Popp, Daniel and Weber, Johannes and Kerschbaum, Maximilian and Schicho, Andreas and Baumann, Florian and Hilber, Franz and Krutsch, Werner and Alt, Volker and Pfeifer, Christian (2021) Early functional treatment or trivialization? - current treatment strategies in lateral ligament injuries of the ankle. EUROPEAN JOURNAL OF SPORT SCIENCE, 21 (10). pp. 1469-1476. ISSN 1746-1391, 1536-7290
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Introduction: Ankle injuries are common in daily orthopaedic trauma practice, with a high incidence of lateral ligament complex (lat-lig-com) injuries of the ankle joint (AJ). Primarily, these lat-lig-com injuries heal sufficiently, although there is a risk of developing chronic ankle instability. However, there is a lack of knowledge about the clinical application and routine for rehabilitation strategies so as to prevent chronic instability. This study investigates the current rehabilitation concepts in clinical routine after ligament injuries of the AJ. Methods: Rehabilitation protocols, provided by orthopaedic and trauma surgery institutions in German speaking countries, were analysed in terms of weight-bearing, range of motion (ROM), physiotherapy and choice of orthosis. All protocols for operatively and non-operatively (nop) treated ligament ruptures of the AJ were included. Results: 120 of 213 institutions provided protocols of lat-lig-com injuries of the AJ. Regarding the orthosis, the nop-treatment group mainly used ankle braces; in contrast, the operative group preferred the use of an ankle boot. The operative group recommends 6-12 weeks for duration of orthosis in contrast to only 6 weeks in the nop group. Significant differences prevail in ROM, with free ROM in non-operative treatment from the first day after trauma (p<0.001) in contrast to a careful increase in ROM in the first 6 weeks post-operatively. Conclusion: Early functional treatment is clinical standard in rehabilitation after lat-lig-com injuries of the ankle. Regarding current literature the differences of restrictions in ROM and orthosis treatment after lat-lig-com injuries suggest a trivialization of conservative treatment in the first period after trauma compared to post-operative aftercare.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; ankle injury; ligament rupture; treatment; rehabilitation; immobilization; weight bearing; orthosis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Aug 2022 09:18 |
| Last Modified: | 08 Aug 2022 09:18 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46117 |
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