magazine - Bauerfeind

Transcription

Issue 2012 | 2
magazine
international
Air Born
Stuntwoman’s Promising
Career Saved by MalleoTrain S
Innovative treatment of
hip pain
Hip orthosis SofTec Coxa as part of
post-operative treatment plan Page 24
“Appreciation for an underestimated specialist field”
Stabilization, movement
and healing
Ratschow Memorial Medal for
Prof. Waldemar L. Olszewski
An interview about
winter sport injuries
Page 31
Page 32
INSOLES
ErgoPad® Ê
ONE
FITS
ALL.
Foot orthoses with the X factor.
Flexible synthetic foot orthoses with variable support.
The Oweightflex-XP in the core of the synthetic foot orthosis offers variable support according
to individual foot conditions, therapeutic goals and body weight.
Motion is Life: www.bauerfeind.com
EDITORIAL
Dear readers,
Our “Made in Germany” products are highly
rated all over the world, as demonstrated by
the success of our 22 or more subsidiaries and
numerous distributors across the globe. There
is one subsidiary I would particularly like to
mention to highlight the outstanding work of
our international team: Bauerfeind Benelux,
which celebrated its 25th anniversary this
year (p. 21).
With warm regards,
Prof. Hans B. Bauerfeind
Pictures: Bauerfeind
When it comes to sport , the summer of 2012
Although the vast majority of osteoarthritis
had everything! First there was the European patients are elderly, it is also astonishing to
Football Championship, then the Olympic
find just how many young people are affected
Games and finally the Paralympic Games.
by it. In our focus feature (from page 12), two
Bauerfeind was on hand at these two major
physicians – one from Germany and one from
events in London to provide support as an
Brazil – discuss various aspects of the broad
exclusive supplier of medical care, in the
topic of osteoarthritis.
“Supports and orthoses” category, to all the
athletes involved. Our products were used on For this issue of Bauerfeind life, we have also
more than 1,100 occasions at the Olympic and once again talked to health professionals
Paralympic Games – which I think is an imand therapists from all over the world about
pressive statistic! We
medical and theratake a brief look back
peutic problems and
“With our supports, orthoses,
at the involvement of
the use of Bauerfeind
our orthopedic service medical compression stockings
products: from the
team at the Games on
and orthopedic orthoses, we aim use of the multifuncpage 18f.
to boost patients’ well-being and tional orthosis SofTec
Coxa for stabilizing
enhance their quality of life!”
Having the right
hip joints in the USA
medical aid is
right through to
important for enabling
lymphedema treatathletes to keep up their sporting activities,
ment in Australia.
as the young lady in our cover picture
Our products may be used in a wide variety
certainly discovered. From page 28 you can
of areas of application and in all sorts of
read about how stuntwoman Tally Rodin has a places, but we always have one objective in
Bauerfeind support to thank for being able to mind: to maintain and restore health. With
continue her career.
our supports, orthoses, medical compression
stockings and orthopedic orthoses, we aim to
The medical focus of this Bauerfeind life
boost patients’ well-being and enhance their
magazine is on the indication of osteoarthri- quality of life!
tis – a widespread condition, but one that is
by no means associated only with old age.
life magazine 2012/2
3
CONTENTS
Focus
IMPRINT:
Bauerfeind life Magazine
International Edition
Osteoarthritis: a widespread condition
Biomechanical , biochemical and genetic
factors all play a role in primary
(age-related) osteoarthritis. Until now, less
attention has been paid to microtraumas in
the development of secondary osteoarthritis, especially in the knee and ankle.
Printed on chlorine-free paper
Editor:
Bauerfeind AG
Triebeser Strasse 16
07937 Zeulenroda-Triebes, Germany
Tel. +49(0)36628-66-1000
[email protected]
www.bauerfeind.com
Responsible:
Simone Gebler, Christian Grimm
Publisher and editorial office:
mk publishing GmbH
Döllgaststrasse 7–9
86199 Augsburg, Germany
Tel. +49(0)821-34457-0
[email protected]
www.mkpublishing.de
4
page 12
Title image
Tally Rodin – model , acrobatic
ic
n.
dancer, gymnast , stuntwoman.
She had a micro tear in the
tibialis posterior tendon of
d
her right ankle. A Bauerfeind
brace helped to save her
career.
Pictures: Lee Cherry (Title), Werbefotografie Weiss, Stefan Durstewitz, Nick Greenway, headshot-soho.co.uk, fotolia.com/Mary Durden
Osteoarthritis: Deadly mictrotrauma – page 12
CONTENTS
“We have a face” – page 26
Innovative treatment of hip pain – page 24
The foot as an interface – page 22
Diving: Another world– page 36
Moments
page 6
A successful “Tour of Europe”
Focus
26 AVE Orthopedische Klinieken, Huizen
“We have a face”
page 12
12 Osteoarthritis
Deadly microtrauma
16 Higienópolis Health Center, São Paulo
Looking good on the beach –
and staying healthier too
Medical
page 18
18 London 2012
Making a strong impression
3 Editorial
4 Imprint
8 News
24 SofTec Coxa
Innovative treatment of hip pain
20 PD Dr. med. Bernd Wolfarth
Health comes first
21 25 years of Bauerfeind Benelux
On the way to gold
28 Stuntwoman Tally Rodin
Air Born
31 Recognition for Prof. Waldemar L.
Olszewski
“Appreciation for an underestimated
specialist field”
32 Winter sport injuries
Stabilization, movement and healing
34 Lymphedema treatment in Australia
“Treatment from an early stage is
essential”
In Motion
page 36
36 The outdoor life – diving
Another world
22 Science and practice
The foot as an interface
39 Service
5
MOMENTS
A successful “Tour of Europe”
Picture: Jens Blatter Spendentour
Mission accomplished! On August 1, the participants of the 2012 Jens Blatter fundraising marathon
reached their final destination on the Allalinhorn mountain, 4,027 meters above sea level. The 60
cyclists and their support teams had traveled almost 5,000 kilometers across the continent to get there,
passing through Switzerland, Germany, the Netherlands, Belgium, France and Italy in just 17 days on
their “Tour of Europe”. During the tour, the participants also stopped by the Bio-Seehotel Zeulenroda –
a company in the Bauerfeind Group. Together with Bauerfeind AG, the hotel donated EUR 1,000 to the
charity campaign. By the end of August , the total donations raised amounted to 150,000 Swiss francs.
The money raised by the fundraising tour will go toward the Eduplex children’s aid project in Pretoria,
which works to integrate children with hearing impairments into everyday school life.
†
For further information please visit: www.jensblatter.ch.
6
MOMENTS
7
NEWS
“Motion Laboratory” in Moscow
First Bauerfeind store opened in Russia
Ulf Harzmann, International
Sales Manager Bauerfeind AG,
together with Sergey Shaitov,
CEO of Nikamed, and Member
of the Executive Board Thomas
Bauerfeind (left to right) cut
the ribbon to mark the opening
of the store.
“Dobry vecher” was the Russian greeting used by Thomas Bauerfeind,
Member of the Bauerfeind Executive Board, as he welcomed the 40
or more guests invited to the grand opening of the new Bauerfeind
store in Moscow. The company’s first retail outlet in Russia was officially opened on April 12, 2012, under the name “Motion Laboratory”, and with a distinctive store format that is regarded as an innovative feature in the Russian retail industry. With the opening of the
Moscow store, Bauerfeind is extending its sales network in Eastern
Europe. The “Motion Laboratory” is located right on the popular
“Prospekt Mira” shopping street and offers customers in Russia’s
capital city a new kind of retail concept. Athletes and patients can
come to the store, which covers 120 square meters, to receive advice
on how medical aids from Bauerfeind can be used in the prevention,
treatment and rehabilitation of injuries.There is huge demand in
Russia for high-quality medical products, which is why Bauerfeind,
as a leading manufacturer of medical aids, started working with
Nikamed back in January 2011. Nikamed, which acts as an exclusive
sales partner, is the leading company in the Russian orthopedics
market and, just like Bauerfeind, it sets great store by the outstanding quality of the products it offers. Russian customers demand
exceptional quality too – especially since, with no reimbursement
system in Russia, they have to pay for the full costs of their medical
aids themselves.
Bauerfeind AG is already planning to set up more stores in Russia:
additional outlets with exclusive sales partners are due to open in
†
Moscow and St. Petersburg in 2013.
London 2012
London 2012 proved to be a successful premiere: for the first time in history,
the Olympic and Paralympic Games were planned and supervised by a single
organizing committee. Both events met with a positive response all over the
world. Bauerfeind AG from Zeulenroda, Germany, was in London for the Games
as an exclusive supplier in the “Braces” category (supports and orthoses).
Products provided by the Thuringian medical aid manufacturer were used on
more than 700 occasions throughout the Olympics (see page 18). Bauerfeind’s
supplier contract with the London 2012 organizing committee (LOCOG) also
applied to the Paralympic Games, where Bauerfeind provided on-site medical
support for the 4,400 or so Paralympic athletes from 164 countries taking
part. From August 29 to September 9, a team of six Bauerfeind employees from
Fascinating the world: the London Olympic Summer Games 2012.
the United Kingdom and Germany worked in shifts at the polyclinic in the
Bauerfeind provided supports at the Olympics and, for the first
main Olympic Village in Stratford. Bauerfeind supports for elbows and wrists,
time, at the Paralympic Games with its own team of orthotists.
as well as supports for the back and knees, were in particularly high demand.
The Bauerfeind team was called upon to provide aid almost 350 times during
†
the Paralympics. For more information, see www.bauerfeind.com.
8
Pictures: Bauerfeind, Carlos Senkyr
A resounding international success
NEWS
VIII Meeting of the FVL
Intensive scientific exchange
From September 5 to 7, 2012, more than 300 participants from
Latin America, the USA and Europe gathered at the VIII Meeting
of the Latin American Venous Forum (FVL) in Viña del Mar, Chile.
“Our aim for this congress is to provide a training opportunity for
specialists and to encourage the exchange of knowledge regarding
the treatment of venous and lymphatic diseases. This will provide
specialists with effective ‘working tools’ that they can use for the
benefit of their patients,” explained vascular surgeon Dr. Alvaro
Orrego, President of the VIII FVL Meeting. Bauerfeind, one of the
three diamond sponsors of the event , had its own exhibition stand,
where it not only presented its range of compression stockings, but
also carried out live measurements using Bodytronic 300 (Image
3D) with the help of its local partner Artevascular. For further
†
information please visit www.fvl.cl.
Bauerfeind was present at the VIII FVL Meeting with its
own exhibition stand.
GenuTrain P3 with individually adjustable corrective strap
GenuTrain P3
The GenuTrain P3 knee support has been
revised and is now available with an
individually adjustable corrective strap.
Together with the two integral pads, the
corrective strap holds the kneecap in a
central position and protects it against
lateral drifting to the outside. The new
strap enables you to better adjust the
support to your kneecap’s individual
size. Its corrective tensile force can thus
be matched to the indication in question
and the loading situation. This provides optimal relief for the kneecap and
guides it securely during movement. †
25th Austrian Women’s Run
A win for the Bauerfeind team
A new record was set in Vienna
on June 3, 2012: exactly 30,052
participants from 66 countries
lined up at the start of the 25th
Austrian Women’s Run, preparing to run laps around the Prater
park in Vienna. The Women’s Run
therefore continues to attract more
participants than any other race
of its kind in Europe. Bauerfeind
Austria was represented by various
teams at the event , with physicians,
physiotherapists and employees of
Members of the Bauerfeind team.
our various sales partners among
those involved. A total of 35 runners
and walkers entered the race – all
equipped with VenoTrain sports
compression stockings. And the
Bauerfeind sportswomen proved
pretty fast , finishing first in the
5 km run and third over the 10 km
distance, ensuring that two of the
company’s teams claimed a place on
the podium. For more information
on the international race, visit www.
oesterreichischer-frauenlauf.at. †
9
NEWS
VenoTrain micro
New standard color “honey”
The standard color range for the VenoTrain
micro is being brightened up in response to
customer demand. The gray-brown “walnut”
is being replaced by the golden “honey”
tone, which falls between the two beige
shades “cream” and “caramel” in the color
spectrum. The popular compression stocking
range therefore offers an equal selection
of light and dark shades. All versions of
the VenoTrain micro have been available in
†
“honey” since July.
Bauerfeind’s most popular
compression stocking is the
VenoTrain micro.
cream
honey
caramel
Now available as an individual stocking
VenoTrain soft
If a medical prescription allows for one compression stocking only, for
example in the case of thrombosis prophylaxis following surgery on one
leg, medical retailers can now offer patients individual VenoTrain soft
compression stockings. The VenoTrain soft individual stocking is available in the color “natural” and in compression classes 1 and 2, and it can
be supplied in all standard sizes as a knee- or thigh-high stocking with
closed or open toes. This comfortable compression stocking impresses
with its reliable medical effectiveness and the beneficial micromassage
effect it produces while it is worn. With its “natural”-colored, dye-free
finish, it is also ideal for patients with sensitive skin types and is particu†
larly recommended for post-operative use.
The VenoTrain soft individual stocking is available in Ccl 1 and 2.
Medica 2012
MEDICA will once again be welcoming visitors to Düsseldorf from November
14 to 17, 2012. The event is expected to attract some 4,500 exhibitors from
at least 60 countries. Bauerfeind will naturally be among those making an
appearance at the world’s largest and leading medical trade fair, once again
with its own exhibition stand. At Stand 4K50 in Hall 4, the company will
focus on presenting its latest new developments and advancements, such as
the high-grade ErgoPad weightflex synthetic orthosis, the new generation of
the GenuTrain P3, an active knee support for improving patellar tracking, the
CaligaLoc ankle support , or the design edition of the VenoTrain micro. Further
†
information about the trade fair is available at www.medica.de.
The MEDICA: a magnet for visitors.
10
Pictures: Bauerfeind, Messe Düsseldorf/Constanze Tillmann
Bauerfeind at the world’s largest medical trade fair
NEWS
Triathlon de Paris
Expo-Village near the Eiffel Tower
The Bauerfeind exhibition stand was near the Eiffel Tower. The stand team advised participants and visitors with great dedication.
The “Garmin Triathlon de Paris” took place in the French capital on
July 7 and 8, 2012. Over 4,500 athletes competed against one another in the swimming, cycling and running disciplines. First of all , the
triathletes took part in a qualifying competition for the French “D1”
club championships on July 7. As the “Garmin Triathlon de Paris” is
designed as a public event rather than as a contest exclusively for
elite athletes, even amateur triathletes had the chance to join in the
1,500-meter swim, 40-kilometer cycle ride and 10-kilometer run on
July 8. Bauerfeind was also present at this great event , setting up
its own exhibition stand by the Eiffel Tower. The Bauerfeind team
was supported by its partner “A.C.O.M.M santé”, which supplies
Bauerfeind products in the Paris region. Many interested competitors and spectators took advantage of the opportunity to seek
advice from the team at the stand about products such as the
GenuTrain knee support , the LordoLoc stabilizing orthosis for the
†
lumbar spine or the VenoTrain sport compression stockings.
ErgoPad weightflex
The X factor
Bauerfeind has developed a new injection molding system
for manufacturing synthetic foot orthoses by combining two
types of plastic in a single orthotic core. With three different
degrees of firmness, the asymmetric “weightflex-X” in the core
supports the wearer with a variable supporting force depending on the individual condition of the foot , therapeutic goals
and body weight. Thanks to their flexibility in the forefoot
and heel areas, the foot orthoses can easily be worn in shoes
with higher heels.
ErgoPad weightflex, the new orthopedic foot orthosis from
Bauerfeind, is based on the spiral-dynamic principle of
natural movement. The “weightflex-X” integrated into the
orthotic core directs forces from the outside inward via two
pivot points, thus supporting the torsional ability of the feet
and optimizing the wearer’s gait pattern. Side pieces facing
each other act as countersupports. Moderate longitudinal
and transversal arch supports raise and stabilize the feet and
†
reduce non-physiological loads.
The foot orthosis can easily be adapted to fit any heel gradient.
11
FOCUS
Osteoarthritis
Deadly microtrauma
The role played in the development of
secondary osteoarthritis by very small
trauma-related defects of the articular
cartilage is often underestimated. This is
the view of Professor Dieter Kohn, Director of the orthopedic clinic and polyclinic at the Saarland University Hospital.
Basically, a constant series of microinjuries can develop into full-blown osteoarthritis. Fast action is required with
regard to treatment.
>>>
12
Picture: Werbefotografie Weiss
FOCUS
13
FOCUS
>>> Out of 1,000 patients undergoing a knee
arthroscopy, some 600 were found to have hyaline cartilage damage. Almost half of these
defects were caused by osteoarthritis (Hjelle,
K. et al.; see references). Joints bearing the
weight of the body are at particular risk. This
is especially true of the knee. Between six
and eight million people in Germany have
osteoarthritis of the knee. Almost half of
those aged over 45 and almost all of those
aged over 75 have knee symptoms associated
with osteoarthritis. A typical example of a
common condition. The pressing question
still remains unanswered, however. Why is
osteoarthritis such a huge problem? Why do
14
cartilage defects (in adults) not just regenerate? Could it have something to do with the
fact that cartilage has no blood supply? Does
the synovial fluid, the liquid in the joints,
prevent regeneration? Does another, completely unrelated factor play a decisive role? Despite a plethora of studies, including attempts
to multiply cartilage cells under laboratory
conditions, there is no currently no prospect
of a cause-based therapy to combat loss of
joint cartilage.
Five million steps leave their mark
As if all this were not enough. “Why do we
keep seeing osteoarthritis of the collarbone
and sternum,” wonders Professor Kohn, an
orthopedic specialist , “even though there
aren’t any weight-bearing joints in these
areas at all?” The physician, whose list of
publications on osteoarthritis runs to several pages, is reluctant to waste his breath
on this: “We simply don’t know.” But do our
genes have anything to do with it? There
are some families where even elderly members develop no signs of osteoarthritis. With
other families, by contrast , many members
find themselves affected by joint disease.
Even the diagnostics in this area are beset
with uncertainty. “Osteoarthritis can be
identified objectively on the basis of X-ray
Pictures: Werbefotografie Weiss, Bauerfeind
Prof. Dieter Kohn, Director of the orthopedic clinic and polyclinic at the Saarland University Hospital , Germany, talking to life magazine.
FOCUS
but those who play and train for five hours
a week and always tend to pick up knocks.”
The typical scenarios involve strains and
sprains. “It’s frightening how many cases I
see of men between 40 and 55 with severe
osteoarthritis of the knee, despite being in
good physical condition through sports-related training. They all tend to have played
a lot of sport during that physically active
period between the ages of 15 and 30.”
or MRI findings,” explains the physician,
“but the findings are not always associated
with symptoms. And vice versa!”
Although the extremely varied clinical
picture associated with osteoarthritis raises
many questions, there are a few hard facts
as well: we each walk around five million
steps every year, reckons the orthopedic
specialist. There can be no doubt that this
involves some wear and tear. The picture
is far less obvious for another causative
factor, although Professor Kohn believes its
effects can be serious: “We tend to underestimate the many small instances of trauma.
Think about footballers, not the top players,
orthosis as a case in point. He particularly
tends to use this for medial ligament tears.
“My experiences of this have only been
positive,” he points out. “As movement is
guided by the orthosis splints at the side, it
becomes possible to stabilize the joint.”
The problem: osteoarthritis reveals
few early symptoms
It is absolutely critical to take early measures
to counter osteoarthritis of the knee. ProfesPrevention – the earlier the better
sor Kohn is quite clear about this, from both
“If only I’d known...” is the reaction of many the physician’s and the patient’s perspecan (amateur) athlete when diagnosed with
tive. Instability or excessive strain, lack of
osteoarthritis. “I would advise any young
exercise or poor diet – all these factors need
athlete with what they believe to be a sprain, to be remedied. The trouble is that osteoarbruising, or strain injury to see a specialist.
thritis does not tend to hurt during the early
And I would advise my colleagues to take
stages. This makes education all the more
these seriously.” Professor Kohn has been
important. Osteoarthritis is synonymous with
“in the knee business”, as he calls it , since
extensive, poorly defined cartilage defects.
1982. He knows what he is talking about: “If Once the articular cartilage has been compatients are experiencing chronic symptoms pletely lost , the only remaining treatment
and an MRI following a ‘nothing injury’
option in many cases is resurfacing with
shows visible signs of damage, there will
an endoprosthesis. “We need to remember,
definitely be consequences. But the consehowever, that we still have a range of options
quences, which may not necessarily involve
before we get to this stage,” emphasizes
surgery, cannot be left to chance. They must Professor Kohn. For example, reconstructive
allow the injury to heal and adjust their
surgical procedures like repositioning operaactivity levels accordingly. There’s no point
tions can improve joint function and thereby
getting people fit again, by only dealing with delay the need to implant an endoprosthesis
the warning pain while ignoring the lesion
for resurfacing purposes. “Foot orthoses
and the stress involved. This would inevitaalso provide an effective means of relieving
bly mean progression from the preliminary
the stress on parts of joints,” says Professor
stages, through a period of wear, to eventual Kohn. “Before I decide that a joint prosthesis
osteoarthritis.”
is called for, I always check whether all opWith the knee, matters are complicated by
tions for keeping the natural joint have been
†
the high risk of injury to ligaments. “You
exhausted.”
often hear the term ‘isolated rupture of the
anterior cruciate ligament’ in this context ,
but this is misleading,” explains the expert
with some frustration. “The forces which
cause a ligament to tear are invariably sufficient to cause bony avulsions or cartilage
damage as well , no matter how small they
are. It’s nonsense to talk about an ‘isolated’
rupture,” he affirms. By implication, talk of
“isolated” treatment seems out of place too,
since the predominant type of dysfunction
is now instability. The orthopedic specialist
uses biomechanics to highlight the hidden risk of osteoarthritis associated with
instability: “If the knee loses a key ligament ,
the kinematics are completely out of kilter.
The stress on the cartilage increases with
SofTec Genu: Multifunctional orthosis for
every movement. Shearing forces cause tiny
stabilization of the knee.
new traumas to the cartilage with every step
that is taken. We need to eliminate these by
References:
restoring stability. The quicker the better.”
Hjelle, K., Solheim, E., Strand, T., Muri, R., Brittberg,
Orthoses can do a lot of good in such cases.
M.: Articular cartilage defects in 1,000 knee arthroscopies.
Arthroscopy 2002; 18: 730-734.
Professor Kohn cites the SofTec Genu knee
15
FOCUS
Higienópolis Health Center, São Paulo
Looking good on the beach –
and staying healthier too
Giant rainforests, heavenly coasts – Brazil is nature’s paradise, and it is increasingly
becoming a haven for sports enthusiasts too. The country is currently experiencing a real
fitness boom, and health centers, which offer orthopedic care as well as medical aids, fit
well into this exercise scheme. The treatments provided by Prof. Wagner Castropil also
follow an integrative concept.
with varying degrees of osteoarthritis often
come to him. One thing is of absolute
importance to the physician when dealing
with his knee patients: breaking through the
pain barrier or, as he calls it , the “continuous inhibition reflex”! “It is important to
understand,” he explains, “that pain hinders
everything. Happiness, motivation, quality of
life. And, above all else, movement. The body
cries out with every step: Stop, it hurts!” To
silence the great inhibitor, Prof. Castropil
prescribes many of his osteoarthritic patients the GenuTrain A3 knee support. The
3 As in the name stand for “Anti”, “Arthros”
and “Algos” (“against joint pain”). As a rule,
the physician prescribes the active support
to patients in the early to advanced stages
Pain – the great inhibitor
of osteoarthritis. “We encourage them to
Prof. Castropil treats patients of all ages,
put the support on immediately after they
including many people suffering from osteo- get up, and to wear it for two to four weeks,”
arthritis and even former Olympic judokas.
he recommends. He sees pain reduction and
He describes how 50- to 55-year-old patients strengthening of the muscles – particularly
the quadriceps – as the decisive factors.
This, he believes, prevents the “specter of
atrophy” from arising. “The result is that
patients often do not want to take off the
support at all any more after four weeks.”
This is understandable, if you consider that
the corresponding knee scores (IKDC) have
significantly improved, as demonstrated by
Prof. Castropil’s tests.
just the latest fitness boom that is responsible for the steep increase in patient numbers,
but also the clinic’s favorable location in
terms of transport links – a decisive factor
in a city known for its constant traffic jams.
In the land of the Sugarloaf mountain and
the Copacabana, the sea has a great deal of
attractive appeal. The same is true of health
centers in favorable locations. São Paulo is
notorious for its constant traffic jams. “It is
important for our patients to be able to get
to us quickly and easily,” says the physician.
The Higienópolis Health Center, which houses
the VITA clinic, is on the outskirts of the huge
metropolis of São Paulo, the third largest city
in the world.
Prof. Wagner Castropil checks whether the GenuTrain P3 fits correctly on his patient.
16
“Envelope of functions”
For minor osteoarthritis at stage 1, as well as
for knee complaints resulting from overstraining or instability, Prof. Castropil prefers
to recommend the GenuTrain P3 (“Permanent
Patella Protection”) active support to his
patients – to improve the guidance of the
patella. He stresses that it fits excellently
into the “envelope of functions” concept.
This approach to treatment originally comes
from the USA. The “envelope of functions”
Pictures: Bauerfeind Store Sao Paulo
More and more Brazilians want to take up
sports. With some of the world’s greatest
sporting events, such as the 2014 Football
World Cup and the 2016 Olympic Games, due
to be held on home soil , Brazil’s distinctive
enthusiasm for sport may give rise to more
work for people in medical professions, such
as the São Paulo-based orthopedic specialist Prof. Wagner Castropil , for example. The
specialist in sports medicine and his twenty
colleagues at the VITA clinic, the largest private orthopedic clinic in the city, treat around
5,000 patients per month. Prof. Castropil himself performs around 150 shoulder operations
and 200 knee operations each year, albeit in
cooperating hospitals rather than at the VITA
clinic. “People often just used to run once
around the block, but now they want to run
a marathon,” he says, describing the problem
of overambition, which can lead to injuries.
“Or they want to look good running along the
beach.” The physician believes that it is not
FOCUS
Prof. Wagner Castropil , specialist in sports medicine, performs around 150 shoulder and 200 knee operations each year.
is based on taking a holistic view of the
joints, which form seamlessly functioning
units in their “protective envelopes”. Under
physiological stress, the accompanying ligaments, tendons, muscles, cartilage and bones
perform their tasks without any problems.
External disruptions can, to a certain extent ,
be self-regulated within the “envelope”.
However, serious injuries, such as a torn
cruciate ligament , stop the “envelope of
functions” working properly. In the healing
phase, all efforts must be made to restore
this functionality to its former state.
Two floors down: Bauerfeind
“There are several options available to me for
trying to restore the status quo,” says Prof.
Castropil. “Depending on the specific case,
I can treat the cartilage with glucosamine,
inject hyaluronic acid into the joint , and I
can also prescribe the GenuTrain P3 to help
re-establish the ‘envelope of functions’.” He
prescribes the GenuTrain P3 for use during
physical activities only. Luckily for Prof.
Castropil’s patients in traffic-riddled São
Paulo, to get their GenuTrain A3 or GenuTrain
P3, they simply have to take the escalator
two floors down. This is because the only
Bauerfeind store currently set up in the
whole of South America is located directly
beneath the VITA clinic. The store was
opened at the end of March 2012. Housed
in a shopping arcade, the store covers over
50 square meters and sells supports and
orthoses, medical compression stockings and
orthopedic insoles. The Higienópolis Health
Center also houses other medical facilities,
such as a cardiology outpatient clinic, a
nutritional advice center, and dentistry and
physiotherapy practices. However, patients
still have some way to go to reach a certain
†
famous beach from here.
For further information please visit:
www.vita-org.br
17
MEDICAL
Pictures: picture alliance/Kerim Okten, Bauerfeind
Colombian triple jumper Caterine
Ibarguen attracted some curious
glances as she jumped her way
to a silver medal wearing a MyoTrain
thigh support.
18
MEDICAL
Summer Olympic Games London 2012
Making a strong impression
It was the event of the summer: the Olympic Games in London. With its very own team of
orthotists, Bauerfeind AG was on hand to provide medical care for all 10,500 athletes from
204 nations competing at the Games. Its supports, orthoses, medical compression stockings
and orthopedic orthoses came to the aid of athletes on more than 700 occasions.
These are moments we will never forget: the
Stratford. With two orthotists on duty per day,
stunning success of Usain Bolt , the jubilation the Bauerfeind team was on hand from 7.00
in the Olympic stadium as heptathlete Jessica am to 11.00 pm. The polyclinic was open to
all 16,000 or so people staying in the Olympic
Village in Stratford, with athletes from all over
the world coming along every day in search
of medical advice. Some of them also needed
Bauerfeind products, either because they
had injured themselves, an old problem had
flared up again or they were showing various
signs of overstraining. A variety of supports
Linda Stahl ,
and orthoses from the Bauerfeind product
javelin thrower,
range for the feet , knees, hips, spinal column,
bronze medal at
London 2012.
shoulders, hands, and elbows were supplied
for this purpose, as well as medical compression stockings and orthopedic orthoses.
“To be able to win a medal
at the Olympic Games,
everything has to be just
right – including the
medical care. Bauerfeind
provided me with very
reliable support.”
Ennis completed her lap of honor, or the
thrilling final of the men’s beach volleyball
competition. The athletes in London were
provided with the best conditions to deliver
top sporting performance – including a sophisticated medical care system. Bauerfeind
was involved in the Games once again in 2012
as a partner of the Olympic organizing committee: the company supplied products to the
three polyclinics in Stratford (main Olympic
Village), Eton Dorney (Olympic Village for the
rowing and canoeing events) and Weymouth
Portland (Olympic Village for the sailing competitions), as well as to all 35 event venues.
From July 16 to August 12, a total of eight
Bauerfeind employees from the UK, Germany
and the Netherlands worked in shifts at the
polyclinic in the main Olympic Village in
Hemke van
der Zwaag,
orthotist (CPO),
Bauerfeind Benelux.
“I was impressed by the
team spirit and the
positive atmosphere
in the polyclinic. The
athletes and staff at
the polyclinic were very
enthusiastic about
our services and our
fantastic products. It
was an honor to be part
of it all!”
Bauerfeind: an “exclusive supplier”
For this year’s summer games, the London
Organising Committee of the Olympic
Games and Paralympic Games (LOCOG)
invited tenders in a number of different
Dirk Schwager,
orthotist (CPO),
Bauerfeind Germany.
“There were so many
incredibly gratifying
moments. When athletes
came back, for example,
to tell us that a product
had worked and helped
them to get back up
and running. It’s a
great feeling to get
such positive feedback
from the athletes. We
didn’t have a single
complaint!”
categories. Bauerfeind participated in the
tendering process for the “braces” category,
along with 15 other companies from
around the world. “We were delighted to be
awarded the contract ,” said Chief Executive
Officer Prof. Hans B. Bauerfeind, “The
decisive factor that set Bauerfeind’s >>>
19
MEDICAL
>>> bid apart from the rest was the
outstanding quality of our supports and
orthoses. This is further proof that our
“Made in Germany” products are highly
rated at an international level.”
Working hand in hand
In order to provide athletes with the help
they needed, the Bauerfeind team worked
hand in hand with colleagues from other
departments, such as orthopedists. Once a
diagnosis had been made, the Bauerfeind orthotists used this as a basis for selecting the
right product , assessed what size of product
was required, and explained to the athletes
how the product works and how they should
put it on. The products, such as orthoses, were
also individually adjusted to fit if required.
Supports, orthoses, medical compression
stockings and orthopedic orthoses were supplied to athletes on more than 700 occasions
in total.
Elizabeth Crane,
Managing Director
Bauerfeind UK.
“Customers in the UK now
know that Bauerfeind is not
a small family company but
an international brand with
a vast amount of experience
and expertise in medical
products.”
Bauerfeind products in the spotlight
While the orthopedic support provided to athletes was generally not visible to spectators,
the Colombian triple jumper Caterine Ibarguen
attracted some curious glances as she jumped
her way to a silver medal wearing a MyoTrain
thigh support. The LumboTrain sported by
javelin thrower Linda Stahl , another medalist ,
could also be seen by observant spectators as
it showed through her top. “Supports for the
ankle, knee and back were in particularly high
demand,” said Lars Birnbaum, Head of Sport
Marketing at Bauerfeind. To make sure there
would be enough to go round, some 200 extra
products in various sizes were shipped in from
the company’s headquarters in Zeulenroda.
“We had more than 10,000 products here in
total , but in the last few days we naturally did
not want to have to turn any injured athletes
away because the size they needed was not in
stock. We managed to handle this perfectly,”
†
Lars Birnbaum added.
Interview
Health is the top priority
Interview with Dr. Bernd Wolfarth, Chief Physician for the German Olympic team.
You have already been involved in five Olympic
Games. What was it like for you in London?
PD Dr. Wolfarth: There is always something
particularly special about the Olympic
Games. It was certainly rather easier for us
to work in London than in Beijing, purely
because there was no language barrier. In
Beijing, we Europeans also had to cope with
the time difference, a different food culture
20
What were the most common medical
problems?
PD Dr. Wolfarth: Infections, as expected.
It is important to differentiate between
injuries, because there are a lot of simple
problems that can be treated directly by
physiotherapists and be brought under
control. Minor muscular injuries are the
most common. Fortunately, we rarely see any
serious injuries.
What goes through your mind when you have
to decide, from a medical perspective, how fit
an athlete is to compete?
PD Dr. Wolfarth: That is always a difficult
decision, especially in the case of athletes
involved in sports that only receive any
public attention perhaps once every four
years, at the Olympics. If an athlete is
working toward that one particular moment ,
and then an infection or a muscular injury
puts him out of action, it’s a personal tragedy
that affects you, too – there’s no question
about it. However, when it comes to making
decisions about an athlete’s fitness for sport
or competition, the athlete’s health is always
†
our top priority!
Pictures: headshot-soho.co.uk, Bauerfeind, Bauerfeind Benelux/Ridderhof
Priv.-Doz. Dr. med.
Bernd Wolfarth.
and a different climate. The equipment at the
polyclinic in the Olympic Village once again
left virtually nothing to be desired, and our
cooperation with the Bauerfeind team on
orthopedic care was excellent. Bauerfeind
has also been involved in the polyclinics
since the Winter Olympics in Vancouver –
which is an ideal situation for us. Whenever
we needed anything, we could get hold of
just the right product via the short official
channels.
MEDICAL
25 years of Bauerfeind Benelux
On the way to gold
On September 7, 2012, Bauerfeind Benelux welcomed guests to a symposium and
gala evening to celebrate a very special occasion: the company’s 25th – or “silver” –
anniversary. Guests came from all over the world to attend the event in Haarlem.
Sparkling atmosphere at the gala evening.
Prof. Hans B. Bauerfeind (left) came to celebrate the 25th anniversary with Bram Dieleman.
Welcoming the guests of the jubilee.
After the Austrian, US, Swiss and French
companies, Benelux was the fifth subsidiary
established abroad by Bauerfeind AG in the
1980s. When Bram Dieleman took over the
management of the company on August
1, 1987, there were just five Bauerfeind
orthopedic products and one variety of compression stockings available in the Benelux
region. Now the entire product range is on
offer and the company is leading the orthopedics and phlebology market in Benelux.
Reliable partner
An enthusiastic skater, cyclist , skier and
golfer, Bram Dieleman likes to draw comparisons between the company and elite
athletes: they are always trying to raise the
bar a little higher. But they can’t do this
alone. Success always depends on having
support , a good team and reliable partners.
To thank its partners, in particular, for their
good cooperation, Bauerfeind Benelux invited them to a symposium entitled “On the
way to gold” on September 7. The theme of
the event was the future of healthcare and
medical supply. The guest speakers included
Prof. C. Niek van Dijk (AMC Amsterdam),
Prof. H. A. Martino Neumann (Erasmus
Medical Center, Rotterdam), Johan de Wit
(CVZ), Prof. Dr. Jan Willem Velthuijsen
(PriceWaterhouseCoopers), Jan Schutrups
(Schutrups, Exloo) and Prof. Hans B.
Bauerfeind. The audience came from all
over the world to gather in Haarlem, where
they enjoyed the sincere Dutch hospitality and the glamorous atmosphere of the
event , which was held in a large marquee.
The anniversary celebrations finished on
a successful note, with music, acrobatic
performances and plenty of interesting
†
conversation.
Manager, motivator and initiator
Bram Dieleman leads the 35-strong team
of employees at Bauerfeind Benelux with
plenty of dedication and commitment.
“He is a manager, motivator and initiator all rolled into one,” said Prof. Hans B.
Bauerfeind, full of praise in his speech at
the event. He also reflected on the rapid
growth enjoyed by Bauerfeind Benelux,
which has led to a few relocations over the
past 25 years! The subsidiary was initially
based in Tegelen, near Venlo, before setting up office in Haarlem. By 1993, these
premises once again proved too cramped, so
Bauerfeind constructed its very own, larger
building in Holland for the first time. “It
was very daunting, as in 1994 – soon after
we moved in – the reimbursement for the
GenuTrain knee support was abolished,”
recalls Prof. Bauerfeind, “Yet in spite of the
difficult market conditions, the company
was still able to pay the mortgage and
Bauerfeind Benelux continued to grow.”
The company had grown out of its premises
again by 2003, so it moved into its current
offices located just 400 meters away.
The Bauerfeind office in Haarlem.
A chance to mingle after the symposium.
21
MEDICAL
Science and practice
The foot as an interface
‘I would like the term shin splints to be banned – there should be a law against it!’
Daily Mail , 1.6.2012. Marathon man, Dr. Nat Padhiar has a dislike of the term shin
splints and passion for exercise induced leg pain (EILP) in sport.
Shin splints – a dinosaur term
Where do you start? “With the leg, of course!”
Dr. Nat Padhiar has devoted the last 20 years
of his career to researching different causes
of EILP in sport and has completed a PhD
investigating various aspects of Chronic
Exertional Compartment Syndrome (CECS).
Dr. Padhiar clarifies in his interview with
Bauerfeind life that shin splints is an umbrella term describing a number of conditions
that cause EILP that can be associated with
more than 35 different conditions. Each of
these conditions requires a detailed history
and objective investigations to make a specific diagnosis in order to provide appropriate Dr. Nat Padhiar, Consultant Podiatric Surgeon at the Royal Hospital London.
22
Pictures: www.headshot-soho.co.uk
He is extremely proud, though not of himself
even though he has very good reason to be:
Consultant Podiatric Surgeon at the Royal
Hospital London, Fellow of the Faculty of
Podiatric Surgery at the College of Podiatrists, Honorary Reader in the Centre
for Sports and Exercise Medicine (CSEM),
William Harvey Research Institute, Queen
Mary, University of London and Clinical Lead
for Podiatry at The London 2012 Olympic &
Paralympic Games, the list is endless. But it
is his children, rather than himself, who is
the source of his pride – his son Ciaran aged
15 years recently won his school’s annual
Golf tournament. His proud father smiles
and says, “Sport is very important in our
family, it is important not only for health
and fitness, but also for things like team
spirit , leadership and discipline” and Dr. Nat
Padhiar should know. He has completed 34
marathons and over 150 half marathons with
two of the marathons on Mount Everest –
from Gorak Shep (5164m) which is very near
to Base Camp (5364m) to Namche Bazaar
(3750m). “I have been running my whole
life.” Tennis and cricket are among his other
passions. And as a member of a medical
team, he has also provided support at the
World Student Games, Commonwealth Games,
Island Games (Guernsey), Everest Marathon,
Mongolia Sunrise to Sunset Marathon, London Marathon and London Triathlon.
MEDICAL
and effective treatment. As an expert in the
field based at his private clinic which he has
named after his mentor and friend, The John
King Centre for Leg Pain at BMI London Independent Hospital , he estimates that the use
of the term shin splints is resulting in half of
EILP cases being misdiagnosed.
term benefit & prevention (core stability
etc.) and rehabilitation back to sport”.
Dynamic, just like life itself
The fact that , for Dr. Padhiar, the foot or the
lower extremity also forms the interface be-
the intra-compartment pressure both at
rest and during exercise. He stresses the
importance of collecting dynamic data with
pressure tracing which allows for objective
and meaningful evaluation of the results. He
is very critical of the static systems widely
Science and practice
Evidence-based practice: audit and research
are an important and integral part of his
practice. As a Reader in CSEM, Dr. Padhiar
has supervised well over 200 research
projects, published numerous papers, coauthored a chapter in a book and has a foot
condition named after him, Crisp-Padhiar
Syndrome. One of his current research
projects is a prospective study looking at
the effectiveness of Prolotherapy in Medial
Tibial Stress Syndrome in combination with
Bauerfeind VenoTrain compression stockings,
where he explains ‘Prof Hargen’s study has
shown that compression improves microcirculation and thus aids healing’.
Breaking the vicious cycle
Changing the subject to foot and ankle
injuries in sport and the sort of conditions
he is likely to encounter at the forthcoming
London 2012 Olympic & Paralympic Games,
he explains firstly the biomechanics of
the foot and how it affects the lower limb
kinetic chain. “The foot is the interface
between the ground and the body. ‘Normal’
relationships between body segments are
a pre-requisite for ‘normal’ function. Any
significant deviation in position, structure
or function may lead to abnormal compensation. This is change in position, structure of
a part as a consequence of abnormality. This
usually leads to mistiming of joint motion
in the gait cycle, misalignment of joint , altered angle of muscle function and reduced
capacity to withstand forces acting on that
part. He gives an example, “An overpronated
foot , for example, could be one of the causes
of patella-femoral knee pain.”
His approach to management appears to
be quite simple, “Make a diagnosis (good
history), define the severity of the problem
(imaging and investigations), reduce the
pathology and pain (oral medication, injections & surgery), strengthen and stabilize
(foot orthoses, braces & physiotherapy),
reduce the pre-disposing factors for long
Kerrie-Ann Craddock (right) suffers from chronic compartment syndrome in her lower leg.
Using a cannula, Dr. Padhiar inserts a sensor into the tissue to measure the local pressure.
tween science and practice is demonstrated
by him as he examines Kerrie-Ann Craddock,
the rugby player from London Saracens RFC
who suffers from chronic exertional compartment syndrome of the lower leg. Using a
16g cannula, Dr. Padhiar inserts a Rorabeck
catheter linked to a pressure transducer
into the affected compartments to measure
used in Sports Medicine. Dr. Padhiar is again
very proud of his Dynamic Intra-compartment Pressure testing system in The John
King Centre which he partly developed himself with the help of a bright physicist , Tahir
Mahmood. “It works just like life itself – and
like Bauerfeind with its active orthoses,” he
†
says with a smile: “dynamically.”
For further information
about Dr. Nat Padhiar and the BMI London Independent Hospital:
www.londonsportscare.co.uk
www.bmihealthcare.co.uk/lih
23
MEDICAL
SofTec Coxa
Innovative treatment of hip pain
With the number of hip arthroscopies projected to double by 2013*, it is important that
orthopedic surgeons employ post-operative treatment plans that increase patient compliance. Orthopedic surgeon Dr. Allston Stubbs evaluates approximately 1,500 patients per
year and performs arthroscopic hip surgery on an average of 24 patients per month. Using
Bauerfeind’s active hip orthosis SofTec Coxa as part of his post-operative treatment plan,
he finds higher patient compliance and satisfaction.
How do you utilize Bauerfeind active orthoses
as part of your protocols?
Dr. Stubbs: We use the SofTec Coxa hip brace
as a primarily post-operative orthosis. This
Bauerfeind brace assists our patients by providing controlled range of motion, lumbopelvic support and lateral impact protection in
the event of a collision or fall.
How common is sports-related hip pain?
Dr. Stubbs: Sports-related hip pain is a
common problem affecting a variety of ages
and ability levels. The true prevalence is
not known, but in my clinic our average age
is about 30 years old, with women being
slightly more affected than men.
What common indications related to hip pain
do you see on a regular basis at your clinic?
Dr. Stubbs: My clinic primarily evaluates and
treats patients with sports medicine-related
hip conditions. It may be as self-limiting as
a muscle strain or more involved, such as a
cartilage tear. We do see hip arthritis as well ,
but along a spectrum of the earliest stages
to more progressed arthritis. Athletes with
common cases of cartilage tears, such as
femoroacetabular impingement , are evaluated and counseled on treatment options and
their return to sport.
Who is your typical patient?
Dr. Stubbs: Our typical patient is active
and passionate about life. Most patients are
athletic in some capacity for fitness, as the
weekend warrior, and collegiate and professional athletes. Men and women are both
affected. Our age range is typically 12 to 70
years of age.
24
You have tried other products. What makes the
Bauerfeind product different , and why did you
select its use over the others?
Dr. Stubbs: We were having problems with
patient compliance with the other hip supports we were using. We found that patient
satisfaction and compliance was higher using
the SofTec Coxa. Its ease of use, appropriate fitting, comfort , and being a four-season
brace gave the patient confidence.
Dr. Stubbs – Clinical study
Dr. Allston Stubbs is Medical Director of
Hip Arthroscopy for Wake Forest Baptist
Health and Wake Forest University School
of Medicine, and assistant professor in the
Sports Medicine Program of the Department of Orthopaedic Surgery at Wake
Forest University in Winston-Salem, North
Carolina. An expert in hip arthroscopy,
he has published orthopedic research,
created instructional videos and lectured
at conferences within the United States
and abroad. As an active researcher,
Dr. Stubbs is currently working with
Bauerfeind on a clinical study involving
the biomechanics of hip bracing. Results
of the two-year-study are expected the
summer of 2013. Understanding the
biomechanical function of sports hip
orthoses and its implicit effect on therapeutic post-operative recovery can help
in improving the overall outcomes following hip arthroscopy procedures.
What features and benefits are most important in use of the SofTec Coxa?
Dr. Stubbs: We value patient satisfaction the
most in our use of the SofTec Coxa hip brace.
We feel the basis of high patient satisfaction
relies on a brace that is well made of high
quality materials, provides a “customized”
feel and effectively transitions the patient
“The design of the SofTec Coxa
allows each patient to feel as
if they have a personalized orthosis.”
(Dr. Allston Stubbs)
from the immediate post-operative period to
the return to full activity.
How does the design of the SofTec Coxa allow
you to enhance patient treatment?
Dr. Stubbs: The design of the SofTec Coxa
allows each patient to feel as if they have a
personalized orthosis. Most importantly, the
fit of the brace can be adjusted throughout
Pictures: Nick Greenway
How has the treatment of hip pain changed in
the last 15 years?
Dr. Stubbs: Over the last 15 years, the
treatment of hip pain has changed relative
to a better understanding of the causes of
hip pain and diagnostic tools. Also, a better
awareness by medical providers and athletic
trainers improved diagnostic capabilities.
Highly-informed patients, utilizing tools now
commonly found on the internet , are better
able to direct their health care professionals
to proper hip pain diagnosis and treatment.
MEDICAL
Orthopedic surgeon Dr. Allston Stubbs explains to his patient how to use the SofTec Coxa.
the post-operative period. Further, the range
of motion of the brace can be adapted to
the patient’s needs and requirements. These
qualities ensure a high patient compliance
rate over the course of treatment.
Where do you see the future of arthroscopic
procedures. The SofTec Coxa is a valuable
hip treatment , and where do you see the role
addition to our patient treatment program,
of active orthoses such as the SofTec Coxa in
and we’re excited to use it. Our patients are
†
the future?
very pleased as well.
Dr. Stubbs: Arthroscopic hip treatment
continues to evolve as one treatment option
Most hip braces on the market are used for an for patients with hip pain. Orthoses such
average of 10 days. How long do your patients as the SofTec Coxa will continue to evolve
* The Journal of the American Academy of Orthopaedic
Surgeons, June 2012, Volume 6, Number 6.
wear the SofTec Coxa for?
with the advent of new techniques and
Dr. Stubbs: The majority of our patients use
the brace for six weeks. We encourage patients
to use it whenever they find it appropriate as
For further information please contact:
they return to their favorite activities.
Bauerfeind USA (address, page 39)
25
MEDICAL
AVE Orthopedische Klinieken, Huizen, the Netherlands
“We have a face”
Independent treatment centers are a specialty of the Netherlands. Their focus is on providing
immediate and efficient care for patients. With orthopedic problems in particular, the centers
are able to make use of the advantages they have over public hospitals and private clinics.
The knee orthosis SecuTec Genu.
26
cated hip operations in ASA III patients are
well taken care of by the hospitals, but we
can complete a knee arthroscopy in healthy
patients within fifteen minutes. That saves
both time and money.”
But money is not everything, and the physician knows that too. “We are approachable,
people can come to us,” he says. “They can
Patients don’t want to feel ill
call us, send us an e-mail or come in and see
The AVE Orthopedische Klinieken, with their us. We have a face!”
headquarters in Huizen, have several sites
Anonymity in hospitals, the resulting unpopin the Netherlands. The one in Almere is
ularity, immense cost increases – all of these
an important branch. Situated around 20
factors were reasons for founding the ZBCs.
kilometers east of the gates of Amsterdam is Efficiency, high quality and flexibility is the
a city with symbolic significance: Almere is
motto here. Direct partnerships and costthe fastest-growing city in the Netherlands. saving collaborations are designed to help
“Where you are now sitting was under water
both the system and the patients equally. For
30 years ago,” Arno van Lieshout explains. In example, AVE Orthopedische Klinieken work
a huge land reclamation project , the ground closely with regional hospitals and also with
on which Almere stands today was reclaimed local medical supply retailers and physiofrom the Zuiderzeethe neighboring Lake
therapists.
Ijseel. According to the physician, the city’s
Coherence of resources
200,000, predominantly young inhabitants
Working collaboratively, it is important to
appreciate new structures – even in the
Arno van Lieshout and his colleages that
healthcare system. “We often see young
support is provided in the places where it
sportsmen and women who have injured
themselves,” he says, describing his main cli- is needed most. That may be on site at a
entele. “They don’t feel ill and don’t want to rented hospital bed or on AVE premises.
The same applies where medical products
be treated as people who are ill. They come
to us because it is our job to solve problems are concerned: “With active supports and
knee orthoses, I can rely on the team at
– and to solve them as quickly as possible.”
Bauerfeind,” says the physician. Admittedly
People often come to AVE for a second
he needs the medical aid itself – such as the
opinion. And in many cases, the patient
SecuTec Genu knee orthosis, used to provide
then stays with the AVE. “Just this morning
security following the fitting of artificial
a patient came to me after a tibia correccruciate ligaments – more than its bearer.
tion to ask when would be the best time to
But there is personal contact involved, for
remove the plate,” says Arno van Lieshout ,
example with Edwin Mosterd, Sales Manager
describing a particular case. “He had lost
confidence in the other physicians after they of Bauerfeind Netherlands, who symbolizes
all AVE activities: immediate, quick, and
had damaged a nerve during the operation.
effective. And there is another medical aid in
Now we will continue his treatment.”
the Bauerfeind range that is ideal here. The
An “approachable” physician
GenuTrain, for example, the active support
Continuing treatment that others are unwill- for the knee, fulfills the requirements that
ing or unable to carry out is one thing, but
the orthopedic clinic demands of itself:
working with colleagues from the hospitals is “The support provides security in cases of
another – and it is much more common. “It
knee instability,” says Arno van Lieshout.
is never the case that we can do everything
“Security – that is exactly what we aim to
†
better,” the physician concedes. “Compliprovide at AVE.”
a ZBC. They are not private clinics, however.
Just like other medical service providers,
they are recognized by hospitals. Typically
for an independent treatment center, facilities such as operating theaters are rented, or
x-ray examinations are bought in and used
for providing their own services.
Pictures: Stefan Durstewitz, Bauerfeind
If you are visiting Arno van Lieshout at his
place of work, you will be met with a surprising sight: no automatic doors, no long corridors, no stethoscope in his jacket pocket.
The physician greets visitors in the very
place where he welcomes his patients: at a
large wooden desk in a well-lit office. An examination couch, medical posters and a knee
prosthesis are the only things that remind
visitors they are in a hospital. This is deliberate. “We don’t have a hospital atmosphere,”
says the orthopedic surgeon. “The patients
like it that way. And so do we.”
Arno van Lieshout works together with three
other orthopedic specialists at the AVE
Orthopedische Klinieken (AVE Orthopedic
Clinics) – a so-called ‘ZBC’. The acronym
stands for ‘Zelfstandig Behandel Centrum’ –
an independent treatment center, which are
common in the Netherlands. These centers
started to appear in the 1980s. Alongside
the public hospitals and private clinics,
they form an important pillar of the Dutch
healthcare system. There are now around 200
of these small , independent clinics spread
all over the country. Thanks to their flexible
structures, in most cases the ZBCs are able
to treat patients more quickly and more effectively than larger hospitals. Even just the
partnership of two specialists can constitute
MEDICAL
Orthopedic specialist Arno
van Lieshout works at the
AVE Orthopedische Klinieken,
Huizen.
www.ave-orthopedischeklinieken.nl
See page 39 for contact information for Bauerfeind Benelux.
27
MEDICAL
Stuntwoman’s Promising Career Saved by MalleoTrain S
Air Born
Picture: private
Tally Rodin – model , acrobatic dancer, gymnast , stuntwoman
– is not your typical teen. At 18 she has already planned
her professional career, one that includes moving from
Stouffville, Ontario, to Hollywood, California, to become a top
notch stuntwoman. It is an unusual profession to be sure,
but one that seems to suit the ambitious and multi-talented
athlete. “Doing stunts is exhilarating,” said Tally. “It all feels
very natural to me.” A Bauerfeind brace helped to save her
career.
>>>
28
MEDICAL
Tally Rodin doing a handstand during a contemporary solo.
29
MEDICAL
tendon of her right ankle. It was her first
injury. As fate would have it , just a week
later she had a trip booked to Los Angeles to
participate in an intensive dance workshop.
Once she could walk, though still in pain, she
went straight to the studio and took out al-
“It fits perfectly and worked
unlike any other product I
previously tried.”
(Tally Rodin)
most everything that involved her right foot.
At the competition, she froze her ankle with
a gel and competed on it. She admitted it
was the worst decision she ever made.
“I then bought the cheap braces you get at
a pharmacy, wore those in LA and just sat
out when my ankle was in too much pain
to handle. Other than that , I was using the
R.I.C.E. technique (Rest , Ice, Compression,
Elevation) as much as possible,” she said.
“The MalleoTrain S was my life saver”
But her ankle wasn’t healing. Tally’s father,
>>> Already an accomplished professional
Harley, went online to find a brace that could
pop. I collapsed to the ground. Right away
with gigs in her portfolio like dancing,
support his daughter’s ankle and help it
I couldn’t walk. I thought , ‘Oh, my God,
modeling and performing as a stuntwoman
heal. He discovered the Bauerfeind website
my foot’s broken.’ I was only 16 and had
in a Sunny D TV and internet commercial ,
already started my career by teaching dance, and the MalleoTrain S compression brace. A
Tally’s love of the art of movement began
local podiatrist confirmed that the support it
gymnastics, and being a stunt person. I was
at a very early age. “I didn’t want to be
provided was just what Tally needed.
devastated,” she recalled.
left behind when my seven-year-old sister
Tally had a micro tear in the tibialis posterior “After using the product , I was very happy. It
Samantha took dance lessons, so when I was
gave me a lot of relief, and every time it was
two, I asked my parents to sign me up. But
on I stopped worrying about re-injuring my
it wasn’t until I turned two and a half that
ankle,” said Tally.
I was finally old enough to begin lessons,”
It has been two long years since her injury,
said Tally. She was unstoppable from that
but Tally is recovering. Along with wearmoment on.
ing the MalleoTrain S, undergoing physioDance and gymnastics soon became a
therapy and one PRP injection (Platelet Rich
routine part of her after-school day, and as
Plasma), her professional days are looking
a teen, she spent from 3 to 10 pm every day
brighter. She was back into her full training
in the gym and studio. Her accomplishments
schedule at the end of July.
out of the studio, including amateur and pro“I thought my acrobatic dancing and profesfessional dance, acting, martial arts, stunts
sional stunt work career was over,” said Tally.
and modeling for film, television and stage
“The MalleoTrain S* was my life saver beproductions, led to her becoming something
cause it provided the ankle support I needed
of a celebrity in her community.
to continue my extensive training program,
and it allowed my ankle to heal. It fits perAnkle injury
fectly and worked unlike any other product
But Tally’s hard work all came crashing down
I previously tried. I’m looking forward to
two years ago. “I was practicing around
returning to my peak performance level , and
my home on the grass when I landed a full
I have incredible respect for the MalleoTrain
†
Tally Rodin, dancer and stunt woman from
back layout with 360 spin. I landed too
S for saving my career.”
Canada.
far forward and felt and heard a snap or
www.tallyrodin.com
30
*Bauerfeind worked with Tally Rodin to produce a neutralcolored MalleoTrain S especially for her that she could wear
in competition. The company is now further developing this
version for use by athletes who participate in martial arts,
dance and gymnastics.
Picture: Lee Cherry, Bauerfeind, Wolfgang Maxwitat
MalleoTrain S: Active support for greater ankle stability and security during physical activity.
MEDICAL
Recognition for Prof. Waldemar L. Olszewski
“Appreciation for an underestimated
specialist field”
Prof. Waldemar L. Olszewski is to be awarded the Ratschow Memorial Medal for his life’s work,
at the annual conference of the Deutsche Gesellschaft für Phlebologie (German Society of
Phlebology) on September 21, 2012. With his work over the decades, Prof. Olszewski has made
a significant contribution to the field of lymphology.
The Ratschow
Memorial Medal
The Curatorium Internationalis Angiologiae has
awarded the Ratschow
Commemorative Medal
every year since 1969. The
medal recognizes particularly deserving scientists
from the field of vascular
medicine and associated
disciplines for their life’s
work. For many years
Bauerfeind AG has been a
patron of the foundation
awarding the medal.
Dr. Hans-Jürgen Thomä,
Bauerfeind, Prof. Dr. Dr. h.c.
Kurt-Udo Tiedjen, award
winner Prof. Dr. Waldemar
L. Olszewski and Prof. Dr.
Eberhard Rabe (f. l. t. r.).
The particular interest Prof. Waldemar L. Olszewski has shown in the human lymph system
and everything connected with it dates back
to the start of his medical studies. “The textbooks contained plenty of information about
the circulation of the blood, but nothing
about what goes on in the interstitial space,”
recalls Prof. Olszewski, who is currently a
professor at the Medical Research Center of
the Polish Academy of Sciences in Warsaw.
“What happens there? How does the intercellular fluid from tissue find its way back into
the circulatory system, and what are the forces
driving this fluid? These questions bothered
me. Not to mention the unresolved questions
about the chemistry of lymph. This is how I
later became concerned with disorders of the
lymphatic system, particularly lymphedemas.”
Basic research
Over the following decades, the physiology and surgery of the lymphatic system
became one of Prof. Olszewski’s main areas
of scientific and clinical interest. Numerous
groundbreaking discoveries in lymphology
can be traced back to him. For example, he
made the discovery that the human lymph
system is subject to spontaneous, rhythmic
contractions. Prof. Olszewski also developed
the procedure for lymphovenous anastomosis
and conducted research into the chemistry
of human lymph, as well as into the hydraulic
contractility of subcutaneous tissue.
Even the policy of administering low-dose
penicillin over long periods, now practiced
with great success in a number of Asian
countries, to help prevent chronic derma-
titis and lymphangitis was inspired by him
and his work on the bacteriology of human
lymph.
“Lymphological research is actually more of
a hobby of mine, albeit one I am really enthusiastic about ,” explains Prof. Olszewski,
in spite of these various successes. “Vascular surgery is my bread and butter.”
And on this point he voices his fundamental
criticism: “The world of academic science
has totally underestimated the field of
lymphology. This is gradually starting to
change. As such, I feel that being recognized with the Ratschow Medal is not just
a great personal honor, but also shows
significant appreciation of a specialist field
that has often failed to get the recognition
†
it deserves.”
31
MEDICAL
Winter sport injuries
Stabilization, movement and healing
Fast , faster, fastest. In skiing, continuously enhanced materials, well-prepared slopes
and artificial snow all help fulfill this need for speed. These factors may not bring injury
statistics down to zero, but medical treatment options have also been developed further.
Bauerfeind life discussed this topic with Dr. Gerhard Oberthaler, a trauma surgeon and
team physician for the Austrian Ski Association.
You provide support for the players in the Red
Bull Salzburg ice hockey team, along with
Ludwig Paischer, a successful international
judoka, and the athletes of the Austrian Ski
Association. What are the particular challenges facing a team physician when it comes
to winter sports?
thus increasing the chance of accidents at
higher speeds.
So what are the most common winter sport
injuries?
Dr. Gerhard Oberthaler: Trivial injuries
like sprains, bruises, torn muscle fibers or
sprains are the most notable ones. Naturally,
we also see serious injuries to joints and
ligaments or even broken bones. The higher
the speed at which the accident or collision
takes place, the more likely it is that serious
injuries will occur, such as fractures in the
thighs, spine and hips.
Are there different types of injuries in Alpine
skiing and snowboarding?
Dr. Gerhard Oberthaler: Yes, completely different. Alpine skiers are more likely to injure
their knees or shins, while snowboarders’
vulnerable points are their wrists and arms.
This also explains why, in terms of statistics,
knee injuries are the most common injuries
in winter sports, but injuries to hands and
arms combined occur almost as frequently.
Is it possible to identify a trend in this regard
over the years?
Dr. Gerhard Oberthaler: With the changes
Dr. Gerhard Oberthaler: Naturally, I have
to be able to ski safely myself, so I can get
to equipment and technical possibilities,
medical supplies to injured skiers on difficult there has also been a shift in terms of injuand icy slopes quickly and safely.
ries. Take ski boots, for example: previously,
the leverage forces acting on the edge of the
Are there fundamental differences between
ski boots often led to fractures in the tibia,
the injuries suffered by novice skiers and
particularly what are known as boot-top
professionals?
fractures. Over the years, ski boots have been
Dr. Gerhard Oberthaler: You might assume
cut higher and higher to transfer the force
that professional athletes ski faster and are
more effectively to the ski. This has shifted
more willing to take risks, meaning that they injuries upward, from the lower leg toward
are more likely to suffer more serious injuries the knee. Too much pressure on the skier
than amateur skiers. However, amateurs
during skiing can therefore cause tears in
often misjudge their own abilities, which can the cruciate ligaments, even without a fall.
result in accidents both on- and off-piste.
Has your work as a trauma surgeon also
Better slope preparation and the use of
changed?
artificial snow also encourage faster skiing,
Dr. Gerhard Oberthaler.
32
Dr. Gerhard Oberthaler: Medicine has naturally developed enormously over the past
20 years. We now have more refined surgical
technology and better, that is to say more
conservative, medical aids and therapies
at our disposal. Today, many operations are
performed as non-invasively as possible by
MEDICAL
in this case. Previously, the patient would
have been given a plaster cast , which would
have been very restrictive in terms of daily
life. It would be five weeks at the earliest
before rehabilitation could begin, after the
plaster cast was removed. Today, by contrast ,
patients’ symptoms can be completely eradicated after just five weeks. This is partly due
to the use of stabilizing orthoses.
What does this mean in concrete terms?
Dr. Gerhard Oberthaler: Let’s take the
“classic” hand injury, skier’s thumb, as an example. This is a tear in the first metacarpophalangeal joint , and surgery is unavoidable
Could you explain how they are used in more
detail?
Dr. Gerhard Oberthaler: Metal or bioresorbable implants now ensure that joints
are stabilized directly after an operation,
with orthoses providing additional support. Although using a thumb orthosis such
as RhizoLoc reduces mobility in the first
metacarpophalangeal joint , it speeds up the
healing process. The reason for this is that
the movement of the joint can be controlled,
which has a positive effect on the metabolism, improving the blood supply to the joint
so that it can regain its functionality more
easily. Orthoses are also extremely useful
for treating strains and supporting muscles.
Patients enjoy a better quality of everyday
life right from the start as, in contrast to
a plaster cast , orthoses can be temporarily
†
removed for washing.
Snowboarders’ vulnerable points
are their wrists and arms.
Pictures: private, f1online/Imagebroker RM
means of keyhole surgery. In terms of the
knee, for example, arthroscopic surgery can
be performed on a meniscus or cruciate
ligament injury. Previously, far more injuries
were treated using plaster casts, a method
which brought with it a number of disadvantages. With the use of metal implants, i.e.
screws, plates, etc., we can achieve faster
rehabilitation.
33
MEDICAL
Lymphedema treatment in Australia
“Treatment from an early stage
is essential”
The ALA (Australasian Lymphology Association) is the peak professional body promoting best
practice in the management , research and education of lymphoedema and works towards
increasing public awareness of the condition throughout Australia and New Zealand.
“Australia is a very large country geographically, with only 22 million people, and the
healthcare system is governed individually
by each of the seven states and territories.
There are differences for people accessing
lymphedema treatment and financial support
in each state,” explains Penelope Sanderson,
who has served as President of the association over the past two years.
The ALA was established in 2000, after a
thorough preparation phase, to ensure that
34
lymphology gains the important status it deserves and the recognition it requires across
Australia. Bauerfeind supports the work of
the ALA as a Corporate Member..
Extensive campaigning
As the leading association of all professionals involved in the field of lymphology
throughout Australia and New Zealand, the
ALA is working toward a number of initiatives designed to boost training, manage-
ment and research in this area. Two years
ago, for example, the ALA introduced the
National Lymphoedema Practitioners Register (NLPR), a publicly accessible website
register of lymphedema practitioners who
have been accredited in accordance with
the requirements of the ALA. “This is an
important step toward building a network
of therapists,” Penelope Sanderson is keen
to stress, “which enables both patients and
healthcare professionals to get in touch with
Penelope Sanderson, Manager of the Mercy Health Lymphoedema Clinic in Melbourne, Victoria, with one of her young patients.
MEDICAL
the experts who are qualified to deal with
their requirements.” The ALA also has a key
role to play in raising public awareness of
the crucial importance of diagnosing and
treating lymphedema at an early stage. “This
was part of our highly successful inaugural
Lymphoedema Awareness Campaign in 2012,
which received extensive coverage in the
media – both on television and in the local
and national press – as well as on our own
Facebook page,” says Penelope Sanderson.
“The essential points were to provide the
public with information about the first
warning signs of lymphedema and about how
important it is to start treatment early, to
prevent the condition from progressing.”
Financial support program
For those affected by lymphedema, however,
early treatment by lymphedema practitioners
is only the first step. In the next stage, as
part of their therapy, they may also need to
wear compression products that they can rely
on. Due to the nature of their design, these
compression products only have a limited
serviceable life, which means that they must
be replaced every six months on average.
Penelope Sanderson, who is Manager of the
Mercy Health Lymphoedema Clinic in Melbourne, Victoria, heads up a multidisciplinary
team specializing in treating lymphedema
patients. “Here at the Mercy Health Lymphoedema Clinic, we often found that , while
patients were certainly willing to undergo
treatment , they could not afford the costs of
compression products on a long-term basis,”
says Penelope. “ Together with our patients
and the Lymphoedema Association of Victoria (consumer group) we lobbied the government to set up a fund to finance the costs
of compression products for lymphedema
treatment. We had to apply a bit of pressure
before the government eventually decided,
after the completion of a pilot scheme, to
provide long-term financing for such a fund.
The result is the Lymphoedema Compression
Garment Program (LCGP) set up to address
the issues for patients on low incomes to
receive financial assistance for compression
stockings.”
It is important that the funding is used to
promote effective and targeted therapy.
Products endorsed by the LCGP therefore have
Lymphatic compression
treatment in Australia
Bauerfeind has been established in the
Australian market for almost five years
and in this time has worked closely
with the LCGP. The VenoTrain curaflow
product range has been widely used and
been approved to provide patients with
high-quality custom-made lymphatic
treatment. The strong, finely meshed knit
of these garments combines excellent
elasticity with optimally controlled surface pressure. Thanks to its high microfiber content , latex-free materials and
special comfort zones, VenoTrain curaflow
sets new standards in patient-friendly
lymphatic therapy.
to fulfill certain criteria. They must be shown
to exert controlled pressure in accordance
with the RAL quality assurance standards, for
example. Their quality also has to be verified
in accordance with the Oeko-Tex Standard
100 or an equivalent standard. Lymphedema
patients who reside permanently in the state
of Victoria and receive a pension or only a
low income are eligible for financial support
from the program. Depending on a number of
factors, the LCGP covers part of the costs of
the compression products.
Children as lymphatic patients
In her work, Penelope Sanderson focuses
particular attention on lymphological
treatment for children. “In recent years,
more and more children and young people
have come to us with lymphatic problems.
In numerical terms, they still don’t make up
a large proportion of our patients, but these
VenoTrain curaflow
young people have to undergo treatment for
the rest of their lives,” she says, outlining
the situation. “That’s why it is important
for treatment to begin at an early stage,
and for the children and their families to
be provided with training and support in
“ It is important that the funding
is used to promote effective and
targeted therapy.”
(Penelope Sanderson)
handling compression products. Those
affected are often completely overwhelmed
at first when they find out that this is a
chronic condition. Here at the clinic, we
provide psychological support , as well as
advising families on how to deal with a
healthcare system that is sometimes far
†
from straightforward.”
www.lymphology.asn.au (ALA website)
www.nlpr.asn.au (NLPR website)
MAS Medical , the exclusive Bauerfeind distributor:
www.bauerfeind.com.au
35
36
Picture: Corbis/Darryl Leniuk
IN MOTION
IN MOTION
The outdoor life – diving
Another world
It is like anything else: you need to look under the
surface to see how things really are. This is particularly
true of diving. Anyone penetrating the surface of the
sea finds they are diving into another world.
The ritual is always the same: the final check, turning on the oxygen valve,
donning the diving goggles, putting the mouthpiece in place. The leap
from the boat into the sea is liking traveling through time to enter a whole
new world, a world which cannot even be described properly when standing
on the boat. The world beneath the sea is a self-enclosed habitat. We, the
>>>
divers, are merely guests in this world full of color, fish, and life.
37
IN MOTION
Are the oxygen reserves and pressure readings in the green? The diver uses special hand signals to give the OK.
are, the more varied their list of favorite
diving spots will be.
Selected diving hot spots
A very interesting diving area, which is also
close to Europe, is the Red Sea. Egypt is an
ideal base from which to access the many
reefs and wrecks, as well as being an affordable holiday destination with a very good
tourism infrastructure in the holiday regions.
There is a resort to suit practically all pockets
and more diving bases than you could wish
for.
Even little Bonaire has almost 100 diving
sites, many of which can be accessed from
land. Bonaire is something of a dream island
for diving fanatics. Located in the southern
part of the Caribbean just 80 kilometers north
of Venezuela, the island forms part of the
Dutch Caribbean (formerly the Dutch Antilles), along with Aruba and Curaçao. Seen from
above, Bonaire looks like a giant boomerang
drifting on the sea. During September and
October, the “coral spawning” is the kind of
event to attract divers who like the sport for
its contact with the living, natural world.
Set in the Indian Ocean to the south west of
India, the Maldives offer some tremendous
For further information:
Various diving associations offer open-water diving courses. Most
diving sport associations have the relevant authorization. The openwater diving training and certification provided by PADI (Professional
Association of Diving Instructors, www.padi.com) is recognized by
scuba drivers around the world. PADI is also the world’s biggest member
organization for sports diving. Professional PADI members make up the
majority of sports divers around the world and issue more than 900,000
certificates every year.
38
sites of natural beauty with their living reefs.
The annual average temperature for the
Maldives is around 28 degrees. The temperature never drops below 25 degrees and water
temperatures remain constant at 28 degrees.
In other words, a little piece of paradise.
Far more lively than the Maldives is the
Divers’ paradise: the Maldives.
world’s largest and best-known diving hot
spot , the Great Barrier Reef off the east coast
of Australia, which at over 2,000 kilometers
long offers countless areas for diving. More
than two million diving and snorkeling fans
slide into the clear water of the Great Barrier
Reef every year to enjoy the colorful coral and
the limitless variety of fish.
Getting started is easy
Those new to diving are best advised to
complete their diving training at a local diving school. Anyone wishing to start a diving
course during a foreign holiday, however,
would do well if possible to try and find a diving course which teaches the basics in their
own language, since some knowledge of the
theory could literally save their lives. Providing you stick to the rules you have learned,
diving should be more fascinating than
dangerous. Arrogance and overconfidence are
†
what make it dangerous.
Pictures: Fotolia/JonMilnes/traveller
>>> The seas around the Earth offer countless sites for diving, and every diver can find
something to enjoy under the water. Some
like the brightly colored coral and its bizarre
shapes or the comical clownfish in the poisonous anemones. Others like the different
kinds of sharks, the mantas, and barracudas.
There are also those who like the hollows,
grottos, and underwater labyrinths, while
others get their kicks by exploring old shipwrecks. Wreck diving is one of the greatest
fascinations for sports divers. It gives divers
the chance to really indulge their appetite
for adventure and discovery. It is impossible
to describe the feeling of diving down to a
wreck, when that initial hazy image becomes
ever more detailed and clearer the closer you
approach.
Wrecks at sea always have their own special
story to tell: the story of their life, their
destruction, and their watery burial. Rather
more controversial , although genuinely
thrilling, is cage diving with white sharks,
which mainly takes place off South Africa
and South Australia. These gigantic sharks
with their cold eyes and huge teeth send a
shiver down the spine, even in the warmest
of water. The more varied a diver’s ambitions
SERVICE
Bauerfeind worldwide
Bauerfeind AG
Triebeser Strasse 16
07937 Zeulenroda-Triebes
Germany
Phone +49 (0) 36628-66-10 00
Fax
+49 (0) 36628-66-19 99
Adresses:
E-mail [email protected]
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Phone +385 (0) 1 65 42 855
Fax
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A-1030 Vienna
Phone +43 (0) 800 44 30 130
Fax
+43 (0) 800 44 30 131
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B.P. 50258
F-95957 Roissy CDG Cedex
Phone +33 (0) 1 48 63 28 96
Fax
+33 (0) 1 48 63 29 63
Benelux
Bauerfeind Benelux B.V.
Waarderveldweg 1
NL-2031 BK Haarlem
Italy
Bauerfeind GmbH & Co.
Filiale Italiana
Via Po 9
I-20871 Vimercate (MB)
Phone +39 039 6 08 12 52
Fax
+39 039 6 08 26 68
Netherlands
Phone +31 (0) 23 531 94 27
Fax
+31 (0) 23 532 19 70
www.bauerfeind.nl
Belgium
Phone +32 (0) 2 527 40 60
Fax
+32 (0) 2 502 94 10
www.bauerfeind.be
Nordic
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SE-113 55 Stockholm
Phone +46 (0) 774-100 020
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Bauerfeind d.o.o.
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+387 (0) 37 319 074
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+387 (0) 51 327 721
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+387 (0) 36 334 276
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Bauerfeind Singapore Pte Ltd.
Blk 41 Cambridge Road
#01-21 Singapore 210041
Phone +65 6396 3497
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+65 6295 5062
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+386(0) 1 4272 951
Spain
Bauerfeind Ibérica, S.A.
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Phone +34 96 385 66 33
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+34 96 385 66 99
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Bauerfeind AG
Vorderi Böde 5
CH-5452 Oberrohrdorf
Phone +41 (0) 56 485 82 42
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+41 (0) 56 485 82 59
United Arab Emirates
Bauerfeind Middle East FZ-LLC
Dubai Healthcare City
P.O. Box 505116, UAE-Dubai
Phone +971 4 4335 685
Fax
+971 4 4370 344
United Kingdom
Bauerfeind UK
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229 Bristol Road
GB-Birmingham B5 7UB
Phone +44 (0) 121 446 53 53
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+44 (0) 121 446 54 54
USA
Bauerfeind USA, Inc.
3005 Chastain Meadows Parkway
Suite 700
Marietta, GA 30066
Phone 1 800 423 34 05
Phone (770) 429 83 30
Fax
(770) 429 84 77
39
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Vena saphena magna ——G
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Motion is Life: www.bauerfeind.com

magazine - Bauerfeind

Transcription

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