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Model: Defiance Donjoy Defiance
The Donjoy Defiance is one of the most sought after custom-made braces for reconstructed or ACL deficient knees. It features a unique carbon fiber design that provides exceptional protection against injury to the knee during cutting and pivoting movements, as well as, with driving the knee backwards into hyper-extension. The Donjoy Defiance is very lightweight and is an excellent choice for anyone returning to contact sports. At just 18 ounces it is one of the lightest braces around and is often used for football and ski protection.
The Donjoy Defiance has many key features that set it apart from other designs. The l thigh design accommodates athletes with normal, as well as, very developed medial quadriceps muscles. A medial surpracondylar suspension pad is used to help grab onto the bony landmarks of the inside aspect of the knee to aid in preventing the brace from sliding down the leg. Strapping configurations to address ACL, PCL, and combined instabilities (an injury to both the ACL and the MCL for example) can be ordered to address the unique needs of every patient. The Donjoy Defiance is available in 3 lengths: standard, short, and a short calf version for ski boot clearance and comes with a lifetime warranty on the frame and hinges, and a 6 month warranty on the softgoods. NOTE: Instead of a referral-based offering where a retail sales person is notified and then referred to you for a fitting appointment, with our guidance, you can cast your leg at home to get a custom measurement of the leg. The end result: you receive your brace faster at a wholesale price.
Donjoy Defiance Benefits:
How Do I Get Measured For A Custom Donjoy Defiance: We send what is called a "casting sleeve" to our customers along with simple to follow instructions (see link below) on how to make a simple cast mold of their leg. The mold is then sent directly to Donjoy. The brace is then manufactured according to the shape of the cast for a custom fit (usually takes 24-48 hours; 72 hours during football season). An optional "Rush" production option is available for those who need their Donjoy Defiance sooner - $65. Click here to see the casting sleeve instructions used to get your custom measurement.
Brace Size Considerations: Each brace is custom made according to the patient's cast mold. These braces are designed to fit individuals with a minimum thigh circumference of 12 1/2" (32.8cm) up to the maximum thigh circumference of 38 1/8" (96.75cm), and minimum calf circumference of 10 1/4" (26cm), up to the maximum calf circumference 26 1/4" (66.50 cm). You should take a quick thigh and calf circumference measurement 6 inches above and below the middle of the kneecap to make sure you fall within this specified range before making this purchase.
Indications:
- Hyperextention of the knee
- Moderate to severe ACL or PCL instabilities
- ACL/PCL combined instabilities (CI), MCL/LCL instabilities
- ACL or PCL reconstructed patients
- General protection for contact sports: football, skiing, soccer.
STEP ONE: Choose your Donjoy Defiance model:
- Defiance (standard)
- Defiance Extra - Reinforced carbon fiber frame; assembled with a standard hinge with slide shield unless another hinge type is selected.
STEP TWO: Select the hinge for your brace:
- Standard Slide Shield - a standard hinge with a slide shield protective cover.
- Standard Low Profile - the same standard hinge in a smaller, more low profile "box" which is more flush with the hinge bars than the regular standard slide shield hinge. More popular.
- Fource Point - a new hinge design that slows down the acceleration of the knee during the last 25 degrees.
- Low Profile "Low Pro" FourcePoint - Same function as the regular FourcePoint in a smaller, more low profile hinge "box." More popular.
- Drop Lock - A standard slide shield hinge with a drop lock lever to lock the brace out in full extension (only needed if you have to lock the knee in a fully straightened out position).
STEP THREE: Select the length for your brace.
- Standard - For people 5'10" and taller. Will clear ski boots and motocross boots.
- Standard Thigh/Short Calf - 5'6 1/2" to 5'9" needing ski boot/motocross boot clearance.
- Short Thigh/Short Calf - For anyone 5'6" and shorter.
STEP FOUR: Choose the type of liner/padding for your brace.
- Chamois - becomes tacky against the skin when wet from perspiration. Improves the ability of the brace to stay in place. Most popular.
- Doeskin (black) - standard padding/liner. Second most popular.
- Pneumatic Chamois - Preinflated chamois liner for tacky quality with extra padding. Third most popular choice.
STEP FIVE: Choose the style of your brace.
- ACL - Strapping configuration is pictured above in the example picture.
- PCL - Strapping configuration specifically addresses a PCL injury or reconstruction.
- CI (Combined Instability) - Includes an additional thigh strap across the front of the thigh for added support; can be used for additional ACL protection as well.
STEP SIX: Choose the color for your Donjoy Defiance (View PDF Brochure Below).
- 23 Flat/Metalic Colors - FREE
- Custom Graphics - $150.00
STEP SEVEN: Choose the right size casting sleeve to make a mold of your knee. Measure the circumference around the thigh 6" above the middle of your kneecap and choose the correct size sleeve to be sent to you. Price above includes complimentary ground shipping of the casting sleeve to the customer via ground shipping along with free ground shipping of the finished brace from Donjoy to the customer. The customer is responsible for the shipping charge associated with sending the finished mold of the knee to Donjoy for manufacturing of the brace. Please contact us for additional cost for Rush delivery of the sleeve/brace.
| Casting Sleeve Size |
Thigh Circumference
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| Small |
Less than 24"
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| Large |
Breater than 24 inches
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STEP EIGHT: Choose additional brace accessories:
- Sports Cover (11-0016-x-06000) - Fits all braces made in the standard length.
- Short Sports Cover (11-0103-x-06000) - Fits all short calf and short thigh with short calf models.
- Cotton/Lycra Undersleeve (11-0075-x-00000) - Full length, light and breathable. Proper size is automatically generated from the cast mold of the knee.
- Neoprene Undersleeve (11-0122-x-00000) - Full length, warmer for colder climates. Proper size is automatically generated from the cast mold of the knee.
- TruPull Advanced Attachemnt (11-1525-x) - Rubber patella stabilizing attachement for patello-femoral conditions. Proper size automatically generated from the cast mold of the knee. Not available on Donjoy Defiance braces manufactured with either style of FourcePoint hinge.
- Impact Guard - Protects the patella and the front of the shin from direct impact (motocross application). Not available on braces manufactured with either style of FourcePoint hinge.
- Calf Pinch Guard - prevents the bottom of the brace from running into the top of a ski or motocross boot. Provides a sloping smooth transition up to the bootom of the boot - recommended when ordering a "short calf" brace length.
- Air Condyle Condyle Pads - Pre-inflated condyle pads for more comfort against the joint - they smooth, not tacky like the chamois.
- Floam Condyle Pads - FREE - These condyle pads fit on each side of the knee joint and are ordered in place of the condyle pads that are standard with each brace. They feel like silly puddy with memory foam beads inside. They mold and form around bony knees- better suited for people with real bony knee joints compared to individuals with typical muscle bulk around the inside and outside aspect of the knee.
- SiliGrip Pads - FREE - These condyle pads fit on each side of the knee joint and are ordered in place of the condyle pads that are standard with each brace. They are tacky and are preferred by elderly individuals who have significant muscle atrphy and brace slippage issues that need to be addressed.
- Atrophy Kit (11-0059-9-00000) - This is a triangular-shaped padding kit that adheres to frame up under the quadriceps area and takes up the space so that the brace can be ordered as ealy as 8 weeks after surgery. Once the patient regains quadricep muscle bulk the padding kit can be removed from the regular liner for normal use from that point onward - recommended for early use weeks after surgery when extensive muscle atrophy is present.
- Power Caps - FREE - These are metal posts that hold the D rings in place better so the straps will not tear way from the brace - recommended for football use.
- Legend Strap-ins - FREE - A sqare cut strap end instead of a tapered strap end. Does not allow the strap to come undone - recommended for football use.
- Neoprene Suspension Kit - Two neoprene straps that are used to wrap around the thigh and calf portion of the brace circumferentially to help maintain the brace in the proper position - about 3 inches wide.
- Stainless Steel Gears - These are stronger gears inside the hinge "box" that can be ordered with the Standard Low Profile and the Standard Slide Shield hinge ONLY. The gears inside both FourcePoint hinges are already made with the same high strength stainless steel gears.
Donjoy Knee Guarantee Program: Additional protection at no extra charge with an online purchase. Click here for more details.
Recommended Manufacturer HCPC: L1856
View PDF Brochure
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