Choosing the Right Knee Brace After a Car Accident: A Guide for Recovery - Orthopedics

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How to choose a knee brace after an injury from a car accident?


About three years ago, I was involved in a motorcycle accident when I collided with a car door that was opened while parked.
I was taken to the hospital by ambulance, where I underwent surgery for a left knee meniscus repair and open reduction with internal fixation using screws and plates for a comminuted fracture at the joint.
Currently, the screws and plates have not been removed, but I often experience pain in my left knee after sitting for long periods, squatting, or walking for extended durations.
The pain can become severe enough that I am unable to walk and need to rest for about a minute before I can start walking slowly again.
I also experience pain when I jog or walk too quickly.
A friend suggested that I purchase a knee brace, but I am unsure how to choose one.
I have previously bought a few, but I stopped using them because they were uncomfortable.
Additionally, I would like to ask the doctor if leaving the screws and plates in place will have any long-term effects.

Xiao Wanpi, 40~49 year old female. Ask Date: 2017/11/17

Dr. Xie Hongjia reply Orthopedics


Hello, Miss Mischievous: Joint fractures often lead to joint wear issues, which can cause pain.
It is advisable to use a standard knee brace for protection.
For internal fixation devices, it is generally recommended for younger individuals to have them removed, but this may vary from person to person.
It is suggested to visit an outpatient clinic for further examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2017/11/17

More Info


Choosing the right knee brace after a car accident is crucial for recovery, especially following significant injuries such as a meniscus repair and open fracture fixation. Given your history of knee surgery and ongoing pain, selecting a suitable knee brace can help provide support, alleviate discomfort, and facilitate your rehabilitation process.


Understanding Knee Braces
Knee braces come in various types, each designed for specific purposes. Here are the main categories:
1. Prophylactic Braces: These are typically used to prevent injuries during sports activities. They are not usually recommended for post-surgical recovery.

2. Functional Braces: Designed for individuals who have already suffered knee injuries, these braces provide support during activities. They help stabilize the knee and can be beneficial for those recovering from surgery.

3. Rehabilitative Braces: These are used after surgery to limit harmful movements and allow for healing. They often have adjustable components to control the range of motion.

4. Unloader Braces: These are specifically designed for individuals with arthritis or joint pain, as they help shift weight away from the affected area of the knee.


Factors to Consider When Choosing a Knee Brace
1. Comfort and Fit: Since you mentioned discomfort with previous braces, it’s essential to choose one that fits well. Look for adjustable straps and breathable materials to enhance comfort. A brace that is too tight can cause pain, while one that is too loose may not provide adequate support.

2. Level of Support: Given your history of knee surgery, a functional or rehabilitative brace may be the best choice. These braces provide the necessary support to stabilize the knee during movement and can help reduce pain when walking or standing after sitting for long periods.

3. Activity Level: Consider your daily activities and how the brace will fit into them. If you plan to engage in light activities, a less restrictive brace may suffice. However, if you intend to return to more vigorous activities, a sturdier brace may be necessary.

4. Consultation with a Professional: It’s advisable to consult with your orthopedic surgeon or a physical therapist before purchasing a knee brace. They can provide recommendations based on your specific condition and recovery goals.


Impact of Retained Hardware
Regarding your concern about the retained screws and plates, it is common for orthopedic surgeons to leave hardware in place unless it causes significant discomfort or complications. In many cases, the hardware does not need to be removed, especially if it is not causing pain or affecting your mobility. However, if you experience persistent pain or functional limitations, it may be worth discussing with your doctor whether removal is necessary.


Additional Recovery Tips
1. Physical Therapy: Engaging in a structured physical therapy program can significantly aid your recovery. A physical therapist can provide exercises tailored to your needs, focusing on strengthening the muscles around the knee and improving flexibility.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult your healthcare provider before starting any medication.

3. Activity Modification: Pay attention to your body’s signals. If certain activities exacerbate your pain, consider modifying them or taking breaks to prevent overexertion.

4. Weight Management: Maintaining a healthy weight can reduce stress on your knees, potentially alleviating pain and improving mobility.

5. Gradual Return to Activity: As you recover, gradually increase your activity level. Start with low-impact exercises, such as swimming or cycling, before progressing to more demanding activities.

In conclusion, selecting the right knee brace is a vital step in your recovery journey after a car accident. Ensure that you consider comfort, support level, and professional advice when making your choice. Additionally, addressing the retained hardware with your healthcare provider can help clarify any concerns you may have. With the right approach, you can work towards regaining full function and reducing pain in your knee.

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