Characteristics and Effectiveness of Postoperative Rehabilitation Strategies in Ankle Fractures: A Systematic Review

Article

Johnston, V.. 2022. "Characteristics and Effectiveness of Postoperative Rehabilitation Strategies in Ankle Fractures: A Systematic Review." Journal of Orthopaedic Trauma. 36 (12), pp. e449-e457. https://doi.org/10.1097/bot.0000000000002436
Article Title

Characteristics and Effectiveness of Postoperative Rehabilitation Strategies in Ankle Fractures: A Systematic Review

ERA Journal ID16464
Article CategoryArticle
AuthorsJohnston, V.
Journal TitleJournal of Orthopaedic Trauma
Journal Citation36 (12), pp. e449-e457
Year2022
ISSN0890-5339
1531-2291
Digital Object Identifier (DOI)https://doi.org/10.1097/bot.0000000000002436
Abstract

effectiveness of postoperative rehabilitation strategies for people with an ankle fracture.
Data Sources: PubMed, Cochrane Library, EMBASE, Web of
Science, and CINAHL were searched to identify studies published from January 2010 to November 2021.
Study Selection: Studies that described or evaluated postoperative rehabilitation strategies for surgically repaired ankle fractures were included.
Data Extraction: Data on postoperative rehabilitation were
extracted in accordance with the Template for Intervention
Description and Replication guide. Quality was assessed using the National Heart, Lung, and Blood Institute’s Study Quality
Assessment Tools.
Data Synthesis: Meta-analysis was planned to look at the
effectiveness of postoperative rehabilitation strategies. Forty studies described postoperative rehabilitation strategies without evaluating effectiveness, whereas 15 studies focused on evaluating effectiveness.
Because of the large variety in postoperative strategies and
outcomes, narrative synthesis was deemed most suitable to answer our aims. Characteristics of postoperative rehabilitation strategies varied widely and were poorly described in a way that could not be replicated. Most of the studies (48%) used a late weight-bearing approach, although definitions and details around weight-bearing were unclear.
Conclusions: Late weight-bearing has been the most common
postoperative approach reported in the past 10 years. The variety of definitions around weight-bearing and the lack of details of rehabilitation regimens limit replication and affect current clinical practice. The authors propose to adopt consistent definitions and terminology around postoperative practices such as weight-bearing to improve evidence for effectiveness and ultimately patient
outcomes.

Keywordsankle fracture, weight-bearing, postoperative rehabilitation, physiotherapy
ANZSRC Field of Research 2020420106. Physiotherapy
420399. Health services and systems not elsewhere classified
Byline AffiliationsSchool of Health and Medical Sciences
Centre for Health Research
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