Conclusion et proposition de classification thérapeutique
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Conclusion and proposal for a therapeutic classification
The non surgical treatment of the sprains of the ELL of the ankle which remains by far the most common in this pathology usually with mild immediate functional consequences tends to have its indications expanded because of the good results short term ensures. Recent studies, and in particular those of the members of the GECO, confirm indeed a decrease of the time off work or sporting activities due to a well conducted functional treatment particularly the use of splint with controlled mobility. But this phobia of surgical aggression must be tempered by the studies of chronic ankle laxities. Those ones are practically always the consequence of an absence of treatment but above all of an ill-conducted orthopaedic treatment (even if perfectly supervised!) and exceptionally of a surgical step of which we must remember the ease and the relative innocuousness. The continuation of this round table will indeed confirm to us indirectly the quality of the results obtained in the long term by the early surgical repair of serious sprains of the ankle. Considering the fact that there was a precise and irrefutable place for each of the formerly studied therapeutic methods, we wanted to try to create a scoring system of serious sprains of the ankle permitting us to allocate a global mark to each sprain and to establish therapeutic indications modulated in relation to the patient and his sprain. We remember that this type of form is above all meant to be used by the young practitioner, usually within the context of the emergency unit with this pathology too often considered as common because of its frequency and treated with univocal therapeutic requirements often according to the school of each unit.
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