Össur Rebound® PCL - Pain Rehab Products

Description

Indications for use

Rehabilitation of Posterior Cruciate Ligament (PCL) ruptures, whether post-surgical reconstruction or during functional (non-surgical) treatment.

Features and benefits

A Dynamic Tension System™ designed to increase the load on the tibia as the knee goes through flexion, providing an anterior drawer force that reduces the load on the PCL.
Shear Knobs for specific load adaptation according to the patient’s individual anatomy and rehabilitation related requirements.
Polycentric Hinge with extension and flexion stops allowing for range of motion adjustment.
Anti-migration Straps (AMS) reduce migration and provide comfort while ensuring that the brace stays in correct position.
Breathable Sensil® liners reduce migration and skin irritation while providing comfort.

Rebound^® PCL Case Studies

Key opinion leaders around the world are incorporating Rebound Functional Healing products into their treatment protocols to improve patient outcomes. Read their full case studies below:

Rebound PCL Case Studies

Dr. Tobias Jung

Charité-University Medicine Berlin

39-year-old male patient with grade II-III PCL tear treated non-surgically with Rebound PCL brace and physical therapy.

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45-year-old female patient with isolated PCL tear treated with PCL reconstruction with autologous hamstring tendons.

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Dr. Christos Kondogiannis

Royal Melbourne Hospital St. Vincent’s Private Hospitals

24-year-old-male with right knee isolated high grade PCL injury treated non-surgically with Rebound PCL and physical therapy.

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27-year-old male with ACL/PCL and MCL deficient left knee treated with autologous hamstring PCL reconstruction, autologous BPB ACL reconstruction and allograft LaPrade MCL reconstruction

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Dr. Robert LaPrade

Complex Knee and Sports Medicine Surgeon, The Steadman Clinic

24-year-old male injured during a tumbling landing with severe varus noncontact injury treated with double bundle PCL reconstruction, a complete anatomic posterolateral corner knee reconstruction and a medial meniscus root repair.

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Benefits of Dynamic Loading

Proven physiologic loading in knee extension and knee flexion.2

The Rebound PCL brace applies significantly larger forces at higher knee flexion angles, where the posterior cruciate ligament (PCL) is maximally loaded in vivo, compared to a static PCL brace.

Comparison of the posterior tibial load provided by a static PCL brace and the dynamic force of the Rebound PCL brace.

1. LaPrade RF, Smith SD, Wilson KJ, Wijdicks CA. Quantification of functional brace forces for posterior cruciate ligament injuries on the knee joint: an in vivo investigation. Knee Surg Sports Traumatol Arthrosc [Internet]. 2014 Aug 22 [cited 2014 Dec 11]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/25145947

Pcl Rehabilitation Protocol

The Rebound PCL brace can be used for rehabilitation of posterior cruciate ligament (PCL) ruptures, both in functional (non-surgical) and post-surgical protocols.

PCL Rupture – Functional (Non-Surgical) Rehabilitation Protocol1
	Phase I (1–6 weeks)	Phase II (7–12 weeks)	Phase III (13–18 weeks)	Phase IV (> 18 weeks)
ROM – Range of motion, PWB – Partial weight bearing, FWBAT – Full weight bearing as tolerated, FWB – Full weight bearing, OKC – Open kinetic chain, CKC – Closed kinetic chain, PRICE – Protection Rest Ice Compression Elevation.
Rebound PCL	Day & night	Day & night	Discontinue use
ROM [Ext./Flex.]	0/0/90 week 1-2 No limitations > week 2 Avoid tibial hyperextension and post. translation	No limitations Avoid tibial hyperextension and post. translation	No Limitations	No Limitations
Weight Bearing	PWB week 1-2 PWB → FWB	FWB	FWB
Physio	PRICE Stretching hamstrings Gastrocnemius/activation of quadriceps	PRICE Strengthening of hamstring and quads up to 70° flexion Proprioceptive and balance exercise	Prepare for sport specific activity	Sports specific agility exercise

PCL Rupture – Rehabilitation after surgical reconstruction1
	Phase I (1–6 weeks)	Phase II (7–12 weeks)	Phase III (13–18 weeks)	Phase IV (19-24 weeks)	Phase V (25-36 weeks)
ROM – Range of motion, PWB – Partial weight bearing, FWBAT – Full weight bearing as tolerated, FWB – Full weight bearing, OKC – Open kinetic chain, CKC – Closed kinetic chain, PRICE – Protection Rest Ice Compression Elevation.
Rebound PCL	Day & night	Day & night	Use for all activities	Use for all activities	Wean off as tolerated
ROM [Ext./Flex.]	0/0/90 week 1-2 > Week 2: Progression to full ROM as tolerated Avoid tibial hyperextension and post. translation	No limitations Avoid tibial hyperextension and post. translation	No Limitations	No Limitations	No Limitations
Weight Bearing	Non weight bearing	FWB → FWBAT	FWB	FWB	FWB
Physio	PRICE Gastrocnemius stretching Activation of quadricep	PRICE Gastrocnemius stretching Light hamstring stretching Squat progression	Proprioceptive and balance exercises Progressive weightbearing strength, incl. progressive hamstring strengthening	Continue OKC and CKC strength and endurance work with progressive weight Initiate initial sportspecific drills near end of this phase	Continue strength and endurance exercises and OKC for quads and hamstrings Straight line jogging progression Sport-specific drills

Pierce CM, O’Brien L, Griffin LW, LaPrade RF. Posterior cruciate ligament tears: functional and postoperative rehabilitation. Knee Surg Sports Traumatol Arthrosc [Internet]. 2013 May [cited 2014 Dec 9];21(5):1071–84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22484415

Order Information

Part#	Description
*Order Using Össur’s SmartMeasure iOS App
B-124501154	Rebound PCL Brace Custom Right*
B-124501155	Rebound PCL Brace Custom Left*
B-705130042	Extension Stop Kit
B-705130043	Flexion Stop Kit
B-465350087	Shear Knob Kit
PCL00061	S-L Strap Kit
PCL00062	XL-XXL Strap Kit
B-705130046	Condyle Kit