Choosing a tutor for knee joints: varieties, indications and contraindications for use
Many people have had to deal with injuries or pathologies of the development of the musculoskeletal system. Earlier in the arsenal of doctors there were plaster bandages or elastic and gauze bandages, but today there are more convenient means of fixation. In some cases, there is a need to use a tutor on the knee joints. But, in order to correctly fix the knee, it is necessary to understand what a tutor is and why it was assigned to the patient.
What are we talking about?
The tutor is a special rigid orthopedic structure designed to fix in the required position of the joint. Often patients confuse tutors and orthoses, mistakenly substituting names. The difference of the tutor to the knee joints from the orthosis is that there are no hinge knots and joints in the design. Most often, the material that fixes the leg is hard. The construction of orthoses is always more complicated. Moving hinges allow you to bend the limb at a certain angle. But if a simple fixation is required, the patient is not assigned a complex orthosis. The tread on the knee joint copes with this task quite adequately.
tutor works. The tutor consists of a rigid sleeve and a system of fixing fasteners. Fasteners can be in the form of laces or wide straps. Depending on the required rigidity, the tutor can be made of plastic, metal alloys, polymer fabrics or leather.
Fabric and leather products are characterized by the use of metal tires or reinforcing carcass with semirings.
What is the purpose of the
tutor If a knee joint is required, the tutor can be assigned irrespective of age. Similar designs are successfully used in the treatment of both adults and children. Depending on the chosen modification, the tutor performs the following functions:
- Does not allow the joint to flex during treatment or post-traumatic rehabilitation. Obezdvizhivaet knee after operations.
- Reduces pain after injury.
- Reduces the risk of joint injury in osteoporosis.
- Holds the joint at rest.
- Helps to correct limb deformities.
- It is used as prevention of relapses or complications.
- Performs the function of gypsum board or tire.
Traumatologists practice the appointment of a tutor on the knee joints during rehabilitation after trauma to reduce swelling and restore normal blood supply. This accelerates the restoration of damaged tissues.
Traumatologists and orthopedists often prefer Orlett designs. This is a well-known manufacturer of rehabilitation products from Germany. The products of this company are distinguished by reliable designs and are made of high quality materials. The most common variant is the knee joint tread KS 601.
This design copes well with the treatment and rehabilitation of patients suffering from pathological changes of the knee joints, among which:
- various traumas( meniscus, patella, bones);
- unstable joint work;
- surgery( KS 601 is used before and after operations);
- form disturbances, including lateral bends.
Main advantages KS 601
The design consists of a fabric base with pockets for 5 tires( metal), fixed with wide straps with Velcro. The main advantages of this tutor include:
- Application of a soft, porous material that allows the skin to "breathe".This allows you to wear the construction for a long time without feeling uncomfortable.
- Tractor tires are removable. Velcro with good fixation. The tutor allows to completely immobilize the knee, without injuring the skin and muscles.
- The design does not cause difficulties when putting on. Patients cope with this task on their own.
- Five sizes of KS 601 are available, which allows you to choose a remedy for the patient with any equipment.
The right size selection
The success of rehabilitation of a patient depends on the correct selection of the size of the tutor on the knee joint. The determination of the size begins with the measurement of the mid-thigh circumference of the mid-thigh. The measuring tape is wrapped tightly, but without tightening the leg. Depending on the result, the length and size are determined:
- With a circumference of the middle part of the thigh less than 43 cm, the patient needs a S size, whose length is 42 cm.
- If the middle of the thigh is within 43-50 cm, the patient needs a size M tracer with a length of 50see
- When the result of measuring the circumference from 50-56 cm, the size of the knee stitch L, and its length is 58 cm.
- For sizes 56 to 62, the size is XL, and the length of the structure is 63 cm.
- If the circumference of the circle is greater than 62cm, the patient needs the size XXL, the length of the tutor in this case is 70 cm.
Another varOrantt - the measurement of the circumference of the central part of the knee joint.
The domestic manufacturer uses the following parameters to select the design: the thigh circumference, the shin circumference and the height of the structure. Models with a hip circumference from 32 to 47 cm are considered childish. Models with a circumference of 33 cm to 51 cm are considered adults.
When rehabilitating children, especially with diagnosis of cerebral palsy, the tutors should preferably be made on individual casts.
The main principle of selection is that the tutor is bought only after consultation with the treating specialist. Self-medication in this matter is unacceptable. Independently you can buy a tutor only if the old structure is damaged and it needs to be replaced.
How to care for the product
The Orlett tread on the knee joint requires some care. The lock can be washed, since the metal tires in the construction are removable. The washing is done manually, the water temperature should not exceed 40 ° С.Chlorinated detergents and bleaches can not be used for washing, so as not to damage the fabric of the tutor.
It is not possible to squeeze or unscrew the orthopedic product. Dry the tutor in a shaded cool place. The fabric part of the structure after washing is not subjected to ironing. Before further use, the metal tires should be replaced.
Are there any contraindications?
There is a small list of undesirable factors in the knee joint tuck:
- In case of skin lesions such as abrasions, deep scratches or cuts, additional medical advice is required. This is necessary to understand whether it is possible to use the structure.
- If you have ulcers, boils or ulcers, you need to make sure that the tutor is correctly selected, because a size error can damage the skin.
- If there is a violation of circulation in the legs, then the tutor can not be worn.
- If the patient experiences muscle spasms or has hyperkinesis, then the tutor is also contraindicated.
- The patient should not wear a tutor if it has an allergic reaction to the material from which it is made.