The toe CPM Hall-U-Sana® in post-operative rehabilitation

CPM* therapy,
proven for decades:
now also available for the hallux

* CPM Continuous Passive Motion Therapy
** compared to no therapy

Shortens convalescence time, speeds return to physiological movement patterns **
Prevents stiffening
Promotes joint mobility
Safeguards the success of the surgery
No individual customisation / adjustment required
After a short learning period, can be operated easily by the patient
Can be used on the go thanks to integrated Li-ion battery
Designed and tested over many years of cooperation with renowned podiatric orthopaedic surgeons and experienced orthopaedic technicians
Developed and designed in Switzerland

Hall-U-Sana® bears the CE mark and fulfils the requirements of Regulation (EU) 2017/745 (MDR) (certified by NB 0297) and other applicable legal acts of the European Union.

Easy installation and operation

Thanks to the cable-connected control unit with OLED display and illuminated buttons, therapy is under control at all times
Recommended therapy: 2 x 25 minutes daily for 30 days
Two pre-defined programmes with small and large ranges of motion:
• + 20° / – 10° (dorsal/plantar) and
• + 40° / – 20° (dorsal/plantar)
Gentle warm-up phase: the great toe is constantly deflected further and further in small increments until the programme’s full range of motion is achieved
Display of remaining duration of treatment in minutes
Immediate reverse on load and pausing by pressing any button

Application video

Indications and contraindications

Indications

Post-operative treatment after surgery of the 1st ray or any situation in which motion therapy of the MTP1 joint is indicated.
Post-operative treatment after surgery of the 1st ray, such as:
• Hallux valgus surgery
• Hallux rigidus surgery
• Surgically treated cartilage defects
• Surgically treated fractures
• Joint replacement

Contraindications

Inflammatory skin changes that could be additionally irritated by the holding apparatus (e.g. toe strap, foot strap) of the device (e.g. atopic eczema or ulcer)
Thin, vulnerable skin (e.g. after long-term cortisone treatment)
Unstable fractures
Acute arthroses such as active arthroses, arthritis or arthropathies (e.g. gout)
Infection of the metatarsophalangeal joint of the big toe
Intolerance to mobilisation
Excessive swelling

Hallux valgus – tremendous medical
demand: post-operative mobilisation
to prevent stiffening

Deformation of the great toe, also known as hallux valgus, is the most common deformity of the lower extremities. 23% of 18- to 65-year-olds and over 35% of those older than 65 years have hallux valgus, with 10 times more women being affected than men. After surgery, between 7% and 38% of patients experience limited mobility of the metatarsophalangeal joint of the great toe (MTP1). Studies confirm that physical movement therapy in post-operative rehabilitation significantly increases mobility. To date, there has been no simple mobilisation solution in post-operative rehabilitation following hallux valgus surgery.

Studies

The effectiveness of passive mobilisation and continuous passive motion devices in post-operative therapy is confirmed

CPM therapy following hallux valgus surgery

Interventions for treating hallux valgus (abductovalgus) and bunions.”/pubmed/
14973960″, “Ferrari J, Higgins JP, Prior TD.”, “Cochrane Database Syst Rev.
2004.

Effects of continuous passive motion following Austin bunionectomy. A prospective
review.“ /pubmed/8592286″,”Connor JC, Berk DM, Hotz MW.”,”J Am
Podiatr Med Assoc. 1995 Dec

Advantage of physiotherapy following hallux valgus surgery

Rehabilitation after hallux valgus surgery: importance of physical therapy
to restore weight bearing of the first ray during the stance phase.,”/pubmed/
19608631″,”Schuh R, Hofstaetter SG, Adams SB Jr, Pichler F, Kristen KH,
Trnka HJ.”,”Phys Ther. 2009 Sep

Plantar loading after chevron osteotomy combined with postoperative physical
therapy.,”/pubmed/21189191″,”Schuh R, Adams S, Hofstaetter SG, Krismer
M, Trnka HJ.”,”Foot Ankle Int. 2010 Nov

Advantage of CPM therapy in general after joint surgery

Continuous Passive Motion (CPM) does improve range of motion, pain and swelling after ACL reconstruction: a systematic review and meta-analysis.,“/pubmed/ 30321902″,“Jaspers T, Taeymans J, Hirschmüller A.“,“Z Orthop Unfall 2018 Oct

Downloads

Application Video

Instructions for use

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Italiano Scarica (PDF, 36 pagine)

English Download (PDF, 36 pages)

Quick Guide

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Français Télécharger (PDF, 4 pages)

Italiano Scarica (PDF, 4 pagine)

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Türkçe indirmek (PDF, 4 sayfa)