Introduction
The Donjoy® REACTION WEB knee brace utilizes an elastomeric web design, which absorbs shock and shifts the peak loads away from the painful area of the knee. This dispersion of energy helps reduce the anterior knee pain you suffer from.
Another advantage of the elastomeric web is it dynamically stabilizes the patella on all sides, thus bringing the patella into proper tracking position to reduce pain caused by general patellofemoral instabilities.
The Donjoy® REACTION WEB knee brace is extremely comfortable to wear because the open framework of the elastomeric web and mesh backing makes the brace breathable, unlike the traditional elastic and neoprene sleeves. It comes in three colours: red, grey and blue.
Indications
• Hoffa's Posterior Fat Pad Syndrome
• Patella Tendonitis
• Quadriceps tendonitis
• Chondromalacia Patellae
• Torn Ligamantum Mucosum
• Tendinosis
• Osgood-Schlatter disease
• General patellofemoral tracking issues
• Mild OA
Information on Ordering
How do you avoid a mistake when ordering for your patient?
Choose the right size by marking the mid point of the patella with the patient standing in the schuss position. Measure the circumference of the thigh at 15cm above this point.
Before you choose from the drop down menu write down which size and colour:
Part Number / Colour / Measurement / Size
82-0215-2 = Grey = (33-46 cm)
82-0215-3 = Grey = (47-59 cm)
82-0215-4 = Grey = (60-75 cm)
82-0215-5 = Grey = (>75 cm)
82-0215-2-02000 = Blue = (33-46 cm)
82-0215-3-02000 = Blue = (47-59 cm)
82-0215-4-02000 = Blue = (60-75 cm)
82-0215-5-02000 = Blue = (>75 cm)
82-0215-2-01000 = Red = (33-46 cm)
82-0215-3-01000 = Red = (47-59 cm)
82-0215-4-01000 = Red = (60-75 cm)
82-0215-5-01000 = Red = (>75 cm)
Innovations
• Progressive Pain Relief - The web absorbs shock and shifts the peak loads away from the painful area of the knee and stabilizes the patella on all sides to ensure proper tracking position.
• Sustained Comfort - The open framework and mesh backing makes this brace breathable and comfortable during use.
• Dual-Axis Hinges - These hinges are flexible and work in conjunction with the elastomeric web for optimal fit and support, and providing energy dispersion to the knee.
• Undersleeve Included with Purchase. Made with 85% Nylon and 15% Spandex
Anterior Knee Pain
Physiotherapy Central London is the term patients search when seeking the top physiotherapy advice on anterior knee pain. OrthopaedicsAndTrauma.com asked Richard Misselbrooka Physiotherapist in at Wilbrham Place Practice Sloane Square Central London his opinion on the indications for this patella brace for the athletes he looks after. Richard looks after the stars of stage and screen, professional and amateur sportsmen and women.
Richard told OrthopaedicsandTrauma.com that "anterior knee pain is an umbrella term and not a diagnosis. One should try and reach the diagnosis through history and examination before offering treatment even if this means an MRI first".
He said: "These New Donjoy REACTION WEB Patellofemoral Braces really helps the patient with well localised anterior knee pain, a normal MRI scan but the clinical suspicion of Plica or Hoffa's fat pad syndrome. If there is damage to the chondral surface from the plica or Hoffa's impingment already then keyhole surgery is indicated. Before that very many more patients respond to physiotherapy, McConnell taping and other techniques".
Richard said: " When the post run MRI is normal and no chondral surface damage is yet evident I find that a combination of patella taping and physiotherapy works well".
He said: "A proportion of patients cannot get on with patella taping due to an allergy or inflammation of the skin from the tape. If the tape is acceptable then I ask patient to try it for at least six weeks before review. If taping cannot be used I try either Procare Surround® Patella Strap, the New Donjoy REACTION WEB Patellofemoral Brace or the Drytex Lateral "J" Knee Support as an alternative".
He said "In the patients with benefit while the tape is on but relapse without it I then I tend to refer the athlete to a Consultant Orthopaedic Surgeon for arthroscopy and excision of the plica or synovial tag which by then is often too large to receive benefit from tape or brace. With a patient suffering persistent pain and chondromalacia, arthroscopic decompression is well tolerated when modern keyhole techniques are used. In well chosen individuals who have not yet suffered degenerat change keyhole surgery effects a cure of anterior knee pain. Unfortunately, late presentation of the patient means that some high pressure damage to the hyaline articular cartilage has occured which is often more difficult to cure."
My tip for patients is to break the brace in slowly. Use it for an hour only on the first day. Use it for two hours on the second day and three on the third day etc.