Review Article

Biomechanical Effect of Valgus Knee Braces on the Treatment of Medial Gonarthrosis: A Systematic Review

Table 5

Studies that evaluated the effect of knee brace on morphological results in medial gonarthrosis.

ReferencesType of braceSample sizeDurationStudy designOutcome measurementsResults

Arazpour et al. [23]Double-hinged brace (air cushions)1 P (1F)Immediate effectStatic standingVarus angleThe knee varus rotation angle was reduced by 6°.
Dennis et al. [61]Double-hinged brace45 P (-)Immediate effectWalkDJS78% of patients at heel strike and 70% of patients at midstance phase were observed medial condylar separation.
Dessinger et al. [62]Single-hinged brace20 P (-)Immediate effectWalkDJSThe medial joint space was significantly increased, and the location of the contact point was lateral shifted.
Draganich et al. [29]Double-hinged brace10 P (-)4-5 weeksStatic standingVarus angleThe knee varus angle was significantly decreased by 1.5°.
Haladik et al. [63]Double-hinged brace10 P (1F/9M)2 weeksWalkDJSThe joint space and contact center location were not significantly changed.
Nagai et al. [52]Double-hinged brace10 P (2F/8M)2 weeksWalkDJSMedical compartment DJS was significantly increased.
Pfeiffer et al. [64]24 H (15F/9M)1 weekWalkMCCAThe percent change of MCCA was no different.

P: patient; F: female; M: male; H: healthy; (-): not mentioned; DJS: dynamic joint space; MCCA: medial cartilage cross-sectional area.