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[距骨上关节新鲜外侧不稳定的治疗与结果]

[Therapy and results of fresh lateral instability of the upper ankle joint].

作者信息

Engler J, Hempfling H

机构信息

Berufsgenossenschaftliche Unfallklinik Murnau.

出版信息

Unfallchirurgie. 1994 Jun;20(3):150-6. doi: 10.1007/BF02588160.

Abstract

During a retrospective study we especially examined the late outcome in therapy of injuries of the lateral capsula ligament-lesions in 210 patients. In addition we scrutinized the literature on this subject within the last 60 years, concerning the results of different therapy methods were checked. 203 collective writings on this subject, 23,279 patients and our own results achieved in the BG Accident Hospital in Murnau (Germany) all added up to 23,389 patients. We did not only observe the subjective opinion regarding the outcome of the therapy but also the socio-economic factors, such as the duration of incapability to work and do sports. Emphasis was laid on the remaining complaints: reduction of movement, swelling, pain during stress and instability (in the sense of recurring injuries). The results of this thesis show the dependence of the therapy in respect to the age of the patient. So we have developed a different therapy-concept for those under age of 30 and for those over the age of 30 years.

摘要

在一项回顾性研究中,我们特别检查了210例外侧关节囊韧带损伤患者的治疗远期结果。此外,我们查阅了过去60年里关于该主题的文献,核查了不同治疗方法的结果。关于该主题的203篇学术著作、23279例患者以及我们在德国米尔瑙BG事故医院取得的自身研究结果,总计涉及23389例患者。我们不仅观察了关于治疗结果的主观意见,还考察了社会经济因素,如无法工作和进行体育活动的时长。重点关注了遗留的不适症状:活动度降低、肿胀、用力时疼痛以及不稳定感(即反复受伤的情况)。本论文的结果表明治疗方法取决于患者的年龄。因此,我们针对30岁以下和30岁以上的患者制定了不同的治疗方案。

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