Ryd L, Bengtsson S
Department of Orthopedics, University Hospital, Lund, Sweden.
Acta Orthop Scand. 1992 Aug;63(4):443-6. doi: 10.3109/17453679209154764.
54 patients with isolated SE II fractures through the lateral malleolus, with 2 mm maximum dislocation, were treated with an elastic bandage and immediate weight bearing. 2 patients suffered dislocation but both should not, on reassessment, have been included in the study. 49 of the remaining patients were assessed after an average of 1.5 years. All but 4 patients had very minor, if any, symptoms. The average sick leave was 6.3 weeks and the patients were back to normal activity in about 4 months. This virtual nontreatment was safe and beneficial to both the patients and the health service.
54例单纯外侧踝关节SE II型骨折患者，最大移位2mm，采用弹力绷带固定并立即负重治疗。2例患者出现脱位，但重新评估后发现这2例患者均不应纳入该研究。其余49例患者在平均1.5年后接受评估。除4例患者外，其他患者即使有症状也非常轻微。平均病假为6.3周，患者在约4个月后恢复正常活动。这种几乎不进行治疗的方法对患者和医疗服务都是安全且有益的。
