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Title of Journal: Eur J Trauma Emerg Surg

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Abbravation: European Journal of Trauma and Emergency Surgery

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Urban & Vogel

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DOI

10.1007/978-3-642-79856-6_2

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ISSN

1863-9941

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When Should Open Reduction and Internal Fixation A

Authors: Toby O Smith Leigh Davies
Publish Date: 2007/04/24
Volume: 34, Issue: 1, Pages: 69-76
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Abstract

The objective of this paper was to review the literature to assess when open reduction and internal fixation ankle fractures should commence weight bearing for the best outcome An electronic search was undertaken of the databases AMED Cinahl Embase Medline via Ovid Pedro and Pubmed from their inception to November 2005 References lists were scrutinised and a hand search was also performed We included all English language human subject controlled clinical trials comparing the effects of early against later weight bearing following open reduction and internal fixation of ankle fractures Two reviewers independently assessed the methodological quality of the literature using the PEDro Physiotherapy Evidence Database scoring system Five papers comprising of 366 ankle fractures were reviewed Overall there was no significant difference between commencing early compared to later weight bearing in subjects following open reduction and internal fixation when evaluated against function pain range of movement radiological assessment complications and return to work The evidence reviewed was generally poor with numerous methodological design limitations The literature suggested that were was little difference between encouraging early or delayed weight bearing after open reduction and internal fixation of ankle fractures Neither early nor later weight bearing significantly improves or jeopardises outcomes However due to the plethora of methodological limitations and limited evidence it is not possible to reference this conclusion with conviction Further large welldesigned randomized controlled trials are required to evaluate this area


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  1. History, development and future of trauma care for multiple injured patients in the Netherlands
  2. Severe pelvic fracture-related bleeding in pediatric patients: does it occur?
  3. Severe pelvic fracture-related bleeding in pediatric patients: does it occur?
  4. Operative management versus non-operative management of rib fractures in flail chest injuries: a systematic review
  5. Indications and anatomic landmarks for the application of lower extremity traction: a review
  6. The Aachen Mobility and Balance Index to measure physiological falls risk: a comparison with the Tinetti POMA Scale
  7. Paediatric trauma resuscitation: an update
  8. Optimizing Outcomes in the Jehovah’s Witness Following Trauma: Special Management Concerns for a Unique Population
  9. The effect of video-assisted oral feedback versus oral feedback on surgical communicative competences in undergraduate training
  10. Popliteal vessel injuries: complex anatomy, difficult problems and surgical challenges
  11. Iatrogenic Sciatic Nerve Palsy Following Hemiarthroplasty of the Hip
  12. Anatomy-based surgical strategy of gastrointestinal fistula treatment
  13. Major Incident Hospital: Development of a Permanent Facility for Management of Incident Casualties
  14. Late Reconstruction of a Traumatic Trapeziometacarpal Dislocation with a Semi-constrained Prosthesis: A Case Report
  15. Treatment of ankle osteoarthritis: arthrodesis versus total ankle replacement
  16. Osteitis and Septic Arthritis after Tibial Head Fracture: Results of a Radical Treatment Regime
  17. Extramedullary fixation of trochanteric hip fracture
  18. The use of Hypertonic Saline in the Treatment of Post-Traumatic Cerebral Edema: A Review
  19. Focus on challenges and advances in the treatment of patients with penetrating injuries
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  21. Traumatic Cervical Vertebral Artery Transection Associated with a Dural Tear Leading to Subarachnoid Extravasation
  22. Rupture of Flexor Pollicis Longus Tendon: A Complication of Volar Locking Plating of the Distal Radius

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