Treatment of complete rupture of the lateral ligaments of the ankle:: a randomized clinical trial comparing cast immobilization with functional treatment
Treatment of complete rupture of the lateral ligaments of the ankle:: a randomized clinical trial comparing cast immobilization with functional treatment
复制标题
DOI：
10.1007/s00167-002-0308-9
复制
发表时间：
2002-11-01
影响因子：
3.8
通讯作者：
Argilaga, S
中科院分区：
文献类型：
--
作者：
Ardèvol, J;Bolíbar, I;Argilaga, S
本研究比较了石膏固定和功能治疗踝关节外侧韧带III级断裂的疗效。研究对象（n=121）为闭合性骨骺软骨，年龄在35岁以下，III级破裂，既往无相关损伤，定期进行运动。患者被随机分为固定组（21天石膏石膏）或功能组（15天绑带加早期控制活动）。评估扭伤后3、6和12个月的症状（疼痛、肿胀、僵硬、主观不稳定性）、关节松弛、恢复损伤前活动（时间和水平）和再损伤率。目的关节松弛与体质松弛有关，创造了一个新的变量[损伤时距骨倾斜-控制时距骨倾斜]/对侧。talar倾斜。功能组在3个月和6个月时明显更早、更好地恢复体力活动，症状更少，但在12个月时无组间差异。功能治疗也能较好地减轻关节松弛。再损伤率组间无差异。我们的结论是，功能性治疗是安全的，与更快的恢复有关，特别适用于运动人群。
This study compared the therapeutic efficacy between cast immobilization and functional treatment of grade III ruptures of the lateral ankle ligaments. Subjects (n=121) had closed physeal cartilage, age under 35 years, grade III rupture without previous or associated injuries, and practiced regular sports. Patients were randomized into an immobilization group (21 days plaster cast) or a functional one (15 days strapping plus early controlled mobilization). Symptoms (pain, swelling, stiffness, subjective instability), joint laxity, return to preinjury activity (time and level) and rate of reinjury were assessed 3, 6, and 12 months after sprain. Objective joint laxity was related to constitutional laxity, creating a new variable [talar tilt at injury - talar tilt at control]/contralateral. talar tilt. The functional group showed significantly earlier and better return to physical activity, fewer symptoms at 3 and 6 months but no intergroup difference at 12 months. Functional treatment also showed better decrease in joint laxity. No intergroup differences were found in the reinjury rate. We conclude that functional treatment is safe, associated with a more rapid recovery, and particularly suitable in athletic populations.