An active lifestyle, wearing high-heeled shoes, individual characteristics of the articular apparatus lead to frequent injury. A modern approach to treatment suggests using an orthosis instead of a cast on the ankle. This is an innovative breakthrough in medicine and allows you to successfully restore the affected functions with the greatest comfort for the patient.

Description and principle of operation

The orthosis is a kind of design, reminiscent of a boot or a sock. With its help, complete or partial fixation of the affected joint is achieved.

In the process of recovery, the degree of contraction may change, and the motor function, if possible, is carried out in sufficient volume.

The recovery of the patient occurs earlier compared to the use of gypsum, the possibility of complications is reduced.

Product classification

Depending on the purpose for which the wearing of an orthosis is prescribed, orthopedic devices are divided into:

• preventive (required for physical activity, a tendency to instability in the ankle);
• functional (intended for patients with changes in the joint that cannot be corrected);
• medical and rehabilitation (needed to treat traumatic injuries of bones (fractures), ligaments and muscles, as well as in the recovery period).

Orthoses differ among themselves in the quality of the material, the degree of fixation of the affected joint and design.

Material

A high quality fixing device must:

• do not cause an allergic reaction;
• be breathable.

Leg orthoses that meet these requirements are made from:

• soft elastic fabric;
• medical plastic.

Additional elements may consist of metal, wood, silicone.

Degree of fixation

On this basis of classification, semi-rigid and rigid orthoses are distinguished. The bandage of medium hardness is made of elastic material and has various inserts, overlays, cords. This adaptation is necessary for joint instability, inflammatory and degenerative processes, traumatic damage to the ligaments.

A rigid orthosis is a product made of medical plastic or metal with soft inserts inside, the degree of fixation of which is provided by various devices. Designed for the treatment of complex fractures. Such an orthosis instead of gypsum in case of ankle fractures securely fixes the ankle.

The splint provides the most reliable rigid fixation. This is a special boot made of plastic material with soft inserts inside, which is necessary for the complete immobilization of the ankle in case of complex fractures with displacement. The use of the splint is also shown for recovery measures after surgical interventions.

Soft brace and ankle brace made of elastic material are intended mainly for preventive purposes.

Design

Orthosis, which will replace the imposition of plaster on the ankle joint, usually includes elements that provide comfort and the necessary degree of fixation:

• overlays based on a special gel;
• silicone or metal inserts;
• belts;
• cords.

The required degree of fixation can only be determined by a doctor. Self-adjustment can lead to impaired blood circulation in the tissues or insufficient fixation of the joint in case of a fracture, which will make it difficult for the damaged surfaces to heal.

Manufacturing process

Depending on where the orthosis is made, there are:

• serial (can be bought at a pharmacy);
• modular (assembled by an orthopedist, taking into account the specific characteristics of the patient);
• individual (made from a plaster cast of the foot).

The highest price is for custom-made orthopedic structures, but for complex fractures, it is preferable to use them for reliable fixation.

Indications for use

Orthoses are a worthy and modern replacement for a plaster cast for ankle, ankle or ankle injuries. An orthopedic device is necessary for a patient with:

• fractures of varying degrees of complexity;
• the appearance of swelling of the soft tissues of the foot after traumatization;
• sprains and ruptures of the ligamentous apparatus of the ankle joint.

For minor injuries, orthoses made of elastic material can be used. In case of fractures, more rigid plastic constructions will be required, in which complete fixation is achieved.

Shown for use in the following diseases of the musculoskeletal system:

• joint instability due to flat feet, excess weight, deformities of the foot;
• inflammatory, degenerative or dysplastic changes in the joint;
• consequences of rickets;
• paralysis or paresis (complete or partial movement disorder) after a stroke.

In case of fractures, the constant wearing of an orthopedic device will be required, this condition alone will ensure the fusion of damaged bone structures. If the orthosis is prescribed for diseases, it must be worn all day, and the leg should be rested at night. Otherwise, with constant wear, the development of atrophic changes in the muscles is possible.

Contraindications

The ban on the use of orthopedic products is an open fracture with damage to the soft tissues of the leg. The bleeding that has developed as a result of such an injury prevents the construction from being worn.

How to choose an orthosis

To choose the right orthopedic product, you need to focus on the size of the foot. If you have to choose between two devices, the smaller size should be preferred. To achieve the required immobilization, the orthosis must be exactly matched to the individual parameters of the patient.

Be sure to measure:

• ankle volume;
• ankle circumference (half the distance between the ankle bone and the knee);
• leg circumference.

While wearing an orthosis, discomfort and pain are possible. Reddish small spots may appear on the surface of the skin. Normally, these complaints should disappear within 30 minutes. If the patient continues to experience discomfort, it is necessary to seek help from a specialist. Only a properly selected orthosis will ensure the recovery of the patient.

Correction and selection of devices should be carried out only by a doctor! Independent interventions can lead to complications in the form of an improperly healed fracture and circulatory disorders. The duration of wearing is also agreed with the specialist.

Advantages and disadvantages

The use of orthoses has a number of serious advantages in comparison with the imposition of plaster bandages and bandaging. Gypsum for fractures makes it difficult for a specialist to examine the injured limb. It is also impossible to regulate the degree of fixation, which leads to disruption of trophic processes in the tissues.

The application of a bandage does not provide the necessary fixation and has little therapeutic efficacy.

The main advantages of orthoses are:

• significant reduction or complete elimination of pain and swelling of the foot;
• improvement of metabolic processes in ligaments, muscles and tendons;
• immobilization and mechanical unloading of the joint;
• the ability to expand the motor mode in the recovery period;
• regulation of the degree of contraction depending on the stage of the pathological process;
• patient comfort.

To disadvantages this method treatment can be attributed to the impossibility of its use in open fractures of the ankle and ankle, with bleeding from the vessels of the damaged lower limb and the presence of wound surfaces.

If it is possible to use an orthosis, this method of orthopedic correction should be given unconditional preference over traditional methods.

For arthritis, arthrosis, diseases of the tibia and ankle fracture, doctors recommend using an ankle brace. It fixes the leg, allows you to redistribute the load. Reducing pressure on the damaged area has a beneficial effect on its recovery, preventing a possible recurrence.

What is an ankle brace?

Ankle brace is an orthopedic device that fixes the ankle in case of various injuries. It ideally repeats the shape of the injured area on which it is applied. In appearance, ankle orthoses can be compared to a sock or boot, but the toes remain open when worn. It is fastened with laces, fasteners, Velcro and straps, and is made of fabric, metal and plastic.

According to their purpose, orthoses are divided into preventive, rehabilitation and functional. The first type is rarely used, it prevents damage to the ankle. Rehabilitation devices are worn for injuries and illnesses to speed up recovery. The latter are used to ensure normal movement in cases where major changes have occurred. Such devices must be worn almost without removing.

Types of orthoses

Since orthoses are used to solve various problems, they are different. What kind of rigidity of ankle orthoses is better to choose? It is necessary to proceed from the nature of the injury or pathology. For example, a soft orthosis is used to prevent ankle injuries, and in case of a bruise, fracture or functional disorder of the musculoskeletal system, a semi-rigid and rigid one is prescribed.

Soft

By appearance it is similar to a fabric removable bandage. Such a device for an ankle injury is prescribed exclusively by a doctor, since self-medication is dangerous to health. These products have sizes, a special fastening and lacing technology. They are easy to wear and care for. Subject to all operating rules, the orthopedic device has no contraindications. This type of orthopedic devices has an undeniable number of advantages. For example, they can be easily worn in everyday shoes, no outside help is needed when putting them on. It is easy to wash and can be removed at night.

semi-rigid

This type of product has straps or laces that replace the elastic bandage. In addition, they can be equipped with silicone, metal or plastic inserts for greater rigidity. This allows better fixation of the ankle. Such a fixator is prescribed for bruises, injuries during the entire rehabilitation period. These orthopedic devices provide a secure fixation of the leg, and lacing or straps allow you to adjust the pressure on it.

Gypsum can be replaced with a product of medium fixation. The semi-rigid orthosis completely repeats the anatomy; it does not rub the leg when worn, despite the rather strong fixation. It can be removed at night and even worn in shoes, as it is very durable. Perhaps at first the patient will notice the fixator, but then a slight discomfort will pass.

Hard

It must have plastic inserts, elastic tires. A special device of this type allows you to securely fix the joint and the foot itself. Such devices are prescribed for fractures or irreversible disorders in the joints. Rigid ankle orthoses provide complete leg support. They can easily replace a cast in case of an ankle fracture. Thanks to the fixators, the pain syndrome quickly decreases, the leg joint is unloaded. Adjustable pressure makes using more comfortable.

Currently, there are many varieties of rigid clamps. This allows you to choose the most suitable model in terms of size and other parameters.

With proper operation, the device will not cause any harm to the leg, and the redistribution of the load will allow you to lead almost the same rhythm of life. Of course, you can’t wear a rigid foot orthosis in shoes, but you can walk in it just like that, due to the unique thick sole.

Indications for the use of an orthosis

For effective treatment injuries or diseases of the ankle, it is required to provide the diseased joint with complete rest. Therefore, it is recommended to wear an ankle brace:

1. with arthritis and arthrosis;
2. with ligament injuries;
3. with fractures of the foot, lower leg or ankle;
4. with various anomalies of the ankle in children;
5. with a load on the ankle caused by overweight, flat feet and other reasons;
6. in the postoperative period;
7. as a fracture prevention for athletes and those involved in physical labor.

What is better modern fixative or gypsum?

The ankle brace was developed not so long ago. Today it is a good alternative to gypsum. The former method of immobilization completely blocked access to the joint and made treatment difficult. In addition, gypsum is also bad because, as it recovers, its rigidity does not change. The ankle brace can be adjusted, its mobility increases as the ankle recovers.

A very important factor is that the patient can lead an active lifestyle, in contrast to the situation when a cast is used. Due to the special sole, the weight is not concentrated at one point, but redistributes the load.

Thanks to the use of ankle orthoses, the speed of recovery is noticeably increased.

Pros and cons

But it is not possible to use an ankle brace in all cases. It should not be applied to open fractures, especially if the wound is bleeding. Even if the fracture is closed, it is better to put a cast first, and use a foot orthosis after the bones have healed.

The question of whether it is possible to replace the cast with an ankle brace should be decided by the doctor in each specific case.

Another important point concerns the claim that this adaptation leads to muscle atrophy. This raises the question - is it possible to remove such an orthosis at night? If the fracture is not complex, without displacement, then it is possible and even necessary. Otherwise, the doctor will simply apply a cast. As for the harm to the muscles, the retainer, on the contrary, strengthens them. The main thing is that the device is correctly selected. If necessary, it can even be made to order.

Is it possible to make a retainer on the joint with your own hands? Yes, if you are a doctor and a qualified craftsman at the same time, and also have the necessary equipment and material at hand. Otherwise, you need to choose and wear a retainer only according to the doctor's instructions.

Orthosis instead of plaster on the ankle used for fractures of the ankle and various segments of the ankles. Once upon a time, the orthosis was a truly revolutionary product. To this day, it is used for successful recovery from severe injuries. The design of an orthosis that replaces plaster involves securely fixing structural elements: hinges, stiffeners, lacing, belts.

The principle of operation of orthoses instead of plaster on the ankle

Ankle orthoses instead of plaster have a complex elaborate design, each element of which is responsible for a specific function. Hinges and stiffening ribs provide a strong fixation of the leg in a stable position. After a fracture, the limb needs to be completely immobilized, which is what the orthosis provides. Regulatory elements allow you to change the degree of fixation and the angle of flexion-extension of the knee as you recover.

Importantly, orthoses do not completely restrict a person's movements. During treatment, the patient can move freely. In comparison, after wearing a cast, you literally have to learn to walk again, which is not observed when using orthoses. Plus, the elastic fabric of the product provides a compression effect, which means improved blood circulation and lymph outflow.

How to choose an orthosis instead of a cast on the ankle

As a rule, there are never any problems with the selection of an orthosis instead of a cast, since the majority of models have an adjustable design. That is, the product can always be adjusted to the characteristics of the injury. Of course, before buying an orthosis, you should visit your doctor, only he can predict how well the use of an orthosis will affect the health of your leg.

Buy an orthosis instead of a cast on the ankle

Buy an orthosis instead of a cast on the ankle- rational decision modern man. Today, such products are actively confirming their effectiveness by displacing the good old gypsum. If you also want to give preference to new technologies, please contact Ortomil, we will be happy to provide you free consultation and choose the most comfortable product.

The main condition for the treatment of bone and joint injuries is to ensure complete fixation and immobilization without loss of comfort for the patient. The use of an orthosis in case of an ankle fracture instead of plaster creates all the conditions for effective regeneration of damaged tissues.

The ankle is constantly subjected to high loads, since it is it that distributes the weight of a person, helping to maintain a stable balance. With regular active sports, as well as during heavy physical activity at work, a person creates conditions for various ankle injuries. These can range from minor sprains and dislocations to serious cracks and fractures. As a result, in order not to break out of the usual rhythm of life, a person needs to have a way to quickly return to duty. This effect is provided by modern orthopedic orthoses. However, doctors often resort to traditional methods of treating injuries. The most common of these is gypsum.

The use of an orthopedic orthosis for an ankle fracture instead of a cast can significantly reduce the swelling of the affected joint, remove the mechanical load and ensure the comfort of rehabilitation, which is often unattainable with a conservative approach.

Rigid ankle brace

Important to remember! The use of orthoses for the treatment of injuries of various etiologies should be coordinated with a qualified orthopedist or other experienced physician. Don't do home therapy.

Description of fixture

Fixed ankle splint

An ankle brace is a product in the form of a boot or sock that completely repeats the features of the anatomical structure of the leg. Often, the patient's fingers remain open. The main function of the ankle brace is to provide rigid fixation of the damaged area in the required position. There are also options when the work of the joint is partially limited. The degree of fixation depends directly on the conditions of the pathology. Manipulations with the fixation of the orthosis are carried out thanks to adjustable Velcro, laces, straps or other accessories. The types of fasteners are determined by the fixture model.

The main design features of ankle orthoses are ease of use, absolute hypoallergenicity and the ability to pass air. This provides comfort and significantly accelerates the healing of injured tissues, eliminating the risk of comorbidities.

Product classification

Depending on the type and severity of the pathology, the following types of orthopedic ankle orthoses are distinguished:

1. Preventive. Designed to prevent joint injuries in conditions of heavy physical exertion. They are also prescribed to patients with an individual predisposition to ankle injuries.
2. Functional. This type of orthosis is necessary for people with changes in the structure of the joint that cannot be corrected. Wearing a functional brace compensates for the deficiency by providing normal physical activity.
3. Therapeutic and rehabilitation. They are used to treat various ankle injuries caused by both mechanical factors and various diseases.

Standard ankle brace

Materials for the manufacture of orthopedic ankle bandages can be either soft and elastic (cotton or synthetic fabrics) or hard (metal, medical plastic, wood). Depending on the therapeutic task facing the attending physician, the required degree of rigidity of the orthosis is selected. According to this criterion, the following types of products are distinguished:

1. Ankle brace. Serves as a support for the ankle and joint in conditions of sports loads or hard work. Acts as a preventive measure.
2. Soft bandage. Most often presented in the form of a sock with open fingers, made of synthetic or cotton fabric. It is used for sprains, minor bruises, arthrosis and arthritis.
3. Bandage of medium hardness. Made from elastic materials. It is supplied with various clamps (cords, flypapers, belts). It may have several plastic or metal inserts in the kit, but it is not an orthosis, as it is made mainly of elastic materials. It is prescribed for more severe injuries of the ankle joint.
4. Rigid orthosis. It is a boot with elements made of medical plastic (cellacast, turbocast) or metal, with internal elastic inserts. Also, the bandage is equipped with several types of adjustable fasteners to ensure the desired level of fixation. Wearing a rigid orthosis is indicated for patients with severe ankle injuries, and also as a rehabilitation tool after surgical procedures.
5. Joint splints. It has the shape of a boot made of medical plastic with an inner soft layer. A feature of this device is the complete fixation of the ankle joint from the ankle to the end of the foot. Providing immobility has a positive effect in the treatment of pathologies such as ankle fracture, joint displacement or ligament rupture. Also, splints help patients to get on their feet in the postoperative period.

Medium-hard bandage installed on the leg

Another criterion for classifying these orthopedic products is the type of their manufacture. In this case, the following types are distinguished:

1. Serial. They are assembled models sold in ordinary pharmacies or specialized orthopedic stores. They have a fairly low cost.
2. Modular. Devices of complex design, assembled directly on a person's leg in a medical institution or in an orthopedic salon.
3. Individual. They are made to order from a plaster cast of the patient's leg, taking into account all preferences. Their price is often high, but at the end you get a completely fitted product.

Variant of the soft bandage model

Important! The selection of an effective orthopedic bandage depends on the type of pathology and the individual structural features of the patient's joint and is carried out exclusively by an experienced traumatologist or orthopedist. Self-medication is fraught with irreversible consequences.

Ankle joint

Before proceeding to the therapeutic indications and methods of using the bandage, it is necessary to understand the structural features of the ankle joint.

The main elements that provide stability and motor function are ligaments. Anatomically, they are divided into three types:

• ligaments of the tibiofibular joint;
• outer side;
• deltoid (inner lateral).

Ligaments securely connect all the bones of the ankle and foot and distribute the load between them. This allows a person to maintain balance and perform different kinds motor activity.

However, the ankle is often subject to various injuries, the causes of which can be both external physical factors (bruises, sprains, fractures, dislocations) and consequences caused by diseases.

Each type of injury requires an individual approach to effective therapy. The sooner the doctor makes the correct diagnosis and prescribes treatment, the sooner the joint will return to normal. After all, ankle injuries completely knock a person out of the natural rhythm of life and increase the risk of developing concomitant negative consequences for good health.

The structure of the human ankle

Indications for use

The main condition for the treatment of injuries of the ankle joint is the complete provision of immobility, rest and removal of any load. Also an important factor is the creation of comfort and the possibility of adjusting the therapeutic device for each patient individually. Thus, the use of an orthosis in case of an ankle fracture instead of a cast, as well as in the treatment of other ankle injuries, is a priority.

The therapeutic use of the orthosis is indicated for the following conditions:

• sprains, complete or partial ruptures of the Achilles tendon and ligaments, accompanied by pain;
• arthritis and arthrosis;
• congenital dysplasia of the ankle;
• rickets;
• partial or complete paralysis of the ankle after a stroke;
• joint instability due to various factors in the development of the body (obesity, deformity of the toes, flat feet);
• recovery period after operations on the ankle joint;
• rehabilitation after injuries (fractures, cracks, dislocations).

Also, the use of an ankle brace is indicated for people involved in active sports and severe physical work as a prophylactic.

Important! In the event of any injury to the ankle joint, seek immediate medical attention. medical care. Timely provision of therapy reduces the risk of complications and accelerates regeneration.

Contraindications

A variety of medical orthoses allows you to choose the necessary device for each person individually, which distinguishes them from the classic plaster or bandage bandages. These products are successfully used both in sports of high achievements and in everyday life.

However, despite a number of significant advantages, the use of orthoses is not always justified. For example, with open fractures accompanied by bleeding, the use of such bandages is contraindicated. In this case the best option will turn to classical plastering. But after a while, the imposition of an orthosis will be a priority, since the fusion of the bone structure will go faster in an adjustable band.

Correct product selection

It should be remembered that the choice of orthopedic device for the treatment of ankle joint injuries determines the speed and effectiveness of treatment. That is why it is necessary to approach the choice of product as responsibly as possible. The main criterion for selecting an ankle brace is the size of the foot. However, if it is too tight for you when choosing a device, do not rush to turn to a larger size. In this case, it is worth stopping just at this model. This is due to the fact that a properly selected orthosis should tighten the ankle as much as possible to ensure fixation and immobility.

Under the size of the foot, orthopedists most often understand the combination of the following factors:

• the size of the patient's everyday shoes;
• ankle coverage;
• ankle coverage;
• ankle coverage.

Remember! Choosing the right orthosis for the ankle is possible only in the presence of the attending physician. When selecting, all factors of the course of the disease and the characteristics of the patient's body are taken into account. The wrong choice of product is fraught with many irreversible consequences.

Application

Option to wear a cotton sock under the orthosis

In the case of various ankle fractures, doctors first of all turn to traditional plaster casts. However, this is justified only at the initial stage of therapy. In the future, it is extremely necessary to switch to an orthopedic bandage. However, the transition time is individual for each patient and it is not possible to unambiguously determine the period.

The same can be said about the operating time. Depending on the type of injury and the abilities of the human body, wearing an orthosis can be both permanent and periodic.

A few minutes after putting on the brace, the patient may experience pain in the ankle and observe reddish spots at the site of injury. Such reactions often pass quickly enough. However, in case of long-term observation of the above effects, an experienced specialist should be consulted. Such reactions can occur when the product is incorrectly selected or the adjustments are violated.

It is recommended to wear high cotton socks under the device, especially when wearing a metal or plastic orthosis. This is due to the fact that rigid devices can rub the patient's leg, as well as cause skin irritation in case of intolerance to the material.

Remember! How much to wear the device and whether it is necessary to use it can only be said by the attending physician. Self-adjustment of the therapy process is strictly prohibited.

Advantages and disadvantages

Modern orthopedic orthoses prevail over plastering and bandaging in almost all criteria. Among the positive aspects of the use of bandages are:

• reduction or complete elimination of pain and swelling in the affected area;
• strengthening ligaments, tendons and muscles;
• providing stabilization of the joint;
• removal of mechanical loads on the injured area;
• expansion of opportunities for physical activity during rehabilitation;
• comfort of use;
• tension adjustment.

Classical plastering brings a lot of inconvenience to the patient and does not allow the doctor to perform therapeutic manipulations on the affected area during treatment. At the same time, the use of bandage bandages does not provide the proper level of fixation, which is also a significant drawback.

However, as mentioned above, the use of orthoses in the case of open bleeding fractures of the ankle is unacceptable, which is a certain disadvantage of this device.

Conclusion

Using an ankle brace instead of a cast has a wide range of significant benefits in terms of comfort and faster recovery. The correct choice of product and the duration of wearing can only be selected by a doctor based on the results of the patient's examination.

The orthosis is a kind of design, reminiscent of a boot or a sock. With its help, complete or partial fixation of the affected joint is achieved.

In the process of recovery, the degree of contraction may change, and the motor function, if possible, is carried out in sufficient volume.

The recovery of the patient occurs earlier compared to the use of gypsum, the possibility of complications is reduced.

An ankle brace is a product in the form of a boot or sock that completely repeats the features of the anatomical structure of the leg. Often, the patient's fingers remain open.

The main function of the ankle brace is to provide rigid fixation of the damaged area in the required position. There are also options when the work of the joint is partially limited.

The degree of fixation depends directly on the conditions of the pathology. Manipulations with the fixation of the orthosis are carried out thanks to adjustable Velcro, laces, straps or other accessories.

The types of fasteners are determined by the fixture model.

The main design features of ankle orthoses are ease of use, absolute hypoallergenicity and the ability to pass air. This provides comfort and significantly accelerates the healing of injured tissues, eliminating the risk of comorbidities.

Product classification

According to the scope of application, orthoses are classified into the following types:

• prophylactic - designed to prevent ankle injuries;
• treatment and rehabilitation - used in the treatment of fractures, in order to avoid complications;
• functional - provide mobility in case of irreversible changes in the joints.

Ankle orthoses are distinguished by the degree of rigidity.

Soft are fabric removable devices. Remind of a fabric removable bandage. The soft orthosis has a lacing. If you follow the rules of wearing, there are no contraindications to the use of such models.

Soft models can be worn under any shoes - they are easy to put on and take off. Appliances are easy to wash.

Semi-rigid, like soft orthoses, are equipped with fasteners (lacing or straps). Semi-rigid orthoses may have inserts made of plastic, silicone, or metal to provide additional rigidity to the devices (to securely secure the ankle).

A semi-rigid model fixes the ankle more securely than a soft one (it is quite possible to replace a plaster cast with them), and the fastening allows you to choose the optimal degree of compression.

Semi-rigid devices, despite sufficient fixation, do not rub the leg. The brace can be removed at bedtime and even worn under shoes. However, wearing a semi-rigid prosthesis will take some getting used to, and over time, the initial discomfort will pass.

Hard has plastic inserts and elastic tires. Rigid products are used in case of fractures or irreversible changes in the joints.

Rigid models allow fixing the injured ankle with the maximum degree of reliability and completely replace the plaster cast. Due to the clamps, unloading of the joint is ensured, due to which it is possible to reduce pain.

The disadvantage of rigid models is the impossibility of wearing them under shoes, however, such a device completely replaces it, since it has a thick sole.

Orthoses are classified according to the method of production:

• serial;
• prefabricated modules;
• individual order.

Serial can be purchased only in the configuration provided by the manufacturer. Modular products have a complex design, but also provide more customization options for specific needs. Modular orthoses are assembled directly on the injured leg.

The best option is a custom-made device. In this case, the manufacturer will take into account any wishes of the client, however, the prices for such products are high.

Depending on the purpose for which the wearing of an orthosis is prescribed, orthopedic devices are divided into:

• preventive (required for physical activity, a tendency to instability in the ankle);
• functional (intended for patients with changes in the joint that cannot be corrected);
• medical and rehabilitation (needed to treat traumatic injuries of bones (fractures), ligaments and muscles, as well as in the recovery period).

Orthoses differ among themselves in the quality of the material, the degree of fixation of the affected joint and design.

Material

A high quality fixing device must:

• do not cause an allergic reaction;
• be breathable.

Leg orthoses that meet these requirements are made from:

• soft elastic fabric;
• medical plastic.

Additional elements may consist of metal, wood, silicone.

Degree of fixation

On this basis of classification, semi-rigid and rigid orthoses are distinguished. The bandage of medium hardness is made of elastic material and has various inserts, overlays, cords. This adaptation is necessary for joint instability, inflammatory and degenerative processes, traumatic damage to the ligaments.

A rigid orthosis is a product made of medical plastic or metal with soft inserts inside, the degree of fixation of which is provided by various devices. Designed for the treatment of complex fractures. Such an orthosis instead of gypsum in case of ankle fractures securely fixes the ankle.

The splint provides the most reliable rigid fixation. This is a special boot made of plastic material with soft inserts inside, which is necessary for the complete immobilization of the ankle in case of complex fractures with displacement. The use of the splint is also shown for recovery measures after surgical interventions.

Soft brace and ankle brace made of elastic material are intended mainly for preventive purposes.

Design

Orthosis, which will replace the imposition of plaster on the ankle joint, usually includes elements that provide comfort and the necessary degree of fixation:

• overlays based on a special gel;
• silicone or metal inserts;
• belts;
• cords.

The required degree of fixation can only be determined by a doctor. Self-adjustment can lead to impaired blood circulation in the tissues or insufficient fixation of the joint in case of a fracture, which will make it difficult for the damaged surfaces to heal.

Manufacturing process

Depending on where the orthosis is made, there are:

• serial (can be bought at a pharmacy);
• modular (assembled by an orthopedist, taking into account the specific characteristics of the patient);
• individual (made from a plaster cast of the foot).

The highest price is for custom-made orthopedic structures, but for complex fractures, it is preferable to use them for reliable fixation.

Depending on the type and severity of the pathology, the following types of orthopedic ankle orthoses are distinguished:

1. Preventive. Designed to prevent joint injuries in conditions of heavy physical exertion. They are also prescribed to patients with an individual predisposition to ankle injuries.
2. Functional. This type of orthosis is necessary for people with changes in the structure of the joint that cannot be corrected. Wearing a functional brace compensates for the deficiency by providing normal physical activity.
3. Therapeutic and rehabilitation. They are used to treat various ankle injuries caused by both mechanical factors and various diseases.

Materials for the manufacture of orthopedic ankle bandages can be either soft and elastic (cotton or synthetic fabrics) or hard (metal, medical plastic, wood). Depending on the therapeutic task facing the attending physician, the required degree of rigidity of the orthosis is selected. According to this criterion, the following types of products are distinguished:

1. Ankle brace. Serves as a support for the ankle and joint in conditions of sports loads or hard work. Acts as a preventive measure.
2. Soft bandage. Most often presented in the form of a sock with open fingers, made of synthetic or cotton fabric. It is used for sprains, minor bruises, arthrosis and arthritis.
3. Bandage of medium hardness. Made from elastic materials. It is supplied with various clamps (cords, flypapers, belts). It may have several plastic or metal inserts in the kit, but it is not an orthosis, as it is made mainly of elastic materials. It is prescribed for more severe injuries of the ankle joint.
4. Rigid orthosis. It is a boot with elements made of medical plastic (cellacast, turbocast) or metal, with internal elastic inserts. Also, the bandage is equipped with several types of adjustable fasteners to ensure the desired level of fixation. Wearing a rigid orthosis is indicated for patients with severe ankle injuries, and also as a rehabilitation tool after surgical procedures.
5. Joint splints. It has the shape of a boot made of medical plastic with an inner soft layer. A feature of this device is the complete fixation of the ankle joint from the ankle to the end of the foot. Providing immobility has a positive effect in the treatment of pathologies such as ankle fracture, joint displacement or ligament rupture. Also, splints help patients to get on their feet in the postoperative period.

Another criterion for classifying these orthopedic products is the type of their manufacture. In this case, the following types are distinguished:

1. Serial. They are assembled models sold in ordinary pharmacies or specialized orthopedic stores. They have a fairly low cost.
2. Modular. Devices of complex design, assembled directly on a person's leg in a medical institution or in an orthopedic salon.
3. Individual. They are made to order from a plaster cast of the patient's leg, taking into account all preferences. Their price is often high, but at the end you get a completely fitted product.

Indications for use

The orthosis is a relatively recent invention. This device has replaced bandages based on elastic bandages and plaster.

Orthoses are considered to be a more progressive way of immobilizing an injured limb, since they do not block access to the joint, which means that they facilitate the treatment process. In addition, the rigidity of the orthosis can be changed, unlike gypsum, and this not only provides the patient with comfort, but also improves the therapeutic effect.

The main task of the orthosis is to help reduce the load on the injured ankle. According to psychologists, wearing a fixing device improves not only physical, but also psychological condition patient, which after an injury in many cases leaves much to be desired.

In the case of various ankle fractures, doctors first of all turn to traditional plaster casts. However, this is justified only at the initial stage of therapy. In the future, it is extremely necessary to switch to an orthopedic bandage. However, the transition time is individual for each patient and it is not possible to unambiguously determine the period.

The same can be said about the operating time. Depending on the type of injury and the abilities of the human body, wearing an orthosis can be both permanent and periodic.

Contraindications

Orthoses are not used for open fractures or bleeding wounds. With extreme caution, the design should be used for serious vein diseases, especially thrombosis. There are no specific contraindications to the use of fixatives. The main thing is to follow the rules and recommendations according to their application, and undergo preventive examinations with a doctor.

Orthoses are a worthy and modern replacement for a plaster cast for ankle, ankle or ankle injuries. An orthopedic device is necessary for a patient with:

• fractures of varying degrees of complexity;
• the appearance of swelling of the soft tissues of the foot after traumatization;
• sprains and ruptures of the ligamentous apparatus of the ankle joint.

For minor injuries, orthoses made of elastic material can be used. In case of fractures, more rigid plastic constructions will be required, in which complete fixation is achieved.

Shown for use in the following diseases of the musculoskeletal system:

• joint instability due to flat feet, excess weight, foot deformities;
• inflammatory, degenerative or dysplastic changes in the joint;
• consequences of rickets;
• paralysis or paresis (complete or partial movement disorder) after a stroke.

In case of fractures, the constant wearing of an orthopedic device will be required, this condition alone will ensure the fusion of damaged bone structures. If the orthosis is prescribed for diseases, it must be worn all day, and the leg should be rested at night. Otherwise, with constant wear, the development of atrophic changes in the muscles is possible.

The ban on the use of orthopedic products is an open fracture with damage to the soft tissues of the leg. The bleeding that has developed as a result of such an injury prevents the construction from being worn.

The main condition for the treatment of injuries of the ankle joint is the complete provision of immobility, rest and removal of any load. Also an important factor is the creation of comfort and the possibility of adjusting the therapeutic device for each patient individually.

Thus, the use of an orthosis in case of an ankle fracture instead of a cast, as well as in the treatment of other ankle injuries, is a priority.

The therapeutic use of the orthosis is indicated for the following conditions:

• sprains, complete or partial ruptures of the Achilles tendon and ligaments, accompanied by pain;
• arthritis and arthrosis;
• congenital dysplasia of the ankle;
• rickets;
• partial or complete paralysis of the ankle after a stroke;
• joint instability due to various factors in the development of the body (obesity, deformity of the toes, flat feet);
• recovery period after operations on the ankle joint;
• rehabilitation after injuries (fractures, cracks, dislocations).

Also, the use of an ankle brace is indicated for people involved in active sports and heavy physical work as a prophylactic.

A variety of medical orthoses allows you to choose the necessary device for each person individually, which distinguishes them from the classic plaster or bandage bandages. These products are successfully used both in sports of high achievements and in everyday life.

However, despite a number of significant advantages, the use of orthoses is not always justified. For example, with open fractures accompanied by bleeding, the use of such bandages is contraindicated.

In this case, the best option would be to turn to classic gypsum. But after a while, the imposition of an orthosis will be a priority, since the fusion of the bone structure will be faster in an adjustable bandage.

megan92 2 weeks ago

Tell me, who is struggling with pain in the joints? My knees hurt terribly ((I drink painkillers, but I understand that I am struggling with the consequence, and not with the cause ... Nifiga does not help!

Daria 2 weeks ago

I struggled with my sore joints for several years until I read this article by some Chinese doctor. And for a long time I forgot about the "incurable" joints. Such are the things

megan92 13 days ago

Daria 12 days ago

megan92, so I wrote in my first comment) Well, I'll duplicate it, it's not difficult for me, catch - link to professor's article.

Sonya 10 days ago

Isn't this a divorce? Why the Internet sell ah?

Yulek26 10 days ago

Sonya, what country do you live in? .. They sell on the Internet, because shops and pharmacies set their margins brutal. In addition, payment is only after receipt, that is, they first looked, checked and only then paid. Yes, and now everything is sold on the Internet - from clothes to TVs, furniture and cars.

Editorial response 10 days ago

Sonya, hello. This drug for the treatment of joints is really not sold through the pharmacy network in order to avoid inflated prices. Currently, you can only order Official site. Be healthy!

Sonya 10 days ago

Sorry, I didn't notice at first the information about the cash on delivery. Then, it's OK! Everything is in order - exactly, if payment upon receipt. Thanks a lot!!))

Margo 8 days ago

Has anyone tried folk methods joint treatment? Grandmother does not trust pills, the poor woman has been suffering from pain for many years ...

Andrew a week ago

What only folk remedies I didn't try anything, nothing helped, it only got worse...

Ekaterina a week ago

I tried to drink a decoction of bay leaves, to no avail, only ruined my stomach !! I no longer believe in these folk methods - complete nonsense !!

Maria 5 days ago

Recently I watched a program on the first channel, there is also about this Federal program for the fight against diseases of the joints spoke. It is also headed by some well-known Chinese professor. They say they have found a way to permanently cure the joints and back, and the state fully finances the treatment for each patient

Elena (rheumatologist) 6 days ago

Yes, indeed, at the moment there is a program in which every resident of the Russian Federation and the CIS will be able to completely cure diseased joints. And yes - Professor Pak personally supervises the program.