Independent use of an active controlled motion device in the treatment of ankle fractures extract
Overall, for independent use by adult patients following a surgically treated ankle fracture, a hint of benefit of additional mobilization via CAM device was found in comparison with standard treatment without CAM device. No studies were found on additional mobilization through the independent use o...
| Corporate Author: | |
|---|---|
| Format: | eBook |
| Language: | English |
| Published: |
Köln, Germany
Institute for Quality and Efficiency in Health Care
8 October 2021, 2021
|
| Edition: | Version 1.0 |
| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | Overall, for independent use by adult patients following a surgically treated ankle fracture, a hint of benefit of additional mobilization via CAM device was found in comparison with standard treatment without CAM device. No studies were found on additional mobilization through the independent use of a CAM device in patients with conservatively treated ankle fracture. For the subpopulation of conservatively treated adult patients who are allowed partial loading, the results are deemed transferable, and a hint of benefit of a CAM device is found in comparison with standard treatment without CAM device. Due to the weak evidence on which the benefit assessment is based, conducting a confirmatory randomized controlled trial (RCT) should be considered in the present indication. This RCT should include both adult patients with surgically treated ankle fracture and those with conservatively treated ankle fracture which can be (at least) partially loaded. For adult patients with conservatively treated ankle fracture who are not allowed partial loading of the joint, the independent use of a CAM device seems inadequately indicated and difficult to implement. Hence, the result cannot be transferred to this subpopulation. For these patients, no hint of benefit nor the potential of a required treatment alternative was found RESEARCH QUESTION: The objective of this investigation is to assess the benefit of independent use of an active motion device, also called controlled active motion (CAM) device, in adult patients with conservatively or surgically treated ankle fracture in comparison with standard care without the independent use of an active motion device with regard to patient-relevant outcomes. CONCLUSION: For the independent use of CAM devices following surgical therapy, 1 study was found, comparing postoperative treatment with CAM devices versus postoperative treatment without CAM device. The study population was small, and the study had methodological flaws. However, for the outcomes of foot pain, foot function, other complaints (Visual Analogue Scale Foot and Ankle, VAS FA), full weight-bearing, regaining fitness to work, and health-related quality of life (physical component summary [Short Form (SF)-12]), a hint of benefit of additional mobilization via the independent use of a CAM device in comparison with standard care without CAM device was consistently found. With regard to the range of motion (ROM) outcomes, health-related quality of life (mental component summary [SF-12]), adverse events, and revision surgery, there was no hint of benefit or harm of the independent use of a CAM device in comparison with standard treatment without CAM device. No data were available for the outcomes of activities of daily living, dependence on help from others, or participation in professional and social life. |
|---|---|
| Item Description: | Translation of Chapters 1 to 6 of the final report N20-05 Selbstanwendung einer aktiven Bewegungsschiene im Rahmen der Behandlung von Sprunggelenkfrakturen (Version 1.0; Status: 8 October 2021 [German original], 20 January 2022 [English translation]) |
| Physical Description: | 1 PDF file (vi, 21 pages) |