Importance of Wearing Braces After ACL Surgery: Risks of Not Using Them - Rehabilitation

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Hello Dr.
Chen, I just had anterior cruciate ligament surgery.
The doctor told me to wear a brace.
I would like to ask what would happen if I don't wear it? Thank you!

Afu, 20~29 year old female. Ask Date: 2008/08/31

Dr. Chen Xianchang reply Rehabilitation


Hello Sir: Thank you for your inquiry.
I would like to address your question and provide the following recommendations: 1.
After anterior cruciate ligament (ACL) surgery, it is usually necessary to wear a brace, as the function of the ACL is to prevent the tibia from sliding forward and to stabilize the knee joint, similar to the function of brakes.
2.
Not wearing a brace can lead to sprains or even tears of the ligament.
3.
Additionally, it is important to enhance rehabilitation, which should include ultrasound therapy, hydrotherapy, electrical stimulation, and strengthening exercises for the quadriceps, particularly the hamstrings.
Finally, I wish you safety and happiness!

Reply Date: 2008/08/31

More Info


After undergoing anterior cruciate ligament (ACL) surgery, wearing a brace is often recommended to support the knee during the recovery process. The importance of using a brace post-surgery cannot be overstated, as it plays a crucial role in protecting the knee, facilitating healing, and ensuring a successful rehabilitation outcome.


Risks of Not Wearing a Brace After ACL Surgery
1. Increased Risk of Re-injury: One of the primary reasons for wearing a brace after ACL surgery is to minimize the risk of re-injury. The knee joint is still vulnerable during the early stages of recovery, and without the added support of a brace, there is a higher likelihood of accidentally twisting or stressing the knee in a way that could compromise the surgical repair.

2. Instability: The brace helps stabilize the knee, especially when transitioning from a non-weight-bearing state to weight-bearing activities. Without the brace, you may experience instability in the knee, which can lead to improper movement patterns and further injury.

3. Delayed Recovery: The absence of a brace can lead to increased pain and swelling, which may prolong the recovery process. The brace helps to control movement and provides a sense of security, allowing for more effective rehabilitation exercises.

4. Compromised Surgical Outcome: The success of ACL surgery largely depends on the integrity of the reconstructed ligament. Not wearing a brace can put undue stress on the healing tissue, potentially leading to complications that could necessitate further surgical intervention.

5. Increased Pain and Swelling: Without the support of a brace, you may experience increased pain and swelling in the knee, which can hinder your ability to participate in rehabilitation exercises. This can create a vicious cycle where pain limits movement, leading to stiffness and further complications.


Importance of Following Medical Advice
It is essential to follow your surgeon's recommendations regarding the use of a brace. They have a comprehensive understanding of your specific case and can provide tailored advice based on your surgery and recovery progress. The brace is designed to provide the necessary support during the critical healing phase, and adhering to this advice can significantly impact your long-term knee health.


Rehabilitation and Recovery
In addition to wearing a brace, engaging in a structured rehabilitation program is vital for a successful recovery. This program typically includes:
- Physical Therapy: A physical therapist can guide you through exercises that strengthen the muscles around the knee, improve range of motion, and restore function.

- Gradual Return to Activity: Your rehabilitation plan will likely include a gradual return to sports and physical activities, with the brace providing support during this transition.

- Monitoring Progress: Regular follow-ups with your surgeon or physical therapist will help monitor your recovery and make any necessary adjustments to your rehabilitation plan.


Conclusion
In summary, wearing a brace after ACL surgery is crucial for protecting the knee, preventing re-injury, and ensuring a smooth recovery process. The risks associated with not wearing a brace can lead to complications that may hinder your rehabilitation and overall knee function. Always consult with your healthcare provider for personalized advice and adhere to their recommendations for the best possible outcome. Remember, the goal is to return to your desired activities safely and effectively, and following the prescribed post-operative care is a significant step in achieving that goal.

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