DetailsFits knee circumference of 12-16Indicated for Arthritis quad weakness knee contrusions joint effusion knee sprains and strains as well as meniscal tears.Comfortable fitProven effective at relieving discomfortDirectionsIn a sitting position extend your leg in a straight or extended position. Position the brace on your knee with the patella opening positioned over your knee cap. Fasten the bottom strap first followed by the top strap. The middle strap should then be secured last.Hand was with mild soap and warm water.