Arnold I, Bruns J, Dahmen G
Orthopädische Universitätsklinik Hamburg-Eppendorf.
Unfallchirurgie. 1987 Dec;13(6):320-5. doi: 10.1007/BF02588653.
In a comparative study the value of castless immobilisation methods for stabilising the lateral ankle instability was examined. For this the dimension of the lateral talar tilt as a sign for chronic lateral ankle instability in 32 sportsmen with chronic ankle instability was checked initially. Afterwards the reduction of this instability due to the application of the tape-bandage and the "ankle-brace" was tested under the same standardised conditions. In regard to the reduction of the lateral talar tilt a reduction of this instability of the ankle joint is possible significantly. But compared to the normal talar tilt showing a stable ankle joint, it is not possible to reach this in all cases of ankle instability. So for treatment of the lateral ligament rupture it is necessary to use the usual cast for stabilising the joint after ligament suture before reduction of the time of immobilisation is possible. The use in cases of chronic instability or as a precaution method is not restricted when a sufficient active stabilisation is possible.
在一项对比研究中,对无石膏固定方法在稳定外侧踝关节不稳方面的价值进行了检验。为此,首先检查了32名患有慢性踝关节不稳的运动员中作为慢性外侧踝关节不稳标志的距骨外侧倾斜度。之后,在相同的标准化条件下测试了应用弹力绷带和“踝关节支具”后这种不稳的减轻情况。就距骨外侧倾斜度的减轻而言,踝关节不稳的这种减轻是显著可能的。但与显示踝关节稳定的正常距骨倾斜度相比,并非在所有踝关节不稳的病例中都能达到这一点。因此,对于外侧韧带断裂的治疗,在可能缩短固定时间之前,在韧带缝合后有必要使用常规石膏来稳定关节。在慢性不稳的情况下使用或作为预防方法时,如果能够进行充分的主动稳定,则不受限制。