Finsen V, Saetermo R, Kibsgaard L, Farran K, Engebretsen L, Bolz K D, Benum P
Department of Orthopaedic Surgery, Trondheim University Hospital, Norway.
J Bone Joint Surg Am. 1989 Jan;71(1):23-7.
Fifty-six patients who had a displaced fracture of the ankle necessitating surgical fixation were randomly assigned to one of three postoperative treatment regimens: no plaster cast or weight-bearing, and active exercises of the ankle; a non-weight-bearing plaster cast; or a plaster walking cast for the first six postoperative weeks. At follow-up with a duration of as much as two years, there were no consistent differences in the clinical results between the three groups. The time lost from work and the proportion of excellent and good clinical results were also uninfluenced by the postoperative regimen. No adverse effects could be detected as a result of the patient's having walked before the syndesmosis screw had been removed. It was concluded that none of the three postoperative regimens has any advantage over the others in a patient who has a stable osteosynthesis of a fracture of the ankle.
56例踝关节移位骨折需手术固定的患者被随机分为三种术后治疗方案之一：不使用石膏固定或负重，积极进行踝关节锻炼；非负重石膏固定；或术后前六周使用可行走石膏固定。在长达两年的随访中，三组之间的临床结果没有一致的差异。术后治疗方案对误工时间以及优良临床结果的比例也没有影响。未发现患者在去除下胫腓联合螺钉之前行走所产生的不良反应。得出的结论是，对于踝关节骨折进行稳定骨合成的患者，三种术后治疗方案中没有一种比其他方案更具优势。
