Bakker Daniel, Schulte Jan B, Meuffels Duncan E, Piscaer Tom M
Department of Orthopaedic Surgery, Erasmus MC Rotterdam, University Medical Center Rotterdam, Dr. Molewaterplein 40, 3015GD Rotterdam, the Netherlands.
J Orthop. 2019 Aug 29;18:255-260. doi: 10.1016/j.jor.2019.08.031. eCollection 2020 Mar-Apr.
This study evaluated the clinical outcome of non-operative treatment of peroneal tendon dislocations.
A systematic review of literature was performed.
Six studies were included. Redislocation rates differed between treatments: taping ≥ 3 weeks; 18/30 (60%) patients. Plaster cast ≥ 4 weeks; 5/13 (32%) plaster cast ≥ 6 weeks; 1/6 (17%). Strapping or taping treatment indicated a higher rate of pain and instability and a lower rate of ability to return to former activity.
A non-weight bearing cast ≥ 6 weeks was successful in 5/6 patients. A non-weight bearing cast might be a good alternative for surgical intervention.Level of Clinical Evidence: Level IV, systematic review of level IV studies.
本研究评估了腓骨肌腱脱位非手术治疗的临床结果。
进行了文献的系统综述。
纳入六项研究。不同治疗方法的再脱位率有所不同：贴扎≥3周；30例患者中有18例（60%）。石膏固定≥4周；13例中有5例（32%），石膏固定≥6周；6例中有1例（17%）。绑扎或贴扎治疗的疼痛和不稳定发生率较高，恢复至先前活动能力的发生率较低。
非负重石膏固定≥6周在6例患者中有5例成功。非负重石膏固定可能是手术干预的良好替代方法。临床证据级别：IV级，IV级研究的系统综述。
