Orthopaedic Devices and Shoes - V-M · PDF fileOrthopaedic Devices and Shoes Preventive, ... Contents 5 Key ... up to 12.5 MSS1C Neutral MedSurg Original SIZE ART. NO

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Orthopaedic Devices and Shoes

Preventive, Postoperative, Diabetic and Trauma Care

ORTHOTICS LTD

Official representative of DARCO

DARCO a global companyDARCO International operates globally and is a market leader in the manufacture and distribution of orthopaedic foot and ankle products. DARCO offers orthopaedic foot care for diabetics as well as preventive and post-operative care for sports medicine and physiotherapy. The R&D team at DARCO consists of orthopaedic technicians and product designers who focus on the development of new products representing state of the art technology in close co-operation with leading medical specialists and physiotherapists.

DARCO’s close collaboration with foot surgery specialists around the world, International medical associations and biomechanical institutes, is the basis for innovative product research and development, providing outstanding efficiency and ensuring the highest quality standards for their products.

USA

DARCO InternationalHuntington

West Virginia, USA

Europe

DARCO (Europe) GmbHRaisting

Germany

India

DARCO Medical India Pvt. Ltd.Dharwad

Karnataka, India

China

DARCO International Trading Shanghai Ltd. China

Situated in the heart of beautiful Suffolk, V-M Orthotics Ltd started out as, and remains, a family run business. We have been operating since 1985 and have accrued a wealth of expertise within the Orthotics industry over the years. We are the longest serving distributor of DARCO products in the U.K. having established a close working relationship together, which continues to grow.

As well as distributing the DARCO range, we also manufacture and supply our own series of products and source a variety of innovative products that complement our existing catalogues.

Please see our website www.vmorthotics.co.uk for further information.

Our customers are drawn from across the healthcare spectrum, ranging from community and hospital based NHS establishments, trade companies, care homes as well as members of the public.

We pride ourselves on our excellent customer service with well-trained staff, responsive to customer needs. We carry comprehensive stock levels enabling us to offer a prompt and efficient delivery service with competitive prices that are available to all.

We continue to grow from strength to strength, finding new products and ways to enhance our service. We regularly attend national conferences and organise workshops and training events with our valued customers. Please just get in touch if you have any questions about where we are exhibiting or if you have a query about possible study / training days.

V-M Orthotics Ltd a strong partner

4 Contents

ContentsTherapeutic Shoes

Healing Shoes (Short and Long-term)

MedSurg �� 10 MedSurg Paediatric �� 11 MedSurg Original �� 11MedSurg Original Paediatric �� 12Softie™ Shoe �� 12 A.P.B.® �� 13 WCS® Light �� 13WCS® �� 14

Off-loading Shoes OrthoWedge �� 15OrthoWedge Paediatric �� 16HeelWedge® �� 16Relief Dual® �� 17

Cast Shoes & Boots SlimLine® Cast Boot �� 18Paediatric SlimLine™ �� 19SlimLine® Paediatric (square toe) �� 19Open Toe Cast Boot �� 20Open Toe Cast Boot Paediatric �� 20

Height Compensation Shoes TwinShoe® �� 21

General Information

DARCO (Europe) GmbH �� 2V-M Orthotics Ltd �� 3

Health Care Products Overview �� 6

Therapeutic Shoes �� 9Orthoses, Walkers & Sleeves �� 23Positioning Devices �� 29Insole Systems �� 33 Literature and Studies �� 37

Orthoses, Walkers & Sleeves

Lower LegBody Armor® Pro Term �� 24Body Armor® Walker II �� 25AirTraveler Walker �� 25

AnkleBody Armor® Sleeve �� 26

FootTAS® �� 27

5Contents

Key (to symbols)

Interchangeable Insoles

Instructional Video (www.darco-europe.com)

Additional Literature on page 37

Insole Systems

PegAssist® Insole �� 34Puzzle Insole® �� 34Relief Contour Insole �� 35WCS®/ WCSL® Insoles �� 35

Positioning Devices

Positioning SplintsNightSplint® �� 30Body Armor® Night Splint �� 31DARCO Posterior Splint �� 31

6 Product Overview

Children Orthopaedic Care

Diabetic Foot, Neuropathy

Wound Care

Plantar Fasciitis

Ligament Insuffi ciency

Sprains, Dislocations

Cast Boots

Trauma Care, Fractures

Conservative Therapy

Postoperative Therapy

Preventive Care

Health Care Products Overview Therapeutic Shoes

MedSurg Page 10

MedSurg Paediatric Page 11

MedSurg Original Page 11

MedSurg Original Paediatric Page 12

Softie™ Shoe Page 12

A.P.B.® Page 13

WCS® Light Page 13

WCS® Page 14

OrthoWedge Page 15

OrthoWedge Paediatric Page 16

HeelWedge® Page 16

Relief Dual® Page 17

SlimLine® Page 18

SlimLine® Paediatric Page 19

Paediatric SlimLine® Page 19

Open Toe Cast Boot Page 20

Open Toe Cast Boot Paediatric Page 20


Cast Shoes & Boots

Off -loading Shoes

7Product Overview

Children Orthopaedic Care

Diabetic Foot, Neuropathy

Wound Care

Plantar Fasciitis

Ligament Insuffi ciency

Sprains, Dislocations

Cast Boots

Trauma Care, Fractures

Conservative Therapy

Postoperative Therapy

Preventive Care

Lower Leg

Ankle


Body Armor® Pro Term Page 24

Body Armor® Walker II Page 25

AirTraveler Walker Page 25

Body Armor® Sleeve Page 26

TAS® Page 27

Positioning Devices

Night Splint® Page 30

Body Armor® Night Splint Page 31

DARCO Posterior Splint Page 31

Insole Systems

PegAssist® Insole Page 34

Puzzle Insole® Page 34

Relief Contour Insole Page 35

WCS®/ WCSL® Insoles Page 35

Positioning Splints

Foot

DARCO Posterior Splint

PegAssist® Insole

Puzzle Insole®

Relief Contour Insole

8 Therapeutic Shoes

9

Healing shoes are indispensable in fortifying positive surgical

results as well as in wound care applications. Features such as the

square toe design, low profile height, wide entry and distal

Meta-Shank, make the DARCO healing shoes extremely versatile.

Our shoes can be used for a wide range of applications from

postoperative care to diabetic foot care. Our broad product range

ensures that DARCO can provide the optimum support for the

therapy required.

Interchangeable Insoles Available

The majority of our healing shoes can be fitted with a modular

DARCO insole when needed. Whether it is a classic healing shoe,

an off-loading shoe or an all-purpose boot for short or long-term

therapies, the interchangeable insoles offer a clear advantage. In

conjunction with a proper fit, this feature ensures optimal pressure

relief and supports the patient’s mobility in everyday life.

Therapeutic Shoes

Therapeutic Shoes

GRÖSSE ART.-NR. ZEHENKAPPE ART.-NR.

Farbe: xxxx

10

INDIKATIONEN

> xxx

WIRKUNGSWEISE

> xxx

EIGENSCHAFTEN

> xxx

ProduktnameProduktbeschreibung

KOMPATIBEL MIT> Produktname Funktion (S. x)> Produktname Funktion (S. x)

PZN xxx

INDICATIONS

> used postoperatively for stability and off-loading, e.g. after foot osteotomy procedures

PURPOSE

> stability, impact and pressure relief after surgical procedures> accommodates even the bulkiest dressings> in combination with the PegAssist® provides an interim

solution for the diabetic foot in need of urgent care

FEATURES

> breathable mesh-upper> a choice of insoles are available > can be worn on the right or left foot

MedSurgPostoperative Shoe | Square Toe

Therapeutic Shoes | Healing Shoes (Short and Long-term)

MedSurgNeutral

SIZE ART. NO.

Women | Colour: Black WS up to 4 MSS1WWM 4.5 – 5.5 MSS2WWL 6 – 7.5 MSS3W

Men | Colour: Black MS up to 8 MSS1MMM 8.5 – 10 MSS2MML 10.5 – 12 MSS3MMXL 12.5 – 14 MSS4M

COMPATIBLE WITH> Puzzle Insole® for selective off-loading (P. 34)> PegAssist® Insole for selective off-loading (P. 34)> Relief Contour Insole for optimal pressure relief (P. 35)


Please measure the foot to ensure that you order the correctly sized device.

11

INDICATIONS


PURPOSE

> stability, impact and pressure relief after surgical procedures> accommodates even the bulkiest dressings

FEATURES

> proven original model with rounded sole> breathable mesh upper> can be worn on the right or left foot> paediatric version available

INDICATIONS


PURPOSE


FEATURES

> breathable mesh upper> removable insole> can be worn on the right or left foot

MedSurg PaediatricPostoperative Shoe | Square Toe

MedSurg OriginalPostoperative Shoe | Round Toe


SIZE ART. NO.

Colour: Blackup to 12.5 MSS1C

MedSurg OriginalNeutral

SIZE ART. NO.

Women | Colour: BlueWS up to 4 DS1WWM 4.5 – 5.5 DS2WWL 6 – 7.5 DS3W

Men | Colour: Blue MS up to 8 DS1MMM 8.5 – 10 DS2MML 10.5 – 12 DS3MMXL 12.5 – 14 DS4M


12 Therapeutic Shoes | Healing Shoes (Short and Long-term)

INDICATIONS


PURPOSE


FEATURES

> proven original model with rounded sole> breathable mesh upper> can be worn on the right or left foot

INDICATIONS

> for use after soft tissue procedures or trauma to the foot

PURPOSE

> semi-rigid metatarsal shank: provides superior control of forefoot motion to ensure post-operative healing remains undisturbed. Better protection after osteotomies.

> tri-laminated upper: Light weight tricot-foam material is breathable and comfortably conforms to bony abnormalities.

FEATURES

> hook and loop straps: Easy to fasten and unfasten with one hand

> can be worn on the right or left foot

MedSurg Original PaediatricPostoperative Shoe | Round Toe

Softie™ ShoePostoperative Shoe | Round Toe

MedSurg OriginalPaediatric

Neutral

SIZE ART. NO.

Colour: Blue up to 12.5 DS1C

SIZE ART. NO.

Women | Colour: BlackWS up to 4 DSS1WWM 4.5 – 5.5 DSS2WWL 6 – 7.5 DSS3W

Men | Colour: Black MS up to 8 DSS1MMM 8.5 – 10 DSS2MML 10.5 – 12 DSS3MMXL 12.5 – 14 DSS4M


13

INDICATIONS

> treatment for diabetic foot syndrome> healing shoe for open wounds and mild ulcerations> designed for pressure redistribution> used for postoperative phase after toe and/or forefoot surgery

PURPOSE

> the rocker style sole produces an ergonomically correct walking pattern

> soft and breathable upper provides maximum comfort and leaves extra space for bandages

FEATURES

> includes customisable insoles > replacement “four-layer” Insole available> sold in pairs> includes sterile film, marker and surgical, disposable scalpel

for customising

INDICATIONS

> used postoperatively for stability and mobilisation> used with fibreglass cast sleeves for the foot and ankle

PURPOSE

> stability, shock absorption and pressure redistribution after surgical procedures

> in combination with the PegAssist® provides an interim solution for the diabetic wearer in need of urgent care

FEATURES

> this boot is fully closed and water-repellent> uses the same sole technology as the proven MedSurg

healing shoes > low profile – no height compensation necessary> can be worn on the right or left foot> PegAssist® Insole can be worn with the Rocker Sole A.P.B.®

for selective off-loading (P. 34)

SIZE ART. NO.

Colour: Black Flat Rocker soleXS up to 4 HB0 HB0RSS 4.5 – 6 HB1 HB1RSM 6.5 – 8 HB2 HB2RSL 8.5 – 10 HB3 HB3RSXL 10.5 – 12.5 HB4 HB4RS

A.P.B.®All Purpose Boot | Flat or Rocker Sole


SIZE ART. NO.

Colour: Black XS up to 3 WCSL0S 4 – 5 WCSL1S/M 6 – 7 WCSLSMM 7.5 – 8.5 WCSL2L 9 – 10 WCSL3XL 11 – 12 WCSL4XXL 13 – 14 WCSL5

WCS® LightClosed Wound Care Shoe

COMPATIBLE WITH> PegAssist® Insole worn with A.P.B® rocker sole for selective off-loading (P. 34)

PegAssist® Insole worn with A.P.B.®

(Rocker Sole)

Neutral

Includes: WCS® Light InsolesFor extended care to complement the progressive healing of wounds. A replacement “four-layer” Insole system can be ordered separately. (P. 35)

Info: The hi boot flat sole version has a fixed dorsal flap with a left to right Velcro® closure. The rocker version uses a strapless fastening system (like the Ortho-Wedge) which can be removed and rotated to provide a left or right overlap.

For extended care to complement the progressive healing of wounds. A replacement “four-layer” Insole system A replacement “four-layer” Insole system

+


14

INDICATIONS

> treatment of diabetic foot syndrome, open wounds and ulcers> designed for pressure redistribution> postoperative phase after toe and/or forefoot surgery

PURPOSE

> wound care shoe for diabetics> insole alterations are possible for selective off-loading for individual needs> the rocker style sole produces an ergonomically correct walking pattern

FEATURES

> includes customisable insoles; replacement “four-layer” Insoles available> easy entry and room for bandages> sold in pairs> leather upper> includes sterile film, marker and surgical, disposable scalpel for customising

SIZE ART. NO.

Colour: Black XS up to 3 WCS0S 4 – 5 WCS1S/M 6 – 7 WCSSMM 7.5 – 8.5 WCS2L 9 – 10 WCS3XL 11 – 12 WCS4XXL 13 – 14 WCS5

WCS®

Wound Care Shoe – Open Toe


The smooth portion of the sole reduces shearing forces

The rough part of the sole secures stability while standing

Wide opening for easy entry and simple insole access

Includes: WCS® InsolesFor extended care to complement the progressive healing of wounds. A replacement “four-layer” Insole system can be ordered separately. (P. 35)

+

INDICATIONS

> treatment of diabetic foot syndrome, open wounds and ulcers The smooth portion of the


15Therapeutic Shoes | Off-loading Shoes

COMPATIBLE WITH> Puzzle Insole Insole for selective off-loading (P. 54)> PegAssist™ for selective off-loading (P. 54)

Off-loading Shoes

INDICATIONS

> used postoperatively after procedures to correct hallux valgus, hammer toes / Tailor’s bunions

> forefoot ulcerations

PURPOSE

> specifically designed for relief and protection of the forefoot> pressure displaced to the midfoot and heel> in combination with the PegAssist® creates interim solution

for the diabetic foot in need of urgent care

FEATURES

> replaceable insole also available> can be worn on the right or left foot> paediatric version available

SIZE ART. NO.

Colour: BlackXS up to 4 OHS0S 4.5 – 6 OHS1M 6.5 – 8 OHS2L 8.5 – 10 OHS3XL 10.5 – 12.5 OHS4

OrthoWedgeOff-loading Shoe | Square Toe

OrthoWedge OrthoWedge + PegAssist®

Neutral

COMPATIBLE WITH> PegAssist® Insole for selective off-loading (P. 34)> TwinShoe® for height compensation (P. 21)

selective off-loading


16

INDICATIONS


PURPOSE

> specifically designed for relief and protection of the forefoot> pressure displaced to the midfoot and heel> stability and pressure relief after surgical procedures

FEATURES

> can be worn on the right or left foot > accommodates even the bulkiest dressings

SIZE ART. NO.

Colour: Blackup to 12.5 OHSP

OrthoWedge PaediatricOff-loading Shoe | Square Toe

Therapeutic Shoes | Off-loading Shoes

INDICATIONS

> treatment of injuries or heel ulcers> postoperative care after procedures involving plantar fasciitis> heel off-loader after fractures

PURPOSE

> selective off-loading and pressure relief of the heel> in combination with the PegAssist® creates interim solution for

the diabetic foot in need of urgent care

FEATURES

> replaceable insole> integrated toe cap and water-repellent> can be worn on the right or left foot

HeelWedge®

Off-loading Shoe | Square Toe

COMPATIBLE WITH> PegAssist® Insole for selective off-loading (P. 34)> TwinShoe® for height compensation (P. 21)

Neutral HeelWedge®

SIZE ART. NO.

Colour: BlackXS up to 4 HWHS0S 4.5 – 6 HWHS1M 6.5 – 8 HWHS2L 8.5 – 10 HWHS3XL 10.5 – 12.5 HWHS4


17

INDICATIONS


PURPOSE

> stability, shock absorption and pressure relief after surgical procedures

> in combination with the Puzzle Insole® or Relief Contour Insole and their unique wedge design, the load is displaced away from the forefoot

> accommodates insole replacement (including diabetic-compliant foot bedding)

> in combination with the PegAssist® provides an interim solution for the diabetic foot in need of urgent care

FEATURES

> innovative dual-sole technology> optimal impact relief – slip-resistant rubber sole –

light-weight breathable upper> rigid shank throughout entire inner-sole> wide opening for bulky dressings > easy entry, and easy insole access> can be worn on the right or left foot> low profile – no height

compensation necessary

SIZE ART. NO.

Women | Colour: Grey WS up to 3.5 RD-W1WM 4 – 5.5 RD-W2WL 6 – 8 RD-W3

Men | Colour: Grey MS 6 – 7 RD-M1MM 7.5 – 9 RD-M2ML 9.5 – 11 RD-M3MXL 11.5 – 13 RD-M4

Therapeutic Shoes | Off-loading Shoes

Relief Dual®

Off-loading Shoe

COMPATIBLE WITH> Puzzle Insole® for selective off-loading (P. 34)> PegAssist® Insole for selective off-loading (P. 34)> Relief Contour Insole for optimal pressure relief (P. 35)

Relief Dual®Neutral Relief Dual®

Sandwich technology improves pressure redistribution through the rigid long innersole

Pivot point is shifted back for even more effective forefoot off-loading

> rigid shank throughout entire inner-sole> wide opening for bulky dressings > easy entry, and easy insole access> can be worn on the right or left foot

Sandwich technology improves

INDICATIONS FEATURES


18 Therapeutic Shoes | Cast Shoes & Boots

INDICATIONS

> fractures, cast treatments > for use over a fibreglass or zinc cast

PURPOSE

> effective shock absorbing sole> adjustable closure technology for bulky bandages or casts> weather-resistant upper material

FEATURES

> square shaped forefoot for extra protection> ergonomically designed to facilitate a correct walking pattern > interchangeable insole> can be worn on the right or left foot

SIZE ART. NO.

Colour: BlackXS up to 4 SCB0S 4.5 – 6 SCB1M 6.5 – 8 SCB2L 8.5 – 10 SCB3XL 10.5 – 12.5 SCB4

SlimLine® Cast BootCast Boot | Square Toe

COMPATIBLE WITH> PegAssist® Insole for selective off-loading (P. 34)

Cast Shoes & Boots


19Therapeutic Shoes | Cast Shoes & Boots

INDICATIONS

> fractures, cast treatments> for use over a fibreglass or zinc cast

PURPOSE

> ideal protection for the cast from wear and tear> adjustable closure technology for bulky bandages or casts

FEATURES

> weather-resistant upper material> removable insole> can be worn on the right or left foot

SlimLine® PaediatricCast Boot | Square Toe

SIZE ART. NO.

Colour: Blue Pink-BlueS up to 4.5 SLP1B SLP1PM 5.5 – 9 SLP2B SLP2PL 10 – 12.5 SLP3B SLP3P

Paediatric SlimLine™

Cast Boot | Round Toe

INDICATIONS

> fractures, cast treatments> for use over a fibreglass or zinc cast

PURPOSE

> ideal protection for the cast from wear and tear> adjustable closure technology for bulky bandages or casts

FEATURES

> weather-resistant upper material> can be worn on the right or left foot

SIZE ART. NO.

Colour: BlueS up to 4.5 SCBP1M 5.5 – 9 SCBP2L 10 – 12.5 SCBP3


20 Therapeutic Shoes | Cast Shoes & Boots

INDICATIONS

> cast boot intended to protect casts of all types and heavy compression sleeves

PURPOSE

> heavy duty canvas upper that protects the cast from the elements

> multi layer EVA sole provides extra cushioning for ease of ambulation and durability

> rocker sole helps ease pressure when ambulating and allows an easy roll through the gait pattern

FEATURES

> lightweight and low profile> made of a durable navy blue canvas with three Velcro®

fastenings for adjustable fitting

Open Toe Cast BootCast Boot | Round Toe

SIZE ART. NO.

Colour: BlueXS up to 1.5 OTCB0S 2 – 3 OTCB1M 5 – 7 OTCB2L 8 – 11.5 OTCB3XL 12 – 13.5 OTCB4

Open Toe Cast Boot PaediatricCast Boot | Round Toe

INDICATIONS

> cast boot intended to protect casts of all types and heavy compression sleeves

PURPOSE

> heavy duty canvas upper that protects the cast from the elements

> multi layer EVA sole provides extra cushioning for ease of ambulation and durability

> rocker sole helps ease pressure when ambulating and allows an easy roll through the gait pattern

FEATURES

> lightweight and low profile> made of a durable canvas with three Velcro® fastenings for

adjustable fitting

SIZE ART. NO.

Colour: Circular patternS up to 4 OTCBP1M 4.5 – 5.5 OTCBP2

Colour: BlueL 6 – 8 OTCBP3


21

INDICATIONS

> to complement a healing shoe(such as a forefoot off-loading shoe)

> equalising leg lengths

PURPOSE

> prevents the tilting of the pelvis due to higher healing shoe sole

> to ensure a safe and ergonomically correct walking pattern when worn together with healing shoes or off-loading shoes

FEATURES

> sole height: 36 mm> removable insole> can be worn on the right or left foot

SIZE ART. NO.

Colour: BlackXS up to 4 TS0BS 4.5 – 6 TS1BM 6.5 – 8 TS2BL 8.5 – 10 TS3BXL 10.5 – 12.5 TS4B

TwinShoe®

Balance Shoe

Therapeutic Shoes | Height Compensation Shoes

COMPATIBLE WITH > OrthoWedge (P. 15)> HeelWedge® (P. 16)> Body Armor® Walker II (P. 25)

Height Compensation Shoes


22 Orthoses, Walkers & Sleeves

23

Braces & Compression Sleeves

Motion is Life – Devices and compression sleeves from DARCO

contribute to restoring and ensuring individual mobility after injury,

surgery or as the result of disease.

Perfect Anatomical Fit

The diverse selection of devices and sleeves from DARCO secure

and stabilise joints while offering relief to the musculoskeletal

system. Their perfect anatomical fit has been proven in applications

following traumas, stretched or torn ligaments, capsule injuries,

contusions and sprains. With precision adjustability and high-tech

materials, the devices are proven effective for postoperative

treatments as well as conservative and rehabilitation therapies.

Orthoses, Walkers & Compression Sleeves


24

INDICATIONS

> diabetic foot syndrome> PAOD (peripheral arterial occlusive disease)> used postoperatively following Chopart and

Lisfranc amputations

PURPOSE

> interim treatment to support normal stump formation> rear weight-bearing wedge-shaped outer and innersole

to support dorsal flexion

FEATURES

> wide opening for easy foot insertion> practical & secure closure system> air compression bladder for customisable fitting> can be worn on the right or left foot

SIZE STUMP LENGTH ART. NO.

Colour: BlackM 16 cm BAPT2L 19 cm BAPT3

Body Armor® Pro TermFoot Stump Orthosis

Orthoses, Walkers & Sleeves | Lower Leg

Lower Leg


25

INDICATIONS

> conservative and postoperative therapy for ankle injuries> Weber fractures> metatarsal fractures> arthritis

PURPOSE

> foot immobilisation> stabilises and protects the foot and ankle joint> effective compression against swelling> selective plantar off-loading with two-layer insole system> prevents lateral rotation, supination and pronation

FEATURES

> available in a high and low version> removable and customisable insole > secure and practical closure system> can be worn on the right or left foot

SIZE ART. NO.

Colour: Black High Version Low VersionXS up to 4 BAW0HI BAW0LOS 4.5 – 6.5 BAW1HI BAW1LOM 7 – 10 BAW2HI BAW2LOL 10.5 – 12 BAW3HI BAW3LOXL 12.5 plus BAW4HI BAW4LO

COMPATIBLE WITH> TwinShoe® for height compensation (P. 21)

Body Armor® Walker IICast Replacement | Round Toe

Orthoses, Walkers & Sleeves | Lower Leg

INDICATIONS

> acute treatment of sprains of the ankle joint> effective adjustable compression against swelling> injuries of the superficial tissue of the lower leg> fractures of the foot and ankle joint> stress fractures> fractures of the metatarsal bones> achilles tendon injuries> forefoot, midfoot and heel injuries

PURPOSE

> stabilisation & immobilisation of the ankle joint> prevents rotation, supination and pronation

FEATURES

> internal air bladder for compression fitting of the ankle joint> available in a high and low version> can be worn on the right or left foot

SIZE ART. NO.

Colour: Black High Version Low VersionXS up to 3 ATW0HI ATW0LOS 3.5 – 5 ATW1HI ATW1LOM 5.5 – 7 ATW2HI ATW2LOL 8 – 11 ATW3HI ATW3LOXL 11.5 – 12.5 ATW4HI ATW4LO

AirTraveler WalkerStirrup Walker | Square Toe


26 Orthoses, Walkers & Sleeves | Ankle

Body Armor® SleevePlantar Fasciitis Sock

ARCHSIZE CIRCUMFERENCE ART. NO.

Colour: White-BlueS 17 – 22 cm BAS 1M 23 – 27 BAS 1L 28 – 34 BAS 3

INDICATIONS

> plantar fasciitis> heel spurs> arch pain, arch weakness> oedema

PURPOSE

> promotes circulation, reduces oedema, foot fatigue and relieves morning foot pain

> 24 hour support – wear while sleeping or under socks when active

> supports structure of foot> eases foot pain and optimises blood flow

FEATURES

> continuous wave-compression> a moisture-permeable, soft material> ideal for athletes> can be worn on the right or left foot

Body Armor® SleevePlantar Fasciitis SockPlantar Fasciitis Sock

INDICATIONS

> plantar fasciitis> heel spurs

COMPLEMENTING PRODUCT> Body Armor® Night Splint at night (P. 31)

Area of Rel

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Area of Relie

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Ankle


27Orthoses, Walkers & Sleeves | Foot

TAS® (Toe Alignment Splint)Toe Alignment Splint

SIZE ART. NO.

Colour: WhiteUniversal MTA

INDICATIONS

postoperative toe alignment after> hallux valgus (1)> Tailor’s bunion (2)> hammer toe (3)

PURPOSE

> strap loops guide toes into proper alignment> postoperatively redressing sleeve instead of tape sleeves

FEATURES

> low profile metatarsal band> fits easily into most footwear> soft material is skin friendly > can be worn on the right or left foot

Adduction > Abduction Plantar flexion > Dorsal flexion

Sold individually. Also available in a boxed pack of 6. One size fits most.

Sold individually. Also

21 3

Foot


28 Positioning Devices

29

There is strength in tranquility: In some cases, only the immobili sation

of the injured area will provide sustainable therapeutic healing.

DARCO has developed a wide range of medical devices that can be

used to securely position and fixate most parts of the body to

promote healing.

Perfect, Individual Fit

Positioning devices created by DARCO are highly adaptable to

facilitate a proper fit for your patient. The dorsal Body Armor® Night

Splint fixates the foot at an angle of 90° while at the same time,

offering a high level of comfort. The principle is simple: to prevent

equines deformities and the shortening of the Achilles tendon while

in a resting state or during convalescence.

For precise positioning and pressure off-loading V-M Orthotics Ltd

sell the Heelift® Suspension Boot range (for the prevention and

treatment of heel pressure ulcers) in a number of sizes and finishes.

Please visit our website for further information:

www.vmorthotics.co.uk

Positioning Devices

Positioning Devices

GRÖSSE ART.-NR. ZEHENKAPPE ART.-NR.

Farbe: xxxx

30

INDIKATIONEN

> xxx

WIRKUNGSWEISE

> xxx

EIGENSCHAFTEN

> xxx

ProduktnameProduktbeschreibung

KOMPATIBEL MIT> Produktname Funktion (S. x)> Produktname Funktion (S. x)

PZN xxx

Positioning Devices | Positioning Splints

INDICATIONS

> shortening of the plantar fascia> plantar fasciitis> tendonitis of the achilles tendon> prevention of equines deformities> postoperative immobilisation

PURPOSE

> pain relief due to tendon shortenings and inflammation in the region of the heel

> effective foot positioning for therapeutic healing

FEATURES

> features 2 × 12.5 mm EVA wedges, each with 3° of inclination, that can be removed or added to adjust the desired dorsiflexion of the foot

> fast and easy to use with a Velcro® fastener> friendly soft material – wide foot base > can be worn on the right or left foot

NightSplint®

Splinting System

SIZE ART. NO.

Colour: BlackS 2 – 3.5 NS1M 4 – 5.5 NS2L 6 – 9 NS3XL 9.5 – 13.5 NS4

Positioning Splints


31

INDICATIONS

> shortening of the plantar fascia> plantar fasciitis> inflammation and weakness of the achilles tendon> metatarsalgia> equinus and ankle contractures

PURPOSE

> supports proper positioning of the foot at 90° to the leg> manual stretching of the plantar fascia

(using the windlass mechanism model)

FEATURES

> Easy on – Easy off> easy to use Velcro® fastener > soft material is skin friendly

for a comfortable fit> can be worn on the right or left foot> high patient compliance

INDICATIONS

> postoperative immobilisation and positioning> post-traumatic immobilisation following injury> short-term stabilisation (achilles tendon rupture and

other ligament ruptures)> ankle dislocations, fractures, strains, sprains, etc.

PURPOSE

> postoperative and post-traumatic positioning of the ankle in a defined angle of 90° or 110° (110° model for achilles tendon pathologies)

> incorporated Velcro® strips prevents slippage and is easy to use with standardised sleeves

FEATURES

> soft inner lining – for right or left side> anatomically correct contour for an optimised fit > light weight yet inherently stable material

DARCO Posterior SplintSplinting System

Body Armor® Night SplintSplinting System

Positioning Devices | Positioning Splints

FOOT FOOTBED CALF ART. NO.SIZE WIDTH LENGTH HEIGHT 1 PIECE

Colour: White-BlueAngle 90° S 12 cm 26.5 cm 34 cm PS1-90-1M 14 cm 29.5 cm 37 cm PS2-90-1L 15 cm 32.5 cm 40 cm PS3-90-1

Angle 110° S 12 cm 26.5 cm 34 cm PS1-110-1M 14 cm 29.5 cm 37 cm PS2-110-1L 15 cm 32.5 cm 40 cm PS3-110-1

TOE PLATESIZE ART. NO. ART. NO.

Colour: White-BlueStandard BADS BADS-Pwidth: 15 cm, length: 21 cm, height: 23 cm, one size fits most

Toe PlateOptional – The toe plate effectively places the toes in a dorsiflexion, promoting the stretching of the plantar fascia.

> postoperative immobilisation and positioning

Elevation of the arch of the footStretching


32 Insole Systems

33

Acute injuries of the foot require immediate treatment to facilitate

the best outcome. This is exactly why temporary orthopaedically

correct solutions for urgent care remain so important. In the case of

custom diabetic-adapted shoes, the best long-term solutions require

time and professional expertise. DARCO’s time tested proficiency

has allowed us to integrate the latest advancements and technology

into our products to continually improve the effectiveness of long

term solutions but even more importantly, to elevate the quality of

interim solutions. By combining therapeutic shoes with a large

selection of speciality insoles, DARCO has created a modular system

the can meet the needs of a broad range of patients.

Especially, Plantar Pressure Relief

The DARCO insole systems provide dependable off-loading solutions

for acute care and beyond. Our modular insole strategy allows for

selective plantar pressure relief. This is especially important after

forefoot and midfoot surgical procedures and addressing the unique

dynamics of the diabetic foot. We have developed an insole system

specifically for the diabetic foot. The diabetic patient is distinctively

more sensitive to plantar pressure and requires a system that can

be altered easily. We are continually seeking the most progressive

solutions for foot care and general wellbeing.

All of our insoles are sold individually.

Insole Systems

Insole Systems

34

INDICATIONS

selective off-loading for:> plantar lesions> plantar ulcerations> pressure points

PURPOSE

> effective insole system for plantar off-loading in acute treatments

> removable pegs allow for individual adjustments> used postoperatively or in acute treatments> enables off-loading of up to 60 %

FEATURES

> this insole is designed to be worn in a right or left boot or shoe

INDICATIONS

Small Toe Module: (narrow)> Tailor’s bunion> Jones fracture

Large Toe Module: (wide)> osteotomy: Austin, Scarf,

Akin, Youngswick, etc.> arthrodesis: lapidus, MTP

joint and base joint of the large toe

Middle Module:> Weil and / or Helal

osteotomy I – IV> Morton’s neuroma> hammertoe, Tailor’s bunion

corrections> PIP arthrodesis

PURPOSE

> used after forefoot and midfoot surgical procedures

> modular insole system for selective plantar pressure relief

FEATURES

> interchangeable components> this insole is designed to be

worn in a right or left boot or shoe

> 2.4 % negative wedge distal to proximal

SIZE ART. NO.

for MedSurg, Relief Dual® Women WS up to 4 PI-WSWM 4.5 – 5.5 PI-WMWL 6 – 7.5 PI-WL Men MS up to 8 PI-MSMM 8.5 – 10 PI-MM ML 10.5 – 12 PI-ML MXL 12.5 – 14 PI-MXL

SIZE ART. NO.

for MedSurg, Relief Dual®Women WS up to 4 PA1WWM 4.5 – 5.5 PA2WWL 6 – 7.5 PA3W

Men MS up to 8 PA1MMM 8.5 – 10 PA2M ML 10.5 – 12 PA3M MXL 12.5 – 14 PA4M

SIZE ART. NO.

for OrthoWedge, HeelWedge®,A.P.B.® (Rocker Sole), SlimLine®XS up to 4 PA0 S 4.5 – 6 PA1 M 6.5 – 8 PA2 L 8.5 – 10 PA3 XL 10.5 – 12.5 PA4

PegAssist® InsoleOff-loading Insole

Puzzle Insole®

Modular Insole

Insole Systems

> this insole is designed to be worn in a

+ =

selective off-loading for:INDICATIONS

selective off-loading for:


35

INDICATIONS

> for use following hallux valgus and small toe surgeries (Austin, Akin, Scarf, Weil, Hohmann, etc.)

> talipes, valgus/flat foot/splayfoot or vasoneurosis> in the case of angio-neuropathic changes of the foot where

mild foot deformities may persist

PURPOSE

> the contours adapt to the anatomy of the foot allowing plantar pressure to be redistributed throughout the entire surface area

> as much as 90 % redistribution of pressure can be achieved

FEATURES

> insole made of a highly resilient material> PU material is customisable> comes in a right or left profile across 7 sizes> 2.4 % negative wedge distal to proximal

Relief Contour InsoleCushion Insole

Insole Systems

SIZE ART. NO.

for MedSurg, Relief Dual®Women Right LeftWS up to 4 RC-W1-R RC-W1-LWM 4.5 – 5.5 RC-W2-R RC-W2-LWL 6 – 7.5 RC-W3-R RC-W3-L

Men MS up to 8 RC-M1-R RC-M1-LMM 8.5 – 10 RC-M2-R RC-M2-LML 10.5 – 12 RC-M3-R RC-M3-LMXL 12.5 – 14 RC-M4-R RC-M4-L

INDICATIONS

> treatment and management of diabetic foot syndrome> treatment for healing of open wounds, ulcers and ulcerations> postoperative phase after toe, forefoot and midfoot

surgical procedures> provides customisable pressure relief

PURPOSE

> insole system for selective wound off-loading> progressive care for the diabetic patient

FEATURES

> precise alteration options for off-loading> multi-layered insoles with varying degrees of firmness

for individualised adjustments> comes in a right or left profile across 7 sizes> including sterile film, marker and surgical disposable scalpel

for customising

SIZE ART. NO.

for WCS®/ -Light Right LeftXS up to 3 WCI0/R WCI0/LS 4 – 5 WCI1/R WCI1/LS/M 6 – 7 WCIS/M/R WCIS/M/LM 7.5 – 8.5 WCI2/R WCI2/LL 9 – 10 WCI3/R WCI3/LXL 11 – 12 WCI4/R WCI4/LXXL 13 – 14 WCI5/R WCI5/L

WCS®/ WCSL® Insoles 4-Layer Insole System

Height 12 mm(Size MM)

Height 16 mm(Size MM)

2.4° Elevation of the forefoot (less pressure)


36

37Literature and Studies

Please copy, complete and send by mail to [email protected] or by fax to +49 (0) 8807. 92 28-22

Name, practice, hospital

Address

Telephone, email

Literature and Studies

Biomechanic comparative study of the WCS® Wound Care Shoe System Prof. Dr. Dieter Rosenbaum, Universitätsklinikum Münster, Germany

Prospective comparative study of the Eff ectiveness of a Modifi ed Wedge Shoe in Reducing Pressure at the Area of Previous Great Toe Ulceration in Individuals with Diabetes MellitusJames Birke, PT, PhD, CPed; Karen Lewis, MPT, JD; Ana Penton, MPT; Dawn Pittman, MPT; Allison Tucker, MPT; Catalina Durand, MPT

Biomechanic comparative study of the Relief Dual® Off -loading ShoeProf. Dr. Klaus Peikenkamp, Münster University of Applied Sciences

User Study TAS® Toe Alignment SplintDr. med. Kai Olms, Chirurgie Bad Schwartau, Germany

Prospective comparative study of the eff ect of a heel elevation device in pressure ulcer prevention post-hip fractureJ. Donnelly, PhD; J. Winder, PhD; W.G. Kernohan, PhD; M. Stevenson

Studies Correlating Microclimate to the Materials and Design of Heel Off -loading BootsDenis B. Drennan, MD; Evan Call, MS, CSM; Don Moorhead

User Report of the Body Armor® Pro Term Foot Stump OrthosisDe Giglio R., Balduzzi G., Sacchi G., Mondello T., Cavaiani P., Formenti I., Lodigiani S., Di Vieste G., Diabetic Foot Unit, Abbiategrasso Hospital – AO Legnano

38

Notes

39

Our office and warehouse facility in the heart of the Suffolk countryside.

1702

15

Presented byV-M Orthotics LtdHubbard’s BarnHubbard’s HillPeasenhallSuffolk IP17 2LA,United KingdomTel. 01986 798 120Fax 01986 798 [email protected]

Legal NoticeDARCO is not practicing as a medical professional, nor do we make medical recommendations to patients for specific products. In each individual case, the attending physician is responsible for determining the suitable device and for implementing the appropriate treatment. DARCO will accept no responsibility for the incorrect diagnosis of an illness or for the miss-use of our products. This material herein is intended for educational purposes only and shall not be used in any way as a substitute for professional advice provided by a physician or other health care provider.

Issued by and responsible for the contentDARCO (Europe) GmbHGewerbegebiet 1882399 Raisting | GermanyTel. +49 (0) 88 07. 92 28-0Fax +49 (0) 88 07. 92 [email protected]

Date of information© DARCO | February 2017

Concept and designwww.westcoastmedia.de

Product photographers DARCO (Europe) GmbH

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