Our analysis of the orthopedic implants, orthopedic instruments and on the distribution of loads in the brace has shown that roughly 80% of the load transfer is near to the center point of the cylinder. This is the reason why patients feel the major pressure is in the posterior-proximal soft tissue mass of the leg.

Further analysis of orthopedic implants and instruments has also shown that no clinical or laboratory evidence can suggest that the patellar tendon plays an important weight-bearing role. “Therefore, calling the brace a patellar tendon-bearing (PTB) device is inappropriate”, quotes our orthopedic implants manufacturers expert.

A team of orthopedic products manufacturers in India and surgical experts have also mentioned that the initial displacement of the bones is found to be directly related to the degree of soft tissue damage.

With the enhancement in soft tissue damage, the misalignment of the fragments also increases. However, the motion between the fragments is stable once an orthopedic implant like brace is applied at the desired site.

The stability was measured by ortho surgical implants specialists in fresh cadaver limbs with artificially produced fractures which showed minor misalignment of the fragments under load bearing and restricted elastic motion at the fracture site. Similar quality and quantity of motion have been measured by our orthopedic implant company utilizing the same methods.

Such studies related to stability on fresh above-the-knee amputation samples with closed fractures of the tibia and fibula have been performed by the manufacturers of our orthopedic product in India with a different kind of brace design to demonstrate and find the right kind of the brace.

The results were brilliant and indicated that each section has a purpose no matter whether it is related to the original design concept or not. It was also found that the proximal third of the brace was important for compressing the soft tissues and contouring the bony structure.

The triangular and irregular curve of the brace assists in the control of rotation. The distal molding of the tibial apex and malleoli (bony projection with a shape likened to a hammerhead like those on either side of the ankle) is also essential to improve rotational stability.

“If the central or peripheral edges are cut or if any detachment takes place along the entire cylinder area of the brace, the lever advantage of the brace is compromised” states our orthopedic instruments expert.

Our experts and research specialists also believe that greater the degrees of compromise of this leverage or loss of close contact of the cylindrical structure with the leg, the greater are the chances of angular instability of the limb. Loss of lit of the brace also negotiates the capability of the soft tissues to offer any kind of hydraulic support to the limb.

At the ankle, the ears of the brace (pointed structure) over the malleoli (projection of the ankle on either side) serve mainly to guard the bony prominence against rubbing against the plastic foot insert as the ankle warm-ups and extends. Orthopedic implants like braces also have the flexible plastic feet and ankle insert that aids in maintaining the proximal position of the covering on the leg as the dimensions of the soft tissues reduces. It also helps to improve the rotational and bending stiffness that occurs during injury.