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Behandling af akutte laterale ligamentrupturer i ankelled. En prospektiv 9 i 13 ars opgorelse of tre forskellige behandlinger hos 79 patienter (Long-term results of three different treatments for acute ruptured lateral ankle ligaments. A prospective study of 79 patients with 9 to 13-year follow-up) [Danish]
Munk B, Holm-Christensen K, Lind T
Ugeskrift for Laeger 1996 Nov 25;158(48):6912-6914
clinical trial
0/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

In a prospective study of 79 patients with arthrographically verified acute ruptured lateral ankle ligaments we have evaluated the long-term results of three different treatments: operation and walking-cast, walking-cast alone and elastic bandage. The average follow-up period was 11 (9 to 13) years, and 32 parameters concerning interview, clinical and radiographic examinations were statistically analysed. The three kinds of treatment were found to be equal, since only one parameter showed significant difference at a 5% level using Fisher's exact and the Mann-Whitney test, and no difference by using the Kruskal-Wallis test for homogeneity. Residual disabilities and late complications, such as instability, pain on activity, and the number of secondary ligament reconstructions and talocrural arthroses were low. It was concluded that nonoperative treatment provided adequate results even after a decade.

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