Port A M, McVie J L, Naylor G, Kreibich D N
Sunderland District General Hospital, England.
J Bone Joint Surg Br. 1996 Jul;78(4):568-72.
We compared two conservative methods of treating Weber B1 (Lauge-Hansen supination-eversion 2) isolated fractures of the lateral malleolus in 65 patients. Treatment by immediate weight-bearing and mobilisation resulted in earlier rehabilitation than immobilisation for four weeks in a plaster cast. There was no significant difference in the amount of pain experienced or in the requirement for analgesics and early mobilisation was not associated with any complications. We therefore advocate early mobilisation for these stable ankle fractures.
我们比较了两种保守治疗方法，用于治疗65例Weber B1型（Lauge-Hansen旋后-外旋2型）单纯外踝骨折。与采用石膏固定四周的固定疗法相比，立即负重和活动的治疗方法能使康复时间更早。在疼痛程度或镇痛药需求方面没有显著差异，而且早期活动与任何并发症均无关联。因此，我们提倡对这些稳定的踝关节骨折进行早期活动。
