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Orthopaedic, Trauma & Prosthetics
OrthoHeal FlexiSplint Long Arm

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OrthoHeal Orthopaedic, Trauma & Prosthetics

OrthoHeal FlexiSplint Long Arm

Product Code: OTAP-3204

The elbow you move at review is the elbow that straightens later.

A posterior lattice shell running the upper arm across the elbow to the forearm, on three straps, with the hand left free. Three sizes. The elbow angle it holds is a nerve question before it is a joint question.

Sections

Polymer & Light-Cured Casts

Categories

Orthopaedic, Trauma & Prosthetics

Condition

New

Origin

India

Seller Type

Certified Professional Seller

CE & ISO Certified

Global Shipping

Supplier: Medigear

OrthoHeal supplies the FlexiSplint Long Arm as an open-lattice polymer support that runs along the back of the arm from the upper arm across the elbow to the forearm, secured with three straps, with the hand left outside it. Three size codes are offered: S, M and L.

The elbow angle this device holds is the specification to obtain, and for a reason that goes beyond joint position. The ulnar nerve runs superficially behind the medial epicondyle, directly beneath a posterior shell, and cubital tunnel syndrome is the second most common compression neuropathy in the upper limb. Cadaveric measurement found cubital tunnel volume falls by 30 to 41 per cent moving the elbow from full extension to 135 degrees of flexion, with a sevenfold rise in intraneural pressure, and pressure at its minimum between 30 and 60 degrees. This finding underpins extension splinting in the conservative treatment of the condition. Manufacturer photography shows this device at roughly a right angle, which is not the minimum-pressure position, and no figure appears on the sheet.

The open lattice works in the patient's favour here, because the material crossing the medial epicondyle is perforated rather than continuous, and that is the point where the nerve lies closest to the surface. Strap position matters as much as the shell does, since a strap tightened across that point becomes a compression site in its own right.

The curing requirement, handedness, the measurements behind each size code, and the single-patient use position are all absent from the sheet. Medigear.uk lists the FlexiSplint Long Arm for UK business buyers and can arrange supply and staff familiarisation. Request all four from the seller before committing to stock.

The FlexiSplint Long Arm is a removable posterior support that runs from the upper arm across the elbow to the forearm, for fracture clinics, emergency departments, orthopaedic outpatients, and hand therapy services.

The anatomy under the shell is what distinguishes this geometry. The ulnar nerve passes superficially behind the medial epicondyle with little soft tissue covering it, and cubital tunnel syndrome is the second most common compression neuropathy in the upper limb. Cadaveric measurement found cubital tunnel volume falling by 30 to 41 per cent as the elbow moved from full extension to 135 degrees of flexion, with a sevenfold rise in intraneural pressure and minimum pressures between 30 and 60 degrees. Extension splinting for the condition rests on that finding.

The practical consequence is that elbow flexion angle is a specification worth obtaining in degrees, and that ulnar symptoms belong in the patient instructions and in what gets checked at review. Paraesthesia in the little and ring fingers, clumsiness, and grip weakness are specific enough for staff to recognise and for patients to report.

The open lattice helps, since the material crossing the medial epicondyle is perforated rather than continuous, though strap positioning matters as much as the shell does. Stiffness is the other consideration: the elbow is among the joints least forgiving of immobilisation, and loss of terminal extension is the common residual deficit, which supports a device that comes off at review so the joint can be moved through range.

The conformity documentation and instructions for use are issued by the manufacturer and provided by the seller.

Less material over the nerve

The ulnar nerve is most vulnerable behind the medial epicondyle, where it sits superficially. A perforated shell places less material at that point, and open construction at the elbow is exactly what purpose-built cubital tunnel braces are sold on.

Comes off so the joint can be moved

The elbow is among the joints least forgiving of immobilisation, and loss of terminal extension is the usual residual deficit. Straps are undone at review, the joint is taken through range, and the shell goes back on.

Skin visible over the olecranon and epicondyles

The open structure allows direct inspection of the bony points where pressure problems concentrate, without removing anything.

Hand left free

The fingers and thumb sit outside the device, so grip and fine function survive an immobilisation that already restricts the elbow.

Three straps, three adjustment points

More fastening points across a long device give more scope to take up the change as an acute arm swells and then settles, subject to confirming the range each provides.

Adjusted without specialist equipment

Straps are undone and redone by whoever conducts the review, with no cast saw and no plaster room, so position changes and skin checks happen in appointments already booked.

Washable through the wearing period

An open structure on an arm worn under sleeves for weeks addresses hygiene rather than comfort alone.

The nerve question raised before the order

Elbow flexion angle is absent from the sheet, and on this geometry it is a nerve specification as much as a joint one. This page puts the measurement, the symptoms to watch and the strap positions ahead of anything else.

Open-lattice polymer shell

A perforated posterior support running from the upper arm across the elbow to the forearm, leaving a substantial proportion of skin exposed.

Posterior form

The shell sits along the back of the arm rather than enclosing it, held in position by straps.

Three-strap fastening

Three straps visible in manufacturer photography. Adjustment range, independent release, patient retightening, replaceability and the position of each strap relative to the medial epicondyle are all unstated.

Hand left free

The fingers and thumb sit outside the device, preserving grip and fine hand function.

Elbow angle not published

Photography shows roughly a right angle. Cadaveric measurement puts cubital tunnel intraneural pressure at its minimum between 30 and 60 degrees of flexion, rising sevenfold by 135 degrees. Request the figure in degrees and ask whether it varies or adjusts.

Removable in wear

Designed to be opened and closed during the wearing period, which is what allows the elbow to be taken through range at review.

Three size codes

S, M and L. No measurement published. Must fit upper arm circumference, forearm circumference and overall length together; request the chart.

Curing requirement not stated

Whether this product cures under a lamp or arrives ready to fit is absent from the sheet, and changes the capital cost, the fitting workflow, the training and the electrical testing position.

Handedness not stated

A posterior shell contoured to one arm across one elbow is side-specific by geometry. Confirm that left and right versions exist and how they are labelled.

Manufacturer background

OrthoHeal, India. FlexiSplint is a separate product line from this manufacturer's light-cured immobiliser range. Certification position confirmed at quotation.

The FlexiSplint Long Arm is a posterior lattice shell on three straps, from upper arm to forearm, leaving the hand free. What makes this geometry different from the rest of the range is what lies underneath it. The ulnar nerve runs superficially behind the medial epicondyle; cubital tunnel syndrome is the second most common upper limb compression neuropathy, and cadaveric measurements found tunnel volume falling by up to 41 per cent and intraneural pressure rising sevenfold as the elbow moves from full extension toward 135 degrees, with the minimum between 30 and 60. The sheet publishes no angle. So the first thing to obtain is elbow flexion in degrees, the second is where the straps cross relative to the medial epicondyle, and the third is that ulnar symptoms — tingling in the little and ring fingers, clumsiness, grip weakness — are written into the patient instructions and checked at every review. Then settle the curing requirement, handedness and the measurement chart. Medigear.uk lists the FlexiSplint Long Arm for UK business buyers and can arrange a sample quantity and staff familiarisation alongside the quotation.

FAQ

Frequently Asked Questions

Everything buyers need to know about sourcing medical equipment through MediGear.

Because a nerve runs directly under the shell. The ulnar nerve passes superficially behind the medial epicondyle, and cubital tunnel syndrome is the second most common compression neuropathy in the upper limb after carpal tunnel. Cadaveric work measured cubital tunnel volume falling by 30 to 41 per cent as the elbow moved from full extension to 135 degrees of flexion, with a sevenfold increase in intraneural pressure, and minimum pressures between 30 and 60 degrees of flexion. That measurement is why extension splinting is the conservative treatment for the condition. Any device holding an elbow flexed is holding the nerve in a position where tunnel pressure is raised, and the degree matters.

Not stated on the sheet. Manufacturer photography shows roughly a right angle, but a photograph is not a figure. Ask for elbow flexion in degrees, ask whether it varies across the three sizes, and ask whether any adjustment is possible. If the answer is a single fixed angle at or near 90 degrees, that is workable for many injuries and it is worth knowing, because a patient with pre-existing ulnar symptoms or a prolonged wearing period is a patient whose nerve is being held somewhere other than its most comfortable position.

Symptoms in the ulnar distribution: paraesthesia, tingling or numbness in the little and ring fingers, clumsiness of the hand, weakness of grip, and in prolonged cases wasting between the thumb and index finger. Those are the warning signs of cubital tunnel compression and they are specific enough to be recognised. Put them in the written patient instructions with a clear route to urgent review, and make them part of what is checked at every appointment rather than something the patient is expected to report unprompted.

It should, and it is a fair point to make. The ulnar nerve is most vulnerable at the medial epicondyle because it sits superficially with little soft tissue over it, so the amount of material pressing there is part of the picture. A perforated shell is open where it crosses that point, and purpose-built cubital tunnel braces are sold on open construction at the elbow for exactly this reason. Confirm with the seller how the lattice is arranged over the medial side specifically, since a strap crossing that point would undo the benefit.

The elbow is among the joints least forgiving of immobilisation, and loss of terminal extension is the common residual deficit. That is the case for a device that comes off: straps are undone at review so the joint can be moved through range, then refastened. Establish the local protocol for when movement starts and how often, because a removable device only prevents stiffness if the removal actually happens. Cubital tunnel syndrome is itself a recognised association of elbow contracture release, so stiffness and nerve symptoms are not separate concerns here.

Not stated, and it needs settling before pricing. This manufacturer runs a light-cured immobiliser line whose products arrive flexible and harden under a dedicated handheld lamp. FlexiSplint is a separate line and the sheet does not say whether it shares the technology. A cured product brings a capital purchase, a working window at fitting, extra training and mains equipment on the electrical testing schedule. A ready-to-fit product brings none of that.

Almost certainly, and the sheet does not say. A posterior shell contoured to one arm across one elbow is side-specific by geometry unless the design is symmetrical. Confirm it and confirm the labelling, because three size codes then become six stock lines and an order placed on size alone arrives half wrong.

They hold the shell against the arm and, on a device opened and closed at every review, they are the component that wears first. Ask about adjustment range, whether the patient can retighten without losing the fitted position, whether they release independently for skin checks, and whether they are replaceable. Ask specifically where the straps cross relative to the medial epicondyle, since a strap tightened directly over the ulnar nerve is a compression point the shell was designed to avoid.

An acute upper limb injury swells and then subsides, so circumference at fitting is not circumference at review. Too tight risks neurovascular compromise and pressure injury, and on this geometry the specific concern is the nerve rather than the skin alone. Too loose lets the arm shift within the shell and stops the support doing its job. Three straps give three adjustment points, which helps, but ask what range each provides and whether it covers the swelling curve.

S, M and L, with no measurement against them. A long arm device must fit upper arm circumference, forearm circumference and overall length at once, and a heavy upper arm on a slim forearm is common rather than exceptional. Elsewhere in this manufacturer's output, sizes are defined by measured circumferences in centimetres, so a chart very likely exists. Request it and map it against a sample of your own patients before committing to stock.

Request the position in writing. A removable strapped device invites the assumption that it can be reprocessed, and that should never be assumed without confirmation. If single patient use, establish the per-episode cost and disposal route. If reprocessable, expect a defined decontamination method, a cycle limit, and the straps and buckles to inspect as separate wearing components given how many open-and-close cycles they see.

OrthoHeal is an Indian manufacturer whose products are distributed through European medical retail channels, which implies CE marking for the lines sold there. No CE marking or UKCA position is evidenced on the supplied sheet for the FlexiSplint Long Arm, and this page makes no claim on its behalf. Request the declaration of conformity, certificate scope, instructions for use and the current UKCA position from the seller at quotation, and treat all four as conditions of order. Device classification under the UK Medical Devices Regulations 2002 is confirmed against the declaration at order.