Bruns J, Scherlitz J, Luessenhop S
Dept. of Orthopaedic Surgery, University of Hamburg, Germany.
Int J Sports Med. 1996 Nov;17(8):614-8. doi: 10.1055/s-2007-972904.
The mechanical stabilizing effect of nine different orthotic devices on physiological and pathological plantar flexion/dorsal extension and horizontal rotation of the ankle joint subjected to artificial lateral ligament lesions was investigated in 20 cadaveric ankle joints under standardized conditions using an experimental apparatus. All of the braces tested significantly reduced plantar flexion/dorsal extension, as well as internal/external/external horizontal rotation, under the experimental conditions. In so far as these results can be transposed into a clinical setting, our data favour that bracing significantly reduces the instability. But, other criteria, such as the stabilizing effect on talar tilt and anterior drawer sign, the price and the convenience of wearing such devices have to be taken into consideration when choosing the optimal brace.
在标准化条件下，使用实验装置对20个尸体踝关节进行研究，以探讨9种不同矫形装置对人工造成外侧韧带损伤的踝关节在生理和病理状态下的跖屈/背伸及水平旋转的机械稳定作用。在实验条件下，所有测试的支具均能显著减少跖屈/背伸以及内/外/外水平旋转。就这些结果能否转化到临床情况而言，我们的数据表明支具能显著降低不稳定性。但是，在选择最佳支具时，还必须考虑其他标准，如对距骨倾斜和前抽屉试验的稳定作用、价格以及佩戴此类装置的便利性。
