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Arch Orthop Trauma Surg. 2002 Apr;122(3):165-8. Epub 2001 Oct 9.

Conservative functional treatment of ankle fractures.

Author information

  • 1Clinic for General, Thoracic and Oncological Surgery, Leipzig University, Liebigstr. 20 a, 04103 Leipzig, Germany. dieta@medizin.uni-leipzig.de

Abstract

Thirty-eight patients (mean age 49 years; range 19-91 years; nine of them over 60 years; 28 women, 10 men) suffering from an isolated Weber B fracture with a dislocation of less than 1 mm underwent functional therapy using a pneumatic ankle brace and were included in a prospective study. The clinical outcome was measured according to the Olerud-Molander ankle score. Functional therapy was finished in 34 cases successfully. Twenty-one patients were scored after 17 months on average (range 8-27 months) with the Olerud-Molander ankle score. A very good result was seen in 18 patients, including 12 with 100 points, a complete remission. The remaining 3 patients showed good results (1 had 90, 2 had 85). However, functional treatment failed in 4 cases due to secondary dislocation. These patients underwent surgery without further complications. The control group, 31 operated patients, did not show as good results. Functional therapy of stable Weber-B ankle fractures appears to be superior to surgery. We were able to avoid surgery in 90% of our patients and got better results than with patients undergoing open reduction and internal fixation.

PMID:
11928000
DOI:
10.1007/s004020100342
[PubMed - indexed for MEDLINE]
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