When is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri-ankle fractures? A network meta-analysis
ObjectiveThe purpose of this study was to explore the safe and most effective initiation time for the functional recovery of patients with peri-ankle fractures after surgery.MethodWe searched electronic databases, including the Cochrane Library, Embase, PubMed and the reference lists of relevant art...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.911471/full |
| _version_ | 1818483541279768576 |
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| author | Ke Zhao Shilei Dong Shilei Dong Shilei Dong Wei Wang Wei Wang Wei Wang |
| author_facet | Ke Zhao Shilei Dong Shilei Dong Shilei Dong Wei Wang Wei Wang Wei Wang |
| author_sort | Ke Zhao |
| collection | DOAJ |
| description | ObjectiveThe purpose of this study was to explore the safe and most effective initiation time for the functional recovery of patients with peri-ankle fractures after surgery.MethodWe searched electronic databases, including the Cochrane Library, Embase, PubMed and the reference lists of relevant articles published from inception to October 30, 2021. Two researchers independently performed literature screening and data extraction and evaluated the quality of the included literature using the Newcastle–Ottawa Scale. Network meta-analysis, including consistency testing, publication bias, and graphical plotting, was performed using Stata (v16.0).ResultsA total of 25 articles involving 1756 patients were included in this study. The results of the meta-analysis showed that functional exercise within 2 days after surgery may result in lower VAS scores compared to other techniques (P < 0.05). Functional exercise within 12 months may lead to higher AOFAS scores than that of other techniques (P < 0.05). The total postoperative complication rate, including deep vein thrombosis, showed no statistically significant differences between any two interventions (P > 0.05). The results of the surface under the cumulative ranking (SUCRA) showed that functional exercise within two days postoperatively may have the lowest VAS scores (SUCRA = 82.8%), functional exercise within 1 week postoperatively may have the lowest deep vein thrombosis rate (SUCRA = 66.8%), functional exercise within 10 days postoperatively may have the fewest total postoperative complication rate (SUCRA = 73.3%) and functional exercise within 12 months postoperatively may contribute to the highest AOFAS scores (SUCRA = 85.5%).ConclusionThe results of this study suggest that initiation of rehabilitation within two days after surgery may be the best time to reduce postoperative pain; rehabilitation interventions within 10 days after surgery may be the optimal time for reducing the total postoperative complication rate, including deep vein thrombosis; and continued functional exercise within 12 months after surgery may steadily and ideally improve the function of the ankle joint.Systematic Review Registration: doi: 10.37766/inplasy2021.12.0030, identifier: INPLASY2021120030 |
| first_indexed | 2024-12-10T15:43:14Z |
| format | Article |
| id | doaj.art-adcb5a5b7d904db6998b1a4f53062ed4 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-10T15:43:14Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-adcb5a5b7d904db6998b1a4f53062ed42022-12-22T01:43:02ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-08-01910.3389/fsurg.2022.911471911471When is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri-ankle fractures? A network meta-analysisKe Zhao0Shilei Dong1Shilei Dong2Shilei Dong3Wei Wang4Wei Wang5Wei Wang6College of Acupuncture—Moxibustion and Orthopedics, Hubei University of Traditional Chinese Medicine, Wuhan, ChinaDepartment of Orthopedics, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, ChinaDepartment of Orthopedics, Affiliated Hospital of Hubei University of Traditional Chinese Medicine, Wuhan, ChinaInstitute of Orthopedics, Hubei Province Academy of Traditional Chinese Medicine, Wuhan, ChinaDepartment of Orthopedics, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, ChinaDepartment of Orthopedics, Affiliated Hospital of Hubei University of Traditional Chinese Medicine, Wuhan, ChinaInstitute of Orthopedics, Hubei Province Academy of Traditional Chinese Medicine, Wuhan, ChinaObjectiveThe purpose of this study was to explore the safe and most effective initiation time for the functional recovery of patients with peri-ankle fractures after surgery.MethodWe searched electronic databases, including the Cochrane Library, Embase, PubMed and the reference lists of relevant articles published from inception to October 30, 2021. Two researchers independently performed literature screening and data extraction and evaluated the quality of the included literature using the Newcastle–Ottawa Scale. Network meta-analysis, including consistency testing, publication bias, and graphical plotting, was performed using Stata (v16.0).ResultsA total of 25 articles involving 1756 patients were included in this study. The results of the meta-analysis showed that functional exercise within 2 days after surgery may result in lower VAS scores compared to other techniques (P < 0.05). Functional exercise within 12 months may lead to higher AOFAS scores than that of other techniques (P < 0.05). The total postoperative complication rate, including deep vein thrombosis, showed no statistically significant differences between any two interventions (P > 0.05). The results of the surface under the cumulative ranking (SUCRA) showed that functional exercise within two days postoperatively may have the lowest VAS scores (SUCRA = 82.8%), functional exercise within 1 week postoperatively may have the lowest deep vein thrombosis rate (SUCRA = 66.8%), functional exercise within 10 days postoperatively may have the fewest total postoperative complication rate (SUCRA = 73.3%) and functional exercise within 12 months postoperatively may contribute to the highest AOFAS scores (SUCRA = 85.5%).ConclusionThe results of this study suggest that initiation of rehabilitation within two days after surgery may be the best time to reduce postoperative pain; rehabilitation interventions within 10 days after surgery may be the optimal time for reducing the total postoperative complication rate, including deep vein thrombosis; and continued functional exercise within 12 months after surgery may steadily and ideally improve the function of the ankle joint.Systematic Review Registration: doi: 10.37766/inplasy2021.12.0030, identifier: INPLASY2021120030https://www.frontiersin.org/articles/10.3389/fsurg.2022.911471/fullperi-ankle fracturesrehabilitative exercisemeta-analysispostoperative functional recoveryperiarticular fractures |
| spellingShingle | Ke Zhao Shilei Dong Shilei Dong Shilei Dong Wei Wang Wei Wang Wei Wang When is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri-ankle fractures? A network meta-analysis Frontiers in Surgery peri-ankle fractures rehabilitative exercise meta-analysis postoperative functional recovery periarticular fractures |
| title | When is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri-ankle fractures? A network meta-analysis |
| title_full | When is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri-ankle fractures? A network meta-analysis |
| title_fullStr | When is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri-ankle fractures? A network meta-analysis |
| title_full_unstemmed | When is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri-ankle fractures? A network meta-analysis |
| title_short | When is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri-ankle fractures? A network meta-analysis |
| title_sort | when is the optimum time for the initiation of early rehabilitative exercise on the postoperative functional recovery of peri ankle fractures a network meta analysis |
| topic | peri-ankle fractures rehabilitative exercise meta-analysis postoperative functional recovery periarticular fractures |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.911471/full |
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