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Physio Network
To brace or not to brace after ACL reconstruction with Dr Christina Le
Oct 4, 2023
Dr Christina Le, physiotherapist, discusses the use of bracing in ACL reconstruction patients and highlights recent research findings that show no difference in outcomes between using a brace and not using a brace. The podcast explores the ongoing debate on bracing procedures and the need for further studies. The highlights and limitations of different bracing options are also discussed, with the suggestion that bracing may not be necessary based on the evidence.
12:20
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Quick takeaways
- Early post-operative bracing after ACL reconstruction surgery may not provide any additional benefits compared to a brace-free approach.
- The cost of custom ACL braces can be significant, and investing in exercise and rehabilitation may yield better outcomes than relying solely on bracing.
Deep dives
Bracing in ACL Reconstruction Patients
A recent paper reviewed by Christina Lee for the Physio Network explored the use of bracing in ACL reconstruction patients. The randomized control trial examined the effectiveness of bracing within the first six weeks post-surgery and found no difference compared to not using a brace. This supports previous evidence that questions the benefits of early post-operative bracing. The history of bracing in ACL reconstruction surgery dates back to the 1980s, but studies have shown that range of motion restrictions imposed by braces may hinder recovery progress. While there is good quality evidence supporting a brace-free approach, further research is needed to investigate the efficacy of cross bracing.
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