Reith H B, Mackowski M, Kozianka J, Kozuschek W
Chirurgischen Universitätsklinik, Knappschaftskrankenhauses Bochum-Langendreer.
Zentralbl Chir. 1989;114(21):1396-400.
The inversion trauma of the ankle joint is one of the most important and frequent injuries. The treatment of recent rupture of the fibular ligament is now a point for discussion. Operative or conservative treatment is possible. The clinical evaluation of instability requires radiological control and stress test. With a new ankle splint we reduce pathological inversion of the ankle joint, so that we introduce a functional treatment. Our experience with this method will be demonstrated. 45 patients more than a half year after trauma reported good-to-excellent results. The objective evaluation shows in 95% good-to-excellent results. A secondary ligament reconstruction was not necessary.
踝关节内翻创伤是最重要且最常见的损伤之一。目前，腓骨韧带近期断裂的治疗是一个讨论点。手术治疗或保守治疗都是可行的。对不稳定情况的临床评估需要影像学检查和应力测试。使用一种新型踝关节夹板，我们可减少踝关节的病理性内翻，从而引入一种功能性治疗方法。我们将展示使用这种方法的经验。45例创伤半年以上的患者报告了良好至极佳的治疗效果。客观评估显示95%的患者治疗效果良好至极佳。无需进行二期韧带重建。
