![]() ![]() 4 However, another prospective study examining the effectiveness of medial unloading knee braces at 2.7 years and 11.2 years showed short-term but not long-term benefits, with use decreasing significantly over time. 3 An eight-year prospective study showed that wearing this type of brace for six months can halve the chance of knee arthroplasty compared with three months of use, and patients who wore the brace for two years were less likely to require surgery at eight years' follow-up. The use of medial unloading knee braces has greater benefit in decreasing pain and improving knee function compared with conservative treatment alone. The brace applies an external valgus force on the knee, reducing the load on the medial compartment. The medial unloading (valgus) knee brace ( Figure 1 1 ) is an option for treating pain from medial compartment OA and varus malalignment of the knee. Use of a functional ankle brace is more effective than immobilization or a compression wrap in terms of functional outcomes after an acute ankle sprain and for the prevention of ankle sprains.Ī thumb spica splint is effective for the treatment of pain from thumb carpometacarpal osteoarthritis and de Quervain tenosynovitis.Ī wrist splint is effective for short-term treatment of the symptoms of carpal tunnel syndrome, but it may not be more effective than other conservative therapies. Patellar tendon straps are effective in decreasing pain from patellar tendinopathy. There is insufficient and conflicting evidence to recommend for or against the use of patellar stabilizing braces for the treatment of patellofemoral pain syndrome. Medial unloading (valgus) knee braces are effective in decreasing pain from medial knee osteoarthritis in the short term and may delay surgical intervention. A wrist splint has short-term effectiveness in treating symptoms of carpal tunnel syndrome but may not be more effective than other conservative therapies. The thumb spica splint is effective for the treatment of thumb carpometacarpal osteoarthritis and de Quervain tenosynovitis, and may be used for patients with suspected scaphoid fractures. Use of a functional ankle brace is more effective than immobilization or a compression wrap in terms of functional outcomes after an acute ankle sprain and prevention of future ankle sprains. The knee immobilizing splint is used after surgery to prevent reinjury and for acute or presurgical management of quadriceps rupture, patellar tendon rupture, medial collateral ligament rupture, patellar fracture or dislocation, and other acute traumatic knee injuries. ![]() The patellar tendon strap is effective in treating pain from patellar tendinopathy. The patellar stabilizing brace helps maintain proper patellar alignment but has mixed results in treating patellofemoral pain syndrome. ![]() The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. ![]()
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