Rehabilitation for ankle fractures in adults

Lin, Chung‐Wei Christine; Moseley, Anne M.; Refshauge, Kathryn M.

doi:10.1002/14651858.cd005595.pub2

Cited by 51 publications

(71 citation statements)

References 78 publications

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“…[16,17] Öte yandan yapılan çalışmalarda, ameliyat edilen ayak bileği kırıklarına erken dönemde rehabilitasyon uygulanan hastalarda daha erken işe dönüş ve daha hızlı eklem hareket açıklığı elde edildiği tespit edilmiştir. [16][17][18] Farsetti ve ark. [10] bimalleoler ve trimalleoler kırık nedeniyle anatomik yerleştirme ve içten tespit uyguladıkları 44 hastanın erken rehabilitasyon grubunda daha az osteoartrit gördüklerini ve daha iyi eklem hareket açıklığı elde ettiklerini belirtmişlerdir.…”

Section: Discussionunclassified

Treatment of a pregnant patient with bilateral traumatic bimalleolar ankle fracture: a case report

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Üzümcügil

Yalçınkaya

et al. 2013

Eklem Hastalik Cerrahisi

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Ayak bileği kırıkları, iskelet travmaları sonrası oluşan tüm kırıklar içerisinde giderek artan sıklıkta görülmektedir. Tüm ayak bileği kırıklarının yaklaşık %25'ini bimalleoler kırıklar oluşturmaktadır. İki taraflı travmatik bimalleoller ayak bileği kırığı ise çok nadir görülen bir durumdur. Bu tablo içerisinde aynı zamanda sezaryen doğum ile müdahale edilmiş gebelik durumunun olması, olguyu özellikle venöz tromboembolizm ve ölümcül pulmoner emboli yönünden daha da komplike hale getirmektedir. Bu yazıda, sekiz aylık gebelik öyküsü bulunan ve araç içi trafik kazası sonucu iki taraflı bimalleoler ayak bileği kırığı olan 25 yaşındaki kadın olgu sunuldu ve uygulanan cerrahi tedavi sonrası elde edilen klinik ve radyolojik sonuçlar literatür ışığında tartışıldı.Anahtar sözcükler: Ayak bileği; iki taraflı; bimalleoler kırık; gebelik.The incidence of ankle fractures has been increasing among all fractures due to skeletal traumas. Bimalleolar fractures account for 25% of all ankle fractures. Bilateral traumatic bimalleolar ankle fracture is a very rare condition. In such a clinical presentation, pregnancy managed with cesarean procedure complicates the situation due to increased risk of venous thromboembolism and fatal pulmonary embolism. In this article, we report a 25-year-old female case within an eight-month pregnancy period who had bilateral bimalleolar ankle fracture due to an accident in a motor-vehicle and the clinical and radiological results of surgical treatment were discussed in the light of current literature data.

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Section: Discussionunclassified

Treatment of a pregnant patient with bilateral traumatic bimalleolar ankle fracture: a case report

Atıcı

Üzümcügil

Yalçınkaya

et al. 2013

Eklem Hastalik Cerrahisi

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“…Strength training after the immobilization period for ankle fractures also results in significant functional improvement [60]. The benefit of strengthening exercises during the immobilization period, however, is less clear; however, a systematic review performed by Lin et al [61] demonstrated that strength training contributes to significant improvements in activity, pain control, and range of motion, albeit at the risk of increased minor adverse events such as surgical wound irritation and arthrosis.…”

Section: Muscle Strengtheningmentioning

confidence: 99%

Rehabilitation of Lower Extremity Trauma: a Review of Principles and Military Perspective on Future Directions

et al. 2015

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The rehabilitation of individuals with lower extremity injury is a common but complex problem for the surgical and rehabilitative teams. Basic science tenets of fracture and soft tissue reconstruction and healing guide postoperative weight-bearing and range of motion protocols. In addition to the physiological complications associated with the injury severity, patient outcomes are often influenced by other factors such as patient compliance, pain, depression, and the negative effects of immobility. As a result, novel rehabilitative protocols to include early weight bearing, continuous passive motion, psychosocial intervention, and multimodal pain management are becoming more popular to facilitate rehabilitation and improved patient outcomes. Further supporting the need for this shift in paradigm thinking are outcome studies of both civilian and military trauma patients that demonstrate the negative impact that psychological, social, and economical factors have on outcomes. This report highlights the experience that our team has had in instituting comprehensive rehabilitation strategies to treat injured service members with complex lower extremity trauma from combat.

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“…Knowledge syntheses summary-There were 13 secondary/knowledge synthesis (CPG or SR) studies identified related to the examination of some aspect of exercise prescription (therapeutic exercise, physical activity, active rehabilitation) in an older adult fracture population [74][75][76][77][78][79][80][81][82][83][84][85][86]. Table 4 provides a summary of the purpose, population(s) included and the key 'exercise prescription' related practice and/or research findings or recommendations in each synthesis, including a footer note for citation details of any subsequent updated or new of knowledge syntheses published after the final July 3, 2009.…”

Section: Data Sorting and Chartingmentioning

confidence: 99%

“…One study had a mixed fracture focus, including any fracture in older adults [74], whereas, the remaining 12 studies specifically focused on one type of fracture, including eight hip fracture [75][76][77][78][79][80][81][82], two ankle fracture [83,84], one proximal humerus fracture [85] and one distal radius fracture study [86]. There was no knowledge synthesis study found for vertebral fracture populations.…”

Section: Data Sorting and Chartingmentioning

confidence: 99%

“…The two ankle fracture synthesis articles examined the effectiveness of early mobilization and/or other early rehabilitation interventions, with a primary focus on ankle fractures treated surgically [83,84]. The upper extremity syntheses examined the effectiveness of early mobilization strategies following proximal humerus fracture [86] and rehabilitation interventions following immobilization of distal radius fractures [86].…”

Section: Data Sorting and Chartingmentioning

confidence: 99%

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Exercise prescription after fragility fracture in older adults: a scoping review

et al. 2010

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Purpose-To identify and chart research literature on safety, efficacy or effectiveness of exercise prescription following fracture in older adults.Methods-We conducted a systematic, research-user-informed, scoping review. The population of interest was adults aged ≥ 45 years with any fracture. 'Exercise prescription' included postfracture therapeutic exercise, physical activity or rehabilitation interventions. Eligible designs included knowledge synthesis studies, primary interventional studies and observational studies. Trained reviewers independently evaluated citations for inclusion.Results-A total of 9415 citations were reviewed with 134 citations (119 unique studies) identified: 13 knowledge syntheses, 95 randomized or controlled clinical trials, and 11 'other' designs, representing 74 articles on lower extremity fractures, 34 on upper extremity, eight on vertebral, and three on mixed body region fractures. Exercise prescription characteristics were often missing or poorly described. Six general categories emerged describing exercise prescription characteristics: timing post-fracture, person prescribing, program design, functional focus, exercise script parameters and co-interventions. Upper extremity and ankle fracture studies focused on fracture healing or structural impairment outcomes, whereas hip fracture studies focused more on activity limitation outcomes. The variety of different outcome measures used made pooling or comparison of outcomes difficult. CIHR Author Manuscript CIHR Author Manuscript CIHR Author ManuscriptConclusions-There was insufficient information to identify evidence-informed parameters for safe and effective exercise prescription for older adults following fracture. Key gaps in the literature include limited numbers of studies on exercise prescription following vertebral fracture, poor delineation of effectiveness of different strategies for early post-fracture mobilization following upper extremity fracture, and inconsistent details of exercise prescription characteristics after lower extremity fracture.

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Rehabilitation for ankle fractures in adults

Cited by 51 publications

References 78 publications

Treatment of a pregnant patient with bilateral traumatic bimalleolar ankle fracture: a case report

Treatment of a pregnant patient with bilateral traumatic bimalleolar ankle fracture: a case report

Rehabilitation of Lower Extremity Trauma: a Review of Principles and Military Perspective on Future Directions

Exercise prescription after fragility fracture in older adults: a scoping review

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