Background: Acute ankle injuries are one of the most common injuries in orthopaedic department. However, there is still lack of standardized evidence-based treatment. Therefore, the aim of our study was to compare and evaluate the functional outcome of Partial And Complete Immobilization Methods. Comparative evaluation of Functional outcome in ankleObjective: sprain patient treated with partial and complete immobilization and to identify factors affecting the functional outcome in patients with ankle sprain. Methodology- A prospective comparative study was designed from 1st jan 21 to 30th oct 21 49 patients fromMaterials and Methods: orthopedic OPD was selected whom were presented with the ankle sprain and ready to give consent irrespective of their gender. Lower Extremity Functional Scale(LEFS) and visual analogue scale (VAS) were observed at pre-treatment and post treatment at 1st ,3rd and 6th week were compared in both category. in the present study 35 patients were treated with partial immombilization method and 14 were treatedResult- with complete immobilization. Most of patients were belong to age group of 18-25. 67.3 % patients were male and 32.7% were female. 51% having left side injury while 49% have right side a Lower Extremity Functional Scale(LEFS) and visual analogue scale (VAS) were observed at pretreatment post treatment at 1st ,3rd and 6th week. - From our prospective study, we conclude that conservative management ofConclusion- ankle ligament injuries (grade I, II) is a safe and effective method of treatment. And partial immobilization is better than the complete mobilization.
Tension band wiring has been used to re-appose bone fragments, secure ligaments or tendon to bone, and improve stability in weakened constructs. 1-5 The spinous ligaments, ligamentum flavum, facet capsular ligament, and posterior longitudinal ligaments collectively form the natural posterior spinal tension band. The integrity of the posterior spinal ligamentous structures is critical, as they function to limit translation (anterior and posterior), flexion, and rotation of the spine. Flexiondistraction injuries (FDIs) lead to posterior disruption and elongation, and hyperextension with or without shear causing anterior disruption and elongation. 6 Proper evaluation of the posterior elements is important for the diagnosis of FDIs. Magnetic resonance imaging has high diagnostic accuracy and inter-observer reliability. 7 Reconstruction of the posterior tension band combined with spinal instrumentation for FDIs improves stability and aids early rehabilitation. 8 Cables, wires, and other strands have been used to re-establish posterior tension band stability. 9-13 In this issue, Hasankhani and Omidi-Kashani 8
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