1. 1 Brace Fitting By Technical Support DJO, LLC Corporate Presentation

2. 2 Position Patient Position the patient seated with knee flexed to 45 degrees with foot flat on the floor.

3. 3 Prepare to Apply ACL Brace Before applying the brace, loosen all straps and fold the hook velcro patch back onto the loop portion of the strap. This will facilitate fitting of the brace

4. 4 Applying the Brace While sitting on the edge of a chair have patient step through the brace. Position the center of the hinges 1” above the top of the patella and slightly posterior to midline of the leg Make sure brace is not twisted on the leg

5. 5 Apply Anti-Migration Calf Band Secure the Anti-Migration band around the upper calf and close on anterior shin (this will be independent of the #4 and #5 straps). The Anti-Migration band will help keep the brace in proper position while strapping down the rest of the straps.

6. 6 Apply Strap #1 Secure the lower calf strap

7. 7 Apply Strap #2 Secure upper thigh strap

8. 8 Push hinges posterior Keeping knee bent at 45 degrees, push both hinges toward back of the leg (posterior) as shown.

9. 9 Apply strap #3 Maintain the position of the hinges (posterior to midline) and secure the lower thigh strap

10. 10 Apply strap #4 Secure anterior upper calf strap which will draw the hinges forward to approximately midline of the leg

11. 11 Apply strap #5 Apply posterior upper calf strap. This strap does not need to be secured as tight as the other straps. For future applications the #5 strap does not need to be re- applied when the brace is taken off. Simply apply straps 1-4.

12. 12 Complete Fit

13. 13 PCL Strapping Sequence PCL version has only 4 straps Order of application: –#1 lower calf –#2 upper thigh –push hinges posterior –#3 posterior upper calf (only) –#4 is anterior lower thigh The #4 strap should draw the hinges forward slightly.

14. 14 CI Strapping Sequence Combined Instability covers both ACL and PCL This has 6 total straps Strapping sequence: –#1 lower calf –#2 upper thigh –push hinges posterior –#3 posterior lower thigh –#4 posterior upper calf –#5 strap anterior upper calf (this should draw the hinges forward) –#6 anterior lower thigh.

15. 15 Check Fit:

16. 16 Patient Compliance Be sure the patient understands how to apply the brace. Have them apply the brace in front of you before they leave.

17. 17 Apply anti-migration strap

18. 18 Apply Strap # 1 (distal shin strap)

19. 19 Apply strap # 2 (proximal thigh strap)

20. 20 Push Condyles back (posterior)

21. 21 Apply Strap #3 (posterior distal thigh strap)

22. 22 Strap #4 (front top shin strap)

23. 23 Strap #5 (top calf strap)

24. 24 Complete Application