Rheumatoid arthritis PDAC Approved Code L1832SizeBA15 cm15 cmXXSXSSMLXLXXLCircumference ACircumference Bcminchcminch29 – 3211.4 – 12.636 – 4014.2 – 15.832 – 3535 – 3838 – 4141 – 4444 – 4848 – 5112.6 – 13.813.8 – 15.015.0 – 16.116.1 – 17.317.3 – 18.918.9 – 20.140 – 4444 – 4848 – 5252 – 5656 – 6161 – 6715.8 – 17.317.3 – 18.918.9 – 20.520.5 – 22.022.0 – 24.024.0 – 26.4Ottobock Product Guide22
Genu Direxa Stable, wraparoundArt. no. 8367N Knee Stabilization OrthosisIndicationsFeatures and BenefitsKnee pain with moderate ligament laxity and/ormoderate feeling of instability, with the option oflimiting the range of motion Controlled compression improvessensorimotor function Relieves pain and improves knee joint function Prevents hyperextension Option of limiting the range of motionFlexion: 0 /10 /20 /30 /45 /60 /75 /90 Extension: 0 /10 /20 /30 /45 Open version makes it easy to put on and take offPosttraumatic and postoperative ligamentlaxity and/or feeling of instability Knee osteoarthritis Patellofemoral pain syndrome Rheumatoid arthritis PDAC Approved Code L1832SizeBA15 cm15 cmXXSXSSMLXLXXLCircumference ACircumference Bcminchcminch29 – 3211.4 – 12.636 – 4014.2 – 15.832 – 3535 – 3838 – 4141 – 4444 – 4848 – 5112.6 – 13.813.8 – 15.015.0 – 16.116.1 – 17.317.3 – 18.918.9 – 20.140 – 4444 – 4848 – 5252 – 5656 – 6161 – 6715.8 – 17.317.3 – 18.918.9 – 20.520.5 – 22.022.0 – 24.024.0 – 26.4Ottobock Product GuideKnee23
Patella ProArt. no. 8320 Patella Realignment OrthosisPatellofemoralpain syndrome Precise patellar tracking in extension and flexion PDAC Approved Code L1810The solution for anterior knee painAnterior knee pain is often caused by problemswith patella tracking. Patella Pro relieves painwith its dynamic realignment mechanism.The orthosis tracks the patella precisely,especially at smaller knee flexion angles of 10 to30 , when the patella is not held firmly in itsphysiological groove. The frequently inflamedsoft tissue is relieved and pain is alleviated by thefunctional relief of joint structures.Flexion 10 – 30 igh riskHof patella maltrackingFlexion 30 ower riskLof patella maltrackingOttobock Product Guide24
TestedIndicationsInstitute for Biomechanics andOrthopaedics/CologneBiomechanical efficiency andeffectivenessBA15 cm15 cmSideSizeL/RXSL/RML/RXLL/RL/RPatellofemoral malalignment Patellofemoral pain syndrome Retropatellar osteoarthritis Patellar chondropathy/chondromalacia After patella dislocations and subluxations After patellar tendon injury Anterior knee pain after knee surgery,(e.g. total knee replacement, lateralrelease surgery)Circumference ASinchcminch32 – 3512.6 – 13.840 – 4415.8 – 17.335 – 3841 – 4444 – 4813.8 – 15.015.0 – 16.116.1 – 17.317.3 – 18.9 Dynamic realignment improves anatomictracking of the patellaCircumference Bcm38 – 41LFeatures and Benefits 44 – 4848 – 5252 – 5656 – 6117.3 – 18.918.9 – 20.520.5 – 22.022.0 – 24.0Ottobock Product GuideKnee25
Xeleton Knee Brace — ACL, PCL, or CI (Combined Instabilities)Art. no. 50K30 Knee Stabilization OrthosisIndications Frame orthosis with incremental extensionand flexion limits PDAC Approved Code L18456 SideSizeL/RXSL/RML/RThigh circumference 6 above the mid-patellaColor: BlackL/RL/RL/RL/RCircumference In.13 – 15 ½ For conservative pre- and post-operative jointstablization (e.g. after meniscus repair ormeniscus replacement) with limited rangeof motion For conservative therapy of chronic instabilitiesof the knee joint Provide optional rehabilitation supportfollowing a cruciate ligament injury, rupture,or surgeryBody heightUnder 6 ftOver 6 ft212S15 ½ – 18 ½ L21 – 23 ½ 226 ½ – 29 ½ 2XLXXLXXXL18 ½ – 21 23 ½ – 26 ½ 29 ½ – 31 ½ Features and BenefitsFor treatment of ruptures of the anteriorcruciate ligament (ACL) posterior cruciateligament (PCL) collateral ligament surgeries(MCL; LCL) or post-capsular-ligament d screws allow for easyD-ring replacement Unique TechnoGel condyle pads deliverpressure distribution and fit Anatomical tibial pad helps alleviate painfulpressure on tibia and limits rotation Independent D-rings allow for anatomiccapture of the gastroc muscle toprevent migration
Ottobock Product Guide 5 Indications Chronic instability of the upper ankle joint Functional treatment of ligament ruptures Severe ankle distorsions Features and Benefits Semi-rigid plastic sides stabilize the ankle with or without a shoe Figure 8 strapping limits eversion and inversion
PARTIAL LIST OF EXTREMITIES ICD-9 CODES FOR SUPPORTIVE TREATMENT TO THE FOOT OR ANKLE: 714.7 Rheumatoid Arthritis, Ankle/Foot 715.7 Osteoarthritis, Ankle/Foot 718.87 Joint Derangement, Ankle/Foot 726.70 Enthesopathy of Ankle 727.68 Rupture of Tendons, Foot/Ankle 726.73 Calcaneal Spur 727.1 Bunion 728.71 Plantar Fibrometosis
ankle foot orthosis, multiligamentus ankle support, prefabricated, off-the-shelf l1907 ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated l1910 ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes
Handbook of Foot and Ankle Orthopedics 1st Edition by Rajiv Shah (Author) Mann's Surgery of the Foot and Ankle: Expert Consult . by Ruth Solomon, John Solomon, et al. c. Arthroscopy Foot Ankle . External Fixators of the Foot and Ankle
stabilizers for the lateral ankle, and are L ateral ankle sprains or "sprained ankles" are among the most common lower extremity injuries treated in a sports podia-trist's office. 30% of all sport inju-ries involve the ankle and 15-20% are sprains.1 On any given day, one person in 10,000 sustains an ankle sprain.1 Ankle sprains are more com-
related foot surgery. Risks and Benefits of Surgery The purpose of treatment is to decrease your pain and improve the function of your foot. We do not offer surgery for cosmetic reasons. The foot and ankle is a complicated area of our body. Many conditions affecting the foot and ankle may cause discomfort. Initial treatment is usually non .
Ankle-foot orthotic (AFO), multiligamentus ankle support, prefabricated, includes fitting and adjustment : L1907 . Ankle-foot orthotic (AFO), supramalleolar with straps, with or without interface/pads, custom fabricated : L1910 . Ankle-foot orthotic (AFO), posterior, single bar,
Standard views are lateral and AP. Resist the temptation to do both foot and ankle x-rays at the same time. Decide where the injury is first. Ankle - for presumed injury to any of the bones in the ankle including talus, and calcaneal injuries. Foot - for presumed injury to base of 5th metatarsal and other bones in the foot
authority, or a substantial and specific danger to public health or safety. The underlying principle of the Air Force Merit Promotion Program is the identification, qualification evaluation, and selection of candidates made without regard to political, religious, labor organization affiliation, marital status, race, color, sex, national origin, non-disqualifying .
