Rehabilitation for ankle fractures in adults.Trauma care has improved dramatically over the last three decades with decreased mortality and improved techniques for soft tissue cover and fracture stabilisation. After trauma, it is recognised that there is a golden hour in which optimum resuscitation is essential. Following the golden hour there is an early phase in which debridement of open wounds and soft tissue cover should be obtained along with fracture stabilisation, usually within 48 hours. However, at present clinicians treating fractures are powerless in this phase as they do not have a technique for monitoring the early rate of healing. This is compounded by the fact that healing times are known to vary according to the bone, type of fracture and location within the bone. Thus assessing the rate of healing is especially difficult in the first two to three months post-fracture.
Rehabilitation for ankle fractures in adults.
Alternatively, rehabilitation, including the use of physical or manual therapies, may start following the period of immobilisation. This is an update of a Cochrane review first published in In addition, we searched reference lists of included studies and relevant systematic reviews. The primary outcome was activity limitation. Secondary outcomes included quality of life, patient satisfaction, impairments and adverse events. End of treatment and end of follow-up data were presented separately.
Stanley Hoppenfeld, M. Vasantha L. Murthy, M. All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilized by any infor- mation storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews.
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