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Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

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Page 1: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably
Page 2: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Walking Braces Family

Extra Pneumatic

Walker™

Aircast®

Walking Braces

Short Pneumatic

Walker™

Foam Pneumatic

Walker™

XP SP FP

Achilles

Walker™

Page 3: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably
Page 4: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably
Page 5: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Proven Clinical Outcome

“a pressurized brace yields a stronger healed fracture than does a

traditional cast…”

“Using the Pneumatic Walker resulted in “a significantly diminished

incidence of lower extremity atrophy and osteoporosis”

For the reduction of gastrocnemius muscle activity, the Aircast® FP

Walker was more effective than cast.

Functional Outcome of Surgery for Fractures of the Ankle

“the mean time from surgery to return to work for patients with ankle fracture

was 50% lower in the Walker group than in the casted group: 53,3 days vs.

106,5 days. (Koval et al, JBJS 2000)

Page 6: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Achilles Tendon Rupture

- History of Achilles Tendinitis

- 2 to 6 cm above calcaneal insertion

Conservative treatment (Non Operative)

Typically cast or Walker for 4-12 weeks.

Surgical Management – Surgical Repair

Post-op: patient in cast for 4 weeks and then transferred to a

pneumatic walker for a further 4-6 weeks.

Thompson Test

Depression – Gap

Page 7: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

http://sports.sina.com.cn/

www.djoglobal.eu

Back to Your Normal Life

Page 8: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Rooney Wayne

2006

David Beckham

2002

Faster Recovery and Better Outcome

Fabio Cannavaro

2008

Daily Express England

www.thestars.com

www.gettyimages.com

Yao Ming

2008

http://sports.sina.com.cn/

Page 9: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Miss India Pooja

Chopra during the

Miss World pageant

on 12th December

2009 in

Johannesburg

For the most important occasion…

Page 10: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Walker Competition

LABORATOIRE

SOBER

Samson Walker

Almost all competitors have Stick-Foam Walkers

Only OPED has a very expensive vacuum system

Breg

Royce

Vacoped

Page 11: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Competition - Stick-Foam Walkers

Poor support – No Semi-Rigid Shell

No protection of the limb for external aggressions

No functional management – No benefit from

clinically proven Duplex Aircells technology

No support by Aircells, extremity has a tendency to

shift in the boot, resulting in shear stress on the

lower limb and affects healing

The competitors walkers either have a high gait or

their gait is too flat to provide a good walking tread.

Rocker sole on Aircast walker provides superior

walking gait

Bledsoe

Breg

Page 12: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Aircast Vs Ossur Centre of Pressure medial-lateral

Ground reaction force more lateral in Ossur

Foot position more external rotation in Ossur

may cause strain on the MCL and discomfort to the knee

• considerably more laterally located centre of pressure in the

Ossur Rebound

Page 13: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Knee flexion/extension

Ossur: increased knee flexion

during swing phase

To ensure foot clearance

More energy expenditure

Aberrant from normal gait

pattern

Earlier fatigue

Page 14: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

Knee moments

Extension moment when the

body moves over the stance

limb (before toe-off) is

considerably high with the

Ossur Walker and could

cause hyperextension

In healthy knee hyperext is

prevented by hamstrings.

In pathologic or fatigue knee

balanced muscle activity may

be compromised and hence

the hyperextension may

persist and cause pain.

Page 15: Walking Braces Family - DJO Globalstorage.djoglobal.eu/.../aircast_walker_2012.pdf · Knee moments Extension moment when the body moves over the stance limb (before toe-off) is considerably

There Is Excellence In The Air

Thank You!