Avci S, Sayli U
Department of Orthopaedics and Traumatology, Faculty of Medicine, Fatih University, Ankara, Turkey.
Injury. 1998 Oct;29(8):581-4. doi: 10.1016/s0020-1383(98)00129-6.
In this prospective, randomized study, short-term immobilization with semi-rigid (Soft Cast) and rigid (Scotchcast Plus) synthetic cast materials were compared for the functional treatment of acute grade 3 lateral ligament injuries of the ankle. Degree of ligament injury was assessed by clinical criteria. Duration of immobilization was 2 weeks for both groups and home physiotherapy was started thereafter. Fifty-seven patients completed the study and both materials were found to be equally effective in providing a stable ankle at the end of 6 weeks follow-up. Soft Cast group had better range of motion and could walk better at 2 weeks, but these differences diminished at 6 weeks. With the Soft Cast, patient satisfaction was higher, need for a support for walking was less and return to work was earlier. When combined with the reduced cost of application, Soft Cast is the material of choice for the initial short-term immobilization for the functional treatment of acute ankle ligament injuries.
在这项前瞻性随机研究中，比较了使用半刚性（软石膏）和刚性（Scotchcast Plus）合成石膏材料进行短期固定，用于急性3级踝关节外侧韧带损伤的功能治疗。韧带损伤程度通过临床标准进行评估。两组的固定时间均为2周，之后开始在家进行物理治疗。57名患者完成了研究，在6周随访结束时，发现两种材料在提供稳定踝关节方面同样有效。软石膏组在2周时关节活动范围更好，行走能力更强，但在6周时这些差异减小。使用软石膏时，患者满意度更高，行走时对支撑的需求更少，重返工作岗位更早。再加上应用成本降低，软石膏是急性踝关节韧带损伤功能治疗初始短期固定的首选材料。
