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What knee braces do you people with ACL injuries wear?

post #1 of 24
Thread Starter 
I'm wondering since I don't think I'm going to hit the slopes again without wearing one. I have a moderately sprained/torn ACL which didn't require surgery. There are so many braces out there; I need to know specifically for skiing, which ones provide good protection (100 -300 dollars prince range). I fear that some might not fit into the ski boot.

I'm looking for your personal insight on this matter since I've been browsing the web for the past month and I'm still not sure which one to get.

Thanks!
post #2 of 24
None.
post #3 of 24
I believe most medical studies show that knee braces, from a purely mechanical standpoint, do little to protect one's knee from damage. From a psychological standpoint, however, they have been shown to increase an athlete's awareness that an injury is possible which leads to less risky behavior and decreases injury due to this factor. The type of knee brace used makes no difference. In reality, probably the best prevention of further knee damage is good rehab and a commitment to maintaining and/or increasing strength of the muscles that stabilize the knee.
post #4 of 24
post #5 of 24
Friend of mine said his surgeon told him he'd only fix his ACL if my friend promised to never wear a brace. The muscle rehab the surgeon prescribed is supposed to provide the needed protection.
post #6 of 24
As a person who is on his 3rd ACL no brace will work, all the mechanical braces are worthless, rehab with lots of bike riding to make it strong, then i use a basic neopreme wrap type support witch does nothing more then hold everything in place. remmember a mtn bike is now your best freind.
post #7 of 24
After my ACL repair, my skiing physician prescribed a Townsend Derotation Brace and told me not to ski without it. This is the same brace that John Elway and Jerome Bettis et al wear after they have knee injuries. They actually cast your leg and cut it off and use that as a mold to design the custom brace. This brace helps reduce torsional or rotational forces on the knee, while allowing free flexion and extension of the leg.

The drawback? $1500 price tag.
post #8 of 24
Quote:
Originally posted by Kneale Brownson:
Friend of mine said his surgeon told him he'd only fix his ACL if my friend promised to never wear a brace. The muscle rehab the surgeon prescribed is supposed to provide the needed protection.
TRUE, very true - AS A GENERAL RULE THAT REQUIRES CLARIFICATION.

Clarity here:

* before rehab is complete and post-surgical leg musculature is at 110%, and before physiological recovery (graft or other surgical product has fully integrated into your body), an ACL anti-rotation brace is a GOOD IDEA -- especially given the cost of surgery and the down-time required for recovery.

* for some athletes, the mental side of how to evaluate the "new knee" and its stability has just as much to do with athletic performance as the quality of the actual surgical repair or reconstruction. I am one of those people. I used to use ACL braces for all sports. I had an ACL recon on the right knee in 1985, and on the left knee in 1999. I skied with ACL braces in the 2000-2001 ski season, but haven't used any since then.

but Kneale's friend's surgeon did voice the general consensus among KNOWLEDGEABLE orthopods. mine said the same, with the two caveats I listed above, which are PERSONAL caveats that vary depending upon the particular patient.

Now with all that said,

The BREG Tradition Slalom is the best ACL anti-rotation brace for skiers, regardless of the repeated applause for the CTi, and for the rather outdated Don-Joy.
post #9 of 24
Quote:
Originally posted by nidahoscott:
As a person who is on his 3rd ACL no brace will work, all the mechanical braces are worthless, rehab with lots of bike riding to make it strong, then i use a basic neopreme wrap type support witch does nothing more then hold everything in place. remmember a mtn bike is now your best freind.
zzzzzzzzzzzz

asleep at the switch

neoprene doesn't do anything

cycling won't prevent future injuries, because STRENGTH and FLEXIBILITY, and not stamina, are the keys to ACL preservation.

no wonder you're on your third ACL!
post #10 of 24
Quote:
After my ACL repair, my skiing physician prescribed a Townsend Derotation Brace and told me not to ski without it. This is the same brace that John Elway and Jerome Bettis et al wear after they have knee injuries. They actually cast your leg and cut it off and use that as a mold to design the custom brace. This brace helps reduce torsional or rotational forces on the knee, while allowing free flexion and extension of the leg.
True generally. However the Townsend isn't the only anti-rotation brace, and the fact that Elway and Bettis use one doesn't mean it's the right one for anyone else or for any sport besides football.

There are many mechanics behind an ACL injury. The fact that two football players use a Townsend doesn't mean as much as the other personal factors like body type, sports played, existing musculoskeletal physiology, individual physiological weirdnesses, etc.

I have a Townsend for my right knee. Its greatest benefit is that you hardly feel it's on, and you can run faster and accelerate quicker with it. Running and acceleration are irrelevant to skiing. The Townsend is a running/cutting sport brace, and it's not the absolute best at that function either.

The BREG is the best "state of the art" brace available for ACL injury folks.
post #11 of 24
boy Gonzo im glad you know everthing. next time i need some advise ill just email you. As I said in my post i wear a neopreme wrap. it has no function other then to hold everything in place. If you talk to a physical therapist they will tell you this. And the reason i suggest mtn biking is not for stamina it is for strength. the NO IMPACT repitition of riding builds muscle and since your using a large range of motion this promotes flexibility. And as far as I dont know what im talking about because im on my 3rd ACL the first was a KX250 highspeed wipeout the second was a gore-tex that wore out after 10 years and now my 3rd is the strongest ive felt in 15 years and its because I RIDE MY BIKE
post #12 of 24
My OS refused to recomend a brace because he said they are all useless in preventing another injury
post #13 of 24
Ditto on most above. 2 ACL injuries, and I have found the brace doesn't do a lot to stop the forces at work on your knee during a ski turn.

Best advice?

Lots of weight training. I skiied a 60+ day season without an ACL. While I'm not recommending this, the key was to lift a lot of leg weights. Hamstring curls, and presses. Stay away from leg extentions.
post #14 of 24
Having torn my ACL and stretched my ACL a few eeks ago, I find this discussion very interesting. Right now I am in a full leg cast for my MCL to heal. Then on to a hinge cast, and then rest and rehab for the summer, then ACL surgery in the fall. I will be waitreesing all summer and I also really want to remain active. What will my limitations be seeing that I will have a torn ACL?
post #15 of 24
Neoprene velcro-fastening wrap. Sometimes. Totally mental. But I still do it. Sometimes. If my knee is feeling loose. Then I'll take it off. 'Cause it doesn't really do anything. Except for my head, which IS connected to my knee. Sometimes.
post #16 of 24
I use a velcro strapped neoprene wrap on my previously reconstructed knee. It holds it all together nicely (locates patella & supports damaged\surgery dead meniscus area) AND keeps the fluid build up in this damaged area down somewhat. Keeps it nice and warm as well. My knee likes it!!

Neoprene wraps WILL NOT stop knee damage if I have an incorrect fall. I am aware of this BUT my leg feels more “together” with it on. More a maintenance issue really with a little more support than a naked knee during hard all mountain skiing.

Oz
post #17 of 24
ah hah....

Note to self: If Oz is nasty while teaching 'catch an edge' then kick him in knee - if that fails - try other knee [img]graemlins/evilgrin.gif[/img]
post #18 of 24
Quote:
Originally posted by 420 days on snow:
Ditto on most above. 2 ACL injuries, and I have found the brace doesn't do a lot to stop the forces at work on your knee during a ski turn.

Best advice?

Lots of weight training. I skiied a 60+ day season without an ACL. While I'm not recommending this, the key was to lift a lot of leg weights. Hamstring curls, and presses. Stay away from leg extentions.
Saints be praised, people are finally starting to get it!!! Check out the hamstring exercise thread:
http://www.epicski.com/cgi-bin/ultim...;f=11;t=000294
post #19 of 24
Quote:
Originally posted by disski:
Note to self: If Oz is nasty while teaching 'catch an edge' then kick him in knee - if that fails - try other knee
beware reflex action [img]graemlins/evilgrin.gif[/img]

[ April 01, 2003, 09:45 PM: Message edited by: man from oz ]
post #20 of 24
[img]tongue.gif[/img]

I may have crappy balance but I played enough keepings off at beach in summer to be a sneaky bitch
post #21 of 24
Speaking of knees, if anyone lives near SF, check this out:
http://www.epicski.com/cgi-bin/ultim...;f=11;t=000303
post #22 of 24
My ortho also said no knee braces after initial rehab.

He did insist on tons of biking in addition to weight training.
post #23 of 24
i have had my acl removed due to a complete tear when i was 18. now at 32, ive yet to have a acl graph due to the down time and loss of work. my knee is in fairly good condition (stable). Im prone to twisting dislocation, it happens alot while hitting baseballs,so i wear a CTi2 knee brace with an acl attachment. It works real well for me. through 14 years of experience, my brace does help protect my knee from mostly hyperextensions and twisting forces exerted during skiing.
post #24 of 24
supposedly the useless neoprene compression sleeve decreases the muscle reaction time so it may actually do some good.
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