Evidence map›Paper›PMID 26739139›Full record

SynthesisArchives of orthopaedic and trauma surgery2016

Biomechanical effect of unloader braces for medial osteoarthritis of the knee: a systematic review (CRD 42015026136).

Wolf Petersen, Andree Ellermann, Thore Zantop, Ingo Volker Rembitzki, Hartmut Semsch, Christian Liebau, Raymond Best

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Treatment Options for Focal Cartilage Lesions of the Knee.Deutsches Arzteblatt international · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. EFFECTS OF A SEMI-RIGID KNEE BRACE ON MOBILITY AND PAIN IN PEOPLE WITH KNEE OSTEOARTHRITIS.Journal of rehabilitation medicine. Clinical communications · 2022
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Wolf PetersenKlinik für Orthopädie und Unfallchirurgie, Martin Luther Krankenhaus, Caspar Theysstr 27-31, 14193, Berlin, Germany. wolf.petersen@pgdiakonie.de.
Andree EllermannArcus Sportklinik, Pforzheim, Germany.
Thore ZantopSporthopaedicum, Straubing, Germany.
Ingo Volker RembitzkiDeutsche Sporthochschule, Cologne, Germany.
Hartmut SemschOrtema, Markgröningen, Germany.
Christian LiebauAsklepios Klinikum Bad Harzburg, Bad Harzburg, Germany.
Raymond BestSportklinik Stuttgart, Stuttgart, Germany.
ARCUS Sports Clinic · DEAsklepios · DEGerman Sport University Cologne · DEKlinikum Stuttgart · DEMartin-Luther-Krankenhaus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is a lack of consensus regarding biomechanical effects of unloader braces for the treatment of medial osteoarthritis (OA) of the knee. The purpose of this study was to perform a systematic review of studies examining the biomechanical effect of unloader braces.

methodsA systematic search for articles about the biomechanical effect of unloader braces was performed. Primary outcome measure was the influence of the brace on the knee adduction moment. Data sources were Pubmed central and google scholar.

resultsTwenty-four articles were included. Twenty articles showed that valgus unloader braces significantly decrease the knee adduction moment. Seven of those studies reported a decrease of pain in braced patients (secondary outcome measure). Positive effects on the knee adduction moment could be found for custom made braces for conventional knee braces and for a foot ankle orthosis. Four studies could not show any effect of knee unloader braces on the knee adduction moment although one of these studies found decreased pain in braced patients. One of these studies examined healthy patients with a neutral axis.

conclusionThis systematic review could demonstrate evidence that unloader braces reduce the adduction moment of the knee. Foresighted, a systematic review about the clinical effect of unloader braces is required.

Indexed as

BracesGaitHumansKneeOsteoarthritis, KneePainBiomechanicsKnee adduction momentMedial osteoarthritisVarus malalignement

Identifiers

PMID26739139
PMCPMC4842213
OpenAlexW2226993630

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.