SKU# 114 460– Adjustable Hinge with Range of Motion, with PlugsThis item is a Bort Medical Favorite! It will take good care of you.These hinges help stabilize the knee when the ligaments are not up to the task. More specifically, this knee brace can help when the collateral ligaments of the knee joint are weak or damaged. Made in Germany…. SHIPPED FROM USA WAREHOUSE.Our Office is USA FDA Registered Product specifications – Knee support with side joint splints and patella recess for guidance of the knee joint – Silicone Pad Ring to Stabilize the patella area – 2 Circular fastening straps, on the thigh and lower leg.- Strong dual-tension quality- Anatomically contoured knit-Plugs to Limit Range Motion COLOR: silver The MED-Plus concept- Extension limit at 0° – Complete relief of the pressure on the patella – Individually moldable joint splints – Plugs are included to limit range of motion- Plus-size system resulting in very good fitting SIZESd-measure f-measure Size10.2″ – 11.4″12.6″ – 14.2″small11.4″ – 13.0″14.2″ – 15.7″medium11.4″ – 13.0″15.7″ – 17.3″medium plus13.0″ – 14.6″15.7″ – 17.3″large13.0″ – 14.6″17.3″ – 18.9″large plus14.6″ – 16.1″17.3″ – 18.9″x-large14.6″ – 16.1″18.9″ – 20.5″x-large plus16.1″ – 17.7″20.5″ – 22.0″2x-large16.1″ – 17.7″22.0″ – 23.6″2x-large plusKnee Brace with Adjustable Hinge and Plugs Design This knee instability support was designed support around your patella (kneecap) is comfortable, extended use among overweight, obese men and women. The open patella (kneecap) design eliminates pressure over your sore kneecap, increases mobility, and reduces sweat build-up, while still providing ultimate support around your kneecap, which increases mobility.Comfortable and Lightweight Protection This knee sleeve is 3D Knitted and Anatomically Knitted for a more breathable and comfortable alternative to wear.Supportive Design Allows for Easy Application The straps are durable and adjustable, so you can adjust your brace to a custom fit after you select the size that works best for you.Adjustable Hinges The adjustable side hinges provide medial and lateral stability to your knee and limit your range of motion in the side-to-side direction. Side-to-side movements can lead to LCL (lateral collateral ligament) or MCL (medial collateral ligament) tears, which are the ligaments that run up the sides of your knee joints.How Does This Orthopedic Hinged Brace Help With Knee Arthritis? Osteoarthritis is one of the most common forms of arthritis you may experience in the knee. It is a degenerative, “wear-and-tear“ type of arthritis that occurs most often in people 50 years of age and older, although it may occur in younger people, too. When osteoarthritis occurs, the cartilage in the knee joint gradually wears away, resulting in bone on bone contact. This is likely causing you pain during or after movement, stiffness, and tenderness within your knee. This plus-size, arthritic knee brace helps address this problem as it adds support and reduces stress on your knee. This brace was designed to help manage pain from a number of additional knee pain conditions, including:Medial or lateral kneecap instabilityMuscle weakness or injuryLigament weakness or injuryGeneral knee pain Intended purpose This medical device is a support for supporting the physiological guidance of the knee joint with circumferential Velcro fastener restraints and side guidance splints with joints which are adjustable in their scope of movement. Indications Meniscus injuries, mild to moderate lateral ligament instability of the knee joint, gonarthrosis, arthritis, bursitis. Contraindications Thrombosis risk, extreme varicosis, peripheral arterial occlusive disease (PAOD), lymph drainage disorders, also unclear soft tissue swellings distal to the aid positioned, sensory and circulatory disorders of the region of the body treated, skin diseases in the part of the body treated, latex allergy. Fitting instructions 1 Before putting the support on, the joint splints must be adapted to the contour of the body by an expert. The support is equipped with a joint for the inside leg (medial) and a joint for the outer leg (lateral). For forming, remove the fastening straps from the joint and take the splints out of the support. In order to limit extension/flexion, the mounting devices provided can be used. The extension can be limited at 10°, the flexion at 30°, 60° and 90°. To apply joint limitation, remove the joint from the side splint bag by pulling it out through the slits at its upper end. Then, remove the limit stop connector screw. Place the connector into the joint at the desired angular position from the rear. Finally, secure the limit stop with the previously removed screw. Limitation must be performed for both joints! Then, form the joint splints to the contour of the leg so that the joint splint contacts the surface and causes no pressure sores. After this, the splints are inserted back in the splint bags and the straps adapted, but not closed fully. Then, slip the support over the leg so that the patella is placed centred in the integrated silicone ring. Then, close the straps on the lower leg, followed by the thigh. The support should now sit comfortably on the leg and not cause pressure sores. Slight corrections to the fit of the splints can also be made without removing them. Important: if the splints cause pressure sores and erythema, please remove the support and have it checked by the service provider Removal To remove the support, open the Velcro fasteners, grasp the lower edge of the support on the splints and pull it downwards over the foot. Close all the Velcro fasteners in order to avoid damaging other items, e.g. to further clothing. Material composition Polyamide (PA), elastodiene/latex (LA), elastane (EL), viscose (CV) The sewn in textile label provides the precise material composition. The product contains latex and can trigger allergic reactions Cleaning information Before washing, remove the joint splints and close the Velcro fastener in order to avoid damaging other items of clothing. Delicate wash 30 °C Do not bleach Do not dry in a tumble dryer Do not iron Do not clean chemically Do not use fabric conditioner. Stretch back into shape and dry in the fresh ai