Sinn oder Unsinn der „unloader braces“

Translated title of the contribution: Sense or nonsense of unloader braces

Olaf Lorbach*, Philipp Mosser, Dietrich Pape

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)


Background: Unloader knee braces are a viable and cost-effective alternative in for treatment of medial osteoarthritis of the knee in selected patients. They provide the potential to predict which patients could benefit from a high tibial osteotomy (HTO) and which patients should better be treated which a unicondylar or bicondylar knee replacement.

Discussion: A direct clinical benefit in pain reduction as well as improved knee function has been shown in several clinical studies; however, the underlying mechanism remains uncertain. A potential reduction of the load in the medial compartment of the knee joint by reducing the varus or valgus deformity as well as a reduction of enhanced muscle contraction is discussed.

Conclusion: Despite the promising short-term results, possible long-term benefits of unloader braces are controversial. As possible reasons, natural progression of the underlying osteoarthritis as well as compliance of the patients to wear the braces diminishes significantly with time.

Translated title of the contributionSense or nonsense of unloader braces
Original languageGerman
Pages (from-to)984-987
Number of pages4
JournalDer Orthopade
Issue number11
Publication statusPublished - Nov 2014
Externally publishedYes


  • Braces
  • Knee
  • Orthotic devices
  • Osteoarthritis
  • Osteotomy


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