ArticleJournal of orthopaedic surgery and research2015
The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition.
Article in Journal of orthopaedic surgery and research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- MPFL repair after acute first-time patellar dislocation results in lower redislocation rates and less knee pain compared to rehabilitation: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- MPFL reconstruction results in lower redislocation rates and higher functional outcomes than rehabilitation: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Evaluating the potential synergistic benefit of a realignment brace on patients receiving exercise therapy for patellofemoral pain syndrome: a randomized clinical trial.Archives of orthopaedic and trauma surgery · 2016Trial
- Patellofemoral Instability in the Pediatric and Adolescent Population: From Causes to Treatments.Children (Basel, Switzerland) · 2024Review
- [Patellofemoral instability in children and adolescents].Orthopadie (Heidelberg, Germany) · 2024Article
- Functions and Effectiveness of Unloader, Patellofemoral, and Knee Sleeve Orthoses: A Review.Regenerative engineering and translational medicine · 2024Article
- Risk factors and treatment rationale for patellofemoral instability in the pediatric population.Journal of the Pediatric Orthopaedic Society of North America · 2024Review
- Current concepts in the treatment of first-time patella dislocation in children and adolescents.Journal of children's orthopaedics · 2023Review
- Return to Play Considerations After Patellar Instability.Current reviews in musculoskeletal medicine · 2022Review
- Anterior Knee Pain: State of the Art.Sports medicine - open · 2022Review
- Weight-bearing MRI with a knee flexion angle of 20°: a study on additional MRI investigation modalities to support a more accurate understanding of patellofemoral instability.BMC musculoskeletal disorders · 2021Article
- Plaster, splint, brace, tape or functional mobilization after first-time patellar dislocation: what's the evidence?EFORT open reviews · 2019Review
- [Patellofemoral instability in children and adolescents].Der Unfallchirurg · 2019Review
- Tibial tuberosity to trochlear groove distance and its association with patellofemoral osteoarthritis-related structural damage worsening: data from the osteoarthritis initiative.European radiology · 2018Article
- Patellofemoral pain in athletes.Open access journal of sports medicine · 2017Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatellar stabilizing braces are used to alleviate pain and prevent subluxation/dislocation by having biomechanical effects in terms of improved patellar tracking. The purpose of this study is to analyze the effects of the dynamic patellar realignment brace, Patella Pro (Otto Bock GmbH, Duderstadt, Germany), on disease determinants in subjects with patellofemoral instability using upright weight-bearing magnetic resonance imaging (MRI).
methodsTwenty subjects (8 males and 12 females) with lateral patellofemoral instability were studied in an open-configuration magnetic resonance imaging scanner in an upright weight-bearing position at full extension (0° flexion) and 15° and 30° flexion with and without the realignment brace. Disease determinants were defined by common patellofemoral indices that included the Insall-Salvati Index, Caton-Deschamps Index, and the Patellotrochlear Index to determine patella height and patella tilt angle, bisect offset, and tuberositas tibiae-trochlear groove (TT-TG) distance to determine patellar rotation and translation with respect to the femur and the alignment of the extensor mechanism.
resultsAnalyses of variance revealed a significant effect of the brace with reduction of the three patellar height ratios, patella tilt angle, and bisect offset as well as TT-TG distance. Post hoc pairwise comparisons of the corresponding conditions with and without the realignment brace revealed significantly reduced patella height ratios, patella tilt angles, and bisect offsets at full extension and 15° and 30° flexion. No significant differences between the TT-TG distances at full extension but significant reductions at 15° and 30° flexion were observed when using the realignment brace compared to no brace.
conclusionsThis study suggests that the dynamic patellar realignment brace is capable of improving disease determinants in the upright weight-bearing condition in the range of 0° to 30° flexion in patients with patellofemoral instability.
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