Page 160 - Athletic Health Handbook
P. 160
LOWER EXTREMITY
INJURIES

ACL BRACING UPDATE

BRENDAN D. MASINI, MD, MAJ MC USA THE ORTHOPAEDIC COMMUNITY has recognized

BRETT D. OWENS, MD, LTC MC USA with increasing clarity throughout the past decade that peer reviewed
Keller Army Hospital, New York evidence does not support empiric post-operative functional bracing after
ACL reconstruction surgery. In addition, mounting pressure to control costs
associated with surgical and post-operative care makes the additional expense
of empiric bracing a less appealing treatment strategy. So, in the face of
clinical evidence and economic reality, why do patients leave the operating
room with a knee immobilizer after ACL reconstruction and then get
fitted for a functional ACL brace at six weeks post op? This is a question
many surgeons should ask themselves, as a 2003 survey of members of the
American Orthopaedic Society for Sports Medicine (AOSSM) revealed only
13 percent of respondents never braced their ACL reconstructed patients.1

ACL BRACING UPDATE 160
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