Surgical vs non-surgical management of Weber B fractures: A systematic review.
Foot Ankle Surg
; 26(5): 494-502, 2020 Jul.
Article
em En
| MEDLINE
| ID: mdl-31266676
ABSTRACT
BACKGROUND:
The aim of this systematic review was to compare surgical and non-surgical management of Weber B ankle fractures.METHODS:
A systematic computer-based search was conducted using the MEDLINE (via OvidSP), EMBASE (via OvidSP) and Central databases. Data were extracted regarding functional outcome, radiological union, range of motion (RoM), infection rate and quality of life (QoL).RESULTS:
There were no significant differences identified between surgical and non-surgical management of Weber B fractures with respect to functional outcome. There is a higher rate of complication following surgical management, including infection, reoperation, thromboembolic events and death. With respect to QoL and ankle RoM, this review identified no differences between surgical and non-surgical management.CONCLUSIONS:
There is a need for further published literature evaluating the most efficacious management as there is a poverty of high-level research available. Currently, the available literature does not overwhelmingly favour a particular approach to Weber B ankle fractures.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas do Tornozelo
/
Fixação de Fratura
/
Articulação do Tornozelo
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Foot Ankle Surg
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2020
Tipo de documento:
Article