Functional bracing after anterior cruciate ligament reconstruction: a prospective, randomized, multicenter study.

Published

Journal Article

Bracing after anterior cruciate ligament reconstruction is expensive and is not proven to prevent injuries or influence outcomes.To determine whether postoperative functional knee bracing influences outcomes.Prospective, randomized, multicenter clinical trial.One hundred volunteers from the 3 US service academies with acute anterior cruciate ligament tears were randomized into braced or nonbraced groups. Only those subjects with anterior cruciate ligament tears treated surgically within the first 8 weeks of injury were included. Patients with chondral injuries, significant meniscal tears, or multiple knee ligament injuries were excluded. Surgical procedures and the postoperative physical therapy protocols were identical for both groups. The braced group was instructed to wear an off-the-shelf functional knee brace for all cutting, pivoting, or jumping activities for the first year after surgery.Ninety-five subjects were available with a minimum 2-year follow-up. There were no statistically significant differences between groups in knee stability, functional testing with the single-legged hop test, International Knee Documentation Committee scores, Lysholm scores, knee range of motion, or isokinetic strength testing. Two braced subjects had reinjuries, and 3 nonbraced subjects had reinjuries.In this young, active population, postoperative bracing does not appear to change the clinical outcomes after anterior cruciate ligament reconstruction.

Full Text

Duke Authors

Cited Authors

  • McDevitt, ER; Taylor, DC; Miller, MD; Gerber, JP; Ziemke, G; Hinkin, D; Uhorchak, JM; Arciero, RA; Pierre, PS

Published Date

  • December 2004

Published In

Volume / Issue

  • 32 / 8

Start / End Page

  • 1887 - 1892

PubMed ID

  • 15572317

Pubmed Central ID

  • 15572317

Electronic International Standard Serial Number (EISSN)

  • 1552-3365

International Standard Serial Number (ISSN)

  • 0363-5465

Digital Object Identifier (DOI)

  • 10.1177/0363546504265998

Language

  • eng