Batt M E, Kemp S, Kerslake R
Centre for Sports Medicine, Queen's Medical Centre, Nottingham, UK.
Br J Sports Med. 2001 Feb;35(1):74-7. doi: 10.1136/bjsm.35.1.74.
A conservative method of treating four delayed union stress fractures of the anterior mid-tibia is described, with an illustrative case history.
Once diagnosed each of the patients was treated in a pneumatic lower leg brace with modified rest. The mean (range) age of the patients was 28 (24-32) years and all were involved in professional or amateur sports. The mean (range) duration of symptoms before diagnosis and definitive treatment of the four fractures was 9 (3-14) months.
Use of this technique avoided the need for surgery in this group of patients and allowed return to unrestricted activity an average of 12 months from presentation.
The treatment is cost effective and avoids the often uncertain results and morbidity associated with surgery for these difficult stress fractures.
本文描述了一种治疗胫骨干中份前方四处延迟愈合应力性骨折的保守方法,并附病例说明。
一旦确诊,每位患者均使用改良休息的气动小腿支具进行治疗。患者的平均(范围)年龄为28(24 - 32)岁,均参与专业或业余体育活动。这四处骨折在诊断和最终治疗前症状的平均(范围)持续时间为9(3 - 14)个月。
使用该技术避免了这组患者进行手术的必要性,并使患者从就诊起平均12个月后能够恢复无限制活动。
该治疗方法具有成本效益,避免了这些难治性应力性骨折手术常常带来的不确定结果和并发症。