Discontinuation of Knee Braces After ACL Surgery

Evidence Against Routine Bracing

• The British Journal of Sports Medicine recommends against functional bracing after ACL reconstruction, as it does not improve clinical outcomes, function, or stability 1

Rehabilitation Focus Instead of Bracing

• The British Journal of Sports Medicine suggests immediate knee mobilization within the first week to improve range of motion, and early weight-bearing as tolerated within the first week 1
• The British Journal of Sports Medicine recommends isometric quadriceps exercises starting in the first 2 postoperative weeks, and progressive closed kinetic chain exercises, such as leg press starting at 3 weeks 5
• Strength and neuromuscular training throughout recovery is recommended by the British Journal of Sports Medicine 1

Common Pitfalls to Avoid

• The American Academy of Family Physicians advises against continuing bracing based on tradition or patient/surgeon preference alone, as the evidence does not support benefit 2
• The American Academy of Family Physicians warns against creating psychological dependence on the brace, which provides a false sense of security, and substituting brace use for appropriate rehabilitation and muscle strengthening 2, 4