Abstract
Knee braces, used both in operative and nonoperative treatment, play an integral role in the management of ligamentous knee injuries. Numerous knee braces are available, varying by design and intention of use. Rehabilitative braces allow protected motion of either newly injured or postoperative knees. Functional braces control normal and abnormal motions caused by a failure of native soft-tissue restraints of the knee.
Due to the large variety and multiple designs of knee braces, an integral knowledge of the ligamentous knee injury and engineering of the braces are needed to effectively manage these injuries.
Whether or not knee braces have a beneficial effect on postoperative management of the multiple ligament knee injury is currently unclear and should be a focus for future research. Currently, it is still recommended that use of knee bracing—both in the acute postoperative phase with a rehabilitative brace and the active rehabilitative phase with a functional knee brace—continue until evidence suggests otherwise.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
France EP, Paulos LE. Knee bracing. J Am Acad Orthop Surg. 1994;2(5):281–7.
Cawley PW, France P, Paulos LE. Comparison of rehabilitative knee braces. A biomechanical investigation. Am J Sports Med. 1989;17(2):141–6.
Ogata K, McCarthy JA. Measurements of length and tension Âpatterns during reconstruction of posterior cruciate ligament. Am J Sports Med. 1992;20(3):351–5.
Noyes FR, Barber-Westin SD. Reconstruction of the anterior and posterior cruciate ligament after knee dislocation. Use of early protected postoperative motion to decrease arthrofibrosis. Am J Sports Med. 1997;25(6):769–78.
Shapiro MS, Freedman EL. Allograft reconstruction of the anterior and posterior cruciate ligaments after traumatic knee dislocation. Am J Sports Med. 1995;23(5):580–7.
Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined posterior cruciate ligament/posterior lateral complex reconstruction. Arthroscopy. 1996;12(5):521–30.
Cawley PW, France EP, Paulos LE. The current state of functional knee bracing research. A review of the literature. Am J Sports Med. 1991;19(3):226–33.
Beck C, Drez D, Young J, et al. Instrumented testing of functional knee braces. Am J Sports Med. 1986;13(4):253–6.
Soma CA, Cawley PW, Liu S, et al. Custom-fit versus premanufactured braces. Orthopedics. 2004;27(3):307–10.
Marx RG, Jones EC, Angel M, et al. Beliefs and attitudes of members of the American Academy of Orthopaedic Surgeons regarding the treatment of anterior cruciate ligament injury. Arthroscopy. 2003;19(7):762–70.
Decoster LC, Vailas JC. Functional anterior cruciate ligament bracing: a survey of current brace prescription patterns. Orthopedics. 2003;26(7):701–6.
Sterett WI, Briggs KK, Farley T, et al. Effect of functional bracing on knee injury in skiers with anterior cruciate ligament reconstruction. Am J Sports Med. 2006;34(10):1581–5.
Fleming BC, Renstrom PA, Beynnon BD, et al. The influence of functional knee bracing on the anterior cruciate ligament strain biomechanics in weightbearing and nonweightbearing knees. Am J Sports Med. 2000;28(6):815–24.
Cook FF, Tibone JE, Redfern FC. A dynamic analysis of a functional brace for anterior cruciate ligament insufficiency. Am J Sports Med. 1989;17(4):519–24.
McDevitt ER, Taylor DC, Miller MD, et al. Functional bracing after anterior cruciate ligament reconstruction. Am J Sports Med. 2004;32(8):1887–92.
Birmingham TB, Bryant DM, Biffin JR, et al. A randomized controlled trial comparing the effectiveness of functional knee brace and neoprene sleeve use after anterior cruciate ligament reconstruction. Am J Sports Med. 2008;36(4):648–55.
Edson CJ. Postoperative rehabilitation of the multiligament-reconstructed knee. Sports Med Arthrosc. 2001;9:247–54.
Levy BA, Dajani KA, Morgan JA, et al. Repair versus reconstruction of the fibular collateral ligament and posterolateral corner in the multiligament-injured knee. Am J Sports Med. 2010;38(4): 804–9.
Levy BA, Fanelli GC, Whelan DB, et al. Controversies in the treatment of knee dislocations and multiligament reconstruction. J Am Acad Orthop Surg. 2009;17(4):197–206.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Lehman, A.A.R., Williams, B. (2013). Brace Considerations in PCL Instability and the Multiple Ligament Injured Knee. In: Fanelli, G. (eds) The Multiple Ligament Injured Knee. Springer, New York, NY. https://doi.org/10.1007/978-0-387-49289-6_31
Download citation
DOI: https://doi.org/10.1007/978-0-387-49289-6_31
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-49287-2
Online ISBN: 978-0-387-49289-6
eBook Packages: MedicineMedicine (R0)