How to Adjust DonJoy XROM Knee Brace: Step-by-Step Guide
How to adjust Donjoy Xrom knee brace?
The Quick Answer
Adjust the DonJoy XROM by **modifying the hinge stops** to control flexion/extension limits. Loosen the screw on each hinge side, slide the stop to your prescribed angle setting (marked in 10° increments), then retighten securely. Never adjust beyond physician-prescribed limits—improper settings risk re-injury or hardware failure during rehabilitation.
Why We Ask This
Post-operative patients struggle with complex hinge mechanisms, either leaving braces locked too restrictively (delaying ROM recovery) or loosening prematurely (risking graft strain)—both scenarios compromising surgical outcomes during critical early healing phases.
The Practical Science
The XROM's bilateral polycentric hinges feature adjustable aluminum stops that physically block knee motion at preset angles. Precise adjustment follows surgical protocols: initial immobilization (0° extension stop), followed by progressive flexion increases (10° weekly) as tissue healing permits.
In Clinical Practice
Two weeks post-ACL reconstruction, a physical therapist loosens the flexion stop from 30° to 40° while maintaining 0° extension block—allowing controlled bending during gait training without compromising graft tension during the vulnerable 2–6 week healing window.
References & Context
Donjoy XROM fitting tips knee post op rehab - YouTube"not-given"