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Effects of continuous passive movement and plaster of Paris after internal fixation of ankle fractures
Davies S
Physiotherapy 1991 Aug;77(8):516-520
clinical trial
1/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

In order to compare the effects of continuous passive movement and plaster of Paris on the outcome of patients under 50 years old after internal fixation of ankle fractures, two groups were selected at random and reviewed clinically after six and 12 months. The data collected indicated a significant improvement in the range of ankle motion, reduction in pain, and a reduction in the time taken between injury and return to full pre-fracture activity when continuous passive movement was used. All these improvements were achieved with no significant increase in post-operative complications or the length of hospital stay. It is suggested that continuous passive movement provides a better outcome after internal fixation of ankle fractures than plaster of Paris in the group of patients studied.

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