Weight-bearing and mobilization in the postoperative care of ankle fractures: a systematic review and meta-analysis of randomized controlled trials and cohort studies.

ABSTRACT: PURPOSE:To determine the effectiveness and safety of interventions used for rehabilitation after open reduction and internal fixation of ankle fractures. METHODS:A 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. RESULTS:A 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 immobili

SUBMITTER: Smeeing DP 

PROVIDER: S-EPMC4335061 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature