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العنوان
Surgical Modalities versus Conservative Treatment for Acute Injuries of Lateral Ligament of Ankle/
الناشر
Faculty of medicine
المؤلف
Ahmed,Shady Saleh Mohammed
هيئة الاعداد
باحث / شادى صالح محمد أحمد
مشرف / أ.م.د/ عاطف محمد فتحى البلتاجى
مشرف / د/ مصطفى ممدوح عشوب
تاريخ النشر
2019
عدد الصفحات
78 P.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

from 78

from 78

Abstract

Background: Acute ankle sprain is a very common injury which comprises 80% of all ankle injuries. Acute ankle sprain affects almost exclusively the lateral ligamentous complex including ATFL followed by CFL, while PTFL is rarely of clinical significance.
Objective: To study the clinical trials in a Meta-analytical form, in order to compare surgical versus conservative treatments for the management of acute injuries of the lateral ligament complex of the ankle.
Materials and Methods: We performed this systematic review and meta-analysis in accordance to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analyses Of Observational Studies in Epidemiology (MOOSE) statements. PRISMA and MOOSE are reporting checklists for Authors, Editors, and Reviewers of Meta-analyses of interventional and observational studies.
Results: In the present study, we searched Medline via PubMed, SCOPUS, Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL) from their inception till April 2019. The search retrieved 702 unique records. We then retained 48 potentially eligible records for full-texts screening. Finally, 14 studies (Total No. of patients=1896) were included in the present systematic review and meta-analysis
Conclusion: Starting a physiotherapy programme as early as possible is essential to control pain and swelling, to improve and maintain the range of motion, and to minimize the risk of stiffness and muscle wasting, which are the two decisive factors which delay patients from returning to their normal activities. Regardless of severity, surgery for acute ankle sprain is not recommended anymore.