Functional bracing of ACL injuries: current state and future directions View Full Text


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Article Info

DATE

2013-04-27

AUTHORS

Sean D. Smith, Robert F. LaPrade, Kyle S. Jansson, Asbjørn Årøen, Coen A. Wijdicks

ABSTRACT

PurposeFunctional braces are commonly prescribed to treat anterior cruciate ligament (ACL) injury. The results of the existing literature on functional brace use are mixed. The purpose of this study was to evaluate the history and current state of functional ACL bracing and to identify design criteria that could improve upon current bracing technologies.MethodsA literature search was performed through the PubMed MEDLINE database in April 2013 for the keywords “anterior cruciate ligament” and “brace”. Articles published between January 1, 1980, and April 4, 2013, were retrieved and reviewed. Current functional braces used to treat ACL injury were identified. The function of the native ACL was carefully studied to identify design requirements that could improve upon current bracing technologies.ResultsBiomechanical evaluations of functional brace effects at time zero have been mixed. Functional brace use reportedly does not improve long-term patient outcomes following ACL reconstruction, but has been shown to reduce subsequent injury rates while skiing in both ACL-deficient and reconstructed skiers. In situ force in the ACL varies with flexion angle and activity. Currently, no brace has been designed and validated to replicate the force-flexion behavior of the native ACL.ConclusionsBiomechanical and clinical evidence suggests current functional bracing technologies do not sufficiently restore normal biomechanics to the ACL-deficient knee, protect the reconstructed ACL, and improve long-term patient outcomes. Further research into a functional brace designed to apply forces to the knee joint similar in magnitude to the native ACL should be pursued.Level of evidenceIII. More... »

PAGES

1131-1141

References to SciGraph publications

  • 2010-01-13. Evidence-based rehabilitation following anterior cruciate ligament reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-02-21. Symmetry restoration and functional recovery before and after anterior cruciate ligament reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-01-11. Radiographic landmarks for tunnel positioning in double-bundle ACL reconstructions in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-10-26. Is osteoarthritis an inevitable consequence of anterior cruciate ligament reconstruction? A meta-analysis in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2010-08-04. Estimation of Ligament Loading and Anterior Tibial Translation in Healthy and ACL-Deficient Knees During Gait and the Influence of Increasing Tibial Slope Using EMG-Driven Approach in ANNALS OF BIOMEDICAL ENGINEERING
  • 2012-04-21. A Numerical Simulation Approach to Studying Anterior Cruciate Ligament Strains and Internal Forces Among Young Recreational Women Performing Valgus Inducing Stop-Jump Activities in ANNALS OF BIOMEDICAL ENGINEERING
  • 2008-10-31. The first results from the Danish ACL reconstruction registry: epidemiologic and 2 year follow-up results from 5,818 knee ligament reconstructions in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 1999-02-01. Kniebandverletzungen in DER CHIRURG
  • 2006-04-06. Study on three-dimensional kinematics and electromyography of ACL deficient knee participants wearing a functional knee brace during running in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-01-24. Kinematic predictors of subjective outcome after anterior cruciate ligament reconstruction: an in vivo motion analysis study in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-013-2514-z

    DOI

    http://dx.doi.org/10.1007/s00167-013-2514-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1017104765

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23624655


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