Details

Autor(en) / Beteiligte

• Gill, James R.
• Bleibleh, Sabri S.
• Malani, Sangam
• Nabulyato, William
• Rai, Praveen
• Kugapiriyan, Raviraj
• Bintcliffe, Fiona
• Murphy, Tom
• Holme, Thomas
• Mahapatra, Piyush
• Scrimshire, Ashley
• Williams, Patrick
• Hannah, Andrew
• Carter, Thomas H.
• Banerjee, Purnajyoti
• West, Victor
• Akhtar, Ahsan
• Davies, Emma
• Leong, Edmund
• Sun, Stephen Ng Man
• D'Souza, Winster
• Reynolds, Gavin
• Durst, Alexander
• Ngu, Albert
• Gray, Matt
• Claireaux, Henry A.
• Griffin, Xavier L.
• Borse, Vishal
• Alho, Roberto J.R.
• Xu, Yiteng
• Hodhody, Ghazal
• Kaur, Jasprit
• Donovan, Richard L.
• Byrne, Hayleigh
• Singh, Abhinav
• Petrie, Mike
• Tang, Quen O.
• Kutuzov, Vladislav
• Spacey, Kate
• Gupta, Shreekant
• Lotfi, Naeil
• Marsh, Alastair
• Pagkalos, Iosif
• Sarhan, Islam
• Thangaraj, Rajkumar
• Wu, Feiran
• Kong, Chia Yew Y.
• Lidder, Surjit
• Karski, Mike
• Syam, Kevin
• Abu-Rajab, Rashid
• Liew, Ignatius
• Maling, Lucy
• Karam, Edward
• Limb, Richard
• Matheron, George
• Koc, Togay
• Mcfall, John
• Nicholson, Jamie
• Knowles, David
• Dowlut, Naeem
• Bourne, James T.
• Kim, Min Soo S.K.
• Poustie, Mark
• Fawdington, Ross A.
• Cassidy, Lucy
• Ray, Arunray
• Rogers, Benedict
• Killen, Maire-Clare
• Bala, Sathish
• Das, Rishi
• Robinson, Peter
• Stoddart, Mike
• Chew, Ernest
• Sokota, Sian
• Mcloughlin, Kathryn
• Simpson, Jennie
• Lupu, Andreea
• Thomas, Charlotte T
• Zhang, Yuhao
• Goodland, Christopher
• Bhamra, Jagmeet
• Cuthbert, Rory
• Weston, Matthew
• Thomas, Philip
• Unsworth, Richard
• Clayton, Robert
• Yapp, Liam
• Badgetu, Ravi
• Hughes, Mike
• Kho, Ling
• Fenner, Christopher
• Nahas, Sam
• Nathan, Subra
• Kumar, Karadi
• Salt, Gemma
• Blucher, Nicola
• Jones, Mark
• Nachev, Krasimir
• Cruickshank, James

Titel

Weight-bearing in ankle fractures: An audit of UK practice

Ist Teil von

• Foot (Edinburgh, Scotland), 2019-06, Vol.39, p.28-36

Ort / Verlag

Scotland: Elsevier Ltd

Erscheinungsjahr

2019

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• [Display omitted] •The standard of care for weight-bearing after ankle fracture was previously unknown.•81% of non-operatively managed patients with uni-malleolar fractures are advised early weight-bearing.•21% of operatively managed patients are advised early weight-bearing.•There is community equipoise and a randomized study examining weight-bearing in ankle fractures is feasible. The purpose of this national study was to audit the weight-bearing practice of orthopaedic services in the National Health Service (NHS) in the treatment of operatively and non-operatively treated ankle fractures. A multicentre prospective two-week audit of all adult ankle fractures was conducted between July 3rd 2017 and July 17th 2017. Fractures were classified using the AO/OTA classification. Fractures fixed with syndesmosis screws or unstable fractures (>1 malleolus fractured or talar shift present) treated conservatively were excluded. No outcome data were collected. In line with NICE (The National Institute for Health and Care Excellence) criteria, “early” weight-bearing was defined as unrestricted weight-bearing on the affected leg within 3 weeks of injury or surgery and “delayed” weight-bearing as unrestricted weight-bearing permitted after 3 weeks. 251 collaborators from 81 NHS hospitals collected data: 531 patients were managed non-operatively and 276 operatively. The mean age was 52.6 years and 50.5 respectively. 81% of non-operatively managed patients were instructed for early weight-bearing as recommended by NICE. In contrast, only 21% of operatively managed patients were instructed for early weight-bearing. The majority of patients with uni-malleolar ankle fractures which are managed non-operatively are treated in accordance with NICE guidance. There is notable variability amongst and within NHS hospitals in the weight-bearing instructions given to patients with operatively managed ankle fractures. This study demonstrates community equipoise and suggests that the randomized study to determine the most effective strategy for postoperative weight-bearing in ankle fractures described in the NICE research recommendation is feasible.