The effect of postoperative weightbearing protocols on total cost and complications following ankle fracture ORIF: A systematic review.
Zackary Yates, Fredrick Perry, Amir R Kachooei
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In 30 seconds
This systematic review evaluated the impact of various postoperative weight-bearing protocols on costs and complications following ankle fracture ORIF. Analyzing eleven studies, it was found that earlier weight-bearing protocols significantly reduced time to return to work (P<0.05) and total costs, with immediate protected weight-bearing showing a cost reduction of up to $928.29 compared to delayed protocols. No significant differences in complications were observed.
Key findings
- Earlier weight-bearing protocols significantly decreased time to return to work (P<0.05).
- Total costs were lower for quicker weight-bearing protocols, with a reduction of up to $928.29.
- Immediate protected weight-bearing showed consistently fewer complications in four studies.
- No clinically significant differences in postoperative complications were noted across protocols.
Why it matters
Understanding the implications of different weight-bearing protocols can help clinicians optimize recovery times and reduce healthcare costs for patients undergoing ankle fracture surgery. This may enhance patient satisfaction and resource allocation in orthopedic care.