Cast versus removable orthosis for the management of stable type B ankle fractures: a systematic review and meta-analysis.
Jelle Friso SpieringsThomas Marcus Paulus NijdamLizz van der HeijdenHenk Jan SchuijtMarike Cornelia KokkeDetlef van der VeldeDiederik Pieter Johan SmeeingPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2022)
Results of this systematic review and meta-analysis show that a removable orthosis is a safe alternative type of NOM, as complication numbers are significantly lower in the orthosis group. In addition, no statistically significant differences were found in terms of functional outcome between a removable orthosis and a cast at 6 and 12 weeks. The 6-week and the 26-week OMAS results show that in patients with stable type B ankle fractures, a removable orthosis is non-inferior to a cast in terms of functional outcome.
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