• Wolf Petersen, Andree Ellermann, Thore Zantop, Ingo Volker Rembitzki, Hartmut Semsch, Christian Liebau, and Raymond Best.
• Klinik für Orthopädie und Unfallchirurgie, Martin Luther Krankenhaus, Caspar Theysstr 27-31, 14193, Berlin, Germany. wolf.petersen@pgdiakonie.de.
• Arch Orthop Trauma Surg. 2016 May 1; 136 (5): 649-56.

PurposeThere is a lack of consensus regarding biomechanical effects of unloader braces for the treatment of medial osteoarthritis (OA) of the knee. The purpose of this study was to perform a systematic review of studies examining the biomechanical effect of unloader braces.MethodsA systematic search for articles about the biomechanical effect of unloader braces was performed. Primary outcome measure was the influence of the brace on the knee adduction moment. Data sources were Pubmed central and google scholar.ResultsTwenty-four articles were included. Twenty articles showed that valgus unloader braces significantly decrease the knee adduction moment. Seven of those studies reported a decrease of pain in braced patients (secondary outcome measure). Positive effects on the knee adduction moment could be found for custom made braces for conventional knee braces and for a foot ankle orthosis. Four studies could not show any effect of knee unloader braces on the knee adduction moment although one of these studies found decreased pain in braced patients. One of these studies examined healthy patients with a neutral axis.ConclusionThis systematic review could demonstrate evidence that unloader braces reduce the adduction moment of the knee. Foresighted, a systematic review about the clinical effect of unloader braces is required.

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