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, inverse variance. Postoperative treatment and return to activity An overview of postoperative treatment protocols and return to sports is given in Table 3 . Seven of the eight included studies applied the same postoperative protocols to
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repair of the Achilles tendon rupture Comparison At least two different postoperative treatment protocols Outcomes Patient satisfaction, patient reported outcome measures, functional assessment, time to return to work/sports, tendon
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, representing 10–30% of all sports injuries. 3 – 5 Whenever we refer to ankle sprains, we are not describing the diagnosis but instead the injury mechanism. Inversion and adduction with a plantarflexed foot is the mechanism in 85% of ankle sprain injuries
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formation. 13 The average time to return to normal activities is between four and eight weeks. 3 Acute injuries: surgical treatment Any acute syndesmotic ligament rupture with frank or latent instability of the ankle should be managed
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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versus 80% patient satisfaction with an arthroscopic approach. 10 They also reported similar results for the percentage of the patients that can return to sports after surgery but the average time to return to activities is longer following open
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patient often needs a proprioceptive training programme, as proprioception is likely to be affected. Occupational and sports activities that require strenuous physical efforts are restricted over the first period of time to prevent pain and poor outcomes
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-operative care includes a soft dressing, allowing immediate mobilization, within three weeks of discharge of the operated ankle. The beginning of physiotherapy is at two weeks post-operatively and the return to sports or heavy work around four months
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.1097/BOT.0000000000001000 ) 19 Calder JD Bamford R Petrie A & McCollum GA . Stable versus unstable Grade II high ankle sprains: a prospective study predicting the need for surgical stabilization and time to return to sports . Arthroscopy 2016
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Department of Orthopedic Surgery, National Taiwan University Hospital, Taiwan, Republic of China
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studies with only a short-time follow-up was to exclude papers of low quality. However, we did include studies with level of evidence I–IV and low methodological quality. The rationale to not conduct a level I meta-analysis is based on the available
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BMS is revascularization of the defect. BMS comes with several advantages: it is neither a technically demanding, nor an expensive technique with low morbidity and rapid recovery ( 3 ). An early return to full weight-bearing 2 weeks postoperatively