Advertisement - Hide this advert





Author Topic: Are braces used in the UK???  (Read 3838 times)

0 Members and 1 Guest are viewing this topic.

Offline Jules

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 1016
  • Liked: 0
  • No matter what keep smiling!!!
Are braces used in the UK???
« on: October 23, 2003, 11:50:08 PM »
Can anyone let me know if braces are used in the uk? I've read that they use them in the USA or even heard of having the leg plastered!
I have to have ACI in 6-12 months, and I have been told that I will not be having a brace, but others have felt the brace useful in the initial days, especially when feeling unstable, and if falling over the brace protects the effected leg?
Any views???
Jules
Apr 01 - bi-lat debride
Dec 01 - bi-lat mircrofracture & LR
Nov 02 - bi-lat debride & LR
Oct 04 - bi-lat A'scopy & harvest
Nov 04 - R ACI
June 05 - R A'scopy/shave
May 06 - R TKR
Aug 06 - L  PFJR
Jan 07 - L open LR
Oct 08 - L open LR
Feb 09 - L A'scopy/shave
July 09 - L TKR......
20 ops in 13 years

Offline Nettan

  • SuperKNEEgeek
  • *****
  • Posts: 13862
  • Liked: 7
  • Stronger then yesterday...thanks Sis...
Re: Are braces used in the UK???
« Reply #1 on: October 25, 2003, 02:54:12 PM »
Hey !

In Sweden they don't use braces when having ACL-construction. It's new since about 3 years. That's for bulding up muscles early and not beeing so stiff in the knee. But it might be a relief having it when u sleep to let your muscles relax and of course for the first days so you are able to move yourself easier. I believe that US are big consumers of braces maybe sometimes too much.
Well that's my opinion.But I would really discuss it with my surgeon and the phys cause everyone are different.

Wish you good luck. Please let us know how u r doing.

Hugs nettan
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline NIFFTYJULIE

  • Regular Poster
  • ***
  • Posts: 53
  • Liked: 0
  • hi my name is  JULIE
Re: Are braces used in the UK???
« Reply #2 on: October 27, 2003, 12:49:10 AM »

 TO ANSWER IF WE HAVE KNEE BRACES IN THR UK IS YES.I HAVE HAD ABOUT 4 DIFFERENT ONES. I HAD A TOTAL KNEE REPLACEMENT A YEAR AGO AND IT HAS LEFT MY LEG VERY WEAK SO I HAVE JUST HAD A NEW BRACE.IT IS QUITE GOOD IN THE WAY IT CONTROLS MY KNEE,BUT IT MAKES MY SKIN VERY SORE AFTER WEARING IT FOR SOME TIME. BUT I CANT GET ON MY LEG WITH OUT IT.I EVEN HAVE ONE THATS MADE FOR SLEEPING IN WHIICH KEEPS THE HOLE LEG STILL WHY I AM A SLEEP.I HOPE THIS HAS ANSWERED YOUR QUESTION AND IF YOU WONT TO KNOW MORE I AM HERE FOR YOU TO ASK. :)
m name is julie and i love animals music and game's and i wouldnt be with out my pc.

Offline Jules

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 1016
  • Liked: 0
  • No matter what keep smiling!!!
Re: Are braces used in the UK???
« Reply #3 on: October 27, 2003, 01:33:51 AM »
Thanks for your emails,
Nettan I agree about USA using the braces more, I read lots of articles that it is a main part of the rehabilitation process, and I thought if it was so important then why is it not happening in the UK, but then we are always well behind with new procedures etc.
Julie, where did you have your surgery done? Maybe its different for a TKR and not ACI. You are young to have a TKR, your knee must have been really bad? Do think they really help?
Jules
Apr 01 - bi-lat debride
Dec 01 - bi-lat mircrofracture & LR
Nov 02 - bi-lat debride & LR
Oct 04 - bi-lat A'scopy & harvest
Nov 04 - R ACI
June 05 - R A'scopy/shave
May 06 - R TKR
Aug 06 - L  PFJR
Jan 07 - L open LR
Oct 08 - L open LR
Feb 09 - L A'scopy/shave
July 09 - L TKR......
20 ops in 13 years

Offline NIFFTYJULIE

  • Regular Poster
  • ***
  • Posts: 53
  • Liked: 0
  • hi my name is  JULIE
Re: Are braces used in the UK???
« Reply #4 on: October 27, 2003, 01:45:14 AM »
I had my operation in solihull hosiptal in the midlands uk.It was a total knee replcement, my leg was a mess most of the bone was so infected,over the years i have been in and out of hospital having scraps ect untill it was that bad i had no choice in the matter.I lost my knee cap some years ago. and they said if I didnt try a tkr i would end up losing the leg.so I went for the tkr.but I am in more trouble now the pain is so bad i take morphine. i was 46 yrs old when i had the operation.but i can assure you it was a total knee replacement. also I do wear one of the new updated braces THATS OUT.
m name is julie and i love animals music and game's and i wouldnt be with out my pc.

Offline Jules

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 1016
  • Liked: 0
  • No matter what keep smiling!!!
Re: Are braces used in the UK???
« Reply #5 on: October 27, 2003, 11:36:51 AM »
Hi Julie,
Birmingham is about 30 minutes from me, do you live there? you really had it rough, I'm sorry that things have not gone well for you. Do they exspect the knee will improve at all? Taking morphine all the time... you must be in a hell of a lot of pain, is there nothing more that can be done for you, to improve your quality of life? It must be a lot of strain on your other knee too.
They said they are not using a brace after my ACI, but I'm a little concerned as my left knee is unstable too and If I fall I scared I might cause more damage to the graft after I've had it done.
Jules
Apr 01 - bi-lat debride
Dec 01 - bi-lat mircrofracture & LR
Nov 02 - bi-lat debride & LR
Oct 04 - bi-lat A'scopy & harvest
Nov 04 - R ACI
June 05 - R A'scopy/shave
May 06 - R TKR
Aug 06 - L  PFJR
Jan 07 - L open LR
Oct 08 - L open LR
Feb 09 - L A'scopy/shave
July 09 - L TKR......
20 ops in 13 years

Offline NIFFTYJULIE

  • Regular Poster
  • ***
  • Posts: 53
  • Liked: 0
  • hi my name is  JULIE
Re: Are braces used in the UK???
« Reply #6 on: October 27, 2003, 11:35:28 PM »
Hi jules,
        :) birminghan is about 20miles from where I live,I go to solihull hospital because thats were the surgen I'm under works from.I just found it amusing because you said you live about 30 miles away.and I live quite away from birmingham as well.
Where did you have your operation done.I cant understand why you would think that the uk dont have braces I have been wearing them for years,and they are updated.Anyway just wondered were you had your operation??
m name is julie and i love animals music and game's and i wouldnt be with out my pc.

Offline Jules

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 1016
  • Liked: 0
  • No matter what keep smiling!!!
Re: Are braces used in the UK???
« Reply #7 on: October 28, 2003, 12:21:19 AM »
Hi Julie,
I had my 3 bi-lateral arthroscopies done in Nuneaton, but waiting for the date for my ACI, and am having that done at Oswestry about 2 hours drive from me. Where abouts do you live?
I just haven't heard of anyone using braces for post ACI operations, but in America they use them for quite a while after ACI.
Jules
Apr 01 - bi-lat debride
Dec 01 - bi-lat mircrofracture & LR
Nov 02 - bi-lat debride & LR
Oct 04 - bi-lat A'scopy & harvest
Nov 04 - R ACI
June 05 - R A'scopy/shave
May 06 - R TKR
Aug 06 - L  PFJR
Jan 07 - L open LR
Oct 08 - L open LR
Feb 09 - L A'scopy/shave
July 09 - L TKR......
20 ops in 13 years

Offline NIFFTYJULIE

  • Regular Poster
  • ***
  • Posts: 53
  • Liked: 0
  • hi my name is  JULIE
Re: Are braces used in the UK???
« Reply #8 on: October 29, 2003, 01:12:29 PM »
Hi jules,
        I live in Tamworth,I have  had a knee brace for the pass 15yrs,But I always have it updated. Mainly because I have worn about 3 out.The frist brace I had was from a fitter that came to Tamworth from goodhope hospital.Now I am under solihull hosiptal I see the fitter there.The one I have now is a townsend rebel.IT's quite good and dose do the job,but I am finding it is causeing blisters and the skin is very sore.But I cant walk with out it has my knee is very loose.Any way let me know how you get on.It would be nice if we can keep in touch now and then we can compare notes
                        JUlie
m name is julie and i love animals music and game's and i wouldnt be with out my pc.

Offline KJ

  • Forum Faithful
  • ****
  • Posts: 184
  • Liked: 0
  • User's Text
Re: Are braces used in the UK???
« Reply #9 on: October 29, 2003, 06:40:14 PM »
Braces are used for some procedures and by some surgeons in the UK. I have to say that I'm not sure about the position for ACI.

Unloader braces are used for OA knee to try and reduce the forces in the affected compartment - they are not usually used post TKR.

A recent scientific review of the evidence for bracing post ACL recon (done in NEw Zealand) has decided that there is evidence that braces do not make a difference and so their use is not recommended.  (This is more specific than seeing that there is no evidence that there is an effect)

They are used for grade III medial ligament tears to prevent medial/lateral movement for the 6 weeks whilst the ligament heals

They are used in complex multiligament injuries and post surgery for these problems.
PCL reconstructions and posterolateral recons will always need a brace.

So far for my knee I have had (on the NHS)

a cricket pad splint straight after injury
a CTi Edge PCL brace (£400 worth)
a post op Bledsoe hinged long leg brace (post PCL recon)
a Breg women's X2K brace for general use (£400)
a Genurange post op hinged brace (post PLC / HTO)

So they certainly are used when necessary!
KJ
« Last Edit: October 29, 2003, 06:41:42 PM by KJ »
ACL/PCL/MCL/PLC rupture April 01
diagnostic arthroscopy June 01
PCL reconstuction Sept 01;  MUA  Oct 01
ACL reconstruction Nov 01; arthroscopy Jan 03
HTO,posterolateral recon + ACL/PCL revision recons Sept 03;
MUA Jan 04
arthroscopic debridement of scartissue May 04
metalwork removal April 05

Offline NIFFTYJULIE

  • Regular Poster
  • ***
  • Posts: 53
  • Liked: 0
  • hi my name is  JULIE
Re: Are braces used in the UK???
« Reply #10 on: August 13, 2005, 02:44:18 PM »
Hi Jules I have had a few braces for my leg over the last few years.They can be uncomfatrouble to wear at times depends how long you have to wear it dueing a day.

   Julie
m name is julie and i love animals music and game's and i wouldnt be with out my pc.

Offline alexandra

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
Re: Are braces used in the UK???
« Reply #11 on: March 28, 2006, 11:52:08 AM »
Interested to hear that you got a Bledsoe brace on the NHS.  My partner Alex is having an ORIF operation for a transverse fracture (maybe a couple of other breaks in it as well) tomorrow in Poole and from what everyone one the forum says a brace is the way to go.  I feel sure that they will just put plaster on as there has been no mention of a brace.  Did you pull any strings or have a clever angle - or did they just provide it.  We are looking at buying our own for the sake of getting a result and expediency but if the NHS can be made to provide one we'll have it - we have certainly already paid for it.  If we have to buy one do you know who the U.K. stockist is?  Thanks for all the good info and very best wishes,
  Andrew   

Offline heather k from wales

  • SuperKNEEgeek
  • *****
  • *
  • *
  • *
  • *
  • Posts: 734
  • Liked: 0
  • Ouch!!
Re: Are braces used in the UK???
« Reply #12 on: March 28, 2006, 02:36:44 PM »
Im sure your OS will put your partner in whatever is right for her recovery.  Ive been in plaster and on other operations been in a brace on NHS.  Ive actually had about 4 NHS braces, ranging from about £50 to £600 each.  I didnt have to ask, they just ordered them for me as and when I needed them.
My latest OS is not a fan of braces and does'nt prescribe them, wanting the muscles to do the work.  They all work differently and all have their own theories on bracing.  Some swear by they some dont. 
You would be wise to discuss this with your partners OS and follow his instructions, he is the expert on this subject.  Please dont think that just because one person does better with a brace that your partner needs one.   All injuries are different and need the specialist, individual attention of a knee OS. 

Please send my best wishes to your partner and let us know how she gets on tomorrow,

Heather ;)
91 Mangled Right knee on trials motorbike
94 Meniscus Repair
95 ACL/LCLrec,notchplasty,bone graft
01 90% Menisectomy
02 Scope
03 ACLrec,LAD
OA,osteophytes
04 Ch'plasty, ACLdeb,Suprapatella mbr ex, haematoma
04 Scope
March 06 Scaphoid op/bone graft
Nov 07 Thyroid Cancer ops x 2, radiation