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Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review

2017; Human Kinetics; Volume: 27; Issue: 3 Linguagem: Inglês

10.1123/jsr.2016-0199

1543-3072

Viviane Ribeiro de Ávila, Teresa Bento, Wellington Fabiano Gomes, José Carlos Leitão, Nélson Sousa,

Orthopedic Surgery and Rehabilitation

Ankle fractures (AFs) are the most common fractures of the lower limbs found in emergency services. Approximately 53% of these fractures are unstable and treated surgically.To conduct a systematic review evaluating functional outcomes and quality of life of patients with AFs surgically treated.A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement. Five electronic databases were searched, without any limit on publication dates. Only patients with an unstable AF that was surgically treated were included; functional outcomes and the quality of life were controlled by the 36-Item Short-Form Health Survey instrument.Five studies were included in the analysis, including 267 patients. The values of the Physiotherapy Evidence Database scale ranged between a minimum of 5 and a maximum of 7 points. Patients with surgically treated AF reported less functionality and physical capacity compared with the nonfractured population. Some patients experienced vitality, emotional, and mental health limitations for a long period. Most surgically treated patients reported no pain and a good health and social status.Limitations in functionality and physical capacity represent the main threats to health-related quality of life in patients with surgically treated AFs.