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The main task of the ortho­sis is to fix the joint in a phys­i­o­log­i­cal­ly cor­rect posi­tion. In addi­tion, orthoses can par­tial­ly or com­plete­ly lim­it the mobil­i­ty of the joint, give it rigid­i­ty. There are mod­els with com­pres­sion, mas­sage and warm­ing effect.^1.2. It is easy to get con­fused in such a vari­ety, and an incor­rect­ly select­ed ortho­sis will either not help, or even wors­en a per­son­’s con­di­tion. There­fore, you need to choose an ortho­pe­dic prod­uct only after con­sult­ing an ortho­pe­dic doc­tor.

Rating of the top 5 best orthoses for the knee joint

Togeth­er with our expert trau­ma­tol­o­gist-ortho­pe­dist Lev Dunaev We have select­ed 5 of the best orthoses for the knee joint. Our rat­ing includes mod­els that have proven them­selves among doc­tors and patients. Top 5 includes ther­a­peu­tic and pro­phy­lac­tic orthoses for the knee joint of vary­ing degrees of fix­a­tion, with and with­out hinges.

1. Knee brace BAUERFEIND GenuTrain S

This rigid brace is rec­om­mend­ed for osteoarthri­tis, mod­er­ate knee insta­bil­i­ty and lat­er­al lig­a­ment injuries. Elas­tic mate­r­i­al and a ring-shaped sil­i­cone insert in the knee area have a mas­sage effect on the mus­cles. Anatom­ic splints com­bined with non-elas­tic bands pro­vide lat­er­al sta­bi­liza­tion of the knee joint. Wear­ing an ortho­sis helps to improve blood cir­cu­la­tion, get rid of pain and swelling. At lat­er stages of reha­bil­i­ta­tion, you can remove the splints and use this mod­el as a medi­um fix­a­tion prod­uct.

Con­traindi­ca­tions: wounds, ulcers and bed­sores in the area of ​​con­tact with the ortho­sis, indi­vid­ual intol­er­ance to mate­ri­als.

2. Knee brace ORLETT RKN-202 neoprene articulated

Ortho­sis ORLETT RKN-202 with hinges pro­vides a strong degree of fix­a­tion of the knee joint and its lat­er­al sta­bi­liza­tion. Two hinges main­tain nor­mal joint bio­me­chan­ics dur­ing move­ment, reduce the load on the lig­a­ments and pre­vent knee hyper­ex­ten­sion. The ortho­sis is rec­om­mend­ed for peo­ple with insta­bil­i­ty and defor­mi­ty of the knee joint, the ini­tial degree of osteoarthri­tis, injuries of the patel­la and menis­cus. For pre­ven­tive pur­pos­es, the ortho­sis is worn dur­ing sports and when per­form­ing work that is asso­ci­at­ed with a load on the joint.

Con­traindi­ca­tions: ulcers, wounds and bed­sores in the area of ​​con­tact with the ortho­sis, aller­gy to mate­ri­als.

3. Knee brace PUSH Med Knee Brace

The PUSH Med Knee Brace with hinges pro­vides a strong fix­a­tion and reli­able pro­tec­tion of the knee due to two spring springs that are locat­ed on the kneecap and fol­low the nat­ur­al move­ment of the joint. For addi­tion­al fix­a­tion, a sil­i­cone insert is pro­vid­ed in the patel­la area. The ortho­sis allows you to sup­port and restore the joint after injuries of the patel­la and menis­cus, helps to fight arthri­tis, arthro­sis, val­gus and varus defor­mi­ty.

Con­traindi­ca­tions: ulcers, wounds and bed­sores in the area of ​​con­tact with the ortho­sis, aller­gy to mate­ri­als.

4. Orthosis for the knee joint Trives Т‑8508/Т.44.28

This is a detach­able ortho­sis with hinges and a strong degree of fix­a­tion. It has a warm­ing and mas­sage effect. Detach­able design allows you to effec­tive­ly fix the ortho­sis in peo­ple with lim­it­ed joint mobil­i­ty and large body weight. Knit knee pan­el is breath­able and reduces fric­tion. Addi­tion­al fix­a­tion is pro­vid­ed by two tapes with Vel­cro fas­ten­ers.

The ortho­sis is indi­cat­ed for use in injuries of the lat­er­al and cru­ci­ate lig­a­ments, inflam­ma­to­ry and degen­er­a­tive dis­eases of the knee joint, dur­ing the reha­bil­i­ta­tion peri­od after injuries and oper­a­tions in this area. It can be used to pre­vent injuries of the knee joint dur­ing phys­i­cal exer­tion and sports.

Con­traindi­ca­tions: malig­nant neo­plasms and skin lesions in the area of ​​con­tact with the ortho­sis, gonathro­sis with val­gus or varus defor­mi­ty of the low­er extrem­i­ties, throm­bophlebitis, indi­vid­ual intol­er­ance to mate­ri­als.

5. Knee splint Orliman IR-4000/IR-5000

The uni­ver­sal ortho­sis suits peo­ple of dif­fer­ent build and height. It is made of hypoal­ler­genic 3‑TEX mate­r­i­al, which freely pass­es air and removes mois­ture from the body. It con­sists of 3 remov­able pan­els, on the inside there are elas­tic straps that pre­vent the ortho­sis from slip­ping and allow it to “fit” it exact­ly to the leg. To immo­bi­lize the joint, 3 rigid met­al splints are designed.

Wear­ing a splint is indi­cat­ed for injuries of the patel­la, after oper­a­tions on the menis­ci, before surgery with severe pain. You can use a splint instead of a plas­ter cast for injuries and oper­a­tions on the knee joint.

Con­traindi­ca­tions: malig­nant tumors and skin injuries in the area of ​​con­tact with the ortho­sis, throm­bophlebitis, aller­gy to mate­ri­als.

How to choose an orthosis for the knee joint

As our expert Lev Dunaev explains, a knee ortho­sis should be select­ed by an ortho­pe­dist. The choice of prod­uct depends on the goal pur­sued by the doc­tor and the patient. To pro­tect the knee joints dur­ing phys­i­cal exer­tion, a pro­phy­lac­tic ortho­sis is need­ed. Reha­bil­i­ta­tion mod­els are used after injuries and oper­a­tions, and func­tion­al­ly per­ma­nent mod­els are used to treat exist­ing patholo­gies.³.

When choos­ing, the func­tion­al­i­ty of the ortho­sis is also tak­en into account. It can fix the limb, lim­it its mobil­i­ty par­tial­ly or com­plete­ly, cor­rect defor­mi­ties, reduce the load on the leg and sup­port it when the knee joint is weak­ened.³.

In addi­tion, orthoses dif­fer in the degree of fix­a­tion:

• a light degree of fix­a­tion is need­ed to pre­vent injuries and sup­port joints dur­ing phys­i­cal exer­tion;
• medi­um fix­a­tion is required if a per­son is wor­ried about an old injury or dis­ease;
• strong fix­a­tion is indi­cat­ed for mild joint insta­bil­i­ty, before sur­gi­cal treat­ment or if it is con­traindi­cat­ed;
• a full degree of fix­a­tion is required for seri­ous frac­tures, torn lig­a­ments.
• vari­able fix­a­tion is used in cas­es where it is nec­es­sary to grad­u­al­ly adjust the ampli­tude of limb mobil­i­ty dur­ing treat­ment.

After choos­ing a mod­el with the desired func­tion­al­i­ty and degree of fix­a­tion, the doc­tor mea­sures 3 indi­ca­tors: knee cir­cum­fer­ence, thigh cir­cum­fer­ence 10–15 cm above the patel­la and shin cir­cum­fer­ence at the same dis­tance below the patel­la. These para­me­ters will be need­ed to select the cor­rect size. Mea­sure­ment rec­om­men­da­tions may vary depend­ing on the man­u­fac­tur­er.

On your own, with­out the help of a spe­cial­ist, you can choose only a pre­ven­tive ortho­sis, which is used to pro­tect the joints from stress. But in this case, it is bet­ter to first con­sult with a doc­tor to assess the con­di­tion of the mus­cu­loskele­tal sys­tem.

How to wear a knee brace

- The ortho­sis is worn on a bare leg or a thin stock­ing. The skin must be clean and dry, with­out open wounds or scratch­es. The dura­tion of wear­ing is deter­mined by the doc­tor, the aver­age peri­od is a month. In severe patholo­gies, the ortho­sis is removed only for 20 min­utes 2 times a day for hygien­ic treat­ment of the skin, explains Lev Dunaev, an ortho­pe­dic trau­ma­tol­o­gist.

Reviews of doctors about orthoses on the knee joint

Orthoses are wide­ly used in med­ical prac­tice and have proven their effec­tive­ness. Ortho­pe­dists-trau­ma­tol­o­gists rec­om­mend wear­ing an ortho­sis after surgery and injuries of the knee joint, with sprains and bruis­es of the lig­a­ments, with arthri­tis, arthro­sis, syn­ovi­tis and oth­er inflam­ma­to­ry and degen­er­a­tive dis­eases of this area. At the same time, doc­tors empha­size that it is nec­es­sary to select an ortho­sis togeth­er with a spe­cial­ist and buy prod­ucts in ortho­pe­dic salons so as not to pur­chase a fake.

Popular questions and answers

Trau­ma­tol­o­gist-ortho­pe­dist Lev Dunaev answers pop­u­lar ques­tions about knee orthoses.

Sources:

1. Toolk­it. “Reha­bil­i­ta­tion pro­gram for dam­age to the car­ti­lagi­nous and cap­su­lar-lig­a­men­tous struc­tures of the knee joint.” Cen­tral Research Insti­tute of Trau­ma­tol­ogy and Ortho­pe­dics. N.N. Pri­orov https://www.orlett.ru/img/pdf/Metod_Cykunov_koleno_2014.pdf
2. A com­bi­na­tion of reha­bil­i­ta­tion meth­ods for injuries and dis­eases of the knee joint. Suvorov S.A., Tol­stoko­rov S.A. Jour­nal “Her­ald of Sci­ence” No. 11, 2020. https://cyberleninka.ru/article/n/sochetanie-metodov-reabilitatsii-pri-travmah-i-zabolevaniyah-kolennogo-sustava/viewer
3. A mod­ern view on ser­i­al and indi­vid­ual orthoses in trau­ma­tol­ogy and ortho­pe­dics. S.E. Nikitin, M.B. Parshchikov. Bul­letin of the VSNC SO RAMS, 2006. https://cyberleninka.ru/article/n/sovremennyy-vzglyad-na-seriynye-i-individualnye-ortezy-v-travmatologii-i-ortopedii/viewer