Brink O, Staunstrup H, Sommer J
Department of Orthopaedic Surgery, Aarthus University Hospital, Denmark.
Foot Ankle Int. 1996 Nov;17(11):679-84. doi: 10.1177/107110079601701106.
Stable lateral malleolar fractures can be treated with dynamic braces and early mobilization. In a randomized clinical trial, 66 patients with supination-eversion stage II fractures were treated with Aircast Air-Stirrup ankle braces or DonJoy R.O.M.-Walker braces. Average bracing time was 5 weeks, and average time until return to work was 6 weeks. At 4 weeks, 70% to 80% of patients were able to walk without pain. Subjective satisfaction with comfort and ease of use was significantly higher with Aircast, although it was high in both groups. Pain relief and an inflammatory score were significantly better in the R.O.M.-Walker group after 4 weeks. Three months after injury, no differences were observed in grade of ambulation, pain, swelling, range of motion, or inflammatory score. Both braces can be recommended.
稳定的外踝骨折可采用动态支具并早期活动进行治疗。在一项随机临床试验中，66例旋后-外旋II度骨折患者接受了Aircast Air-Stirrup踝关节支具或DonJoy R.O.M.-Walker支具治疗。平均支具佩戴时间为5周，平均恢复工作时间为6周。4周时，70%至80%的患者能够无痛行走。尽管两组对舒适度和易用性的主观满意度都很高，但Aircast支具的满意度明显更高。4周后，R.O.M.-Walker组的疼痛缓解和炎症评分明显更好。受伤三个月后，在步行等级、疼痛、肿胀、活动范围或炎症评分方面未观察到差异。两种支具均可推荐。
