title: Comparison of surgical intervention with functional treatment for acute ruptures of lateral ankle ligmant: a meta-analysis.
abstract: OBJECTIVE
  To compare the effect of surgical intervention on functional treatment.
  
  
  METHODS
  By searching the MEDLINE (1966 to October 2011), EMBASE (1980 to October 2011), the Chinese Biomedical Database Databases (1980 to October 2011), a total of 9 related RCT studies comparing surgical intervention with functional treatment were included in our study. RevMan software was taken to analyze the data.
  
  
  RESULTS
  These 9 studies involved a total of 1 268 mostly young adults, including 580 patients with surgical treatment and 688 patients with functional treatment. The results showed the stability of ankle activity in surgical treatment group was better than that in functional treatment group, with the OR and 95% CI of 0.72 (0.52-0.99). No significant difference was found in the recurrence of the surgical and functional group. However, the movement disorder in the surgical treatment suggested increased risk than that in functional group, with the OR and 95% CI of 2.39 (0.98-5.85). Surgical group found more complication than the function group, such as deep vein thrombosis, deep venous thrombosis, tenderness of scar and sensory loss.
  
  
  CONCLUSIONS
  In conclusion, our finding showed that surgical treatment could gain better efficacy than functional treatment, but may bring more complication. Therefore, further large sample size RCT is warranted.
authors.affiliation: The Second Affiliated Hospital, Inner Mongolia Medical College, Hohhot, Inner Mongolia, China.
authors.forename: Zeng-Tao
authors.initials: ZT
authors.lastname: Hao
authors.forename: Yu-Xia
authors.initials: YX
authors.lastname: Ma
authors.forename: Ting
authors.initials: T
authors.lastname: Hao
authors.forename: Wei
authors.initials: W
authors.lastname: Feng
authors.forename: Ji-Hong
authors.initials: JH
authors.lastname: Wang
authors.forename: Dong-Sheng
authors.initials: DS
authors.lastname: Fan
authors.forename: Shu-Zheng
authors.initials: SZ
authors.lastname: Wen
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D017844:Lateral Ligament, Ankle / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D016032:Randomized Controlled Trials as Topic; D020127:Recovery of Function; D012008:Recurrence; D012421:Rupture / Q000534:rehabilitation / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult