HOSPITAL ESSENTIALS 2025/26
The clinician’s guide to Enovis Products, including fitting advice, hospital insights, and educational material
WHO ARE ENOVIS?
Previously named DJO, we are a global provider of orthopaedic devices and healthcare solutions. Our brands DonJoy®, Aircast®, ProCare®, and Chattanooga® are recognised by clinicians across the world. At Enovis we Create Better Together. That is creating better outcomes for patients, better products for healthcare professionals, and better resources that help clinicians deliver optimal care. We have supplied the NHS and Private Hospitals across the UK & Ireland for over 20 years, and are delighted to work closely with surgeons, physiotherapists, orthopaedic technicians, orthotists, and more. Through our well known brands, we are passionate about providing world class braces and supports to give your patients the best possible chance of recovery. Not only this but through our bracing specialists and dedicated customer services, we are here to support you and your team in the training and education of our products.
This guide gives an insight into a number of our key products and latest innovations, supported with useful tips for fitting and patient support.
We hope you find this guide insightful and we look forward to supporting you and your patients.
MEET THE BRANDS
The brand responsible for the original ‘Aircast’ boot, known for innovative features that help improve the recovery of patients in simple to use, effective and durable products that put the patient first.
Trusted by clinicians across the world, recognised for excellent quality and ease of fitting, our range of knee braces and supports have helped thousands of patients in their recovery from injury.
Covering a range of indications with simple to use and efficient products that are crucial for the demands of busy NHS clinics.
2
INTRODUCTION
CONTENTS
In our efforts to reduce waste, we are reducing the amount of printed literature we are using. All product brochures are available as a PDF and can be found online or via our sales or customer service team.
WALKER BOOTS ������������������������������������������������������������� 4
Our full 2025 catalogue is also available via digital format only. To access our full catalogue, visit our website enovis.co.uk
ANKLE BRACES ����������������������������������������������������������� 10
FOOT BRACES & SHOES ����������������������������������������� 12
To Order: ukorders@enovis.com Enquiries: uk.enquiries@enovis.com Phone: 01483 459 659 Marketing and Education: ukmarketing@enovis.com
LIGAMENT BRACES ��������������������������������������������������� 14
OFFLOADER BRACES ����������������������������������������������� 16
ROM BRACES ���������������������������������������������������������������� 24
UPPER LIMB BRACES AND SLINGS .............. 28
SPINAL BRACES ��������������������������������������������������������� 30
COLD THERAPY ������������������������������������������������������������ 34
CUSTOMER SUPPORT �������������������������������������������� 36
ECO-EFFORTS
We are highly conscious of the environmental impact of medical devices, and are delighted to share our Carbon Reduction Plan, which outlines Enovis UK’s commitment to Net Zero emissions by 2050. You can scan the QR code below to view. To help us with this, we recommend you consolidate your orders and place orders in bulk where possible. High volume products such as Walker Boots and Slings are available in bulk packs. This reduces fuel emissions, packaging, and your delivery costs
3
WALKER BOOTS Which Boot Is Best?
Walker Boots are one of the most commonly used orthopaedic products in the hospital, with a wide range of indications. There are multiple types of boot, which are better suited to specific injuries. Ultimately, the primary aim of a ‘walking boot’ is to immobilise the ankle, reducing plantar and dorsiflexion whilst also limiting inversion and eversion. This protects the joint and reduces risk of further injury, allowing a safe environment for the bone or soft tissues to heal. Secondly, walker boots allow optimal loading to take place, where the patient can start putting weight through their ankle which can encourage earlier strengthening of the injury site and faster recovery ₁. There are other important considerations too; for example, the height of the boot needs to be as low as possible to minimise disruption to the patient’s walking pattern, and it needs to be durable enough to withstand day-to-day use. Equally, the ease of use for you as clinicians is key, and the simple fitting and adjustment of walker boots ensures you can allow efficiency in your service. Aircast is one of our oldest brands, and the first company to introduce a ‘pneumatic’ walker boot, introducing air cells to provide comfort, superior immobilisation, and crucially, swelling reduction. Together with our ProCare brand, we have a complete range of walker boots, to provide your patients with the optimal boot for their injury.
4
PNEUMATIC WALKERS Pneumatic Walkers include multiple air cells, and are best for injuries where the patient will be in the boot for a longer duration; for example, achilles ruptures, severe sprains and fractures. The Aircast AirSelect Walkers are our most popular. They include key technology to provide optimal comfort and stability, and use our duplex aircells to reduce swelling.
AIRSELECT™ ELITE AIRSELECT ™ STANDARD AIRSELECT™ SHORT
BASIC WALKERS Basic, or ‘Stick and Foam’ Walkers do not include aircells, but are economical choices when the patient will be in the boot for a shorter period of time. Our ProCare XcelTrax combines a lightweight frame with low profile sole and durable materials to give your patients a simple solution for their injury. Please note, our XcelTrax walker boots are also available in packs of 16.
XCELTRAX® TALL XCELTRAX® SHORT
AIRSELECT ELITE
AIRSELECT STANDARD
SHOE SIZE
SHOE SIZE
PART NUMBER
SIZE
PART NUMBER
SIZE
EU
UK
EU
UK
01EP-XS
<35.5
<3
XS
01EF-XS
<35.5
<3
XS
01EP-S
35.5 - 39.5
3 - 6
S
01EF-S
35.5 - 39.5
3 - 6
S
01EP-M
39.5 - 43
6 - 9
M
01EF-M
39.5 - 43
6 - 9
M
01EP-L
43 - 47
9 - 12
L
01EF-L
43 - 47
9 - 12
L
01EP-XL
>47
>12
XL
01EF-XL
>47
>12
XL
AIRSELECT SHORT
XP DIABETIC WALKER
SHOE SIZE
SHOE SIZE
PART NUMBER
SIZE
PART NUMBER
SIZE
EU
UK
EU
UK
01ES-XS
<35.5
<3
XS
01PD-S
35 - 38
4 - 5.5
S
01ES-S
35.5 - 39.5
3 - 6
S
01PD-M
39 - 42
6 - 8
M
01ES-M
39.5 - 43
6 - 9
M
01PD-L
>42
>8
L
01ES-L
43 - 47
9 - 12
L
01PD-XL
>45
>10.5
XL
01ES-XL
>47
>12
XL
XCELTRAX TALL
XCELTRAX SHORT
PART NUMBER
SHOE SIZE
PART NUMBER
SHOE SIZE
SIZE
SIZE
SINGLE
16 PACK
MEN
WOMEN
SINGLE
16 PACK
MEN
WOMEN
79-95492-1
-
2 - 4
3.5 - 5.5
XS
79-95502-1
-
2 - 4
3.5 - 5.5
XS
79-95493-1
79-95493-16 4.5 - 7
6 - 8
S
79-95503-1
79-95503-16 4.5 - 7
6 - 8
S
79-95495-1
79-95495-16 7.5 - 10.5 8.5 - 11.5 M
79-95505-1
79-95505-16 7.5 - 10.5 8.5 - 11.5 M
79-95497-1
79-95497-16 10.5 - 12.5 11.5 - 13.5 L
79-95507-1
79-955087-16 10.5 - 12.5 11.5 - 13.5 L
79-95498-1
-
12.5+
13.5+
XL
79-95508-1
-
12.5+
13.5+
XL
5
WALKER BOOTS Which Boot Is Best?
6
OUR LIGHTEST AIRCAST(R) WALKING BOOT EVER, AirSelect™ brings clinically tested innovations that improve outcomes. 1, 2
The AirSelect™ pneumatic walking boot puts comfort, control and healing in the hands of the patient. Beneath its sleek appearance are patented technological advances that work together to enhance treatment and improve outcomes. The integrated inflation system lets patients inflate each aircell individually for a full-contact fit to maximise comfort; overlapping aircells minimise oedema, and can aid healing. SoftStrike technology absorbs and dissipates shock, while the lightweight, lab-tested rocker sole encourages a natural gait 2 allowing a continuation of everyday activities. AirSelect offers comfort and supports faster reduction of swelling. 1 That’s the ultimate combination!
SOFTSTRIKE TECHNOLOGY A patented grid design puts a matrix of shock- absorbing material in direct contact with the heel, providing cushioning with the aim of reducing heel-strike loading.
ULTRALIGHT TECHNOLOGY Semi-rigid shell has structurally engineered vents that maximise airflow and minimise mass, without compromising support.
DUPLEX™ TECHNOLOGY Multiple aircells are layered within the semi–rigid shell to provide pulsating compression with each step. This design is clinically proven to reduce oedema greater than 2x, which may help relieve pain and assist healing. 1
SCAN FOR MORE INFORMATION ON THIS PRODUCT
CLINICAL REFERENCES
1 Schmidt R, Mainers S, Reintges H, Lipke K, Benesch S, Gerngross H. Conservative Therapy for Acute Lateral Ligament Lesions - Single Chamber vs. Two-Chamber Orthosis Systems. 1999. Surgery Dept of the Federal Army Hospital, Ulm, Germany. 2 Haworth L, Booth N, Chohan A, Chapman G, Richards J. How does orthotic walker boot design influence lower limb and trunk function during gait? Prosthet Orthot Int. 2024 Mar. E-Pub ahead of publication. DOI: 10.1097/PXR.0000000000000327.
7
WALKER BOOTS Using Walkers Effectively?
INDICATIONS Due to the difference in technology and indication between pneumatic and basic walker boots, there is naturally a cost variance.
We understand managing your budget is important, therefore ensuring the correct boot is used for the appropriate indication is a key consideration. For example, using pneumatic walkers for a low level ankle sprain is likely not necessary. This is not a cost effective solution, and a basic walker is better suited. In comparison, more serious indications such as a grade 3 ankle sprain or fracture where the patient needs longer term immobilisation may be more effectively managed in a pneumatic walker₃.
Based on the usage of multiple large hospitals in the UK, we have provided the following data to help you determine how your service compares.
39%
AVERAGE WALKER BOOT SPLIT: NHS The 40/60 split is a common trend across hospital sites and is a good indicator of the volume split expected in the NHS. The below chart includes an outlier (Hospital B) compared to the general average. This suggests patients may be being inappropriately fitted in a basic walker. This may lead to poorer outcomes, multiple return visits to clinic, and if using for a prolonged period – multiple boots per patient. Ultimately, a less cost-effective option, even if the initial cost of the basic walker is less.
61%
PNEUMATIC WALKER
BASIC WALKER
WALKER BOOT BREAKDOWN BY HOSPITAL
80
70
60
50
40
30
20
10
00
HOSPITAL A
HOSPITAL B
HOSPITAL C
HOSPITAL D
PNEUMATIC WALKER
BASIC WALKER
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NEW AIRCAST 10 DEGREE WEDGE KIT
FITTING ADVICE FOR CLINICIANS
Fitting Walker Boots effectively and efficiently is an important process. This ensures the injury site is appropriately protected and allows for improved patient comfort.
FITTING TIPS: • Choose the correct style of walker, based on the injury • Fit the walker boot in a seated position • Ensure correct sizing as this prevents slipping of the foot inside the walker • Aim to fit the heel as far back in the walker as possible • With pneumatic walkers, ensure the aircells are inflated appropriately • Ensure the patient understands how to inflate and deflate the aircells on their pneumatic walker
WHEN TO WEDGE
For Achilles Tendon Ruptures, pneumatic walker boots are used alongside Heel Wedges to increase Plantarflexion at the ankle and reduce the load on the repairing tendon. Hospitals will have their own protocol with regards to Achilles Ruptures, but our advice on wedges (our older style) is below: • Ensure the correct size wedges are used (Regular Aircast wedges fit XS, S, M, L but XL Wedges need to be ordered separately) • Wedges are Left OR Right, ensure the correct side is used (Note - our new wedges are universal)
• We advise that 3 Wedges are used, based on the size of boot: XS/S = Smallest 3 wedges | Medium = Middle 3 | L = Largest 3 • Angle of Wedges: 3 = 22 Degrees | 2 = 16 Degrees | 1 = 10 Degrees
LEVEL UP YOUR WALKER – NEW 10° WEDGE KIT
Based on feedback and designed alongside leading clinicians, we are delighted to add an exciting new Achilles Wedge to our offering. For use in our Aircast AirSelect Walker Boots and made from recycled materials, these provide up to 30 degrees of Plantar Flexion for effective Achilles Rupture Treatment.
10° WEDGE KIT
PART NUMBER
AIRSELECT WALKER SIZE
30°
20°
82-0110
XS – S – M
10°
82-0210
L – XL
0°
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ANKLE BRACES Support at Every Step
Ankle Injuries are one of the most common. With this brings many patients presenting with ankle sprains that vary in severity. Whilst the higher grade of sprains and syndesmosis injuries are more commonly managed using a pneumatic walker boot, lower grade acute ankle sprains can also benefit well from ankle braces ₃.
Historically, these have been rather bulky and whilst they provided stability, often didn’t fit into a ‘regular’ shoe or trainer. These have developed over the years to provide a better balance of stability and sleekness.
Whilst walker boots certainly provide better protection, ankle braces are a better functional option as they allow the patient to load the ankle joint, encouraging strengthening of the surrounding structures and earlier development of proprioception. Their lightweight and low profile design makes them far more suitable for day-to-day use; certainly for conditions such as Chronic Ankle Instability.
KEY BENEFITS OF ANKLE BRACES: • Stability and Support • Injury Prevention • Improved Neuromuscular Control & Proprioception • Compression and Swelling Management • Pain Management
Our Aircast A60 ™ is arguably the most well known ankle brace amongst clinicians. Gaining its reputation through sports people, it has been used throughout the NHS for over 10 years. Since its launch, we have developed a number of new ankle braces, with varying levels of stability, to cater for every patient. Our newest brace, the Aircast ActyFoot™, is our lowest profile yet most stable functional ankle brace. Designed to fit into all shoes, it can be effectively used to manage acute ankle sprains through to the patient’s return to normal daily activities and sports.
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A60™
ACTYFOOT™
AIRSPORT +®
LEVEL OF STABILITY
ACTYFOOT™
AIRSPORT™
PART NUMBER
PART NUMBER
HEEL CIRC.
SIZE
UK SHOE SIZE SIZE
LEFT
RIGHT
LEFT
RIGHT
82-02A-SL
82-02A-SR
<30cm
S
02MXSL
02MXSR
<3
XS
82-02A-ML
82-02A-MR
30cm-34cm M
02MSL
02MSR
3 - 5
S
82-02A-LL
82-02A-LR
>34cm
L
02MML
02MMR
6 - 8
M
Measurement taken across heel (calcaneus) to front of foot (talus)
02MLL
02MLR
9 - 11
L
02MXLL
02MXLR
>11
XL
AIRSPORT+®
A60™ ANKLE SUPPORT
PART NUMBER
PART NUMBER BLACK
UK SHOE SIZE SIZE
SHOE SIZE
SIZE
LEFT
RIGHT
LEFT
RIGHT
82-0266-1
82-0265-1
<3
XS
02TSL
02TSR
<6
S
82-0266-2
82-0265-2
3 - 5
S
02TML
02TMR
6 - 8
M
82-0266-3
82-0265-3
6 - 8
M
02TLL
02TLR
>8
L
82-0266-4
82-0265-4
9 - 11
L
PART NUMBER WHITE
SHOE SIZE
SIZE
82-0266-5
82-0265-5
>11
XL
LEFT
RIGHT
03TSL
03TSR
<6
S
03TML
03TMR
6 - 8
M
03TLL
03TLR
>8
L
11
FOOT BRACES & SHOES Simple but Effective
There is a wide range of shoes used within hospitals to cater for the various indications patients present with. Built to provide protection and in some cases offloading of the injury or surgery site, they play an important role in the management of foot injury. As a leader in the field of walker boots, we have used our expertise to develop a full range of low profile and comfortable shoes, specific to a range of injuries. Combined with innovative features and designed to heal, we are delighted to offer one of the widest ranges available to suit your clinical needs.
BASIC SHOES Designed for post surgery, metatarsal and soft tissue injuries, these are lightweight shoes to provide stability and protection for shorter term use. Designed with male and female variations to accommodate for different foot sizes, these aim to provide as much comfort as possible for patients in their recovery.
POST-OP SHOE
MED/SURG SHOE
ADVANCED SHOES With additional features, these shoes provide more stability and durability than those listed above. They offer clinicians more specific attention to rehabilitation and patient comfort.
SQUARED TOE POST-OP SHOE
REMEDY PRO™
PODALUX ™ II
12
MED/SURG SHOE
POST OP SHOE
PART NUMBER
UK SHOE SIZE MENS
SIZE
PART NUMBER
UK SHOE SIZE MENS
SIZE
79-90183
6-8
S
79-81132
<4
XS
79-90185
8-10
M
79-81133
4 - 8
S
79-90187
10-12
L
79-81135
8 - 11
M
79-90188
>12
XL
79-81137
11 - 14
L
79-81138
>14
XL
PART NUMBER
UK SHOE SIZE WOMENS
SIZE
PART NUMBER
UK SHOE SIZE WOMENS
SIZE
79-90192
<1
XS
79-90193
1.5 - 2
S
79-81142
<1
XS
79-90195
2.5 - 5
M
79-81143
1 - 3.5
S
79-90197
5.5 - 8
L
79-81145
3.5 - 5.5
M
79-81147
5.5 - 7.5
L
PODALUX II
SQUARED TOE POST OP
UK SHOE MENS
PART NUMBER SHOE MENS
SHOE WOMENS
SIZE
PART NUMBER
SIZE
82-0042-1
3 - 4
2.5 - 3.5
S
MENS
WOMENS
82-0042-2
4.5 - 5.5
4 - 5
M
79-81232
3 - 4.5
2 - 3.5
XS
82-0042-3
6 - 7
6 - 6.5
L
79-81233
5 - 6.5
4 - 5.5
S
79-81235
7 - 8.5
6 - 7.5
M
82-0042-4
7.5 - 8
7 - 7.5
XL
79-81237
9 - 11.5
8 - 10.5
L
82-0042-5
8.5 - 10.5
8 - 10.5
XXL
79-81238
>11.5
>10.5
XL
82-0042-6
11 - 13
11 - 13
XXXL
REMEDY PRO
OFFLOADING DIABETIC SHOE
UK SHOE MENS
UK SHOE SIZE MENS
UK SHOE SIZE WOMENS
PART NUMBER
SIZE
PART NUMBER
SIZE
MENS
WOMENS
79-81513
3.5 - 5.5
4 - 6
S
79-81722
<4.5
<4
XS
79-81515
6 - 8
6.5 - 8.5
M
79-81723
4.5 - 6.5
4 - 6
S
79-81517
8.5 - 10.5
9 - 10
L
79-81725
6.5 - 8.5
6 - 8
M
79-81518
11 - 13.5
>10.5
XL
79-81727
8.5 - 10.5
8 - 10
L
79-81728
>10.5
>10
XL
ORDERING INFORMATION - REPLACEMENT INSOLE
UK SHOE SIZE MENS
UK SHOE SIZE WOMENS
PART NUMBER
SIZE
79-81523
3.5 - 5.5
4 - 6
S
79-81525
6 - 8
6.5 - 8.5
M
79-81527
8.5 - 10.5
9 - 10
L
79-81528
11 - 13.5
>10.5
XL
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LIGAMENT BRACES Where Stability Matters
Ligament or ‘Functional’ braces have been utilised by clinicians for decades. In 1984, the AAOS (American Academy of Orthopaedic Surgeons) sponsored a seminar on knee braces and identified 3 key areas of braces: Prophylactic, Functional, and Rehabilitative (ROM style). Ligament braces fall into the ‘Prophylactic’ and ‘Functional’ categories. Their function is to provide stability to the ligaments that have been injured, allowing patients to return to their chosen activity with confidence and help prevent further injury.
These braces vary in their levels of stability. An ‘SK’ style knee brace can be used for low level injuries where patients need very mild support and compression. These require robust materials and ease of fitting to allow for simple everyday use.
Our DonJoy brand has long been regarded the world leader for ligament style braces, with a complete range of braces and supports to meet your needs.
SOFT BRACES*
REDDIE™ BRACE
PLAYMAKER XPERT
PLAYMAKER II
LEVEL OF STABILITY
* Product codes available on request or in our full catalogue
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FOUR POINTS OF LEVERAGE The Four Points of Leverage System™ is a patented, dynamic bracing system. Simply, it puts a posterior pre-load on the tibia. But what exactly are the four points and how do they work?
DonJoy 4-Points-of-Leverage knee braces are worn either prophylactically or post-surgically to protect the ACL. 4-Points-of-Leverage refers to 4 specific points on the brace; the rigid anterior thigh cuff, rigid posterior calf cuff, posterior thigh strap, and anterior calf strap. Each of these points work together to apply a posterior force on the lower leg; reducing the amount of strain on the ACL. These types of braces are rigid and either off the shelf - made of aircraft grade aluminium and adjustable to fit each individual - or custom made of carbon fibre and specifically designed for the individual. Braces utilising 4-Points-of-Leverage technology significantly reduce ACL Strain₆ which is particularly important during the rehabilitation phase as the ACL graft is remodelling. Rigid braces not only provide ACL support but they also protect additional ligaments that support the knee; MCL, LCL and PCL. FOURCEPOINT HINGE Found only on our ACL specific braces, this reduces the amount of time the knee is in an “at risk” position, enhances the 4-Points-of-Leverage by increasing the posterior load applied by the brace on the tibia, and improves a patient’s natural gait by applying progressive resistance before reaching a firm end point during movement.
ROM CONTROL Our DonJoy rigid braces can be adjusted to provide specific ROM control, to allow for more precise rehabilitation protocols.
CUSTOM BRACING (DEFIANCE PRO ONLY) Our DonJoy Defiance® Pro is custom made to your patient’s exact requirements. These can incorporate strapping and hinges specific to a range of indications including OA/Offloading, ACL, PCL, and Quadriceps Deficiency.
4TITUDE PCL
ARMOR FOURCEPOINT
DEFIANCE™ PRO
WATCH THE MEASURING VIDEO FOR ASSISTANCE
4TITUDE®
MEASURING GUIDE
PART NUMBER
Measure at three points on the leg and use the chart to determine the size required.
DESCRIPTION
LEFT
RIGHT
11-0833-x-06060
11-0832-x-06060
PCL, Standard Calf
• Thigh 15cm above mid-patella (kneecap) • Knee, mid-patella (kneecap) • Calf 15cm below mid-patella (kneecap)
x=1 (XS) x=2 (S) x=3 (M) x=4 (L) x=5 (XL) x=6 (XXL) x=7 (XXXL)
If one of the three measurements is a size up, select that size. For example, Thigh Size 2, Knee Size 3, Calf Size 2 - Order Size 3. Note that for OA braces, the off-loading hinge is located on the opposite side of the affected compartment.
ARMOR™ FOURCEPOINT
PART NUMBER
THIGH CIRC.
DESCRIPTION
LEFT
RIGHT
THIGH CIRC. 15cm ABOVE MID-PATELLA
KNEE CENTRE CIRC. MID-PATELLA
CALF CIRC. 15cm BELOW MID-PATELLA
SIZE
11-1441-1
11-1440-1
33cm-39cm XS
11-1441-2
11-1440-2
39cm-47cm S
1 (XS)
33-39 cm
30.5-33cm
25.5-30.5cm
11-1441-3
11-1440-3
47cm-53cm M
2 (S)
39-47 cm
33-35.5cm
30.5-35.5cm
11-1441-4
11-1440-4
53cm-60cm L
3 (M)
47-53 cm
35.5cm-38cm 35.5cm-40.5cm
11-1441-5
11-1440-5
60cm-67cm XL
4 (L)
53-60 cm
38-43cm
40.5-47cm
11-1441-6
11-1440-6
67cm-75cm XXL
5 (XL)
60-67 cm
43-48.25cm
47-50.75cm
11-1441-7
11-1440-7
75cm-81cm XXXL
6 (XXL)
67-75 cm
48.25cm-53.25cm 50.75cm-56cm
13-8925
FourcePoint Allen Key
7 (XXXL)
75-81 cm
53.25-58.5cm 56-61cm
15
OFFLOADER BRACES Are you Providing ‘SAFE’ Offloading?
Offloading knee braces have grown significantly in their use over the last 5 years. The number of patients presenting with Knee Osteoarthritis is increasing, resulting in lengthy waiting times for surgery and an increased focus on non-surgical management ₄. Designed to reduce the pressure through the affected compartment of the knee, offloader braces are available in various designs and concepts. Considered a cost-effective option for managing the symptoms of Knee OA, offloaders play a key role in helping patients. Interestingly, the NICE guidelines suggest that patients shouldn’t actually be provided with a device such as a brace, unless they meet the following criteria: • There is joint instability or abnormal loading AND • Therapeutic exercise is unsuitable or ineffective without the aid of a device, AND • The addition of a device is likely to improve movement and function
This allows 4 key areas that offloader braces should address: • Stability • Alignment
• Function • Exercise
Our DonJoy brand, most commonly known for ROM and ACL Style braces, has developed a full range of braces to meet the needs of patients at various stages of Osteoarthritis. Designed to be as comfortable as possible, whilst providing effective offloading and functional stability, DonJoy braces help patients across the world manage their symptoms and get back to the activities they love.
Our most popular offloading brace is the OA Nano. Our lightest weight double-upright offloader, the Nano combines clinically proven offloading ₅ with the unrivalled stability and comfort needed to help patients manage their symptoms.
16
OA GO ®
OA NANO™
ROAM™ OA
The most complete Offloading range available, the OA Nano is complemented by our lighter versions including the OA Reaction Web™, and our braces for more severe symptoms; the OA Adjuster™ and Defiance. 2024 saw exciting additions to our OA brace range, including the much anticipated ROAM OA, Donjoy’s premium single upright unloading knee brace
OA NANO™
OA GO®
PART NUMBER
PART NUMBER
AFFECTED COMPARTMENT
THIGH CIRC.
SIZE
LEFT
RIGHT
RIGHT MEDIAL/ LEFT LATERAL
LEFT MEDIAL/ RIGHT LATERAL
11-1215-x
11-1214-x
Medial Compartment
82-7428-1
82-7429-1
33 – 39 cm XS
11-1217-x
11-1216-x
Lateral Compartment
82-7428-2
82-7429-2
39 – 47 cm S
Note: Adjustment hinges are on opposite side of affected compartment. Sizing information on page 13
82-7428-3
82-7429-3
47 – 53 cm M
82-7428-4
82-7429-4
53 – 60 cm L
PART NUMBER
DESCRIPTION
82-7428-5
82-7429-5
60 – 67 cm XL
13-3120-0-06000
Replacement Key
82-7428-6
82-7429-6
67 – 75 cm XXL
Stop kit, extension 20°, 30°, 45° flexion 60°, 75° and full lockout
25-1376-0-00000
ROAM™ OA®
PART NUMBER
THIGH CIRC.
KNEE CENTER CALF CIRC.
SIZE
RIGHT MEDIAL/ LEFT LATERAL
LEFT MEDIAL/ RIGHT LATERAL
THIGH
11–1726-1-06000
11–1725-1-06000
33 - 47 cm
30.5 - 35.5 cm 25.5 - 35.5 cm XS/S
KNEE CENTRE
11–1726-3-06000
11–1725-3-06000
47 - 59.5 cm 35.5 - 43.2 cm 35.5 - 45.5 cm M/L
11–1726-5-06000 11–1725-5-06000 59.5 - 81 cm 43.2 - 58.4 cm 45.5 - 61 cm XL/XXL/XXXL
CALF
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PROGRESSION OF KNEE OA and how a DonJoy® OA brace can help
MALALIGNMENT
ABERRANT BIOMECHANICS
INCREASED BODY WEIGHT
INCREASED COMPARTMENT LOADING
DECREASED ACTIVITY
PAIN
DonJoy ® OA braces improve alignment 1,5,10,11,12
DonJoy OA braces reduce knee movements 1,4,5,10,12
DonJoy OA braces increase joint space 8,9
DonJoy OA braces relieve knee pain 1,2,3,9
DonJoy OA braces improve mobility and physical function 2,6
Fig. 3: The progression of knee OA
In the conservative treatment modalities, analgesia and non-steroidal anti-inflammatory (NSAIDs) drugs provide reductions in pain, increased quality of life and increased activity levels. However, they don’t address the underlying biomechanical causes and consequences of the OA disease process. There are reports of increased joint loading 39 and accelerated disease progression 18 probably due to increased pain free activity or walking speed. Off-loading braces allow for a more active lifestyle while protecting the knee joint from excessive loading. A DonJoy off-loading brace can help keep the patient in motion while protecting the knee joint from excessive loading 1 . Draganich L, Reider B, Rimington T, Piotrowski G, Mallik K, Nasson S. The effectiveness of self-adjustable custom and off-the-shelf bracing in the treatment of varus gonarthrosis. J Bone Joint Surg Am. 2006 Dec;88(12):2645-52. 2. Dries T, VAN DER Windt JW, Akkerman W, Kluijtmans M, Janssen RPA. Effects of a semi-rigid knee brace on mobility and pain in people with knee osteoarthritis. J Rehabil Med Clin Commun. 2022 Jul 5;5:2483. 3. Giori NJ. Load-shifting brace treatment for osteoarthritis of the knee: a minimum 2 1/2-year follow-up study. J Rehabil Res Dev. 2004 Mar;41(2):187-94. 4. Hart HF, Collins NJ, Ackland DC, Cowan SM, Hunt MA, Crossley KM. Immediate Effects of a Brace on Gait Biomechanics for Predominant Lateral Knee Osteoarthritis and Valgus Malalignment After Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2016 Apr;44(4):865-73. 5. Hart HF, Crossley KM, Collins NJ, Ackland DC. Bracing of the Reconstructed and Osteoarthritic Knee during High Dynamic Load Tasks. Med Sci Sports Exerc. 2017 Jun;49(6):1086-1096. 6. Khan M, Adili A, Winemaker M, Bhandari M. Management of osteoarthritis of the knee in younger patients. CMAJ. 2018 Jan 22;190(3):E72-E79. 7. Kwaees TA, Richards J, Rawlinson G, Charalambous CP, Chohan A. Can the use of proprioceptive knee braces have implications in the management of osteoarthritic knees: An exploratory study. Prosthet Orthot Int. 2019 Apr;43(2):140-147. 8. Nadaud MC, Komistek RD, Mahfouz MR, Dennis DA, Anderle MR. In Vivo Three-Dimensional Determination of the Effectiveness of the Osteoarthritis Knee Brace: A Multiple Brace Analysis. J Bone Joint Surg Am. 2005;87 Suppl 2:114-9. 9. Nagai K, Yang S, Fu FH, Anderst W. Unloader knee brace increases medial compartment joint space during gait in knee osteoarthritis patients. Knee Surg Sports Traumatol Arthrosc. 2019 Jul;27(7):2354-2360. 10. Orishimo KF, Kremenic IJ, Lee SJ, McHugh MP, Nicholas SJ. Is valgus unloader bracing effective in normally aligned individuals: implications for post-surgical protocols following cartilage restoration procedures. Knee Surg Sports Traumatol Arthrosc. 2013 Dec;21(12):2661-6. 11. Richards J, Jones R, Kim W. Biomechanical changes in the conservative treatment of medial compartment osteoarthritis of the knee using valgus bracing. ICRS 2006 12. The Comprehensive Textbook of Clinical Biomechanics, 2nd Edition. Elsevier 2018. ISBN 9780702054891.
18
MUSCLE WEAKNESS
DECREASED STABILITY
DECREASED CONFIDENCE
DonJoy ® OA braces improve confidence 4
DonJoy OA braces improve knee stability 4,5,7
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DONJOY® OA BRACES Clinically-proven effectiveness of Knee OA Bracing
Depending on the osteoarthritis severity, and the activity level of the patient, DonJoy® offers a wide choice of off-loading braces.
CLIMA-FLEX OA®
DONJOY OA GO®
NEW
OA REACTION WEB®
MILD
EARLY
20
CUSTOM OA DEFIANCE®
OA ADJUSTER™ 3
OA NANO®
ROAM™ OA
SEVERE
NEW
MODERATE
21
THE NEWEST INNOVATION IN UNLOADER BRACES FROM DONJOY®, PART OF ENOVIS™ Help patients say goodbye to knee pain and hello to ROAM OA™. From picking up their grandkids to teeing off at the driving range, lightweight, low-profile joint unloading and support never felt so good—or was so easy to prescribe. ROAM helps improve mobility and provides relief by unloading the pressure of unicompartmental osteoarthritis or other knee pain. COMFORTABLE, EASY TO USE AND EFFECTIVE Ideal for a wide variety of patients who want to increase activity and who enjoy an active lifestyle. For conservative care or in preparation for surgery, ROAM is easy to use and offers a high level of comfort. Consistent use of an unloader knee brace has been shown to contribute to general daily functioning, reduced pain, and improved mobility, which can lead to increased activity and greater quality of life. INTENDED USE/INDICATIONS For patients with symptoms, physical findings or radiographic evidence of moderate to severe unicompartmental knee osteoarthritis, post-operative meniscal tears only where unicompartmental unloading is indicated, or varus/valgus knee conditions that may benefit from unicompartmental unloading.
ROAM ™ OA ® Our Latest Innovation In Offloader Bracing
FEATURES AND BENEFITS
EASY MAG-ALIGN CLIPS: These patented magnetic clips help align the strap connections without any fuss. Just hold the end near the attachment cap and ‘click’, you’re set.
SET AND FORGET TECHNOLOGY: You can don and remove your brace without changing any of your doctor’s settings.
BOA®* DIAL FOR JUST THE RIGHT FIT: Dial up or dial down to set exactly how snug the brace fits.
SLIM PROFILE HINGE: The slim hinge design allows the brace to be worn under relaxed clothing for a discrete fit.
ANTI-MIGRATION TECHNOLOGY: Soft silicone helps keep the brace in place for steady comfort throughout the day.
PATENT-PENDING COMFORT STRAPS: The positioning of the support straps are engineered to help the back of your knee remain free from strap rub.
22
SCAN FOR ROAM OA FITTING GUIDE
ROAM™ OA®
PART NUMBER
THIGH CIRC.
KNEE CENTER CALF CIRC.
SIZE
RIGHT MEDIAL/ LEFT LATERAL
LEFT MEDIAL/ RIGHT LATERAL
THIGH
11–1726-1-06000
11–1725-1-06000
33 - 47 cm
30.5 - 35.5 cm 25.5 - 35.5 cm XS/S
KNEE CENTRE
11–1726-3-06000
11–1725-3-06000
47 - 59.5 cm 35.5 - 43.2 cm 35.5 - 45.5 cm M/L
11–1726-5-06000 11–1725-5-06000 59.5 - 81 cm 43.2 - 58.4 cm 45.5 - 61 cm XL/XXL/XXXL
CALF
23
ROM BRACES Simpler than Ever
24
Knee ROM (Range of Movement) Braces are one of the most commonly used products within hospitals. Their primary function is to protect the knee, limiting range of movement and allowing the patient to rehabilitate their injury in a safe environment. This allows for effective pain management and strengthening of the joint. The injuries they are used for are wide ranging, and patients can be using them for anywhere between 2 to 12 weeks, depending on the severity of injury. Exact protocols are often specified by the prescribing clinician, so it is important the brace can accommodate. The most important factor is to ensure a great fit. A bad fitting ROM brace can be inconvenient for a patient and therefore ineffective. They need to be simple to fit (for patient and clinician), easy to live with, and of course provide the stability and ROM control to allow effective injury management. Historically, ROM Braces can be tricky to fit for clinicians, resulting in poor fitting, slipping, and patient inconvenience. Therefore it is important to be confident in the ROM Brace you use, and have all the information required to ensure the best possible fit for each patient. Our brand DonJoy is arguably our best known, mostly for knee braces. We started in 1978 in a Californian garage with two friends. They began by creating a basic neoprene sleeve, and named the company after their wives Donna and Joy. DonJoy was born, and with over 45 years of innovation we continue to provide clinicians with products they can trust.
SCAN FOR X-ROM FITTING GUIDE
DONJOY X-ROM™ INTENDED USE/INDICATIONS To aid immobilisation and protected range of motion associated with ACL, PCL, LCL, and MCL surgeries and meniscal repairs. Precise ROM Protection: Updated hinge design: Precisely control ROM with settings in 10⁰ increments from -10⁰ to 90⁰ extension and -10⁰ to 120⁰ flexion. Quick-lock design: Easily lock at 10⁰ increments from -10⁰ to 30⁰. Easy-to-use design: Strap, tab and buckle design make post-op application and adjustment fast and simple. Comfortably fits a wide range of patients: Easily accommodate patients from 4’11” to 6’5”. Push button slider settings: Adjustments are easy and precise Ready to fit: Quickly fit patients right out of the box Tele-Fit™ technology: Four independently telescoping sliders with easy push button control settings help enhance brace placement, stability and comfort while avoiding the incision and peroneal nerve. Optimal fit & stability: Bendable hinge bars help enhance varus/valgus contouring. Secure contact points: Enhanced ankle pads and strategically placed contact points between the leg and brace help reduce slippage Lightweight strength: Strong yet lightweight design helps reduce brace migration. Anti- microbial pads: Helps neutralise odour while increasing comfort and durability
X-ROM
PART NUMBER
SIZE
11-2181-9
Universal
PART NUMBER
DESCRIPTION
24-2181-9
10 Pack
25
PLAYMAKER™ II X-ROM® Designed to help provide immobilisation and protected range of motion to the knee associated with ligament and meniscal injuries and surgeries. The Playmaker II X-ROM combines the latest in DonJoy® technology post-operative care and softgoods, with easy range of motion settings built into the X-ROM hinge and a comfortable wraparound design to promote healing and recovery after surgery or injury. Standard OTS sizing from XS-XXXL fits a wide range of adult, youth and paediatric patients. INDICATIONS: For immobilisation and protected range of motion associated with ACL, PCL, LCL, and MCL surgeries and meniscal repairs..
ROM BRACES Simpler Than Ever
26
FEATURES
PRECISE ROM PROTECTION Control ROM with settings in 10-degree increments from -10 degrees to 90 degrees extension and -10 degrees to 120 degrees flexion.
QUICK-LOCK DESIGN Easily lock at 10-degree increments from -10 to 30 degrees.
COMFORTABLE FIT High-tenacity (Hi10™) nylon/ spandex fabric offers unmatched comfort and fit.
BREATHABLE SPACER MESH FABRIC Lightweight spacer fabric on front and back panels promotes a “cool” environment support.
FAST, EASY APPLICATION Molded strap tabs allow quick and easy application and strap adjustments to deliver a secure and comfortable fit.
ANTI-MICROBIAL COATING Neutralises odour while increasing comfort and durability.
CUSTOMISABLE DESIGN Trimmable, adjustable strap and buckle design allows off- the-shelf and customisable applications.
ACCOMMODATES SOME PAEDIATRIC PATIENTS Refer to size chart for leg measurements
PLAYMAKER™ II X-ROM®
PART NUMBER
THIGH
KNEE CENTRE
CALF
SIZE
11-0021-1
13” – 15.5” (33 – 39 cm)
12” – 13” (30.5 – 33 cm)
10” – 12” (25.5 – 30.5 cm)
XS
11-0021-2
15.5” – 18.5” (39 – 47 cm)
13” – 14” (33 – 35.5 cm)
12” – 14” (30.5 – 35.5 cm)
S
11-0021-3
18.5” – 21” (47 – 53.25 cm)
14” – 15” (35.5 – 38 cm)
14” – 16” (35.5 – 40.5 cm)
M
11-0021-4
21” – 23.5” (53.25 – 59.5 cm)
15” – 17” (38 – 43 cm)
16” – 18” (40.5 – 47 cm)
L
11-0021-5
23.5” – 26.5” (59.5 – 67.25 cm)
17” – 19” (43 – 48.25 cm)
18” – 20” (47 – 50.75 cm)
XL
11-0021-6
26.5” – 29.5” (67.25 – 75 cm)
19” – 21” (48.25 – 53.25 cm)
20” – 22” (50.75 – 56 cm)
XXL
11-0021-7
29.5” – 32” (75 – 81.25 cm)
21” – 23” (56 – 61 cm)
22” – 24” (53.25 – 58.5 cm)
XXXL
Circumference measurements should be taken at knee centre, 6” (15 cm) above knee centre and 6” (15 cm) below knee centre.
27
UPPER LIMB BRACES AND SLINGS Where Comfort is Key
Shoulder Slings Shoulder slings are one of the most heavily used orthopaedic products in a hospital, and vary from basic ‘collar and cuff’ style to higher level immobilisers following surgery. The correct fitting of these is crucial to ensure patient comfort and to encourage effective recovery. At Enovis we have a complete range of slings and braces to meet your key clinical needs. From a basic ‘poly-sling’ through to our latest UltraSling PRO (for shoulder abduction), we offer a unique range to provide your patients with optimal outcomes. Whilst the evidence is mixed, the more substantial ‘abduction’ slings are frequently used following surgery such as a rotator cuff repair. We prioritise innovative solutions, and the UltraSling PRO embodies this with universal sizing, simple and efficient fitting, and excellent comfort for the patient. Here are three of our most commonly used shoulder braces:
SHOULDER IMMOBILISER WITH FOAM STRAPS
CLINICAL SHOULDER IMMOBILISER
ULTRASLING PRO
28
ELBOW BRACES Whilst less frequently used than Knee ROM Braces, Elbow ROM braces remain a useful solution for specific indications. Providing effective ROM control for injuries such as biceps tendon repair or humeral fractures, the X-Act ROM Elbow is designed to provide comfort and stability to your patients. With a similar design to our Knee ROM solutions, the X-Act ROM Elbow uses telescoping contact points and malleable cuffs to provide a custom fit to your patient’s anatomy. The ROM hinge provides full control for optimal rehabilitation.
X-ACT ROM ELBOW
ULTRASLING PRO
CLINICAL SHOULDER IMMOBILISER
PART NUMBER
DESCRIPTION
SIZE
PART NUMBER
DEPTH X LENGTH
SIZE
11-0447-9
UltraSling PRO
Universal
PACK OF 1
PACK OF 25
11-0471-9
UltraSling PRO ER/IR 15°
Universal
79-84011
-
12cm x 23cm XXS
11-0472-9
UltraSling PRO ER/IR 30°
Universal
79-84012
-
15cm x 28cm XS
11-0473-9
UltraSling PRO AB
Universal
79-84013
24-84013
18cm x 33cm S
79-84015
24-84015
20.5cm x 38cm M
79-84017
24-84017
23cm x 46cm L
79-84018
-
25.5cm x 51cm XL
SHOULDER IMMOBILISER WITH FOAM STRAPS
CHIEFTAIN™ ARM SLING
PART NUMBER DEPTH x LENGTH
QUANTITY
SIZE
PART NUMBER
DEPTH X LENGTH
SIZE
79-84172
16.5cm x 33cm
Pack of 12
XS
79-84162
15cm x 28cm
XS
79-84173
17.5cm x 40.5cm
Pack of 12
S
79-84163
18cm x 33cm
S
79-84175
19cm x 43cm
Pack of 12
M
79-84165
20.5cm x 38cm
M
79-84177
20.5cm x 49.5cm Pack of 12
L
79-84167
23cm x 46cm
L
79-84178
21.5cm x 54.5cm
Pack of 12
XL
79-84168
25.5cm x 51cm
XL
X-ACT ROM ELBOW
PART NUMBER
ARM
SIZE
11-9122
Left
U
11-9121
Right
U
ULTRASLING PRO FITTING VIDEO
29
SPINAL BRACES Immobilising Safely
30
Whilst DonJoy is mostly known for knee bracing or shoulder slings, our spinal products utilise the same premium materials and are designed with the clinician and patient in mind.
Commonly fitted on patients with substantial injuries or those less mobile, it is crucial spinal braces are designed for convenience and compliance, whilst ensuring the optimal amount of stability is also provided.
Our new range of spinal braces has been developed with a number of key features which deliver simple user experience, patient comfort, and safety.
ISOFORM® TLSO
ISOFORM® POSTURAL EXTENSION
WHAT’S THE DIFFERENCE?
The IsoFORM TLSO provides trunk rotation and stability from T3 – S1 in 3 planes of motion. The anterior, posterior, and lateral panels, together with a telescopic sternal bar, provide optimal stabilisation and comfort. Indicated for patients with compression fractures of the thoracic spine, osteoporosis and kyphosis.
The Isoform Postural Extension provides thoracic stability to aid conditions such as kyphosis, osteoporosis and mild scoliosis.
Both the TLSO and Postural Extension braces are designed to be ‘semi-universal’, with only 2 sizes to help reduce your stock requirements and save space.
ISOFORM TLSO FITTING VIDEO
ISOFORM® TLSO
ISOFORM® POSTURAL EXTENSION
PART NUMBER
HIP CIRC.
SIZE
PART NUMBER
HIP CIRC.
SIZE
11-1698-2
71 - 122cm
S/M
11-1697-2
71 - 122cm
S/M
11-1697-4
122 - 152cm
L/XL
11-1698-4
122 - 152cm
L/XL
Hot/Cold Pack Accessory
Hot/Cold Pack Accessory
11-1699
11-1699
11-1700
Small Sternal Bar 9”
XS/S
11-1701
Large Sternal Bar 15”
XL/XXL
31
SPINAL BRACES Immobilising Safely
ISOFORM® TLSO
ISOFORM® POSTURAL EXTENSION
CUSTOMISABLE SUPPORT • Telescoping aluminum posterior support and shoulder straps are adjustable and malleable for custom fit • Removable semi-rigid anterior panel for additional trunk support • Sternal cross strap secures the shoulder straps for a comfortable fit • Adjustable belt wings accommodate different shapes for a custom fit TARGETED COMPRESSION • Dual pulley system provides independent top and bottom compression • Enclosed lacing panel protects lacing system from unwanted snags or tears PATIENT COMFORT • Adjustable backpack-style straps for easy donning and doffing • Donning mitt pocket assists with application • Flexible pull tabs – for ease of use with adjustable lace-length feature • Optional hot/cold pack for additional relief
• Adjustable Straps Backpack style for easy donning and doffing • Removable Semi-Rigid Anterior Panel for additional trunk support • Sternal Cross-Strap for a comfortable fit • Adjustable Belt Wings accommodate different shapes and allow clinicians to customise the fit for a wide range of patients • Telescoping Aluminum Posterior Support height adjustable and malleable to help tailor to the patient • Enclosed Lacing Panel protects lacing system from unwanted snags or tears • Dual Pulley System with independent top and bottom compression • Pull Tabs for comfortable donning and doffing
32
BUILT WITH CUSTOMISABLE SUPPORT, TARGETED COMPRESSION, AND PATIENT COMFORT IN MIND
ADJUSTABLE BELT WINGS accommodate different shapes for a custom fit
PANELLING provides durable rigid support
DUAL PULLEY SYSTEM provides targeted compression with independent top and bottom compression
FLEXIBLE PULL TABS for ease of use with adjustable lace length feature
DONNING MITT assists with ease of application
SEMI-UNIVERSAL comfortably fits waist sizes from 71 - 152 cm
HEXAGONAL SPACER MESH durable and breathable materials for comfort
OPTIONAL HOT/COLD PACK for additional relief
EVA-LINED PANELS provides comfortable support
ENCLOSED LACING PANEL protects lacing system from unwanted snags or tears
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