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A Brostrom repair should be considered a last resort after a patient has tried a series of non-surgical options, such as wearing a boot cast after the injury, going to physical therapy for an extended period of time, etc. Most ankle sprains can significantly improve without surgery.
In fact, many components of the protocol have since been shown to impair or delay healing by inhibiting inflammation. [2] [3] [7] Early rehabilitation is now the recommendation to promote healing. [3] [8] Ice, compression, and elevation may have roles in decreasing swelling and pain, but have not shown to help with healing an injury. [2] [7] [9]
Ligaments of the ankle. In medicine, the Ottawa ankle rules are a set of guidelines for clinicians to help decide if a patient with foot or ankle pain should be offered X-rays to diagnose a possible bone fracture. Before the introduction of the rules most patients with ankle injuries would have been imaged.
Literature suggests that compression therapy use for perioperative ankle fractures will be beneficial for edema reduction and therefore, will probably be beneficial for pain and ankle joint mobility as well. [5] Post operative arthroscopic surgeries also shows significant recovery with cold compression. [6]
A sprained ankle (twisted ankle, rolled ankle, turned ankle, etc.) is an injury where sprain occurs on one or more ligaments of the ankle. It is the most commonly occurring injury in sports, mainly in ball sports such as basketball , volleyball , football , pickleball , and tennis .
A restricted range of motion in these joints can be painful and limit function. Failed attempts at other standard conservative treatment methods (i.e., manipulation, physical therapy, or medication) over a sufficient time-frame is one of the principal patient qualifiers. [5] [6] [7] [8]
Recently, both surgical and non-surgical rehabilitation protocols have become quicker and more successful. [25] Before, patients who underwent surgery would wear a cast for approximately 4 to 8 weeks. After surgery, they were only allowed to gently move the ankle once out of the cast. Recent studies have shown that is not the best method.
Ankle braces are used to immobilize the joint while providing heat and compression to the bones. They are common in injury rehabilitation processes that affect the ankle, being made of rigid fabric such nylon [2] and neoprene that allow limited mobility of the foot and conform to the ankle by a hook and loop fastener. To ensure its fixation ...
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