ankle fracture conservative treatment

To assess the effects of surgical versus conservative interventions for treating ankle fractures in adults. Early treatment failure, generally reflecting the failure of closed reduction (criteria not reported in two trials) probably or explicitly leading to surgery in patients allocated conservative treatment, was significantly higher in the conservative treatment group (2/116 versus 19/129; RR 0.18, 95% CI 0.06 to 0.54). These involved a total of 292 participants with ankle fractures. Bone Jt. Immediate online access to all issues from 2019. Early mobilization should be achieved as soon as feasible to prevent stiffening of the joints. A third trial, reporting data for 49 of 96 randomised participants at 3.5 years follow-up, reported no difference between the two groups in a non-validated clinical score. Our health evidence - how can it help you. J. The conservative treatment of ankle fractures. Subscribe to journal. 293 (1962), Magnussen, R.: The late results of nonoperated cases of malleolar fractures. Get medical advice as soon as possible if you think you have broken your ankle. Ankle Fracture, Review, Current Treatment, Classification, Management 1. The patient can ice the area for 15-20 minutes two to three times a day to calm down the swelling. : CD008470. Scand. Suppl. J. Ankle fractures can be treated surgically or conservatively (non-surgically). All four trials had flawed methods that could affect the reliability of their findings. Bone Jt. Lindsjö U. In all four trials, there were some patients in the conservative treatment group who were treated surgically because the repositioning of the fractured bone was judged unsuccessful. Scand. Such injuries typically happen to young men and older women. Bone Jt. Immediate online access to all issues from 2019. 1. J. Surg.47-B, 634 (1965) Google Scholar Surg.33-A, 761 (1956), Nilsson, B.: Age and sex incidence of ankle fractures. Conservative treatment comprises: The latest Cochrane review from 2012 concluded there is insufficient evidence to conclude on the effects of surgical versus conservative treatment of ankle fractures in adults [6] . CORR67, 159 (1969), Solonen, K.: Operative treatment of ankle fractures. Subscription will auto renew annually. Surg.59-A, 169 (1977), Pankovich, A.: Maisonneuve fracture of the fibula. Conservative functional treatment of ankle fractures. Burwell, H., Charnley, A.: The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement. Bone Jt. One trial, reporting data for 31 of 43 randomised participants, found a statistically significantly better mean Olerud score in the surgically treated group but no difference between the two groups in pain scores after a mean follow-up of 27 months. Subscription will auto renew annually. Surgery involves an operation to expose the fracture to reposition the broken parts of the bone and then fix them in place using wires, pins, screws and other devices. One trial, following up 92 of 111 randomised participants, found no statistically significant differences between surgery and conservative treatment in patient-reported symptoms (self assessed ankle "troubles": 11/43 versus 14/49; risk ratio (RR) 0.90, 95% CI 0.46 to 1.76) or walking difficulties at seven years follow-up. 4, Monk, C.: Injuries of the tibio-fibular ligaments. Surgical versus conservative interventions for treating ankle fractures in adults. Pooled results from two trials of participants with radiological signs of osteoarthritis at averages of 3.5 and 7.0 years follow-up showed no between-group differences (44/66 versus 50/75; RR 1.05, 95% CI 0.83 to 1.31). - 68.66.224.32. J. Bone Jt. No data could be pooled for long-term measures of function or pain. Scand.40, 122 (1969), Denham, R.: Internal fixation for unstable ankle fractures. Arch. Do not worry if you do not know if your ankle is broken, dislocated or sprained . The conservative treatment of fractures involves repositioning of the bone fragments, wound closure (if necessary), and application of a cast or a splint to hold the bones in place. Despite fractures of the ankle being very common, consensus regarding treatment with surgery or by conservative means lacks evidence in patients with nondisplaced unstable ankle fractures. J. Suppl. Surg.58-A, 337 (1976), Klossner, O.: The late results of operated and non-operated treatment of ankle fractures. ed. Randomised and quasi-randomised controlled clinical studies comparing surgical and conservative treatments for ankle fractures in adults were included. The trials used different and incompatible outcome measures for assessing function and pain. Three randomised controlled trials and one quasi-randomised controlled trial were included.

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