Jakob R P, Raemy H, Steffen R, Wetz B
Orthopade. 1986 Nov;15(6):434-40.
Functional treatment with an Aircast splint can reduce pathological inversion of the ankle joint. Now that we have used the splint since 1981, we report our experience with a small group of patient who have been reviewed three times in the last 4 years. The patients reported good-to-excellent results. Objective evaluation was slightly better in the first follow up evaluation with increased laxness in the stress tests in the last control. However only one patient needed ligament reconstruction. The Aircast splint provides good-to-excellent subjective results and good objective results in 75% of cases. The following indications are valid for operative treatment: Laxity with a talar tilt of definitely more than 15 degrees, or with an anterior drawer of the talus of more than 12 mm in a young athlete who is dependent on complete stability. Patients with osteochondral lesions and avulsed fibular fragments. History of pre-existing recurrent subluxations, possibly in combination with a ligament reconstruction.
使用Aircast夹板进行功能治疗可减少踝关节的病理性内翻。自1981年以来我们一直在使用该夹板，现报告我们在过去4年中对一小群患者进行三次复查的经验。患者报告的结果为良好至优秀。客观评估在首次随访评估时略好，在最后一次对照的应力试验中松弛度增加。然而，只有一名患者需要进行韧带重建。Aircast夹板在75%的病例中提供了良好至优秀的主观结果和良好的客观结果。以下指征适用于手术治疗：对于依赖完全稳定性的年轻运动员，距骨倾斜度明确超过15度或距骨前抽屉超过12毫米的松弛；骨软骨损伤和腓骨碎片撕脱的患者；既往有复发性半脱位病史，可能需要联合韧带重建。
