Time for new knee braces. Post acl rupture

friday10
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639
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12/15/2009
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Northridge, CA, USA
2/23/2019 10:15am
Stupid question, aren't these knee braces supposed to prevent these types of injuries or are they made to support your knee after an injury?
Superchris16
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Goodyear, AZ, USA
2/25/2019 2:33pm Edited Date/Time 2/26/2019 3:52am
friday10 wrote:
Stupid question, aren't these knee braces supposed to prevent these types of injuries or are they made to support your knee after an injury?
I don't think any protective gear can provent an Injury completely, enough force and it will give. The brace will help limit the extent of the Injury in major get off and help prevent small injuries. But will also add stability to you knee after have surgery or having previous knee problems.
2
50dippin
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Los Angeles, CA, USA
2/25/2019 3:18pm Edited Date/Time 2/25/2019 3:20pm
Just had a minor tip over where I low sided coming out of a corner with my feet on the pegs. Basically sat on my heel and destroyed my knee, both menicus, acl, mcl. Was wearing a brace at the time and I can see how it basically did nothing to limit how much my knee can bend or twist at full flexion. The velcro straps, while very tight, just stretched and came off leaving the brace flopping on my leg after.

Anyone have any knee surgeon recommendations in southern California?
SammyD
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4/19/2008
Location
Poway, CA, USA
2/25/2019 3:48pm
50dippin wrote:
Just had a minor tip over where I low sided coming out of a corner with my feet on the pegs. Basically sat on my heel...
Just had a minor tip over where I low sided coming out of a corner with my feet on the pegs. Basically sat on my heel and destroyed my knee, both menicus, acl, mcl. Was wearing a brace at the time and I can see how it basically did nothing to limit how much my knee can bend or twist at full flexion. The velcro straps, while very tight, just stretched and came off leaving the brace flopping on my leg after.

Anyone have any knee surgeon recommendations in southern California?
Replying here as I can’t figure out how to reply to your DM, sorry. I used David Sitler, Sharp. Knee feels better than my good knee a year later!

The Shop

Yeti365
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9/11/2018
Location
Chula Vista, CA, USA
2/25/2019 4:05pm
mtl wrote:
If you want real protection, Mobius. You will thank me later.
2x

Mobius for the win. Sooooooo comfy and solid.
1
friday10
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639
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12/15/2009
Location
Northridge, CA, USA
2/26/2019 9:13am
SammyD wrote:
I blew my ACL. Surgeon (rides dirt bikes) told me that a knee brace won't help with ACL protection. I bought a CTI which is nice...
I blew my ACL. Surgeon (rides dirt bikes) told me that a knee brace won't help with ACL protection. I bought a CTI which is nice but I can see it's a waste of money for the ACL. The way an ACL tears - you can't really limit that movement with a brace, the upper part of the brace still has mobility by the way your skin can move even with it strapped tight.

I ride now with knee pads, FWIW.
With that said, do knee braces cause more ACL tears?
al711
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1/5/2013
Location
Athens, AL, USA
2/26/2019 9:46am
Do they lock out before hyper extension. What was your recovery time before riding again.
al711 wrote:
Yeah they have adjustable stops. About 7 months and I raced harescrambles at around 9 months. I'm 53 and was a regular at the gym and...
Yeah they have adjustable stops. About 7 months and I raced harescrambles at around 9 months. I'm 53 and was a regular at the gym and therapy. Im a little over a year out now and I would say almost 100%.
That kind of the ime frame I figured, 6-12,months. Did you have them replace the acl with a cadaver or did they take from the pattela...
That kind of the ime frame I figured, 6-12,months. Did you have them replace the acl with a cadaver or did they take from the pattela tendon. My ortho MD said the cadaver route was the best way to go. Faster recovery with better results. Also you are not creating two points t that need to heal....... Now i can only hope I got a acl that was from someone that could run fast and jump high... Lmao.
Lol I had the cadaver in both knees
ACBraap
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1178
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2/10/2012
Location
Seattlish, WA, USA
Fantasy
2/26/2019 1:18pm
How do you get fitted and order the custom molded CTIs through insurance with a prescription? When I google cti braces I cannot find these ones...
How do you get fitted and order the custom molded CTIs through insurance with a prescription?

When I google cti braces I cannot find these ones in the US
https://www.dirtaction.com.au/gear-check/racewear/gear-review-cti-custo…
Contact Ossur. They will refer you to a local medical device supplier who can do a fitting. They will recommend going with CTi off the shelf, unless your sizing is such that custom is needed. The guy came to my house with a several sizes of braces, and was able to do off the shelf.

The rep that helped me said that getting insurance to cover them is tough, and for sure make sure that your doc doesn't use the word motocross in the prescription.
1
Bennett59
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Location
Bakersfield, CA, USA
3/8/2020 9:00pm
mtl wrote:
If you want real protection, Mobius. You will thank me later.
Yeti365 wrote:
2x

Mobius for the win. Sooooooo comfy and solid.
I wear mobius also but I just tore my ACL 2 weeks ago in them. I had them set up with the medium hyper extension blocks in them. I was coming into a corner rut blew out halfway through and down I went all I felt was really bad pain in my left knee. Torn ACL, Grade 2 MCL Sprain, Minor fracture on femur
3/10/2020 1:03pm Edited Date/Time 3/10/2020 1:20pm
SammyD wrote:
I blew my ACL. Surgeon (rides dirt bikes) told me that a knee brace won't help with ACL protection. I bought a CTI which is nice...
I blew my ACL. Surgeon (rides dirt bikes) told me that a knee brace won't help with ACL protection. I bought a CTI which is nice but I can see it's a waste of money for the ACL. The way an ACL tears - you can't really limit that movement with a brace, the upper part of the brace still has mobility by the way your skin can move even with it strapped tight.

I ride now with knee pads, FWIW.
Your surgeon is thinking in a box. He is dead wrong if the knee brace is adjusted correctly and you use an anti rotation strap (big props to JT on PulpMX for explaining this years ago)

#1 You must adjust the stops well short of hyper extension.
#2 Using the anti rotation strap causes your ankle pivot and knee pivot axis to remain PARALLEL. This means any twisting on your knee is reacted up to your hip. You whole leg twists.

These two taken together TOTALLY change how the brace works. It results in your leg and knee being held in a strong position so that when you take a hit you knee bends and the twisting moment is transferred AROUND your knee.

Ask yourself this. How come a small hit with your knee in the wrong position (leg locked with a twisting moment on your lower leg) will snap your ACL and a massive hit with your knee bent will do nothing? Why? It is because the knee brace works best not by “making you knee stronger’ (as your surgeon is thinking) but by managing your leg and knee geometry to keep the knee in a strong and flexible position and minimizing twisting moments on the knee.

I still can not fathom how most knee brace MFGs have not figured this out. Use an anti rotation strap with relatively rigid boots like SIDI and you are doing a TON to make your knee a lot tougher. You simply can not understand how much different a knee brace is when locked into a rigid boot. Once you try it you will understand.

Now...nothing is free. I imagine that using a brace like this might make other injuries (hip, femur) more likely, but I have ZERO doubt it toughens up the knee a lot.
3/10/2020 1:17pm
One more thing. The Doc that did my ACL repair has done over 5000 patella tendon surgeries using the techniques pioneered by Dr Don Shelbourne (former team doc for the Ind. Colts) who himself done more ACL repairs than any doc alive. He also ran a statistical study that showed significant reduction in knee injury rates for off road and MX riders using braces. Before he did the study he too said there was no way braces would help. Something about how docs are trained to think causes them to think in a box till the facts force them to rethink things.
1
3/10/2020 11:48pm
If i wear knee braces, my knee is so sore after i ride. Without knee braces, no more pain. And my “bad knee” is getting better now that i stopped wearing kneebraces. I had Asterisk ultra cell and then Pods. I tore my meniscus wearing a knee brace. In my personal experience, they have done more harm than good. YOu may have a different experience.

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