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4-Points-of-Leverage<br />

Through the 4-Points-of-Leverage rigid cuff and strap configuration, a posterior force is applied to the tibia preventing anterior movement.<br />

The 4-Points-of-Leverage brace design:<br />

• Significantly reduces ACL strain*<br />

• Provides a constant dynamic load<br />

#2<br />

PoInt oF LeverAge #1<br />

The tibia is anchored by a cuff placed at the bottom of the posterior calf.<br />

PoInt oF LeverAge #2<br />

The femur is anchored by a cuff placed at the top of the anterior thigh.<br />

PoInt oF LeverAge #3<br />

A strap across the back of the lower thigh pushes the femur anteriorly.<br />

PoInt oF LeverAge #4<br />

A strap placed on the anterior tibia applies an active constant load to prevent anterior tibia translation.<br />

Fitting Instructions for an ACL 4-Point Brace<br />

Position centre of the hinge one finger width above<br />

the top of the knee cap. Next close straps 1 and 2 Bring the hinge Posterior Tighten the Posterior Thigh strap<br />

Tighten the Anterior Tibial Strap. Hinge can be<br />

moved forward but should not go beyond midline<br />

#3<br />

Close the Posterior Tibial Strap without applying<br />

force. This strap is to ensure suspension of the<br />

ACL brace<br />

LoADS tHe tIBIA<br />

*Fleming et al. (2000), The influence of functional Knee Bracing on the ACL Strain Biomechanics in Weightbearing and Nonweightbearing Knees, The American Journal of Sports Medicine,<br />

Vol., Nr. 6, p. 815-824<br />

1. 2. 3.<br />

1<br />

2<br />

4. 4<br />

5. 6.<br />

#4<br />

#1<br />

A preloaded 4-point ACL<br />

3<br />

www.DJOglobal.eu<br />

4

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