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比较春踝支具与夹板和石膏在治疗诊断为踝关节扭伤的患者的踝关节扭伤中的效果。

Comparison of spring ankle braces versus splints and casts in treating ankle sprains in patients diagnosed with ankle sprains.

机构信息

Department of Orthopedics, Mashhad University of Medical Sciences, Mashhad, Iran.

School of Medicine, Imam Khomeini Hospital, Jiroft University of Medical Science, Jiroft, Iran.

出版信息

BMC Musculoskelet Disord. 2024 Oct 4;25(1):786. doi: 10.1186/s12891-024-07901-4.

Abstract

BACKGROUND

Various treatment approaches for individuals with ankle sprains can reduce treatment costs and enhance recovery. This study aimed to compare the efficacy of spring ankle braces with splints and casts in treating ankle sprains.

MATERIALS AND METHODS

This cross-sectional study involved 60 patients diagnosed with ankle sprains at the orthopedic clinic of Imam Khomeini Hospital in Jiroft in 2022. Following diagnosis confirmation through additional examinations and imaging, patients with ankle sprains not requiring surgery were selected and placed in two groups: one treated with spring ankle braces and the other with splints or casts. Both groups underwent a 4-week treatment regimen, comprising 30 individuals each. Data were collected and analyzed using SPSS version 26.

RESULTS

The average age of patients was 32.5 ± 13.4 years. Of the ankle sprain patients, 56.7% were male. Patients reported the highest satisfaction levels with the plaster cast treatment method. A statistically significant relationship was found between patient satisfaction and the treatment methods of spring ankle braces and plaster casting (P < 0.05). Patients treated with plaster casts reported the lowest pain levels, with a significant relationship between pain levels and the two treatment methods (P < 0.05). Range of motion results were similar for both treatment methods, while the cast treatment showed the highest incidence of skin complications. A significant relationship was observed between spring ankle braces and plaster casts regarding skin complications (P < 0.05).

CONCLUSION

Treating ankle sprains with plaster casts leads to higher satisfaction and lower pain levels compared to using spring ankle braces.

摘要

背景

各种针对踝关节扭伤患者的治疗方法可以降低治疗成本并促进康复。本研究旨在比较春踝带与夹板和石膏治疗踝关节扭伤的疗效。

材料与方法

本横断面研究纳入了 2022 年在霍梅尼医院贾罗夫特骨科诊所确诊的 60 例踝关节扭伤患者。在通过进一步检查和影像学确诊后,选择不需要手术的踝关节扭伤患者并将其分为两组:一组采用春踝带治疗,另一组采用夹板或石膏治疗。两组均接受为期 4 周的治疗方案,每组 30 例。使用 SPSS 版本 26 收集和分析数据。

结果

患者的平均年龄为 32.5±13.4 岁。踝关节扭伤患者中,男性占 56.7%。患者对石膏固定治疗方法的满意度最高。患者满意度与春踝带和石膏固定治疗方法之间存在显著关系(P<0.05)。使用石膏固定治疗的患者报告的疼痛水平最低,疼痛水平与两种治疗方法之间存在显著关系(P<0.05)。两种治疗方法的关节活动度结果相似,而石膏固定治疗的皮肤并发症发生率最高。春踝带和石膏固定治疗方法与皮肤并发症之间存在显著关系(P<0.05)。

结论

与使用春踝带相比,使用石膏固定治疗踝关节扭伤可提高患者的满意度并降低疼痛水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad4c/11451001/86a59755aee6/12891_2024_7901_Fig1_HTML.jpg

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