Absolute Contraindications; Explanation Of Warning Symbols - Ottobock 50S8 Malleo Tristep Instrucciones De Uso

3.3 Contraindications

3.3.1 Absolute Contraindications

• The orthosis is not suitable for use as a dorsiflexion-assist orthosis for
paralysis of the peroneal nerve.
3.3.2 Relative Contraindications
The following indications require consultation with a physician: skin dis­
eases/injuries, inflammation, prominent scars that are swollen, reddening
and hyperthermia of the fitted limb; pronounced varicose veins, especially
with return flow impairment, lymphatic flow disorders, including unclear soft
tissue swelling distant to the body area to which the support will be applied;
sensory and circulatory disorders in the foot area, e.g. in case of diabetic
neuropathy.
3.4 Effects
The orthosis can be used in 3 phases. The orthosis can be worn in all
3 phases in a flat shoe that can be opened wide.
Phase I – Inflammatory Phase:
The ankle joint is immobilised and stabilised in the neutral position (90°)
using the orthosis with the foot shell (see fig. 2, item 1) and the stabilisation
strap (see fig. 2, item 2).
Phase II – Proliferation Phase:
The foot shell can be removed during the day. The orthosis is worn with the
stabilisation strap to achieve stability (see fig. 3). At night, the foot shell is
adapted to immobilise and stabilise the ankle joint. Removing the foot shell
during the day enables targeted and secure mobilisation and loading of the
ankle joint.
Phase III – Remodeling Phase:
Towards the end of the healing process the stabilisation strap is removed.
The orthosis can be used during sports or other activities with a high rerup­
ture rate to provide support against new injuries and as secondary preven­
tion (see fig. 4). The stabilisation strap can be attached optionally.
4 Safety

4.1 Explanation of warning symbols

Warning regarding possible risks of accident or injury.
CAUTION
Warning regarding possible technical damage.
NOTICE
13