Hintermann B, Holzach P, Matter P
Chirurgische Abteilung, Spital Davos.
Schweiz Z Sportmed. 1990 Sep;38(2):87-93.
In a prospective study we examined 46 patients (14-49 years of age) with fresh ruptures of the lateral ligaments of the ankle (talar tilt greater than or equal to 10 degrees). Treatment consisted in six weeks of taping combined with wearing of a special rehabilitation shoe (Ortho Rehab). 28 patients were treated conservatively and 18 had an operative repair of their ruptured ligaments. After 8 weeks every patient was clinically controlled. Until now 35 patients were reevaluated more than one year after injury. Treatment was judged as very comfortable and positive. Working capacity was achieved after an average of 14.8 days and all patients returned to their former sports activity 3 to 8 weeks after the event. Mechanical and functional stability after more than one year are excellent with the exception of 3 cases. The results are discussed and compared with other studies.
在一项前瞻性研究中,我们检查了46例(年龄在14至49岁之间)踝关节外侧韧带新鲜断裂(距骨倾斜度大于或等于10度)的患者。治疗方法包括六周的贴扎治疗,并结合穿着一种特殊的康复鞋(Ortho Rehab)。28例患者接受保守治疗,18例对其断裂韧带进行了手术修复。8周后对每位患者进行临床检查。到目前为止,35例患者在受伤一年多后接受了重新评估。治疗被判定为非常舒适且效果良好。平均14.8天后恢复工作能力,所有患者在受伤事件发生后3至8周恢复到以前的体育活动水平。除3例患者外,一年多后的力学和功能稳定性极佳。对结果进行了讨论并与其他研究进行了比较。