Functional knee-braces are widely used to protect injured or
reconstructed anterior cruciate ligaments, despite the fact that few
scientific data support their efficacy. We studied seven functional braces,
representative of both the typical custom-fit and off-the-shelf designs.
The braces were tested on subjects who had a normal anterior cruciate
ligament and were scheduled for arthroscopic meniscectomy or exploration of
the knee under local anesthesia. After the operative procedure, a
Hall-effect strain-transducer was applied to the anterior cruciate
ligament. Under low anterior shear loads, two braces provided some
protective strain-shielding effect compared with no brace, but this
strain-shielding effect did not occur at the higher anterior shear loads
expected during the high-stress activities common to athletic events. The
DonJoy, Townsend, C.Ti., and Lenox Hill braces demonstrated a
strain-shielding effect on the anterior cruciate ligament with an internal
torque of five newton-meters applied to the tibia. None of the braces had
any effect on strain on the anterior cruciate ligament during active range
of motion of the knee from 10 to 120 degrees or during isometric
contraction of the quadriceps. Wearing of a brace did not produce an
increase in the value for strain on the anterior cruciate ligament. For the
activities that were evaluated in this study, none of the braces produced
adverse effects on the anterior cruciate ligament, and there were no
significant differences in the strain on the anterior cruciate ligament
between the use of a custom-fit or an off-the-shelf brace design. There
were no apparent advantages of the more expensive custom-made braces
compared with the off-the-shelf designs.