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Orthopedic Trauma Directions 2008; 6(5): 1-10
DOI: 10.1055/s-2008-1038274
DOI: 10.1055/s-2008-1038274
Clinical topic
© Georg Thieme Verlag KG Stuttgart · New York
Ankle fractures. Early versus delayed motion following internal fixation (update to July 2006 issue)
Further Information
Publication History
Publication Date:
18 September 2008 (online)
Summary
Evidence from four small randomized or quasi-randomized controlled trials suggests that:
Early motion tended to improve functional status compared with delayed motion by 12 weeks, but the results reached statistical significance in only one study.
Patients receiving early motion returned to work earlier than those whose motion was delayed.
Infection rates were significantly more common among those who had early motion, however these groups had a slightly decreased risk of venous thrombolitic events compared with patients receiving delayed motion.