Dynamic Bracing for ACLD and ACLR Knees

IntroductionACL deficient and reconstructed knees share common problems that may not be recognized by many medical professionals. Problems of ACLD & ACLR KneesQuadriceps contraction in open kinetic chain situations subluxes the tibia prior to foot strike. Previous OptionsStatic bracing, muscle strengthening, and other forms of training cannot completely eliminate the symptoms of ACL deficiency Dynamic...

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The Effect of Lace-up Ankle Braces on Injury Rates in High School Football Players

Timothy A. McGuine,*‡ PhD, ATC, Scott Hetzel,‡ MS, John Wilson,‡ MD, MS, and Alison Brooks,‡ MD, MPH Investigation performed at the University of Wisconsin, Madison, Wisconsin Background: Although ankle injuries occur frequently in high school football players, no prospective studies have been performed to determine if wearing lace-up ankle braces will reduce the incidence and...

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Cold Therapy Temperature Study

Robert Bledsoe Product Engineer, Cold Therapy Introduction Four continuous circulating cold therapy devices available on the market today were tested to evaluate unit temperatures, pad temperatures and patient skin temperatures.  Temperature was measured over a period of one hour. Purpose of Testing: Evaluate cold therapy unit temperatures over a period of one hour. Evaluate indicated...

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Do I need a custom brace?

Custom molded means molded from a patient model taken from a cast of the patient’s leg. How was it molded? Were the muscles flaccid or contracted? Was the patient standing, sitting, or lying down? The leg changes shape when muscles are contracted, extended, or flexed compared to a flaccid condition. The shape also changes when...

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Strength, Stiffness and Weight

One important factor in brace design is the strength and stiffness versus the weight of the materials. Strength and stiffness are not the same thing. Here’s an analogy: A rubber band is stretched to failure. The rubber band failed at five pounds of force, but it stretched more than double its length before failure. The...

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Using functional braces post-operatively

There has been a recent trend by some physicians to utilize functional braces postoperatively. The trend is certainly understandable. Some insurance programs, as well as the dictates of some HMO organizations, have limited the type and number of braces that are covered for medical reimbursement. However, there are definite problems with this approach. Postoperative patients...

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Soft tissue limits control!

The greatest factor that limits control of the leg by any external device is soft tissue deflection. The skin, fatty tissue, flaccid muscles, or muscles which lack proper tone, place a limit on the control which can be provided by any external device. Soft tissue deflection occurs in three ways. The first soft tissue deflection...

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I no longer use post-op braces

When questioned about what postoperative brace they currently use, some physicians will mention that they no longer use postop braces. Upon further questioning, it is often found that they utilize a knee immobilizer, a posterior splint, or an elastic bandage following surgery. Therefore, they still use a brace! This change is usually made to save...

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What should I look for in a post-op brace?

Postoperative braces, or rehabilitative braces, are designed with unique characteristics that are required by patients that have been recently injured or have undergone an operative procedure. The brace must be worn continuously for periods ranging from two weeks to as much as six months when treating certain injuries. This requires the brace to be comfortable...

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Which post-op brace to use?

Bledsoe Brace Systems manufactures so many different postoperative braces that it is sometimes difficult to decide which brace to use. In order to answer this question effectively, it is necessary to ask a few questions about the physician’s practice. Does the physician treat a broad range of injury types including fractures? If so, and he...

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