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Derotational boot and when to use it: a detailed guide from a rehabilitation specialist

A derotation boot is a medical orthosis designed to securely fix the foot and lower leg with control of lower limb rotation. Its main task is to keep the foot in the correct anatomical position, prevent internal or external rotation, and ensure joint stability during rehabilitation.

This type of fixation product is actively used in traumatology, orthopedics, and rehabilitation, especially in fractures, after surgery, and in bedridden patients. Also on our website you can buy a bandage supporting and fixing for different parts of the body: arm, shoulder, foot, ankle, etc.

Construction of a derotation boot

The universal MED1 derotation boot consists of:

  • a rigid platform-sole that ensures fixation of the foot in a neutral position;
  • soft but tight fixing straps that evenly distribute compression;
  • a resistant side panel (wing) that prevents rotation of the limb;
  • hypoallergenic materials that allow the skin to breathe and minimize the risk of irritation.

Unlike plaster structures, the orthosis is easily removed, adjusted to the individual characteristics of the leg and does not create excessive pressure on the tissue.

When is it advisable to use a derotation boot

Rehabilitation specialists recommend buying a derotation boot in the following cases:

1. Femoral neck fractures and hip fractures

A derotation boot for a hip fracture is one of the most important elements of patient care. During this period, it is extremely important to prevent uncontrolled rotation of the leg, because it:

  • worsens blood supply;
  • may cause displacement of fragments;
  • increases the risk of complications after surgery.

The orthosis helps to keep the limb in the correct position and facilitates patient care.

2. Postoperative period

After osteosynthesis, endoprosthetics or other surgical interventions, leg fixation prevents tissue injury and accelerates recovery.

3. In bedridden patients

In patients with prolonged bed rest, the foot often sags (foot drop), and the leg involuntarily turns outward. The derotational orthosis stabilizes the position of the limb, prevents contractures, deformities and pain syndromes.

4. Prevention of secondary injuries and complications

The correct position of the leg reduces the risk of pressure sores, tissue trophic disorders and stagnation.

Advantages of a derotational boot and comparison with a cast

Let's compare ankle orthosis – derotational boot – and plaster.

Advantages of a leg orthosis:

  • adjustable stiffness and compression — can be adapted to the patient's condition;
  • lightweight construction — much more comfortable than a classic plaster;
  • can be removed — you can conduct an examination, hygiene, massage, and prevention of bedsores;
  • hygiene — materials do not accumulate moisture, do not cause an unpleasant odor;
  • comfort for the patient — there is no effect of a “walled foot”, as with plaster casting.

Disadvantages of a plaster cast:

  • heavy and bulky;
  • does not allow monitoring of the condition of the skin and soft tissues;
  • compression cannot be adjusted;
  • accumulates moisture;
  • requires complete replacement in case of any discomfort.

That is why it is better to use a derotation boot today, as this modern orthosis is becoming the standard in rehabilitation.

Why should you buy a derotation boot

A derotation boot — is an indispensable tool for patients with fractures, postoperative conditions and limited mobility. It ensures the correct position of the limb, reduces the risk of complications, speeds up rehabilitation and makes patient care much easier.

If you need to buy a derotation boot or other rehabilitation products, in the MED1 store you will find certified models that meet modern safety requirements.and comfort.

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