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Foam Cover for Above Knee

SFA

SFA

Foam Cover for Above Knee

CATEGORIES: Cosmesis

• Durable foam
• 30˚ knee flexion
• Preshaped
• Center hole
• Flame resistant
• 30˚ knee flexion

 

Suggested HCPCS code(s): L5705, L5706

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Specifications

P/N

Description

SFA=36L
SFA=36R
SFA=40L
SFA=40R
SFA=44L
SFA=44R
FoamCoverforAboveKnee,36cm,Left
FoamCoverforAboveKnee,36cm,Right
FoamCoverforAboveKnee,40cm,Left
FoamCoverforAboveKnee,40cm,Right
FoamCoverforAboveKnee,44cm,Left
FoamCoverforAboveKnee,44cm,Right

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Specifications

P/N

Description

SFA=36L
SFA=36R
SFA=40L
SFA=40R
SFA=44L
SFA=44R
FoamCoverforAboveKnee,36cm,Left
FoamCoverforAboveKnee,36cm,Right
FoamCoverforAboveKnee,40cm,Left
FoamCoverforAboveKnee,40cm,Right
FoamCoverforAboveKnee,44cm,Left
FoamCoverforAboveKnee,44cm,Right
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Approximate weight and build height is taken on size 26. Comes with a split toe.

ACTIVITY 50-60KG 60-70KG 75-90KG 90-105KG 105-125KG
Low 2 2 2 3 4
Moderate 2 2 3 4 5
High 2 3 4 5

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