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Functional bracing treatment for stable type B ankle fractures
C van den Berg1, T Haak1, N L Weil1
1Haaglanden MC, Department of Surgery, Postbus 432, 2501 CK The Hague, The Netherlands.
Injury
|June 16, 2018
Summary
Functional bracing offers a safer and more comfortable alternative for treating stable type B ankle fractures compared to traditional casting. This approach improves comfort and range of motion without compromising long-term outcomes.
Area of Science:
- Orthopedic surgery
- Traumatology
- Rehabilitation medicine
Background:
- Stable type B ankle fractures are typically managed with conservative treatments like cast immobilization for six weeks.
- Casting can lead to disadvantages such as joint stiffness, muscle wasting, and reduced patient comfort.
- Evaluating functional treatment with a removable brace is essential to determine its safety and comfort as an alternative.
Purpose of the Study:
- To assess the safety and comfort of functional treatment using a removable brace for stable type B ankle fractures.
- To compare the outcomes of removable brace treatment with traditional cast immobilization.
Main Methods:
- A randomized controlled trial involving 44 patients with stable type B ankle fractures.
- Patients initially received a splint for one week, followed by randomization to either a cast or a removable brace group.
- Outcomes were evaluated using the Olerud & Molander Ankle Score, Visual Analogue Scale (VAS) for comfort and pain, American Academy of Orthopaedic Surgeons (AAOS) Foot and Ankle score, EuroQol-5D, and range of motion.
Main Results:
- After six weeks, the removable brace group showed significantly better comfort (VAS) and range of motion compared to the cast group.
- No significant differences were observed between the groups in terms of pain (VAS), Olerud & Molander Ankle Score, or EuroQol-5D at six weeks.
- At 52 weeks, no significant differences in functional scores, quality of life, pain, or range of motion were found between the brace and cast groups.
- No complications were reported in either treatment group.
Conclusions:
- Functional bracing with a removable brace is a safe and more comfortable treatment option for stable type B ankle fractures.
- Removable bracing demonstrates superior comfort and range of motion at six weeks post-injury compared to casting.
- Long-term functional outcomes and quality of life are comparable between removable bracing and casting for stable type B ankle fractures.
Keywords:
Ankle braceAnkle fractureConservative treatmentFunctional treatmentIsolated lateral malleolus fractureMore Related Videos
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