Yang Jie, Ding Guocheng, Duan Zhixin, Yan Yixiang, Zhang Yuyue, Jiang Dong, Wang Jianquan
Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine, Peking University, Beijing 100191, China.
Beijing Key Laboratory of Sports Injuries, Beijing 100191, China.
Healthcare (Basel). 2025 May 19;13(10):1182. doi: 10.3390/healthcare13101182.
: This study aims to compare the postoperative clinical outcomes of using non-elastic compression bandages versus elastic bandages after lateral ankle ligament repair. : This retrospective study analyzed a total of 110 patients who underwent repair surgery for chronic lateral ankle ligament injuries. Based on the postoperative bandaging method, patients were divided into two groups: the non-elastic compression bandage group (Group NECB, 55 cases) and the elastic bandage group (Group EB, 55 cases). A comparison was made between the two groups of patients regarding postoperative ankle joint swelling, pain scores (VAS scores), ankle function (AOFAS Ankle-Hindfoot Scale), range of motion of the ankle joint, the incidence of perioperative complications (including subcutaneous ecchymosis, wound seepage, and events requiring loosening of the bandage due to pain), and the status of return to work postoperatively. : There were no significant differences between the two groups in terms of early postoperative ankle joint swelling or increased circumference (0.53 ± 1.47 cm vs. 1.08 ± 1.84 cm, = 0.095) or VAS scores at 1 day (3.84 ± 2.14 vs. 3.63 ± 2.03, = 0.595), 7 days (2.20 ± 1.89 vs. 1.78 ± 1.67, = 0.216), 14 days (1.45 ± 1.56 vs. 0.97 ± 1.23, = 0.075), or 3 months (1.27 ± 1.50 vs. 1.38 ± 1.76, = 0.744). Both groups demonstrated comparable functional recovery based on AOFAS scores at 3 months (89.89 ± 8.08 vs. 90.05 ± 9.50, = 0.926), ROM in all measured directions ( > 0.05), and return to work status ( = 0.567). However, the incidence of complications was significantly lower in Group NECB (3.6%) compared to Group EB (30.9%). The reported complications in Group EB were mainly related to postoperative subcutaneous ecchymosis and discomfort requiring bandage loosening. : There is no difference between non-elastic compression bandaging with cotton padding and elastic bandaging in postoperative swelling, pain, and functional recovery. However, in reducing the incidence of postoperative skin adverse events, using non-elastic compression bandages with cotton padding proves to be more ideal as a bandaging method after lateral ankle ligament repair.
本研究旨在比较外侧踝关节韧带修复术后使用非弹性加压绷带与弹性绷带的术后临床结果。本回顾性研究分析了总共110例行慢性外侧踝关节韧带损伤修复手术的患者。根据术后包扎方法，将患者分为两组：非弹性加压绷带组（NECB组，55例）和弹性绷带组（EB组，55例）。比较两组患者术后踝关节肿胀情况、疼痛评分（视觉模拟评分法[VAS]评分）、踝关节功能（美国足踝外科协会[AOFAS]踝关节-后足评分量表）、踝关节活动范围、围手术期并发症发生率（包括皮下瘀斑、伤口渗液以及因疼痛需要松解绷带的情况）以及术后复工状况。两组在术后早期踝关节肿胀或周径增加方面（0.53±1.47 cm对1.08±1.84 cm，P = 0.095）、术后1天（3.84±2.14对3.63±2.03，P = 0.595）、7天（2.20±1.89对1.78±1.67，P = 0.216）、14天（1.45±1.56对0.97±1.23，P = 0.075）或3个月（1.27±1.50对1.38±1.76，P = 0.744）的VAS评分方面均无显著差异。基于3个月时的AOFAS评分（89.89±8.08对90.05±9.50，P = 0.926）、所有测量方向的活动范围（P>0.05）以及复工状况（P = 0.567），两组显示出相当的功能恢复情况。然而，NECB组的并发症发生率（3.6%）显著低于EB组（30.9%）。EB组报告的并发症主要与术后皮下瘀斑和需要松解绷带的不适有关。使用带棉垫的非弹性加压绷带包扎与弹性绷带包扎在术后肿胀、疼痛和功能恢复方面没有差异。然而，在降低术后皮肤不良事件的发生率方面，使用带棉垫的非弹性加压绷带作为外侧踝关节韧带修复术后的包扎方法更为理想。
