the fastener attached to the sleeve should allow both medial and vertical tensioning of the legs either a plurality of attachment parts may be separately carried by the brace or the sleeve carried portion 52 may extend over a vertical extent allowing a range of attachment points other forms of fastening allowing for adjustability of the position and tensioning of the legs will be obvious to persons of ordinary skill in the art such as by way of example the use of adjustable position buckles it will further be appreciated that wherein this invention has been described utilizing terminology such as lateral and superior referring to the outer and top sides of the patella area that in certain instances the patellar malalignment may be otherwise such that the terms medial inside lower or bottom may be appropriate for a particular patient 39 s condition in use after the sleeve has been positioned on the leg in the knee area with the patellar area aligned with the opening the pad will be brought into contact with the appropriate surfaces of the skin over the patella and the leg tension will thereafter be adjusted to provide a proper force vector as desired for biasing the patella towards proper alignment a greater or lesser amount of force can be applied by greater or lesser stretching of the legs of the glide and vertical force orientations can be controlled both by adjusting the tension on the legs and by rotation of the glide with respect to the sleeve in the vertical plane it will be further appreciated that while the pad has been shown in the preferred embodiment as.