Application of Elastic Limited Immobilisation for Acute Ankle Ligament Injury in Training Army

LI Weilin; SUN Yameng; HOU Guofeng; LU Yan; WANG Qiongshu; WEI Shijun

doi:10.13730/j.issn.1009-2595.2018.08.012

Abstract：Objective To explore the method and short-term results of elastic self-adhesive bandage and limited immobilization for acute ankle ligament injury in training army.Methods During May 2017 to July 2017, 43 cases of training soldiers with acute ankle ligament injury were treated in Zhurihe Training Base Hospital.Among them, 41 males, 2 females, aged from 18 to 25 years old, averaged 21.6 years.High frequency ultrasonic examination showed that there were 7 cases of gradeⅠinjury and35 cases of gradeⅡinjury.The injured ankle was limited with elastic self-adhesive bandage according to"8"shape, intermittent cryotherapy, the next day starting to wear combat boots to gradually resume walking.The functional evaluation was performed according to the ankle and hind foot score of the American Orthopaedic Foot and Ankle Society (AOFAS) and the visual analogue scale (VAS).Results The follow-up period was 8-12 months (mean 9.2 months).All patients returned to normal training after 3 to 7 days.Skin allergy occurred in 7 cases.The AOFAS score increased from an average of 65.3 (34-70) score after injury to an average of 90.5 (85-100) score.VAS scores incresed from an average of 6.3 (5-8) score after injury to an average of 0.7 (0-3) score.Five cases with chronic pain and ankle instability were found at the last follow-up.Conclusion The application of limited immobilization with elastic self-adhesive bandage plus intermittent cryotherapy for acute ankle ligament injury in training army is faster and less complications.