| Operative and functional treatment of rupture of the lateral ligament of the ankle. A randomised, prospective trial. | |
| | |
MedLine Citation:
|
PMID: 12793557 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Consecutive patients with a confirmed rupture of at least one of the lateral ligaments of the ankle were randomly assigned to receive either operative or functional treatment. They were evaluated at a median of 8 years (6 to 11). In total, 370 patients were included. Follow-up was available for 317 (86%). Fewer patients allocated to operative treatment reported residual pain compared with those who had been allocated to functional treatment (16% versus 25%, RR 0.64, CI 041 to 1.0). Fewer surgically-treated patients reported symptoms of giving way (20% versus 32%, RR 0.62, CI 0.42 to 0.92) and recurrent sprains (22% versus 34%, RR 0.66, CI 0.45 to 0.94). The anterior drawer test was less frequently positive in surgically-treated patients (30% versus 54%, RR 0.54, CI 0.41 to 0.72). The median Povacz score was significantly higher in the operative group (26 versus 22, p < 0.001). Compared with functional treatment, operative treatment gives a better long-term outcome in terms of residual pain, recurrent sprains and stability. |
| | |
Authors:
|
A C M Pijnenburg; K Bogaard; R Krips; R K Marti; P M M Bossuyt; C N van Dijk |
Related Documents
:
|
22851547 - Retrospective multicenter study of solitaire fr for revascularization in the treatment ... 19173737 - Metastatic renal cell cancer treatments: an indirect comparison meta-analysis. 22287957 - A nonimmunosuppressant approach on asia psoriasis subjects: 5-year followup and 11-year... 22435357 - Retrospective case series of outcomes following spinal cord infarction. 23532307 - Serum tenascin-c level is associated with coronary plaque rupture in patients with acut... 9834387 - Conversion of proximal to distal gastric bypass for failed gastric bypass for superobes... |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: The Journal of bone and joint surgery. British volume Volume: 85 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2003 May |
Date Detail:
|
Created Date: 2003-06-09 Completed Date: 2003-06-23 Revised Date: 2010-11-10 |
Medline Journal Info:
|
Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
|
Languages: eng Pagination: 525-30 Citation Subset: AIM; IM |
Affiliation:
|
Department of Clinical Epidemiology and Biostatistics, Academic Medical Centre, Amsterdam, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Ankle Injuries / complications, surgery, therapy* Bandages Casts, Surgical Collateral Ligaments / injuries*, surgery Female Humans Joint Instability / etiology Male Middle Aged Pain / etiology Prospective Studies Recurrence Rupture / complications, surgery, therapy Sprains and Strains / etiology Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Outcome after reconstruction of the anterior cruciate ligament in athletic patients. A comparison of...
Next Document: The influence of early ambulation and other factors on headache after lumbar myelography.