Intervention Review

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Surgical versus conservative interventions for treating ankle fractures in adults

  1. Christian CMA Donken1,*,
  2. Hesham Al-Khateeb2,
  3. Michael HJ Verhofstad3,
  4. Cornelis JHM van Laarhoven4

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 15 AUG 2012

Assessed as up-to-date: 6 MAY 2012

DOI: 10.1002/14651858.CD008470.pub2


How to Cite

Donken CCMA, Al-Khateeb H, Verhofstad MHJ, van Laarhoven CJHM. Surgical versus conservative interventions for treating ankle fractures in adults. Cochrane Database of Systematic Reviews 2012, Issue 8. Art. No.: CD008470. DOI: 10.1002/14651858.CD008470.pub2.

Author Information

  1. 1

    Radboud University Nijmegen Medical Center, Department of General and Trauma Surgery, Nijmegen, Netherlands

  2. 2

    Princess Alexandra Hospital, Department of Trauma & Orthopaedics, Harlow, UK

  3. 3

    Saint Elisabeth Hospital, Department of General and Trauma Surgery, Tilburg, Noord Brabant, Netherlands

  4. 4

    Radboud University Nijmegen Medical Center, Department of Surgery, Nijmegen, Netherlands

*Christian CMA Donken, Department of General and Trauma Surgery, Radboud University Nijmegen Medical Center, PO Box 9101, Nijmegen, 6500 HB, Netherlands. christiandonken@hotmail.com.

Publication History

  1. Publication Status: New
  2. Published Online: 15 AUG 2012

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[Figure 1]
Figure 1. Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
[Figure 2]
Figure 2. Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Surgical versus conservative treatment, Outcome 1 Complaints of symptoms (pain, restricted range of ankle motion, unsteadiness, swelling) and walking difficulties at 7 years.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Surgical versus conservative treatment, Outcome 2 Functional or combined scores.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Surgical versus conservative treatment, Outcome 3 Pain scores (VAS: assume maximum of 100: worst) at mean of 27 months.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Surgical versus conservative treatment, Outcome 4 Adverse events.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Surgical versus conservative treatment, Outcome 5 Functional impairment at 20 weeks.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Surgical versus conservative treatment, Outcome 6 Differences in range of motion (injured ankle - other ankle).
[Analysis 1.7]
Analysis 1.7. Comparison 1 Surgical versus conservative treatment, Outcome 7 Radiological results: non-union and malunion.
[Analysis 1.8]
Analysis 1.8. Comparison 1 Surgical versus conservative treatment, Outcome 8 Radiological signs of osteoarthritis.
[Analysis 1.9]
Analysis 1.9. Comparison 1 Surgical versus conservative treatment, Outcome 9 Length of hospital stay (days).