A historical perspective of PCL bracing View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-05-24

AUTHORS

Kyle S. Jansson, Kerry E. Costello, Luke O’Brien, Coen A. Wijdicks, Robert F. LaPrade

ABSTRACT

PurposeCurrently there are many functional knee braces but very few designed to treat the posterior cruciate ligament (PCL). No PCL braces have been biomechanically validated to demonstrate that they provide stability with proper force distribution to the PCL-deficient knee. The purpose of this review was to evaluate the history and current state of PCL bracing and to identify areas where further progress is required to improve patient outcomes and treatment options.MethodsA PubMed search was conducted with the terms “posterior cruciate ligament”, “rehabilitation”, “history”, “knee”, and “brace”, and the relevant articles from 1967 to 2011 were analysed. A review of the current available PCL knee bracing options was performed.ResultsLittle evidence exists from the eight relevant articles to support the biomechanical efficacy of nonoperative and postoperative PCL bracing protocols. Clinical outcomes reported improvements in reducing PCL laxity with anterior directed forces to the tibia during healing following PCL tears. Biomechanics research demonstrates that during knee flexion, the PCL experiences variable tensile forces. One knee brace has been specifically designed and clinically validated to improve stability in PCL-deficient knees during rehabilitation. While available PCL braces demonstrate beneficial patient outcomes, they lack evidence validating their biomechanical effectiveness.ConclusionsThere is limited information evaluating the specific effectiveness of PCL knee braces. A properly designed PCL brace should apply correct anatomic joint forces that vary with the knee flexion angle and also provide adjustability to satisfy the demands of various activities. No braces are currently available with biomechanical evidence that satisfies these requirements.Level of evidenceIV. More... »

PAGES

1064-1070

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-012-2048-9

DOI

http://dx.doi.org/10.1007/s00167-012-2048-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028931087

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22622778


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