Functional rigid brace with extension / flexion limitation
The M.4 X-lock is a functional knee orthosis. The product is exclusively to be used for the orthotic fitting of the knee and only on intact skin.
Whenever possible, put on the knee brace in the extended position. To do so, set the knee brace to the extended position and lock both joints by moving the slider forward (you can see a red area in the windows on the joints).
Open all the straps. Sit on the edge of a chair and put the brace on. Position the brace so that the centre of the hinges (silver wedges) are on a level with the top edge of the kneecap. Make sure that the brace is not twisted on your leg.
First fasten the lower front strap, then the upper rear thigh strap. Position the two joints close to your joint towards the front of the leg.
Now fasten the lower rear thigh strap. Pull the joints slightly forward again. Make sure that you do not pull the joints in front of the midline of the leg.
Now fasten the upper front calf strap, then the upper back calf strap, and finally the front thigh strap.
Please heed the specifications of your physician when using the knee brace, especially with respect to stressing the leg and to knee flexibility. In general, stress the operated leg only in the extended position - the knee brace joints are locked in the extended position (red area in the joint window). This applies until your physician instructs otherwise. When the brace is not stressed (e.g. when you are sitting or lying down), you can unlock the joints (green area in the joint window) and bend your leg to the extent permitted by your physician. BEFORE GETTING UP, however, make sure that the joints are locked in the extended setting and then stand up with your leg stretched. One click and the additional display (red pin is visible on the front edge of the joint) confirms that the mechanism has been snapped in correctly.
Only change the extension and flexion limits on instruction from your doctor or orthotist. In order to prevent hyperextension, always insert extension wedges or 0° wedges. The wedges define the exact excursion of the orthosis. In difficult soft-tissue conditions, e.g. where the soft-tissues are under compression, it may be necessary to insert the larger wedge to limit the joint movement to the desired excursion. In addition, make sure that the orthosis joints are correctly positioned: the middles of the joints should be level with the upper border of the patella. The joint must lie behind the midline of the leg.
Shaping the orthosis
When shaping the orthosis, please ensure that the joints stay parallel. This guarantees that the orthosis will function well and run easily and that there is no excessive wear.
WARNING! The locking mechanism only works if a 0° extension wedge is inserted. With other wedge settings the lock mechanism does not work.
Fastening the belt eyes
The belt eyes have been adequately fastened and are, to some extent, deliberately mobile. Please do not tighten the screws; they are tight enough. If you apply too much force, you can break off the screws.
Avional, Velours, Polyester, PU foam
The pads are water-repellent; nevertheless, they should be wiped off and dried briefly after you take a shower – the same applies to the straps. Soap residues, lotions and ointments can cause skin irritation and material wear.
Do not bleach.
Leave to dry naturally.
Do not iron.
Do not dry clean.
With normal use, the hinge mechanism should not require any maintenance, but it can be lubricated with Teflon spray. Check regularly that the joint screws are secure, tighten them if necessary.
- Meniscus refixation
- Knee extensor tendon ruptures (patellar tendon, quadriceps) – post-operative
- Cartilage surgery in the area of the knee cap and the trochlear groove
- Fractures of patella
- Restraint operations of the patella (e.g. MPFL reconstruction) or patellar dislocations
- Conservative therapy of patellar dislocations
medi M.4 X-lock® – Instructions for medical staff
- 01432 373500
- MON - FRI, 09.00 - 17.00