The effect of knee bracing on the knee function and stability following anterior cruciate ligament reconstruction: A systematic review and meta-analysis of randomized controlled trials

Yang, Xiong‐gang; Feng, Jiangtao; He, Xin; Wang, Feng; Hu, Yongcheng

doi:10.1016/j.otsr.2019.04.015

Cited by 34 publications

(34 citation statements)

References 35 publications

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“…Therefore experts and non-experts agreed on short duration of hospital stay after knee arthroscopy (1-2 days). Polish surgeons also agreed to no need for routine recommendation of using a knee orthosis, which is in agreement with previous studies, showing no bene cial effect of bracing after knee arthroscopy [24,25] or even indirect prevention of ACL reruptures in case of rehabilitation without a knee brace [26].…”

Section: Discussionsupporting

confidence: 88%

“…For this study, a questionnaire was presented to 205 orthopedists with various levels of clinical expertise in arthroscopy during Polish Athroscopy Society Congress, which was held on [24][25][26] A pilot survey was conducted before the meeting. The questionnaire was distributed to 10 orthopedic surgeons and a biostatistician to ensure that it was scienti cally sound and the question stems were easy to understand.…”

Section: Methodsmentioning

confidence: 99%

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Clinical practice and post-operative rehabilitation after knee arthroscopy varies according to surgeon's expertise: a survey among Polish Arthroscopy Society members.

Bąkowski

Bąkowska-Żywicka²,

Piontek

2020

Preprint

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Background: Meniscal repair has received increasing attention. Currently, there is a variety of arthroscopic methods of meniscus repair available. The purpose of this study was to determine a consensus in meniscus tear treatment in the environment of Polish orthopedists.Methods: 205 registered orthopedic surgeons took part in surveys. The survey consisted of 35 questions regarding general arthroscopy and postoperative management, including physician’s level of expertise, arthroscopy anesthesia, postoperative treatment, rehabilitation and procedures performed. Comparisons were made between knee arthroscopy experts (> 100 arthroscopies performed per year) and non-experts (≤ 100 cases) on aspects of patient care.Results: The most important finding of this study is an agreement in almost all aspects of knee arthroscopy approach. A consensus between polish surgeons was noticed in choosing regional anesthesia for knee arthroscopy, no need for knee braces nor knee medications, using LMW heparin as thromboprophylaxis, 1-2 days hospitalization, recommendation of rehabilitation and magnetic resonance as a diagnostic test for meniscus damage. Surgical expertise was significantly associated with the performance of meniscus sewing procedures (p = 0.009). Experts recommended starting rehabilitation already on the day of surgery (p=0.007) and more likely used objective physical tests (p=0.003). Non-expert surgeons recommended longer period from meniscus suture to a full range knee motion (p=0.001) and admitted that patient’s age does matter for meniscus repair qualification (p=0.002).Conclusions: There is a consensus in almost all issues of meniscus tear treatment in the environment of the Polish orthopedists, however the rehabilitation issues and the use of advanced meniscus repair techniques is associated with surgical expertise.

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Section: Discussionsupporting

confidence: 88%

Section: Methodsmentioning

confidence: 99%

Clinical practice and post-operative rehabilitation after knee arthroscopy varies according to surgeon's expertise: a survey among Polish Arthroscopy Society members.

Bąkowski

Bąkowska-Żywicka²,

Piontek

2020

Preprint

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“…For functional knee brace use post-ACL reconstruction, several studies have supported their potentially positive influences on knee kinematics, particularly lower leg rotational control (33)(34)(35)(36), while others have supported their use for improving hop distance symmetry, but not landing mechanics symmetry (37). Their use, however, does not appear to improve clinical outcomes (38,39). When focusing solely on re-injury rates or secondary prevention following ACL reconstruction, supportive knee brace use efficacy could not be identified (40) and some suggest that avoiding their use better achieves improved subjective patient outcomes and reduced failure rates as defined by instability, stiffness or persistent pain (41).…”

Section: Resultsmentioning

confidence: 99%

Distal Thigh Compression Garment Improves Female Athlete Knee Control and Sports Movement Safety Perceptions

Boschert

Nyland

Matsuno

et al. 2020

Muscle Ligaments and Tendons J

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Introduction. This study measured knee frontal plane projection angle (FPPA) and sports safety and performance perceptions of female athletes during a single leg forward hop down and stabilization (SLFHS) for 3 conditions (standard knee sleeve, no device and distal thigh compression garment (DTCG)). The hypothesis was that the DTCG group would display superior dynamic knee valgus FPPA compared to the standard knee sleeve and no device groups. Methods. Eighteen healthy college athletes participated in this prospective cohort study with a randomized device order. FPPA was measured during SLFHS using two-dimensional biomechanical techniques to estimate dynamic knee valgus loading. A 10-cm visual analog scale survey collected data regarding subject perceived knee control, sports movement capability and overall satisfaction for each condition. Pearson correlations delineated knee valgus, safety and performance relationship perceptions (p < 0.05). Results. Mean/maximum dynamic knee valgus FPPA was lowest during the DTCG condition (8.7 ± 6°/12.2 ± 7°), or a 19.4%/21.3% range of motion reduction compared to the standard knee sleeve (10.8 ± 7°/15.5 ± 8°) and a 21.6%/17% reduction compared to the no device (11.1 ± 7°/14.7 ± 7°) conditions. Chi-square tests revealed that the T:25 group displayed a greater proportion of subjects with a "1" score (≤threshold value) than the standard knee brace or no device groups for both mean (one-sided p value = 0.02) and maximal (one-side p value = 0.049 FPPA). In relationship to maximum dynamic knee valgus FPPA, the DTCG was the best overall condition (r = 0.61, p = 0.007), relating more strongly to perceived knee control (r = 0.63, p = 0.005) and sports movement capability (r = 0.64, p = 0.004). Conclusions. Compared to standard knee sleeve and no knee device conditions, the T:25 device provided better dynamic knee valgus FPPA control and stronger subject perceptions of best overall condition, knee control and sports movement capability.

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“…The analysis of IKDC score [12], Lysholm score [13] and Tegner score [14] was performed in both group A and group B 6 hours before operation and 24 months after operation respectively. KT2000 [15] was also conducted to determine the degree of tibial retroversion preoperative and postoperative (24 months).…”

Section: Assessment Methodsmentioning

confidence: 99%

Comparison of the effect of the graft with double strands peroneus longus tendon and with the four strands hamstring tendon on reconstruction of the posterior cruciate ligament injury

Lü

Zhou

et al. 2020

Preprint

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Background This prospective study was to analyze the clinical effect of double-stranded long peroneal tendon and the four strands hamstring tendon in reconstruction of posterior cruciate ligament (PCL), and to investigate the effectiveness and safety of the two surgical approaches in reconstruction of PCL, so as to provide guidance for clinical treatment of PCL injury. Methods Total 48 patients with complete rupture of PCL treated in our hospital from July 2015 to February 2017 were selected and divided into the Group A (reconstructed with double strands peroneus longus tendon, 25 cases) and the Group B (four strands hamstring tendon, 23 cases) according to the different grafts. Results The intraoperative time for tendon extraction in the Group A (20.87 ± 2.07 min) was significantly shorter than that in the Group B (26.79 ± 2.32 min). Compared with pre-operation, the tibial posterior displacement of the two groups decreased significantly 24 months after operation, and IKDC score, Lysholm score and Tegner score increased significantly. Nevertheless, the IKDC score, Lysholm score, Tegner score, AOFAS score and Maryland score between the two groups before and after operation were no significant differences. Compared with the quadrupled hamstring tendon, the double-stranded peroneal longus tendon has the advantages of simple and safe tendon extraction. Conclusions Both surgical methods are effective for the treatment of PCL injury. When the four strands hamstring tendon is accidental (tendon rupture or tendon variation) or ineffective, the peroneal longus tendon will be a good choice.

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The effect of knee bracing on the knee function and stability following anterior cruciate ligament reconstruction: A systematic review and meta-analysis of randomized controlled trials

Cited by 34 publications

References 35 publications

Clinical practice and post-operative rehabilitation after knee arthroscopy varies according to surgeon's expertise: a survey among Polish Arthroscopy Society members.

Clinical practice and post-operative rehabilitation after knee arthroscopy varies according to surgeon's expertise: a survey among Polish Arthroscopy Society members.

Distal Thigh Compression Garment Improves Female Athlete Knee Control and Sports Movement Safety Perceptions

Comparison of the effect of the graft with double strands peroneus longus tendon and with the four strands hamstring tendon on reconstruction of the posterior cruciate ligament injury

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