Malleolar fractures treated with rigid internal fixation and immediate mobilization

Lund-Kristensen, Jens; Greiff, Jørgen; Riegels-Nielsen, Per

doi:10.1016/0020-1383(81)90237-0

Cited by 13 publications

(5 citation statements)

References 9 publications

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“…In 11 (44%) studies, a high risk of other bias was found. In 7 of these studies, patients with a Weber A fracture who had undergone surgery were included [ 13 , 27 , 33 , 36 , 38 , 39 , 43 ]. However, further specifications of these fractures were not presented.…”

Section: Resultsmentioning

confidence: 99%

“…Unprotected mobilization was described in 7 studies [ 13 , 32 , 36 , 37 , 39 , 41 , 43 ]. With the exception of Gul et al, these studies used unprotected mobilization in combination with late weight-bearing (3–6 weeks post-operatively) [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…With the exception of Gul et al, these studies used unprotected mobilization in combination with late weight-bearing (3–6 weeks post-operatively) [ 13 ]. Finsen et al and Lund-Kristensen et al did not report the groups in which complications occurred [ 32 , 39 ]. Siddique et al did not report the complications [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the sensitivity analyses on bias, 9 studies with 5 or more high risk factors for bias were excluded [ 13 , 25 , 27 , 28 , 32 – 34 , 39 , 40 ]. All analyses were repeated without these studies.…”

Section: Resultsmentioning

confidence: 99%

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Weight-Bearing and Mobilization in the Postoperative Care of Ankle Fractures: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Cohort Studies

et al. 2015

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PurposeTo determine the effectiveness and safety of interventions used for rehabilitation after open reduction and internal fixation of ankle fractures.MethodsA systematic review and meta-analysis was performed using both randomized trials and cohort studies. The effect of mobilization, weight-bearing, and unprotected weight-bearing as tolerated on postoperative recovery was compared using the Olerud Molander score, return to work/daily activities, and the rate of complications.ResultsA total of 25 articles were included. Ankle exercises resulted in earlier return to work and/or daily activities compared to immobilization (mean difference (MD) -20.76 days; 95% confidence interval (CI) -40.02 to -1.50). There was no difference in the rate of complications between exercises and immobilization (risk ratio (RR) 1.22; 95% CI 0.60 to 2.45) or between early and late weight-bearing (RR 1.26; 95%CI 0.56 to 2.85).InterpretationResults of this meta-analysis show that following ankle surgery, 1) active exercises accelerate return to work and daily activities compared to immobilization, 2) early weight-bearing tends to accelerate return to work and daily activities compared to late weight-bearing. Active exercises in combination with immediate weight-bearing may be a safe option.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Weight-Bearing and Mobilization in the Postoperative Care of Ankle Fractures: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Cohort Studies

et al. 2015

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“…A total of two studies did not report on complications [ 14 , 25 ]. Six other studies did report on complications, but without reporting the treatment group to which the complications belong or without reporting exact numbers [ 18 – 24 , 26 – 29 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

Clinical research on postoperative trauma care: has the position of observational studies changed?

Smeeing

Houwert²,

Kruyt

et al. 2016

Eur J Trauma Emerg Surg

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ObjectiveThe postoperative care regimes of ankle fractures are studied for over 30 years and recommendations have shifted only slightly in the last decades. However, study methodology might have evolved. The aim of this study was to evaluate the changes in time in the design, quality and outcome measures of studies investigating the postoperative care of ankle fractures.MethodsThe MEDLINE and EMBASE database were searched for both RCTs and cohort studies. The original studies were divided into decades of publication over the last 30 years. The methodological quality of the studies was assessed using the ‘traditional’ risk of bias assessment tool provided by The Cochrane Collaboration and the ‘newer’ MINORS criteria.ResultsThe percentage of RCTs on this subject declined from 67 to 38 % in the last decades. According to the Cochrane tool, the reported quality of RCTs has improved in the last three decades whereas the reported quality of observational studies has remained unchanged. However, when quality was evaluated with the MINORS criteria, equal improvement was observed for both RCTs and observational studies. In the 80s, 67 % of all studies used the range of motion as the primary outcome measure, which decreased to 45 % in the 90s. In the 00s, none of the studies used the range of motion as the primary outcome.ConclusionFor postoperative care of ankle fractures, results of this study showed a relative decrease in the published number of RCTs. The overall quality of the published articles did not decline. In addition, a gradual shift from physician measured to patient-reported outcome variables was observed. However, it should be borne in mind that the findings are based on a small sample (n = 25).

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Immobilisierung und Frühmobilisierung von Malleolarfrakturen nach Osteosynthese mit resorbierbaren Schrauben

Ek¹

1992

Unfallchirurgie

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71 patients with displaced ankle fracture were treated by using absorbable screws in the fixation of fractures. The follow-up time was 17 (13 to 33) months in average. The fixation devices were SR-PLLA (self-reinforced poly-L-lactide) and SR-PGA (self-reinforced polyglycolide) screws. 38 of the ankle fractures were immobilized with plaster cast and 33 ankle joints were mobilized immediately with a brace. An exact radiological result was achieved in 66 cases, insignificant displacement was observed in four cases and the result was poor in one patient. The result was classified as excellent in 62 patients, as good in eight patients and as poor in one patient. The patients treated postoperatively without plaster healed in a somewhat shorter time, but at one year check-up the differences in the clinical results were almost eliminated. Selected ankle fractures fixed with absorbable screws can be treated postoperatively with early mobilization without plaster.

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Malleolar fractures treated with rigid internal fixation and immediate mobilization

Cited by 13 publications

References 9 publications

Weight-Bearing and Mobilization in the Postoperative Care of Ankle Fractures: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Cohort Studies

Weight-Bearing and Mobilization in the Postoperative Care of Ankle Fractures: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Cohort Studies

Clinical research on postoperative trauma care: has the position of observational studies changed?

Immobilisierung und Frühmobilisierung von Malleolarfrakturen nach Osteosynthese mit resorbierbaren Schrauben

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