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Taking measurements for circaid® juxtafit® leg garments

97C65/06.2014

Circumference Measurements • Take measurements without tension • Measurements must be taken every 5 cm from the starting point center of malleolus

• Measurement point c mall. Center of the malleolus

• Measurement point c E Circumference at patella

• Measurement point c Y Circumference around heel to where foot meets ankle

• Measurement point c H Arch circumference

• Measurement point c A Circumference at base of toes

How to measure correctly• Patient should be measured when limb is at its smallest • Patient should be measured in standing position, if possible • Patient limb should be maintained at time of measuring to ensure a proper fit

c mall.

c E

c Y

c H

c A

l  mall. – knee crease

l  mall. – E

l  mall. – K

l  mall. – groin

l  A – Y

l  A

l  P2

l  mall.

Length Measurements Measurements start from malleolus

• Measurement l mall. – knee crease Medial length from the center of the malleolus to the knee crease (measurement l mall. – knee crease is where garment will typically begin and end)

• Measurement l mall. – E Lateral length from the center of the malleolus to center of patella

• Measurement l mall. – groin Medial length from the center of the malleolus to groin, far enough below pubic area so that garment will not cause discomfort (measurement l mall. – groin is where garment will typically begin and end)

• Measurement l mall. – K Lateral length from the center of the malleolus to the gluteal fold

• Measurement l mall. Length from floor to the center of the malleolus

• Measurement l A – Y Length from base of great toe to where foot meets ankle

• Measurement l A Length from base of toes to back of heel

• Measurement l P2 Length from mallelolus to mallelolus, pass under heel

85

45

65

25

75

35

55

15

80

40

60

20

05

70

30

50

10

c mall.

l  mall. – knee crease

l  mall. – groin

l  mall. – E

l  mall. – K

Leg measurementLengthsLeft in cm Right in cm

c mall.center of malleolus

c E center of patella

c E center of patella

Leftin cm

Rightin cm

l mall. – knee crease

l mall. – groin

l mall. – E

l mall. – K

Notes

c H l  A – Y

c mall. l  P2

c A l  A

c Y l  mall.

c mall.

c Y

c A

c H l A – Y

l A

l mall.

l P2

c mall.

c Y

c A

c H l A – Y

l A

l mall.

l P2

Foot measurementLengthsLeft in cm Right in cm

Foot measurementCircumferencesLeft in cm Right in cm

c mall.center of malleolus

c E center of patella

c E center of patella

Leftin cm

Rightin cm

l mall. – knee crease

l mall. – groin

l mall. – E

l mall. – K

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Measurements must be every 5 cm from the starting point center of malleolus.

Standard foot options (separate only) circaid cover up¨ circaid single band afw Colour options

¨ circaid pac band ¨ beige

¨ circaid juxtafit premium interlocking afw ¨ black

¨ circaid juxtafit premium afw

Made-to-measure foot optioncircaid juxtafit premium afw

¨ attached ¨ separate

Made-to-measure leg optionscircaid juxtafit premium Left Quantity Right Quantity

¨ lower leg ¨ ________ ¨ ________

¨ lower leg with knee ¨ ________ ¨ ________

¨ knee piece ¨ ________ ¨ ________

¨ upper leg ¨ no lateral rise ¨ ________ ¨ ________

¨ upper leg with knee ¨ no lateral rise ¨ ________ ¨ ________

¨ whole leg ¨ no lateral rise ¨ ________ ¨ ________

circaid graduate

¨ boot only ¨ ________ ¨ ________

lower leg ¨ with boot ¨ without boot ¨ ________ ¨ ________

whole leg ¨ with boot ¨ without boot ¨ ________ ¨ ________

97C6

5 / 0

6.20

14

Please take measurements without tension!

l  P2:Length from malleolus to malleolus.

Customer name Customer no.

Delivery address Patient name

Delivery date (client) Order date Measured by

Tel no. Email addressStamp / Signature

Leg measurementCircumferencesLeft in cm Right in cm

¨ Estimate ¨ 1st order ¨ Re-order

Custom Legging Sizing Form Telefax: +49 921 912-781, Email: orders@medi.de