again. Do NOT re-use the same insert to replace a broken D-ring or to
change from internal to external d-rings. Note: Replace with the
appropriate male insert. The outer surface of the insert has either no
ring or one ring. Use the same type as the originally installed version.
5. Tighten down the screw.
REFURBISHING
From time to time, your Rebound DUAL should be sent to Össur for
refurbishing. The frequency of this will depend on how often the brace is
worn and for what activities. Your brace supplier should help you to
determine when your brace needs to be sent in for service, but once a
year is a good rule of thumb.
As part of the refurbishment process, Össur will check your brace for
signs of wear and rebuild it with all new components, including rivets,
buckles, straps and padding. There is a usual turnaround time of three to
five working days. If you have any questions, contact your local Customer
Service Department.
FIT ADJUSTMENTS
Contouring the Brace:
The Rebound DUAL brace can be adjusted for individual anatomies. The
aircraft grade aluminum frame can be cold formed to accommodate
different thigh and tibia shapes using bending irons as needed.
Adjusting the Varus / Valgus angle of the Brace:
The Rebound DUAL brace can be adjusted for individual varus or valgus
angles and to create an offloading force to either the medial or lateral
compartment. To adjust the angle, loosen the screws on the desired side
of the brace and slide the upper frame to the desired position with a
steady force. Adjust the medial upper frame to offload the medial
compartment or adjust the lateral upper frame to offload the lateral
compartment. The slide bar has a lettered scale and may be moved to
increase or decrease the amount of varus or valgus force on the leg.
(Figure 9) The lettered scale does not relate to degrees of offloading and
should be used as a guide. Retighten the screws until snug
(recommended torque value of 3 in-lb). All adjustments should be
determined by a healthcare provider, in accordance with the patient's
comfort level. Each time the brace is adjusted, the healthcare provider
should note the letter for a record of progression.
Adjusting the Height of the Brace:
The Rebound DUAL brace can be adjusted for individual height
requirements. The brace height can be adjusted by loosening the screws
on both sides of the upper frame and pulling the frame up with a steady
force. Ensure the brace is properly aligned by checking that both hinge
arms are located on the same position on the medial and lateral hinge
arm. Retighten the screws until snug.
Widening or narrowing f it at knee joint:
The Rebound DUAL brace can be adjusted for individual knee width. To
widen or narrow the width at the knee, the medium condyle pads can be
removed and replaced with the thick or thin version shipped with the
Rebound DUAL. Any combination of pads can be used to achieve a more
comfortable fit.
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