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Linhart, WE; Höllwarth, ME; Haberlik, A; Steinwender, G.
Results of conservative treatment of ligament lesions of children's ankle joint--a prospective study
Z Kinderchir. 1990; 45(5):298-300 Doi: 10.1055/s-2008-1042604
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Leading authors Med Uni Graz: Linhart Wolfgang
Co-authors Med Uni Graz: Haberlik Axel; Höllwarth Michael; Steinwender Gerhardt
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Abstract:: There is disagreement in the literature about the ideal treatment of ligamentous injuries of the ankle in children. We examined the results of controlled conservative treatment by means of a prospective study in 28 children, each with a fresh ligamentous ankle injury. In all patients the supinatory talus tilt was between 7 and 15 degrees as compared with the noninjured side. The children were treated with a plaster cast for 6 weeks. The results of the present study were compared with results of two other earlier investigations from our department. In one group the patients had been treated not uniformly conservatively for 1-5 weeks. In another group, patients were treated by operative ligamentous repair (5, 8). At the follow-up examination 82% of the children of the present study showed ligamentous stability, which is approximately the same percentage as it was found in operatively treated children (84%), but lies significantly higher than in inconsequentially conservatively treated patients (74%), (p greater than 0.05). 50% of the children in the present study complained about some discomfort, a number that is significantly higher than that found after operative treatment (30%), (p greater than 0.05). We assume that conservative treatment of fibular ankle lesions is justified in children with supinatory talus tilts between 7-15 degrees as compared with the noninjured side. Ligamentous stability can be expected in 80% of the patients.
Find related publications in this database (using NLM MeSH Indexing): Adolescent -; Ankle Injuries -; Casts, Surgical -; Child -; Female -; Follow-Up Studies -; Humans -; Joint Instability - therapy; Ligaments, Articular - injuries; Male - injuries; Prospective Studies - injuries; Wound Healing - physiology