[Functional versus plaster cast treatment of acute rupture of the fibular ligament of the upper ankle joint. A randomized clinical study].
From November 1987 to December 1988, 60 patients with recent ruptures of the fibular ligament were enrolled in a randomized trial. After randomization patients were treated with a pneumatic leg brace (Aircast) or with cast immobilization for 6 weeks. Follow-up examination was carried out 15 months after cessation of therapy and was possible in 90% of the patients studied. Clinical criteria were evaluated according to a validated questionnaire including a 120-point scoring scale. In 42 patients stress tenography was carried out. The functionally treated group had significantly better score values than the immobilized group (functional treatment group 46.4 points; immobilization group 37.2 points). There was no significant difference between the treatment groups in radiological stability after the injury or at follow-up. On the basis of this study and the literature we recommend a primary functional treatment for recent ruptures of the fibular ligaments of the ankle in adults.
Klein
J
J
Abteilung für Unfallchirurgie, Universität Klinikum Köln-Merheim.
Rixen
D
D
Albring
T
T
Tiling
T
T
D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries; D001915:Braces; D002370:Casts, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries*; D008297:Male; D012421:Rupture
Funktionelle versus Gipsbehandlung bei der frischen Aussenbandruptur des oberen Sprunggelenks. Eine randomisierte klinische Studie.