دورية أكاديمية
Early versus Delayed Mobilization Post-Operative Protocols for Primary Lateral Ankle Ligament Repair: A Systematic Review and Meta-analysis
| العنوان: | Early versus Delayed Mobilization Post-Operative Protocols for Primary Lateral Ankle Ligament Repair: A Systematic Review and Meta-analysis |
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| المؤلفون: | Matthew L. Vopat MD, Armin Tarakemeh BA, Brandon Morris MD, Maaz Hassan BS, Pat Garvin BA, Rosalee Zackula MA, Scott Mullen MD, Paul Schroeppel MD, Bryan G. Vopat MD |
| المصدر: | Foot & Ankle Orthopaedics, Vol 4 (2019) |
| بيانات النشر: | SAGE Publishing, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Orthopedic surgery |
| مصطلحات موضوعية: | Orthopedic surgery, RD701-811 |
| الوصف: | Category: Ankle, Sports, Post-op protocol Introduction/Purpose: Lateral ankle instability represents a common orthopaedic diagnosis. Nonoperative treatment through focused physical therapy provides satisfactory results in most patients. Some patients, however, experience persistent chronic lateral ankle instability despite appropriate nonoperative treatment. These patients may require stabilization which can include primary lateral ligament repair to restore ankle stability. Optimal post-operative rehabilitation of lateral ankle ligament repairs remains unknown, as surgeon vary in how they balance protection of surgical repair with immobilization with the need for ankle joint mobilization to restore range of motion. The aim of this review is to provide insight into early and delayed mobilization post- operative protocols in patients undergoing primary lateral ankle ligament repairs to determine if an optimal evidence-based post- operative rehabilitation protocol exists in the literature. Methods: Following PRIMSA criteria, a meta-analysis using the PubMed/Ovid Medline database was performed (10/11/1947- 10/16/2017). Manuscripts that were duplicates, non-lateral ligament repair, biomechanical and non-English language were excluded. Protocols were reviewed and divided into two categories; early mobilization (within 3 weeks of surgery) and delayed mobilization (after 4 weeks of surgery). Return to sport, outcome scores (AOFAS, Karlsson scores) and complications of both populations were recorded and statistically analyzed. Results: 31 out of 1,844 studies met the criteria for the final analysis, representing 1,608 patients undergoing primary lateral ligament repair. There was no statistical difference in pre-operative AOFAS scores with delayed mobilization having a score of 67.3 and early mobilization having a score of 67.6 (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2473-0114 24730114 |
| Relation: | https://doaj.org/toc/2473-0114 |
| DOI: | 10.1177/2473011419S00077 |
| URL الوصول: | https://doaj.org/article/6c610033aa4e481f8f69dd264204b160 |
| رقم الأكسشن: | edsdoj.6c610033aa4e481f8f69dd264204b160 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 24730114 |
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| DOI: | 10.1177/2473011419S00077 |