整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
足関節外側側副靱帯損傷に対する装具の試作
松坂 誠應乗松 敏晴寺本 司藤田 雅章大城 昌平平野 英二
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1989 年 38 巻 2 号 p. 857-860

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A special orthosis as an alternative to ankle taping was manufactured for the patients with injury of the lateral ligaments of the ankle. The device was applied over a cotton sock and tightened over the malleoli, the foot resting on a plastic sole with lateral strap. It was designed to hold the ankle in a neutral position avoiding inversion, dorsiflexion and plantar flexion of the ankle necessary for play.
The effects of the orthosis were evaluated from the viewpoint of the mechanical and functional instability. X-ray stress examination was performed as assessment of mechanical instability. Talar tilt angle and anterior displacement improved significantly using the orthosis from 11.4 degrees to 2. 5 degrees, and from 7mm to 3.6mm respectively. Stabilometry was used for quantitative assessment of functional instability. Stabilometric value improved significantly from 172mm2 to 130mm2 using the orthosis.
These results indicated that this orthosis is very useful for injury of the lateral ligaments of the ankle.

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