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The Internal Brace -
developed by
Professor Gordon Mackay
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The most significant advance
in the treatment of ligaments
and tendons
in a generation
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On average it takes 16 to 24 weeks to recover full function
after a conventional ligament/tendon reconstruction
an Internal Brace
will bring that time down to an average of
8 to 12 weeks
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The Internal Brace
has now gained
worldwide prominence


The Internal Brace at a Glance

Developed by Professor Gordon Mackay between 2011 and 2014

The Internal Brace is effectively a tiny bungee cord made of a super-strong polymer which is attached to two screws inserted into the bones at each end of the ligament/tendon. This brace stabilises the joint, and allows the patient to begin light exercise within a week.

While the patient is gradually increasing the intensity and duration of exercise, the ligament/tendon grows through the lattice-structure of the bungee-cord and then quickly and naturally reattaches itself to the bone. Because the affected area does not need to be incapacitated, it does not need to be put in a plaster cast, which results in a loss of condition for the surrounding muscles and extends recovery time. IBdrawlinedup660 This results in an accelerated healing time. Instead of taking an average of 16 to 24 weeks to recover full function after a conventional ligament/tendon reconstruction, an Internal Brace will bring that time down to an average of 8 to 12 weeks.
As well as being applied to ligament and tendon damage, the Internal Brace can also be used to stabilise and repair a wide range of other serious injuries, such as thumb and elbow dislocation, or acromioclavicular dislocation.
As detailed IB-rough-guide-quotein the case studies, one top-level rugby player, Rory Hutton (see video below), was back playing his first game of league rugby eight weeks to the day after the severe ankle injury he sustained saw him undergo ankle ligament reconstruction using Internal Bracing. Team GB bobsleigh pilot John Jackson was only able to compete in the Winter Olympics because he opted for an Internal Brace to repair a damaged Achille’s tendon. Two International Netball players have regained pre-injury levels of function 12 weeks after their ACL rupture has been treated with the internal brace.
with the healing of their ACL confirmed by MRI. These exceptional outcomes are partly explained by the procedure’s preservation of nerve and blood supply and the avoidance of donor site problems thanks to the IB fixation, although the duration of recovery is also determined by the individual and the unique nature of their injury. The Internal Brace is quickly becoming a standard procedure in skiing and impact sports, especially in the USA, where it is being used in the NFL and NBA. It has also increasingly being used to repair injuries to non-sportspeople, such as to a Swedish ballerina with a ruptured ACL.

Above: This video charts the progress of International netball player Claire Brownie who underwent a reconstruction of her ankle with Internal Bracing. Her injury was so severe it was thought she would not be fit to play for Scotland at the 2014 Commonwealth Games – watch her remarkable recovery story here.

The Internal Brace allows damaged ligaments/tendons to reattach themselves to the bone naturally instead of being artificially re-attached as per conventional surgery

Ligaments/tendons which reattach themselves naturally to the bone are stronger than if re-attached by surgery. Recovery times are also accelerated dramatically

If a ligament/tendon reattaches itself naturally then in the short-term there is none of the loss of function or pain associated with conventional surgery, while in the long-term there is no arthritis

As well as a quicker recovery time, greater functionality and significantly less long – and short-term health implications, because the Internal Brace technology is relatively simply the operation takes no longer and costs no more than conventional surgery. It also cuts down on costly physiotherapy.

Above: Former olympic skier Alain Baxter is making a remarkable recovery after his damaged anterior cruciate ligament was repaired with an Internal Brace

Below: Recently Professor Mackay was able to help rugby player Nick Binning make an amazing recovery after a serious knee dislocation injury which left him with possible career ending multi-ligament damage. Using the pioneering technique of Internal Bracing to fix the damage, Nick’s recovery has been absolutely remarkable as this video below shows

Below: Professional rugby player Rory Hutton’s damaged ankle, also repaired with Internal Bracing

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For more videos about the Internal Brace
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Go to the Mackay Clinic Sports Surgery Channel
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