Between 1986 and 1989, 40 patients with acute lateral ligament injury of the ankle joint were treated by immobilizing their affected feet in a plaster cast with a heel for 4 weeks, followed by a brace for the next 2 months. The average follow-up time was 29 months. Ninety-eight percent of the patients were rated as having satisfactory functional results. Stress radiographs at the latest follow-up showed good stability even in ankles that were severely unstable at injury. Posttreatment stress radiographs taken periodically showed that stability was maintained 6 months after treatment.
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References
1.
. BrandR.L.CollinsM.D.F.TempletonT.: Surgical repair of ruptured lateral ankle ligaments. Am. J. Sports Med., 9:40–44, 1981.
2.
. BroströmL.: Sprained ankles V.: treatment and prognosis in recent ligament ruptures. Acta Chir. Scand., 132:537–550, 1966.
3.
. DelplaceJ.FloucaudD.CastaingJ.: Traitement non sanglant des entorses de la cheville: résultats á propos de 83 cas observés le service des Urgences du C. H. R. de Tours. Rev. Chir. Orthop., 61:146–153, 1975.
4.
. DickinsonP.H.CurranW.P.OrwigJ.B.FitzD.A.CouttsR.D.: Complete lateral ligament tears of the ankle: surgery or cast? Contemp. Orthop., 6:35–40, 1983.
5.
. EvansG.A.HardcastleP.FrenyoA.D.: Acute rupture of the lateral ligament of the ankle: to suture or not to suture? J. Bone Joint Surg., 66B:209–212, 1984.
6.
. FreemanM.A.R.: Treatment of ruptures of the lateral ligament of the ankle. J. Bone Joint Surg., 47B:661–668, 1965.
7.
. FuruyaK.YamamotoH.MizutaT.: Surgical and nonsurgical treatment of acute injury of the lateral ligament of the ankle. Seikeigeka Mook, 43:73–82, 1986.
8.
. GoodC.J.JonesM.A.LivingstoneB.N.: Reconstruction of the lateral ligaments of the ankle. Injury, 7:63–65, 1975.
9.
. JacksonD.W.AshleyR.L.PowellJ.W.: Ankle sprains in young athletes: relation of severity and disability. Clin. Ort hop., 101:201–215, 1974.
10.
. RuthC.J.: The surgical treatment of injuries of the fibular collateral ligaments of the ankle. J. Bone Joint Surg., 43A:229–239, 1961.
11.
. StaplesO.S.: Ruptures of the fibular collateral ligaments of the ankle: result study of immediate surgical treatment. J. Bone Joint Surg., 57A:101–107, 1975.
12.
. TakeharaS.YamamotoH.SasakiM.IshibashiT.AsahinaS.FuruyaK.: Conservative treatment of the lateral ligament injury of the ankle in children. J. Jpn. Soc. Surg. Foot, 13:85–88, 1992.
13.
. YamamotoH.MunetaT.MizutaT.KawaZ.SuzukiH.HayashiS.: A brace for the lateral ligament injury of the ankle. Bull. Jpn. Soc. Prosthet. Orthotics, 3:285–288, 1987.
14.
. YamamotoH.FuruyaK.MizutaT.: The results of the non-surgical treatment of injuries of the lateral collateral ligaments of the ankle. Seikeigeka Mook, 58:102–112, 1989.
15.
. WooSL. Y.InoueM.McGurkBuriesonE.GomezM.A.: Treatment of medial collateral ligament injury-II: structure and function of canine knees in response to differing treatment regimens. Am. J. Sports Med., 15:22–29, 1987.
