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The applications of wearable devices in the rehabilitation of ankle injuries: A systematic review and meta-analysis

Medicine in Novel Technology and Devices 2023年第1期17卷 86-95页

作者： Xiaoya Wang Jihong Qiu Daniel T.P.Fong College of Sports Medicine and Rehabilitation Shandong First Medical University&Shandong Academy of Medical SciencesShandongChina Department of Orthopaedics and Traumatology Faculty of MedicineThe Chinese University of Hong KongHong KongChina National Centre for Sport and Exercise Medicine School of SportExercise and Health SciencesLoughborough UniversityLoughboroughUK

Wearable devices have been used in the treatment and rehabilitation of ankle *** article systematically reviewed the trials that summarize and evaluate the effectiveness of rehabilitation treatment after an ankle *** databases,PubMed(1974–2021),Embase,and Web of Science(1950–2021),were *** intervention was any wearable device,and the outcome measures were Activities Scale for Kids performance(ASKp),Foot and ankle Outcome Score(FAOS),American Orthopaedic Foot and ankle Society(AOFAS),Olerud-Molander ankle Score(OMAS),and Circumference as measured by any validated outcome *** independent authors evaluated the studies with the Cochrane risk-of-bias *** papers were included,involving 476 participants,with a mean age of 29.3±6.7 *** mean duration of wearable devices was 3.83 weeks,and the mean length of training was 3.75 *** devices achieved better results compared with control on the functional performance(standardized mean difference[SMD]0.66;95%confidence interval[CI]0.29 to 1.04;I^(2)=76%;Pankle score(SMD 0.78;95%CI 0.22 to 1.35;I^(2)=82%;Pankle injuries in terms of functional performance and reducing the extent of *** is insufficient evidence from randomized controlled trials(RCTs)to support this for ankle injury patients using wearable ***,there is an need for well-conducted randomized controlled trials investigating more adaptive orthoses to achieve more effective strategies for early functional *** registration number:CRD42021246289.

关键词： Wearable devices ankle injuries Functional performance ankle score Swelling Rehabilitation

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Use of tightrope fixation in ankle syndesmotic injuries

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Chinese Journal of Traumatology 2014年第1期17卷 8-11页

作者： Julian Maempel Anthony Ward Tim Chesser Michael Kelly Department of Trauma North Bristol NHS Trust Frenchay Hospital Park Road Stapleton BristoL South Gloucestershire Avon BS16 1LE United Kingdom

Objective： Conventional fixation of syndesmotic injuries with screws remains problematic. A novel fibrewire device （Tightrope） has suggested advantages. However, small case series have reported high soft tissue complication rates. The purpose of our study was to quantify complication rates and further procedures in patients treated with Tightropes. A secondary objective was to determine incidence of complications and further procedures in those treated with syndesmotic screws over the same period. Methods： All patients undergoing syndesmotic fixa- tion for ankle fracture between May 2008 and October 2009 were retrospectively reviewed. Incidence of complications, secondary procedures, maintenance of syndesmotic reduc- tion and time spent on non-weight bearing were recorded. Family doctors were contacted for those treated with Tight- ropes to check for any complications managed elsewhere. Results： Thirty-five patients required syndesmoticfixation, in which 12 were treated with Tightropes. They were followed up in clinic for a mean of 12.4 weeks. Family doctors were contacted at mean 14.6 months after treatment to determine any complications suffered. There were no complications attributable to method of fixation. In this series, 12 patients underwent 13 procedures and no patient had recurrent diastasis at discharge; 23 patients treated with screw fixation underwent 45 procedures （19 were screw removals）. There was 1 case ofsyndesmotic diastasis. Screw removal resulted in 2 minor complications. Conclusion： Tightrope fixation provideds effective syndesmotic fixation that is maintained at discharge. We do not experience soft tissue complications reported elsewhere.

关键词： ankle ankle injuries Internal fixators Fracture fixation

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Fibula pro-tibia vs standard locking plate fixation in an ankle fracture saw bone model

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World Journal of Orthopedics 2021年第8期12卷 548-554页

作者： Tosan Okoro Kar Hao Teoh Hiro Tanaka Department of Arthroplasty Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation TrustOswestry SY107AGUnited Kingdom Department of Orthopaedic Surgery Princess Alexandra Hospital NHS TrustHarlow CM201QXUnited Kingdom Department of Orthopaedics Royal Gwent HospitalNewport NP202UBUnited Kingdom

BACKGROUND Locking plate fixation in osteoporotic ankle fractures may fail due to cut-out or metalwork *** pro-tibia fixation was a technique prior to the advent of locking plates that was used to enhance stability in ankle fractures by achieving tri or tetra-cortical *** locking plates,the strength of this fixation construct can be further *** is lack of evidence currently on the merits of tibiapro-fibula augmented locking plate fixation of unstable ankle *** To assess if there is increased strength to failure,in an ankle fracture saw bone model,with a fibula pro-tibia construct when compared with standard locking plate *** Ten osteoporotic saw bones with simulated supination external rotation injuries were *** saw bones were fixed with standard locking plates whilst the other 5 saw bones were fixed with locking plates in a fibula pro-tibia *** fibula pro-tibia construct involved fixation with 3 consecutive locking screws applied across 3 cortices proximally from the level of the *** fixations were tested in axial external rotation to failure on an electromagnetic test frame(MTS 858 Mini-Bionix test machine,MTS Corp,Eden Praire,MN,United States).Torque at 30 degrees external rotation,failure torque,and external rotation angle at failure were compared between both groups and statistically *** The fibula pro-tibia construct demonstrated a statistically higher torque at 30 degrees external rotation(4.421±0.796 N/m vs 1.451±0.467 N/m;t-test P=0.000),as well as maximum torque at failure(5.079±0.694N/m vs 2.299±0.931 N/m;t-test P=0.001)compared to the standard locking plate *** fibula pro-tibia construct also had a lower external rotation angle at failure(54.7±14.5 vs 67.7±22.9).CONCLUSION The fibula pro-tibia locking plate construct demonstrates biomechanical superiority to standard locking plates in fixation of unstable ankle fractures in this saw bone ***

关键词： Unstable ankle fractures Pro-tibia fixation Improved stability Simulated biomechanical analysis Osteoporotic fractures ankle injuries

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CLINICAL APPLICATION OF THE TONIFICATION METHOD IN ORTHOPEDICS AND TRAUMATOLOGY

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Journal of Traditional Chinese Medicine 1998年第2期18卷 115-117页

作者：倪凌朱燕中 Orthopedics and Traumatology Department Beijing College of Acupuncture and Orthopedics Beijing 100015 Beijing University of Traditional Chinese Medicine Beijing 100029

Traumatological and orthopedical diseases with obstruction and blockage are in most cases treated by the reducing method like promoting qi flow and activating blood circulation, dispersing and removing obstruction. Ho... 详细信息

关键词： Shoulder Joint Adult ankle injuries Drugs, Chinese Herbal Female Humans Lumbar Vertebrae Male Middle Aged Periarthritis Spinal Fractures Urinary Retention

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Functional Outcome of Pronation-External Rotation-Weber C ankle Fractures with Supracollicular Medial Malleolar Fracture Treated with or without Syndesmotic Screws： A Retrospective Comparative Cohort Study

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Chinese Medical Journal 2018年第21期131卷 2551-2557页

作者： Yong Wu Qi-Fei He Liang-Peng Lai Xia Li Jun-Lin Zhou Department of Orthopaedics Chaoyang Hospital Third Clinical Medical School of Capital Medical University Bejing 100020 China Department of Trauma Orthopaedics Jishuitan Hospital Forth Clinical Medical School of Peking University Beijing 100035 China Department of Epidemiology and Biostatistics School of Public Health Peking University Health Science Center Bejing 100191 China

Background： In treatment of ankle fracture, intraoperative stress tests are used to assess the syndesmotic injury and instability. However, the optimized timing of the strees test should be applied whether in pre- or post-bony fixation during operation is seldom be reported in previous studies. The different strategies on stress test timing would exhibit opposite results within a type ofpronation-external rotation （PER） fractures with supracollicular medial malleolar （SMM） fractures. This study was designed to assess the 3-year ffmctional outcomes of the special PER fractures with or without a syndesmotic transfixation based on the results of two different intraoperative stress test strategies. Methods： This retrospective cohort study included 61 PER injury-Weber C ankle fractures combined with SMM fractures who were treated in Beijing Jishuitan Hospital between 2013 and 2014 and followed up for 3 years. Stress test was performed twice intraoperatively. A positive intraoperative stress test before bony fixation and a negative intraoperative stress test after bony fixation were found in these included patients. Twenty-nine patients （Group 1 ） were treated without a supplemental syndesmotie screw fixation, according to the negative intraoperative stress test alter bony fixation, while 32 patients （Group 2） were treated with an additional syndesmotic screw fixation based on the positive intraoperative stress test before bony fixation. The American Orthopaedic Foot and ankle Society （AOFAS）ankle-Hindfoot Scale and Visual Analog Scale （VAS） for pain scores were the main measurements of outcome. The statistical index of demographic data, fracture morphologic data, time interval of follow-up, AOFAS and VAS were recorded and assessed by SPSS 21.0 software through Fisher exact tests and oneway analysis of variance. The associations between the main outcomes and influential factors were evaluated by linear regression models. Results： We observed no difference in the distribut

关键词： ankle Fracture ankle injuries ankle Joint Pronation-External Rotation Fracture Stress Test

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Clinical study on Tuina plus physical agents for lateral collateral ligament injury of ankle in gymnasts

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Journal of Acupuncture and Tuina Science 2022年第4期20卷 309-315页

作者： HU Lijun WANG Junliang LIU Gang LIU Kunpeng GU Fei ZHANG Kaiwei Yueyang Hospital of Integrated Traditional Chinese and Westem Medicine Shanghai University of Traditional Chinese MedicineShanghai 200437China Sports Hospital of Shanghai Elite Sport Training Administrative Center Shanghai 202162China 不详

Objective To compare the efficacy of Tuina(Chinese therapeutic massage)plus physical agents and physical agents alone for lateral collateral ligament injury of ankle in gymnasts,and to explore the feasibility of Tuina for injury intervention in competitive *** A total of 64 gymnasts with types Ⅰ-Ⅱ lateral collateral ligament injury of ankle were selected and divided into a control group and an observation group according to a full analysis set based on the intention-to-treat principle,with 32 cases in each *** in the control group received ultrasound and microwave treatment,while those in the observation group received additional Tuina *** efficacy was evaluated by total effective rate,visual analog scale(VAS)score,and American Orthopedic Foot and ankle Society ankle-hindfoot scale(AOFAS-AHS)*** The total effective rate was 96.9% in the observation group and 90.6% in the control *** was no statistical difference in the total effective rate between the two groups(P>0.05).The markedly effective rate was 75.0% in the observation group and 46.9% in the control *** markedly effective rate in the observation group was higher than that in the control group(P0.05).After three months of treatment,the AOFAS-AHS score in the observation group was higher than that in the control group,indicating statistical significance(P<0.05).There was an interaction between time and group(P<0.05).Con

关键词： Tuina Massage Sprains and Strains ankle injuries Visual Analog Scale Lateral Ligament,ankle Gymnastics

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Chronic ankle Instability: Therapeutic Exercise and Data Analysis

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Open Journal of Orthopedics 2024年第5期14卷 201-217页

作者： Rosa Grazia Bellomo Giulia Barletta Mirco Brunetti Claudia Barbato Department of Biomolecular Sciences University of Study of Urbino Carlo Bo Urbino Italy

Background and Objectives: ankle injuries are the most common type of injury in healthy active individuals. If not treated properly, recurrent sprains can lead to a condition of chronic ankle instability (CAI). The present paper examines some subjects with a previous history of acute inversion ankle sprain who have developed a subsequent condition of instability, grouping them according to inclusion criteria and analyzing them through four field tests considered objective by the scientific literature: SEBT test, BEES test, TIBT test, SHT test. The data obtained were stored in order to compare them following a re-education protocol aimed at improving proprioception, balance, walking and strengthening the extrinsic and intrinsic muscles of the foot. per year. The subjects were then divided into two categories: subjects with CAI > 1 year and subjects with CAI ≤ 1 year. A protocol lasting 6 weeks was administered to both groups, trying to work on improving balance in single stance, improving static and dynamic stability, strengthening the gluteus medius and maximus (pelvis stabilizers) and strengthening of the intrinsic muscles of the foot. At the end of the protocol the subjects were all re-evaluated with the same field tests used previously and the data obtained were compared both with the pre-protocol data and with the data measured by the control subjects.

关键词： ankle Instability ankle Sprain ankle injuries Exercise

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Results of surgically treated talar fractures

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Chinese Journal of Traumatology 2013年第6期16卷 361-364页

作者： Aft Yeganeh Atefe Alaee Bahram Boddouhi Ali Behkam-Rad Gholamreza Shahoseini Department of Orthopedics RasouI-Akram MedicalCenter lran University of Medical Sciences Tehran Iran

Objective：Talar fractures present a great challenge to surgeons due to poor treatment outcome and high incidence of *** purpose of this study was to report the surgical treatment outcome of displaced talar fractures treated by internal ***：Atotal of 30 patients with a mean age of 38 years presenting with talar body or neck fractures were studied retrospectively to assess postoperative outcome based on American Orthopaedic Foot ＆ ankle Society ankleHindfoot ***：Postoperatively,malunion was found in 18 cases,infection in 5 cases and avascular necrosis in 12 *** were 12 cases with subtalar arthritis and 18 cases with both subtalar and malleolar *** average score of questionnaire was 64± *** score was 53± 15 and pain score was 65±*** of motion failure was detected as 15±***：Talar injuries can compromise motion of the foot and ankle and result in poor prognosis on longterm *** complications subsequent to surgically treated talar body fractures are inevitable,and patients are supposed to be counseled about the adverse outcome.

关键词： Postoperative complications Fractures,ununited ankle injuries Fracture healing

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Clinical efficacy of sticking-needle acupuncture plus tendon-regulating manipulation in the treatment of acute ankle sprain

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Journal of Acupuncture and Tuina Science 2021年第6期19卷 469-474页

作者： Zhao Yan Zhao Yun-zhen Yu Sheng-dong Jinhua Hospital of Traditional Chinese Medicine Zhejiang ProvinceJinhua321017China Panhuo Community Health Service Centre in Yinzhou District of Ningbo City Zhejiang ProvinceNingbo315000China

Objective To explore the treatment effect of sticking-needle acupuncture plus tendon-regulating manipulation on pain,swelling and joint dysfunction due to acute ankle *** A total of 80 patients with acute ankle sprain were recruited and divided into a control group and a treatment group according to the random number table method,with 40 patients in each *** groups received the same conventional *** control group was treated with additional tendon-regulating manipulation,and the treatment group was treated with tendon-regulating manipulation plus sticking-needle *** pain,swelling and joint dysfunction of the ankle were observed in both groups before and after 3 d,7 d and 14 d of *** Before treatment,there was no statistically significant difference in the visual analog scale(VAS)score of pain between the two groups(P>0.05).After treatment,the VAS scores of both groups showed a decreasing trend over time,and the differences within the groups were statistically significant(P0.05).After treatment,the degrees of swelling in both groups showed a decreasing trend over time,and the differences within the groups were statistically significant(P0.05).Before treatment,there was no statistically significant difference in the American Orthopedic Foot ankle Society(AOFAS)ankle-hindfoot scale score between the two groups(P>0.05).After treatment,the AO

关键词： Acupuncture Therapy Sticking Needle Tuina Massage Pain Measurement Visual Analog Scale Sprains and Strains ankle injuries

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Treatment of closed subtalar joint dislocation:A case report and literature review

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Chinese Journal of Traumatology 2020年第6期23卷 367-371页

作者： Hao-Yu Wang Bei-Bei Wang Ming Huang Xiao-Tao Wu Department of Orthopaedics Bengbu Third People's HospitalBengbu 233004Anhui ProvinceChina Southeast University Nanjing Medical UniversityNanjing 210029China Department of Gynecologic Oncology The First Affiliated Hospital of Bengbu Medical CollegeBengbu 233004Anhui ProvinceChina Department of Orthopaedics The Affiliated Zhongda Hospital Southeast University of Nanjing Medical UniversityNanjing 210029China

Subtalar dislocation is defined as a separation of the talocalcaneal and talonavicular articulations,commonly caused by high-energy mechanisms,which include falls from height,motor vehicle crashes,and twisting leg *** dislocations are divided into medial,lateral,anterior,and posterior types on the basis of the direction in which the distal part of the foot has shifted in relation to the *** most common type is medial dislocation resulted from inversion *** dislocation may accompany with other *** examination must be performed carefully to assess for neurovascular *** of the subtalar dislocations can be treated with closed reduction under *** this is not possible,open reduction without further delay should be *** primary treatment,X-ray and computed tomography scan should be performed to evaluate the alignment and the *** report a 37-year-old male patient sustained a subtalar dislocation without any bony injury when he was playing *** patient was successfully treated by closed reduction,and a good alignment was observed at the last *** pathogenesis and treatment method of this case were analyzed,and the related literature were reviewed,which provided a reference for future clinical treatment.

关键词： Subtalar joint ankle injuries Dislocation Trauma

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