Ruptured fibular ankle ligament: plaster or Pliton brace?

Abstract

A prospective randomised study was performed in order to compare plaster cast with Pliton-80 cast brace with a mobile plastic shoe insert in the treatment of ruptured fibular ankle ligaments. The two treatment groups consisted of 65 patients in each and all were participating in the follow-up sixth months after the accident. There were no statistically significant differences in the overall results between the two treatment groups.Because 1) the mobile Pliton-80 bandage subjectively is more acceptable to the patients and -2) the disability time in the Pliton-80 group was considerably shorter than in the plaster group -it was concluded that the mobile Pliton-80 bandage can be recommended as the treatment of ruptures of the fibular ankle ligaments.

Ankle sprain: pathophysiology, predisposing factors, and management strategies

“…17 The current literature suggests it takes over six weeks for ligament healing to occur. [18][19][20][21][22][23][24] However, studies have also documented joint laxity six months after injury. 20,23 The chronic laxity that has been reported in the literature may be due to inappropriate rehabilitation, which necessitates the need for further investigation into the type of care and treatment that will best facilitate tissue healing, and normal joint function.…”

“…Indeed, increased laxity has been reported using both subjective (ankle giving way, or feelings of instability) and objective (manual stress tests, radiographs) outcome measures. [18][19][20][21][22][23][24]35 Unfortunately, ankle laxity often persists despite treatment. Specifically, positive anterior drawer tests were still present in 3%-31% of subjects six months after injury 20 and feelings of instability were present in 7%-42% of subjects up to one year after injury.…”

“…[18][19][20][21][22][23][24]35 Unfortunately, ankle laxity often persists despite treatment. Specifically, positive anterior drawer tests were still present in 3%-31% of subjects six months after injury 20 and feelings of instability were present in 7%-42% of subjects up to one year after injury. 19,21,22,24 There remains a large need for data obtained from reliable and quantifiable methods of measuring ankle laxity.…”

Consequences of Ankle Inversion Trauma: A Novel Recognition and Treatment Paradigm

“…(Avci et al, 1998) Additionally, 12% have been shown to have a positive anterior drawer at 8-weeks post injury. (Cetti et al, 1984) Similarly, significantly more anterior displacement and inversion rotation was shown via an ankle arhtrometer 8-weeks after an acute LAS. (Hubbard & Cordova, 2009a) Another study showed that 42% and 33% of subjects from separate treatment groups had an increased talar tilt compared to their uninvolved healthy ankle at 3-months post injury using stress radiography.…”

“…Indeed, increased laxity has been reported using both patient-(ankle giving way, or feelings of instability) and clinician-oriented (manual stress tests, radiographs) outcomes. (Hertel et al, 1999;Hubbard et al, 2007;Lentell et al, 1995;Louwerens et al, 1995) Unfortunately, ankle laxity often persists despite treatment as positive anterior drawer tests were still present in 3%-31% of subjects 6-months after injury (Cetti et al, 1984;Konradsen et al, 1991) and feelings of instability were present in 7%-42% of subjects up to 1-year after injury. (Brostrom, 1966;Munk et al, 1995) Cumulatively, these studies provide strong evidence that better and longer protection of the ankle joint after an acute LAS is needed to help restore mechanical stability.…”