Altuwairqi Abdullah
Orthopedic Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Cureus. 2024 Jul 11;16(7):e64315. doi: 10.7759/cureus.64315. eCollection 2024 Jul.
Considering various forms of immobilization that enable early weight-bearing or exercise initiation, rehabilitation following an ankle fracture can start shortly after the fracture has been repaired. Alternatively, after the period of immobility, physical or manual therapy may be used to begin rehabilitation. This systematic review aimed to compare different rehabilitation strategies after ankle fracture surgery. Four different databases (Scopus, Web of Science, PubMed/MEDLINE (Medical Literature Analysis and Retrieval System Online, and Google Scholar) were used to retrieve the relevant data using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Randomized and quasi-randomized controlled trials involving people undergoing every type of rehabilitation therapy following an ankle fracture surgery were taken into consideration. The main result was a limitation in activities. Adverse events and impairments were instances of such secondary outcomes. A total of 31 studies were found to be eligible for inclusion in this systematic review. The use of exercise and a removable form of immobilization during the immobilization phase to enhance activity limitation is supported by very little evidence. The patient's capacity to adhere to this treatment plan is crucial due to the possible higher risk. To support the available data, more carefully planned and sufficiently powered clinical trials must be conducted.
考虑到各种能够实现早期负重或开始锻炼的固定方式，踝关节骨折后的康复可在骨折修复后不久开始。或者，在固定期过后，可采用物理治疗或手法治疗来开始康复。本系统评价旨在比较踝关节骨折手术后不同的康复策略。使用四个不同的数据库（Scopus、科学网、PubMed/MEDLINE（医学文献分析与联机检索系统）和谷歌学术），按照系统评价和Meta分析的首选报告项目（PRISMA）指南检索相关数据。纳入了涉及接受踝关节骨折手术后各种康复治疗的患者的随机和半随机对照试验。主要结果是活动受限。不良事件和损伤是此类次要结果的实例。共发现31项研究符合纳入本系统评价的条件。在固定期使用运动和可移除的固定形式以减轻活动受限的证据非常少。由于可能存在较高风险，患者坚持该治疗方案的能力至关重要。为了支持现有数据，必须开展规划更周密、样本量充足的临床试验。
