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CoxaFlex
®
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Description
The advanced design of our flexion abduc-
tion splint CoxaFlex® is based on a treatment
concept which has led to successful results
for more than 25 years (Gekeler, 1986).
Consisting of an adjustable belt system,
a continuously variable abduction splint
and integrated leg braces, the CoxaFlex®
centers the hip joints in a natural position of
90° to 100° of flexion and an abduction of
45° to 50° (see images A&B). By positioning
the patient' s thighs this way, any extension
or adduction that might provoke luxation or
dysplasia is avoided. Additionally, the ortho-
sis prevents the extreme spreading of the
thighs into the unnatural and harmful "frog
position" (also known as the Lorenz positi-
on). Evasive movements leading to a wider
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flexion and rotating motions, however,
User manual
are deliberately promoted. Therefore, the
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flexion abduction splint CoxaFlex® allows
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for a precisely controllable, unconstrained
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adjustment of the lower extremities in
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flexion and abduction. It serves the cente-
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ring of the femoral head with an instable
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or dysplastic hip joint structure (i.e. de-
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velopmental hip disorder) under circum-
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stances as natural as possible. CoxaFlex®
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helps maintain the foetal "seated squat
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position" recommended for newborns and
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infants and also complies with the natural
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squatting position of children huddling
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against their mother's body.
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Where applied correctly, no unwanted side
effects have been reported for CoxaFlex®
in more than 25 years.
The CoxaFlex® flexion abduction splint is
not capable of reducing a luxated hip, but
of centering and stabilizing the joint in a
physiological position. To prevent reluxation,
special attention should hence be paid to the
hip joint' s correct and reduced position when
applying the orthosis.
In case of dysplasia (without the risk of
luxation) the orthosis can shortly be taken
off during the day (e.g. for hygienic care). This,
however, should only be done with the expli-
cit permission of the attending physician.
If worn over an opening romper, the
orthosis does not have to be taken off
when changing diapers. The splint's
convex shaping in the belly area allows for
the diaper to be easily removed.
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