Cargando…

The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol

INTRODUCTION: For any orthopaedic surgeon working with trauma; ankle fractures are one of the most common injuries treated. The treatment of ankle fractures can be conservative, using external fixation, but more commonly the fractures are treated with open reduction and internal fixation. Residual p...

Descripción completa

Detalles Bibliográficos
Autores principales: Thune, Alexandra, Hagelberg, Mårten, Nåsell, Hans, Sköldenberg, Olof
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724201/
https://www.ncbi.nlm.nih.gov/pubmed/28801390
http://dx.doi.org/10.1136/bmjopen-2016-014560
_version_ 1783285318864076800
author Thune, Alexandra
Hagelberg, Mårten
Nåsell, Hans
Sköldenberg, Olof
author_facet Thune, Alexandra
Hagelberg, Mårten
Nåsell, Hans
Sköldenberg, Olof
author_sort Thune, Alexandra
collection PubMed
description INTRODUCTION: For any orthopaedic surgeon working with trauma; ankle fractures are one of the most common injuries treated. The treatment of ankle fractures can be conservative, using external fixation, but more commonly the fractures are treated with open reduction and internal fixation. Residual pain and discomfort are common in patients after surgical treatment of fractures of the ankle. Sometimes it is difficult to determine whether the pain or discomfort is due to the implants left in situ or the primary injury itself. In many cases, the decision is made to remove the implants. Extraction of internal fixation material from the ankle is a common procedure in many orthopaedic clinics. There are no evidence-based guidelines or consensus regarding the effect of hardware removal from the ankle. The aim of this protocol is to describe the method that will be used to collect, describe and analyse the current evidence regarding hardware removal after fracture healing of the ankle. METHODS AND ANALYSIS: We will conduct a systematic review of studies that were published after 1967 regarding the benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle. Study selection will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We will make a predefined search strategy and use it in several databases. We will include both randomised controlled trials (RCTs) and non-RCT studies. We will use descriptive statistics to summarise the studies collected. If more than one RCT is collected then a meta-analysis will be conducted. The quality of evidence will be assessed using Grading of Recommendations Assessment, Development and Evaluation guidelines. ETHICS AND DISSEMINATION: No ethics approval is required as no primary data will be collected. Once complete, the results will be made available by peer-reviewed publication. TRIAL REGISTRATION NUMBER: PROSPERO registration number CRD42016039186
format Online
Article
Text
id pubmed-5724201
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-57242012017-12-19 The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol Thune, Alexandra Hagelberg, Mårten Nåsell, Hans Sköldenberg, Olof BMJ Open Surgery INTRODUCTION: For any orthopaedic surgeon working with trauma; ankle fractures are one of the most common injuries treated. The treatment of ankle fractures can be conservative, using external fixation, but more commonly the fractures are treated with open reduction and internal fixation. Residual pain and discomfort are common in patients after surgical treatment of fractures of the ankle. Sometimes it is difficult to determine whether the pain or discomfort is due to the implants left in situ or the primary injury itself. In many cases, the decision is made to remove the implants. Extraction of internal fixation material from the ankle is a common procedure in many orthopaedic clinics. There are no evidence-based guidelines or consensus regarding the effect of hardware removal from the ankle. The aim of this protocol is to describe the method that will be used to collect, describe and analyse the current evidence regarding hardware removal after fracture healing of the ankle. METHODS AND ANALYSIS: We will conduct a systematic review of studies that were published after 1967 regarding the benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle. Study selection will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We will make a predefined search strategy and use it in several databases. We will include both randomised controlled trials (RCTs) and non-RCT studies. We will use descriptive statistics to summarise the studies collected. If more than one RCT is collected then a meta-analysis will be conducted. The quality of evidence will be assessed using Grading of Recommendations Assessment, Development and Evaluation guidelines. ETHICS AND DISSEMINATION: No ethics approval is required as no primary data will be collected. Once complete, the results will be made available by peer-reviewed publication. TRIAL REGISTRATION NUMBER: PROSPERO registration number CRD42016039186 BMJ Publishing Group 2017-08-11 /pmc/articles/PMC5724201/ /pubmed/28801390 http://dx.doi.org/10.1136/bmjopen-2016-014560 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Surgery
Thune, Alexandra
Hagelberg, Mårten
Nåsell, Hans
Sköldenberg, Olof
The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol
title The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol
title_full The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol
title_fullStr The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol
title_full_unstemmed The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol
title_short The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol
title_sort benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724201/
https://www.ncbi.nlm.nih.gov/pubmed/28801390
http://dx.doi.org/10.1136/bmjopen-2016-014560
work_keys_str_mv AT thunealexandra thebenefitsofhardwareremovalinpatientswithpainordiscomfortafterfracturehealingoftheankleasystematicreviewprotocol
AT hagelbergmarten thebenefitsofhardwareremovalinpatientswithpainordiscomfortafterfracturehealingoftheankleasystematicreviewprotocol
AT nasellhans thebenefitsofhardwareremovalinpatientswithpainordiscomfortafterfracturehealingoftheankleasystematicreviewprotocol
AT skoldenbergolof thebenefitsofhardwareremovalinpatientswithpainordiscomfortafterfracturehealingoftheankleasystematicreviewprotocol
AT thunealexandra benefitsofhardwareremovalinpatientswithpainordiscomfortafterfracturehealingoftheankleasystematicreviewprotocol
AT hagelbergmarten benefitsofhardwareremovalinpatientswithpainordiscomfortafterfracturehealingoftheankleasystematicreviewprotocol
AT nasellhans benefitsofhardwareremovalinpatientswithpainordiscomfortafterfracturehealingoftheankleasystematicreviewprotocol
AT skoldenbergolof benefitsofhardwareremovalinpatientswithpainordiscomfortafterfracturehealingoftheankleasystematicreviewprotocol