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Rupture of the ankle ligaments

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Summary

A prospective randomised trial of treatment of ruptured ankle ligaments was carried out at our institute. Two hundred patients were randomly assigned to 4 treatment groups. The results at 1 and 2 years after injury showed that functional treatment with a newly designed brace appeared to be the method of choice. This gives good mechanical stability, a shorter time off work and the ability to resume full sporting activity within 3 months of injury. Operation is only indicated for dislocations of the ankle and foot, ankle ligament rupture with additional intraarticular damage and second stage injuries or re-ruptures.

Résumé

Un essai thérapeutique prospectif et randomisé concernant les ruptures des ligaments de la cheville a été réalisé dans notre service. Deux cents patients ont ainsi été répartis entre quatre différents groupes de traitement. Les résultats, 1 à 2 ans après l'accident, montrent que le traitement fonctionnel, à l'aide d'un appareillage d'un nouveau modèle, est la méthode de choix. Il obtient une bonne stabilité mécanique, une courte invalidité et permet la reprise d'une activité sportive complète dans les trois mois qui suivent l'accident. La chirurgie n'est indiquée que dans les luxations de la cheville ou du pied, dans les ruptures ligamentaires avec des lésions intra-articulaires associées et dans les traumatismes répétés ou les ruptures itératives.

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Authors and Affiliations

  1. Trauma Department, Medizinische Hochschule, Konstanty-Gutschow-Strasse 8, W-3000, Hannover, FRG

    H. Zwipp, R. Hoffmann, H. Thermann & B. W. Wippermann

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  1. H. Zwipp
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  2. R. Hoffmann
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  3. H. Thermann
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  4. B. W. Wippermann
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Zwipp, H., Hoffmann, R., Thermann, H. et al. Rupture of the ankle ligaments. International Orthopaedics 15, 245–249 (1991). https://doi.org/10.1007/BF00192302

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