Breg Pin Cam Walker Boot

More On Breg Pin Cam Walker Boot

• Application:
  - Place foot and leg inside soft liner with heel firmly back; wearing a sock is recommended
  - Pads may be inserted to accommodate extra space at either side of ankle or at the heel
  - The larger tongue pad should be positioned over the top of the foot before securing the liner
  - Close the liner snugly securing the Velcro closures
  - Position the heel of the foot against the back of the rocker boot
  - Brace uprights should be positioned midline over the ankle
  - Press the uprights securely against the liner , if there is a slight overlap, position the upright under the overlap (This will allow later removal of the brace without changing the position of the upright)
  - Position the tibial straps in alternating fashion and secure all straps
  - Determine the required angle of dorsiflexion and/or plantar flexion and adjust according to the instructions below


• Note: Adjustments should be managed by the clinician directly involved with the patient
  - Uprights may be contoured to the individual patient if required
  - The edge of a table or chair may be used to aid in contouring


• Fixed Ankle:
  - Fixed position other than neutral is desired
  - Remove the lower cap screw and rotate the cover 180°, exposing the upper cap screw
  - Loosen but do not remove the upper cap screw
  - Rotate the cover to allow removal of the two pin stops
  - The pins may be easily pushed out from behind
  - Note the angular markings of the disc part of the ankle joint and replace the pins in the appropriate holes, e.g. 15-15 for 15° plantar flexion
  - Retighten the upper cap screw
  - Rotate the plastic cover until the opening faces down
  - Replace the lower cap screw


• Free or Limited Motion:
  - Remove the upper hex-socket screw to rotate the hinge cover
  - Rotate the cover to allow removal of the two pin stops
  - The pins may be easily pushed out from behind
  - Select the appropriate holes for limited motion stops and replace the pins for free motion, the pins are not replaced
  - Do not retighten the upper cap screw for either free or limited motion setting
  - Rotate the plastic cover until the opening faces up
  - Replace the hex socket screw
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