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The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition

BACKGROUND: Patellar 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, D...

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Autores principales: Becher, Christoph, Schumacher, Thees, Fleischer, Benjamin, Ettinger, Max, Smith, Tomas, Ostermeier, Sven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539720/
https://www.ncbi.nlm.nih.gov/pubmed/26282268
http://dx.doi.org/10.1186/s13018-015-0265-x
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author Becher, Christoph
Schumacher, Thees
Fleischer, Benjamin
Ettinger, Max
Smith, Tomas
Ostermeier, Sven
author_facet Becher, Christoph
Schumacher, Thees
Fleischer, Benjamin
Ettinger, Max
Smith, Tomas
Ostermeier, Sven
author_sort Becher, Christoph
collection PubMed
description BACKGROUND: Patellar 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). METHODS: Twenty 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. RESULTS: Analyses 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. CONCLUSIONS: This 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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spelling pubmed-45397202015-08-19 The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition Becher, Christoph Schumacher, Thees Fleischer, Benjamin Ettinger, Max Smith, Tomas Ostermeier, Sven J Orthop Surg Res Research Article BACKGROUND: Patellar 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). METHODS: Twenty 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. RESULTS: Analyses 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. CONCLUSIONS: This 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. BioMed Central 2015-08-19 /pmc/articles/PMC4539720/ /pubmed/26282268 http://dx.doi.org/10.1186/s13018-015-0265-x Text en © Becher et al. 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Becher, Christoph
Schumacher, Thees
Fleischer, Benjamin
Ettinger, Max
Smith, Tomas
Ostermeier, Sven
The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition
title The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition
title_full The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition
title_fullStr The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition
title_full_unstemmed The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition
title_short The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition
title_sort effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539720/
https://www.ncbi.nlm.nih.gov/pubmed/26282268
http://dx.doi.org/10.1186/s13018-015-0265-x
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