Cochrane · systematic review · CD010836
Interventions for treating ankle fractures in children
Yeung, DE, Jia, X, Miller, CA, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 3 · 42.9%Low 2 · 28.6%Moderate 1 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Ankle brace compared with rigid cast for 'low risk' ankle fractures in children
Population: children with acute 'low risk' (undisplaced) ankle fractures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Modified Activities Scale for Kids‐performance (ASKp) score (0 to 100%: best outcome) at 4 weeks Ankle brace vs rigid cast | no estimate extracted | 1 study · 104 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Unacceptable anatomy: leg‐length discrepancy, limp, abnormal gait Ankle brace vs rigid cast | no estimate extracted | NR | No studies |
Number of children experiencing adverse outcomes at 4 weeks Ankle brace vs rigid cast | RR 2 [0.83, 4.81] | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Time to resume pre‐injury level of activity (days) Ankle brace vs rigid cast | no estimate extracted | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Return to pre‐injury levels of activity at 4 weeks Ankle brace vs rigid cast | RR 1.36 [1.02, 1.8] | 1 study · 94 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Patient satisfaction: would have preferred the other device Ankle brace vs rigid cast | RR 0.1 [0.03, 0.32] | 1 study · 103 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Faces Pain Scale score at 4 weeks' post ‐injury (0 to 10: greatest pain) Ankle brace vs rigid cast | no estimate extracted | 1 study · 104 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |