Comparison of the results of short-term rigid and semi-rigid cast immobilization for the treatment of grade 3 inversion injuries of the ankle.

Abstract

In this prospective, randomized study, short-term immobilization with semi-rigid (Soft Cast) and rigid (Scotchcast Plus) synthetic cast materials were compared for the functional treatment of acute grade 3 lateral ligament injuries of the ankle. Degree of ligament injury was assessed by clinical criteria. Duration of immobilization was 2 weeks for both groups and home physiotherapy was started thereafter. Fifty-seven patients completed the study and both materials were found to be equally effective in providing a stable ankle at the end of 6 weeks follow-up. Soft Cast group had better range of motion and could walk better at 2 weeks, but these differences diminished at 6 weeks. With the Soft Cast, patient satisfaction was higher, need for a support for walking was less and return to work was earlier. When combined with the reduced cost of application, Soft Cast is the material of choice for the initial short-term immobilization for the functional treatment of acute ankle ligament injuries.

• Authors: S Avci, U Sayli
• Journal: Injury (Injury) Vol. 29 Issue 8 Pg. 581-4 (Oct 1998) ISSN: 0020-1383 [Print] Netherlands
• PMID: 10209587 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)

Topics

• Adolescent
• Adult
• Ankle Injuries (rehabilitation, therapy)
• Casts, Surgical
• Combined Modality Therapy
• Female
• Fracture Fixation (methods)
• Humans
• Immobilization
• Male
• Middle Aged
• Physical Therapy Modalities
• Prospective Studies
• Treatment Outcome