Functional anterior cruciate ligament bracing: a survey of current brace prescription patterns.
This study surveyed orthopedic surgeons regarding anterior cruciate ligament (ACL) bracing practices. Surveys were mailed to 1194 members of the American Orthopaedic Society for Sports Medicine. The return rate was 24% (n = 287). Descriptive analysis revealed that 13% of physicians never brace ACL-reconstructed patients, whereas only 3% never brace ACL-deficient patients. Physicians prescribe off-the-shelf braces more frequently for ACL-deficient patients than ACL-reconstructed patients (P = .000). Half reported bracing less frequently than 5 years ago. The wide range of responses reflects the lack of scientific basis for bracing decisions. Continued research efforts are encouraged. In the interim, the physician's clinical judgment provides the basis for bracing decisions.
Decoster
Laura C
LC
New Hampshire Musculoskeletal Institute, Manchester, NH 03101, USA.
Vailas
James C
JC
D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D001265:Athletic Injuries / Q000534:rehabilitation / Q000601:surgery; D001915:Braces / Q000706:statistics & numerical data*; D011307:Drug Prescriptions; D005260:Female; D005500:Follow-Up Studies; D019538:Health Care Surveys; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control* / Q000534:rehabilitation; D007718:Knee Injuries / Q000534:rehabilitation* / Q000601:surgery; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D011182:Postoperative Care; D011184:Postoperative Period; D010818:Practice Patterns, Physicians'; D011336:Probability; D011379:Prognosis; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012307:Risk Factors; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome