Show simple item record

dc.contributor.authorJaved, OA
dc.contributor.authorJaved, QA
dc.contributor.authorUkoumunne, OC
dc.contributor.authorDi Mascio, L
dc.identifierpii: S1268-7731(19)30171-7
dc.identifier.citationJaved, O. A., Javed, Q. A., Ukoumunne, O. C. & Di Mascio, L. (2020). Surgical versus conservative management of ankle fractures in adults: A systematic review and meta-analysis. FOOT AND ANKLE SURGERY, 26 (7), pp.723-735.
dc.description.abstractAIMS: This study compared outcomes of surgical versus conservative management of ankle fractures in adults through a systematic review and meta-analysis. METHODS: We searched CINAHL, EMBASE, MEDLINE and CENTRAL databases (1946-June 2019) for randomised and quasi-randomised controlled trials comparing surgical versus conservative management of closed adult ankle fractures of any type. Estimates of effect were pooled using random effects meta-analysis. RESULTS: 1153 patients from 7 trials were included. Our primary outcome, ankle function score, was not statistically significantly different at 6-months (pooled mean difference (surgical minus conservative) = 1.0; 95% CI: -2.3 to 4.3; p = 0.55) or 12-months or more (pooled mean difference = 4.6; 95% CI: -1.0 to 10.2; p = 0.11) between surgical and conservative groups in three trials assessing displaced or unstable fractures, and two trials using non-validated questionnaires. One trial assessing AO-type-B1 fractures without talar shift had a statistically significant difference favouring conservative management, which was not clinically meaningful. Surgery had lower rates of early treatment failure and malunion/non-union, but higher rates of further surgery and infection. CONCLUSIONS: Surgical and conservative management of displaced or unstable ankle fractures produce similar short-term functional outcomes. The higher risk of early treatment failure and malunion/non-union in the conservative group versus higher rates of further surgery and infection in the surgical group should be considered. Trials are needed to assess longer-term results and inform management of select patient groups.
dc.titleSurgical versus conservative management of ankle fractures in adults: A systematic review and meta-analysis
dc.typeJournal Article
melbourne.affiliation.departmentPaediatrics (RCH)
melbourne.source.titleFoot and Ankle Surgery
melbourne.openaccess.statusAccepted version
melbourne.contributor.authorUkoumunne, Obioha
melbourne.accessrightsAccess this item via the Open Access location

Files in this item


There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record