Early functional rehabilitation versus traditional immobilization for surgical Achilles tendon repair after acute rupture: a systematic review of overlapping meta-analyses
| Autor: | Shi-Lian Kan, Lin Liu, Xiao-Hui Meng, Xian-Tie Zeng, Jia-Guo Zhao |
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| Rok vydání: | 2016 |
| Předmět: |
Restraint
Physical medicine.medical_specialty MEDLINE Cochrane Library Achilles Tendon Article 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Patient satisfaction Meta-Analysis as Topic Medicine Humans Early Ambulation Functional rehabilitation Surgical repair Rupture 030222 orthopedics Achilles tendon Multidisciplinary business.industry 030229 sport sciences Recovery of Function Jadad scale Systematic review medicine.anatomical_structure Physical therapy business |
| Zdroj: | Scientific Reports |
| ISSN: | 2045-2322 |
| Popis: | Several meta-analyses comparing early functional rehabilitation and traditional immobilization following surgical Achilles tendon repair after acute rupture have been published. However, they have led to conflicting conclusions. The aims of this systematic review were to select high-quality meta-analyses from multiple discordant meta-analyses and to provide a postoperative rehabilitation strategy following surgical repair using currently available evidence. We performed a comprehensive search using the PubMed and Embase databases and the Cochrane Library. Assessment of Multiple Systematic Reviews (AMSTAR) instrument was used to assess the methodological quality. Three investigators independently applied the Jadad decision algorithm. Their results were then compared to ensure selection of a meta-analysis that provided the highest quality of evidence. Six meta-analyses met the eligibility criteria. AMSTAR scores ranged from 6 to 10. According to the Jadad decision algorithm, a high-quality meta-analysis with a greater number of RCTs was selected. This meta-analysis showed that early functional rehabilitation was superior to cast immobilization in terms of patient satisfaction and the time to return to pre-morbid sporting levels. There were no differences regarding major complications or the time before return to prior employment and sporting activity. Thus, we recommend early functional rehabilitation as the postoperative strategy for acute Achilles tendon ruptures. |
| Databáze: | OpenAIRE |
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