Unloader Knee Braces in the Treatment of Knee Osteoarthritis

Authors

• Jennifer Gribble, University of LynchburgFollow

Specialty

Family Medicine/Acute Care

Advisor

Blake Rogers, DMSc, PA-C

Abstract

This manuscript evaluates current evidence on unloader knee braces for knee osteoarthritis (KOA), focusing on their role as an adjunctive or nonoperative treatment for patients unsuitable for or declining surgery. Knee osteoarthritis is a degenerative joint disease that causes breakdown of the cartilage of the knee joint. A literature search across PubMed and Google Scholar identified numerous studies suggesting unloader knee braces can effectively treat KOA. This research is particularly relevant for patients who have exhausted traditional conservative treatments and are not ideal candidates for total knee arthroplasty, the current definitive treatment. For select populations, unloader knee braces may provide symptom relief, improve function, and delay surgical intervention. Such patients often include those with advanced age, significant comorbidities, structural abnormalities, or a preference to avoid surgery. For these individuals, nonoperative interventions like unloader knee braces are an important component of a comprehensive treatment strategy aimed at reducing pain, enhancing mobility, and improving quality of life.

While numerous studies have explored unloader knee braces for KOA, the literature presents mixed findings regarding their long-term effectiveness. Nevertheless, clinical evidence consistently demonstrates improvements in pain, stability, and quality of life for patients with unicompartmental KOA. This variability in findings underscores the critical need for further research and clinical trials, particularly across diverse populations including elderly, obese, and multicompartmental KOA patients, as well as those with advanced arthritic disease or significant bony structural abnormalities. Ultimately, this manuscript aims to encourage healthcare providers to engage in shared decision-making, assessing how unloader knee bracing aligns with individual patient goals, preferences, and values in KOA management. Incorporating patient-centered discussions is crucial for guiding treatment selection and optimizing outcomes for those benefiting from nonoperative strategies.

Recommended Citation

Gribble J. Unloader Knee Braces in the Treatment of Knee Osteoarthritis. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2026; 8(1).