Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies
<h2>Purpose</h2> <p>The indications of deltoid ligament repair in ankle injuries with widened medial clear space in the absence of medial malleolus fracture remain controversial. Many authors reported no difference in long-term functional outcomes, while others stated that persiste...
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2019
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| _version_ | 1864513568096911360 |
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| author | Motasem Salameh (14146794) |
| author2 | Abduljabbar Alhammoud (10334817) Nedal Alkhatib (14150238) Ahmed K. Attia (14150241) Mohamed M. Mekhaimar (14150244) Pieter D’Hooghe (3530984) Karim Mahmoud (7304036) |
| author2_role | author author author author author author |
| author_facet | Motasem Salameh (14146794) Abduljabbar Alhammoud (10334817) Nedal Alkhatib (14150238) Ahmed K. Attia (14150241) Mohamed M. Mekhaimar (14150244) Pieter D’Hooghe (3530984) Karim Mahmoud (7304036) |
| author_role | author |
| dc.creator.none.fl_str_mv | Motasem Salameh (14146794) Abduljabbar Alhammoud (10334817) Nedal Alkhatib (14150238) Ahmed K. Attia (14150241) Mohamed M. Mekhaimar (14150244) Pieter D’Hooghe (3530984) Karim Mahmoud (7304036) |
| dc.date.none.fl_str_mv | 2019-11-27T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00264-019-04416-9 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Outcome_of_primary_deltoid_ligament_repair_in_acute_ankle_fractures_a_meta-analysis_of_comparative_studies/21596961 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Ankle Deltoid Fracture instabiity Ligament |
| dc.title.none.fl_str_mv | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h2>Purpose</h2> <p>The indications of deltoid ligament repair in ankle injuries with widened medial clear space in the absence of medial malleolus fracture remain controversial. Many authors reported no difference in long-term functional outcomes, while others stated that persistent medial clear space widening and malreduction are higher when deltoid ligaments went without repair. This meta-analysis aims to report the current published evidence about the outcomes of deltoid ligament repair in ankle fractures.</p> <h2>Methods</h2> <p>Several databases were searched through May 2018 for comparative studies. The primary outcome was the medial clear space correction, while secondary outcomes included maintenance of medial clear space reduction, pain scores, functional outcome, and total complications if any. Three comparative studies met the inclusion criteria for the meta-analysis. The analysis included a total of 192 patients, 81 in the deltoid ligament repair group and 111 in the non-repair group.</p> <h2>Results</h2> <p>The medial clear space correction and maintenance of the said correction on final follow-up radiographs were superior in the deltoid ligament repair group. Although the pain scores were better in the repair group at the final follow-up, this did not result in a better functional outcome, with similar total complication rates.</p> <h2>Conclusion</h2> <p>In conclusion, those who had their deltoid ligament repaired had superior early and late radiological correction of the medial clear space, an indicator of the quality of ankle reduction with better pain scores. However, no differences in the functional outcome and complications rate were reported.</p><h2>Other Information</h2> <p> Published in: International Orthopaedics<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00264-019-04416-9" target="_blank">http://dx.doi.org/10.1007/s00264-019-04416-9</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_c134e1deb2ca4eea83db185a2ba36335 |
| identifier_str_mv | 10.1007/s00264-019-04416-9 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/21596961 |
| publishDate | 2019 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studiesMotasem Salameh (14146794)Abduljabbar Alhammoud (10334817)Nedal Alkhatib (14150238)Ahmed K. Attia (14150241)Mohamed M. Mekhaimar (14150244)Pieter D’Hooghe (3530984)Karim Mahmoud (7304036)Biomedical and clinical sciencesClinical sciencesAnkleDeltoidFractureinstabiityLigament<h2>Purpose</h2> <p>The indications of deltoid ligament repair in ankle injuries with widened medial clear space in the absence of medial malleolus fracture remain controversial. Many authors reported no difference in long-term functional outcomes, while others stated that persistent medial clear space widening and malreduction are higher when deltoid ligaments went without repair. This meta-analysis aims to report the current published evidence about the outcomes of deltoid ligament repair in ankle fractures.</p> <h2>Methods</h2> <p>Several databases were searched through May 2018 for comparative studies. The primary outcome was the medial clear space correction, while secondary outcomes included maintenance of medial clear space reduction, pain scores, functional outcome, and total complications if any. Three comparative studies met the inclusion criteria for the meta-analysis. The analysis included a total of 192 patients, 81 in the deltoid ligament repair group and 111 in the non-repair group.</p> <h2>Results</h2> <p>The medial clear space correction and maintenance of the said correction on final follow-up radiographs were superior in the deltoid ligament repair group. Although the pain scores were better in the repair group at the final follow-up, this did not result in a better functional outcome, with similar total complication rates.</p> <h2>Conclusion</h2> <p>In conclusion, those who had their deltoid ligament repaired had superior early and late radiological correction of the medial clear space, an indicator of the quality of ankle reduction with better pain scores. However, no differences in the functional outcome and complications rate were reported.</p><h2>Other Information</h2> <p> Published in: International Orthopaedics<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00264-019-04416-9" target="_blank">http://dx.doi.org/10.1007/s00264-019-04416-9</a></p>2019-11-27T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00264-019-04416-9https://figshare.com/articles/journal_contribution/Outcome_of_primary_deltoid_ligament_repair_in_acute_ankle_fractures_a_meta-analysis_of_comparative_studies/21596961CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215969612019-11-27T00:00:00Z |
| spellingShingle | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies Motasem Salameh (14146794) Biomedical and clinical sciences Clinical sciences Ankle Deltoid Fracture instabiity Ligament |
| status_str | publishedVersion |
| title | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies |
| title_full | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies |
| title_fullStr | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies |
| title_full_unstemmed | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies |
| title_short | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies |
| title_sort | Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies |
| topic | Biomedical and clinical sciences Clinical sciences Ankle Deltoid Fracture instabiity Ligament |