Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment

Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment

OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability.

Saved in:
Bibliographic Details
Main Authors: Prado,Marcelo Pires, Fernandes,Tulio Diniz, Camanho,Gilberto Luis, Mendes,Alberto Abussamra Moreira, Amodio,Daniel Tassetto
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2013
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S0102-36162013000400307
record_format ojs
spelling oai:scielo:S0102-361620130004003072014-02-25Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatmentPrado,Marcelo PiresFernandes,Tulio DinizCamanho,Gilberto LuisMendes,Alberto Abussamra MoreiraAmodio,Daniel Tassetto Ankle joint Ligaments Wounds and injuries Controlled clinical trial OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability. info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.48 n.4 20132013-08-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307en10.1016/j.rbo.2012.11.001
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Prado,Marcelo Pires
Fernandes,Tulio Diniz
Camanho,Gilberto Luis
Mendes,Alberto Abussamra Moreira
Amodio,Daniel Tassetto
spellingShingle Prado,Marcelo Pires
Fernandes,Tulio Diniz
Camanho,Gilberto Luis
Mendes,Alberto Abussamra Moreira
Amodio,Daniel Tassetto
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
author_facet Prado,Marcelo Pires
Fernandes,Tulio Diniz
Camanho,Gilberto Luis
Mendes,Alberto Abussamra Moreira
Amodio,Daniel Tassetto
author_sort Prado,Marcelo Pires
title Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_short Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_full Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_fullStr Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_full_unstemmed Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_sort mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
description OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability.
publisher Sociedade Brasileira de Ortopedia e Traumatologia
publishDate 2013
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307
work_keys_str_mv AT pradomarcelopires mechanicalinstabilityafteracuteankleligamentinjuryrandomizedprospectivecomparisonoftwoformsofconservativetreatment
AT fernandestuliodiniz mechanicalinstabilityafteracuteankleligamentinjuryrandomizedprospectivecomparisonoftwoformsofconservativetreatment
AT camanhogilbertoluis mechanicalinstabilityafteracuteankleligamentinjuryrandomizedprospectivecomparisonoftwoformsofconservativetreatment
AT mendesalbertoabussamramoreira mechanicalinstabilityafteracuteankleligamentinjuryrandomizedprospectivecomparisonoftwoformsofconservativetreatment
AT amodiodanieltassetto mechanicalinstabilityafteracuteankleligamentinjuryrandomizedprospectivecomparisonoftwoformsofconservativetreatment
_version_ 1756397704263499776

Similar Items