Publication date: Available online 21 February 2018
Source:Injury
Author(s): A. Siebe De Boer, Esther M.M. Van Lieshout, Gerson Van Moolenbroek, Dennis Den Hartog, Michael H.J. Verhofstad
BackgroundPost-operative weightbearing guidelines for displaced intra-articular calcaneal fractures (DIACF) have been pragmatically developed in the past, however hardly adapted to current health care insights. A period of six to nine weeks of non-weightbearing is usually recommended. It is unknown whether an earlier start of weightbearing is advisable.ObjectivesThe primary aim was to evaluate the effect of time to post-operative weightbearing on Böhler's angle. Secondary aims were to determine the effect on functional outcome (e.g., The American Orthopedic Foot and Ankle Society Scale), post-operative pain score, complications (e.g., infections, nonunion, implant removal), and revision surgeries. Finally, the effect of bone void filling on these outcomes was investigated.Data SourceA literature search was performed on January 24, 2017 in the Cochrane Library, Medline Ovid, Embase, Web of Science, Google Scholar, and CINAHL.Literature selectionStudies reporting on operatively treated patients with a DIACF and time to weightbearing were eligible for inclusion. Studies were excluded when not reporting primary data, solely reporting on open fractures, bilateral fractures, or polytrauma patients. Based upon the time to starting partial weightbearing, patient cohorts were stratified into very early (0–4 weeks), early (4–6 weeks), intermediate (6–8 weeks), or late (8–12 weeks) start of partial weightbearing.Data extractionTwo investigators extracted data independently using a predefined data sheet.ResultsAfter applying exclusion criteria, 72 studies remained eligible for analysis. Böhler's and Gissane's angles, calcaneal height, AOFAS, pain scores, and complications had overlapping confidence intervals in all weightbearing groups.ConclusionThe adverse sequelae which are assumed to be associated with starting partial weightbearing already within six weeks after internal fixation of calcaneal fractures, is not supported by literature data. This systematic review suggests that early weightbearing does not result in impaired outcomes compared with more conservative weightbearing regimes.
http://ift.tt/2HA9Gw6
Αρχειοθήκη ιστολογίου
-
►
2023
(138)
- ► Φεβρουαρίου (74)
- ► Ιανουαρίου (64)
-
►
2022
(849)
- ► Δεκεμβρίου (61)
- ► Σεπτεμβρίου (74)
- ► Φεβρουαρίου (65)
-
►
2021
(2936)
- ► Δεκεμβρίου (59)
- ► Σεπτεμβρίου (180)
- ► Φεβρουαρίου (325)
-
►
2020
(1624)
- ► Δεκεμβρίου (293)
- ► Σεπτεμβρίου (234)
- ► Φεβρουαρίου (28)
-
►
2019
(13362)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (5586)
- ► Ιανουαρίου (5696)
-
▼
2018
(66471)
- ► Δεκεμβρίου (5242)
- ► Σεπτεμβρίου (5478)
-
▼
Φεβρουαρίου
(4835)
-
▼
Φεβ 21
(231)
- Open-label randomised phase III trial of vinflunin...
- Computational prediction of neoantigens: do we nee...
- Polyphosphate Metabolic Gene Expression Analyses R...
- Fatty acid addition and thermotolerance of Kluyver...
- Immunohistochemical expression of CD44 in oral squ...
- Podoplanin-positive myofibroblasts: a pathologic h...
- The first known virus isolates from Antarctic sea ...
- Aeolian dispersal of bacteria in southwest Greenla...
- Growth Differentiation Factor-15 as a Predictor of...
- Surgical fixation of midshaft clavicle fractures: ...
- The effect of time to post-operative weightbearing...
- Platelet Rich Concentrate Enhances Mesenchymal Ste...
- Value of PCR in sonication fluid for the diagnosis...
- EPIDEMIOLOGY AND OUTCOMES OF TRAUMATIC KNEE DISLOC...
- Comparative analysis of the outcomes of elective a...
- Comparative cardiovascular safety of non-steroidal...
- Clinical safety, tolerability, pharmacokinetics an...
- Adverse mental health outcomes in a population-bas...
- CLL2-BXX Phase II trials: sequential, targeted tre...
- Peripheral blood clinical laboratory variables ass...
- Low risk of hepatotoxicity from rifampicin when us...
- Issue Information
- Randomised clinical trial: efficacy, safety and do...
- Systematic review: non A-E, seronegative or indete...
- Mapping and Predicting Non-linear Brassica rapa Gr...
- Examination of Signatures of Recent Positive Selec...
- Synopsis of the SOFL Plant-Specific Gene Family
- Drosophila Larval Brain Neoplasms Present Tumour-T...
- Risk variants of the α-synuclein locus and REM sle...
- Broken Hearts and Opened Eyes
- Short overview on the current standard of treatmen...
- Correction to: Report from the WCLC 2017 Congress,...
- Novel guidelines on surveillance for breast cancer...
- Pleural effusion in 11:14 translocation q1 multipl...
- Practice-changing developments in early use of che...
- Novel short curved sphincterotome for wire-guided ...
- Antioxidant capacities and total phenolic contents...
- Repeated electroacupuncture treatment attenuated h...
- Correction to: Inhibition of autophagy enhances sy...
- Out of the Randomness: Correlating Noise in Biolog...
- A New Era of Cancer Biotherapy and Radiopharmaceut...
- Astragalus Saponins and Liposome Constitute an Eff...
- Inhibition of STAT6/Anoctamin-1 Activation Suppres...
- Biocompatibility of Bespoke 3D-Printed Titanium Al...
- Antitumor in situ vaccination effect of TNFα and I...
- Cryotherapy for persistent Barrett’s esophagus aft...
- Impact of cleaning monitoring combined with channe...
- A vanishing superficial depressed colorectal lesio...
- Collagenous gastritis: a rare disease with distinc...
- A randomized trial of single versus double high-le...
- Endoscopic valvectomy of ileocecal valve stricture...
- Optimizing duodenoscope reprocessing: rigorous ass...
- Secondary tumors of the gastrointestinal tract: or...
- Gastric mucosal devitalization is safe and effecti...
- Differential family experience of palliative sedat...
- Completing the Bucket List: Leveraging Telemedicin...
- Introducing Ronald J. Sokol, MD- Our 2018 AASLD Pr...
- Assessment of communication technology and post-op...
- Pegylated and liposomal doxorubicin is associated ...
- Diurnal variation of NMDA receptor expression in t...
- Mutations in SCN3A cause early infantile epileptic...
- Our Other Prescription Drug Problem
- The Psychology of Clinical Decision Making — Impli...
- Placing a Lumbar Epidural Catheter
- Prosthesis Type for Aortic- and Mitral-Valve Repla...
- Hybrid Strategy to Prevent Venous Thromboembolism ...
- Tranexamic Acid in Patients Undergoing Coronary-Ar...
- Pleural Disease
- Case 6-2018: A 35-Year-Old Woman with Headache, Su...
- Tofacitinib for Psoriatic Arthritis
- Preventive Therapies for Chronic Migraine
- Influenza Season and ARDS after Cardiac Surgery
- Hematometrocolpos in a Teenager
- Aspirin or Rivaroxaban for VTE Prophylaxis after H...
- Developing Anticancer Drugs in Orphan Molecular En...
- A Framework for Ethical Payment to Research Partic...
- Nonalcoholic Steatohepatitis
- Muscle spindle thixotropy affects force perception...
- Scope and Consistency of Outcomes Reported in Rand...
- The BCR-ABL inhibitor nilotinib influences phenoty...
- Performance of loop-mediated isothermal amplificat...
- The association between community-associated Staph...
- Socio-economic, Knowledge Attitude Practices (KAP)...
- Outcome and prognostic factors of patients with ri...
- In Vivo Morphometric Analysis of Human Cranial Ner...
- Issue Information
- Patients with advanced cancer prefer that physicia...
- Cognitive computing, paired with Genomics, may ben...
- More municipalities and states raise tobacco purch...
- Proliferation and Differentiation of Murine Myeloi...
- Functional Segmentation of the Anterior Limb of th...
- Dorsal Raphe Serotonin Neurons Mediate CO2-Induced...
- Aging Affects Adaptation to Sound-Level Statistics...
- Multimodal Encoding of Novelty, Reward, and Learni...
- Local Corticotropin-Releasing Factor Signaling in ...
- Cortical Neural Activity Predicts Sensory Acuity U...
- Serotonin Disinhibits a Caenorhabditis elegans Sen...
- Diversity of Internal Sensory Neuron Axon Projecti...
- Deficient Surveillance and Phagocytic Activity of ...
- Synthesis and Mass Spectrometry Analysis of Oligo-...
-
▼
Φεβ 21
(231)
- ► Ιανουαρίου (5592)
-
►
2017
(44259)
- ► Δεκεμβρίου (5110)
- ► Σεπτεμβρίου (5105)
-
►
2016
(7467)
- ► Δεκεμβρίου (514)
- ► Σεπτεμβρίου (1038)
- ► Φεβρουαρίου (793)
Αναζήτηση αυτού του ιστολογίου
Τετάρτη 21 Φεβρουαρίου 2018
The effect of time to post-operative weightbearing on functional and clinical outcomes in adults with a displaced intra-articular calcaneal fracture; A systematic review and pooled analysis
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
-
Αλέξανδρος Γ. Σφακιανάκης Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,0030693260717...
-
heory of COVID-19 pathogenesis Publication date: November 2020Source: Medical Hypotheses, Volume 144Author(s): Yuichiro J. Suzuki ScienceD...
-
https://ift.tt/2MQ8Ai8
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.