Bracing / Support
ACL Brace Types: Pre-Surgery, Post-Surgery, and Long-Term Use
When managing an ACL injury, bracing plays a critical role in stabilizing the knee at different stages of recovery. Choosing the right type of brace depends on timing; before surgery, immediately after surgery, or during return to activity. Here’s a breakdown of the main types:
Pre-Surgery Braces (Functional or Hinged Braces)
Purpose:
- Provide stability to prevent further injury while waiting for surgery.
- Help manage instability during daily activities.
Features:
- Hinged on both sides to restrict dangerous movements (like twisting or hyperextension).
- Adjustable straps for compression and comfort.
- Worn over clothing or under loose pants.
Post-Surgery Braces (Rehabilitation or Immobilizer Braces)
Purpose:
- Protect the graft and control knee movement during early healing.
- Assist with safe weight-bearing and motion control, typically during the first 6–8 weeks.
Features:
- Lockable hinges to set flexion/extension limits (commonly 0°–90° early on).
- Large, rigid design for maximal support.
- Often worn 24/7 in the early weeks, including during sleep and walking.
Long-Term Sports Braces (Functional or Performance Braces)
Purpose:
- Provide support and confidence during return to sport. (especially pivoting or cutting activities.)
- May reduce re-injury risk for high-risk athletes.
Features:
- Lightweight, low-profile design with strong side supports.
- Allows full range of motion while stabilizing the joint under load.
- Custom-fit options for high-impact athletes.
Key Considerations:
- Not everyone needs a long-term brace. Evidence is mixed on whether they prevent re-tear, but they can help psychologically.
- Fit matters. Improperly fitted braces can cause irritation, slippage, or reduced effectiveness.
- Always follow your surgeon or therapist’s advice. Bracing protocols vary based on your surgery, graft type, and rehab progress.
Braces are tools. They’re not crutches forever. Used wisely, they support recovery and safe return to the activities you love.
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