Analysis of the treatment efficacy of different fixation methods used in the conservative treatment of acute lateral ankle ligament injury
Objective To evaluate the clinical effects of different fixation methods used for acute injury of lateralligament of the ankle.Methods A total of 62 patients with acute injury of lateral ligament of the ankle in the Eighth Department of Orthopaedics,Guangzhou Orthopedic Hospital from January 2022 to March 2023 were selected as the research objects,and were divided into group A(21 cases),group B(20 cases),and group C(21 cases)according to different fixation methods.In group A,there were 11 males and 10 females,aged(29.48±13.10)years.In group B,there were 13 males and 7 females,aged(28.00±13.91)years.In group C,there were 13 males and 8 females,aged(26.38±12.54)years.All the patients in the three groups were treated conservatively,group A was fixed with Ossur ankle brace,group B was fixed with elastic bandage,and group C was fixed with U-shaped resin plaster.The American Orthopedic Foot and Ankle Society(AO-FAS)ankle function scores and the swing amplitudes of center of gravity when opening and closing eyes were compared among the three groups after 1 month and 2 months of treatment.Independent sample t test,paired t test,and x2 test were used.Results After 1 month of treatment,the total score(82.62± 1.56),pain score(33.62±2.16),and functional score(38.48±3.01)of the AO-FAS in group A were higher than those in group B[(76.43±2.52),(31.25±2.71),and(35.45±2.80)]and group C[(71.52± 1.48),(32.67±2.39),and(28.76±2.00)],with statistically significant differences(all P＜0.001).After 1 month of treatment,the swing amplitudes of center of gravity in group A when opening and closing eyes[(60.95±8.58)mm and(96.19±7.05)mm]were lower than those in group B[(74.85± 8.27)mm and(102.05±7.74)mm]and group C[(74.52±5.75)mm and(101.67±4.71)mm],with statistically significant differences(all P＜0.05).After 2 months of treatment,the total score(90.26± 3.62),pain score(35.43±1.46),and functional score(44.43±3.46)of the AO-FAS in group A were higher than those in group B[(83.53±4.42),(31.50±1.93),and(42.45±3.46)]and group C[(83.87± 3.23),(31.67±1.46),and(42.32±2.23)],with statistically significant differences(all P＜0.001).After 2 months of treatment,the swing amplitudes of center of gravity in group A when opening and closing eyes[(42.19±8.48)mm and(76.12±7.81)mm]were lower than those in group B[(54.75±8.58)mm and(81.40±7.83)mm]and group C[(54.38±5.98)mm and(81.43±4.80)mm],with statistically significant differences(all P＜0.05).Conclusion After conservative treatment of acute injury of lateral ligament of the ankle,the AO-FAS functional score and proprioception of the ankle in the brace fixation group were higher than those in the other 2 fixation method groups,which maight be related to the fixation strength of plaster was too strong,the fixation strength of elastic bandage was low,but the fixation strength of brace was adjustable.
万方数据
维普
