{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:38:34Z","timestamp":1783021114260,"version":"3.54.6"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether the use of an adjustable hinged knee brace during the early postoperative period after anterior cruciate ligament (ACL) reconstruction provides measurable benefits compared with no bracing in terms of patient\u2010reported outcomes, knee stability, muscle strength, range of motion, and complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Following Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines, a systematic search of PubMed, Ovid Medline, and Scopus was conducted through May 2025. Only Level I randomized controlled trials comparing adjustable hinged knee bracing versus no bracing after primary ACL reconstruction were included, and studies were excluded if they used any other brace type, lacked postoperative outcomes, or were nonclinical designs. Pooled effect sizes were calculated using fixed\u2010 or random\u2010effects models based on I\n                      <jats:sup>2<\/jats:sup>\n                      heterogeneity, with mean differences and odds ratios reported with 95% confidence intervals. Methodological quality was assessed using the Modified Coleman Methodology Score and the Risk of bias 2 tool.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Six randomized controlled trials (384 patients) met inclusion criteria. The mean follow\u2010up duration across the included trials was 21\u2009months (range, 3\u201060\u2009months). Meta\u2010analyses showed no statistically significant differences between bracing and no bracing groups for Lysholm score (MD = \u22120.48;\n                      <jats:italic>P<\/jats:italic>\n                      = .72), isokinetic extension (MD = 0.06;\n                      <jats:italic>P<\/jats:italic>\n                      = .97) or flexion torque (MD = 2.15;\n                      <jats:italic>P<\/jats:italic>\n                      = .30), range of motion, or reoperation rate (OR = 0.61;\n                      <jats:italic>P<\/jats:italic>\n                      = .18). Rerupture rates were also comparable (brace: 2.9% vs no brace: 3.6%;\n                      <jats:italic>P<\/jats:italic>\n                      = .79). A small but statistically significant difference in side\u2010to\u2010side difference anterior tibial translation using instrumented arthrometers (e.g., KT\u20101000 or equivalent), favored the brace group (MD = \u22120.20 mm;\n                      <jats:italic>P<\/jats:italic>\n                      = .01); however, this was not clinically meaningful. Return to sport outcomes, including anterior cruciate ligament\u2010return to sport after injury scores and time to sport resumption, were similar between groups (22\u201033\u2009weeks).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The use of an adjustable hinged knee brace early after ACL reconstruction did not statistically significantly improve patient\u2010reported outcomes, muscle strength, range of motion or rates of reoperation and re\u2010rupture compared with no brace, although it did provide a small but statistically significant improvement in anterior knee stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level I, meta\u2010analysis of Level I studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70224","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T07:57:16Z","timestamp":1779091036000},"page":"1216-1230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adjustable Hinged Knee Bracing Does Not Improve Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta\u2010analysis of Randomized Controlled Trials"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7045-3222","authenticated-orcid":false,"given":"Napatpong","family":"Thamrongskulsiri","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."},{"name":"Sports Medicine Research Group, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8119-1399","authenticated-orcid":false,"given":"Logan D.","family":"Moews","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2526-7725","authenticated-orcid":false,"given":"Felipe","family":"Casanova","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3734-6584","authenticated-orcid":false,"given":"Jacob T.","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1083-6329","authenticated-orcid":false,"given":"Tomas F.","family":"Vega","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4227-0484","authenticated-orcid":false,"given":"Gabriel Octavio","family":"P\u00e9rez Lloveras","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."},{"name":"Austral University Hospital  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9194-1150","authenticated-orcid":false,"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.0740"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4052-y"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514542796"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2024.101921"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.10.025"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-022-00514-7"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500314"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1247822"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.04.005"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18147611"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12203"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.04.015"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.07.042"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2000.010001002.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000192"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2001.011002110.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2004.00435.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmart.2024.01.006"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43465-024-01240-1"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12052074"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513489284"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.22.3.229"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jposna.2025.100215"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2022.10.001"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512460837"},{"key":"e_1_2_7_30_1","first-page":"52","article-title":"The reliability and diagnostic accuracy of assessing the translation endpoint during the lachman test","volume":"10","author":"Mulligan EP","year":"2015","journal-title":"Int J Sports Phys Ther."},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3563-2"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11082152"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260060701"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1606617"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2017.02.001"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231226134"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70224","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70224","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:52:14Z","timestamp":1783018334000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,18]]},"references-count":35,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/arj.70224"],"URL":"https:\/\/doi.org\/10.1002\/arj.70224","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,18]]},"assertion":[{"value":"2025-09-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}