![]() ![]() Meta-analysis was performed where appropriate. For end of follow-up data, short term follow-up was defined as up to three months after randomisation, and long-term follow-up as greater than six months after randomisation. End of treatment and end of follow-up data were presented separately. Risk ratios and 95% confidence intervals (95% CIs) were calculated for dichotomous variables, and mean differences or standardised mean differences and 95% CIs were calculated for continuous variables. Two review authors independently screened search results, assessed risk of bias and extracted data. Secondary outcomes included quality of life, patient satisfaction, impairments and adverse events. The primary outcome was activity limitation. Randomised and quasi-randomised controlled trials with adults undergoing any interventions for rehabilitation after ankle fracture were considered. In addition, we searched reference lists of included studies and relevant systematic reviews. We searched the Specialised Registers of the Cochrane Bone, Joint and Muscle Trauma Group and the Cochrane Rehabilitation and Related Therapies Field, CENTRAL via The Cochrane Library (2011 Issue 7), MEDLINE via PubMed, EMBASE, CINAHL, PEDro, AMED, SPORTDiscus and clinical trials registers up to July 2011. To assess the effects of rehabilitation interventions following conservative or surgical treatment of ankle fractures in adults. This is an update of a Cochrane review first published in 2008. Alternatively, rehabilitation, including the use of physical or manual therapies, may start following the period of immobilisation. ![]() Surgery is not usually required for a stable fracture.Rehabilitation after ankle fracture can begin soon after the fracture has been treated, either surgically or non-surgically, by the use of different types of immobilisation that allow early commencement of weight-bearing or exercise. Taping and/or an ankle brace may be used when returning to activities that require a change of support, especially for those with unstable ankles. Rehabilitation exercises are similar to that of a sprained ankle. Graded exposure to impact activities and return to play protocols if you wish to return to sport. This involves strengthening and mobility exercises of the foot and ankle. Upon removal of the boot, rehabilitation can last for 4-6 weeks. Historically a cast was used, but the walker boot allows for greater function and equivalent healing response.ĭuring this period, Physical Therapy can begin to maintain the mobility of the surrounding tissues, such as the Calf, Peroneal, and Posterior Tibialis muscles. Lateral Malleolus Fracture Conservative TreatmentĪ stable Lateral Malleolus Fracture is usually managed with 4-6 weeks in a walker boot. A study of 123 patients with lateral and mortise x-ray views are 95% accurate in diagnosing ankle fractures as anteroposterior, lateral and mortise views. An x-ray is the primary imaging model, but if this returns, as usual, a referral for an MRI or Ct Scan may be required. This is usually followed by imaging to rule out other conditions and to confirm the diagnosis. A clinical examination will often involve a hop test and tap test. A clinical interview of your symptoms alongside a clinical examination can often be sufficient to achieve a diagnosis for your therapist. A consultation with a Physical Therapist, Podiatrist, or Sports Medicine Doctor is recommended if you have any of the symptoms of a Lateral Malleolus Fracture. ![]()
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