Blandfort R, Hess H, Lippay F
Vorsitzender des Berufsverbandes, Chirurgen im Saarland, St. Ingbert.
Sportverletz Sportschaden. 1991 Mar;5(1):42-4. doi: 10.1055/s-2007-993562.
The authors tested the clinical efficacy of the malleotrain bandage in a clinical field trial on a very large mixed patient material from 1980 onwards. The patient material included a total of 350 cases of ankle joint injuries with partial and total fibular ruptures of ligament, ruptures of the inferior tibiofibular joint, conditions after malleolar fractures as well as posttraumatic or postoperative swelling.--It was found that the malleotrain bandage achieved subsidence of swelling of the periarticular soft parts, relief of complaints and considerable normalisation of functioning, within an unusually short time and without medication or other local measures.--Patients who had been operated on for complete rupture of fibulotalar ligament were given by Lippay the malleotrain bandage only, after having immobilised the malleolus by means of a plaster cast for 10 days, without any disadvantages in respect of healing and subsequent stability.--Blandfort had even treated complete lateral ankle joint ligament ruptures conservatively with the malleotrain bandage only and had thus achieved cure resulting in stable ligaments.--The ability to work and to resume sports activities returned on the average two weeks earlier than with plaster cast immobilisation.
作者从1980年起,在一项针对大量混合型患者材料的临床现场试验中,测试了踝关节训练绷带的临床疗效。患者材料总共包括350例踝关节损伤,伴有部分和完全的腓骨韧带断裂、下胫腓关节断裂、踝关节骨折后的情况以及创伤后或术后肿胀。——结果发现,踝关节训练绷带在异常短的时间内,无需药物或其他局部措施,就能使关节周围软组织肿胀消退、症状缓解且功能显著恢复正常。——对于腓距韧带完全断裂接受手术治疗的患者,利佩在通过石膏固定踝关节10天后,仅给予踝关节训练绷带,在愈合和后续稳定性方面没有任何不利影响。——布兰德福特甚至仅用踝关节训练绷带对踝关节外侧韧带完全断裂进行了保守治疗,并因此实现了治愈,韧带恢复稳定。——与石膏固定相比,平均提前两周恢复工作和体育活动的能力。