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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
Foam Cover for Above Knee, Calf Circum. 36cm, Left
Foam Cover for Above Knee, Calf Circum. 36cm, Right
Foam Cover for Above Knee, Calf Circum. 40cm, Left
Foam Cover for Above Knee, Calf Circum. 40cm, Right
Foam Cover for Above Knee, Calf Circum. 44cm, Left
Foam Cover for Above Knee, Calf Circum. 44cm, Right

Product Instructions

Product Instructions

Product Instructions

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Specifications

P/N

Description

SFA=36L
SFA=36R
SFA=40L
SFA=40R
SFA=44L
SFA=44R
Foam Cover for Above Knee, Calf Circum. 36cm, Left
Foam Cover for Above Knee, Calf Circum. 36cm, Right
Foam Cover for Above Knee, Calf Circum. 40cm, Left
Foam Cover for Above Knee, Calf Circum. 40cm, Right
Foam Cover for Above Knee, Calf Circum. 44cm, Left
Foam Cover for Above Knee, Calf Circum. 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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