Abstract
Introduction: the anterior cruciate ligament (ACL) is the ligament most frequently affected in knee injuries. If ruptured, it significantly affects the functionality of the knee joint, and may lead to
significant degenerative changes or osteoarthritis. There are currently 2 surgical techniques
of choice: one using bone-tendon-bone (BTB) and the other using hamstrings. Several studies recommend the use of knee braces for the first 6 weeks after surgery. However, there are doubts about the usefulness of a knee brace after ACL reconstruction and the additional costs involved.
Objective: to determine the efficacy, effectiveness, safety and cost of knee braces for the control of
knee joint stability after ACL reconstruction.
Method: a Systematic review of the scientific evidence consulting main bibliographic databases, web pages and portals of health technology assessment agencies to July 2011 was done.
Specific search strategies and selection criteria for this were established beforehand and applied. The methodological quality of the identified publications was assessed by two reviewers using the Scottish Intercollegiate Guidelines Network (SIGN) criteria and levels of evidence. The data was extracted via evidence tables and a qualitative synthesis was conducted.
Keywords
Knee brace; Knee; Anterior cruciate ligament; ACL reconstruction; Bone-tendon-bone; Hamstrings; Patellar tendon autograft
Bibliographic citation
López-Gallegos D, Espallargues-Carreras M. Ortesi de genoll postreconstrucció del lligament creuat anterior. Barcelona: Agència d’Informació, Avaluació i Qualitat en Salut; 2011.
Audience
Professionals
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