Zwipp H, Hoffmann R, Thermann H, Wippermann B W
Trauma Department, Medizinische Hochschule, Hannover, Federal Republic of Germany.
Int Orthop. 1991;15(3):245-9. doi: 10.1007/BF00192302.
A prospective randomised trial of treatment of ruptured ankle ligaments was carried out at our institute. Two hundred patients were randomly assigned to 4 treatment groups. The results at 1 and 2 years after injury showed that functional treatment with a newly designed brace appeared to be the method of choice. This gives good mechanical stability, a shorter time off work and the ability to resume full sporting activity within 3 months of injury. Operation is only indicated for dislocations of the ankle and foot, ankle ligament rupture with additional intraarticular damage and second stage injuries or re-ruptures.
我们研究所对踝关节韧带断裂的治疗进行了一项前瞻性随机试验。200名患者被随机分为4个治疗组。受伤后1年和2年的结果表明，使用新设计的支具进行功能治疗似乎是首选方法。这种方法具有良好的机械稳定性，能缩短误工时间，并能在受伤后3个月内恢复全面的体育活动。手术仅适用于踝关节和足部脱位、伴有额外关节内损伤的踝关节韧带断裂以及二期损伤或再次断裂。
